Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations

Fecal microbiota transplantation is a compelling treatment for recurrent Clostridium difficile infections, with potential applications against other diseases associated with changes in gut microbiota. But variability in fecal bacterial communities—believed to be the therapeutic agent—can complicate...

Full description

Bibliographic Details
Main Authors: Chu, Nathaniel David, Smith, Mark Burnham, Perrotta, Allison, Kassam, Zain, Alm, Eric J
Other Authors: Massachusetts Institute of Technology. Department of Biological Engineering
Format: Article
Language:en_US
Published: Public Library of Science 2017
Online Access:http://hdl.handle.net/1721.1/109952
https://orcid.org/0000-0002-7511-5238
https://orcid.org/0000-0003-4700-5987
https://orcid.org/0000-0003-4378-9542
https://orcid.org/0000-0001-8294-9364
_version_ 1826202704164159488
author Chu, Nathaniel David
Smith, Mark Burnham
Perrotta, Allison
Kassam, Zain
Alm, Eric J
author2 Massachusetts Institute of Technology. Department of Biological Engineering
author_facet Massachusetts Institute of Technology. Department of Biological Engineering
Chu, Nathaniel David
Smith, Mark Burnham
Perrotta, Allison
Kassam, Zain
Alm, Eric J
author_sort Chu, Nathaniel David
collection MIT
description Fecal microbiota transplantation is a compelling treatment for recurrent Clostridium difficile infections, with potential applications against other diseases associated with changes in gut microbiota. But variability in fecal bacterial communities—believed to be the therapeutic agent—can complicate or undermine treatment efficacy. To understand the effects of transplant preparation methods on living fecal microbial communities, we applied a DNA-sequencing method (PMA-seq) that uses propidium monoazide (PMA) to differentiate between living and dead fecal microbes, and we created an analysis pipeline to identify individual bacteria that change in abundance between samples. We found that oxygen exposure degraded fecal bacterial communities, whereas freeze-thaw cycles and lag time between donor defecation and transplant preparation had much smaller effects. Notably, the abundance of Faecalibacterium prausnitzii—an anti-inflammatory commensal bacterium whose absence is linked to inflammatory bowel disease—decreased with oxygen exposure. Our results indicate that some current practices for preparing microbiota transplant material adversely affect living fecal microbial content and highlight PMA-seq as a valuable tool to inform best practices and evaluate the suitability of clinical fecal material.
first_indexed 2024-09-23T12:14:13Z
format Article
id mit-1721.1/109952
institution Massachusetts Institute of Technology
language en_US
last_indexed 2024-09-23T12:14:13Z
publishDate 2017
publisher Public Library of Science
record_format dspace
spelling mit-1721.1/1099522022-09-28T00:49:56Z Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations Chu, Nathaniel David Smith, Mark Burnham Perrotta, Allison Kassam, Zain Alm, Eric J Massachusetts Institute of Technology. Department of Biological Engineering Massachusetts Institute of Technology. Department of Civil and Environmental Engineering Chu, Nathaniel David Smith, Mark Burnham Perrotta, Allison Kassam, Zain Alm, Eric J Fecal microbiota transplantation is a compelling treatment for recurrent Clostridium difficile infections, with potential applications against other diseases associated with changes in gut microbiota. But variability in fecal bacterial communities—believed to be the therapeutic agent—can complicate or undermine treatment efficacy. To understand the effects of transplant preparation methods on living fecal microbial communities, we applied a DNA-sequencing method (PMA-seq) that uses propidium monoazide (PMA) to differentiate between living and dead fecal microbes, and we created an analysis pipeline to identify individual bacteria that change in abundance between samples. We found that oxygen exposure degraded fecal bacterial communities, whereas freeze-thaw cycles and lag time between donor defecation and transplant preparation had much smaller effects. Notably, the abundance of Faecalibacterium prausnitzii—an anti-inflammatory commensal bacterium whose absence is linked to inflammatory bowel disease—decreased with oxygen exposure. Our results indicate that some current practices for preparing microbiota transplant material adversely affect living fecal microbial content and highlight PMA-seq as a valuable tool to inform best practices and evaluate the suitability of clinical fecal material. 2017-06-16T15:36:44Z 2017-06-16T15:36:44Z 2017-01 2016-09 Article http://purl.org/eprint/type/JournalArticle 1932-6203 http://hdl.handle.net/1721.1/109952 Chu, Nathaniel D.; Smith, Mark B.; Perrotta, Allison R.; Kassam, Zain and Alm, Eric J. “Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations.” Edited by Erwin G Zoetendal. PLOS ONE 12, no. 1 (January 2017): e0170922 © 2017 Chu et al https://orcid.org/0000-0002-7511-5238 https://orcid.org/0000-0003-4700-5987 https://orcid.org/0000-0003-4378-9542 https://orcid.org/0000-0001-8294-9364 en_US http://dx.doi.org/10.1371/journal.pone.0170922 PLoS ONE Creative Commons Attribution 4.0 International License http://creativecommons.org/licenses/by/4.0/ application/pdf Public Library of Science PLoS
spellingShingle Chu, Nathaniel David
Smith, Mark Burnham
Perrotta, Allison
Kassam, Zain
Alm, Eric J
Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations
title Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations
title_full Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations
title_fullStr Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations
title_full_unstemmed Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations
title_short Profiling Living Bacteria Informs Preparation of Fecal Microbiota Transplantations
title_sort profiling living bacteria informs preparation of fecal microbiota transplantations
url http://hdl.handle.net/1721.1/109952
https://orcid.org/0000-0002-7511-5238
https://orcid.org/0000-0003-4700-5987
https://orcid.org/0000-0003-4378-9542
https://orcid.org/0000-0001-8294-9364
work_keys_str_mv AT chunathanieldavid profilinglivingbacteriainformspreparationoffecalmicrobiotatransplantations
AT smithmarkburnham profilinglivingbacteriainformspreparationoffecalmicrobiotatransplantations
AT perrottaallison profilinglivingbacteriainformspreparationoffecalmicrobiotatransplantations
AT kassamzain profilinglivingbacteriainformspreparationoffecalmicrobiotatransplantations
AT almericj profilinglivingbacteriainformspreparationoffecalmicrobiotatransplantations