Cited by 748Gut microbiota and healthHematopoietic Stem Cell TransplantationNeutropenia and Cancer Infections

Intestinal Blautia Is Associated with Reduced Death from Graft-versus-Host Disease

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Jenq, Robert R., Taur, Ying, Devlin, Sean M., Ponce, Doris M., Goldberg, Jenna D., Ahr, Katya F., Littmann, Eric R., Ling, Lilan +17 more·2015·Biology of Blood and Marrow Transplantation

Abstract

The relationship between intestinal microbiota composition and acute graft-versus-host disease (GVHD) after allogeneic blood/marrow transplantation (allo-BMT) is not well understood. Intestinal bacteria have long been thought to contribute to GVHD pathophysiology, but recent animal studies in nontransplant settings have found that anti-inflammatory effects are mediated by certain subpopulations of intestinal commensals. Hypothesizing that a more nuanced relationship may exist between the intestinal bacteria and GVHD, we evaluated the fecal bacterial composition of 64 patients 12 days after BMT. We found that increased bacterial diversity was associated with reduced GVHD-related mortality. Furthermore, harboring increased amounts of bacteria belonging to the genus Blautia was associated with reduced GVHD lethality in this cohort and was confirmed in another independent cohort of 51 patients from the same institution. Blautia abundance was also associated with improved overall survival. We evaluated the abundance of Blautia with respect to clinical factors and found that loss of Blautia was associated with treatment with antibiotics that inhibit anaerobic bacteria and receiving total parenteral nutrition for longer durations. We conclude that increased abundance of commensal bacteria belonging to the Blautia genus is associated with reduced lethal GVHD and improved overall survival.

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Crossref · 10.1016/j.bbmt.2015.04.016

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  • Single-center studies have linked post-HCT intestinal microbiota features to relapse, GVHD, infection, organ toxicity, and overall survival.

    “Each of these outcomes, as well as overall survival, has been associated in single-center studies with features of the intestinal microbiota in the period after hematopoietic-cell transplantation.2–4,8–15”
  • Patient 2 at colitis had mostly Gammaproteobacteria, mainly Escherichia, a pattern common in disturbed intestinal states.

    “and a predominance of Gammaproteobacteria (predominantly Escherichia) in the second patient, which is commonly seen in perturbed intestinal states22.”
  • In hematological malignancies, intestinal bacteria affect infection risk and graft-versus-host disease after allogeneic hematopoietic stem cell transplantation.

    “In hematological malignancies, intestinal bacteria also modulate the risk of infection and graft-versus-host disease (GVHD) after allogeneic hematopoietic stem cell transplantation (ASCT).”
  • Early systemic broad-spectrum antibiotics during ASCT were associated with more GVHD and worse transplant-related mortality, likely by depleting protective Clostridiales and Blautia.

    “Early administration of systemic broadspectrum antibiotics in ASCT was associated with increased GVHD, and worse transplant-related mortality, presumably by depleting protective Clostridiales and Blautia in the intestinal microbiota (17).”
  • High Blautia abundance is associated with reduced GVHD lethality in two independent allogeneic stem cell transplant cohorts.

    “A high abundance of the genus Blautia of the Clostridia class was found to be associated with reduced GVHD lethality in two independent cohorts of patients undergoing treatment with allo-HSCT”

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Authors
Jenq, R. R., Taur, Y., Devlin, S. M., Ponce, D. M., Goldberg, J. D., Ahr, K. F., Littmann, E. R., Ling, L., Gobourne, A. C., Miller, L. C., Docampo, M. D., Peled, J. U., Arpaia, N., Cross, J. R., Peets, T. K., Lumish, M. A., Shono, Y., Dudakov, J. A., Poeck, H., Hanash, A. M., Barker, J. N., Perales, M.-A., Giralt, S. A., Pamer, E. G., & van den Brink, M. R. M.
Affiliations
Memorial Sloan Kettering Cancer Center (US)
Corresponding author
Jenq, Robert R.
Venue
Biology of Blood and Marrow Transplantation
Publisher
Elsevier BV
Published
2015-08
Volume
21
Issue
8
Pages
1373-1383
ISSN
1083-8791 (ISSN-L)
OpenAlex
W1592407962
Cited by
748
References
57
Citations by year
2026: 33 · 2025: 47 · 2024: 50 · 2023: 81 · 2022: 102 · 2021: 107 · 2020: 119 · 2019: 71 · 2018: 52 · 2017: 48 · 2016: 33 · 2015: 5
FWCI
19.98
Type
journal article
Language
en
Open access
Locations
  • Transplantation and Cellular Therapy (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
Funders
  • National Institutes of Health (R01-HL069929, R01-AI080455, R01-AI101406, P01-CA023766, P30-CA008748, R01-AI042135, R01-AI095706, K23-AI095398)
  • U.S National Institute of Allergy and Infectious Diseases
  • The Experimental Therapeutics Center of Memorial Sloan Kettering Cancer Center
  • The Lymphoma Foundation
  • Alex's Lemonade Stand
  • The Geoffrey Beene Cancer Research Center at Memorial Sloan Kettering Cancer Center
  • Lucille Castori Center for Microbes, Inflammation, and Cancer
  • Tow Foundation
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
  • Health Sciences › Medicine › Oncology › Neutropenia and Cancer Infections
Keywords
Blautia, graft-versus-host disease, gut microbiota, bacterial diversity, commensal bacteria, overall survival, antibiotic therapy, total parenteral nutrition, anaerobic bacteria
MeSH terms
Bacteria, Female, Graft vs Host Disease, Humans, Intestinal Mucosa, Intestines, Male, Risk Factors, Cohort Studies, Survival Analysis

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