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Updated: Aug 19, 2026

Applying Advanced In Vitro Culturing Technology to Study the Human Gut Microbiota
Published on: February 15, 2019
Birth-related increase in intracolonic hydrogen gas and nitric oxide as indicator of host-microbial interactions
Insights
Early gut bacteria and immune responses in newborns were measured. Hydrogen gas (H2) and short-chain fatty acids (SCFAs) appeared within 24 hours, while nitric oxide (NO) increased later, indicating gut development and mucosal immune activation.
Area of Science:
- Neonatal immunology
- Gut microbiome development
- Host-bacterial interactions
Background:
- Early-life gut bacterial colonization may influence allergy development.
- Studied early host-bacterial interactions using measurements of hydrogen gas (H2), fecal short-chain fatty acids (SCFAs), and nitric oxide (NO).
Purpose of the Study:
- To investigate early host-bacterial interactions in the infant gut.
- To monitor the development of gut microbiota and mucosal immune responses in newborns.
Main Methods:
- A novel minimally invasive technique for repeated measurements of luminal colonic H2 and NO in 32 healthy newborns.
- Measurements were taken immediately after birth, day 1, days 3-5, 1 month, and 5-6 months postpartum.
Main Results:
- Colonic H2, NO, and fecal SCFAs were undetectable at birth.
- H2 and SCFAs appeared within 24 hours and increased over 6 months.
- Nitric oxide (NO) remained low until 3-5 days postpartum, then increased markedly, with some infants showing levels similar to adults with inflammatory bowel disease.
Conclusions:
- Intracolonic measurements of H2 and NO can monitor developmental colonization.
- These measurements may also be useful for assessing mucosal responses in infants.
Background:
Bacterial colonization of the intestine early in life might have implications for allergy development. We studied early host-bacterial interactions in the gut by simultaneous measurements of hydrogen gas (H(2)) and faecal short chain fatty acid pattern (SCFAs), i.e. bacterial products, as well as of nitric oxide (NO), a marker of mucosal immune activation.
Methods:
A novel minimally invasive technique was used for repeated measurements of luminal colonic H(2) and NO in 32 healthy newborn infants delivered vaginally or by Caesarean section. Luminal gas was sampled and analysed at five occasions: immediately after birth, day 1, days 3-5, 1 and 5-6 months after birth.
Results:
Colonic H(2), NO and faecal SCFAs were undetectable at birth. The H(2) and SCFAs appeared within 24 h and continued to increase during the 6 months follow-up. Nitric oxide remained very low until 3-5 days after birth at which time it markedly increased. In some apparently healthy infants NO transiently reached levels similar to those seen in adults with inflammatory bowel disease.
Conclusion:
Intracolonic measurements of H(2) and NO may be useful to monitor the developmental colonization process as well as mucosal responses.
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