NIH-funded research R21 grant

Understanding how alcohol and the gut’s serotonin system affect IBS

Official title: Impact of Ethanol and Gut Microbiome in Irritable Bowel Syndrome

Funded at Cleveland Clinic Lerner Com-Cwru · NIH-11314772 · Data updated 2026-11-12

This project looks at how alcohol and the gut’s serotonin system may influence irritable bowel syndrome (IBS) symptoms in people who have IBS.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionCleveland Clinic Lerner Com-Cwru
NIH-funded
Lab location1 site (Cleveland, United States)
Project startSeptember 15, 2026
Project endAugust 31, 2028
Funding year2026
Award (this year)$225,688
NIH project number1R21AA032956-01
Project IDNIH-11314772 on NIH RePORTER

Who could benefit from this research

Could help

Adults with IBS who may experience symptoms influenced by gut serotonin and alcohol exposure.

Less likely to help

People without IBS or IBS without relevant serotonin-alcohol interactions may not benefit.

What this research studies

If you have IBS, this study explores how drinking alcohol might interact with the gut’s serotonin system to affect IBS symptoms. Researchers will use basic lab work with human-derived samples to understand how alcohol activates 5-HT3 receptors in the gut and how this could change gut function and discomfort. The findings could point to new ways to tailor diets or therapies for IBS patients who drink alcohol. The study is concentrated on mechanisms in the human gut that could translate into better, more targeted treatments in the future.

Why it matters

Potential benefit: If successful, the work could lead to clearer guidance on alcohol use for IBS patients and inform new treatment strategies that target the gut serotonin system.

How similar studies have gone: Previous research has linked gut serotonin signaling to IBS symptoms, but the gut-specific role of alcohol as a 5-HT3 receptor activator is still being explored.

Where this research is happening

  • Cleveland Clinic Lerner Com-Cwru
    Cleveland, United States
    Active

Researchers

  • Principal investigator: Cresci, Gail Ann — Cleveland Clinic Lerner Com-Cwru
  • Study coordinator: Cresci, Gail Ann

Related research

Other NIH-funded projects on the same topics.

  • Sex differences in how the brain, gut, and microbes interact in IBS

    A large NIH grant is studying how sex differences in brain–gut–microbiome interactions relate to IBS and its related symptoms, with a focus on women.

    NIH research University of California Los Angeles · Los Angeles, United States · NIH-11303027

  • Investigating how sex differences affect brain-gut interactions in irritable bowel syndrome.

    This study is looking at how hormones, gut bacteria, and brain activity work together to affect symptoms in women with irritable bowel syndrome (IBS) and chronic constipation, hoping to find better treatments that fit each person's unique situation.

    NIH research University of California Los Angeles · Los Angeles, United States · NIH-10903897

  • Multi-agent AI to annotate enzymes in the human gut microbiome

    A team at a major university will build an AI system that automatically curates and labels the functions of enzymes in the human gut microbiome to speed up understanding their health effects.

    NIH research University of South Florida · Tampa, United States · NIH-11594384

  • Mapping how gut bacteria transform drugs

    Scientists will study how the gut microbiome changes thousands of drugs into new forms, which could affect how well a medicine works or whether it causes side effects.

    NIH research Stanford University · Stanford, United States · NIH-11550022

  • Aflatoxin exposure and child growth in Guatemala

    A study in rural Guatemala will track how exposure to aflatoxin relates to growth and gut health in young children.

    NIH research Arizona State University-Tempe Campus · Scottsdale, United States · NIH-11513260

  • Gut bacteria that can make cancer immunotherapy less effective

    This project will see if reducing chronic inflammation driven by certain gut bacteria can help immunotherapy work better for people whose cancers have stopped responding.

    NIH research University of Tx Md Anderson Can Ctr · Houston, United States · NIH-11478145

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.