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Microbiota from fecal samples from IBS-D patients, in combination with vitamin D supplementation added to our 3-D immunocompetent intestinal models will establish a high fidelity disease model to achieve our long-term goal to understand the relationship between gut microbiome, vitamin D levels, host gene expression and IBS-D symptoms that could ultimately be used as a testing platform for treatment and prevention.
The pathophysiology of IBS is not well understood. Preliminary studies support IBS-D patients with varied microbiome fingerprints, vitamin D levels, and blood serotonin levels compared to non-IBS patients. The investigators have novel 3-D immunocompetent intestinal models to establish a new model of high fidelity disease to examine the relationship of IBS-D patients gut microbiome, with supplemental vitamin D levels, and the relationship of blood serotonin and vitamin D levels. IBS-D patients and healthy controls will be asked to provide a fecal sample, a biopsy sample of colonic tissue obtained during a clinically appropriate flexible sigmoidoscopy or colonoscopy, and a blood sample. There will be 1-2 office visits. One visit will last 30 minutes, the second visit no longer than 3 hours. This study is funded by a combined MAYO-Arizona State University seed grant. The samples will be analyzed at ASU. Our long-term goal is to understand the relationship between gut microbiome, vitamin D levels, host gene expression, serotonin levels, and IBS-D symptoms that could ultimately be used as a testing platform for treatment and prevention of this highly prevalent disorder.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IBS-D patients | Other | Subjects on this arm will have an endoscopy for tissue biopsy, and provide blood samples and stool samples. |
|
| Healthy Controls | Other | Subjects on this arm will have an endoscopy for tissue biopsy, and provide blood samples and stool samples. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| endoscopy for tissue biopsy | Procedure | endoscopy to obtain tissue biopsy for analysis of biomarker status |
|
| Measure | Description | Time Frame |
|---|---|---|
| Serotonin level | 2 blood vials will be drawn during the flexible sigmoidoscopy or colonoscopy procedure, and serotonin levels will be drawn from one of these blood samples. | Study Day 2 |
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Inclusion criteria:
IBS-D subjects:
Healthy Control:
- Healthy control patients should have no active infection or inflammation.
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amy Foxx-Orenstein, DO | Mayo Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic in Arizona | Scottsdale | Arizona | 85259 | United States |
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| ID | Term |
|---|---|
| D004724 | Endoscopy |
| D012812 | Sigmoidoscopy |
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D003949 | Diagnostic Techniques, Surgical |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D019060 | Minimally Invasive Surgical Procedures |
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| Blood Sample | Other | Blood draw to evaluate serotonin and Vit D level. |
|
| Stool Sample | Other | Stool sample to evaluate microbiome fingerprint. |
|
| D013514 | Surgical Procedures, Operative |
| D003113 | Colonoscopy |
| D016099 | Endoscopy, Gastrointestinal |
| D016145 | Endoscopy, Digestive System |
| D003938 | Diagnostic Techniques, Digestive System |
| D013505 | Digestive System Surgical Procedures |
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D011677 | Punctures |
| D008919 | Investigative Techniques |