Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation

Dysbiotic states of gut ecology can be altered directly by transplantation of fecal preparation from healthy donors to patients with therapeutic intent. This paper assesses this fecal microbiota transplantation (FMT) in two respects: (1) the bacterial shifts in patient microbiomes with FMT and (2) c...

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Main Authors: Atman A. Dave, Rachel Robson
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2015-12-01
Series:International Journal of Medical Students
Subjects:
Online Access:http://ijms.info/IJMS/article/view/135
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author Atman A. Dave
Rachel Robson
author_facet Atman A. Dave
Rachel Robson
author_sort Atman A. Dave
collection DOAJ
description Dysbiotic states of gut ecology can be altered directly by transplantation of fecal preparation from healthy donors to patients with therapeutic intent. This paper assesses this fecal microbiota transplantation (FMT) in two respects: (1) the bacterial shifts in patient microbiomes with FMT and (2) clinical outcomes and variables of FMT. The PubMed database was searched using the MeSH terms “Feces/microbiology,” “Microbiota,” and “Transplantation.” Thirteen papers found examined clinical outcomes and variables of FMT, and eight assessed metagenomic data and bacterial composition in the peri-FMT period. FMT was reported to have high cure rates in Clostridium difficile infection (CDI), generally increased levels of members of the phyla Bacteriodetes and Firmicutes, and decreased levels of members of Proteobacteria. Therapeutic FMT alters bacterial composition from a dysbiotic state pre-FMT to a healthy commensal state post-FMT in CDI patients, but further studies are necessary to understand its role in the treatment of other diseases
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spelling doaj.art-e1a82d0e0f7e4141a9ab0edd2999a3f52023-09-03T01:28:30ZengUniversity Library System, University of PittsburghInternational Journal of Medical Students2076-63272015-12-013314015010.5195/ijms.2015.135135Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome TransplantationAtman A. Dave0Rachel Robson1BS, Saba University School of Medicine, USA.Pd.D., Saba University School of Medicine, USA.Dysbiotic states of gut ecology can be altered directly by transplantation of fecal preparation from healthy donors to patients with therapeutic intent. This paper assesses this fecal microbiota transplantation (FMT) in two respects: (1) the bacterial shifts in patient microbiomes with FMT and (2) clinical outcomes and variables of FMT. The PubMed database was searched using the MeSH terms “Feces/microbiology,” “Microbiota,” and “Transplantation.” Thirteen papers found examined clinical outcomes and variables of FMT, and eight assessed metagenomic data and bacterial composition in the peri-FMT period. FMT was reported to have high cure rates in Clostridium difficile infection (CDI), generally increased levels of members of the phyla Bacteriodetes and Firmicutes, and decreased levels of members of Proteobacteria. Therapeutic FMT alters bacterial composition from a dysbiotic state pre-FMT to a healthy commensal state post-FMT in CDI patients, but further studies are necessary to understand its role in the treatment of other diseaseshttp://ijms.info/IJMS/article/view/135clostridium infectionsmicrobiologyfecesfecal microbiota transplantationgastrointestinal tracthumansdrug effects[subheading]microbiotagastrointestinal microbiome
spellingShingle Atman A. Dave
Rachel Robson
Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation
International Journal of Medical Students
clostridium infections
microbiology
feces
fecal microbiota transplantation
gastrointestinal tract
humans
drug effects
[subheading]
microbiota
gastrointestinal microbiome
title Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation
title_full Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation
title_fullStr Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation
title_full_unstemmed Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation
title_short Clinical Utility and Alterations in Bacterial Flora in Fecal Microbiome Transplantation
title_sort clinical utility and alterations in bacterial flora in fecal microbiome transplantation
topic clostridium infections
microbiology
feces
fecal microbiota transplantation
gastrointestinal tract
humans
drug effects
[subheading]
microbiota
gastrointestinal microbiome
url http://ijms.info/IJMS/article/view/135
work_keys_str_mv AT atmanadave clinicalutilityandalterationsinbacterialflorainfecalmicrobiometransplantation
AT rachelrobson clinicalutilityandalterationsinbacterialflorainfecalmicrobiometransplantation