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Dietary Fibre - ILSI Argentina

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26 Concise Monograph Series<br />

TABLE 10<br />

Variable patterns of short chain fatty acid production from various substrates<br />

Substrates Acetate Propionate Butyrate<br />

Resistant starch 41 21 38<br />

Starch 50 22 29<br />

Oat bran 57 21 23<br />

Wheat bran 57 15 19<br />

Cellulose 61 20 19<br />

Guar gum 59 26 11<br />

Ispaghula (psyllium) 56 26 10<br />

Pectin 75 14 9<br />

Source: Champ et al., 2003<br />

In experiments with specific cell lines, butyrate downregulated<br />

the expression of specific receptors in gut<br />

immune cells and epithelial cells. Short chain fatty acids,<br />

especially butyrate, may also inhibit effects of the proinflammatory<br />

cytokines. Butyrate seems to influence<br />

lymphocyte activation and to inhibit cell proliferation.<br />

This may represent a mechanism whereby the colonic<br />

microflora regulates the host immune response.<br />

However, an abnormal response to butyrate may upset<br />

the homeostasis between the gut immune system and the<br />

colonising bacteria, resulting in epithelial unrest and<br />

inflammation.<br />

Human breast milk contains complex oligosaccharides<br />

that are partially fermented by the resident gut bacteria<br />

to produce short chain fatty acids. These oligosaccharides<br />

are probably responsible for the proliferation of bifido<br />

bacteria and lactobacilli in the gut of the breast-fed infant.<br />

These bacteria appear to be important in the<br />

development and maintenance of intestinal defences<br />

against pathogenic microbial invasion.<br />

Bowel habit<br />

Stool consistency, stool weight and frequency of<br />

defaecation are indicators of gut and specifically of<br />

colonic function. Transit time, the time a substance takes<br />

to pass through the gut, has a wide inter-individual<br />

variation (24-72 hours). The larger part (16-64 hours) of<br />

this time is spent in the large intestine. <strong>Dietary</strong> fibre<br />

intake is the main determinant of stool weight, which it<br />

increases, and transit time, which it reduces. Both are<br />

important aspects of bowel habit, and seem to play a<br />

role in the prevention of diseases of the large bowel.<br />

As described above fermentable fibres, non-digestible<br />

oligosaccharides and polysaccharides in the colon<br />

increase faecal mass. The short chain fatty acids<br />

generated by fermentation decrease pH within the colon<br />

and, together with the gas produced, encourage<br />

peristalsis. Most studies of the effects of resistant starch<br />

show increases in stool output or bulk. In part, this is<br />

believed to be because the easily fermentable resistant

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