Ongoing Project -
Investigating the impacts of squatting on gut microflora and colorectal cancer

About Gut Microbiome Project

Summary and Originality of the Project

The gut microflora plays crucial role to determine the gut health. They help digest food, absorb nutrients and even control our brain. Their role is so important that scientists are now considering transplanting gut microflora from healthy people to the ones suffering from colorectal cancer, Crohn’s diseases, and irritable bowel syndrome and so on. A major factor that impacts the composition of the microflora is considered to the bowel habit and sanitary practices. Western practices, such as using commode in the toilet is now widely considered as a negative factor for a good bowel health. This is mostly because of the body posture that comes with the sitting style on the commode seat. Squatting is considered better for bowel movement than commode use. Interestingly in Bangladesh, in rural areas or isolated river islands there are people have never used commode in their lifetime. They have always been squatting across generations. This project aims to study the gut microflora in these people and see how it impacts their gut heath. Data on occurrence of colorectal cancer, will be collected from these people and their health records. Stool sample will be collected from selected subjects who fulfill the criteria. Metagenomic analysis using next-generation sequencing will be performed on the gut microflora to understand the composition. These data will be compared with samples collected from urban areas where commode use is common. This study promises to reveal the composition of gut microbes based on toilet use habit and may help establish link with the gut health.

Using metagenomic analysis to understand the impacts of our bowel habits has never been studied before and it will be a novel approach to answer a long-standing question related to our bowel habits using cutting-edge technology.

Objectives and merits of the study

The objectives of this study are –

  • to understand how gut microflora differ among people who always use squat position or use commodes during their bowel movement.
  • to understand whether people with different microflora based on their toilet habits suffer from the risk of bowel diseases and bowel cancer.
This study will contribute to draw a broader picture of this field based on the exclusive advantage we have in Bangladesh, that is, the presence of people who never used commodes (and always squat) and those who have been using commodes for several generations.

In Bangladesh more and more affluent people are embracing the western life styles, which includes the fitting of commodes in households. Before it becomes a commonplace across the country, we shall be able to create a guideline for them so that they can take decisions whether they will stay with better traditional style or move to the proven wrong way of using commodes.

Major activities

The study comprises of question-answer based data collection and laboratory experiments. It will include subjects from rural areas, river islands and urban areas.

A questionnaire will be primarily used to select subjects for the study. From the rural areas, people who have never used commodes in their lifetime will be included in this study. From the cities, it will be opposite. People who have predominantly used commodes in their lifetime will be included in this study.

These two groups of samples will be matched for age, sex and diets as much as possible. Their medical history about gut health will be collected. Stool samples will be collected from selected subjects and microbes will be cultured in the laboratory to see the compositions. Apart from this traditional culture method, DNA isolated from microbes in the stool will be collected for next generation sequencing.

This study will use multivariate statistical analysis to remove the effects of confounding factors such as food habit, professions, daily practice etc. in gut health and gut microflora composition.

Expected outcomes and output of the proposed research

Among many factors, globally the practices in toilet habit has attracted the attention of scientists, innovators and general public as well. This project will help to understand an important factor- the impact of squatting on gut microbes and eventually on health. Additionally, the population of the microflora will be correlated with any sign and risk factors and history of colorectal cancers. The outcome will help us to shape the research on colon cancer. It will also open scopes for collaboration with other parties, especially from developed countries. The link between gut microbes and cancer is already established. If we can show that we have exclusive subjects and samples to study the factors that influence the composition gut microbes, we shall be able to establish collaboration with leading research groups from top institutions. This will boost our research career scopes. We may also explore future collaborate with Bill and Melinda Gates Foundation to take the research outcomes to the world.

To conduct this current project, we shall collaborate with microbiologists, molecular biologists, and genome sequencing centers and statisticians within Dhaka university and beyond.

Our Research Team

DR. Mustak Ibn Ayub

Principal Investigator

DR S M Mahbubur Rashid

Co-Investigator

Dr. Nur A Hasan

Collaborator

Md. Ridone Ahmed

Research Assistant

Dr. Shahriar Md Sadek

Collaborator

Contact

Location:

5th Floor, Science Complex Building, University of Dhaka, Ramna, Dhaka-1000, Bangladesh

Call:

+8801671613409