Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis

Abstract Background Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoinflammatory bone disease for which a lack of bacterial involvement is a key diagnostic feature to distinguish it from other symptomatically related diseases. However, the growing evidence suggesting an involvement o...

Full description

Bibliographic Details
Main Authors: Philipp Rausch, Meike Hartmann, John F. Baines, Philipp von Bismarck
Format: Article
Language:English
Published: BMC 2022-02-01
Series:Arthritis Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13075-021-02711-8
_version_ 1818982161344102400
author Philipp Rausch
Meike Hartmann
John F. Baines
Philipp von Bismarck
author_facet Philipp Rausch
Meike Hartmann
John F. Baines
Philipp von Bismarck
author_sort Philipp Rausch
collection DOAJ
description Abstract Background Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoinflammatory bone disease for which a lack of bacterial involvement is a key diagnostic feature to distinguish it from other symptomatically related diseases. However, the growing evidence suggesting an involvement of the host-associated microbiota in rheumatic disorders together with the now wide accessibility of modern culture-independent methods warrant a closer examination of CRMO. Methods In this study, we show through bacterial 16S rRNA gene profiling that numerous features of the oral- and fecal microbial communities differentiate children with and without CRMO. Results Notably, communities in diseased children are characterized by a lack of potential probiotic bacteria in the fecal community and an overabundance of known pathobionts in the oral microbial communities. Of special interest is the HACEK group, a set of commonly known oral pathogens that are implicated in the development of several acute and chronic diseases such as osteitis and rheumatoid arthritis. Furthermore, we observe that gut bacterial communities in the diseased children appear to reflect an altered host physiology more strongly than the oral community, which could suggest an oral disease origin followed by propagation and/or responses beyond the oral cavity. Conclusions Bacterial communities, in particular the oral microbiota, may serve as an indicator of underlying susceptibility to CRMO, or play a yet undefined role in its development.
first_indexed 2024-12-20T17:42:49Z
format Article
id doaj.art-f77693f6a5184b25ace1fe7979901256
institution Directory Open Access Journal
issn 1478-6362
language English
last_indexed 2024-12-20T17:42:49Z
publishDate 2022-02-01
publisher BMC
record_format Article
series Arthritis Research & Therapy
spelling doaj.art-f77693f6a5184b25ace1fe79799012562022-12-21T19:31:05ZengBMCArthritis Research & Therapy1478-63622022-02-0124111610.1186/s13075-021-02711-8Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitisPhilipp Rausch0Meike Hartmann1John F. Baines2Philipp von Bismarck3Institute for Clinical Molecular Biology (IKMB), Kiel UniversityClinic for General Pediatrics, University Hospital Schleswig-HolsteinMax Planck Institute for Evolutionary BiologyClinic for General Pediatrics, University Hospital Schleswig-HolsteinAbstract Background Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoinflammatory bone disease for which a lack of bacterial involvement is a key diagnostic feature to distinguish it from other symptomatically related diseases. However, the growing evidence suggesting an involvement of the host-associated microbiota in rheumatic disorders together with the now wide accessibility of modern culture-independent methods warrant a closer examination of CRMO. Methods In this study, we show through bacterial 16S rRNA gene profiling that numerous features of the oral- and fecal microbial communities differentiate children with and without CRMO. Results Notably, communities in diseased children are characterized by a lack of potential probiotic bacteria in the fecal community and an overabundance of known pathobionts in the oral microbial communities. Of special interest is the HACEK group, a set of commonly known oral pathogens that are implicated in the development of several acute and chronic diseases such as osteitis and rheumatoid arthritis. Furthermore, we observe that gut bacterial communities in the diseased children appear to reflect an altered host physiology more strongly than the oral community, which could suggest an oral disease origin followed by propagation and/or responses beyond the oral cavity. Conclusions Bacterial communities, in particular the oral microbiota, may serve as an indicator of underlying susceptibility to CRMO, or play a yet undefined role in its development.https://doi.org/10.1186/s13075-021-02711-8Chronic recurrent multifocal osteomyelitisCRMOCMOChronic multifocal osteomyelitisCNOChronic non-bacterial osteomyelitis
spellingShingle Philipp Rausch
Meike Hartmann
John F. Baines
Philipp von Bismarck
Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
Arthritis Research & Therapy
Chronic recurrent multifocal osteomyelitis
CRMO
CMO
Chronic multifocal osteomyelitis
CNO
Chronic non-bacterial osteomyelitis
title Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
title_full Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
title_fullStr Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
title_full_unstemmed Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
title_short Analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
title_sort analysis of the fecal and oral microbiota in chronic recurrent multifocal osteomyelitis
topic Chronic recurrent multifocal osteomyelitis
CRMO
CMO
Chronic multifocal osteomyelitis
CNO
Chronic non-bacterial osteomyelitis
url https://doi.org/10.1186/s13075-021-02711-8
work_keys_str_mv AT philipprausch analysisofthefecalandoralmicrobiotainchronicrecurrentmultifocalosteomyelitis
AT meikehartmann analysisofthefecalandoralmicrobiotainchronicrecurrentmultifocalosteomyelitis
AT johnfbaines analysisofthefecalandoralmicrobiotainchronicrecurrentmultifocalosteomyelitis
AT philippvonbismarck analysisofthefecalandoralmicrobiotainchronicrecurrentmultifocalosteomyelitis