Gal Arnon, Barko Patrick C, Biggs Patrick J, Gedye Kristene R, Midwinter Anne C, Williams David A, Burchell Richard K, Pazzi Paolo
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States of America.
Molecular Epidemiology & Public Health Laboratory, Infectious Disease Research Centre, School of Veterinary Science, Massey University, Palmerston North, New Zealand.
PLoS One. 2021 Apr 19;16(4):e0250344. doi: 10.1371/journal.pone.0250344. eCollection 2021.
Canine acute hemorrhagic diarrhea syndrome (AHDS) has been associated in some studies with Clostridioides perfringens overgrowth and toxin-mediated necrosis of the intestinal mucosa. We aimed to determine the effect of a single fecal microbiota transplantation (FMT) on clinical scores and fecal microbiomes of 1 and 7 dogs with AHDS from New Zealand and South Africa. We hypothesized that FMT would improve AHDS clinical scores and increase microbiota alpha-diversity and short-chain fatty acid (SCFA)-producing microbial communities' abundances in dogs with AHDS after FMT. We sequenced the V3-V4 region of the 16S-rRNA gene in the feces of AHDS FMT-recipients and sham-treated control dogs, and their healthy donors at admission, discharge, and 30 days post-discharge. There were no significant differences in median AHDS clinical scores between FMT-recipients and sham-treated controls at admission or discharge (P = 0.22, P = 0.41). At admission, the Shannon diversity index (SDI) was lower in AHDS dogs than healthy donors (P = 0.002). The SDI did not change from admission to 30 days in sham-treated dogs yet increased in FMT-recipients from admission to discharge (P = 0.04) to levels not different than donors (P = 0.33) but significantly higher than sham-treated controls (P = 0.002). At 30 days, the SDI did not differ between FMT recipients, sham-treated controls, and donors (P = 0.88). Principal coordinate analysis of the Bray-Curtis index separated post-FMT and donor dogs from pre-FMT and sham-treated dogs (P = 0.009) because of increased SCFA-producing genera's abundances after FMT. A single co-abundance subnetwork contained many of the same OTUs found to be differentially abundant in FMT-recipients, and the abundance of this module was increased in FMT-recipients at discharge and 30 days, compared to sham-treated controls. We conclude in this small pilot study FMT did not have any clinical benefit. A single FMT procedure has the potential to increase bacterial communities of SCFA-producing genera important for intestinal health up to 30 days post-FMT.
犬急性出血性腹泻综合征(AHDS)在一些研究中与产气荚膜梭菌过度生长及毒素介导的肠黏膜坏死有关。我们旨在确定单次粪便微生物群移植(FMT)对来自新西兰和南非的1只和7只患有AHDS的犬的临床评分和粪便微生物群的影响。我们假设FMT会改善AHDS的临床评分,并增加AHDS犬在FMT后微生物群的α多样性以及产生短链脂肪酸(SCFA)的微生物群落丰度。我们对AHDS FMT受体犬、假处理对照犬及其健康供体犬在入院时、出院时和出院后30天粪便中的16S - rRNA基因V3 - V4区域进行了测序。在入院或出院时,FMT受体犬和假处理对照犬的AHDS临床评分中位数没有显著差异(P = 0.22,P = 0.41)。入院时,AHDS犬的香农多样性指数(SDI)低于健康供体犬(P = 0.002)。在假处理犬中,从入院到30天SDI没有变化,而在FMT受体犬中,从入院到出院SDI增加(P = 0.04),达到与供体犬无差异的水平(P = 0.33),但显著高于假处理对照犬(P = 0.002)。在30天时,FMT受体犬、假处理对照犬和供体犬之间的SDI没有差异(P = 0.88)。基于Bray - Curtis指数的主坐标分析将FMT后犬和供体犬与FMT前犬和假处理犬区分开来(P = 0.009),这是因为FMT后产生SCFA的属的丰度增加。一个共丰度子网包含许多在FMT受体犬中发现差异丰度的相同操作分类单元(OTU),与假处理对照犬相比,该模块的丰度在FMT受体犬出院时和30天时增加。我们在这项小型初步研究中得出结论,FMT没有任何临床益处。单次FMT程序有可能在FMT后长达30天内增加对肠道健康重要的产生SCFA的属的细菌群落。