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Virome drift in ulcerative colitis patients: faecal microbiota transplantation results in minimal phage engraftment dominated by microviruses.

作者信息

Jansen Daan, Deleu Sara, Caenepeel Clara, Marcelis Tine, Simsek Ceren, Falony Gwen, Machiels Kathleen, Sabino João, Raes Jeroen, Vermeire Séverine, Matthijnssens Jelle

机构信息

Department of Microbiology, Immunology and Transplantation, Rega Institute, Laboratory of Viral Metagenomics, KU Leuven, Leuven, Belgium.

Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, University Hospitals Leuven, Leuven, Belgium.

出版信息

Gut Microbes. 2025 Dec;17(1):2499575. doi: 10.1080/19490976.2025.2499575. Epub 2025 May 15.


DOI:10.1080/19490976.2025.2499575
PMID:40371968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12087655/
Abstract

Ulcerative colitis (UC) is an inflammatory bowel disease characterized by recurrent colonic inflammation. Standard treatments focus on controlling inflammation but remain ineffective for one-third of patients. This underscores the need for alternative approaches, such as fecal microbiota transplantation (FMT), which transfers healthy donor microbiota to patients. The role of viruses in this process, however, remains underexplored. To address this, we analyzed the gut virome using metagenomic sequencing of enriched viral particles from 320 longitudinal fecal samples of 44 patients enrolled in the RESTORE-UC FMT trial. Patients were treated with FMTs from healthy donors (allogenic, treatment) or themselves (autologous, control). We found that colonic inflammation, both its presence and location, had a greater impact on the gut virome than FMT itself. In autologous FMT patients, the virome was unstable and showed rapid divergence over time, a phenomenon we termed virome drift. In allogenic FMT patients, the virome temporarily shifted toward the healthy donor, lasting up to 5 weeks and primarily driven by microviruses. Notably, two distinct virome configurations were identified and linked to either healthy donors or patients. In conclusion, inflammation strongly affects the gut virome in UC patients, which may lead to instability and obstruct the engraftment of allogeneic FMT.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/7d8d80c5618a/KGMI_A_2499575_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/9aecc7373909/KGMI_A_2499575_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/c909e8ae2897/KGMI_A_2499575_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/35c2fe8c5166/KGMI_A_2499575_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/4c0fe622588e/KGMI_A_2499575_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/7d8d80c5618a/KGMI_A_2499575_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/9aecc7373909/KGMI_A_2499575_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/c909e8ae2897/KGMI_A_2499575_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/35c2fe8c5166/KGMI_A_2499575_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/4c0fe622588e/KGMI_A_2499575_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd1/12087655/7d8d80c5618a/KGMI_A_2499575_F0005_OC.jpg

相似文献

[1]
Virome drift in ulcerative colitis patients: faecal microbiota transplantation results in minimal phage engraftment dominated by microviruses.

Gut Microbes. 2025-12

[2]
Faecal Microbiota Transplantation Engraftment After Budesonide or Placebo in Patients With Active Ulcerative Colitis Using Pre-selected Donors: A Randomized Pilot Study.

J Crohns Colitis. 2024-9-3

[3]
The phageome of patients with ulcerative colitis treated with donor fecal microbiota reveals markers associated with disease remission.

Nat Commun. 2024-10-17

[4]
Long-term efficacy and safety of monotherapy with a single fresh fecal microbiota transplant for recurrent active ulcerative colitis: a prospective randomized pilot study.

Microb Cell Fact. 2021-1-19

[5]
Fecal microbiota transplantation alters gut phage communities in a clinical trial for obesity.

Microbiome. 2024-7-6

[6]
A Matching Strategy To Guide Donor Selection for Ulcerative Colitis in Fecal Microbiota Transplantation: Meta-Analysis and Analytic Hierarchy Process.

Microbiol Spectr. 2023-2-14

[7]
Longitudinal dynamics of gut bacteriome, mycobiome and virome after fecal microbiota transplantation in graft-versus-host disease.

Nat Commun. 2021-1-4

[8]
Gut virome-wide association analysis identifies cross-population viral signatures for inflammatory bowel disease.

Microbiome. 2024-7-18

[9]
Fecal microbiota transplantation for ulcerative colitis.

Immunol Med. 2021-3

[10]
Rigorous Donor Selection for Fecal Microbiota Transplantation in Active Ulcerative Colitis: Key Lessons From a Randomized Controlled Trial Halted for Futility.

Clin Gastroenterol Hepatol. 2025-3

本文引用的文献

[1]
Assessing Bias and Reproducibility of Viral Metagenomics Methods for the Combined Detection of Faecal RNA and DNA Viruses.

Viruses. 2025-1-23

[2]
Rigorous Donor Selection for Fecal Microbiota Transplantation in Active Ulcerative Colitis: Key Lessons From a Randomized Controlled Trial Halted for Futility.

Clin Gastroenterol Hepatol. 2025-3

[3]
Rarefaction is currently the best approach to control for uneven sequencing effort in amplicon sequence analyses.

mSphere. 2024-2-28

[4]
The first international Rome consensus conference on gut microbiota and faecal microbiota transplantation in inflammatory bowel disease.

Gut. 2023-9

[5]
Community Types of the Human Gut Virome are Associated with Endoscopic Outcome in Ulcerative Colitis.

J Crohns Colitis. 2023-10-20

[6]
Interpersonal variability of the human gut virome confounds disease signal detection in IBD.

Commun Biol. 2023-2-25

[7]
The Emerging Role of the Gut Virome in Health and Inflammatory Bowel Disease: Challenges, Covariates and a Viral Imbalance.

Viruses. 2023-1-6

[8]
Expansion of the global RNA virome reveals diverse clades of bacteriophages.

Cell. 2022-10-13

[9]
Searching for a Consensus Among Inflammatory Bowel Disease Studies: A Systematic Meta-Analysis.

Inflamm Bowel Dis. 2023-1-5

[10]
Composition and diverse differences of intestinal microbiota in ulcerative colitis patients.

Front Cell Infect Microbiol. 2022

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