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Study M1033

Study name

Chojnacki C 2022b

Title

Antimicrobial treatment improves tryptophan metabolism and mood of patients with small intestinal bacterial overgrowth

Overall design

The aim of this study was to assess the mental state and gastrointestinal complaints of patients with small intestinal bacterial overgrowth in relation to tryptophan metabolism and rifaximin treatment. The study involved 40 healthy people (control group), 40 patients with small intestinal bacterial overgrowth and chronic diarrhea (small intestinal bacterial overgrowth and chronic diarrhea group), and 40 patients with small intestinal bacterial overgrowth and chronic constipation (small intestinal bacterial overgrowth and chronic constipation group). Patients were mild and moderate depression based on HAMD scores. The concentrations of tryptophan and its metabolites in urine were determined using an LC-MS/MS method, before and after cyclic treatment with an antibiotic drug, rifaximin, for three months. Depression levels were ameliorated by rifaximin treatment in both groups.

Study Type

Type1;

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive symptom; Depressive symptom with comorbidity; Depressive symptom with comorbidity;

Criteria for depression

Not reported

Sample size

120

Tissue

Peripheral; Urine; Urine;

Platform

MS-based; LC-MS: not reported;

PMID

36167589

DOI

10.1186/s12986-022-00700-5

Citation

Chojnacki C, Poplawski T, Konrad P, et al. Antimicrobial treatment improves tryptophan metabolism and mood of patients with small intestinal bacterial overgrowth. Nutr Metab. 2022 Sep 27;19(1):66.

Metabolite

L-Tryptophan;

5-Hydroxyindoleacetic acid;

L-Kynurenine;

Xanthurenic acid;

Quinolinic acid;

Kynurenine/Tryptophan ratio;

5-Hydroxyindoleacetic acid/Tryptophan ratio;