Dietary geraniol ameliorates intestinal dysbiosis and relieves symptoms in irritable bowel syndrome patients: a pilot study

BMC Complement Altern Med. 2018 Dec 19;18(1):338. doi: 10.1186/s12906-018-2403-6.

Abstract

Background: (Trans)-3,7-Dimethyl-2,6-octadien-1-ol, commonly called geraniol (Ge-OH), is an acyclic monoterpene alcohol with well-known anti-inflammatory and antimicrobial properties. Ge-OH is a non-toxic compound classified as Generally Recognized As Safe (GRAS) by the US Food and Drug Administration and the European Food Security Agency.

Methods: Ge-OH was orally administered at a maximum daily dose of 8 mg kg(- 1) body weight for four weeks in a delayed release formulation capable of reaching the colon. Fecal microbiota and blood cytokines were analyzed before and after Ge-OH treatment, as well as IBS symptomatology by using Visual Analogue Scale (VAS-IBS).

Results: The results show that orally administered Ge-OH is a powerful modulator of the intestinal microbial ecosystem, capable of leading to increased relative abundances of Collinsella and especially Faecalibacterium, a well-known health-promoting butyrate producer consistently found to be decreased in IBS patients. Moreover, Ge-OH strongly improved the clinical symptoms of colitis by significantly reducing the score recorded by the VAS-IBS questionnaire. Clinical improvement was associated with a significant reduction in the circulating MIP-1β, a chemokine found to be increased in several IBS patients.

Conclusion: Ge-OH could be a powerful component for food supplement targeted to the treatment of IBS patients.

Trial registration: ISRCTN47041881 , retrospectively registered on 19th July 2018.

Keywords: Dysbiosis; Geraniol; Inflammation; Irritable bowel syndrome (IBS); Microbiota.

Publication types

  • Clinical Trial

MeSH terms

  • Acyclic Monoterpenes
  • Adult
  • Bacteria / classification
  • Bacteria / genetics
  • Bacteria / isolation & purification
  • Dietary Supplements / analysis
  • Dysbiosis / drug therapy*
  • Dysbiosis / microbiology
  • Female
  • Gastrointestinal Microbiome
  • Humans
  • Intestines / drug effects
  • Intestines / microbiology
  • Irritable Bowel Syndrome / drug therapy*
  • Irritable Bowel Syndrome / microbiology
  • Male
  • Middle Aged
  • Pilot Projects
  • Retrospective Studies
  • Terpenes / administration & dosage*
  • Young Adult

Substances

  • Acyclic Monoterpenes
  • Terpenes
  • geraniol