Cited by 231Gut microbiota and healthGastrointestinal motility and disordersClostridium difficile and Clostridium perfringens research

Fecal microbiota transplantation broadening its application beyond intestinal disorders

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Xu, Meng-Que·2015·World Journal of Gastroenterology

Abstract

Intestinal dysbiosis is now known to be a complication in a myriad of diseases. Fecal microbiota transplantation (FMT), as a microbiota-target therapy, is arguably very effective for curing Clostridium difficile infection and has good outcomes in other intestinal diseases. New insights have raised an interest in FMT for the management of extra-intestinal disorders associated with gut microbiota. This review shows that it is an exciting time in the burgeoning science of FMT application in previously unexpected areas, including metabolic diseases, neuropsychiatric disorders, autoimmune diseases, allergic disorders, and tumors. A randomized controlled trial was conducted on FMT in metabolic syndrome by infusing microbiota from lean donors or from self-collected feces, with the resultant findings showing that the lean donor feces group displayed increased insulin sensitivity, along with increased levels of butyrate-producing intestinal microbiota. Case reports of FMT have also shown favorable outcomes in Parkinson's disease, multiple sclerosis, myoclonus dystonia, chronic fatigue syndrome, and idiopathic thrombocytopenic purpura. FMT is a promising approach in the manipulation of the intestinal microbiota and has potential applications in a variety of extra-intestinal conditions associated with intestinal dysbiosis.

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Crossref · 10.3748/wjg.v21.i1.102

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  • FMT has been explored as a therapeutic strategy for a wide range of neurological disorders, including multiple sclerosis, epilepsy, ASD, Tourette syndrome, diabetic neuropathy, AD and PD, with promising preclinical and clinical data.

    “Following the successful use of FMT in the treatment of refractory or recurrent Clostridium difficile infection, several studies have been conducted to explore FMT as a therapeutic strategy for a wide range of neurological disorders, including multiple sclerosis, epilepsy, ASD, Tourette syndrome, diabetic neuropathy, AD and PD, with promising preclinical and clinical data [30,465,466,467,468].”
  • Case reports and animal models have revealed probable therapeutic effects of FMT in patients with severe multiple sclerosis, autism, multidrug-resistant organisms infections, and multiple organ dysfunction in critical patients.

    “Several case reports and animal models have also revealed the probable therapeutic effects of FMT in patients with severe multiple sclerosis, 41 autism, 42 multidrug-resistant organisms (MDRO) infections, 43 and multiple organ dysfunction in critical patients.44”

    From Fecal microbiota transplantation: Review and update (2019) · cites this paper as [41]

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Authors
Xu, M.-Q.
Venue
World Journal of Gastroenterology
Published
2015
Volume
21
Issue
1
Pages
102
ISSN
1007-9327 (ISSN-L)
OpenAlex
W2085818382
Cited by
231
References
119
Citations by year
2026: 7 · 2025: 16 · 2024: 10 · 2023: 22 · 2022: 19 · 2021: 27 · 2020: 15 · 2019: 34 · 2018: 25 · 2017: 28 · 2016: 21 · 2015: 7
FWCI
2.62
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • World Journal of Gastroenterology (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • World Journal of Gastroenterology
Funders
  • National Natural Science Foundation of China (81470796, 81070283, 81300272)
  • Specialized Research Fund for the Doctoral Program of Higher Education of China
  • Tianjin Research Program of Application Foundation and Advanced Technology of China
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
Keywords
fecal microbiota transplantation, gut dysbiosis, metabolic syndrome, neuropsychiatric disorders, autoimmune disease, allergic diseases, cancer, Parkinson's disease, multiple sclerosis, idiopathic thrombocytopenic purpura, chronic fatigue syndrome, myoclonus-dystonia, insulin sensitivity, butyrate-producing bacteria, Clostridium difficile infection
MeSH terms
Animals, Biological Therapy, Feces, Humans, Intestinal Diseases, Intestines, Treatment Outcome, Host-Pathogen Interactions, Microbiota, Dysbiosis

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