16th Mar 2010

Health; Gastroenterology; Colon functions.

  • I am aware that the colon serves to extract "water" from the remnants of the processed food after its passage through the small intestine. However I would like to know, as I think I read somewhere, is there a further function of the colon in relation to the processing of some nutrients (a B vitamin?)? I think there is also some cholesterol processing.


  • Hello aussie2, It turns out that both your questions relate to the bacteria that colonize the colon. The bacteria of the colon produce vitamin K, which is important in the mechanisms which enable blood to clot: “Vitamin K is a necessary participant in synthesis of several proteins that mediate both coagulation and anticoagulation. Vitamin K deficiency is manifest as a tendency to bleed excessively… the chief source of vitamin K is synthesis by bacteria in the large intestine, and in most cases, absence of dietary vitamin K is not at all deleterious. Vitamin K is a fat-soluble vitamin and both dietary and microbial vitamin K are absorbed into intestinal lymph along with other lipids.” http://arbl.cvmbs.colostate.edu/hbooks/pathphys/misc_topics/vitamink.html Bacteria in the colon also produce B complex vitamins, including vitamin B12. B12 is only produced by bacteria and, despite claims made for spirulina and some other vegetable products, it is generally accepted that the only human dietary source is from animal products. Vegans need to take B12 supplements in order to maintain health. Some years back, it was suggested that vegans could make use of B12 produced by their colonic bacteria and therefore avoid deficiency even without supplementation. However, it was then established that B vitamins are not readily absorbed from the colon, and therefore to make use of those produced by colonic bacteria would require a behaviour modification that would NOT suit most people: “…formation of B vitamins by the microbial flora in the large intestine is useful to many animals. They are not absorbed in the large intestine, but are present in feces. The behavior of coprophagy or eating feces seen particularly in rodents, rabbits and other animals is thought to be a behavioral adaption to recovery of these valuable resources.” http://arbl.cvmbs.colostate.edu/hbooks/pathphys/digestion/largegut/ferment.html Both the above links are to extracts from “Pathophysiology of the Digestive System” at Colorado State University. However, science does not stand still. A paper published in 1998 in the American Journal of Physiology (Volume 275(5 Pt 1), pages C1365-71) “Biotin uptake by human colonic epithelial NCM460 cells: a carrier-mediated process shared with pantothenic acid.” by Said HM, Ortiz A, McCloud E, Dyer D, Moyer MP, Rubin S. of Veterans Affairs Medical Center, Long Beach 90822, California, reported evidence that the cultured cells derived from those which line the colon are able to take up biotin and pantothenic acid (members of the B-complex vitamins): “Previous studies showed that the normal microflora of the large intestine synthesizes biotin and that the colon is capable of absorbing intraluminally introduced free biotin. Nothing, however, is known about the mechanism of biotin absorption in the large intestine and its regulation. To address these issues, we used the human-derived, nontransformed colonic epithelial cell line NCM460…. These results demonstrate, for the first time, the functional existence of a Na+ [sodium]-dependent, specialized carrier-mediated system for biotin uptake in colonic epithelial cells. This system is shared with pantothenic acid and appears to be under the regulation of an intracellular PKC [protein kinase C]-mediated pathway.” The full text is available on the journal’s web site at http://ajpcell.physiology.org/cgi/content/full/275/5/C1365 More recent papers from the same research group report similar results for the uptake of thiamine and riboflavin: Said HM, Ortiz A, Subramanian VS, Neufeld EJ, Moyer MP, Dudeja PK. “Mechanism of thiamine uptake by human colonocytes: studies with cultured colonic epithelial cell line NCM460. American Journal of Physiology, Gastrointestinal and Liver Physiology, 2001 July, Volume 281(1), pages G144-50. Full text at http://ajpgi.physiology.org/cgi/content/full/281/1/G144 Said HM, Ortiz A, Moyer MP, Yanagawa N. Riboflavin uptake by human-derived colonic epithelial NCM460 cells. American Journal of Physiology, Cell Physiology, 2000 Feb, Volume 278(2), pages C270-6. Full text at http://ajpcell.physiology.org/cgi/content/full/278/2/C270 If these studies are confirmed by other scientists, and if they are found to apply to colon cells in the body as well as to cultured cells, we may come back to the view that colonic bacteria can be a significant source for humans of at least some B vitamins. With respect to cholesterol, again the information I found relates to the gut bacteria. The speed with which cholesterol is broken down by bacteria in the colon can influence the risk a person has of getting colon cancer, and this risk can be lessened by dietary modifications, such as increasing intake of fiber and probiotics such as Lactobacillus (yogurt bacteria) American Journal of Clinical Nutrition 1976 Dec, Volume 29(12), pages 1455-60 Metabolic epidemiology of colon cancer: enzymic activity of fecal flora. Mastromarino A, Reddy BS, Wynder EL. “Because of the potential significance of secondary bile acids and cholesterol metabolites formed by the intestinal microflora in the pathogenesis of colon cancer, fecal microbial 7alpha-dehydroxylase and cholesterol dehydrogenase activities were assayed in colorectal cancer patients, patients with adenomatous polyps, asymptomatic controls, and normal controls…. The mean cholesterol dehydrogenase activity for colorectal cancer patients was significantly greater than controls. Patients with polyps also had greater activity than controls…. These data support the concept that patients with colorectal cancer are more able to convert primary bile acids and cholesterol to microbial products in colon contents than are controls.” Summary at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=793371&dopt=Abstract “Research has shown that diets high in fiber, particularly insoluble fiber, protect against colon cancer. By binding with bile acids, which in high concentrations are thought to contribute to the development of malignancies, fiber appears to protect the inner lining of the colon. Furthermore, fiber hastens the amount of time it takes for feces to be eliminated, thereby minimizing the colon's exposure to naturally occurring carcinogens—including byproducts of intestinal bacteria, substances derived from the breakdown of cholesterol, and compounds produced by meat cooked at high temperatures.” http://www.emory.edu/EMORY_REPORT/erarchive/1996/May/ERmay.6/5_6_96wellness.html Emory Report, May 6, 1996, Volume 48, No. 32 Scandinavian Journal of Infectious Diseases (Supplement) 1986, Volume 49, pages17-30 Bengt E. Gustafsson memorial lecture. Function of the normal human microflora. Gorbach SL. “The normal human microflora maintains a delicate balance between its constituent parts, numbering 10(11) bacteria per gram with over 400 different species…. play a role in metabolizing nutrients, vitamins, drugs, endogenous hormones and carcinogens. Our laboratory has studied estrogen and cholesterol metabolism and activation of colon carcinogens…. Switching the diet from an omnivore diet to a vegetarian diet decreases bacterial deconjugating enzymes in the intestine. Administering antibiotics also suppresses the metabolic activity of the microflora. Similar suppressive effects can be achieved by feeding a human strain of Lactobacillus that implants in the gastrointestinal tract.” Abstract at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3103209&dopt=Abstract Nutrition Review, 1991, July, Volume 49(7), pages 195-203 Soluble fiber polysaccharides: effects on plasma cholesterol and colonic fermentation. Topping DL. CSIRO Division of Human Nutrition, Glenthorne Laboratory, Australia. “Many soluble-fiber polysaccharides, used as stabilizers and thickeners by the food industry, lower plasma cholesterol and slow small intestinal transit and nutrient absorption. Although nondigestible by human enzymes, these polysaccharides are fermented by the large-bowel microflora, yielding short-chain fatty acids… Short-chain fatty acids do not seem to mediate effects of fiber on plasma cholesterol, but in the large bowel they exert the trophic and antineoplastic [anti-cancer] effects of dietary fiber. The mechanism for cholesterol reduction by soluble fibers relates to enhanced steroid excretion and altered fat absorption and may be a function of the viscosity of these fibers in solution.” Abstract at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1658695&dopt=Abstract And there seems to be a link between cholesterol metabolism by colon bacteria and the risk of developing gall stones: British Medical Journal (Clinical Research and Education), 1981 Mar 28, Volume 282(6269), pages 1018-20 Do colonic bacteria contribute to cholesterol gall-stone formation? Effects of lactulose on bile. Thornton JR, Heaton KW. “Lactulose… was taken as a proprietary syrup for six weeks… All subjects showed a fall in the percentage of the 7-alpha-dehydroxylated bile acid deoxycholic acid… and a rise in the percentage of the primary bile acid chenodeoxycholic acid… Bile was initially super-saturated with cholesterol in most subjects and became less saturated with cholesterol in all but one… These data support the theory colonic bacteria contribute to cholesterol gall-stone formation.” Abstract at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=6783227&dopt=Abstract 1. colon cholesterol metabolism site:.edu 2. colon vitamins site:.edu (NB I restricted the search to .edu sites in order to eliminate the thousands of commercial sites selling food supplements and to find only academically verified material) Medline searches at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi on: colon cholesterol bacteria I hope this answers your question sufficiently. If not, please request clarification before rating.







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