Fecal microbiota transplantation in gastrointestinal and extraintestinal disorders

Future Microbiol. 2020 Aug:15:1173-1183. doi: 10.2217/fmb-2020-0061.

Abstract

Fecal microbiota transplantation (FMT) is the infusion of feces from a healthy donor into the gut of a recipient to treat a dysbiosis-related disease. FMT has been proven to be a safe and effective treatment for Clostridioides difficile infection, but increasing evidence supports the role of FMT in other gastrointestinal and extraintestinal diseases. The aim of this review is to paint the landscape of current evidence of FMT in different fields of application (including irritable bowel syndrome, inflammatory bowel disease, liver disorders, decolonization of multidrug-resistant bacteria, metabolic disorders and neurological disorders), as well as to discuss the current regulatory scenario of FMT, and hypothesize future directions of FMT.

Keywords: Clostridium difficile; cancer; fecal microbiota transplantation; inflammatory bowel disease; irritable bowel syndrome; metabolic syndrome; microbiome; microbiota.

Publication types

  • Review

MeSH terms

  • Animals
  • Fecal Microbiota Transplantation*
  • Gastrointestinal Microbiome
  • Humans
  • Intestinal Diseases / microbiology
  • Intestinal Diseases / therapy*
  • Metabolic Diseases / microbiology
  • Metabolic Diseases / therapy*
  • Nervous System Diseases / microbiology
  • Nervous System Diseases / therapy*