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用于艰难梭菌感染的微生物组疗法

Microbiome Therapeutics for Clostridioides difficile Infection.

作者信息

Lucky Christine W, Kelly Brendan J, Kwon Jennie H, Woodworth Michael H, Medernach Rachel L

机构信息

Division of Infectious Diseases, Department of Medicine, Rush University, 600 South Paulina Street, Armour Academic Center, Suite 143, Chicago, IL 60612, USA.

Division of Infectious Diseases, Department of Medicine, University of Pennsylvania, 731 Blockey Hall, Philadelphia, PA 19104, USA; Division of Infectious Diseases, Department of Epidemiology, University of Pennsylvania, Philadelphia, PA, USA; Division of Infectious Diseases, Department of Microbiology, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Infect Dis Clin North Am. 2025 Aug 11. doi: 10.1016/j.idc.2025.07.007.

DOI:10.1016/j.idc.2025.07.007
PMID:40796472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12435572/
Abstract

Microbiota-based therapies are used increasingly for the treatment and prevention of Clostridioides difficile infection (CDI), particularly in cases of recurrent CDI (rCDI). This review discusses the different types of microbiota-based therapies, including fecal microbiota transplant, fecal microbiota products, and live biotherapeutic products. The authors present efficacy data regarding clinical use in rCDI and highlight the unique aspects of each product.

摘要

基于微生物群的疗法越来越多地用于艰难梭菌感染(CDI)的治疗和预防,特别是在复发性CDI(rCDI)的病例中。本综述讨论了不同类型的基于微生物群的疗法,包括粪便微生物群移植、粪便微生物群产品和活生物治疗产品。作者展示了关于rCDI临床应用的疗效数据,并强调了每种产品的独特之处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/12435572/fc6cf084f892/nihms-2106922-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/12435572/fc6cf084f892/nihms-2106922-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db63/12435572/fc6cf084f892/nihms-2106922-f0001.jpg

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本文引用的文献

1
Fecal microbiota transplantation: a tale of two regulatory pathways.粪便微生物群移植:两条监管途径的故事
Gut Microbes. 2025 Dec;17(1):2493901. doi: 10.1080/19490976.2025.2493901. Epub 2025 Apr 29.
2
A Review of Therapies for Infection.感染治疗综述
Antibiotics (Basel). 2024 Dec 31;14(1):17. doi: 10.3390/antibiotics14010017.
3
Long-term stability and efficacy of frozen fecal microbiota transplant (FMT) product at 24 months.冷冻粪便微生物群移植(FMT)产品在24个月时的长期稳定性和疗效。
Dig Liver Dis. 2025 Mar;57(3):702-706. doi: 10.1016/j.dld.2024.11.025. Epub 2024 Dec 13.
4
Fecal Microbiota Transplantation: Indications, Methods, and Challenges.粪便微生物群移植:适应症、方法及挑战
J Microbiol. 2024 Dec;62(12):1057-1074. doi: 10.1007/s12275-024-00184-3. Epub 2024 Nov 18.
5
The New Horizon of Clostridioides difficile Infection Treatment.
Gastroenterology. 2025 Feb;168(2):219-222. doi: 10.1053/j.gastro.2024.10.032. Epub 2024 Nov 5.
6
Gut microbiome therapy: fecal microbiota transplantation vs live biotherapeutic products.肠道微生物组治疗:粪便微生物群移植与活菌治疗产品。
Gut Microbes. 2024 Jan-Dec;16(1):2412376. doi: 10.1080/19490976.2024.2412376. Epub 2024 Oct 8.
7
A Randomized Controlled Trial of Efficacy and Safety of Fecal Microbiota Transplant for Preventing Recurrent Clostridioides difficile Infection.粪便微生物群移植预防艰难梭菌反复感染的疗效和安全性随机对照试验
Clin Infect Dis. 2025 Feb 5;80(1):52-60. doi: 10.1093/cid/ciae467.
8
Déjà Vu: Unanswered Questions About Fecal Microbiota Transplantation for Recurrent Clostridioides difficile Infection.
Clin Infect Dis. 2025 Feb 5;80(1):61-62. doi: 10.1093/cid/ciae468.
9
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Clin Infect Dis. 2025 Feb 5;80(1):43-51. doi: 10.1093/cid/ciae437.
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Escape Velocity-the Launch of Microbiome Therapies.逃逸速度——微生物组疗法的问世。
J Infect Dis. 2024 Jul 25;230(1):2-4. doi: 10.1093/infdis/jiae099.