Longitudinal Evidence of Sustained Taurine Deficiency in Inflammatory Bowel Disease
Abstract
1. Introduction
2. Results
2.1. Patients’ Characteristics
2.2. Serum Taurine Levels Are Persistently Reduced in IBD
2.3. Persistent Reduction in Serum Taurine Is Independent of Disease Activity
3. Discussion
4. Materials and Methods
4.1. Study Population and Data Collection
4.2. Enzyme-Linked Immunosorbent Assay
4.3. Statistical Analysis
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Cupi, M.L.; Sarra, M.; Marafini, I.; Monteleone, I.; Franzè, E.; Ortenzi, A.; Colantoni, A.; Sica, G.; Sileri, P.; Rosado, M.M.; et al. Plasma Cells in the Mucosa of Patients with Inflammatory Bowel Disease Produce Granzyme B and Possess Cytotoxic Activities. J. Immunol. 2014, 192, 6083–6091. [Google Scholar] [CrossRef]
- Selvakumar, B.; Samsudin, R. Intestinal Barrier Dysfunction in Inflammatory Bowel Disease: Pathophysiology to Precision Therapeutics. Inflamm. Bowel Dis. 2025, 31, 3450–3464. [Google Scholar] [CrossRef] [PubMed]
- Monteleone, G.; Calisi, C.; Salvatori, S.; Marafini, I. Fundamental and Emerging Insights into Innate and Adaptive Immunity in Inflammatory Bowel Diseases. Front. Immunol. 2025, 16, 1665530. [Google Scholar] [CrossRef]
- Pallone, F.; Monteleone, G. Interleukin 12 and Th1 Responses in Inflammatory Bowel Disease. Gut 1998, 43, 735–736. [Google Scholar] [CrossRef]
- Baum, S.; Hamedi, K.; Loftus, C.; Loftus, G.; Zhou, E.-R.; Arce, S. From Cytokines to Biomarkers: Mapping the Immunopathology of Inflammatory Bowel Disease. Cells 2025, 14, 1589. [Google Scholar] [CrossRef] [PubMed]
- Bai, J.; Bouwknegt, D.G.; Weersma, R.K.; Dijkstra, G.; Van Der Sloot, K.W.J.; Festen, E.A.M. Gene-Environment Interactions in Inflammatory Bowel Disease: A Systematic Review of Human Epidemiologic Studies. J. Crohn’s Colitis 2025, 19, jjaf061. [Google Scholar] [CrossRef] [PubMed]
- Wang, Q.; Meng, Q.; Chen, Y.; Liu, Y.; Li, X.; Zhou, J.; Ma, Y.; Yu, Z.; Chen, X. Interaction between Gut Microbiota and Immunity in Health and Intestinal Disease. Front. Immunol. 2025, 16, 1673852. [Google Scholar] [CrossRef]
- Zhang, J.; Mak, J.W.Y.; Ng, S.C. Gut Microbiome in IBD: Past, Present and the Future. Gut 2026, 75, 398–410. [Google Scholar] [CrossRef]
- Monteleone, I.; Marafini, I.; Dinallo, V.; Di Fusco, D.; Troncone, E.; Zorzi, F.; Laudisi, F.; Monteleone, G. Sodium Chloride–Enriched Diet Enhanced Inflammatory Cytokine Production and Exacerbated Experimental Colitis in Mice. J. Crohn’s Colitis 2017, 11, 237–245. [Google Scholar] [CrossRef]
- Monteleone, G.; Moscardelli, A.; Colella, A.; Marafini, I.; Salvatori, S. Immune-Mediated Inflammatory Diseases: Common and Different Pathogenic and Clinical Features. Autoimmun. Rev. 2023, 22, 103410. [Google Scholar] [CrossRef]
- Dylgjeri, S.; Bartoszek, E.M.; Hruz, P.; Melhem, H.; Niess, J.H. Cytochrome P450 Cyp2s1 Regulation of the Intestinal Metabolome and Microbiome. Mucosal Immunol. 2025; in press. [Google Scholar] [CrossRef]
- Xu, J.; Li, J.; Guo, X.; Huang, C.; Peng, Y.; Xu, H.; Li, Y.; Xu, J.; Hu, J.; Liao, Y.; et al. Secondary Bile Acids Modified by Odoribacter splanchnicus Alleviate Colitis by Suppressing Neutrophil Extracellular Trap Formation. Adv. Sci. 2025, 12, e09073. [Google Scholar] [CrossRef]
- Xue, M.; Lee, S.-H.; Shao, J.; Leibovitzh, H.; Huynh, H.Q.; Griffiths, A.M.; Turner, D.; Madsen, K.L.; Moayyedi, P.; Steinhart, A.H.; et al. Metabolomics Reveal Distinct Molecular Pathways Associated with Future Risk of Crohn’s Disease. Gut Microbes 2025, 17, 2546998. [Google Scholar] [CrossRef] [PubMed]
- Frascatani, R.; Mattogno, A.; Iannucci, A.; Marafini, I.; Monteleone, G. Reduced Taurine Serum Levels in Inflammatory Bowel Disease. Nutrients 2024, 16, 1593. [Google Scholar] [CrossRef]
- Zhao, Z.; Satsu, H.; Fujisawa, M.; Hori, M.; Ishimoto, Y.; Totsuka, M.; Nambu, A.; Kakuta, S.; Ozaki, H.; Shimizu, M. Attenuation by Dietary Taurine of Dextran Sulfate Sodium-Induced Colitis in Mice and of THP-1-Induced Damage to Intestinal Caco-2 Cell Monolayers. Amino Acids 2008, 35, 217–224. [Google Scholar] [CrossRef] [PubMed]
- Schuller-Levis, G.B.; Park, E. Taurine: New Implications for an Old Amino Acid. FEMS Microbiol. Lett. 2003, 226, 195–202. [Google Scholar] [CrossRef]
- Schuller-Levis, G.B.; Park, E. Taurine and Its Chloramine: Modulators of Immunity. Neurochem. Res. 2004, 29, 117–126. [Google Scholar] [CrossRef] [PubMed]
- Zheng, J.; Zhang, J.; Zhou, Y.; Zhang, D.; Guo, H.; Li, B.; Cui, S. Taurine Alleviates Experimental Colitis by Enhancing Intestinal Barrier Function and Inhibiting Inflammatory Response through TLR4/NF-κB Signaling. J. Agric. Food Chem. 2024, 72, 12119–12129. [Google Scholar] [CrossRef]
- Santulli, G.; Kansakar, U.; Varzideh, F.; Mone, P.; Jankauskas, S.S.; Lombardi, A. Functional Role of Taurine in Aging and Cardiovascular Health: An Updated Overview. Nutrients 2023, 15, 4236. [Google Scholar] [CrossRef]
- Singh, P.; Gollapalli, K.; Mangiola, S.; Schranner, D.; Yusuf, M.A.; Chamoli, M.; Shi, S.L.; Lopes Bastos, B.; Nair, T.; Riermeier, A.; et al. Taurine Deficiency as a Driver of Aging. Science 2023, 380, eabn9257. [Google Scholar] [CrossRef]
- Suárez, L.M.; Muñoz, M.-D.; Martín Del Río, R.; Solís, J.M. Taurine Content in Different Brain Structures during Ageing: Effect on Hippocampal Synaptic Plasticity. Amino Acids 2016, 48, 1199–1208. [Google Scholar] [CrossRef]
- Yoshimura, T.; Inokuchi, Y.; Mutou, C.; Sakurai, T.; Nagahama, T.; Murakami, S. Age-Related Decline in the Taurine Content of the Skin in Rodents. Amino Acids 2021, 53, 429–434. [Google Scholar] [CrossRef]
- Iyer, N.; Corr, S.C. Gut Microbial Metabolite-Mediated Regulation of the Intestinal Barrier in the Pathogenesis of Inflammatory Bowel Disease. Nutrients 2021, 13, 4259. [Google Scholar] [CrossRef]
- Lavelle, A.; Sokol, H. Gut Microbiota-Derived Metabolites as Key Actors in Inflammatory Bowel Disease. Nat. Rev. Gastroenterol. Hepatol. 2020, 17, 223–237. [Google Scholar] [CrossRef]
- Sugihara, K.; Kamada, N. Metabolic Network of the Gut Microbiota in Inflammatory Bowel Disease. Inflamm. Regen. 2024, 44, 11. [Google Scholar] [CrossRef]
- Gu, B.-H.; Kim, M.; Yun, C.-H. Regulation of Gastrointestinal Immunity by Metabolites. Nutrients 2021, 13, 167. [Google Scholar] [CrossRef]
- Hirose, M.; Sekar, P.; Eladham, M.W.A.; Albataineh, M.T.; Rahmani, M.; Ibrahim, S.M. Interaction between Mitochondria and Microbiota Modulating Cellular Metabolism in Inflammatory Bowel Disease. J. Mol. Med. 2023, 101, 1513–1526. [Google Scholar] [CrossRef] [PubMed]
- Wu, L.; Tang, Z.; Chen, H.; Ren, Z.; Ding, Q.; Liang, K.; Sun, Z. Mutual Interaction between Gut Microbiota and Protein/Amino Acid Metabolism for Host Mucosal Immunity and Health. Anim. Nutr. 2021, 7, 11–16. [Google Scholar] [CrossRef] [PubMed]
- He, F.; Wu, C.; Li, P.; Li, N.; Zhang, D.; Zhu, Q.; Ren, W.; Peng, Y. Functions and Signaling Pathways of Amino Acids in Intestinal Inflammation. BioMed Res. Int. 2018, 2018, 9171905. [Google Scholar] [CrossRef] [PubMed]
- Ma, N.; Ma, X. Dietary Amino Acids and the Gut-Microbiome-Immune Axis: Physiological Metabolism and Therapeutic Prospects. Comp. Rev. Food Sci. Food Saf. 2019, 18, 221–242. [Google Scholar] [CrossRef]
- Chen, Y.; Fang, J.-Y. The Role of Colonic Microbiota Amino Acid Metabolism in Gut Health Regulation. Cell Insight 2025, 4, 100227. [Google Scholar] [CrossRef]
- Van, N.T.; Zhang, K.; Wigmore, R.M.; Kennedy, A.I.; DaSilva, C.R.; Huang, J.; Ambelil, M.; Villagomez, J.H.; O’Connor, G.J.; Longman, R.S.; et al. Dietary L-Tryptophan Consumption Determines the Number of Colonic Regulatory T Cells and Susceptibility to Colitis via GPR15. Nat. Commun. 2023, 14, 7363. [Google Scholar] [CrossRef] [PubMed]
- Michaudel, C.; Danne, C.; Agus, A.; Magniez, A.; Aucouturier, A.; Spatz, M.; Lefevre, A.; Kirchgesner, J.; Rolhion, N.; Wang, Y.; et al. Rewiring the Altered Tryptophan Metabolism as a Novel Therapeutic Strategy in Inflammatory Bowel Diseases. Gut 2023, 72, 1296–1307. [Google Scholar] [CrossRef]
- Monteleone, I.; MacDonald, T.T.; Pallone, F.; Monteleone, G. The Aryl Hydrocarbon Receptor in Inflammatory Bowel Disease: Linking the Environment to Disease Pathogenesis. Curr. Opin. Gastroenterol. 2012, 28, 310–313. [Google Scholar] [CrossRef]
- Gupta, N.K.; Thaker, A.I.; Kanuri, N.; Riehl, T.E.; Rowley, C.W.; Stenson, W.F.; Ciorba, M.A. Serum Analysis of Tryptophan Catabolism Pathway: Correlation with Crohn’s Disease Activity. Inflamm. Bowel Dis. 2012, 18, 1214–1220. [Google Scholar] [CrossRef]
- Wang, S.; Van Schooten, F.-J.; Jin, H.; Jonkers, D.; Godschalk, R. The Involvement of Intestinal Tryptophan Metabolism in Inflammatory Bowel Disease Identified by a Meta-Analysis of the Transcriptome and a Systematic Review of the Metabolome. Nutrients 2023, 15, 2886. [Google Scholar] [CrossRef]
- Nikolaus, S.; Schulte, B.; Al-Massad, N.; Thieme, F.; Schulte, D.M.; Bethge, J.; Rehman, A.; Tran, F.; Aden, K.; Häsler, R.; et al. Increased Tryptophan Metabolism Is Associated with Activity of Inflammatory Bowel Diseases. Gastroenterology 2017, 153, 1504–1516.e2. [Google Scholar] [CrossRef]
- Perdijk, O.; Butler, A.; Macowan, M.; Chatzis, R.; Bulanda, E.; Grant, R.D.; Harris, N.L.; Wypych, T.P.; Marsland, B.J. Antibiotic-Driven Dysbiosis in Early Life Disrupts Indole-3-Propionic Acid Production and Exacerbates Allergic Airway Inflammation in Adulthood. Immunity 2024, 57, 1939–1954.e7. [Google Scholar] [CrossRef]
- Wisniewski, P.J.; Nagarkatti, M.; Nagarkatti, P.S. Regulation of Intestinal Stem Cell Stemness by the Aryl Hydrocarbon Receptor and Its Ligands. Front. Immunol. 2021, 12, 638725. [Google Scholar] [CrossRef]
- Surai, P.F.; Earle-Payne, K.; Kidd, M.T. Taurine as a Natural Antioxidant: From Direct Antioxidant Effects to Protective Action in Various Toxicological Models. Antioxidants 2021, 10, 1876. [Google Scholar] [CrossRef] [PubMed]
- Jong, C.J.; Azuma, J.; Schaffer, S. Mechanism Underlying the Antioxidant Activity of Taurine: Prevention of Mitochondrial Oxidant Production. Amino Acids 2012, 42, 2223–2232. [Google Scholar] [CrossRef] [PubMed]
- Son, M.; Ko, J.I.; Kim, W.B.; Kang, H.K.; Kim, B.K. Taurine Can Ameliorate Inflammatory Bowel Disease in Rats. In Taurine 3; Advances in Experimental Medicine and Biology; Schaffer, S., Lombardini, J.B., Huxtable, R.J., Eds.; Springer: Boston, MA, USA, 1998; Volume 442, pp. 291–298. ISBN 978-1-4899-0119-4. [Google Scholar]
- Zhang, L.; Yuan, Y.; Tong, Q.; Jiang, S.; Xu, Q.; Ding, J.; Zhang, L.; Zhang, R.; Zhang, K. Reduced Plasma Taurine Level in Parkinson’s Disease: Association with Motor Severity and Levodopa Treatment. Int. J. Neurosci. 2016, 126, 630–636. [Google Scholar] [CrossRef]
- Sak, D.; Erdenen, F.; Müderrisoglu, C.; Altunoglu, E.; Sozer, V.; Gungel, H.; Guler, P.A.; Sak, T.; Uzun, H. The Relationship between Plasma Taurine Levels and Diabetic Complications in Patients with Type 2 Diabetes Mellitus. Biomolecules 2019, 9, 96. [Google Scholar] [CrossRef] [PubMed]
- Moludi, J.; Qaisar, S.A.; Kadhim, M.M.; Ahmadi, Y.; Davari, M. Protective and Therapeutic Effectiveness of Taurine Supplementation plus Low Calorie Diet on Metabolic Parameters and Endothelial Markers in Patients with Diabetes Mellitus: A Randomized, Clinical Trial. Nutr. Metab. 2022, 19, 49, Erratum in Nutr. Metab. 2022, 19, 62. [Google Scholar] [CrossRef]
- Pop-Busui, R.; Sullivan, K.A.; Van Huysen, C.; Bayer, L.; Cao, X.; Towns, R.; Stevens, M.J. Depletion of Taurine in Experimental Diabetic Neuropathy: Implications for Nerve Metabolic, Vascular, and Functional Deficits. Exp. Neurol. 2001, 168, 259–272. [Google Scholar] [CrossRef] [PubMed]
- Chesney, R.W.; Han, X.; Patters, A.B. Taurine and the Renal System. J. Biomed. Sci. 2010, 17, S4. [Google Scholar] [CrossRef]
- Suliman, M.E.; Anderstam, B.; Bergström, J. Evidence of Taurine Depletion and Accumulation of Cysteinesulfinic Acid in Chronic Dialysis Patients. Kidney Int. 1996, 50, 1713–1717. [Google Scholar] [CrossRef]
- Abbasian, N.; Ghaderi-Najafabadi, M.; Watson, E.; Brown, J.; Yu Si, L.; Bursnall, D.; Pawluczyk, I.; Seymour, A.-M.; Bevington, A. Hepatic Cysteine Sulphinic Acid Decarboxylase Depletion and Defective Taurine Metabolism in a Rat Partial Nephrectomy Model of Chronic Kidney Disease. BMC Nephrol. 2021, 22, 250. [Google Scholar] [CrossRef] [PubMed]
- Faghfouri, A.H.; Seyyed Shoura, S.M.; Fathollahi, P.; Shadbad, M.A.; Papi, S.; Ostadrahimi, A.; Faghfuri, E. Profiling Inflammatory and Oxidative Stress Biomarkers Following Taurine Supplementation: A Systematic Review and Dose-Response Meta-Analysis of Controlled Trials. Eur. J. Clin. Nutr. 2022, 76, 647–658. [Google Scholar] [CrossRef]
- Trachtman, H.; Sturman, J.A. Taurine: A Therapeutic Agent in Experimental Kidney Disease. Amino Acids 1996, 11, 1–13. [Google Scholar] [CrossRef]
- Bhatnagar, S.K.; Welty, J.D.; Yusuf, A.R.A. Significance of Blood Taurine Levels in Patients with First Time Acute Ischaemic Cardiac Pain. Int. J. Cardiol. 1990, 27, 361–366. [Google Scholar] [CrossRef]
- Lombardini, J.B.; Cooper, M.W. Elevated Blood Taurine Levels in Acute and Evolving Myocardial Infarction. J. Lab. Clin. Med. 1981, 98, 849–859. [Google Scholar] [PubMed]
- Wu, L.; Xie, J.; Li, J.; Li, W.; Mao, X.; Huang, L.; Chen, H.; Zhong, J.; Lin, L.; Su, S.; et al. Intestinal Taurine Acts as a Novel Immunometabolic Modulator of IBD by Degrading Redundant Mitochondrial RNA. Cell. Mol. Immunol. 2025, 22, 1398–1413. [Google Scholar] [CrossRef] [PubMed]



| Characteristics | UC Patients (N = 18) | CD Patients (N = 29) | p-Value |
|---|---|---|---|
| Age (years), median [range] | (I) 49.5 [21–64] (II) 52.5 [24–68] | (I) 41 [18–76] (II) 44 [22–80] | (I) 0.196 (II) 0.196 |
| Female gender, n (%) | 11 (61) | 11 (37.9) | 0.212 |
| IBD patients with clinically active disease, n (%) | (I) 13 (72) (II) 7 (39) | (I) 13 (44.8) (II) 11 (37.9) | (I) 0.125 (II) 0.800 |
| Disease localization for UC, n (%): E1 E2 E3 | 0 (0) 10 (55.5) 8 (44.5) | - | - |
| Disease localization for CD, n (%): L1 L2 L3 | - | 12 (41) 6 (21) 11 (38) | - |
| Disease phenotype for CD, n (%): B1 B2 B3 | - | 15 (52) 10 (34.5) 4 (13.5) | - |
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© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
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Frascatani, R.; Mattogno, A.; Salvatori, S.; Iannucci, A.; Marafini, I.; Monteleone, G. Longitudinal Evidence of Sustained Taurine Deficiency in Inflammatory Bowel Disease. Int. J. Mol. Sci. 2026, 27, 725. https://doi.org/10.3390/ijms27020725
Frascatani R, Mattogno A, Salvatori S, Iannucci A, Marafini I, Monteleone G. Longitudinal Evidence of Sustained Taurine Deficiency in Inflammatory Bowel Disease. International Journal of Molecular Sciences. 2026; 27(2):725. https://doi.org/10.3390/ijms27020725
Chicago/Turabian StyleFrascatani, Rachele, Adelaide Mattogno, Silvia Salvatori, Andrea Iannucci, Irene Marafini, and Giovanni Monteleone. 2026. "Longitudinal Evidence of Sustained Taurine Deficiency in Inflammatory Bowel Disease" International Journal of Molecular Sciences 27, no. 2: 725. https://doi.org/10.3390/ijms27020725
APA StyleFrascatani, R., Mattogno, A., Salvatori, S., Iannucci, A., Marafini, I., & Monteleone, G. (2026). Longitudinal Evidence of Sustained Taurine Deficiency in Inflammatory Bowel Disease. International Journal of Molecular Sciences, 27(2), 725. https://doi.org/10.3390/ijms27020725

