Feasibility of a dietary intervention to modify gut microbial metabolism in patients with hematopoietic stem cell transplantation.

Feasibility of a dietary intervention to modify gut microbial metabolism in patients with hematopoietic stem cell transplantation.
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DOI:
10.1038/s41591-023-02587-y
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发表时间:
2023-11
期刊:
影响因子:
82.9
通讯作者:
Reddy, Pavan
Reddy, Pavan
中科院分区:
医学1区
文献类型:
--
作者:
Riwes, Mary M.;Golob, Jonathan L.;Magenau, John;Shan, Mengrou;Dick, Gregory;Braun, Thomas;Schmidt, Thomas M.;Pawarode, Attaphol;Anand, Sarah;Ghosh, Monalisa;Maciejewski, John;King, Darren;Choi, Sung;Yanik, Gregory;Geer, Marcus;Hillman, Ethan;Lyssiotis, Costas A.;Tewari, Muneesh;Reddy, Pavan

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Evaluation of the impact of dietary intervention on gastrointestinal microbiota and metabolites after allogeneic hematopoietic stem cell transplantation (HCT) is lacking. We conducted a feasibility study as the first of a two-phase trial. Ten adults received resistant potato starch (RPS) daily from day −7 to day 100. The primary objective was to test the feasibility of RPS and its effect on intestinal microbiome and metabolites, including the short-chain fatty acid butyrate. Feasibility met the preset goal of 60% or more, adhering to 70% or more doses; fecal butyrate levels were significantly higher when participants were on RPS than when they were not (P < 0.0001). An exploratory objective was to evaluate plasma metabolites. We observed longitudinal changes in plasma metabolites compared to baseline, which were independent of RPS (P < 0.0001). However, in recipients of RPS, the dominant plasma metabolites were more stable compared to historical controls with significant difference at engraftment (P < 0.05). These results indicate that RPS in recipients of allogeneic HCT is feasible; in this study, it was associated with significant alterations in intestinal and plasma metabolites. A phase 2 trial examining the effect of RPS on graft-versus-host disease in recipients of allogeneic HCT is underway. ClinicalTrials.gov registration: NCT02763033. In a pilot feasibility study involving recipients of allogeneic hematopoietic stem cell transplants, adherence to a dietary intervention and its effects on the gut microbiota were assessed in the run-in to a study testing the effects of modulation of the microbiome on transplant outcomes.
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发表时间: 2014-05
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