Intestinal Blautia Is Associated with Reduced Death from Graft-versus-Host Disease
Open accessAbstract
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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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”
From Microbiota as Predictor of Mortality in Allogeneic Hematopoietic-Cell Transplantation (2020) · cites this paper as [9]
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.”
From Fecal microbiota transplantation for refractory immune checkpoint inhibitor-associated colitis (2018) · cites this paper as [22]
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).”
From The microbiome in cancer immunotherapy: Diagnostic tools and therapeutic strategies (2018) · cites this paper as [17]
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).”
From The microbiome in cancer immunotherapy: Diagnostic tools and therapeutic strategies (2018) · cites this paper as [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”
From The Influence of the Gut Microbiome on Cancer, Immunity, and Cancer Immunotherapy (2018) · cites this paper as Jenq et al., 2015
Higher abundance of the genus Blautia is associated with improved overall survival after allogeneic stem cell transplant.
“a higher abundance of bacteria within the genus Blautia associated with improved overall survival”
From The Influence of the Gut Microbiome on Cancer, Immunity, and Cancer Immunotherapy (2018) · cites this paper as Jenq et al., 2015
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Self-citation
- 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.
- ORCID
- Jenq, Robert R.
- Taur, Ying
- Devlin, Sean M.
- Ponce, Doris M.
- Ahr, Katya F.
- Littmann, Eric R.
- Ling, Lilan
- Miller, Liza C.
- Docampo, Melissa D.
- Peled, Jonathan U.
- Arpaia, Nicholas
- Cross, Justin R.
- Lumish, Melissa A.
- Shono, Yusuke
- Dudakov, Jarrod A.
- Poeck, Hendrik
- Hanash, Alan M.
- Barker, Juliet N.
- Perales, Miguel-Angel
- Giralt, Sergio A.
- Pamer, Eric G.
- 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)
- PMC
- PMC4516127
- 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
- hybrid
- doi.org
- Licence
- 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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