Evaluation of Six Weekly Oral Fecal Microbiota Transplants in People with HIV.

HIV fecal microbiota transplant inflammation microbiome

Journal

Pathogens & immunity
ISSN: 2469-2964
Titre abrégé: Pathog Immun
Pays: United States
ID NLM: 101683909

Informations de publication

Date de publication:
2020
Historique:
received: 08 06 2020
accepted: 13 11 2020
entrez: 27 1 2021
pubmed: 28 1 2021
medline: 28 1 2021
Statut: epublish

Résumé

Reduced microbiota diversity (dysbiosis) in people with HIV (PWH) likely contributes to inflammation, a driver of morbidity and mortality. We aimed to evaluate the safety and tolerability of 6 weekly oral fecal microbiota transplants (FMT) administered to reverse this dysbiosis. Six PWH on suppressive antiretroviral therapy (ART) received 6 weekly doses of lyophilized fecal microbiota product from healthy donors. Shotgun sequencing on stool before, after last FMT, and 20 weeks thereafter was performed. Inflammation and gut permeability biomarkers were measured. Median age at week 0 was 39 years, CD4 Weekly FMT was safe and well-tolerated. α diversity increased in participants with the lowest baseline α diversity during the treatment period. Future randomized, controlled trials of FMT should consider evaluating PWH with greater inflammation, gut damage, or dysbiosis as this population may be most likely to show a significant response.ClinicalTrials.gov Identifier: NCT03329560.

Sections du résumé

BACKGROUND BACKGROUND
Reduced microbiota diversity (dysbiosis) in people with HIV (PWH) likely contributes to inflammation, a driver of morbidity and mortality. We aimed to evaluate the safety and tolerability of 6 weekly oral fecal microbiota transplants (FMT) administered to reverse this dysbiosis.
METHODS METHODS
Six PWH on suppressive antiretroviral therapy (ART) received 6 weekly doses of lyophilized fecal microbiota product from healthy donors. Shotgun sequencing on stool before, after last FMT, and 20 weeks thereafter was performed. Inflammation and gut permeability biomarkers were measured.
RESULTS RESULTS
Median age at week 0 was 39 years, CD4
CONCLUSIONS CONCLUSIONS
Weekly FMT was safe and well-tolerated. α diversity increased in participants with the lowest baseline α diversity during the treatment period. Future randomized, controlled trials of FMT should consider evaluating PWH with greater inflammation, gut damage, or dysbiosis as this population may be most likely to show a significant response.ClinicalTrials.gov Identifier: NCT03329560.

Identifiants

pubmed: 33501400
doi: 10.20411/pai.v5i1.388
pii: pai.v5i1.388
pmc: PMC7815055
doi:

Banques de données

ClinicalTrials.gov
['NCT03329560']

Types de publication

Journal Article

Langues

eng

Pagination

364-381

Informations de copyright

Copyright © Pathogens and Immunity 2020.

Déclaration de conflit d'intérêts

H.L.D. and Z-D.J. have applied for a patent for PRIM-DJ2727, and H.L.D. has received a grant from Rebiotix to study their FMT product. MF is an employee of Associates of Cape Cod, Inc., the manufacturer of the (1,3)-β-D-glucan test used in this study. No other authors have competing interests.

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Auteurs

Netanya S Utay (NS)

Division of General Medicine, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.
Kelsey Research Foundation, Houston, Texas.

Ana N Monczor (AN)

Division of Infectious Diseases, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.

Anoma Somasunderam (A)

Division of General Medicine, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.

Sofia Lupo (S)

Division of Infectious Diseases, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.

Zhi-Dong Jiang (ZD)

School of Public Health at The University of Texas Health Science Center at Houston, Houston, Texas.

Ashley S Alexander (AS)

Kelsey Research Foundation, Houston, Texas.

Malcolm Finkelman (M)

Associates of Cape Cod Inc., Falmouth, Massachusetts.

Karen J Vigil (KJ)

Division of Infectious Diseases, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.

Jordan E Lake (JE)

Division of Infectious Diseases, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.

Blake Hanson (B)

School of Public Health at The University of Texas Health Science Center at Houston, Houston, Texas.

Herbert L DuPont (HL)

Kelsey Research Foundation, Houston, Texas.
School of Public Health at The University of Texas Health Science Center at Houston, Houston, Texas.

Roberto C Arduino (RC)

Division of Infectious Diseases, Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.

Classifications MeSH