Title | Fungal Trans-kingdom Dynamics Linked to Responsiveness to Fecal Microbiota Transplantation (FMT) Therapy in Ulcerative Colitis. |
Publication Type | Journal Article |
Year of Publication | 2020 |
Authors | Leonardi, I, Paramsothy, S, Doron, I, Semon, A, Kaakoush, NO, Clemente, JC, Faith, JJ, Borody, TJ, Mitchell, HM, Colombel, J-F, Kamm, MA, Iliev, ID |
Journal | Cell Host Microbe |
Date Published | 2020 Apr 09 |
ISSN | 1934-6069 |
Abstract | Fecal microbiota transplantation (FMT) targeting gut microbiota has recently been successfully applied to ulcerative colitis. However, only a subset of patients responds to FMT, and there is a pressing need for biomarkers of responsiveness. Fungi (the mycobiota) represent a highly immunologically reactive component of the gut microbiota. We analyzed samples from a large randomized controlled trial of FMT for ulcerative colitis (UC). High Candida abundance pre-FMT was associated with a clinical response, whereas decreased Candida abundance post-FMT was indicative of ameliorated disease severity. High pre-FMT Candida was associated with increased bacterial diversity post-FMT, and the presence of genera was linked to FMT responsiveness. Although we detected elevated anti-Candida antibodies in placebo recipients, this increase was abrogated in FMT recipients. Our data suggest that FMT might reduce Candida to contain pro-inflammatory immunity during intestinal disease and highlight the utility of mycobiota-focused approaches to identify FMT responders prior to therapy initiation. |
DOI | 10.1016/j.chom.2020.03.006 |
Alternate Journal | Cell Host Microbe |
PubMed ID | 32298656 |