Esophageal microbiome in eosinophilic esophagitis.

The microbiome has been implicated in the pathogenesis of a number of allergic and inflammatory diseases. The mucosa affected by eosinophilic esophagitis (EoE) is composed of a stratified squamous epithelia and contains intraepithelial eosinophils. To date, no studies have identified the esophageal...

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Main Authors: J Kirk Harris, Rui Fang, Brandie D Wagner, Ha Na Choe, Caleb J Kelly, Shauna Schroeder, Wendy Moore, Mark J Stevens, Alyson Yeckes, Katie Amsden, Amir F Kagalwalla, Angelika Zalewski, Ikuo Hirano, Nirmala Gonsalves, Lauren N Henry, Joanne C Masterson, Charles E Robertson, Donald Y Leung, Norman R Pace, Steven J Ackerman, Glenn T Furuta, Sophie A Fillon
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4447451?pdf=render
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author J Kirk Harris
Rui Fang
Brandie D Wagner
Ha Na Choe
Caleb J Kelly
Shauna Schroeder
Wendy Moore
Mark J Stevens
Alyson Yeckes
Katie Amsden
Amir F Kagalwalla
Angelika Zalewski
Ikuo Hirano
Nirmala Gonsalves
Lauren N Henry
Joanne C Masterson
Charles E Robertson
Donald Y Leung
Norman R Pace
Steven J Ackerman
Glenn T Furuta
Sophie A Fillon
author_facet J Kirk Harris
Rui Fang
Brandie D Wagner
Ha Na Choe
Caleb J Kelly
Shauna Schroeder
Wendy Moore
Mark J Stevens
Alyson Yeckes
Katie Amsden
Amir F Kagalwalla
Angelika Zalewski
Ikuo Hirano
Nirmala Gonsalves
Lauren N Henry
Joanne C Masterson
Charles E Robertson
Donald Y Leung
Norman R Pace
Steven J Ackerman
Glenn T Furuta
Sophie A Fillon
author_sort J Kirk Harris
collection DOAJ
description The microbiome has been implicated in the pathogenesis of a number of allergic and inflammatory diseases. The mucosa affected by eosinophilic esophagitis (EoE) is composed of a stratified squamous epithelia and contains intraepithelial eosinophils. To date, no studies have identified the esophageal microbiome in patients with EoE or the impact of treatment on these organisms. The aim of this study was to identify the esophageal microbiome in EoE and determine whether treatments change this profile. We hypothesized that clinically relevant alterations in bacterial populations are present in different forms of esophagitis.In this prospective study, secretions from the esophageal mucosa were collected from children and adults with EoE, Gastroesophageal Reflux Disease (GERD) and normal mucosa using the Esophageal String Test (EST). Bacterial load was determined using quantitative PCR. Bacterial communities, determined by 16S rRNA gene amplification and 454 pyrosequencing, were compared between health and disease.Samples from a total of 70 children and adult subjects were examined. Bacterial load was increased in both EoE and GERD relative to normal subjects. In subjects with EoE, load was increased regardless of treatment status or degree of mucosal eosinophilia compared with normal. Haemophilus was significantly increased in untreated EoE subjects as compared with normal subjects. Streptococcus was decreased in GERD subjects on proton pump inhibition as compared with normal subjects.Diseases associated with mucosal eosinophilia are characterized by a different microbiome from that found in the normal mucosa. Microbiota may contribute to esophageal inflammation in EoE and GERD.
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spelling doaj.art-eaa5782acab94602bc11f3f4e1ca1a672022-12-21T19:25:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01105e012834610.1371/journal.pone.0128346Esophageal microbiome in eosinophilic esophagitis.J Kirk HarrisRui FangBrandie D WagnerHa Na ChoeCaleb J KellyShauna SchroederWendy MooreMark J StevensAlyson YeckesKatie AmsdenAmir F KagalwallaAngelika ZalewskiIkuo HiranoNirmala GonsalvesLauren N HenryJoanne C MastersonCharles E RobertsonDonald Y LeungNorman R PaceSteven J AckermanGlenn T FurutaSophie A FillonThe microbiome has been implicated in the pathogenesis of a number of allergic and inflammatory diseases. The mucosa affected by eosinophilic esophagitis (EoE) is composed of a stratified squamous epithelia and contains intraepithelial eosinophils. To date, no studies have identified the esophageal microbiome in patients with EoE or the impact of treatment on these organisms. The aim of this study was to identify the esophageal microbiome in EoE and determine whether treatments change this profile. We hypothesized that clinically relevant alterations in bacterial populations are present in different forms of esophagitis.In this prospective study, secretions from the esophageal mucosa were collected from children and adults with EoE, Gastroesophageal Reflux Disease (GERD) and normal mucosa using the Esophageal String Test (EST). Bacterial load was determined using quantitative PCR. Bacterial communities, determined by 16S rRNA gene amplification and 454 pyrosequencing, were compared between health and disease.Samples from a total of 70 children and adult subjects were examined. Bacterial load was increased in both EoE and GERD relative to normal subjects. In subjects with EoE, load was increased regardless of treatment status or degree of mucosal eosinophilia compared with normal. Haemophilus was significantly increased in untreated EoE subjects as compared with normal subjects. Streptococcus was decreased in GERD subjects on proton pump inhibition as compared with normal subjects.Diseases associated with mucosal eosinophilia are characterized by a different microbiome from that found in the normal mucosa. Microbiota may contribute to esophageal inflammation in EoE and GERD.http://europepmc.org/articles/PMC4447451?pdf=render
spellingShingle J Kirk Harris
Rui Fang
Brandie D Wagner
Ha Na Choe
Caleb J Kelly
Shauna Schroeder
Wendy Moore
Mark J Stevens
Alyson Yeckes
Katie Amsden
Amir F Kagalwalla
Angelika Zalewski
Ikuo Hirano
Nirmala Gonsalves
Lauren N Henry
Joanne C Masterson
Charles E Robertson
Donald Y Leung
Norman R Pace
Steven J Ackerman
Glenn T Furuta
Sophie A Fillon
Esophageal microbiome in eosinophilic esophagitis.
PLoS ONE
title Esophageal microbiome in eosinophilic esophagitis.
title_full Esophageal microbiome in eosinophilic esophagitis.
title_fullStr Esophageal microbiome in eosinophilic esophagitis.
title_full_unstemmed Esophageal microbiome in eosinophilic esophagitis.
title_short Esophageal microbiome in eosinophilic esophagitis.
title_sort esophageal microbiome in eosinophilic esophagitis
url http://europepmc.org/articles/PMC4447451?pdf=render
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