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Journal articleGhani R, Chrysostomou D, Roberts LA, et al., 2024,
Faecal (or intestinal) microbiota transplant: a tool for repairing the gut microbiome.
, Gut Microbes, Vol: 16Faecal/intestinal microbiota transplant (FMT/IMT) is an efficacious treatment option for recurrent Clostridioides difficile infection, which has prompted substantial interest in FMT's potential role in the management of a much broader range of diseases associated with the gut microbiome. Despite its promise, the success rates of FMT in these other settings have been variable. This review critically evaluates the current evidence on the impact of clinical, biological, and procedural factors upon the therapeutic efficacy of FMT, and identifies areas that remain nebulous. Due to some of these factors, the optimal therapeutic approach remains unclear; for example, the preferred timing of FMT administration in a heavily antibiotic-exposed hematopoietic cell transplant recipient is not standardized, with arguments that can be made in alternate directions. We explore how these factors may impact upon more informed selection of donors, potential matching of donors to recipients, and aspects of clinical care of FMT recipients. This includes consideration of how gut microbiome composition and functionality may strategically inform donor selection criteria. Furthermore, we review how the most productive advances within the FMT space are those where clinical and translational outcomes are assessed together, and where this model has been used productively in recent years to better understand the contribution of the gut microbiome to human disease, and start the process toward development of more targeted microbiome therapeutics.
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Journal articleBibbò S, Porcari S, Del Vecchio LE, et al., 2023,
Gut microbiota and immunotherapy of renal cell carcinoma
, Human Vaccines & Immunotherapeutics, Vol: 19, ISSN: 2164-5515 -
Journal articleMullish BH, Tohumcu E, Porcari S, et al., 2023,
The role of faecal microbiota transplantation in chronic noncommunicable disorders
, Journal of Autoimmunity, Vol: 141, Pages: 103034-103034, ISSN: 0896-8411 -
Journal articleHvas CL, Keller J, Baunwall SMD, et al., 2023,
European academic faecal microbiota transplantation (EURFMT) network: improving the safety and quality of microbiome therapies in Europe
, Microbiota in Health and Disease, Vol: 5, ISSN: 2704-8845Faecal microbiota transplantation (FMT) has evolved from an anecdotally reported last resort for the critically ill to a well-established first-line treatment for patients with recurrent Clostridioides difficile infection (CDI), supported by grade 1a evidence. Given our improved understanding of the intestinal microbiota and how it impacts human health, FMT is now being explored for a range of emerging indications beyond CDI. In light of the rapid emergence of FMT as a novel treatment strategy in medicine, a need for international harmonisation has arisen. Addressing this need, the recently published 5th edition of the Guide to the quality and safety of tissues and cells for human application, issued by the European Directorate for the Quality of Medicines & HealthCare of the Council of Europe (EDQM), harbours complete descriptions of the collection, procurement and application of donor faeces as a substance of human origin (SoHO). The proposed revision of the Blood Tissue and Cell Regulation of the European Union (EU) incorporates stool for FMT as a SoHO. This revised regulation will provide a regulatory framework for the future development of donor-derived microbiome therapies. To implement and underpin the safety and quality requirements for FMT in this newly designed legal context, and to facilitate clinical use, collaboration and research, we established the European Academic FMT Network (EurFMT network). The European FMT Registry plays a pivotal role within this network, facilitating its clinical activities and monitoring safety. In this document, we summarise the basis for using donor faeces-derived microbiome therapies as well as the aim and main scope for the EurFMT network.
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Journal articleKragsnaes MS, Blanco JM, Mullish BH, et al., 2023,
Small Intestinal Permeability and Metabolomic Profiles in Feces and Plasma Associate With Clinical Response in Patients With Active Psoriatic Arthritis Participating in a Fecal Microbiota Transplantation Trial: Exploratory Findings From the FLORA Trial
, ACR OPEN RHEUMATOLOGY, Vol: 5, Pages: 583-593- Cite
- Citations: 5
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Journal articleYip AYG, King OG, Omelchenko O, et al., 2023,
Antibiotics promote intestinal growth of carbapenem-resistant <i>Enterobacteriaceae</i> by enriching nutrients and depleting microbial metabolites
, NATURE COMMUNICATIONS, Vol: 14- Cite
- Citations: 39
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Journal articleRouty B, Lenehan JG, Miller WH, et al., 2023,
Fecal microbiota transplantation plus anti-PD-1 immunotherapy in advanced melanoma: a phase I trial
, Nature Medicine, Vol: 29, Pages: 2121-2132, ISSN: 1078-8956 -
Conference paperForlano R, Martinez-Gili L, Blanco JM, et al., 2023,
TOP-088 - Altered gut barrier integrity as a mediator of host-microbiome interactions in diabetic patients with advanced Non-alcoholic fatty liver disease
, EASL Congress 2023, Publisher: Elsevier, Pages: S601-S602, ISSN: 0168-8278 -
Conference paperKragsnaes MS, Blanco JM, Mullish B, et al., 2023,
PLASMA METABOLOMIC PROFILES OF PATIENTS WITH ACTIVE PERIPHERAL PSORIATIC ARTHRITIS CAN DIFFERENTIATE TREATMENT RESPONDERS FROM FAILURES: EXPLORATORY FINDINGS FROM THE FLORA TRIAL
, European Congress of Rheumatology (EULAR), Publisher: BMJ PUBLISHING GROUP, Pages: 467-468, ISSN: 0003-4967 -
Journal articleChurchward MA, Michaud ER, Mullish BH, et al., 2023,
Short-chain fatty and carboxylic acid changes associated with fecal microbiota transplant communally influence microglial inflammation
, Heliyon, Vol: 9, Pages: e16908-e16908, ISSN: 2405-8440
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