Gut Microbiota in Health, Diverticular Disease, Irritable Bowel Syndrome, and Inflammatory Bowel Diseases: Time for Microbial Marker of Gastrointestinal Disorders?

Eleonora Gaetani, Francesco Franceschi, Giovanni Cammarota, Maurizio Sanguinetti, Luca Masucci, Franco Scaldaferri, Antonio Gasbarrini, Loris Riccardo Lopetuso, Valentina Petito, Cristina Graziani, Elisa Schiavoni, Francesco Paroni Sterbini, Andrea Poscia

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Few data exist on differences in gut microbiota composition among principal gastrointestinal (GI) diseases. We evaluated the differences in gut microbiota composition among uncomplicated diverticular disease (DD), irritable bowel syndrome (IBS) and inflammatory bowel diseases (IBD) patients. DD, IBS, and IBD patients along with healthy controls (CT) were enrolled in our Italian GI outpatient clinic. Stool samples were collected. Microbiota composition was evaluated through a metagenomic gene-targeted approach. GI pathology represented a continuous spectrum of diseases where IBD displayed one extreme, while CT displayed the other. Among Phyla, Biplot PC2/PC3 and dendogram plot showed major differences in samples from IBS and IBD. DD resembled species CT composition, but not for Bacteroides fragilis. In IBS, Dialister spp. and then Faecalibacterium prausnitzii were the most representative species. Ulcerative colitis showed a reduced concentration of Clostridium difficile and an increase of Bacteroides fragilis. In Crohn's disease, Parabacteroides distasonis was the most represented, while Faecalibacterium prausnitzii and Bacteroides fragilis were significantly reduced. Each disorder has its definite overall microbial signature, which produces a clear differentiation from the others. On the other hand, shared alterations constitute the "core dysbiosis" of GI diseases. The assessment of these microbial markers represents a parameter that may complete the diagnostic assessment.
Original languageEnglish
Pages (from-to)N/A-N/A
JournalDigestive Diseases
DOIs
Publication statusPublished - 2017

Keywords

  • Crohn’s disease
  • Diverticular disease
  • Gut Microbiota
  • Irritable bowel syndrome
  • Ulcerative colitis

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