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粪便微生物群移植作为慢性肠病犬辅助治疗的临床效果——41例犬的回顾性病例系列研究

Clinical Effects of Faecal Microbiota Transplantation as Adjunctive Therapy in Dogs with Chronic Enteropathies-A Retrospective Case Series of 41 Dogs.

作者信息

Toresson Linda, Spillmann Thomas, Pilla Rachel, Ludvigsson Ulrika, Hellgren Josefin, Olmedal Gunilla, Suchodolski Jan S

机构信息

Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, Agnes Sjöberginkatu 2, Helsinki University, 00014 Helsinki, Finland.

Evidensia Specialist Animal Hospital, Bergavagen 3, 25466 Helsingborg, Sweden.

出版信息

Vet Sci. 2023 Apr 3;10(4):271. doi: 10.3390/vetsci10040271.

Abstract

Chronic enteropathies (CE) are common in dogs, but not all affected dogs respond to standard therapy. Successful responses to faecal microbial transplantation (FMT) in dogs with non-responsive CE have been reported in two case series. The objective of this retrospective study was to describe the clinical effects of FMT as an adjunctive therapy in a larger population of dogs with CE. Forty-one dogs aged 0.6-13.0 years (median 5.8) under treatment for CE at one referral animal hospital were included. Dogs were treated with 1-5 (median 3) FMTs as a rectal enema at a dose of 5-7 g/kg body weight. The canine inflammatory bowel disease activity index (CIBDAI) was compared at baseline versus after the last FMT. Stored faecal samples ( = 16) were analysed with the dysbiosis index. CIBDAI at baseline was 2-17 (median 6), which decreased to 1-9 (median 2; < 0.0001) after FMT. Subsequently, 31/41 dogs responded to treatment, resulting in improved faecal quality and/or activity level in 24/41 and 24/41 dogs, respectively. The dysbiosis index at baseline was significantly lower for good responders versus poor responders ( = 0.043). Results suggest that FMT can be useful as an adjunctive therapy in dogs with poorly responsive CE.

摘要

慢性肠病(CE)在犬类中很常见,但并非所有患病犬对标准疗法都有反应。在两个病例系列中报告了粪便微生物移植(FMT)对无反应性CE犬的成功疗效。这项回顾性研究的目的是描述FMT作为辅助疗法在更多CE犬群体中的临床效果。纳入了一家转诊动物医院正在接受CE治疗的41只年龄在0.6至13.0岁(中位数5.8岁)的犬。犬接受1至5次(中位数3次)FMT直肠灌肠治疗,剂量为5至7 g/kg体重。比较基线时与最后一次FMT后的犬炎症性肠病活动指数(CIBDAI)。对储存的粪便样本(n = 16)进行菌群失调指数分析。基线时CIBDAI为2至17(中位数6),FMT后降至1至9(中位数2;P < 0.0001)。随后,41只犬中有31只对治疗有反应,分别使24/41只犬的粪便质量和/或活动水平得到改善。良好反应者与不良反应者基线时的菌群失调指数有显著差异(P = 0.043)。结果表明,FMT可作为反应不佳的CE犬的辅助疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e5c/10145442/b1502c59ea4a/vetsci-10-00271-g001.jpg

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