Genome-wide analysis of 53,400 people with irritable bowel syndrome highlights shared genetic pathways with mood and anxiety disorders

Irritable bowel syndrome (IBS) results from disordered brain–gut interactions. Identifying susceptibility genes could highlight the underlying pathophysiological mechanisms. We designed a digestive health questionnaire for UK Biobank and combined identified cases with IBS with independent cohorts. We conducted a genome-wide association study with 53,400 cases and 433,201 controls and replicated significant associations in a 23andMe panel (205,252 cases and 1,384,055 controls). Our study identified and confirmed six genetic susceptibility loci for IBS. Implicated genes included NCAM1, CADM2, PHF2/FAM120A, DOCK9, CKAP2/TPTE2P3 and BAG6. The first four are associated with mood and anxiety disorders, expressed in the nervous system, or both. Mirroring this, we also found strong genome-wide correlation between the risk of IBS and anxiety, neuroticism and depression (rg > 0.5). Additional analyses suggested this arises due to shared pathogenic pathways rather than, for example, anxiety causing abdominal symptoms. Implicated mechanisms require further exploration to help understand the altered brain–gut interactions underlying IBS.

329 Supplementing Native Rumen Microorganisms Improves Feedlot Steer Digestive Health and Performance

The rumen microbiome functions as a synchronized entity that digests feed in order to provide nutrients for its host. High-concentrate diets destabilize the rumen microbiome by biasing the community towards microorganisms that readily ferment simple carbohydrates resulting in decreased pH, increased CO2, and an increased solvent concentration in the rumen content. This chemical shift interrupts rumen fermentation and can lead to the development of metabolic diseases that negatively impact animal performance. This study evaluated the benefit of a daily, in-feed microbial feed supplement (MFS; Magnius, Native Microbials Inc, San Diego, CA) containing three native rumen microbes (Chordicoccus ruminifurens ASCUSBF65, Prevotella albensis ASCUSBF41, and Succinivibrio dextrinosolvens ASCUSBF53) on commercial feedlot steer performance and rumen microbiome composition. The trial was conducted by HMS Veterinary Development in Reedley, CA using 200 steers in 20 pens over 109 days with a 2x2 factorial design (with and without step-up period x with and without MFS). The without step-up group was directly fed the finisher ration (94% concentrate, 0.95 Mcal/lb NEm), while the step-up group was adapted to the finisher ration over a period of 21 days. Rumen microbiome samples were collected via stomach tubing periodically throughout the trial. At the end of 109 days, the FCR of the animals receiving MFS were significantly lower than the control animals (7.67% improvement, P = 0.013) in the step-up group, although no significant differences were observed in ADG and DMI. No significant performance differences were observed in the group without a step-up (Table 1). The relationship between rumen pH, dissolved CO2, and the observed changes in the microbiome suggest a potential interplay between acetogenesis and methanogenesis where CO2 consuming bacteria may be important in improving rumen digestive health. Collectively, these results suggest that feeding native rumen microorganisms can improve rumen resilience and health of high-grain consuming cattle.

Multifunctional Benefits of Prevalent HMOs: Implications for Infant Health

Breastfeeding is the best source of nutrition during infancy and is associated with a broad range of health benefits. However, there remains a significant and persistent need for innovations in infant formula that will allow infants to access a wider spectrum of benefits available to breastfed infants. The addition of human milk oligosaccharides (HMOs) to infant formulas represents the most significant innovation in infant nutrition in recent years. Although not a direct source of calories in milk, HMOs serve as potent prebiotics, versatile anti-infective agents, and key support for neurocognitive development. Continuing improvements in food science will facilitate production of a wide range of HMO structures in the years to come. In this review, we evaluate the relationship between HMO structure and functional benefits. We propose that infant formula fortification strategies should aim to recapitulate a broad range of benefits to support digestive health, immunity, and cognitive development associated with HMOs in breastmilk. We conclude that acetylated, fucosylated, and sialylated HMOs likely confer important health benefits through multiple complementary mechanisms of action.

The effectiveness of DD Mag'z (digestive disease magazine) with google meet synchronously to improve digestive health literacy

<em>Digestive health literacy is important for students to be able to determine their diet, choose healthy foods, prevent and know the actions that need to be taken in treating diseases or disorders of the digestive system, and even promoting healthy living behaviors to others. This study aims to develop instructional designs to improve student health literacy with the ADDIE model. The development carried out consisted of developing lesson plans, assessment instruments, and learning media DD Mag'z (digestive disease magazine). Based on the results of the analysis, the learning design was determined using DD Mag'z and Google Meet synchronously. Expert validation was carried out assessing three aspects consisting of the feasibility of media, content, and language. The results of the validation of the developed media obtained an average value of 3.58 and were included in the very valid category so that it was suitable to be used as an alternative learning media on the concept of the digestive system. Measurement of the improvement of students' digestive health literacy skills used a dual choice instrument as a pre-test and post-test. The effectiveness analysis used a one group pre-test post-test design and obtained data that were not normally distributed. The Wilcoxon test results showed an effect of the synchronous use of DD Mag'z media with Google Meet on students' health literacy. While the results of the effectiveness test using N-Gain showed an average value of 0.41 so that the effectiveness of the instructional design developed was moderate.</em>