Impact of fecal microbiota transplantation with capsules on the prevention of metabolic syndrome among patients with obesity

Hormones - Tập 20 - Trang 209-211 - 2021
Jessica R. Allegretti1, Zain Kassam2, Jonathan Hurtado1, Julian R. Marchesi3, Benjamin H. Mullish3, Austin Chiang4, Christopher C. Thompson1, Bethany P. Cummings5
1Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, USA
2Finch Therapeutics Group, Somerville, USA
3Division of Integrative Systems Medicine and Digestive Disease, Faculty of Medicine, Imperial College London, London, UK
4Division of Gastroenterology, Jefferson University, Philadelphia, USA
5Department of Biomedical Sciences, Cornell University, Ithaca, USA

Tóm tắt

Fecal microbiota transplantation (FMT) has been studied for the treatment of metabolic syndrome with varying success. However, the possibility of utilizing FMT to prevent metabolic syndrome is to date unknown. Secondary analysis of a previously published double-blind, randomized, placebo-controlled pilot trial of FMT in obese metabolically healthy patients was conducted. Post-prandial glucose and insulin levels were measured (NCT02741518). A total of 22 patients were enrolled, 11 in each arm. There were no baseline differences in the area under the curve (AUC) of glucose or insulin in the FMT group compared to placebo. There was a significant change in glucose AUC at week 12 compared to baseline, and in the insulin AUC at week 6 compared to baseline in the FMT group vs. placebo (change in glucose AUC (mg/dl × 60 min): 579 vs 1978, p = 0.03) (change in insulin AUC (μU/ml × 60 min): 137 vs 2728, p = 0.01). These data suggest that FMT may have a potential role in preventing the development of metabolic syndrome in patients with obesity.

Tài liệu tham khảo

Wadden TA, Webb VL, Moran CH, Bailer BA (2012) Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy. Circulation 125(9):1157–1170. https://doi.org/10.1161/CIRCULATIONAHA.111.039453 Vrieze A, Van Nood E, Holleman F, Salojarvi J, Kootte RS, Bartelsman JF, Dallinga-Thie GM, Ackermans MT, Serlie MJ, Oozeer R, Derrien M, Druesne A, Van Hylckama Vlieg JE, Bloks VW, Groen AK, Heilig HG, Zoetendal EG, Stroes ES, de Vos WM, Hoekstra JB, Nieuwdorp M (2012) Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology 143(4):913–916.e917.https://doi.org/10.1053/j.gastro.2012.06.031 Kootte RS, Levin E, Salojarvi J, Smits LP, Hartstra AV, Udayappan SD, Hermes G, Bouter KE, Koopen AM, Holst JJ, Knop FK, Blaak EE, Zhao J, Smidt H, Harms AC, Hankemeijer T, Bergman J, Romijn HA, Schaap FG, Olde Damink SWM, Ackermans MT, Dallinga-Thie GM, Zoetendal E, de Vos WM, Serlie MJ, Stroes ESG, Groen AK, Nieuwdorp M (2017) Improvement of insulin sensitivity after lean donor feces in metabolic syndrome is driven by baseline intestinal microbiota composition. Cell Metab 26(4):611–619 e616. https://doi.org/10.1016/j.cmet.2017.09.008 Yu EW, Gao L, Stastka P, Cheney MC, Mahabamunuge J, Torres Soto M, Ford CB, Bryant JA, Henn MR, Hohmann EL (2020) Fecal microbiota transplantation for the improvement of metabolism in obesity: the FMT-TRIM double-blind placebo-controlled pilot trial. PLoS Med 17(3):e1003051. https://doi.org/10.1371/journal.pmed.1003051 Telle-Hansen VH, Christensen JJ, Formo GA, Holven KB, Ulven SM (2020) A comprehensive metabolic profiling of the metabolically healthy obesity phenotype. Lipids Health Dis 19(1):90. https://doi.org/10.1186/s12944-020-01273-z Allegretti JR, Kassam Z, Mullish BH, Chiang A, Carrellas M, Hurtado J, Marchesi JR, McDonald JAK, Pechlivanis A, Barker GF, Miguens Blanco J, Garcia-Perez I, Wong WF, Gerardin Y, Silverstein M, Kennedy K, Thompson C (2020) Effects of fecal microbiota transplantation with oral capsules in obese patients. Clin Gastroenterol Hepatol 18(4):855–863 e852. https://doi.org/10.1016/j.cgh.2019.07.006