The taxonomic composition of the donor intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in therapy refractory ulcerative colitis

Summary Background Faecal microbiota transplantation is an experimental approach for the treatment of patients with ulcerative colitis. Although there is growing evidence that faecal microbiota transplantation is effective in this disease, factors affecting its response are unknown. Aims To establis...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2018-01, Vol.47 (1), p.67-77
Hauptverfasser: Kump, P., Wurm, P., Gröchenig, H. P., Wenzl, H., Petritsch, W., Halwachs, B., Wagner, M., Stadlbauer, V., Eherer, A., Hoffmann, K. M., Deutschmann, A., Reicht, G., Reiter, L., Slawitsch, P., Gorkiewicz, G., Högenauer, C.
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container_end_page 77
container_issue 1
container_start_page 67
container_title Alimentary pharmacology & therapeutics
container_volume 47
creator Kump, P.
Wurm, P.
Gröchenig, H. P.
Wenzl, H.
Petritsch, W.
Halwachs, B.
Wagner, M.
Stadlbauer, V.
Eherer, A.
Hoffmann, K. M.
Deutschmann, A.
Reicht, G.
Reiter, L.
Slawitsch, P.
Gorkiewicz, G.
Högenauer, C.
description Summary Background Faecal microbiota transplantation is an experimental approach for the treatment of patients with ulcerative colitis. Although there is growing evidence that faecal microbiota transplantation is effective in this disease, factors affecting its response are unknown. Aims To establish a faecal microbiota transplantation treatment protocol in ulcerative colitis patients, and to investigate which patient or donor factors are responsible for the treatment success. Methods This is an open controlled trial of repeated faecal microbiota transplantation after antibiotic pre‐treatment (FMT‐group, n = 17) vs antibiotic pre‐treatment only (AB‐group, n = 10) in 27 therapy refractory ulcerative colitis patients over 90 days. Faecal samples of donors and patients were analysed by 16SrRNA gene‐based microbiota analysis. Results In the FMT‐group, 10/17 (59%) of patients showed a response and 4/17 (24%) a remission to faecal microbiota transplantation. Response to faecal microbiota transplantation was mainly influenced by the taxonomic composition of the donor's microbiota. Stool of donors with a high bacterial richness (observed species remission 946 ± 93 vs no response 797 ± 181 at 15367 rps) and a high relative abundance of Akkermansia muciniphila (3.3 ± 3.1% vs 0.1 ± 0.2%), unclassified Ruminococcaceae (13.8 ± 5.0% vs 7.5 ± 3.7%), and Ruminococcus spp. (4.9 ± 3.5% vs 1.0 ± 0.7%) were more likely to induce remission. In contrast antibiotic treatment alone (AB‐group) was poorly tolerated, probably because of a sustained decrease of intestinal microbial richness. Conclusions The taxonomic composition of the donor's intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in ulcerative colitis patients. The design of specific microbial preparation might lead to new treatments for ulcerative colitis.
doi_str_mv 10.1111/apt.14387
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P. ; Wenzl, H. ; Petritsch, W. ; Halwachs, B. ; Wagner, M. ; Stadlbauer, V. ; Eherer, A. ; Hoffmann, K. M. ; Deutschmann, A. ; Reicht, G. ; Reiter, L. ; Slawitsch, P. ; Gorkiewicz, G. ; Högenauer, C.</creator><creatorcontrib>Kump, P. ; Wurm, P. ; Gröchenig, H. P. ; Wenzl, H. ; Petritsch, W. ; Halwachs, B. ; Wagner, M. ; Stadlbauer, V. ; Eherer, A. ; Hoffmann, K. M. ; Deutschmann, A. ; Reicht, G. ; Reiter, L. ; Slawitsch, P. ; Gorkiewicz, G. ; Högenauer, C.</creatorcontrib><description>Summary Background Faecal microbiota transplantation is an experimental approach for the treatment of patients with ulcerative colitis. Although there is growing evidence that faecal microbiota transplantation is effective in this disease, factors affecting its response are unknown. Aims To establish a faecal microbiota transplantation treatment protocol in ulcerative colitis patients, and to investigate which patient or donor factors are responsible for the treatment success. Methods This is an open controlled trial of repeated faecal microbiota transplantation after antibiotic pre‐treatment (FMT‐group, n = 17) vs antibiotic pre‐treatment only (AB‐group, n = 10) in 27 therapy refractory ulcerative colitis patients over 90 days. Faecal samples of donors and patients were analysed by 16SrRNA gene‐based microbiota analysis. Results In the FMT‐group, 10/17 (59%) of patients showed a response and 4/17 (24%) a remission to faecal microbiota transplantation. Response to faecal microbiota transplantation was mainly influenced by the taxonomic composition of the donor's microbiota. Stool of donors with a high bacterial richness (observed species remission 946 ± 93 vs no response 797 ± 181 at 15367 rps) and a high relative abundance of Akkermansia muciniphila (3.3 ± 3.1% vs 0.1 ± 0.2%), unclassified Ruminococcaceae (13.8 ± 5.0% vs 7.5 ± 3.7%), and Ruminococcus spp. (4.9 ± 3.5% vs 1.0 ± 0.7%) were more likely to induce remission. In contrast antibiotic treatment alone (AB‐group) was poorly tolerated, probably because of a sustained decrease of intestinal microbial richness. Conclusions The taxonomic composition of the donor's intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in ulcerative colitis patients. The design of specific microbial preparation might lead to new treatments for ulcerative colitis.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/apt.14387</identifier><identifier>PMID: 29052237</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Anti-Bacterial Agents - administration &amp; dosage ; Antibiotics ; Bacteria ; Colitis, Ulcerative - therapy ; Colon ; Donors ; Fecal Microbiota Transplantation - methods ; Feces - microbiology ; Gastrointestinal Microbiome ; Humans ; Inflammatory bowel disease ; Intestinal microflora ; Intestine ; Male ; Microbiota ; Middle Aged ; Original ; Prospective Studies ; Relative abundance ; Remission ; Remission Induction ; Ruminococcus ; Taxonomy ; Transplantation ; Treatment Outcome ; Ulcerative colitis ; Ulcerative Colitis and Faecal Transplant Donor Microbiota ; Young Adult</subject><ispartof>Alimentary pharmacology &amp; therapeutics, 2018-01, Vol.47 (1), p.67-77</ispartof><rights>2017 The Authors. Published by John Wiley &amp; Sons Ltd.</rights><rights>2017 The Authors. Alimentary Pharmacology &amp; Therapeutics Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2018 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4437-a725dd9bfad66278cd00fc32062cd1dca82229dbd6a17db61b443fc25ae910763</citedby><cites>FETCH-LOGICAL-c4437-a725dd9bfad66278cd00fc32062cd1dca82229dbd6a17db61b443fc25ae910763</cites><orcidid>0000-0003-4566-0806 ; 0000-0003-1149-4782</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapt.14387$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapt.14387$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29052237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kump, P.</creatorcontrib><creatorcontrib>Wurm, P.</creatorcontrib><creatorcontrib>Gröchenig, H. P.</creatorcontrib><creatorcontrib>Wenzl, H.</creatorcontrib><creatorcontrib>Petritsch, W.</creatorcontrib><creatorcontrib>Halwachs, B.</creatorcontrib><creatorcontrib>Wagner, M.</creatorcontrib><creatorcontrib>Stadlbauer, V.</creatorcontrib><creatorcontrib>Eherer, A.</creatorcontrib><creatorcontrib>Hoffmann, K. M.</creatorcontrib><creatorcontrib>Deutschmann, A.</creatorcontrib><creatorcontrib>Reicht, G.</creatorcontrib><creatorcontrib>Reiter, L.</creatorcontrib><creatorcontrib>Slawitsch, P.</creatorcontrib><creatorcontrib>Gorkiewicz, G.</creatorcontrib><creatorcontrib>Högenauer, C.</creatorcontrib><title>The taxonomic composition of the donor intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in therapy refractory ulcerative colitis</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary Background Faecal microbiota transplantation is an experimental approach for the treatment of patients with ulcerative colitis. Although there is growing evidence that faecal microbiota transplantation is effective in this disease, factors affecting its response are unknown. Aims To establish a faecal microbiota transplantation treatment protocol in ulcerative colitis patients, and to investigate which patient or donor factors are responsible for the treatment success. Methods This is an open controlled trial of repeated faecal microbiota transplantation after antibiotic pre‐treatment (FMT‐group, n = 17) vs antibiotic pre‐treatment only (AB‐group, n = 10) in 27 therapy refractory ulcerative colitis patients over 90 days. Faecal samples of donors and patients were analysed by 16SrRNA gene‐based microbiota analysis. Results In the FMT‐group, 10/17 (59%) of patients showed a response and 4/17 (24%) a remission to faecal microbiota transplantation. Response to faecal microbiota transplantation was mainly influenced by the taxonomic composition of the donor's microbiota. Stool of donors with a high bacterial richness (observed species remission 946 ± 93 vs no response 797 ± 181 at 15367 rps) and a high relative abundance of Akkermansia muciniphila (3.3 ± 3.1% vs 0.1 ± 0.2%), unclassified Ruminococcaceae (13.8 ± 5.0% vs 7.5 ± 3.7%), and Ruminococcus spp. (4.9 ± 3.5% vs 1.0 ± 0.7%) were more likely to induce remission. In contrast antibiotic treatment alone (AB‐group) was poorly tolerated, probably because of a sustained decrease of intestinal microbial richness. Conclusions The taxonomic composition of the donor's intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in ulcerative colitis patients. 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M.</creator><creator>Deutschmann, A.</creator><creator>Reicht, G.</creator><creator>Reiter, L.</creator><creator>Slawitsch, P.</creator><creator>Gorkiewicz, G.</creator><creator>Högenauer, C.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4566-0806</orcidid><orcidid>https://orcid.org/0000-0003-1149-4782</orcidid></search><sort><creationdate>201801</creationdate><title>The taxonomic composition of the donor intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in therapy refractory ulcerative colitis</title><author>Kump, P. ; Wurm, P. ; Gröchenig, H. P. ; Wenzl, H. ; Petritsch, W. ; Halwachs, B. ; Wagner, M. ; Stadlbauer, V. ; Eherer, A. ; Hoffmann, K. 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M.</creatorcontrib><creatorcontrib>Deutschmann, A.</creatorcontrib><creatorcontrib>Reicht, G.</creatorcontrib><creatorcontrib>Reiter, L.</creatorcontrib><creatorcontrib>Slawitsch, P.</creatorcontrib><creatorcontrib>Gorkiewicz, G.</creatorcontrib><creatorcontrib>Högenauer, C.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kump, P.</au><au>Wurm, P.</au><au>Gröchenig, H. P.</au><au>Wenzl, H.</au><au>Petritsch, W.</au><au>Halwachs, B.</au><au>Wagner, M.</au><au>Stadlbauer, V.</au><au>Eherer, A.</au><au>Hoffmann, K. M.</au><au>Deutschmann, A.</au><au>Reicht, G.</au><au>Reiter, L.</au><au>Slawitsch, P.</au><au>Gorkiewicz, G.</au><au>Högenauer, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The taxonomic composition of the donor intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in therapy refractory ulcerative colitis</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2018-01</date><risdate>2018</risdate><volume>47</volume><issue>1</issue><spage>67</spage><epage>77</epage><pages>67-77</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary Background Faecal microbiota transplantation is an experimental approach for the treatment of patients with ulcerative colitis. Although there is growing evidence that faecal microbiota transplantation is effective in this disease, factors affecting its response are unknown. Aims To establish a faecal microbiota transplantation treatment protocol in ulcerative colitis patients, and to investigate which patient or donor factors are responsible for the treatment success. Methods This is an open controlled trial of repeated faecal microbiota transplantation after antibiotic pre‐treatment (FMT‐group, n = 17) vs antibiotic pre‐treatment only (AB‐group, n = 10) in 27 therapy refractory ulcerative colitis patients over 90 days. Faecal samples of donors and patients were analysed by 16SrRNA gene‐based microbiota analysis. Results In the FMT‐group, 10/17 (59%) of patients showed a response and 4/17 (24%) a remission to faecal microbiota transplantation. Response to faecal microbiota transplantation was mainly influenced by the taxonomic composition of the donor's microbiota. Stool of donors with a high bacterial richness (observed species remission 946 ± 93 vs no response 797 ± 181 at 15367 rps) and a high relative abundance of Akkermansia muciniphila (3.3 ± 3.1% vs 0.1 ± 0.2%), unclassified Ruminococcaceae (13.8 ± 5.0% vs 7.5 ± 3.7%), and Ruminococcus spp. (4.9 ± 3.5% vs 1.0 ± 0.7%) were more likely to induce remission. In contrast antibiotic treatment alone (AB‐group) was poorly tolerated, probably because of a sustained decrease of intestinal microbial richness. Conclusions The taxonomic composition of the donor's intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in ulcerative colitis patients. The design of specific microbial preparation might lead to new treatments for ulcerative colitis.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29052237</pmid><doi>10.1111/apt.14387</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4566-0806</orcidid><orcidid>https://orcid.org/0000-0003-1149-4782</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Anti-Bacterial Agents - administration & dosage
Antibiotics
Bacteria
Colitis, Ulcerative - therapy
Colon
Donors
Fecal Microbiota Transplantation - methods
Feces - microbiology
Gastrointestinal Microbiome
Humans
Inflammatory bowel disease
Intestinal microflora
Intestine
Male
Microbiota
Middle Aged
Original
Prospective Studies
Relative abundance
Remission
Remission Induction
Ruminococcus
Taxonomy
Transplantation
Treatment Outcome
Ulcerative colitis
Ulcerative Colitis and Faecal Transplant Donor Microbiota
Young Adult
title The taxonomic composition of the donor intestinal microbiota is a major factor influencing the efficacy of faecal microbiota transplantation in therapy refractory ulcerative colitis
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