Organ transplantation and gut microbiota: current reviews and future challenges

Jie Xiao1,2, Zhao Peng3,4, Yuxiao Liao3,4

  • 1Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, Hubei, China.

Insights

Gut microbiota alterations impact organ transplant outcomes. Novel therapies like fecal microbiota transplantation (FMT), probiotics, and prebiotics show promise for improving post-transplant health and prognosis.

Area of Science:

  • Microbiology
  • Immunology
  • Transplantation Science

Background:

  • Organ transplantation is a critical treatment for end-stage organ failure.
  • Post-transplantation complications pose significant health risks.
  • The gut microbiota plays a vital role in host health, including immune regulation and metabolism.

Purpose of the Study:

  • To review the relationship between gut microbiota and organ transplantation.
  • To explore the potential of novel therapies like fecal microbiota transplantation (FMT), probiotics, and prebiotics in post-transplant care.
  • To suggest future research directions in this field.

Main Methods:

  • Literature review of studies investigating gut microbiota in organ transplant patients.
  • Analysis of research on the functions of the intestinal microbiome.
  • Examination of emerging therapeutic strategies such as FMT, probiotics, and prebiotics.

Main Results:

  • Significant alterations in the gut microbiome are observed in organ transplant recipients compared to pre-transplant states.
  • The gut microbiota influences various host functions crucial for transplant success.
  • Fecal microbiota transplantation (FMT), probiotics, and prebiotics have demonstrated efficacy in other diseases and may be applicable to transplantation.

Conclusions:

  • Gut microbiota composition is altered after organ transplantation and may serve as a prognostic indicator.
  • Emerging therapies targeting the gut microbiota, including FMT, probiotics, and prebiotics, offer potential for improving transplant outcomes.
  • Further research is warranted to fully understand and leverage the gut microbiota in organ transplantation.

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