Understanding the mechanisms of efficacy of fecal microbiota transplant in treating recurrent Clostridioides difficile infection and beyond: the contribution of gut microbial derived metabolites
File(s)
Author(s)
Type
Journal Article
Abstract
Fecal microbiota transplant (FMT) is a highly-effective therapy for recurrent Clostridioides difficile infection (rCDI), and shows promise for certain non-CDI indications. However, at present, its mechanisms of efficacy have remained poorly understood. Recent studies by our laboratory have noted the particular key importance of restoration of gut microbe-metabolite interactions in the ability of FMT to treat rCDI, including the impact of FMT upon short chain fatty acid (SCFAs) and bile acid metabolism. This includes a significant impact of these metabolites upon the life cycle of C. difficile directly, along with potential postulated additional benefits, including effects upon host immune response. In this Addendum, we first present an overview of these recent advancements in this field, and then describe additional novel data from our laboratory on the impact of FMT for rCDI upon several gut microbial-derived metabolites which had not previously been implicated as being of relevance.
Date Issued
2020-09-06
Date Acceptance
2020-08-10
Citation
Gut Microbes, 2020, 12 (1)
ISSN
1949-0976
Publisher
Taylor and Francis
Journal / Book Title
Gut Microbes
Volume
12
Issue
1
Copyright Statement
© 2020 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
distribution, and reproduction in any medium, provided the original work is properly cited.
distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
Medical Research Council
Medical Research Council (MRC)
Imperial College London Joint Translational Fund
Imperial College Healthcare NHS Trust- BRC Funding
Grant Number
MR/R00875/1
MR/R000875/1
RDA02
Subjects
Clostridioides difficile infection
Gut microbiome
bile acids
fecal microbiota transplant
metabonomics
short chain fatty acids
trimethylamine
0605 Microbiology
Publication Status
Published
Article Number
ARTN 1810531
Date Publish Online
2020-09-06