The Role of Fecal Microbiota Transplantation in the Allogeneic Stem Cell Transplant Setting

Microorganisms. 2023 Aug 29;11(9):2182. doi: 10.3390/microorganisms11092182.

Abstract

Microbiota changes during allogeneic hematopoietic stem cell transplantation has several known causes: conditioning chemotherapy and radiation, broad-spectrum antibiotic administration, modification in nutrition status and diet, and graft-versus-host disease. This article aims to review the current knowledge about the close link between microbiota and allogeneic stem cell transplantation setting. The PubMed search engine was used to perform this review. We analyzed data on microbiota dysbiosis related to the above-mentioned affecting factors. We also looked at treatments aimed at modifying gut dysbiosis and applications of fecal microbiota transplantation in the allogeneic stem cell transplant field, with particular interest in fecal microbiota transplantation for graft-versus-host disease (GvHD), multidrug-resistant and clostridium difficile infections, and microbiota restoration after chemotherapy and antibiotic therapy.

Keywords: allogeneic hematopoietic stem cell transplantation; clostridium difficile infection; diversity; fecal microbiota transplantation; graft-versus-host disease; multi-drug resistant; prebiotic; probiotic.

Publication types

  • Review

Grants and funding

This study was supported by research funding from Centro di ricerca sulle cellule staminali emopoietiche e le terapie cellulari, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy to S.S.