Storage of an abnormal substrate in the intestinal lumen (undigested nutrients, medications) [32].
Disruption of proper microbiome function caused by lack of commensal bacteria (C. hiranonis) [47].
Increase in the total number of bacteria, primarily in the small intestine [32].
Increased mucosa- adherent bacteria [32].
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Increase in bacterial species, causing osmotic/secretory diarrhoea (conversion of fatty acids to hydroxystearic acids, metabolites of mycophenolate motefil) [32].
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Bacterial overgrowth (C. difficile, C. perfringens, E. coli) caused by lack of conversion from primary to secondary BAs.
Lack of anti-inflammatory microbial-derived metabolites [63].
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Increased production of microbial metabolites leading to osmotic/secretory diarrhoea.
Activation of inflammatory reactions [32].
Increased adhesion of bacteria to the intestinal mucosa causes increased inflammatory reactions [32].
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