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||Assessment of the human faecal microbiota: I. Measurement and reproducibility of selected enzymatic activities.
||Flores R, Shi J, Gail MH, Ravel J, Goedert JJ
||Eur J Clin Invest
||BACKGROUND: The intestinal microbial community has major effects on human health, but optimal research methods are unsettled. To facilitate epidemiologic and clinical research, we sought to optimize conditions and to assess reproducibility of selected core functions of the distal gut microbiota, Î²-glucuronidase and Î²-glucosidase bioactivities. METHODS AND RESULTS: A colorimetric kinetic method was optimized and used to quantify activities of Î²-glucuronidase and Î²-glucosidase in human faeces. Enzyme detection was optimal with neutral pH, snap freezing in liquid nitrogen and rapid thawing to 37 Â°C before protein extraction. Enzymatic stability was assessed by delayed freezing for 2-48 h to mimic field settings. Activities decayed approximately 20% within 2 h and 40% within 4 h at room temperature. To formally assess reproducibility, 51 volunteers (25 men; mean age 39) used two devices to self-collect and rapidly chill four replicates of a stool. Devices were compared for mean enzymatic activities and intraclass correlation coefficients (ICC) in paired replicates of the self-collected specimens. Reproducibility was excellent with both devices for Î²-glucuronidase (ICC 0Â·92). The larger collection device had significantly higher reproducibility for Î²-glucosidase (ICC 0Â·92 vs. 0Â·76, P < 0Â·0001) and higher mean activities for both enzymes (P < 0Â·0001). CONCLUSIONS: Optimal measurement of these core activities of the microbiota required a sufficient quantity of rapidly chilled or frozen specimens collected in phosphate buffered saline at pH7Â·0. Application of these methods to clinical and epidemiologic research could provide insights on how the intestinal microbiota affects human health.