Трансплантация фекальной микробиоты: критерии выбора донора, подготовки и хранения биоматериала
Трансплантация фекальной микробиоты: критерии выбора донора, подготовки и хранения биоматериала
Якупова А.А., Абдулхаков С.Р., Сафин А.Г. и др. Трансплантация фекальной микробиоты: критерии выбора донора, подготовки и хранения биоматериала (обзор современных рекомендаций). Терапевтический архив. 2021; 93 (2): 215–221. DOI: 10.26442/00403660.2021.02.200615
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Iakupova А.А., Abdulkhakov S.R., Safin A.G., et al. Fecal microbiota transplantation: donor selection criteria, storage and preparation of biomaterials (review of current recommendations). Terapevticheskii Arkhiv (Ter. Arkh.). 2021; 93 (2): 215–221. DOI: 10.26442/00403660.2021.02.200615
Трансплантация фекальной микробиоты: критерии выбора донора, подготовки и хранения биоматериала
Якупова А.А., Абдулхаков С.Р., Сафин А.Г. и др. Трансплантация фекальной микробиоты: критерии выбора донора, подготовки и хранения биоматериала (обзор современных рекомендаций). Терапевтический архив. 2021; 93 (2): 215–221. DOI: 10.26442/00403660.2021.02.200615
________________________________________________
Iakupova А.А., Abdulkhakov S.R., Safin A.G., et al. Fecal microbiota transplantation: donor selection criteria, storage and preparation of biomaterials (review of current recommendations). Terapevticheskii Arkhiv (Ter. Arkh.). 2021; 93 (2): 215–221. DOI: 10.26442/00403660.2021.02.200615
реципиенту с целью восстановления нарушенного состава микробиоты кишечника. На сегодняшний день в лечении ряда заболеваний проводятся попытки применения ТФМ. В данном обзоре проведена попытка систематизации имеющихся на сегодняшний день данных, касающихся определения показаний для проведения ТФМ, рекомендаций по отбору доноров, сбору, обработке и хранению донорского биоматериала.
Ключевые слова: трансплантация фекальной микробиоты, критерии отбора доноров, микробиота кишечника
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Fecal microbiota transplantation is a treatment method based on the introduction of donated fecal material to the recipient in order to restore the damaged composition of the intestinal microbiota. This review summarizes existing data on indications for fecal microbiota transplantation, recommendations for donor selection, processing and storage of donor biomaterial.
Keywords: fecal microbiota transplantation, donor selection criteria, gut microbiota
Список литературы
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1. Cammarota G, Ianiro G, Tilg H, et al. European consensus conference on faecal microbiota transplantation in clinical practice. Gut. 2017;66(4):569-80. doi: 10.1136/gutjnl-2016-313017
2. van Nood E, Vrieze A, Nieuwdorp M, et al. Duodenal infusion of donor feces for recurrent Clostridium difficile. N Engl J Med. 2013;368:407-15. doi: 10.1056/NEJMoa1205037
3. Lee CH, Steiner T, Petrof EO, et al. Frozen vs fresh fecal microbiota transplantation and clinical resolution of diarrhea in patients with recurrent Clostridium difficile infection: a randomized clinical trial. JAMA. 2016;315:142-9. doi: 10.1001/jama.2015.18098
4. Kelly CR, Khoruts A, Staley C, et al. Effect of fecal microbiota transplantation on recurrence in multiply recurrent Clostridium difficile infection. Ann Intern Med. 2016;165:609-16. doi: 10.7326/M16-0271
5. Cammarota G, Masucci L, Ianiro G, et al. Randomised clinical trial: faecal microbiota transplantation by colonoscopy vs. vancomycin for the treatment of recurrent Clostridium difficile infection. Aliment Pharmacol Ther. 2015;41:835-43. doi: 10.1111/apt.13144
6. Hvas CL, Dahl Jorgensen SM, Jorgensen SP, et al. Fecal microbiota transplantation is superior to fidaxomicin for treatment of recurrent Clostridium difficile infection. Gastroenterology. 2019;156:1324-32. doi: 10.1053/j.gastro.2018
7. Kao D, Roach B, Silva M, et al. Effect of oral capsule- vs colonoscopy-delivered fecal microbiota transplantation on recurrent Clostridium difficile infection. JAMA. 2017;318:1985-93. doi: 10.1001/jama.2017
8. Cammarota G, Ianiro G, Magalini S, et al. Decrease in surgery for Clostridium difficile infection after starting a program to transplant fecal microbiota. Ann Intern Med. 2015;163:487-8. doi: 10.7326/L15-5139
9. Fischer M, Sipe B, Cheng Y-W, et al. Fecal microbiota transplant in severe and severe complicated Clostridium difficile: a promising treatment approach. Gut Microbes. 2017;8:289-302. doi: 10.1080/19490976.2016.1273998
10. Fischer M, Sipe BW, Rogers NA, et al. Faecal microbiota transplantation plus selected use of vancomycin for severe-complicated Clostridium difficile infection: description of a protocol with high success rate. Aliment Pharmacol Ther. 2015;42:470-6. doi: 10.1111/apt.13290
11. Weingarden AR, Hamilton MJ, Sadowsky MJ, Khoruts A. Resolution of severe Clostridium difficile infection following sequential fecal microbiota transplantation. J Clin Gastroenterol. 2013;47:735-7.
doi: 10.1097/MCG.0b013e31829004ae
12. Ianiro G, Masucci L, Quaranta G, et al. Randomised clinical trial: faecal microbiota transplantation by colonoscopy plus vancomycin for the treatment of severe refractory Clostridium difficile infection-single versus multiple infusions. Aliment Pharmacol Ther. 2018;48:152-9. doi: 10.1111/apt.14816
13. Moayyedi P, Surette MG, Kim PT, et al. Fecal microbiota transplantation induces remission in patients with active ulcerative colitis in a randomized controlled trial. Gastroenterology. 2015;149:102-9. doi: 10.1053/j.gastro.2015.04.001
14. Costello SP, Hughes PA, Waters O, et al. Effect of fecal microbiota transplantation on 8-week remission in patients with ulcerative colitis. JAMA. 2019;321:156-64. doi: 10.1001/jama.2018.20046
15. Paramsothy S, Kamm MA, Kaakoush NO, et al. Multidonor intensive faecal microbiota transplantation for active ulcerative colitis: a randomized placebo controlled trial. Lancet. 2017;389:1218-28.
doi: 10.1016/S0140-6736(17)30182-4
16. Rossen NG, Fuentes S, van der Spek MJ, et al. Findings from a randomized controlled trial of fecal transplantation for patients with ulcerative colitis. Gastroenterology. 2015;149:110-8. doi: 10.1053/j.gastro.2015.03.045
17. Costello SP, Soo W, Bryant RV, et al. Systematic review with meta-analysis: faecal microbiota transplantation for the induction of remission for active ulcerative colitis. Aliment Pharmacol Ther. 2017;46:213-24. doi: 10.1111/apt.14173
18. Narula N, Kassam Z, Yuan Y, et al. Systematic review and meta-analysis: fecal microbiota transplantation for treatment of active ulcerative colitis. Inflamm Bowel Dis. 2017;23:1702-9. doi: 10.1097/MIB.0000000000001228
19. Scaldaferri F, Pecere S, Petito V, et al. Efficacy and mechanisms of action of fecal microbiota transplantation in ulcerative colitis: pitfalls and promises from a first meta-analysis. Transplant Proc. 2016;48:402-7. doi: 10.1016/j.transproceed.2015.12.040
20. Ianiro G, Bibbò S, Scaldaferri F, et al. Fecal microbiota transplantation in inflammatory bowel disease: beyond the excitement. Medicine (Baltimore). 2014;93(19):97. doi: 10.1097/MD.0000000000000097
21. Sood A, Mahajan R, Singh A, et al. Role of faecal microbiota transplantation for maintenance of remission in patients with ulcerative colitis: a pilot study. J Crohns Colitis. 2019;13(10):1311-7. doi: 10.1093/ecco-jcc/jjz060
22. Scherbakov PL, Belova ND, Generozov EV, et al. Faecal Transplant in GIT Treatment (Pilot Clinical Experience). Doctor.Ru. 2019;3(158):40-6 (In Russ.) doi: 10.31550/1727-2378-2019-158-3-40-46
23. Halkjaer SI, Christensen AH, Lo BZ, et al. Faecal microbiota transplantation alters gut microbiota in patients with irritable bowel syndrome: results from a randomized, double-blind placebo-controlled study. Gut. 2018;67(12):2107-15. doi: 10.1136/gutjnl-2018-316434
24. Johnsen PH, Hilpusch F, Cavanagh JP, et al. Faecal microbiota transplantation versus placebo for moderate-to-severe irritable bowel syndrome: a double-blind, randomized, placebo-controlled, parallel-group, single-center trial. Lancet Gastroenterol Hepatol. 2018;3(1):17-24. doi: 10.1016/S2468-1253(17)30338-2
25. Holster S, Lindqvist CM, Repsilber D, et al. The effect of allogenic versus autologous fecal microbiota transfer on symptoms, visceral perception and fecal and mucosal microbiota in irritable bowel syndrome. Clin Transl Gastroenterol. 2019;10(4):e00034.
doi: 10.14309/ctg.0000000000000034
26. Ianiro G, Eusebi LH, Black CJ, et al. Systematic review with meta-analysis: efficacy of faecal microbiota transplantation for the treatment of irritable bowel syndrome. Aliment Pharmacol Ther. 2019;50:240-8. doi: 10.1111/apt.15330
27. Bajaj JS, Kassam Z, Fagan A, et al. Fecal microbiota transplant from a rational stool donor improves hepatic encephalopathy: a randomized clinical trial. Hepatology. 2017;66(6):1727-38. doi: 10.1002/hep.29306
28. Bajaj JS, Kakiyama G, Savidge T, et al. Antibiotic‐associated disruption of microbiota composition and function in cirrhosis is restored by fecal transplant. Hepatology. 2018;68:1549-58. doi: 10.1002/hep.30037
29. Vrieze A, Van Nood E, Holleman F, et al. Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology. 2012;143:913-6. doi: 10.1053/j.gastro.2012.06.031
30. Kootte RS, Levin E, Salojarvi J, et al. Improvement of insulin sensitivity after lean donor feces in metabolic syndrome is driven by baseline intestinal microbiota composition. Cell Metab. 2017;26:611-9.
doi: 10.1016/j.cmet.2017.09.008
31. Bilinski J, Grzesiowski P, Sorensen N, et al. Fecal microbiota transplantation in patients with blood disorders inhibits gut colonization with antibiotic resistant bacteria: results of a prospective, single-center study. Clin Infect Dis. 2017;65:364-70. doi: 10.1093/cid/cix252
32. Huttner BD, de Lastours V, Wassenberg M, et al. A 5-day course of oral antibiotics followed by faecal transplantation to eradicate carriage of multidrug-resistant Enterobacteriaceae: a randomized clinical trial. Clin Microbiol Infect. 2019;25:830-8. doi: 10.1016/j.cmi.2018.12.009
33. Kuijper EJ, Vendrik KEW, Vehreschild MJGT. Manipulation of the microbiota to eradicate multidrug-resistant Enterobacteriaceae from the human intestinal tract. Clin Microbiol Infect. 2019;25:786-9.
doi: 10.1016/j.cmi.2019.03.025
34. Allegretti JR, Kassam Z, Carrellas M, et al. Fecal microbiota transplantation in patients with primary sclerosing cholangitis: a pilot clinical trial. Am J Gastroenterol. 2019;114:1071-9. doi: 10.14309/ajg.0000000000000115
35. Kang DW, Adams JB, Gregory AC, et al. Microbiota transfer therapy alters gut ecosystem and improves gastrointestinal and autism symptoms: an open-label study. Microbiome. 2017;5. doi: 10.1186/s40168-016-0225-7
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1 ФГАОУ ВО «Казанский (Приволжский) федеральный университет», Казань, Россия;
2 ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России, Казань, Россия