Abstract

Alterations in the gut microbiota have been recently linked to oral iron. We conducted two feeding studies including an initial diet-induced iron-depletion period followed by supplementation with nanoparticulate tartrate-modified ferrihydrite (Nano Fe(III): considered bioavailable to host but not bacteria) or soluble ferrous sulfate (FeSO4: considered bioavailable to both host and bacteria). We applied denaturing gradient gel electrophoresis and fluorescence in situ hybridization for study-1 and 454-pyrosequencing of fecal 16S rRNA in study-2. In study-1, the within-community microbial diversity increased with FeSO4 (P = 0.0009) but not with Nano Fe(III) supplementation. This was confirmed in study-2, where we also showed that iron depletion at weaning imprinted significantly lower within- and between-community microbial diversity compared to mice weaned onto the iron-sufficient reference diet (P < 0.0001). Subsequent supplementation with FeSO4 partially restored the within-community diversity (P = 0.006 in relation to the continuously iron-depleted group) but not the between-community diversity, whereas Nano Fe(III) had no effect. We conclude that (1) dietary iron depletion at weaning imprints low diversity in the microbiota that is not, subsequently, easily recovered; (2) in the absence of gastrointestinal disease iron supplementation does not negatively impact the microbiota; and (3) Nano Fe(III) is less available to the gut microbiota.

Highlights

  • Iron deficiency anemia remains the largest nutritional disorder worldwide, affecting 1 billion people (WHO 2008).Standard treatment is supplementation with ferrous iron salts (Cook 2005), that are cheap and well absorbed and associated with significant upper and lower gastrointestinal side effects such as nausea, constipation, and a 2014 Crown Copyright

  • This was confirmed in study-2, where we showed that iron depletion at weaning imprinted significantly lower within- and between-community microbial diversity compared to mice weaned onto the iron-sufficient reference diet (P < 0.0001)

  • MicrobiologyOpen published by John Wiley & Sons Ltd

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Summary

Introduction

Iron deficiency anemia remains the largest nutritional disorder worldwide, affecting 1 billion people (WHO 2008). Standard treatment is supplementation with ferrous iron salts (Cook 2005), that are cheap and well absorbed and associated with significant upper and lower gastrointestinal side effects such as nausea, constipation, and a 2014 Crown Copyright. For the past decade or so animal studies in models of gastrointestinal disease have consistently shown that soluble iron can have a detrimental effect on the unhealthy colon, further promoting inflammation or acting as a marked risk factor for colorectal carcinogenesis (Seril et al 2002; Werner et al 2011; Radulescu et al 2012)

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