Unique and specific Proteobacteria diversity in urinary microbiota of tolerant kidney transplanted recipients

Host‐microbiota interactions can modulate the immune system both at local and systemic levels, with potential consequences for organ transplantation outcomes. In this study, we hypothesized that differences in the urinary microbiome following kidney transplantation would be associated with posttrans...

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Veröffentlicht in:American journal of transplantation 2020-01, Vol.20 (1), p.145-158
Hauptverfasser: Colas, Luc, Mongodin, Emmanuel F., Montassier, Emmanuel, Chesneau, Mélanie, Guerif, Pierrick, Hittle, Lauren, Giral, Magali, Bromberg, Jonathan S., Brouard, Sophie, Blancho, Gilles, Branchereau, Julien, Cantarovich, Diego, Cesbron, Anne, Chapelet, Agnès, Dantal, Jacques, Delbos, Florent, Deltombe, Clément, Devis, Anne, Figueres, Lucile, Garandeau, Claire, Gourraud‐Vercel, Caroline, Hourmant, Maryvonne, Kandell, Christine, Karam, Georges, Kerleau, Clarisse, Meurette, Aurélie, Moreau, Anne, Renaudin, Karine, Ville, Simon, Walencik, Alexandre
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container_end_page 158
container_issue 1
container_start_page 145
container_title American journal of transplantation
container_volume 20
creator Colas, Luc
Mongodin, Emmanuel F.
Montassier, Emmanuel
Chesneau, Mélanie
Guerif, Pierrick
Hittle, Lauren
Giral, Magali
Bromberg, Jonathan S.
Brouard, Sophie
Blancho, Gilles
Branchereau, Julien
Cantarovich, Diego
Cesbron, Anne
Chapelet, Agnès
Dantal, Jacques
Delbos, Florent
Deltombe, Clément
Devis, Anne
Figueres, Lucile
Garandeau, Claire
Gourraud‐Vercel, Caroline
Hourmant, Maryvonne
Kandell, Christine
Karam, Georges
Kerleau, Clarisse
Meurette, Aurélie
Moreau, Anne
Renaudin, Karine
Ville, Simon
Walencik, Alexandre
description Host‐microbiota interactions can modulate the immune system both at local and systemic levels, with potential consequences for organ transplantation outcomes. In this study, we hypothesized that differences in the urinary microbiome following kidney transplantation would be associated with posttransplantation status: stable, minimally immunosuppressed, or tolerant. One hundred thirteen urine samples from stable (n = 51), minimally immunosuppressed (n = 19), and spontaneously tolerant (n = 16) patients, paired with age‐matched controls (n = 27) were profiled and compared to each other at a taxonomic level with special interest in the immunosuppressive regimen. All comparisons and correlations were adjusted on sex and time posttransplantation. Our results highlighted a unique and specific urinary microbiota associated with spontaneous tolerance characterized by a high diversity and a clear Proteobacteria profile. Finally, we report that this profile is (1) impacted by gender, (2) inversely correlated with immunosuppressive drugs (calcineurin inhibitors and mammalian target of rapamycin inhibitors), and (3) stable in time. Comparing taxonomic relative abundance and diversity of urinary microbiota between healthy volunteers and tolerant, stable, and minimally immunosuppressed kidney transplanted recipients, this study identifies and associates a specific Proteobacteria profile in the urine of kidney transplanted recipients with spontaneous tolerance.
doi_str_mv 10.1111/ajt.15549
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In this study, we hypothesized that differences in the urinary microbiome following kidney transplantation would be associated with posttransplantation status: stable, minimally immunosuppressed, or tolerant. One hundred thirteen urine samples from stable (n = 51), minimally immunosuppressed (n = 19), and spontaneously tolerant (n = 16) patients, paired with age‐matched controls (n = 27) were profiled and compared to each other at a taxonomic level with special interest in the immunosuppressive regimen. All comparisons and correlations were adjusted on sex and time posttransplantation. Our results highlighted a unique and specific urinary microbiota associated with spontaneous tolerance characterized by a high diversity and a clear Proteobacteria profile. Finally, we report that this profile is (1) impacted by gender, (2) inversely correlated with immunosuppressive drugs (calcineurin inhibitors and mammalian target of rapamycin inhibitors), and (3) stable in time. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Biodiversity
Biomarkers - urine
Calcineurin
Calcineurin inhibitors
Case-Control Studies
clinical research/practice
Female
Follow-Up Studies
Graft Rejection - etiology
Graft Rejection - pathology
Graft Rejection - urine
Graft Survival - immunology
Humans
Immune system
Immune Tolerance - immunology
Immunological tolerance
immunosuppression/immune modulation
Immunosuppressive agents
Kidney transplantation
Kidney Transplantation - adverse effects
kidney transplantation/nephrology
Kidney transplants
Male
Microbiomes
microbiomics
Microbiota
Middle Aged
Prognosis
Proteobacteria
Proteobacteria - classification
Proteobacteria - genetics
Rapamycin
Risk Factors
RNA, Ribosomal, 16S - genetics
tolerance
TOR protein
translational research/science
Urine
title Unique and specific Proteobacteria diversity in urinary microbiota of tolerant kidney transplanted recipients
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