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Role of Intestinal Microbiota in Ulcerative Colitis

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espectively [61]. The system was flushed with nitrogen twice a day to keep anaerobic conditions.<br />

After 42 h <strong>of</strong> <strong>in</strong>cubation, samples were collected from the lum<strong>in</strong>al content <strong>of</strong> the ascend<strong>in</strong>g vessels<br />

(lum<strong>in</strong>al samples) for DNA extraction. The microcosms covered <strong>in</strong> muc<strong>in</strong> agar were washed 3 times<br />

<strong>in</strong> autoclaved phosphate buffer; subsequently, the muc<strong>in</strong> agar (mucosal samples) was collected for<br />

DNA extraction.<br />

The M‐SHIME was carried out at two different occasions with six participants for each run (two<br />

healthy, two UC patients <strong>in</strong> remission and two UC patients <strong>in</strong> relapse). The position <strong>of</strong> the <strong>in</strong>ocula<br />

from either healthy subjects or UC patients was changed for each run.<br />

Extraction <strong>of</strong> bacterial DNA<br />

Before extraction <strong>of</strong> the mucosal samples, the samples were heated for 15 m<strong>in</strong> at 55 o C to make<br />

the agar soluble. Subsequently, DNA was extracted from both lum<strong>in</strong>al and mucosal samples us<strong>in</strong>g<br />

the QIAamp DNA Stool m<strong>in</strong>i kit (Qiagen, Hilden, Germany) with a bead beater step <strong>in</strong> advance, as<br />

previously described [36]. For each lum<strong>in</strong>al and mucosal sample, DNA was extracted <strong>in</strong> duplicates.<br />

The purified DNA was stored at ‐20°C until use.<br />

PCR amplification for DGGE<br />

Aliquots (10 μL) <strong>of</strong> purified DNA (5 ng/µl <strong>of</strong> pooled DNA from the duplicate DNA extractions) were<br />

applied to the follow<strong>in</strong>g to give a 50 μL PCR reaction mixture: 20 μL <strong>of</strong> 5 PRIME MasterMix (2.5×)<br />

(VWR & Bie & Berntsen) and 10 pmol <strong>of</strong> each <strong>of</strong> the primers (Eur<strong>of</strong><strong>in</strong>s MWG Synthesis GmbH,<br />

Ebersberg, Germany). Primers HDA1‐GC/HDA2 [65] target<strong>in</strong>g 16S rRNA genes from all bacteria<br />

were used <strong>in</strong> a touchdown PCR. Initial denaturation was at 96 °C for 5 m<strong>in</strong>, amplification was<br />

carried out us<strong>in</strong>g 20 cycles <strong>in</strong>clud<strong>in</strong>g denaturation at 94 °C for 1 m<strong>in</strong>, anneal<strong>in</strong>g at 65°C for 1 m<strong>in</strong><br />

decreased by 0.5°C for each cycle, and extension at 72°C for 1 m<strong>in</strong>. This was followed by additional<br />

5 cycles <strong>of</strong> denaturation at 94°C for 1 m<strong>in</strong>, anneal<strong>in</strong>g at 55°C for 1 m<strong>in</strong>, extension at 72°C for 1 m<strong>in</strong>,<br />

and a f<strong>in</strong>al extension at 72°C for 5 m<strong>in</strong>.<br />

Analysis <strong>of</strong> lum<strong>in</strong>al and mucosal microbiota by DGGE<br />

DGGE was carried out as described previously [5] us<strong>in</strong>g a DcodeTM Universal Mutation Detection<br />

System <strong>in</strong>strument and gradient former model 475 accord<strong>in</strong>g to the manufacturer’s <strong>in</strong>structions<br />

6

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