Butyrate (Sodium/Calcium Butyrate) für Crohn's Disease
C Evidenz Begrenzte Evidenz aus kleinen Studien, aber es gibt einige positive Signale.Oral butyrate (4 g/day for 8 weeks) improved CDAI scores in open-label study. Controlled evidence still limited.
Fazit
Oral butyrate (4 g/day for 8 weeks) improved CDAI scores in open-label study. Controlled evidence still limited.
Key Study Findings
Population: IBD patients (60 Crohn's disease, 80 ulcerative colitis)
Population: DSS-induced IBD murine model
Population: Caco-2 cells, RAW264.7 macrophages, fecal fermentation
Population: Mendelian randomization study of IBD and arthritis
Population: Crohn's disease and ulcerative colitis patients
Population: Crohn's disease fecal microbiota in SHIME model
Key Statistics
2
Studien
200
Teilnehmer
Positive
Bewertung
Referenced Papers
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
Übliche Dosierungen
- general:
- 150-600 mg/day sodium or calcium butyrate
- ibdsupport:
- 300-600 mg three times daily (900-1,800 mg/day)
- butyrateenema:
- 100 mM butyrate enema for distal UC (clinical setting only)
Obergrenze: No established upper limit for oral supplements; most studies use 600-4,000 mg/day
In der Forschung untersuchte Dosierungen
| Dosierung | Dauer | Wirkung | N |
|---|---|---|---|
| None | -- | Positive | 140 |
| Low-dose and high-dose NaB | -- | Positive | -- |
| 5 mg/mL | -- | Positive | -- |
| None | -- | Positive | -- |
| None | -- | Positive | 212 |
| None | -- | Positive | -- |
| None | -- | Negative | -- |
| None | -- | Mixed | -- |
Beste Einnahmezeit: With meals; enteric-coated formulations recommended to reach the colon
Safety & Side Effects
Gemeldete Nebenwirkungen
- ⚠ Unpleasant taste/odor (butyric acid has a strong rancid butter smell)
- ⚠ Mild GI discomfort (nausea, bloating)
- ⚠ Belching with butyric acid odor
- ⚠ Enteric-coated formulations reduce taste issues
Bekannte Wechselwirkungen
- ● 5-ASA medications (mesalamine) — additive anti-inflammatory effect (potentially beneficial in IBD)
- ● No significant adverse drug interactions known
Tolerierbare Höchstaufnahmemenge: No established upper limit for oral supplements; most studies use 600-4,000 mg/day
Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.
Frequently Asked Questions
Does Butyrate (Sodium/Calcium Butyrate) help with Crohn's Disease?
How much Butyrate (Sodium/Calcium Butyrate) should I take for Crohn's Disease?
Are there side effects of Butyrate (Sodium/Calcium Butyrate)?
How strong is the evidence for Butyrate (Sodium/Calcium Butyrate) and Crohn's Disease?
Related Evidence
Andere Inhaltsstoffe für Crohn's Disease
Butyrate (Sodium/Calcium Butyrate) für andere Beschwerden
References
- [1] Sonia Facchin et al.. Dig Liver Dis. 2026. Impact of oral butyrate on clinical and biochemical parameters in IBD: A randomized placebo-controlled study targeting gut microbiota. doi:10.1016/j.dld.2025.11.014 PubMed
- [2] Yingyin Liu et al.. Ann Med. 2025. Sodium butyrate alleviates DSS-induced inflammatory bowel disease by inhibiting ferroptosis and modulating ERK/STAT3 signaling and intestinal flora. doi:10.1080/07853890.2025.2470958 PubMed
- [3] Jinfeng Guo et al.. Nutrients. 2025. Effects of Lactobacillus paracei JY062 Postbiotic on Intestinal Barrier, Immunity, and Gut Microbiota. doi:10.3390/nu17071272 PubMed
- [4] Gerard Serrano-Gómez et al.. Biomark Res. 2025. Microbiome multi-omics analysis reveals novel biomarkers and mechanisms linked with CD etiopathology. doi:10.1186/s40364-025-00802-1 PubMed
- [5] Nannapat Sangfuang et al.. Transl Res. 2025. Effects of senotherapeutics on gut microbiome dysbiosis and intestinal inflammation in Crohn's disease: A pilot study. doi:10.1016/j.trsl.2025.02.004 PubMed
- [6] Devansh Shah et al.. Langenbecks Arch Surg. 2025. Is the microbiome the answer to inflammatory bowel disease: systematic review. doi:10.1007/s00423-025-03897-0 PubMed
- [7] Sinan Xiao et al.. Mediators Inflamm. 2025. Association of Inflammatory Factors and Calcium Metabolism With Arthritis in Patients With Inflammatory Bowel Disease: Evidence From Mediated Mendelian Randomization. doi:10.1155/mi/1675577 PubMed
- [8] Shiting Chen et al.. Biofactors. 2025. Gut Microbial Metabolite Crosstalk in Crohn's Disease: Network Pharmacology Unveils Dual-Axis Pathogenesis and Therapeutic Targets. doi:10.1002/biof.70038 PubMed
- [9] Yongcheng Jiang et al.. Front Biosci (Landmark Ed). 2025. Lactobacillus reuteri E9 Regulates Sleep Disorders Through Its Metabolite GABA. doi:10.31083/FBL39587 PubMed
- [10] Xi Fan et al.. ACS Nano. 2024. An Engineered Butyrate-Derived Polymer Nanoplatform as a Mucosa-Healing Enhancer Potentiates the Therapeutic Effect of Magnolol in Inflammatory Bowel Disease. doi:10.1021/acsnano.3c05732 PubMed
- [11] Achuthan Ambat et al.. Gut Microbes. 2024. Enhancing recovery from gut microbiome dysbiosis and alleviating DSS-induced colitis in mice with a consortium of rare short-chain fatty acid-producing … doi:10.1080/19490976.2024.2382324 PubMed
- [12] Chen Wang et al.. Microbiol Res. 2024. Gut microbiota and metabolites as predictors of biologics response in inflammatory bowel disease: A comprehensive systematic review. doi:10.1016/j.micres.2024.127660 PubMed
- [13] Xiaofang Xu et al.. Int Immunopharmacol. 2024. Butyrate attenuates intestinal inflammation in Crohn's disease by suppressing pyroptosis of intestinal epithelial cells via the cGSA-STING-NLRP3 axis. doi:10.1016/j.intimp.2024.113305 PubMed
- [14] Ben Nichols et al.. Am J Clin Nutr. 2024. Gut metabolome and microbiota signatures predict response to treatment with exclusive enteral nutrition in a prospective study in children with … doi:10.1016/j.ajcnut.2023.12.027 PubMed
- [15] James D Lewis et al.. Cell Mol Gastroenterol Hepatol. 2024. Surgery for Crohn's Disease Is Associated With a Dysbiotic Microbiome and Metabolome: Results From Two Prospective Cohorts. doi:10.1016/j.jcmgh.2024.05.005 PubMed
- [16] Guangtian Cao et al.. Poult Sci. 2024. Dietary Clostridium butyricum and 25-Hydroxyvitamin D3 modulate bone metabolism of broilers through the gut-brain axis. doi:10.1016/j.psj.2024.103966 PubMed
- [17] Caroline Kerbiriou et al.. Inflamm Bowel Dis. 2024. Treatment of Active Crohn's Disease With Exclusive Enteral Nutrition Diminishes the Immunostimulatory Potential of Fecal Microbial Products. doi:10.1093/ibd/izae124 PubMed
- [18] Elisabetta Cavalcanti et al.. Nutrients. 2024. Nutritional Management in Stricturing Crohn's Disease: A Pilot Study. doi:10.3390/nu16234153 PubMed
- [19] Nadia Musco et al.. J Anim Sci. 2024. Cannabidiol can affect morphology, morphometry, enzymatic and microbial activity of rabbit digestive system. doi:10.1093/jas/skae376 PubMed
- [20] Neeraja Recharla et al.. Nutrients. 2023. Gut Microbial Metabolite Butyrate and Its Therapeutic Role in Inflammatory Bowel Disease: A Literature Review. doi:10.3390/nu15102275 PubMed
- [21] Akira Andoh et al.. Digestion. 2023. Alteration of the Gut Microbiome in Inflammatory Bowel Disease. doi:10.1159/000525925 PubMed
- [22] Samira A Hamed et al.. Gut Microbes. 2023. Butyrate reduces adherent-invasive E. coli-evoked disruption of epithelial mitochondrial morphology and barrier function: involvement of free fatty acid receptor 3. doi:10.1080/19490976.2023.2281011 PubMed
- [23] Kibrom M Alula et al.. Microbiome. 2023. Interplay of gut microbiota and host epithelial mitochondrial dysfunction is necessary for the development of spontaneous intestinal inflammation in mice. doi:10.1186/s40168-023-01686-9 PubMed
- [24] Hauke Christian Tews et al.. Lipids Health Dis. 2023. Fecal short chain fatty acids and urinary 3-indoxyl sulfate do not discriminate between patients with Crohn´s disease and ulcerative colitis … doi:10.1186/s12944-023-01929-6 PubMed
- [25] Ali Nabavi-Rad et al.. Gut Microbes. 2022. The double-edged sword of probiotic supplementation on gut microbiota structure in Helicobacter pylori management. doi:10.1080/19490976.2022.2108655 PubMed
- [26] Hana Čipčić Paljetak et al.. Gut Microbes. 2022. Gut microbiota in mucosa and feces of newly diagnosed, treatment-naïve adult inflammatory bowel disease and irritable bowel syndrome patients. doi:10.1080/19490976.2022.2083419 PubMed
- [27] Anna Pietrzak et al.. Nutrients. 2022. Sodium Butyrate Effectiveness in Children and Adolescents with Newly Diagnosed Inflammatory Bowel Diseases-Randomized Placebo-Controlled Multicenter Trial. doi:10.3390/nu14163283 PubMed
- [28] Shijia Hu et al.. J Crohns Colitis. 2022. Oral Microbiome of Crohn's Disease Patients With and Without Oral Manifestations. doi:10.1093/ecco-jcc/jjac063 PubMed
- [29] Ingrid Jurickova et al.. Inflamm Bowel Dis. 2022. Eicosatetraynoic Acid and Butyrate Regulate Human Intestinal Organoid Mitochondrial and Extracellular Matrix Pathways Implicated in Crohn's Disease Strictures. doi:10.1093/ibd/izac037 PubMed
- [30] Satu Wedenoja et al.. PLoS One. 2022. Fecal microbiota in congenital chloride diarrhea and inflammatory bowel disease. doi:10.1371/journal.pone.0269561 PubMed
- [31] Jae-Yun Lee et al.. Int J Syst Evol Microbiol. 2021. Anaerostipes hominis sp. nov., a novel butyrate-producing bacteria isolated from faeces of a patient with Crohn's disease. doi:10.1099/ijsem.0.005129 PubMed
- [32] Sonia Facchin et al.. Neurogastroenterol Motil. 2020. Microbiota changes induced by microencapsulated sodium butyrate in patients with inflammatory bowel disease. doi:10.1111/nmo.13914 PubMed
- [33] Kathleen Machiels et al.. J Crohns Colitis. 2020. Early Postoperative Endoscopic Recurrence in Crohn's Disease Is Characterised by Distinct Microbiota Recolonisation. doi:10.1093/ecco-jcc/jjaa081 PubMed
- [34] Amy L Hamilton et al.. Gut Microbes. 2020. Luminal microbiota related to Crohn's disease recurrence after surgery. doi:10.1080/19490976.2020.1778262 PubMed
- [35] Daniela Parada Venegas et al.. Front Immunol. 2019. Short Chain Fatty Acids (SCFAs)-Mediated Gut Epithelial and Immune Regulation and Its Relevance for Inflammatory Bowel Diseases. doi:10.3389/fimmu.2019.00277 PubMed
- [36] Vaios Svolos et al.. Gastroenterology. 2019. Treatment of Active Crohn's Disease With an Ordinary Food-based Diet That Replicates Exclusive Enteral Nutrition. doi:10.1053/j.gastro.2018.12.002 PubMed
- [37] Kinga Kowalska-Duplaga et al.. Sci Rep. 2019. Differences in the intestinal microbiome of healthy children and patients with newly diagnosed Crohn's disease. doi:10.1038/s41598-019-55290-9 PubMed
- [38] N A Danilova et al.. Ter Arkh. 2019. Markers of dysbiosis in patients with ulcerative colitis and Crohn's disease. doi:10.26442/00403660.2019.04.000211 PubMed
- [39] Hilda Vargas-Robles et al.. World J Gastroenterol. 2019. Beneficial effects of nutritional supplements on intestinal epithelial barrier functions in experimental colitis models in vivo. doi:10.3748/wjg.v25.i30.4181 PubMed
- [40] Ron Shaoul et al.. Curr Opin Gastroenterol. 2019. Nutritional regulators of intestinal inflammation. doi:10.1097/MOG.0000000000000585 PubMed
- [41] João P B Silva et al.. Curr Pharm Des. 2018. Protective Mechanisms of Butyrate on Inflammatory Bowel Disease. doi:10.2174/1381612824666181001153605 PubMed
- [42] Emilio J Laserna-Mendieta et al.. J Crohns Colitis. 2018. Determinants of Reduced Genetic Capacity for Butyrate Synthesis by the Gut Microbiome in Crohn's Disease and Ulcerative Colitis. doi:10.1093/ecco-jcc/jjx137 PubMed
- [43] Rajita Menon et al.. PLoS Comput Biol. 2018. Interactions between species introduce spurious associations in microbiome studies. doi:10.1371/journal.pcbi.1005939 PubMed
- [44] Zora Váradyová et al.. J Anim Physiol Anim Nutr (Berl). 2018. Modulation of ruminal and intestinal fermentation by medicinal plants and zinc from different sources. doi:10.1111/jpn.12940 PubMed
- [45] Ashwin N Ananthakrishnan et al.. Cell Host Microbe. 2017. Gut Microbiome Function Predicts Response to Anti-integrin Biologic Therapy in Inflammatory Bowel Diseases. doi:10.1016/j.chom.2017.04.010 PubMed
- [46] Annelies Geirnaert et al.. Sci Rep. 2017. Butyrate-producing bacteria supplemented in vitro to Crohn's disease patient microbiota increased butyrate production and enhanced intestinal epithelial barrier integrity. doi:10.1038/s41598-017-11734-8 PubMed
- [47] James D Lewis et al.. Gastroenterology. 2017. Diet as a Trigger or Therapy for Inflammatory Bowel Diseases. doi:10.1053/j.gastro.2016.10.019 PubMed
- [48] Omid Jazayeri et al.. Best Pract Res Clin Gastroenterol. 2017. Lifestyle alters GUT-bacteria function: Linking immune response and host. doi:10.1016/j.bpg.2017.09.009 PubMed
- [49] Sudha B Singh et al.. Innate Immun. 2017. Autophagy counters LPS-mediated suppression of lysozyme. doi:10.1177/1753425917721630 PubMed
- [50] Kenichiro Takahashi et al.. Digestion. 2016. Reduced Abundance of Butyrate-Producing Bacteria Species in the Fecal Microbial Community in Crohn's Disease. doi:10.1159/000441768 PubMed
- [51] Saurabh Kedia et al.. J Gastroenterol. 2016. Gut microbiome diversity in acute infective and chronic inflammatory gastrointestinal diseases in North India. doi:10.1007/s00535-016-1193-1 PubMed
- [52] Emily K Wright et al.. Inflamm Bowel Dis. 2015. Recent advances in characterizing the gastrointestinal microbiome in Crohn's disease: a systematic review. doi:10.1097/MIB.0000000000000382 PubMed
- [53] Pamela V Chang et al.. Proc Natl Acad Sci U S A. 2014. The microbial metabolite butyrate regulates intestinal macrophage function via histone deacetylase inhibition. doi:10.1073/pnas.1322269111 PubMed
- [54] Kathleen Machiels et al.. Gut. 2014. A decrease of the butyrate-producing species Roseburia hominis and Faecalibacterium prausnitzii defines dysbiosis in patients with ulcerative colitis. doi:10.1136/gutjnl-2013-304833 PubMed
- [55] Venessa Eeckhaut et al.. Gut. 2013. Butyricicoccus pullicaecorum in inflammatory bowel disease. doi:10.1136/gutjnl-2012-303611 PubMed
- [56] Mirosława Gałecka et al.. Pol J Microbiol. 2013. Faecalibacterium prausnitzii and Crohn's disease - is there any connection? PubMed
- [57] Ilaria Russo et al.. PLoS One. 2012. Butyrate attenuates lipopolysaccharide-induced inflammation in intestinal cells and Crohn's mucosa through modulation of antioxidant defense machinery. doi:10.1371/journal.pone.0032841 PubMed
- [58] Marie Joossens et al.. Gut. 2011. Dysbiosis of the faecal microbiota in patients with Crohn's disease and their unaffected relatives. doi:10.1136/gut.2010.223263 PubMed
- [59] A Di Sabatino et al.. Aliment Pharmacol Ther. 2005. Oral butyrate for mildly to moderately active Crohn's disease. doi:10.1111/j.1365-2036.2005.02639.x PubMed
- [60] J Goh et al.. Aliment Pharmacol Ther. 2003. Review article: nutrition and adult inflammatory bowel disease. doi:10.1046/j.1365-2036.2003.01482.x PubMed
- [61] M A Gassull et al.. Curr Opin Clin Nutr Metab Care. 2001. Nutrition in inflammatory bowel disease. doi:10.1097/00075197-200111000-00018 PubMed
- [62] E Cabré et al.. Curr Opin Gastroenterol. 2001. Nutrition in inflammatory bowel disease: impact on disease and therapy. doi:10.1097/00001574-200107000-00008 PubMed
- [63] J P Segain et al.. Gut. 2000. Butyrate inhibits inflammatory responses through NFkappaB inhibition: implications for Crohn's disease. doi:10.1136/gut.47.3.397 PubMed
- [64] S C Ling et al.. Curr Opin Clin Nutr Metab Care. 2000. Nutrition in inflammatory bowel disease. doi:10.1097/00075197-200009000-00003 PubMed
- [65] M M Duffy et al.. Dis Colon Rectum. 1998. Mucosal metabolism in ulcerative colitis and Crohn's disease. doi:10.1007/BF02237056 PubMed
- [66] W Frankel et al.. J Surg Res. 1994. Butyrate increases colonocyte protein synthesis in ulcerative colitis. doi:10.1006/jsre.1994.1133 PubMed
- [67] P D Reynolds et al.. Dig Dis. 1993. Pharmacotherapy of inflammatory bowel disease. doi:10.1159/000171425 PubMed
FDA-Haftungsausschluss: Diese Aussagen wurden nicht von der Food and Drug Administration bewertet. Die Produkte und Informationen auf dieser Website sind nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Die dargestellten Evidenzbewertungen basieren auf unserer Analyse veröffentlichter begutachteter Forschung und stellen keine medizinische Beratung dar. Konsultieren Sie immer Ihren Arzt, bevor Sie mit der Einnahme von Nahrungsergänzungsmitteln beginnen.