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Abstract(
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(,*1NN('(+,*'+7*%$-&.+'."#1%-9*B,*1*$IM$"'*+P*&.(/N#",*K('.*1I'($J7*P+#*"[1J%/"7*M".1)(+#1/*
$-J%'+J$*0"'*M"''"#*M+'.*NI#(,0*$%"&(P(&*N("'$*:P+#*1*#"&",'*#")("K7*$""*h.('"/"-*"'*1/97*345G<7*
K.(&.*J(0.'*+#*J(0.'*,+'*%+(,'*'+*1*#+/"*+P*'."*J(&#+M(+'17*1,N*NI#(,0*1,'(M(+'(&*'#"1'J",'*
:]1J(#"f7*R1#,.(//7*OI'("##"f7*2&.I''"7*g*H"K('$+,7*345GU*21,N/"#*"'*1/97*3444<7*K.(&.*&"#'1(,/-*
N+"$9*e"&1/*'#1,$%/1,'$*1#"*$+J"'(J"$*%"#P+#J"N*+,*.IJ1,$*'+*'#"1'*(,'"$'(,1/*N($"1$"U*0()",*
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(,'"#"$'*'+*(,)"$'(01'"*K."'."#*$(J(/1#*MI'*$'(//*1,"&N+'1/*")(N",&"*(,*.IJ1,$*&1,*M"*
&+##+M+#1'"N9*d+,$(N"#(,0*'."*I,ZI"$'(+,1M/"*$I&&"$$*+P*%#+M(+'(&$*(,*'#(1/$*K('.*#+N",'$7*PI#'."#*
&/(,(&1/*$'IN-*+P*'."*%$-&.+/+0(&1/*M","P('$*+P*M(P(N+M1&'"#(1*1,N*/1&'+M1&(//(*(,*.IJ1,$*+I0.'*'+*
M"*",&+I#10"N*1$*K"//^%#"P"#1M/-*K('.*PI,N(,0*'.1'*N+"$*,+'*&+J"7*1$*($*&I##",'/-*'."*&1$"7*
P#+J*&+J%1,("$*'.1'*%#+NI&"*+#*J1#X"'*-+0I#'9*W*PI//*I,N"#$'1,N(,0*+P*.IJ1,*M".1)(+#*J1-*
#"ZI(#"*&+,$(N"#(,0*0I'*J(&#+M"$c*")+/I'(+,1#-*(,'"#"$'$*(,*/"$$*&+,)",'(+,1/*K1-$7*'++9*Y+*&('"*
aI$'*+,"*+P*'."J7*&(#&IJ$'1,'(1/*")(N",&"*($*1&&IJI/1'(,0*'.1'*%"+%/"c$*)(,0*P+#*&"#'1(,*P++N$*
J(0.'*M"*N#()",*M-*'."*M1&'"#(1*'.1'*'.#()"*+,*$I&.*P++N$7*1,N*1*,IJM"#*+P*'"$'1M/"*%#"N(&'(+,$*
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"[%"&'1'(+,*'.1'*1,*(,&#"1$"*(,*J(&#+M(+'1*N()"#$('-*K(//*'",N*'+*#"N(#"&'*'."*M1&'"#(1c$*#"$+I#&"$*
P#+J*.+$'*J1,(%I/1'(+,*'+*&+J%"'('(+,*K('.*#()1/$U*(P*$+7*P++N*)(,0$*$.+I/N*N(J(,($.*K('.*'."*
(,'1X"*+P*%#+M(+'(&$*'.1'*(,&#"1$"*'.($*N()"#$('-*MI'*,+'*+P*%#+M(+'(&$*'.1'*/"1)"*('*I,1PP"&'"N9*
Y."$"*X(,N$*+P*$'IN("$*K+I/N*&"#'1(,/-*M","P('*P#+J*'."*&+//1M+#1'(+,*+P*"[%"#'$*(,*%$-&.+/+0(&1/*
1$$"$$J",'*1,N*J1-*.1)"*(J%+#'1,'*(J%/(&1'(+,$*P+#*#"$"1#&.*+,*"1'(,0*N($+#N"#$*1,N*P+#*%IM/(&*
."1/'.*%+/(&("$9*
*
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"[1J%/"7*'."*N(1J"'#(&*J+N"/*%+(,'$*'+*K"1X,"$$"$*(,*%+%I/1#*ZI"$'(+,,1(#"$*J"1$I#(,0*1I'($'(&*
+#*%$-&.+'(&*'",N",&("$C*M+'.*'-%"$*+P*ZI"$'(+,,1(#"$*1$$"$$*$+&(1/*K('.N#1K1/7*MI'*'."(#*#"/")1,'*
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'",N",&("$<9*Y.($*+)"#$(0.'*J1-*'.I$*$%I#(+I$/-*$I00"$'*1,*+)"#/1%*M"'K"",*1I'($'(&*1,N*
%$-&.+'(&*'",N",&("$*'.1'*J1-*M"*,+*J+#"*'.1,*1,*+)"#/1%*M"'K"",*'."*ZI"$'(+,,1(#"$*'.1'*
J"1$I#"*'."J*:@"/*O(IN(&"*"'*1/97*3454U*@(,$N1/"7*HI#N7*h1X1M1-1$.(7*Q//(+'7*g*d#"$%(7*345G<9**
*
*
Conclusion(
*
W/'.+I0.*+I#*(JJI,"*$-$'"J*.1$*M"",*$.1%"N*+)"#*J(//(+,$*+P*-"1#$*'+*#"&+0,(f"*1,N*N"$'#+-*
,+,$"/P*&"//$7*1//*'."*",'('("$*N"$&#(M"N*."#"*$.1#"*1*N"J+,$'#1M/"*&1%1M(/('-*'+*&(#&IJ)",'7*
N"P"1'7*+#*.(a1&X*+I#*N"P",$"$9*e+#*M"''"#*1,N*P+#*K+#$"7*'."$"*",'('("$*K(//*M"*1$$(J(/1'"NU*
:(JJI,"<*#"$($'1,&"*($*PI'(/"9*Y."*N"0#""*'+*K.(&.*'."-*M"&+J"*1$$(J(/1'"N7*.",&"*'."*$'1M(/('-*+P*
'."(#*&+,'#(MI'(+,*'+*'."*.IJ1,*$I%"#+#01,($J7*)1#("$*0#"1'/-*:Y1M/"*5<*1,N*($*'(0.'/-*/(,X"N*'+*
'."(#*+K,*$I#)()1/*$'#1'"0("$9*2+J"*M#1(,*J(&#+M"$7*P+#*"[1J%/"7*")1N"*+I#*(JJI,"*#"$%+,$"*M-*
.(N(,0*K('.(,*%#+'"&'()"*&-$'$U*$")"#1/*$'#1(,$*+P*0I'*J(&#+M"$*.1)"*J1N"*'."J$"/)"$*$+*
(,N($%",$1M/"*'.1'*K"*.1)"*1&'I1//-*")+/)"N*K1-$*'+*P+$'"#*'."(#*(,)1$(+,U*$+J"*)(#I$"$*'#(&X*+I#*
#"%#+NI&'()"*$-$'"J*(,'+*#"%/(&1'(,0*'."(#*+K,*0","'(&*J1'"#(1/*(,$(N"*+I#$*1,N*+I#*+PP$%#(,0c$U*
+I#*N(f-0+'(&*'K(,c$*&"//$*",'"#*I$*M"P+#"*+I#*(JJI,"*$-$'"J*.1$*/"1#,"N*'+*N($'(,0I($.*$"/P*P#+J*
,+,$"/PU*(J%#(,'"N*0","$*%#+J+'"*'."(#*(,'"#"$'$*K.(/"*K+#X(,0*P#+J*K('.(,9*
*
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1,*I/'(J1'"*%I#%+$"*:N($%"#$(,0*%#+0",-*'+*,"K*M+N("$<7*1*J+NI$*+%"#1,N(*:(,'"#1&'(,0*K('.*+I#*
M+N(/-*$-$'"J$7*(,&/IN(,0*+I#*,"#)+I$*+,"<7*1,N*%$-&.+/+0-b#"/")1,'*J"J",'+$^'."(#*"PP"&'$*+,*
+I#*M#1(,*1,N*M".1)(+#9*h."#"1$*+I#*&+.1M('1'(+,*K('.*+,"*+#*1,+'."#*+P*'."J*J1-*,+'*%+$"*1*
$'#+,0*&.1//",0"*'+*'."*&+JJ+,/-*$.1#"N*1$$IJ%'(+,*'.1'*.IJ1,$*1#"*I,('1#-*(,N()(NI1/$7*'."*
%#"$",&"*+P*1*/1#0"*,IJM"#*1,N*K(N"*)1#("'-*+P*$I&.*",'('("$^1,N*'."*%+K"#*'."-*.1)"*+,*I$^
#",N"#$*'.($*1$$IJ%'(+,*I,'",1M/"9*h"*1#"*,+'*+#01,($J$*MI'*$I%"#+#01,($J$7*1,N*
I,N"#$'1,N(,0*+I#*M".1)(+#*I/'(J1'"/-*#"ZI(#"$*1,*I,N"#$'1,N(,0*+P*'."*,"'K+#X*+P*$"/P($.*
",'('("$*'.1'*(,.1M('*+I#*M+N-*1,N*1&'()"/-*(,'"#1&'*K('.*('9*B'*($*'(J"*'+*&.1,0"*'."*)"#-*&+,&"%'*
K"*.1)"*+P*+I#$"/)"$*1,N*'+*#"1/(f"*'.1'*+,"*.IJ1,*(,N()(NI1/*($*,"('."#*aI$'*.IJ1,*,+#*aI$'*+,"*
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*
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")"#7*MI'*'.($*&+J"$*1'*'."*#($X*+P*/+$(,0*$(0.'*+P*#"/")1,'*#"$"1#&.*(,*+'."#*N($&(%/(,"$9*
!$-&.+/+0($'$*.1)"*'1X",*&+I,'"#J"1$I#"$*M-*",010(,0*(,*$'IN("$*'.1'*M#(N0"*#"/1'"N*N($&(%/(,"$7*
$I&.*1$*,"I#+$&(",&"7*/(,0I($'(&$7*1#'(P(&(1/*(,'"//(0",&"7*%.(/+$+%.-7*1,N*1,'.#+%+/+0-9*AI#*%+(,'*
."#"7*.+K")"#7*($*'.1'*N($&(%/(,"$*'.1'*+$'",$(M/-*.1)"*/(''/"*+#*,+'.(,0*'+*N+*K('.*"('."#*
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P+#*J+#"*&+//1M+#1'(+,*1J+,0*$&(",'($'$*K.+*&I##",'/-*1%%"1#*'+*/()"*+,*N(PP"#",'*%/1,"'$9*h"*
1/$+*&1//*P+#*0#"1'"#*"[&.1,0"*+P*(,P+#J1'(+,7*+#*$'#1(0.'*&+//1M+#1'(+,7*1J+,0*."1/'.&1#"*
%#+P"$$(+,1/$9*B'*J(0.'*")",*M"*N"$(#1M/"*(P*$+J"*+P*I$*M"&+J"*$%"&(1/($'$*,+'*(,*1,-*%1#'(&I/1#*
%#+P"$$(+,*+#*#"$"1#&.*1#"1*MI'*(,*(,'"0#1'(,0*(,P+#J1'(+,*P#+J*N(PP"#",'*N($&(%/(,"$9*h"*.1)"*
$.+K,*'.1'*"1&.*+P*I$*($*1*$I%"#+#01,($JU*MI'*'+*PI,&'(+,*1'*('$*M"$'7*+I#*$&(",'(P(&*1,N*
%#+P"$$(+,1/*&+JJI,('-*$.+I/N*%"#.1%$*M"&+J"*1*M('*J+#"*/(X"*+,"7*'++9*
*
*
Acknowledgments(
(
h"*'.1,X*d1'"#(,1*Y#1(,('+*P+#*."/%PI/*&+JJ",'$*+,*1,*"1#/("#*)"#$(+,*1,N*V(,+*Y#1(,('+*P+#*'"&.,(&1/*
1$$($'1,&"*(,*%#"%1#(,0*e(0I#"*59*
!"'"#*S#1J"#*1,N*!1+/1*R#"$$1,*&+,'#(MI'"N*"ZI1//-*'+*'.($*K+#X9*
*
*
Declaration(of(Conflicting(Interests(
(
Y."*1I'.+#$*N"&/1#"N*'.1'*'."-*.1N*,+*&+,P/(&'$*+P*(,'"#"$'*K('.*#"$%"&'*'+*'."(#*1I'.+#$.(%*+#*'."*
%IM/(&1'(+,*+P*'.($*1#'(&/"9*
(
!"'"#*S#1J"#7*@(%1#'(J",'+*N(*!$(&+/+0(1*O","#1/"7*T,()"#$('r*N(*!1N+)17*8(1*8","f(1*?7*G65G5*!1N+)17*B'1/-*
QbJ1(/C*%"'"#9X#1J"#sI,(%N9('*
!1+/1*R#"$$1,7*@(%1#'(J",'+*N(*!$(&+/+0(1*O","#1/"7*T,()"#$('r*N(*!1N+)17*8(1*8","f(1*?7*G65G5*!1N+)17*B'1/-*
QbJ1(/C*%1+/19M#"$$1,sI,(%N9('*
*
*
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J(&#+M(+'1t*Q)+/I'(+,1#-*%#"$$I#"$*1,N*%+'",'(1/*J"&.1,($J$9*BioEssays7*367*F;4>F;F9*
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R1N&+&X7*d97*g*d#"$%(7*R9*:344?7*WI0I$'*3?<9*R1''/"*+P*'."*$"["$*J1-*$"'*'."*M#1(,9*Nature7*4547*546;>54669*
N+(C54954G?E;6;546;1*
R1IJ1,7*L9*@97*B+$(P7*W9*L97*W$.K++N7*!97*R#1I,$&.K"(07*@97*j""7*W97*2&.IJ1,,7*d9*L97*9*9*9*WJ1#1/7*@9*O9*:345G<9*
L1'"#,1/*1,'(M+N("$*P#+J*J+'."#$*+P*&.(/N#",*K('.*1I'($J*1/'"#*M#1(,*0#+K'.*1,N*$+&(1/*M".1)(+#*
N")"/+%J",'*(,*'."*#."$I$*J+,X"-9*Translational%Psychiatry7*37*"3D?9*N+(C54954G?E'%9345G9;D*
R"#&(X7*!97*@",+I7*Q97*d+//(,$7*i97*i1&X$+,7*h97*jI7*i97*iI#-7*i97*9*9*9*d+//(,$7*29*L9*:3455<9*Y."*(,'"$'(,1/*J(&#+M(+'1*
1PP"&'*&",'#1/*/")"/$*+P*M#1(,bN"#()"N*,"I#+'#+%(&*P1&'+#*1,N*M".1)(+#*(,*J(&"9*Gastroenterology7*1417*
6FF>=4F7*=4F9"5bG9*N+(C549546GEa901$'#+9345594;9463*
R"#&(X7*!97*8"#NI7*Q9*e97*e+$'"#7*i9*W97*L1&#(7*i97*!+''"#7*L97*HI1,07*u97*9*9*9*d+//(,$7*29*L9*:3454<9*d.#+,(&*
01$'#+(,'"$'(,1/*(,P/1JJ1'(+,*(,NI&"$*1,[("'-b/(X"*M".1)(+#*1,N*1/'"#$*&",'#1/*,"#)+I$*$-$'"J*
M(+&."J($'#-*(,*J(&"9*Gastroenterology7*1397*3543>35539"59*N+(C549546GEa901$'#+9345494=94=G*
R"$'"N7*W9*d97*j+01,7*W9*d97*g*2"/.IM7*Q9*L9*:345G<9*B,'"$'(,1/*J(&#+M(+'17*%#+M(+'(&$*1,N*J",'1/*."1/'.C*e#+J*
L"'&.,(X+PP*'+*J+N"#,*1N)1,&"$C*!1#'*BB^d+,'"J%+#1#-*&+,'"['I1/*#"$"1#&.9*Gut%Pathogens7*5:5<7*
W#'(&/"*G9*N+(C54955?=E5D6Db*;D;Fb6bG*
R"K"#,(&X7*R9*H97*HI#/"J1,,7*]97*L1'I$&.7*W97*S1-$"#7*297*O#IM"#'7*d97*H1N#-$("K(&f7*R97*9*9*9*2&./1"%P"#7*Y9*Q9*
:3454<9*VI&/"I$*1&&IJM",$*N""%*M#1(,*$'(JI/1'(+,*N"&#"1$"$*#1'(,0$*+P*N"%#"$$(+,*1,N*1,[("'-*(,*
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R(1,&.(7*@9*h9*:344D<9*e"'+J1'"#,1/*&"//*'#1PP(&X(,0C*W*$'+#-*'.1'*M"0(,$*K('.*%#",1'1/*N(10,+$($*1,N*J1-*",N*
K('.*$'"J*&"//*'."#1%-9*Journal%of%Pediatric%Surgery7*427*53>5?9*N+(C549545=Ea9a%"N$I#09344=94F94;D*
R/1,&.1#N7*]9*:344;<9*nI1,'('1'()"*1,N*'."+#"'(&1/*1,1/-$"$*+P*'."*#"/1'(+,*M"'K"",*+/N"#*M#+'."#$*1,N*
.+J+$"[I1/('-*(,*J",9*Journal%of%Theoretical%Biology7*2307*5DG>5?D9*N+(C549545=Ea9a'M(9344;94;9435*
R/1,&.1#N7*]97*g*Q//($7*j9*:3445<9*R(#'.*K"(0.'7*$"[I1/*+#(",'1'(+,*1,N*'."*$"[*+P*%#"&"N(,0*$(M/(,0$9*Journal%of%
Biosocial%Science7*337*;65>;=D9*
R/1,&.1#N7*]97*g*S/1$$",7*!9*:5FFD<9*Hb\*1,'(0",*1,N*.+J+$"[I1/('-*(,*J",9*Journal%of%Theoretical%Biology7*
1857*GDG>GD?9*N+(C549544=Ea'M(95FF=94G56*
R+01"#'7*W9*e9*:344G<9*Y."*(,'"#1&'(+,*+P*P#1'"#,1/*M(#'.*+#N"#*1,N*M+N-*$(f"*(,*J1/"*$"[I1/*+#(",'1'(+,9*
Behavioral%Neuroscience7*1177*G?5>G?;9*N+(C54954GDE4DG6bD4;;955D939G?5*
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