State Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention - Chinese Center for Disease Control and Prevention, Beijing, China.
Front Cell Infect Microbiol. 2019 Jan 30;9:6. doi: 10.3389/fcimb.2019.00006. eCollection 2019.
(VRE) infection is a serious challenge for clinical management and there is no effective treatment at present. Fecal microbiota transplantation (FMT) and probiotic intervention have been shown to be promising approaches for reducing the colonization of certain pathogenic bacteria in the gastrointestinal tract, however, no such studies have been done on VRE. In this study, we evaluated the effect of FMT and two strains (Y74 and HT121) on the colonization of VRE in a VRE-infection mouse model. We found that both strains reduced VRE colonization rapidly. Fecal microbiota and colon mRNA expression analyses further showed that mice in FMT and the two treatment groups restored their intestinal microbiota diversity faster than those in the phosphate buffer saline (PBS) treated group. Administration of restored Firmicutes more quickly to the normal level, compared to FMT or PBS treatment, but restored Bacteroides to their normal level less quickly than FMT did. Furthermore, these treatments also had an impact on the relative abundance of intestinal microbiota composition from phylum to species level. RNA-seq showed that FMT treatment induced the expression of more genes in the colon, compared to the treatment. Defense-related genes such as defensin α, Apoa1, and RegIII were down-regulated in both FMT and the two treatment groups. Taken together, our findings indicate that both FMT and treatments were effective in decreasing the colonization of VRE in the gut.
(VRE)感染是临床管理的一个严重挑战,目前尚无有效的治疗方法。粪便微生物群移植 (FMT)和益生菌干预已被证明是减少胃肠道某些致病菌定植的有前途的方法,但尚未对 VRE 进行此类研究。在这项研究中,我们评估了 FMT 和两种 菌株 (Y74 和 HT121)对 VRE 感染小鼠模型中 VRE 定植的影响。我们发现两种 菌株都能迅速降低 VRE 的定植。粪便微生物群和结肠 mRNA 表达分析进一步表明,与 PBS 处理组相比,FMT 和两种 处理组的小鼠更快地恢复了肠道微生物多样性。与 FMT 或 PBS 处理相比,施用 菌株更快地将厚壁菌门恢复到正常水平,但将拟杆菌门恢复到正常水平的速度不如 FMT 快。此外,这些治疗方法还对从门到种水平的肠道微生物群落组成的相对丰度产生了影响。RNA-seq 显示,与 处理相比,FMT 处理诱导结肠中更多基因的表达。FMT 和两种 处理组中防御相关基因如防御素 α、Apoa1 和 RegIII 的表达均下调。总之,我们的研究结果表明,FMT 和 处理均能有效降低肠道中 VRE 的定植。