Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation

Abstract Hepatic sinusoidal obstruction syndrome (SOS/VOD) represents a dramatic complication of hematopoietic stem cell transplantation (HSCT), particularly in children. Recent evidence has suggested a role for the gut microbiome (GM) in the context of HSCT and its related complications, but no dat...

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Autores principales: Riccardo Masetti, Elena Biagi, Daniele Zama, Edoardo Muratore, Federica D’Amico, Davide Leardini, Silvia Turroni, Arcangelo Prete, Patrizia Brigidi, Andrea Pession
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/0bafdf5dfda54a0c9cf0d62ac33a7b83
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spelling oai:doaj.org-article:0bafdf5dfda54a0c9cf0d62ac33a7b832021-12-02T16:08:05ZEarly modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation10.1038/s41598-021-93571-42045-2322https://doaj.org/article/0bafdf5dfda54a0c9cf0d62ac33a7b832021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93571-4https://doaj.org/toc/2045-2322Abstract Hepatic sinusoidal obstruction syndrome (SOS/VOD) represents a dramatic complication of hematopoietic stem cell transplantation (HSCT), particularly in children. Recent evidence has suggested a role for the gut microbiome (GM) in the context of HSCT and its related complications, but no data are available on the relationship between GM and SOS/VOD. Here, we conducted a retrospective case–control study in allo-HSCT pediatric patients developing or not SOS/VOD and profiled their GM over time, from before the transplant up to 72 days after. A rich and diverse GM before HSCT was found to be associated with a reduced likelihood of developing SOS/VOD. Furthermore, prior to transplant, patients not developing SOS/VOD showed an enrichment in some typically health-associated commensals, such as Bacteroides, Ruminococcaceae and Lachnospiraceae. Their levels remained overall higher until post-transplant. This high-diversity configuration resembles that described in other studies for other HSCT-related complications, including graft-versus-host disease, potentially representing a common protective GM feature against HSCT complications.Riccardo MasettiElena BiagiDaniele ZamaEdoardo MuratoreFederica D’AmicoDavide LeardiniSilvia TurroniArcangelo PretePatrizia BrigidiAndrea PessionNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Riccardo Masetti
Elena Biagi
Daniele Zama
Edoardo Muratore
Federica D’Amico
Davide Leardini
Silvia Turroni
Arcangelo Prete
Patrizia Brigidi
Andrea Pession
Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
description Abstract Hepatic sinusoidal obstruction syndrome (SOS/VOD) represents a dramatic complication of hematopoietic stem cell transplantation (HSCT), particularly in children. Recent evidence has suggested a role for the gut microbiome (GM) in the context of HSCT and its related complications, but no data are available on the relationship between GM and SOS/VOD. Here, we conducted a retrospective case–control study in allo-HSCT pediatric patients developing or not SOS/VOD and profiled their GM over time, from before the transplant up to 72 days after. A rich and diverse GM before HSCT was found to be associated with a reduced likelihood of developing SOS/VOD. Furthermore, prior to transplant, patients not developing SOS/VOD showed an enrichment in some typically health-associated commensals, such as Bacteroides, Ruminococcaceae and Lachnospiraceae. Their levels remained overall higher until post-transplant. This high-diversity configuration resembles that described in other studies for other HSCT-related complications, including graft-versus-host disease, potentially representing a common protective GM feature against HSCT complications.
format article
author Riccardo Masetti
Elena Biagi
Daniele Zama
Edoardo Muratore
Federica D’Amico
Davide Leardini
Silvia Turroni
Arcangelo Prete
Patrizia Brigidi
Andrea Pession
author_facet Riccardo Masetti
Elena Biagi
Daniele Zama
Edoardo Muratore
Federica D’Amico
Davide Leardini
Silvia Turroni
Arcangelo Prete
Patrizia Brigidi
Andrea Pession
author_sort Riccardo Masetti
title Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
title_short Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
title_full Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
title_fullStr Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
title_full_unstemmed Early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
title_sort early modifications of the gut microbiome in children with hepatic sinusoidal obstruction syndrome after hematopoietic stem cell transplantation
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0bafdf5dfda54a0c9cf0d62ac33a7b83
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