Treating the Metabolic Syndrome by Fecal Transplantation—Current Status

The intestinal microbiome (IM) is important for normal gastrointestinal (GI) and other organ systems’ functioning. An alteration in the normal IM, dysbiosis, and changes in intestinal motility result in microorganisms’ overgrowth and an alteration in intestinal permeability. The gut–brain axis is al...

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Main Authors: Stephen D. H. Malnick, David Fisher, Marina Somin, Manuela G. Neuman
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/10/5/447
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author Stephen D. H. Malnick
David Fisher
Marina Somin
Manuela G. Neuman
author_facet Stephen D. H. Malnick
David Fisher
Marina Somin
Manuela G. Neuman
author_sort Stephen D. H. Malnick
collection DOAJ
description The intestinal microbiome (IM) is important for normal gastrointestinal (GI) and other organ systems’ functioning. An alteration in the normal IM, dysbiosis, and changes in intestinal motility result in microorganisms’ overgrowth and an alteration in intestinal permeability. The gut–brain axis is also of importance in the irritable bowel syndrome (IBS) and associated bowel overgrowth. Secondary to the epidemic of obesity, the metabolic syndrome has become a major health problem. Disturbances in the fecal microbiome are associated with the metabolic syndrome. Metabolic-associated fatty liver disease (MAFLD) is now the current terminology for non-alcoholic fatty liver disease. IM alteration by fecal transplantation is an approved treatment method for recurrent <i>Clostridioides difficile</i> infection. Initially performed by either duodenal infusion or colonoscopy, it is now easily performed by the administration of capsules containing stools. We discuss the intestinal microbiome—its composition, as well as the qualitative changes of microbiome composition leading to inflammation. In addition, we discuss the evidence of the effect of fecal transplantation on the metabolic syndrome and MAFLD, as well as its clinical indications.
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spelling doaj.art-d48f8ac97cfb4f86a0610e0fbcda8bc82023-11-21T20:31:54ZengMDPI AGBiology2079-77372021-05-0110544710.3390/biology10050447Treating the Metabolic Syndrome by Fecal Transplantation—Current StatusStephen D. H. Malnick0David Fisher1Marina Somin2Manuela G. Neuman3Department of Internal Medicine Cj Kaplan Medical Center, The Hebrew University, Rehovot 76100, IsraelDepartment of Internal Medicine Cj Kaplan Medical Center, The Hebrew University, Rehovot 76100, IsraelDepartment of Internal Medicine Cj Kaplan Medical Center, The Hebrew University, Rehovot 76100, IsraelIn Vitro Drug Safety and Biotechnology, Banting Institute, University of Toronto, Toronto, ON M5G 0A3, CanadaThe intestinal microbiome (IM) is important for normal gastrointestinal (GI) and other organ systems’ functioning. An alteration in the normal IM, dysbiosis, and changes in intestinal motility result in microorganisms’ overgrowth and an alteration in intestinal permeability. The gut–brain axis is also of importance in the irritable bowel syndrome (IBS) and associated bowel overgrowth. Secondary to the epidemic of obesity, the metabolic syndrome has become a major health problem. Disturbances in the fecal microbiome are associated with the metabolic syndrome. Metabolic-associated fatty liver disease (MAFLD) is now the current terminology for non-alcoholic fatty liver disease. IM alteration by fecal transplantation is an approved treatment method for recurrent <i>Clostridioides difficile</i> infection. Initially performed by either duodenal infusion or colonoscopy, it is now easily performed by the administration of capsules containing stools. We discuss the intestinal microbiome—its composition, as well as the qualitative changes of microbiome composition leading to inflammation. In addition, we discuss the evidence of the effect of fecal transplantation on the metabolic syndrome and MAFLD, as well as its clinical indications.https://www.mdpi.com/2079-7737/10/5/447fecal transplantationinflammatory mediatorsmetabolic syndromemicrobiomemetabolic-associated fatty liver diseasenon-alcoholic fatty liver disease
spellingShingle Stephen D. H. Malnick
David Fisher
Marina Somin
Manuela G. Neuman
Treating the Metabolic Syndrome by Fecal Transplantation—Current Status
Biology
fecal transplantation
inflammatory mediators
metabolic syndrome
microbiome
metabolic-associated fatty liver disease
non-alcoholic fatty liver disease
title Treating the Metabolic Syndrome by Fecal Transplantation—Current Status
title_full Treating the Metabolic Syndrome by Fecal Transplantation—Current Status
title_fullStr Treating the Metabolic Syndrome by Fecal Transplantation—Current Status
title_full_unstemmed Treating the Metabolic Syndrome by Fecal Transplantation—Current Status
title_short Treating the Metabolic Syndrome by Fecal Transplantation—Current Status
title_sort treating the metabolic syndrome by fecal transplantation current status
topic fecal transplantation
inflammatory mediators
metabolic syndrome
microbiome
metabolic-associated fatty liver disease
non-alcoholic fatty liver disease
url https://www.mdpi.com/2079-7737/10/5/447
work_keys_str_mv AT stephendhmalnick treatingthemetabolicsyndromebyfecaltransplantationcurrentstatus
AT davidfisher treatingthemetabolicsyndromebyfecaltransplantationcurrentstatus
AT marinasomin treatingthemetabolicsyndromebyfecaltransplantationcurrentstatus
AT manuelagneuman treatingthemetabolicsyndromebyfecaltransplantationcurrentstatus