Lactulose disrupts the diurnal rhythm of microbial metabolism.
A:Hydrogen production increases after lactulose gavage, but not after PBS gavage (n = 16, 8 in each group). Treatment is indicated by a dotted line at zt= 3. An unpaired T-test was performed on final hydrogen measurements (p<0.0001). B: Hydrogen production temporarily increases after lactulose gavage, but not after PBS gavage in EAM mice (n = 11, Lactulose = 6, PBS = 5}. Treatment is indicated by a dotted line at zt= 3. C: Bacterial population after gavage (n = 22, lactulose = 12, PBS = 10). E. rectale population increases in lactulose treated mice compared to PBS treated mice (p<0.05). D: Cecum content pH of EAM (n = 17, lactulose = 10, PBS = 7) and GF (n = 16, 8 in each group) mice after treatment. Unpaired T-test revealed a decrease in pH in EAM mice (p<0.0001) and GF mice (p<0.05). E: SCFA concentration in EAM (n = 17, lactulose = 10, PBS = 7) mice after treatment. Unpaired T-test revealed an increase in acetate, butyrate, and succinate concentration after multiple testing correction (“**” = p<0.01, “***” = p<0.001, “****” = p<0.0001). E: SCFA concentration in GF (n = 8, 4 in each group) mice after treatment. There is no difference in SCFA concentration after treatment.