Can Changing the Microbiome Reverse Lactose Intolerance?

Can Changing the Microbiome Reverse Lactose Intolerance?
Reversing lactose intolerance might make it possible for adults to enjoy a milkshake again. By sdecoret/Shutterstock
Updated:
After childhood, about two-thirds of the world’s human population loses the ability to digest milk. As far as we know, 100% of nonhuman mammals also lose this ability after weaning. The ongoing ability to digest lactose, the main sugar in milk, into adulthood is a biological abnormality.
Lactose cannot be directly absorbed in the intestinal tract and must, instead, be broken down into its two smaller component sugars by an enzyme called lactase. Normally, the activity of the gene that produces lactase, LCT, declines after infancy. New evidence suggests that this decline occurs not because the genetic code is changed, but because the DNA is chemically modified so that the lactase gene is switched off. Such modifications that affect gene activity while leaving the DNA sequence intact are called epigenetic. The epigenetic modification that turns off the lactase gene does not happen in lactose-tolerant individuals. This new finding gives an important insight into how lactose intolerance develops with age or after trauma to the intestinal tract.
Patricia L. Foster
Patricia L. Foster
Author
Professor Emerita of Biology, Indiana University
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