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26 - World Journal of Gastroenterology

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A 400<br />

Body weight (g)<br />

B<br />

Lee’s index<br />

C<br />

Mean serum lipid (mmol/L)<br />

Zhao X et al . Lactobacillus shift in distal esophagus<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

330<br />

320<br />

310<br />

300<br />

290<br />

280<br />

270<br />

<strong>26</strong>0<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

Figure 1 No significant change in distal esophageal mucosa in Sprague-Dawley rats fed a high-fat diet. A: Body weight changes <strong>of</strong> age- and sex-matched rats<br />

in the high-fat diet and normal control groups (n = 10 each); B: Lees index changes for the rats in (A) (n = 10); C: Mean serum lipid for the rats in (A); D: Histological<br />

analysis <strong>of</strong> representative distal esophagus from the rats in (A) (Original magnification, hematoxylin-eosin staining, 100 × or 400 ×).<br />

tobacillus jensenii (L. jensenii) and Lactobacillus reuteri (L. reuteri),<br />

whereas the composition shifted to L. crispatus, L. gasseri<br />

and L. reuteri in the high-fat diet group (Figure 2C and D).<br />

DISCUSSION<br />

2 3 4 5 6 7<br />

t /wk<br />

2 3 4 5 6 7<br />

t /wk<br />

TG TCH<br />

Accumulating evidence has shown that obesity is a risk<br />

factor in the development <strong>of</strong> GERD [1-8,24,25] . However,<br />

is not well established how obesity affects the incidence<br />

<strong>of</strong> GERD. According to the published experimental<br />

data, no musculature damage has been reported in the<br />

distal esophagus <strong>of</strong> obese rats or mice. However, different<br />

components <strong>of</strong> the microbiota have been identified<br />

between obese and lean animals/humans. Based on this<br />

evidence, the purpose <strong>of</strong> this study was to analyze the<br />

microbiota composition and focus on how the shift in<br />

WJG|www.wjgnet.com<br />

Normal<br />

High-fat<br />

Normal<br />

High-fat<br />

Normal<br />

High-fat<br />

D<br />

High-fat 100 ×<br />

High-fat 400 ×<br />

Normal 100 ×<br />

Normal 400 ×<br />

micr<strong>of</strong>lora occurred in the distal esophagus <strong>of</strong> rats fed a<br />

high-fat diet.<br />

To date, the role <strong>of</strong> microbiota in the distal esophagus<br />

under conditions <strong>of</strong> weight gain remains obscure. Some<br />

studies have shown that high-fat/high-sugar chow dietfed,<br />

germ-free mice gain significantly less weight than<br />

their control littermates. The absence <strong>of</strong> microbiota has a<br />

protective role against weight gain in mice that consume a<br />

Western-style diet. Thus, body weight gain could be associated<br />

with a shift in the microbiota in mice fed a westernstyle<br />

diet. On the other hand, current research has demonstrated<br />

that there is a complex residential microbiota<br />

shift in the distal esophagus <strong>of</strong> patients with esophagealreflux-related<br />

disorders, such as GERD, reflux esophagitis<br />

and Barrett’s esophagus [14,15,<strong>26</strong>] . The possible explanations<br />

are that the reflux content might contain gastric bac-<br />

3154 July 14, 2011|Volume 17|Issue <strong>26</strong>|

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