Tuesday, March 09, 2021
How to Manipulate the Microbiota: Fecal Microbiota Transplantation
How to Manipulate the Microbiota: Fecal Microbiota Transplantation
Authors
Authors and affiliations
Susana FuentesEmail authorWillem M. de Vos
1.
Chapter
First Online: 10 May 2016
11
Citations
2
Mentions
5.5k
Downloads
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 902)
Abstract
Fecal microbiota transplantation (FMT) is a rather straightforward therapy that manipulates the human gastrointestinal (GI) microbiota, by which a healthy donor microbiota is transferred into an existing but disturbed microbial ecosystem. This is a natural process that occurs already at birth; infants are rapidly colonized by a specific microbial community, the composition of which strongly depends on the mode of delivery and which therefore most likely originates from the mother (Palmer et al. 2007; Tannock et al. 1990). Since this early life microbial community already contains most, if not all, of the predominantly anaerobic microbes that are only found in the GI tract, it is reasonable to assume that early life colonization is the ultimate natural fecal transplantation.
Keywords
Gastrointestinal microbiota Microbial ecology Donor Clostridium difficile IBD Regulation Safety
This is a preview of subscription content, log in to check access.
Notes
Acknowledgements
We would like to thank all our collaborators, especially those involved in the mentioned clinical trials. This work was supported by CVON-IN CONTROL (Cardiovascular research, The Netherlands, www.cvon.eu), Spinoza Awards and Gravitation Programmes from the Netherlands Organisation for Scientific Research (NWO).
References
Alang N, Kelly CR (2015) Weight gain after fecal microbiota transplantation. Open Forum Infect Dis 2(1):ofv004. doi: 10.1093/ofid/ofv004
CrossRefPubMedPubMedCentralGoogle Scholar
Ananthaswamy A (2011) Faecal transplant eases symptoms of Parkinson’s disease. New Sci 209(2796):8–9
CrossRefGoogle Scholar
Anderson JL, Edney RJ, Whelan K (2012) Systematic review: faecal microbiota transplantation in the management of inflammatory bowel disease. Aliment Pharmacol Ther 36(6):503–516
CrossRefPubMedGoogle Scholar
Andrews PJ, Borody TJ (1993) “Putting back the bugs”: bacterial treatment relieves chronic constipation and symptoms of irritable bowel syndrome. Med J Aust 159(9):633–634
PubMedGoogle Scholar
Angelberger S et al (2013) Temporal bacterial community dynamics vary among ulcerative colitis patients after fecal microbiota transplantation. Am J Gastroenterol 108(10):1620–1630
CrossRefPubMedGoogle Scholar
Antharam VC et al (2013) Intestinal dysbiosis and depletion of butyrogenic bacteria in Clostridium difficile infection and nosocomial diarrhea. J Clin Microbiol 51(9):2884–2892
CrossRefPubMedPubMedCentralGoogle Scholar
Bennet JD, Brinkman M (1989) Treatment of ulcerative colitis by implantation of normal colonic flora. Lancet 1(8630):164
CrossRefPubMedGoogle Scholar
Berry D, Reinisch W (2013) Intestinal microbiota: a source of novel biomarkers in inflammatory bowel diseases? Best Pract Res Clin Gastroenterol 27(1):47–58
CrossRefPubMedGoogle Scholar
Borody TJ, Khoruts A (2011) Fecal microbiota transplantation and emerging applications. Nature reviews. Gastroenterol Hepatol 9:99–96
CrossRefGoogle Scholar
Borody TJ et al (1989) Bowel-flora alteration: a potential cure for inflammatory bowel disease and irritable bowel syndrome? Med J Aust 150(10):604
PubMedGoogle Scholar
Borody T et al (2011) Fecal microbiota transplantation (FMT) in multiple sclerosis (MS). Am J Gastroenterol 106:S352–S352
Google Scholar
Borody T et al (2012a) Fecal microbiota transplantation in ulcerative colitis: review of 24 years experience. Am J Gastroenterol 107:S665–S665
Google Scholar
Borody T et al (2012b) Bacteriotherapy in chronic fatigue syndrome (CFS): a retrospective review. Am J Gastroenterol 107:S591–S592
Google Scholar
Borody TJ, Paramsothy S, Agrawal G (2013) Fecal microbiota transplantation: indications, methods, evidence, and future directions. Curr Gastroenterol Rep 15(8):337
CrossRefPubMedPubMedCentralGoogle Scholar
Borody TJ, Finlayson S, Paramsothy S (2014) Is Crohn’s disease ready for fecal microbiota transplantation? J Clin Gastroenterol 48(7):582–583
CrossRefPubMedGoogle Scholar
de Vos WM (2013) Fame and future of faecal transplantations – developing next-generation therapies with synthetic microbiomes. J Microbial Biotechnol 6(4):316–325
CrossRefGoogle Scholar
Duncan SH et al (2007) Reduced dietary intake of carbohydrates by obese subjects results in decreased concentrations of butyrate and butyrate-producing bacteria in feces. Appl Environ Microbiol 73(4):1073–1078
CrossRefPubMedPubMedCentralGoogle Scholar
Eiseman B et al (1958) Fecal enema as an adjunct in the treatment of pseudomembranous enterocolitis. Surgery 44(5):854–859
PubMedGoogle Scholar
Everard A et al (2013) Cross-talk between Akkermansia muciniphila and intestinal epithelium controls diet-induced obesity. Proc Natl Acad Sci U S A 110(22):9066–9071
CrossRefPubMedPubMedCentralGoogle Scholar
Fuentes S et al (2014) Reset of a critically disturbed microbial ecosystem: faecal transplant in recurrent Clostridium difficile infection. ISME J 8:1621–1633
CrossRefPubMedPubMedCentralGoogle Scholar
Gough E, Shaikh H, Manges AR (2011) Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium difficile infection. Clin Infect Dis 53(10):994–1002
CrossRefPubMedGoogle Scholar
Greenberg A et al (2013) Long-term follow-up study of fecal microbiota transplantation (FMT) for inflammatory bowel disease (IBD). Am J Gastroenterol 108:S540–S540
Google Scholar
Hamer HM et al (2008) Review article: the role of butyrate on colonic function. Aliment Pharmacol Ther 27(2):104–119
CrossRefPubMedGoogle Scholar
Hamilton MJ et al (2013) High-throughput DNA sequence analysis reveals stable engraftment of gut microbiota following transplantation of previously frozen fecal bacteria. Gut Microbes 4(2):125–135
CrossRefPubMedPubMedCentralGoogle Scholar
Hartstra AV et al (2015) Insights into the role of the microbiome in obesity and type 2 diabetes. Diabetes Care 38(1):159–165
CrossRefPubMedGoogle Scholar
Jalanka J et al (2014) Effects of bowel cleansing on the intestinal microbiota. Gut 64:1562–1568
CrossRefPubMedGoogle Scholar
Kang CS et al (2013) Extracellular vesicles derived from gut microbiota, especially Akkermansia muciniphila, protect the progression of dextran sulfate sodium-induced colitis. PLoS One 8(10):e76520
CrossRefPubMedPubMedCentralGoogle Scholar
Kao D et al (2014) Fecal microbiota transplantation inducing remission in Crohn’s colitis and the associated changes in fecal microbial profile. J Clin Gastroenterol 48(7):625–628
CrossRefPubMedGoogle Scholar
Keller JJ, Kuijper EJ (2015) Treatment of recurrent and severe Clostridium difficile infection. Annu Rev Med 66:373–386
CrossRefPubMedGoogle Scholar
Kelly CP, LaMont JT (2008) Clostridium difficile – more difficult than ever. N Engl J Med 359(18):1932–1940
CrossRefPubMedGoogle Scholar
Kump PK et al (2013) Alteration of intestinal dysbiosis by fecal microbiota transplantation does not induce remission in patients with chronic active ulcerative colitis. Inflamm Bowel Dis 19(10):2155–2165
CrossRefPubMedGoogle Scholar
Kunde S et al (2013) Safety, tolerability, and clinical response after fecal transplantation in children and young adults with ulcerative colitis. J Pediatr Gastroenterol Nutr 56(6):597–601
CrossRefPubMedGoogle Scholar
Lahti L et al (2014) Tipping elements in the human intestinal ecosystem. Nat Commun 5:4344
CrossRefPubMedPubMedCentralGoogle Scholar
Lo Vecchio A, Zacur GM (2012) Clostridium difficile infection: an update on epidemiology, risk factors, and therapeutic options. Curr Opin Gastroenterol 28(1):1–9
CrossRefPubMedGoogle Scholar
Louis P, Flint HJ (2009) Diversity, metabolism and microbial ecology of butyrate-producing bacteria from the human large intestine. FEMS Microbiol Lett 294(1):1–8
CrossRefPubMedGoogle Scholar
Martins dos Santos V, Muller M, de Vos WM (2010) Systems biology of the gut: the interplay of food, microbiota and host at the mucosal interface. Curr Opin Biotechnol 21(4):539–550
CrossRefPubMedGoogle Scholar
Na X, Kelly C (2011) Probiotics in clostridium difficile infection. J Clin Gastroenterol 45(Suppl):S154–S158
CrossRefPubMedGoogle Scholar
Nieuwdorp M (2014) Faecal microbiota transplantation. Br J Surg 101(8):887–888
CrossRefPubMedGoogle Scholar
Owens C, Broussard E, Surawicz C (2013) Fecal microbiota transplantation and donor standardization. Trends Microbiol 21(9):443–445
CrossRefPubMedGoogle Scholar
Palmer C et al (2007) Development of the human infant intestinal microbiota. PLoS Biol 5(7):e177
CrossRefPubMedPubMedCentralGoogle Scholar
Petrof EO et al (2013) Stool substitute transplant therapy for the eradication of Clostridium difficile infection: ‘RePOOPulating’ the gut. Microbiome 1(1):3
CrossRefPubMedPubMedCentralGoogle Scholar
Pinn D, Aroniadis O, Brandt L (2013) Follow-up study of fecal microbiota transplantation (FMT) for the treatment of refractory irritable bowel syndrome (IBS). Am J Gastroenterol 108:S563–S563
Google Scholar
Ratner M (2014) Fecal transplantation poses dilemma for FDA. Nat Biotechnol 32(5):401–402
CrossRefPubMedGoogle Scholar
Rossen NG et al (2015a) Faecal microbiota transplantation as novel therapy in gastroenterology: a systematic review. World J Gastroenterol: WJG 9:342–348
Google Scholar
Rossen NG, Fuentes S, van der Spek MJ, Tijssen JG, Hartman JH, Duflou A, Lowenberg M, van den Brink GR, Mathus-Vliegen EM, de Vos WM, Zoetendal EG, D’Haens GR, Ponsioen CY (2015b) Findings from a randomized controlled trial of fecal transplantation for patients with ulcerative colitis. Gastroenterology 149:110–118 e4
CrossRefPubMedGoogle Scholar
Satokari R, et al. (2014) Case Report: Fecal transplantation treatment of antibiotic-induced, noninfectious colitis and long-term microbiota follow-up. Case Rep Med, 2014 (Article ID 913867): p. 7
Google Scholar
Satokari R et al (2015) Simple faecal preparation and efficacy of frozen inoculum in faecal microbiota transplantation for recurrent Clostridium difficile infection – an observational cohort study. Aliment Pharmacol Ther 41(1):46–53
CrossRefPubMedGoogle Scholar
Smith MB, Kelly C, Alm EJ (2014) Policy: how to regulate faecal transplants. Nature 506(7488):290–291
CrossRefPubMedGoogle Scholar
Sokol H et al (2008) Faecalibacterium prausnitzii is an anti-inflammatory commensal bacterium identified by gut microbiota analysis of Crohn disease patients. Proc Natl Acad Sci U S A 105(43):16731–16736
CrossRefPubMedPubMedCentralGoogle Scholar
Suskind DL et al (2015) Fecal microbial transplant effect on clinical outcomes and fecal microbiome in active Crohn’s disease. Inflamm Bowel Dis 3:556–563
CrossRefGoogle Scholar
Tannock GW et al (1990) Plasmid profiling of members of the family Enterobacteriaceae, lactobacilli, and bifidobacteria to study the transmission of bacteria from mother to infant. J Clin Microbiol 28(6):1225–1228
PubMedPubMedCentralGoogle Scholar
Tannock GW et al (2010) A new macrocyclic antibiotic, fidaxomicin (OPT-80), causes less alteration to the bowel microbiota of Clostridium difficile-infected patients than does vancomycin. Microbiology 156(Pt 11):3354–3359
CrossRefPubMedGoogle Scholar
Turnbaugh PJ et al (2006) An obesity-associated gut microbiome with increased capacity for energy harvest. Nature 444(7122):1027–1031
CrossRefPubMedGoogle Scholar
Tvede M, Rask-Madsen J (1989) Bacteriotherapy for chronic relapsing Clostridium difficile diarrhoea in six patients. Lancet 1(8648):1156–1160
CrossRefPubMedGoogle Scholar
Tvede M, Tinggaard M, Helms M (2015) Rectal bacteriotherapy for recurrent Clostridium difficile-associated diarrhoea: results from a case series of 55 patients in Denmark 2000–2012. Clin Microbiol Infect 21(1):48–53
CrossRefPubMedGoogle Scholar
Udayappan SD et al (2014) Intestinal microbiota and faecal transplantation as treatment modality for insulin resistance and type 2 diabetes mellitus. Clin Exp Immunol 177(1):24–29
CrossRefPubMedPubMedCentralGoogle Scholar
Van Nood E (2015) Fecal microbiota transplantation. Clinical and experimental studies, in Department of Internal Medicine. Ph.D. Thesis, Amsterdam, Academic Medical Center
Google Scholar
van Nood E, Speelman P, Kuijper EJ, Keller JJ (2009) Struggling with recurrent Clostridium difficile infections: is donor faeces the solution? Euro Surveill 14(34):pii: 19316
Google Scholar
van Nood E et al (2013) Duodenal infusion of donor feces for recurrent Clostridium difficile. N Engl J Med 368(5):407–415
CrossRefPubMedGoogle Scholar
van Nood E et al (2014) Fecal microbiota transplantation: facts and controversies. Curr Opin Gastroenterol 30(1):34–39
CrossRefPubMedGoogle Scholar
Vanhoutvin SA et al (2009) The effects of butyrate enemas on visceral perception in healthy volunteers. Neurogastroenterol Motility: Off J Eur Gastrointest Motility Soc 21(9):952-e76
CrossRefGoogle Scholar
Verdam FJ et al (2013) Human intestinal microbiota composition is associated with local and systemic inflammation in obesity. Obesity 21:E607–E615
CrossRefPubMedGoogle Scholar
Vermeire S et al (2012) Pilot study on the safety and efficacy of faecal microbiota transplantation in refractory Crohn’s disease. Gastroenterology 142(5):S360–S360
CrossRefGoogle Scholar
Vrieze A (2013) The role of gut microbiota in human metabolism, in Department of Internal Medicine, Ph.D. Thesis. Amsterdam, Academic Medical Center
Google Scholar
Vrieze A et al (2012) Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology 143:913–916
CrossRefPubMedGoogle Scholar
Vrieze A et al (2014) Impact of oral vancomycin on gut microbiota, bile acid metabolism, and insulin sensitivity. J Hepatol 60(4):824–831
CrossRefPubMedGoogle Scholar
Xu MQ et al (2015) Fecal microbiota transplantation broadening its application beyond intestinal disorders. World J Gastroenterol: WJG 21(1):102–111
CrossRefPubMedPubMedCentralGoogle Scholar
Youngster I et al (2014) Oral, capsulized, frozen fecal microbiota transplantation for relapsing Clostridium difficile infection. JAMA 312(17):1772–1778
CrossRefPubMedGoogle Scholar
Zhang F et al (2012) Should we standardize the 1,700-year-old fecal microbiota transplantation? Am J Gastroenterol 107(11):1755
CrossRefPubMedGoogle Scholar
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment