Authors
Peter Kuffa, Joseph M Pickard, Austin Campbell, Misa Yamashita, Sadie R Schaus, Eric C Martens, Thomas M Schmidt, Naohiro Inohara, Gabriel Núñez, Roberta Caruso
Publication date
2023/12/13
Journal
Cell Host & Microbe
Volume
31
Issue
12
Pages
2007-2022. e12
Publisher
Elsevier
Description
Exclusive enteral nutrition (EEN) with fiber-free diets is an effective steroid-sparing treatment to induce clinical remission in children with Crohn's disease (CD). However, the mechanism underlying the beneficial effects of EEN remains obscure. Using a model of microbiota-dependent colitis with the hallmarks of CD, we find that the administration of a fiber-free diet prevents the development of colitis and inhibits intestinal inflammation in colitic animals. Remarkably, fiber-free diet alters the intestinal localization of Mucispirillum schaedleri, a mucus-dwelling pathobiont, which is required for triggering disease. Mechanistically, the absence of dietary fiber reduces nutrient availability and impairs the dissimilatory nitrate reduction to ammonia (DNRA) metabolic pathway of Mucispirillum, leading to its exclusion from the mucus layer and disease remission. Thus, appropriate localization of the specific pathobiont in the mucus …
Total citations
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