Millard Sophie A, Vendrov Kimberly C, Young Vincent B, Seekatz Anna M
Department of Biological Sciences, Clemson University, Clemson, South Carolina, USA.
Division of Infectious Disease, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
mBio. 2025 Jun 2:e0110825. doi: 10.1128/mbio.01108-25.
UNLABELLED: Colonization resistance provided by the gut microbiota is essential for resisting both initial infection (CDI) and potential recurrent infection (rCDI). Although fecal microbiota transplantation (FMT) has been successful in treating rCDI by restoring microbial composition and function, mechanisms underlying the efficacy of standardized stool-derived products remain poorly understood. Using a combination of 16S rRNA gene-based and metagenomic sequencing alongside metabolomics, we investigated microbiome recovery following FMT from human and murine donor sources in a mouse model of rCDI. We found that a human-derived microbiota was less effective in clearing compared to a mouse-derived microbiota, despite recovery of taxonomic diversity, compositional changes, and bacterial functions typically associated with clearance. Metabolomic analysis revealed deficits in secondary metabolites compared to those that received murine FMT, suggesting a functional remodeling between human microbes in their new host environment. Collectively, our data revealed additional environmental, ecological, or host factors to consider in FMT-based recovery from rCDI. IMPORTANCE: is a significant healthcare-associated pathogen, with recurrent infections presenting a major treatment challenge due to further disruption of the microbiota after antibiotic administration. Despite the success of fecal microbiota transplantation (FMT) for the treatment of recurrent infection, the mechanisms mediating its efficacy remain underexplored. This study reveals that the effectiveness of FMT may be compromised by a mismatch between donor microbes and the recipient environment, leading to deficits in key microbial metabolites. These findings highlight additional factors to consider when assessing the efficacy of microbial-based therapeutics for infection (CDI) and other conditions.
未标注:肠道微生物群提供的定植抗性对于抵抗初始感染(艰难梭菌感染,CDI)和潜在的复发性感染(复发性艰难梭菌感染,rCDI)至关重要。尽管粪便微生物群移植(FMT)通过恢复微生物组成和功能成功治疗了rCDI,但标准化粪便衍生产品疗效的潜在机制仍知之甚少。我们结合基于16S rRNA基因的测序、宏基因组测序以及代谢组学,在rCDI小鼠模型中研究了来自人和小鼠供体的FMT后的微生物群恢复情况。我们发现,尽管分类多样性、组成变化以及通常与清除相关的细菌功能得以恢复,但人源微生物群在清除方面的效果不如鼠源微生物群。代谢组学分析显示,与接受鼠源FMT的小鼠相比,接受人源FMT的小鼠次级代谢产物存在缺陷,这表明人源微生物在新宿主环境中发生了功能重塑。总体而言,我们的数据揭示了在基于FMT的rCDI恢复过程中需要考虑的其他环境、生态或宿主因素。 重要性:艰难梭菌是一种与医疗保健密切相关的重要病原体,由于抗生素使用后微生物群的进一步破坏,复发性感染带来了重大治疗挑战。尽管粪便微生物群移植(FMT)在治疗复发性感染方面取得了成功,但其疗效的介导机制仍未得到充分探索。本研究表明,FMT的有效性可能会因供体微生物与受体环境不匹配而受到影响,导致关键微生物代谢产物缺乏。这些发现突出了在评估基于微生物的疗法对艰难梭菌感染(CDI)和其他病症的疗效时需要考虑的其他因素。
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