Multi-omics Study on Gut Microbiota Related to Faecal Microbiota Transplantation

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Original Research
07 October 2021
Fecal Microbiota Transplantation Modulates the Gut Flora Favoring Patients With Functional Constipation
Xueying Zhang
2 more and 
Huanlong Qin
Weighed UniFrac distances of each donor-recipient pair before and after FMT. (A) Each graph shows the changes in distance between recipients and their donor. Fecal microbial profiles of most recipients of Donor 1 and all recipients of Donors 3 and 4 became more similar to those of their donor, while most recipients of Donor 2 showed minimal change or became less similar to those of their donor. (B) PCoA of the microbiota compositions based on UniFrac distances showed the overall beta diversities of the 4 donors and the pre- and post-FMT samples of the 18 patients (left) and of each donor-recipient group (right).

Intestinal dysmotility is common in many diseases and is correlated with gut microbiota dysbiosis and systemic inflammation. Functional constipation (FC) is the most typical manifestation of intestinal hypomotility and reduces patients’ quality of life. Some studies have reported that fecal micriobiota transplantation (FMT) may be an effective and safe therapy for FC as it corrects intestinal dysbiosis. This study was conducted to evaluate how FMT remodels the gut microbiome and to determine a possible correlation between certain microbes and clinical symptoms in constipated individuals. Data were retrospectively collected on 18 patients who underwent FMT between January 1, 2019 and June 30, 2020. The fecal bacterial genome was detected by sequencing the V3–V4 hypervariable regions of the 16S rDNA gene. Fecal short chain fatty acids (SCFAs) were detected by gas chromatography-mass spectrometry, and serum inflammatory factor concentrations were detected via enzyme-linked immunosorbent assay. Comparing the changes in fecal microbiome compositions before and after FMT revealed a significant augmentation in the alpha diversity and increased abundances of some flora such as Clostridiales, Fusicatenibacter, and Paraprevotella. This was consistent with the patients experiencing relief from their clinical symptoms. Abundances of other flora, including Lachnoanaerobaculum, were decreased, which might correlate with the severity of patients’ constipation. Although no differences were found in SCFA production, the butyric acid concentration was correlated with both bacterial alterations and clinical symptoms. Serum IL-8 levels were significantly lower after FMT than at baseline, but IL-4, IL-6, IL-10, and IL-12p70 levels were not noticeably changed. This study showed how FMT regulates the intestinal microenvironment and affects systemic inflammation in constipated patients, providing direction for further research on the mechanisms of FMT. It also revealed potential microbial targets for precise intervention, which may bring new breakthroughs in treating constipation.

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Original Research
16 September 2021

Recent research has revealed the importance of the appendix in regulating the intestinal microbiota and mucosal immunity. However, the changes that occur in human gut microbial communities after appendectomy have never been analyzed. We assessed the alterations in gut bacterial and fungal populations associated with a history of appendectomy. In this cross-sectional study, we investigated the association between appendectomy and the gut microbiome using 16S and ITS2 sequencing on fecal samples from 30 healthy individuals with prior appendectomy (HwA) and 30 healthy individuals without appendectomy (HwoA). Analysis showed that the gut bacterial composition of samples from HwA was less diverse than that of samples from HwoA and had a lower abundance of Roseburia, Barnesiella, Butyricicoccus, Odoribacter, and Butyricimonas species, most of which were short-chain fatty acids-producing microbes. The HwA subgroup analysis indicated a trend toward restoration of the HwoA bacterial microbiome over time after appendectomy. HwA had higher gut fungi composition and diversity than HwoA, even 5 years after appendectomy. Compared with those in samples from HwoA, the abundance correlation networks in samples from HwA displayed more complex fungal–fungal and fungal–bacterial community interactions. This study revealed a marked impact of appendectomy on gut bacteria and fungi, which was particularly durable for fungi.

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Schematic diagram of VMT operation. As for donors, first, donors are recruited, preferably from the recipients’ first and second relatives. Second, collect blood/CVF/urine samples of donors and conduct a series of screening by questionnaire, PCR, blood, and urine analysis machines, cultures, microscopy, and NGS. Third, collect CVF sample from qualified healthy donor and process it. It is then transplanted into the recipient’s vagina. As for recipients, first, recipients undergo the same screening process for diagnosis and basic health assessment. Second, recipients are given intravaginal antibiotics to prepare for transplantation. Third, transplant the prepared CVF solution from healthy donor into the recipient’s vagina. Fourth, follow-up studies are carried out on recipients to assess the treatment outcome and adverse effects. VMT, vaginal microbiota transplantation; CVF, cervicovaginal fluid; PCR, polymerase chain reaction; NGS, next-generation sequencing.
Review
18 June 2021

Vaginal microbiota dysbiosis, characterized by the loss of Lactobacillus dominance and increase of microbial diversity, is closely related to gynecological diseases; thus, intervention on microbiota composition is significant and promising in the treatment of gynecological diseases. Currently, antibiotics and/or probiotics are the mainstay of treatment, which show favorable therapeutic effects but also bring problems such as drug resistance and high recurrence. In this review, we discuss the role of vaginal microbiota dysbiosis in various gynecological infectious and non-infectious diseases, as well as the current and potential interventions.

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