The in vitro fecal slurry fermentation model presented here is a simple single-batch model to approximate the effects of different substrates and microbial strains (e.g., prebiotics and probiotics) on the composition of human fecal microbiota as well as its metabolic activities in terms of fecal pH and SCFAs levels. The results presented herein demonstrate that the inoculation of inulin decreases the fecal pH and significantly increases the levels of SCFAs and lactate in inulin-treated fecal specimen as compared to non-treated fecal microbiota culture (Figure 1). In addition, the gut microbiota signature also appears to be different between inulin-treated and untreated samples (Figure 2 and Figure 3). These data exemplify how this system can reflect the effects of inulin on fecal microbiome diversity and composition as well as its metabolic activities. In addition, depending on specific experimental objectives and hypotheses, a variety of other factors can also be measured using this system. Furthermore, in addition to 16S rRNA gene sequencing, other analyses such as whole microbial metagenome sequencing (using Whole genome sequencer) or qPCR and culture methods targeted at specific single or multiple genera, species and strains (e.g., bifidobacteria, lactobacilli, Akkermansia, Enterobacteriacaea, clostridia, etc.) can also be executed. In addition, different chromatographic procedures for the analysis of SCFAs, such as LC-MS, GC, GC-MS, GC-FID, and HPLC can also be exploited based on experimental requirement and availability. Nevertheless, it should be noted that sample preparation for these procedures may vary according to the instruments and conditions required for operation20.
Although the use of fresh fecal specimen would yield best reproducible results; however, snap frozen fecal sample (as used in the experiment presented herein) can also be used efficaciously as most of the bacteria can be revived from it once resuscitated to body temperature and no more decomposition happens after the freezing21. Using frozen sample can be particularly advantageous when it is impossible to obtain fresh fecal samples from specific donor(s) on planned day of the experiment, or from the same donor when an experiment needs to be replicated. It should be noted, however, that the fecal samples should be snap frozen using liquid nitrogen and immediately stored at -80 °C until further use. In addition, to avoid the exposure of the frozen fecal samples to air (oxygen), the samples should be transferred to the anaerobic chamber as soon as possible/immediately after taking out from the freezer and used right away (repeated thawing should be avoided). All subsequent experiments including sample thawing, inoculum preparation and processing should be done inside the anaerobic chamber.
The intestinal organic environment and pH during nutrient fermentation in large bowel are very important particularly in view of the fact that an abnormally reduced pH indicates increased acidity due to the substrate utilization. Hence, more rapid pH reduction can correspond to more rapid substrate utilization22. Although, in this model, the pH has not been controlled, however, inclusion of identical non-treated control is highly recommended to make direct comparisons. The SCFAs produced in the colon as a result of the fermentation of indigestible polysaccharides by the gut microbiota can further influence diverse mechanisms related to the maintenance of the host health. These metabolites contribute in gluconeogenesis and lipid biosynthesis, act as an energy source for colonocytes, and can also have health benefits including immune modulation, controlled/improved gut barrier functions, and neuromodulation23,24,25,26. In addition, SCFAs are also known to influence several biological pathways including hormones, endocannabinoid system, cell proliferation and death, bone health, mineral absorption, gut motility, intestinal pH, and invert effects on the gut microbiome and microbial metabolic function. Therefore, knowledge of the profile and concentrations of intestinal/ fecal SCFAs can be an important component while evaluating the efficacy of specific microbiota modulators6. Of course, besides SCFAs, the gut microbiome also produces many other important metabolites (e.g., ammonium, vitamins, histamine). Hence, the supernatant specimens collected during such in vitro fermentation experiments can also be evaluated for global metabolomics analyses to discover novel gut microbiome-derived metabolites that can be influenced by specific microbiome modulators.
The system described here has many advantages, such as the ease, simplicity, cost effectiveness, and the general adoptability of the experimental set-up. However, there are few limitations as well. For example, the system does not pertain to the interaction of prebiotics (or other interventions used) in the upper digestive system (e.g., saliva, stomach, small intestine) before being exposed to the microbiota of the large intestine. However, such steps can be adopted and incorporated according to specific experimental requirements. Also, an acidic and/or enzymatic hydrolysis process may need to be performed before fermentation if using specific substrates including whole food or digestible food because only the indigestible part of such foods reaches to the colon to be fermented by the lower gut microbiota. In addition, the composition of gut microbiota may shift due to specific culture conditions during fermentation. For example, it was observed that up to 9 h of incubation, microbiota changes are much closer to normal than at 24 h. However, after 24 h of incubation, although pH and SCFAs levels increased substantially, gut microbiota composition showed that Proteobacteria counts increased while the microbial diversity reduced. However, it remains unknown how precisely and closely the increased accumulation of microbial metabolites accompanied with the lowered fecal pH is associated with specific microbiota signatures.
In summary, a simple protocol to simulate the ex vivo microbiota ecosystem is described herein. The system enables researchers to test different interventions for modulation of the microbiota diversity, composition and metabolic function that can influence diverse features of the host intestinal and overall health.