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Wang D, Liao X, Zhang H, Wang Y, Zhang M, Ren F, Ma X, Sheng J, Jin P, Yu D, Xie H, Wang X. A syrup containing L-arabinose and D-xylose appears superior to PEG-4000 as a bowel cleansing agent. AMB Express 2024; 14:63. [PMID: 38824272 PMCID: PMC11144180 DOI: 10.1186/s13568-024-01715-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Accepted: 04/28/2024] [Indexed: 06/03/2024] Open
Abstract
Adequate bowel cleansing is crucial for endoscopic diagnosis and treatment, and the recovery of gut microbiota after intestinal cleansing is also important. A hypertonic syrup predominantly comprising L-arabinose and D-xylose (20% xylo-oligosaccharides) can be extracted from the hemicellulose of corn husks and cobs. L-Arabinose and xylo-oligosaccharides have been reported to relieve constipation and improve the gut microbial environment. This study evaluated the bowel cleansing effect of the aforementioned syrup and its influence on the organism and intestinal microbiota after cleansing in comparison with polyethylene glycol-4000 (PEG-4000) in mice. Bowel cleansing was performed using syrup or PEG-4000 in C57BL/6J mice, and the effect of intestinal preparation and its influence on serum electrolytes and gut microbiota after bowel cleansing were evaluated. The volume of intestinal residual feces in the syrup group was significantly lower than that in the PEG-4000 group. Additionally, syrup disturbed serum electrolytes more mildly than PEG-4000. Alpha diversity in the gut microbiota was significantly higher in the syrup group than in the PEG-4000 group on the first day after bowel cleansing. However, no difference in beta diversity was observed between the two groups. Syrup increased the abundance of Bifidobacteria and Christensenella and decreased the abundance of Akkermansia in comparison with PEG-4000 on the first day after bowel cleansing. Thus, this syrup has potential clinical use as a bowel cleansing agent given the above effects, its benefits and safety, and better taste and acceptability.
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Affiliation(s)
- Dezhi Wang
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
- Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, 100853, China
| | - Xingchen Liao
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
- Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, 100853, China
| | - Heng Zhang
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
- Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, 100853, China
| | - Yilin Wang
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
- Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, 100853, China
| | - Mingjie Zhang
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
| | - Fangli Ren
- State Key Laboratory of Membrane Biology, School of Medicine, Tsinghua University, Beijing, 100084, China
| | - Xianzong Ma
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
- Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, 100853, China
| | - Jianqiu Sheng
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
- Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, 100853, China
| | - Peng Jin
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
| | - Dongliang Yu
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China
| | - Hui Xie
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China.
| | - Xin Wang
- Department of Gastroenterology, The Seventh Medical Center of PLA General Hospital, #5 Nanmencang, Dongcheng District, Beijing, 100700, China.
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