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Microbiota stability in healthy individuals after single-dose lactulose challenge-A randomized controlled study
Sandra Y Wotzka1, Markus Kreuzer1, Lisa Maier1
1Institute of Microbiology, D-BIOL, ETH Zürich, Zürich, Switzerland.
A single 50g dose of lactulose did not alter E. coli levels in healthy volunteers. This suggests lactulose is unlikely to promote growth of H2-consuming pathogens like Salmonella Typhimurium.
Area of Science:
- Gastroenterology
- Microbiome Research
- Infectious Disease
Background:
- Lactulose is a common food ingredient and therapeutic agent.
- Lactulose fermentation by gut microbiota produces hydrogen (H2).
- Increased H2 may favor growth of H2-consuming enteropathogens like Salmonella Typhimurium.
Purpose of the Study:
- To investigate the effect of a single lactulose dose on Escherichia coli (E. coli) abundance in healthy individuals.
- To assess if lactulose alters the gut environment, potentially predisposing to enteropathogen infection.
Main Methods:
- 32 healthy volunteers received either 50g lactulose or 50g sucrose (control).
- Expiratory H2 levels and symptoms were monitored post-ingestion.
- Stool samples were analyzed for E. coli counts and microbiota composition.
Main Results:
- Lactulose ingestion caused diarrhea and increased H2 levels in most participants.
- E. coli counts in stool remained stable before and after lactulose or sucrose challenge.
- Gut microbiota composition showed no significant changes post-lactulose.
Conclusions:
- A single 50g dose of lactulose does not significantly change E. coli density in healthy volunteers.
- Lactulose is unlikely to create conditions favoring infection by H2-consuming enteropathogens.
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