The microbe-derived short-chain fatty acids butyrate and propionate are associated with protection from chronic GVHD

被引:111
作者
Markey, Kate A. [1 ,2 ]
Schluter, Jonas [3 ]
Gomes, Antonio L. C. [4 ]
Littmann, Eric R. [4 ]
Pickard, Amanda J. [5 ]
Taylor, Bradford P. [3 ]
Giardina, Paul A. [1 ,4 ]
Weber, Daniela [5 ]
Dai, Anqi [4 ]
Docampo, Melissa D. [2 ,4 ]
Armijo, Gabriel K. [4 ]
Slingerland, Ann E. [4 ]
Slingerland, John B. [1 ]
Nichols, Katherine B. [4 ]
Brereton, Daniel G. [1 ]
Clurman, Annelie G. [1 ]
Ramos, Ruben J. [6 ]
Rao, Arka [6 ]
Bush, Amy [7 ]
Bohannon, Lauren [7 ]
Covington, Megan [7 ]
Lew, Meagan V. [7 ]
Rizzieri, David A. [7 ]
Chao, Nelson [7 ]
Maloy, Molly [1 ]
Cho, Christina [1 ,2 ]
Politikos, Ioannis [1 ,2 ]
Giralt, Sergio [1 ,2 ]
Taur, Ying [2 ,8 ]
Pamer, Eric G. [2 ,4 ,8 ]
Holler, Ernst [5 ]
Perales, Miguel-Angel [1 ,2 ]
Ponce, Doris M. [1 ]
Devlin, Sean M. [9 ]
Xavier, Joao [3 ]
Sung, Anthony D. [7 ]
Peled, Jonathan U. [1 ,2 ]
Cross, Justin R. [6 ]
van den Brink, Marcel R. M. [1 ,2 ,4 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Med, Adult Bone Marrow Transplantat Serv, 1275 York Ave, New York, NY 10021 USA
[2] Weill Cornell Med Coll, Dept Med, New York, NY USA
[3] Mem Sloan Kettering Canc Ctr, Sloan Kettering Inst, Program Computat & Syst Biol, 1275 York Ave, New York, NY 10021 USA
[4] Mem Sloan Kettering Canc Ctr, Dept Immunol, Sloan Kettering Inst, New York, NY 10021 USA
[5] Univ Med Ctr, Internal Med 3, Dept Hematol & Oncol, Regensburg, Germany
[6] Mem Sloan Kettering Canc Ctr, Donald B & Catherine C Marron Canc Metab Ctr, 1275 York Ave, New York, NY 10021 USA
[7] Duke Univ, Med Ctr, Dept Med, Div Hematol Malignancies & Cellular Therapy, Durham, NC 27710 USA
[8] Mem Sloan Kettering Canc Ctr, Dept Med, Infect Dis Serv, New York, NY 10021 USA
[9] Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10021 USA
基金
美国国家卫生研究院;
关键词
VERSUS-HOST-DISEASE; GUT MICROBIOME; CELL;
D O I
10.1182/blood.2019003369
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Studies of the relationship between the gastrointestinal microbiota and outcomes in allogeneic hematopoietic stem cell transplantation (allo-HCT) have thus far largely focused on early complications, predominantly infection and acute graft-versus-host disease (GVHD). We examined the potential relationship of the microbiome with chronic GVHD (cGVHD) by analyzing stool and plasma samples collected late after allo-HCT using a case-control study design. We found lower circulating concentrations of the microbe-derived short-chain fatty acids (SCFAs) propionate and butyrate in day 100 plasma samples from patients who developed cGVHD, compared with those who remained free of this complication, in the initial case-control cohort of transplant pa-tients and in a further cross-sectional cohort from an independent transplant center. An additional cross-sectional patient cohort from a third transplant center was analyzed; however, serum (rather than plasma) was available, and the differences in SCFAs observed in the plasma samples were not recapitulated. In sum, our findings from the primary case-control cohort and 1 of 2 cross-sectional cohorts explored suggest that the gastrointestinal microbiome may exert immuno-modulatory effects in allo-HCT patients at least in part due to control of systemic concentrations of microbe-derived SCFAs.
引用
收藏
页码:130 / 136
页数:7
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