Evidence map›Paper›PMID 34036331›Full record

ArticleThe Journal of nutrition2021

Luminal Bioavailability of Orally Administered ω-3 PUFAs in the Distal Small Intestine, and Associated Changes to the Ileal Microbiome, in Humans with a Temporary Ileostomy.

Gael Nana, Suparna Mitra, Henry Watson, Caroline Young, Henry M Wood, Sarah L Perry, Amanda D Race, Philip Quirke, Giles J Toogood, Paul M Loadman and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Gael NanaLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Suparna MitraLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Henry WatsonLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Caroline YoungLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Henry M WoodLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Sarah L PerryLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Amanda D RaceInstitute of Cancer Therapeutics, University of Bradford, Bradford, United Kingdom.
Philip QuirkeLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
Giles J ToogoodDepartment of Hepatobiliary Surgery, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Paul M LoadmanInstitute of Cancer Therapeutics, University of Bradford, Bradford, United Kingdom.
Mark A HullLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, United Kingdom.
University of Leeds · GBSt James's University Hospital · GBLeeds Teaching Hospitals NHS Trust · GBUniversity of Bradford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral administration of purified omega-3 (ω-3) PUFAs is associated with changes to the fecal microbiome. However, it is not known whether this effect is associated with increased PUFA concentrations in the gut.

objectivesWe investigated the luminal bioavailability of oral ω-3 PUFAs (daily dose 1 g EPA and 1g DHA free fatty acid equivalents as triglycerides in soft-gel capsules, twice daily) and changes to the gut microbiome, in the ileum.

methodsIleostomy fluid (IF) and blood were obtained at baseline, after first capsule dosing (median 2 h), and at a similar time after final dosing on day 28, in 11 individuals (median age 63 y) with a temporary ileostomy. Fatty acids were measured by LC-tandem MS. The ileal microbiome was characterized by 16S rRNA PCR and Illumina sequencing.

resultsThere was a mean 6.0 ± 9.8-fold and 6.6 ± 9.6-fold increase in ileal EPA and DHA concentrations (primary outcome), respectively, at 28 d, which was associated with increased RBC ω-3 PUFA content (P ≤ 0.05). The first oral dose did not increase the ileal ω-3 PUFA concentration except in 4 individuals, who displayed high luminal EPA and DHA concentrations, which reduced to concentrations similar to the overall study population at day 28, suggesting physiological adaptation. Bacteroides, Clostridium, and Streptococcus were abundant bacterial genera in the ileum. Ileal microbiome variability over time and between individuals was large, with no consistent change associated with acute ω-3 PUFA dosing. However, high concentrations of EPA and DHA in IF on day 28 were associated with higher abundance of Bacteroides (r2 > 0.86, P < 0.05) and reduced abundance of other genera, including Actinomyces (r2 > 0.94, P < 0.05).

conclusionsOral administration of ω-3 PUFAs leads to increased luminal ω-3 PUFA concentrations and changes to the microbiome, in the ileum of individuals with a temporary ileostomy. This study is registered on the ISRCTN registry as ISRCTN14530452.

Indexed as

Gastrointestinal MicrobiomeIleostomyBiological AvailabilityHumansIleumMiddle AgedRNA, Ribosomal, 16SRNA, Ribosomal, 16Sdocosahexaenoic acideicosapentaenoic acidileostomyomega-3 polyunsaturated fatty acidsmall intestine

Identifiers

PMID34036331
PMCPMC8349127
OpenAlexW3165352672

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.