Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing

The objective of this work was to compare the quality of FMT preparations made from fresh feces with those made from feces frozen at –30°C without any pre-processing or cryopreservation additives. The research hypothesis was that such preservation protocol (frozen whole stool, then thawed and proces...

Full description

Bibliographic Details
Main Authors: Jaroslaw Bilinski, Mikolaj Dziurzynski, Pawel Grzesiowski, Edyta Podsiadly, Anna Stelmaszczyk-Emmel, Tomasz Dzieciatkowski, Karol Lis, Martyna Tyszka, Krzysztof Ozieranski, Łukasz Dziewit, Grzegorz W. Basak
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2022.872735/full
_version_ 1818218060985663488
author Jaroslaw Bilinski
Mikolaj Dziurzynski
Pawel Grzesiowski
Edyta Podsiadly
Anna Stelmaszczyk-Emmel
Tomasz Dzieciatkowski
Karol Lis
Martyna Tyszka
Krzysztof Ozieranski
Łukasz Dziewit
Grzegorz W. Basak
author_facet Jaroslaw Bilinski
Mikolaj Dziurzynski
Pawel Grzesiowski
Edyta Podsiadly
Anna Stelmaszczyk-Emmel
Tomasz Dzieciatkowski
Karol Lis
Martyna Tyszka
Krzysztof Ozieranski
Łukasz Dziewit
Grzegorz W. Basak
author_sort Jaroslaw Bilinski
collection DOAJ
description The objective of this work was to compare the quality of FMT preparations made from fresh feces with those made from feces frozen at –30°C without any pre-processing or cryopreservation additives. The research hypothesis was that such preservation protocol (frozen whole stool, then thawed and processed) is equipotent to classical fresh FMT preparation. For that, three complementary methods were applied, including: (i) culturing in aerobic and anaerobic conditions, (ii) measuring viability by flow cytometry, and (iii) next-generation sequencing. Flow cytometry with cell staining showed that the applied freezing protocol causes significant changes in all of the observed bacterial fractions. Alive cell counts dropped four times, from around 70% to 15%, while the other two fractions, dead and unknown cell counts quadrupled and doubled, with the unknown fraction becoming the dominant one, with an average contribution of 57.47% per sample. It will be very interesting to uncover what this unknown fraction is (e.g., bacterial spores), as this may change our conclusions (if these are spores, the viability could be even higher after freezing). Freezing had a huge impact on the structure of cultivable bacterial communities. The biggest drop after freezing in the number of cultivable species was observed for Actinobacteria and Bacilli. In most cases, selected biodiversity indices were slightly lower for frozen samples. PCoA visualization built using weighted UniFrac index showed no donor-wise clusters, but a clear split between fresh and frozen samples. This split can be in part attributed to the changes in the relative abundance of Bacteroidales and Clostridiales orders. Our results clearly show that whole stool freezing without any cryoprotectants has a great impact on the cultivability and biodiversity of the bacterial community, and possibly also on the viability of bacterial cells.
first_indexed 2024-12-12T07:17:46Z
format Article
id doaj.art-f0103c541a474df9947a15b80df58e8e
institution Directory Open Access Journal
issn 1664-302X
language English
last_indexed 2024-12-12T07:17:46Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj.art-f0103c541a474df9947a15b80df58e8e2022-12-22T00:33:28ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2022-07-011310.3389/fmicb.2022.872735872735Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation SequencingJaroslaw Bilinski0Mikolaj Dziurzynski1Pawel Grzesiowski2Edyta Podsiadly3Anna Stelmaszczyk-Emmel4Tomasz Dzieciatkowski5Karol Lis6Martyna Tyszka7Krzysztof Ozieranski8Łukasz Dziewit9Grzegorz W. Basak10Department of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, PolandDepartment of Environmental Microbiology and Biotechnology, Faculty of Biology, Institute of Microbiology, University of Warsaw, Warsaw, PolandFoundation for the Infection Prevention Institute, Warsaw, PolandDepartment of Pharmaceutical Microbiology, Medical University of Warsaw, Warsaw, PolandDepartment of Laboratory Diagnostics and Clinical Immunology of Developmental Age, Medical University of Warsaw, Warsaw, PolandDepartment of Medical Microbiology, Medical University of Warsaw, Warsaw, PolandDepartment of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, PolandDepartment of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, PolandFirst Department of Cardiology, Medical University of Warsaw, Warsaw, PolandDepartment of Environmental Microbiology and Biotechnology, Faculty of Biology, Institute of Microbiology, University of Warsaw, Warsaw, PolandDepartment of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, PolandThe objective of this work was to compare the quality of FMT preparations made from fresh feces with those made from feces frozen at –30°C without any pre-processing or cryopreservation additives. The research hypothesis was that such preservation protocol (frozen whole stool, then thawed and processed) is equipotent to classical fresh FMT preparation. For that, three complementary methods were applied, including: (i) culturing in aerobic and anaerobic conditions, (ii) measuring viability by flow cytometry, and (iii) next-generation sequencing. Flow cytometry with cell staining showed that the applied freezing protocol causes significant changes in all of the observed bacterial fractions. Alive cell counts dropped four times, from around 70% to 15%, while the other two fractions, dead and unknown cell counts quadrupled and doubled, with the unknown fraction becoming the dominant one, with an average contribution of 57.47% per sample. It will be very interesting to uncover what this unknown fraction is (e.g., bacterial spores), as this may change our conclusions (if these are spores, the viability could be even higher after freezing). Freezing had a huge impact on the structure of cultivable bacterial communities. The biggest drop after freezing in the number of cultivable species was observed for Actinobacteria and Bacilli. In most cases, selected biodiversity indices were slightly lower for frozen samples. PCoA visualization built using weighted UniFrac index showed no donor-wise clusters, but a clear split between fresh and frozen samples. This split can be in part attributed to the changes in the relative abundance of Bacteroidales and Clostridiales orders. Our results clearly show that whole stool freezing without any cryoprotectants has a great impact on the cultivability and biodiversity of the bacterial community, and possibly also on the viability of bacterial cells.https://www.frontiersin.org/articles/10.3389/fmicb.2022.872735/fullfecal microbiota transplantationconservationgut microbiotaculturingnext-generation sequencingflow cytometry
spellingShingle Jaroslaw Bilinski
Mikolaj Dziurzynski
Pawel Grzesiowski
Edyta Podsiadly
Anna Stelmaszczyk-Emmel
Tomasz Dzieciatkowski
Karol Lis
Martyna Tyszka
Krzysztof Ozieranski
Łukasz Dziewit
Grzegorz W. Basak
Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing
Frontiers in Microbiology
fecal microbiota transplantation
conservation
gut microbiota
culturing
next-generation sequencing
flow cytometry
title Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing
title_full Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing
title_fullStr Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing
title_full_unstemmed Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing
title_short Fresh Versus Frozen Stool for Fecal Microbiota Transplantation—Assessment by Multimethod Approach Combining Culturing, Flow Cytometry, and Next-Generation Sequencing
title_sort fresh versus frozen stool for fecal microbiota transplantation assessment by multimethod approach combining culturing flow cytometry and next generation sequencing
topic fecal microbiota transplantation
conservation
gut microbiota
culturing
next-generation sequencing
flow cytometry
url https://www.frontiersin.org/articles/10.3389/fmicb.2022.872735/full
work_keys_str_mv AT jaroslawbilinski freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT mikolajdziurzynski freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT pawelgrzesiowski freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT edytapodsiadly freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT annastelmaszczykemmel freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT tomaszdzieciatkowski freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT karollis freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT martynatyszka freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT krzysztofozieranski freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT łukaszdziewit freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing
AT grzegorzwbasak freshversusfrozenstoolforfecalmicrobiotatransplantationassessmentbymultimethodapproachcombiningculturingflowcytometryandnextgenerationsequencing