Effective fecal microbiota transplantation for recurrent Clostridioides difficile in humans is associated with increased signalling in bile acid-farnesoid X receptor-fibroblast growth factor pathway
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Published version
Author(s)
Type
Journal Article
Abstract
The mechanisms of efficacy for fecal microbiota transplantation (FMT) in treating recurrent Clostridioides difficile infection (rCDI) remain poorly defined, with restored gut microbiota-bile acid interactions representing one possible explanation. Furthermore, the potential implications for host physiology of these FMT-related changes in gut bile acid metabolism are also not well explored. In this study, we investigated the impact of FMT for rCDI upon signalling through the farnesoid X receptor (FXR)-fibroblast growth factor (FGF) pathway. Herein, we identify that in addition to restoration of gut microbiota and bile acid profiles, FMT for rCDI is accompanied by a significant, sustained increase in circulating levels of FGF19 and reduction in FGF21. These FGF changes were associated with weight gain post-FMT, to a level not exceeding the pre-rCDI baseline. Collectively, these data support the hypothesis that the restoration of gut microbial communities by FMT for rCDI is associated with an upregulated FXR-FGF pathway, and highlight the potential systemic effect of FMT.
Date Issued
2018-09-05
Date Acceptance
2018-07-25
Citation
Gut Microbes, 2018, 10 (2), pp.142-148
ISSN
1949-0984
Publisher
Taylor & Francis
Start Page
142
End Page
148
Journal / Book Title
Gut Microbes
Volume
10
Issue
2
Copyright Statement
© 2018 The Author(s). Published by Taylor & Francis This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Sponsor
Medical Research Council
Medical Research Council (MRC)
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
https://www.tandfonline.com/doi/full/10.1080/19490976.2018.1506667
Grant Number
MR/R00875/1
MR/R000875/1
RDA27
RDA02
Subjects
Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
Microbiology
Microbiota
fecal microbiota transplantation (FMT)
recurrent Clostridium difficile infection (rCDI)
bile acid metabolism
fibroblast growth factor (FGF)19
MASS
Microbiota
bile acid metabolism
fecal microbiota transplantation (FMT)
fibroblast growth factor (FGF)19
recurrent infection (rCDI)
Adult
Aged
Bile Acids and Salts
Clostridium Infections
Clostridium difficile
Fecal Microbiota Transplantation
Feces
Female
Fibroblast Growth Factors
Gastrointestinal Microbiome
Humans
Male
Middle Aged
Proteome
Receptors, Cytoplasmic and Nuclear
Recurrence
Signal Transduction
Treatment Outcome
Weight Gain
Publication Status
Published
Date Publish Online
2018-09-05