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Epilactose is a disaccharide composed of galactose and mannose, and it is currently considered an "under development" prebiotic. In this study, we described the prebiotic potential of epilactose by in vitro fermentation using human fecal inocula from individuals following a Mediterranean diet (DM) or a Vegan diet (DV). The prebiotic effect of epilactose was also compared with lactulose and raffinose, and interesting correlations were established between metabolites and microbiota modulation. The production of several metabolites (lactate, short-chain fatty acids, and gases) confirmed the prebiotic properties of epilactose. For both donors, the microbiota analysis showed that epilactose significantly stimulated the butyrate-producing bacteria, suggesting that its prebiotic effect could be independent of the donor diet. Butyrate is one of the current golden metabolites due to its benefits for the gut and systemic health. In the presence of epilactose, the production of butyrate was 70- and 63-fold higher for the DM donor, when compared to lactulose and raffinose, respectively. For the DV donor, an increase of 29- and 89-fold in the butyrate production was obtained when compared to lactulose and raffinose, respectively. In conclusion, this study suggests that epilactose holds potential functional properties for human health, especially towards the modulation of butyrate-producing strains.
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http://dx.doi.org/10.3390/life14050643 | DOI Listing |
JGH Open
September 2025
The Fourth School of Clinical Medicine Zhejiang Chinese Medical University, Hangzhou First People's Hospital Hangzhou, Zhejiang China.
Objective: To compare the efficacy of polyethylene glycol electrolyte (PEG) combined with lactulose versus PEG alone in bowel preparation quality for colonoscopy.
Methods: The protocol for this systematic review was registered with PROSPERO (CRD420251035139). Comprehensive literature searches were conducted across multiple databases, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Data, and VIP.
Aim: To evaluate the efficacy of combination therapy with rifaximin and CNCM I-745 versus rifaximin monotherapy in patients with small intestinal bacterial overgrowth (SIBO) associated with long-term proton pump inhibitor (PPI) use.
Materials And Methods: A prospective comparative study with two parallel groups was conducted. Eligible patients were those on continuous long-term PPI therapy (> 3 months) with confirmed SIBO.
Therap Adv Gastroenterol
August 2025
The Hamlyn Centre, Institute of Global Health Innovation (IGHI), Imperial College London, Exhibition Road, South Kensington, London SW7 2AZ, UK.
Background: Crohn's disease is characterised by multifaceted changes in gut function, involving not just inflammatory effects but also alterations in gut barrier function and gastric motility. However, current diagnostic tools used to measure key gut functional parameters are invasive, unreliable or time-consuming. Thus, we applied a novel, non-invasive fluorescence sensing technology - transcutaneous fluorescence spectroscopy (TFS) - to investigate gut barrier function and gastric emptying in Crohn's disease.
View Article and Find Full Text PDFJ Dairy Sci
August 2025
Department of Animal Science, University of Tennessee Institute of Agriculture, Knoxville, TN 37996. Electronic address:
Heat stress has been associated with promoting a systemic and local proinflammatory response, which could involve impaired intestinal structure and function in growing dairy calves. We hypothesized that heat stress-induced reduction of the intestinal barrier function would be associated with changes in immune cell counts, and the administration of the glucocorticoid dexamethasone would attenuate the proinflammatory response and restore intestinal barrier function. The objective of the study was to determine the effect of reducing the proinflammatory response on systemic and local immune cell concentrations, focusing on the major leukocyte types (neutrophils and lymphocytes), as well as structural and functional changes in the intestine of dairy calves exposed to heat stress.
View Article and Find Full Text PDFJ Nepal Health Res Counc
June 2025
Tribhuvan University Teaching Hospital, Maharajgunj Kathmandu, Nepal.
Background: Hepatic encephalopathy presents a significant clinical challenge in individuals with advanced liver dysfunction, manifesting as confusion, altered consciousness, and personality changes. This study aimed to compare the efficacy of lactulose and polyethylene glycol in managing Hepatic encephalopathy.
Methods: The study is conducted at Tribhuvan University Teaching Hospital in Nepal; the study enrolled 45 cirrhotic patients with altered mental status in each study group.