The role of colonic metabolism in lactose intolerance

Autor: Gjalt W. Welling, Robert-Jan M. Brummer, Koen Venema, Tao He, Marion G. Priebe, Roelf Vonk
Přispěvatelé: TNO Kwaliteit van Leven, Interne Geneeskunde, RS: NUTRIM - R2 - Gut-liver homeostasis
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Biomedical Research
Clinical Biochemistry
Lactose
Review
GUT MICROBIOME
Biochemistry
Gastroenterology
chemistry.chemical_compound
Lactose Intolerance
ANTIBIOTIC-ASSOCIATED DIARRHEA
Medicine
Flatulence
Bifidobacterium
Priority journal
biology
Loose feces
Antibiotic agent
Lactic acid
General Medicine
Lactase deficiency
Diarrhea
CHAIN FATTY-ACIDS
Lactates
Antibiotic-associated diarrhea
medicine.symptom
Drug mechanism
Human
medicine.medical_specialty
Colon
Probiotic agent
Diet supplementation
Colon flora
Synbiotic agent
MECHANISMS
Succinic acid
Internal medicine
Humans
Irritable colon
Nutrition
HUMAN INTESTINE
Lactose intolerance
Colonic microbiota
Prebiotic agent
business.industry
SUGAR MALABSORPTION
Metabolism
biology.organism_classification
medicine.disease
Nonhuman
PROBIOTICS
digestive system diseases
FUNCTIONAL BOWEL-DISEASE
Endocrinology
chemistry
Fermentation
OSMOTIC DIARRHEA
business
Zdroj: European Journal of Clinical Investigation, 8, 38, 541-547
European Journal of Clinical Investigation, 38(8), 541-7. Wiley
ISSN: 0014-2972
Popis: Lactose maldigestion and intolerance affect a large part of the world population. The underlying factors of lactose intolerance are not fully understood. In this review, the role of colonic metabolism is discussed, i.e. fermentation of lactose by the colonic microbiota, colonic processing of the fermentation metabolites and how these processes would play a role in the pathophysiology of lactose intolerance. We suggest that the balance between the removal and production rate of osmotic-active components (lactose, and intermediate metabolites, e.g. lactate, succinate, etc.) in the colon is a key factor in the development of symptoms. The involvement of the colon may provide the basis for designing new targeted strategies for dietary and clinical management of lactose intolerance. © 2008 The Authors. Chemicals / CAS: lactic acid, 113-21-3, 50-21-5; lactose, 10039-26-6, 16984-38-6, 63-42-3, 64044-51-5; succinic acid, 110-15-6; Lactates; Lactose, 63-42-3
Databáze: OpenAIRE