Effect of oral administration of omeprazole on the microbiota of the gastric glandular mucosa and feces of healthy horses.
Abstract: Omeprazole administration is associated with changes in gastric and fecal microbiota and increased incidence of Clostridioides difficile enterocolitis in humans and dogs. Objective: Study purpose was to assess the effect of omeprazole on gastric glandular and fecal microbiota in healthy adult horses. Methods: Eight healthy horses stabled on straw and fed 100% haylage. Methods: Prospective controlled study. Transendoscopic gastric glandular biopsies, gastric fluid, and fecal samples were obtained from each horse twice at a 7-day interval before the administration of omeprazole. Samples were taken on the same horses before and after a 7-day administration of omeprazole (4 mg/kg PO q24h). pH was assessed on fresh gastric fluid and other samples were kept at -20°C until analysis. Bacterial taxonomy profiling was obtained by V1V3 16S amplicon sequencing from feces and gastric glandular biopsies. Analysis of alpha, beta diversity, and comparison between time points were performed with MOTHUR and results were considered significant when P < .05. Results: Gastric pH increased significantly after 7 days of omeprazole administration (P = .006). Omeprazole did not induce significant major changes in composition of fecal or gastric glandular microbiota, however, after administration, certain microbial genera became more predominant in the gastric glandular mucosa (lower Simpson's evenness, P = .05). Only the genus Clostridium sensu strictu_1 had a significant shift in the glandular gastric mucosa after omeprazole administration (P = .002). No population shifts were observed in feces. Conclusions: Oral administration of omeprazole could have fewer effects in gastrointestinal microbiota in the horse compared to other species.
© 2020 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine.
Publication Date: 2020-10-16 PubMed ID: 33063923PubMed Central: PMC7694827DOI: 10.1111/jvim.15937Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article outlines a study conducted to investigate the impact of omeprazole, a medication used to reduce stomach acid production, on the gastric and fecal microbiota in healthy horses. The study found that while omeprazole increased gastric pH levels, major shifts in microbiota composition were not observed, indicating it may have fewer gastro-intestinal effects in horses than in other species.
Study Objective and Methodology
- This research was an investigation into the impact of orally administered omeprazole on the composition of gastric glandular and fecal microbiota in healthy adult horses.
- Eight healthy horses, all housed in stables with a diet of 100% haylage, were studied. The research was intended to observe effects over time, and samples were collected at two time points – before and after omeprazole administration.
- Omeprazole was administered at a dosage of 4 mg/kg once every 24 hours over a 7-day period.
- Several types of samples – including gastric fluid and glandular biopsies, and fecal matter – were collected from each horse using trans-endoscopic methods. The pH of the fresh gastric fluid was also recorded.
- All collected samples were stored at a temperature of -20°C until further analysis.
- Bacterial taxonomy profiles were obtained from the feces and gastric glandular biopsy samples by means of V1V3 16S amplicon sequencing, a common method for characterizing microbial communities.
Results of the Study
- The study resulted in a significant increase in gastric pH after a 7-day period of omeprazole administration.
- Notwithstanding the pH increase, no significant major shifts in fecal or gastric glandular microbiota composition were observed. However, certain microbial genera, particularly the Clostridium sensu strictu_1 genus, had an increased presence in the gastric glandular mucosa after the administration of omeprazole.
- The study observed no significant shifts in the fecal bacterial populations as a result of the omeprazole administration.
Conclusions Derived from the Study
- The research concluded that oral administration of omeprazole could potentially have less impact on gastrointestinal microbiota in horses than in other species. This conclusion is primarily based on the observation that although the drug did alter gastric pH levels, it didn’t lead to any major shifts in the composition of fecal or gastric glandular microbiota.
- This might underline potential differences between species in how omeprazole interacts with gastrointestinal systems, and could have implications for how medications are tailored to suit different animals.
Cite This Article
APA
Cerri S, Taminiau B, de Lusancay AH, Lecoq L, Amory H, Daube G, Cesarini C.
(2020).
Effect of oral administration of omeprazole on the microbiota of the gastric glandular mucosa and feces of healthy horses.
J Vet Intern Med, 34(6), 2727-2737.
https://doi.org/10.1111/jvim.15937 Publication
Researcher Affiliations
- FARAH Center, Comparative Veterinary Medicine Section, Clinical Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
- FARAH Center, Veterinary Public Health Section, Department of Food Sciences - Microbiology, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
- FARAH Center, Comparative Veterinary Medicine Section, Clinical Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
- FARAH Center, Comparative Veterinary Medicine Section, Clinical Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
- FARAH Center, Comparative Veterinary Medicine Section, Clinical Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
- FARAH Center, Veterinary Public Health Section, Department of Food Sciences - Microbiology, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
- FARAH Center, Comparative Veterinary Medicine Section, Clinical Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liege, Liège, Belgium.
MeSH Terms
- Administration, Oral
- Animals
- Dog Diseases
- Dogs
- Feces
- Gastric Mucosa
- Horse Diseases / drug therapy
- Horses
- Microbiota
- Omeprazole / pharmacology
- Omeprazole / therapeutic use
- Prospective Studies
- Stomach Ulcer / drug therapy
- Stomach Ulcer / veterinary
Conflict of Interest Statement
Authors declare no conflict of interest.
References
This article includes 32 references
- Garcia-Mazcorro JF, Suchodolski JS, Jones KR, Clark-Price SC, Dowd SE, Minamoto Y, Markel M, Steiner JM, Dossin O. Effect of the proton pump inhibitor omeprazole on the gastrointestinal bacterial microbiota of healthy dogs.. FEMS Microbiol Ecol 2012 Jun;80(3):624-36.
- Zavoshti FR, Andrews FM. Therapeutics for Equine Gastric Ulcer Syndrome.. Vet Clin North Am Equine Pract 2017 Apr;33(1):141-162.
- McClure SR, White GW, Sifferman RL, Bernard W, Doucet MY, Vrins A, Holste JE, Fleishman C, Alva R, Cramer LG. Efficacy of omeprazole paste for prevention of gastric ulcers in horses in race training.. J Am Vet Med Assoc 2005 May 15;226(10):1681-4.
- Imhann F, Bonder MJ, Vich Vila A, Fu J, Mujagic Z, Vork L, Tigchelaar EF, Jankipersadsing SA, Cenit MC, Harmsen HJ, Dijkstra G, Franke L, Xavier RJ, Jonkers D, Wijmenga C, Weersma RK, Zhernakova A. Proton pump inhibitors affect the gut microbiome.. Gut 2016 May;65(5):740-8.
- Laheij RJ, Sturkenboom MC, Hassing RJ, Dieleman J, Stricker BH, Jansen JB. Risk of community-acquired pneumonia and use of gastric acid-suppressive drugs.. JAMA 2004 Oct 27;292(16):1955-60.
- Bavishi C, Dupont HL. Systematic review: the use of proton pump inhibitors and increased susceptibility to enteric infection.. Aliment Pharmacol Ther 2011 Dec;34(11-12):1269-81.
- Graham PL 3rd, Begg MD, Larson E, Della-Latta P, Allen A, Saiman L. Risk factors for late onset gram-negative sepsis in low birth weight infants hospitalized in the neonatal intensive care unit.. Pediatr Infect Dis J 2006 Feb;25(2):113-7.
- Seto CT, Jeraldo P, Orenstein R, Chia N, DiBaise JK. Prolonged use of a proton pump inhibitor reduces microbial diversity: implications for Clostridium difficile susceptibility.. Microbiome 2014;2:42.
- Furr M, Cohen ND, Axon JE, Sanchez LC, Pantaleon L, Haggett E, Campbell R, Tennent-Brown B. Treatment with histamine-type 2 receptor antagonists and omeprazole increase the risk of diarrhoea in neonatal foals treated in intensive care units.. Equine Vet J Suppl 2012 Feb;(41):80-6.
- Tyma JF, Epstein KL, Whitfield-Cargile CM, Cohen ND, Giguère S. Investigation of effects of omeprazole on the fecal and gastric microbiota of healthy adult horses.. Am J Vet Res 2019 Jan;80(1):79-86.
- Sykes BW, Hewetson M, Hepburn RJ, Luthersson N, Tamzali Y. European College of Equine Internal Medicine Consensus Statement--Equine Gastric Ulcer Syndrome in Adult Horses.. J Vet Intern Med 2015 Sep-Oct;29(5):1288-99.
- Ngo J, Taminiau B, Fall PA, Daube G, Fontaine J. Ear canal microbiota - a comparison between healthy dogs and atopic dogs without clinical signs of otitis externa.. Vet Dermatol 2018 Oct;29(5):425-e140.
- Schloss PD, Westcott SL, Ryabin T, Hall JR, Hartmann M, Hollister EB, Lesniewski RA, Oakley BB, Parks DH, Robinson CJ, Sahl JW, Stres B, Thallinger GG, Van Horn DJ, Weber CF. Introducing mothur: open-source, platform-independent, community-supported software for describing and comparing microbial communities.. Appl Environ Microbiol 2009 Dec;75(23):7537-41.
- Rognes T, Flouri T, Nichols B, Quince C, Mahé F. VSEARCH: a versatile open source tool for metagenomics.. PeerJ 2016;4:e2584.
- Quast C, Pruesse E, Yilmaz P, Gerken J, Schweer T, Yarza P, Peplies J, Glöckner FO. The SILVA ribosomal RNA gene database project: improved data processing and web-based tools.. Nucleic Acids Res 2013 Jan;41(Database issue):D590-6.
- Perkins GA, den Bakker HC, Burton AJ, Erb HN, McDonough SP, McDonough PL, Parker J, Rosenthal RL, Wiedmann M, Dowd SE, Simpson KW. Equine stomachs harbor an abundant and diverse mucosal microbiota.. Appl Environ Microbiol 2012 Apr;78(8):2522-32.
- Contreras M, Morales A, García-Amado MA, De Vera M, Bermúdez V, Gueneau P. Detection of Helicobacter-like DNA in the gastric mucosa of Thoroughbred horses.. Lett Appl Microbiol 2007 Nov;45(5):553-7.
- Husted L, Jensen TK, Olsen SN, Mølbak L. Examination of equine glandular stomach lesions for bacteria, including Helicobacter spp by fluorescence in situ hybridisation.. BMC Microbiol 2010 Mar 19;10:84.
- Costa MC, Silva G, Ramos RV, Staempfli HR, Arroyo LG, Kim P, Weese JS. Characterization and comparison of the bacterial microbiota in different gastrointestinal tract compartments in horses.. Vet J 2015 Jul;205(1):74-80.
- Yuki N, Shimazaki T, Kushiro A, Watanabe K, Uchida K, Yuyama T, Morotomi M. Colonization of the stratified squamous epithelium of the nonsecreting area of horse stomach by lactobacilli.. Appl Environ Microbiol 2000 Nov;66(11):5030-4.
- Ericsson AC, Johnson PJ, Lopes MA, Perry SC, Lanter HR. A Microbiological Map of the Healthy Equine Gastrointestinal Tract.. PLoS One 2016;11(11):e0166523.
- De Fombelle A, Varloud M, Goachet AG. Characterization of the microbial and biochemical profile of the different segments of the digestive tract in horses given 2 distinct diets. Anim Sci 2003;77:293‐304.
- Sung J, Kim N, Kim J, Jo HJ, Park JH, Nam RH, Seok YJ, Kim YR, Lee DH, Jung HC. Comparison of Gastric Microbiota Between Gastric Juice and Mucosa by Next Generation Sequencing Method.. J Cancer Prev 2016 Mar;21(1):60-5.
- Delgado S, Cabrera-Rubio R, Mira A, Suárez A, Mayo B. Microbiological survey of the human gastric ecosystem using culturing and pyrosequencing methods.. Microb Ecol 2013 Apr;65(3):763-72.
- Bik EM, Eckburg PB, Gill SR, Nelson KE, Purdom EA, Francois F, Perez-Perez G, Blaser MJ, Relman DA. Molecular analysis of the bacterial microbiota in the human stomach.. Proc Natl Acad Sci U S A 2006 Jan 17;103(3):732-7.
- Lawson PA, Citron DM, Tyrrell KL, Finegold SM. Reclassification of Clostridium difficile as Clostridioides difficile (Hall and O'Toole 1935) Prévot 1938.. Anaerobe 2016 Aug;40:95-9.
- Lawson PA, Rainey FA. Proposal to restrict the genus Clostridium Prazmowski to Clostridium butyricum and related species.. Int J Syst Evol Microbiol 2016 Feb;66(2):1009-1016.
- Dougal K, de la Fuente G, Harris PA, Girdwood SE, Pinloche E, Newbold CJ. Identification of a core bacterial community within the large intestine of the horse.. PLoS One 2013;8(10):e77660.
- Harlow BE, Lawrence LM, Hayes SH, Crum A, Flythe MD. Effect of Dietary Starch Source and Concentration on Equine Fecal Microbiota.. PLoS One 2016;11(4):e0154037.
- Costa MC, Weese JS. Understanding the Intestinal Microbiome in Health and Disease.. Vet Clin North Am Equine Pract 2018 Apr;34(1):1-12.
- Schoster A, Mosing M, Jalali M, Staempfli HR, Weese JS. Effects of transport, fasting and anaesthesia on the faecal microbiota of healthy adult horses.. Equine Vet J 2016 Sep;48(5):595-602.
- Kwok CS, Arthur AK, Anibueze CI, Singh S, Cavallazzi R, Loke YK. Risk of Clostridium difficile infection with acid suppressing drugs and antibiotics: meta-analysis.. Am J Gastroenterol 2012 Jul;107(7):1011-9.
Citations
This article has been cited 6 times.- Vokes J, Lovett A, Sykes B. Equine Gastric Ulcer Syndrome: An Update on Current Knowledge.. Animals (Basel) 2023 Apr 5;13(7).
- Loublier C, Taminiau B, Heinen J, Lecoq L, Amory H, Daube G, Cesarini C. Evaluation of Bacterial Composition and Viability of Equine Feces after Processing for Transplantation.. Microorganisms 2023 Jan 17;11(2).
- Adams VJ, LeBlanc N, Penell J. Results of a Clinical Trial Showing Changes to the Faecal Microbiome in Racing Thoroughbreds after Feeding a Nutritional Supplement.. Vet Sci 2022 Dec 30;10(1).
- Lebeau A, Bruyere D, Roncarati P, Peixoto P, Hervouet E, Cobraiville G, Taminiau B, Masson M, Gallego C, Mazzucchelli G, Smargiasso N, Fleron M, Baiwir D, Hendrick E, Pilard C, Lerho T, Reynders C, Ancion M, Greimers R, Twizere JC, Daube G, Schlecht-Louf G, Bachelerie F, Combes JD, Melin P, Fillet M, Delvenne P, Hubert P, Herfs M. HPV infection alters vaginal microbiome through down-regulating host mucosal innate peptides used by Lactobacilli as amino acid sources.. Nat Commun 2022 Feb 28;13(1):1076.
- Freccero F, Lanci A, Mariella J, Viciani E, Quercia S, Castagnetti A, Castagnetti C. Changes in the Fecal Microbiota Associated with a Broad-Spectrum Antimicrobial Administration in Hospitalized Neonatal Foals with Probiotics Supplementation.. Animals (Basel) 2021 Aug 2;11(8).
- Wimmer-Scherr C, Taminiau B, Renaud B, van Loon G, Palmers K, Votion D, Amory H, Daube G, Cesarini C. Comparison of Fecal Microbiota of Horses Suffering from Atypical Myopathy and Healthy Co-Grazers.. Animals (Basel) 2021 Feb 15;11(2).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists