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Characterization of Stool Virome in Children Newly Diagnosed With Moderate to Severe Ulcerative Colitis
Rafal Tokarz1, Jeffrey S Hyams2, David R Mack3
1Center for Infection and Immunity, Mailman School of Public Health, Columbia University, NY, USA.
Insights
This study found no link between viral infections and the onset of pediatric ulcerative colitis (UC). Virus presence in stool did not correlate with UC development or disease severity in children.
Area of Science:
- Gastroenterology
- Virology
- Pediatric Health
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- Viral infections are hypothesized as potential triggers for UC onset.
Purpose of the Study:
- To investigate the association between viral infections and the onset of pediatric ulcerative colitis (UC).
- To analyze the stool virome in children with newly diagnosed UC using high-throughput sequencing.
Main Methods:
- Employed VirCapSeq-Vert, a high-throughput sequencing virus capture platform.
- Examined stool samples from children with moderate to severe UC at presentation and after remission.
- Included a control group of children diagnosed with irritable bowel syndrome.
Main Results:
- A wide range of animal viruses were detected, belonging to 12 viral families.
- Viruses were present in 50% of UC samples at presentation and 40% of control samples.
- The UC cohort showed a higher prevalence of anelloviruses, but no single virus was linked to UC onset or severity.
Conclusions:
- The presence of viruses in stool is not associated with the onset of pediatric ulcerative colitis.
- No specific virus was identified as a causative agent for UC in children.
Background:
Viral infections have been suggested as possible triggers for the onset of ulcerative colitis (UC).
Methods:
We employed VirCapSeq-Vert, a high-throughput sequencing virus capture platform, to examine the stool virome of children with newly diagnosed moderate to severe UC. We surveyed fecal samples collected at presentation, after symptom remission, and from a control group diagnosed with irritable bowel syndrome.
Results:
Seventy subjects with UC (mean age 13 years, 45 had moderate symptoms, 25 had severe, 69 of 70 had a Mayo endoscopy subscore 2/3) were studied. We detected a wide range of animal viruses that were taxonomically classified into 12 viral families. A virus was present in 50% of fecal samples collected at presentation, 41% of samples collected after remission, and 40% of samples in our control group. The most frequently identified viruses were diet-based gyroviruses. The UC cohort had a significantly higher prevalence of anelloviruses compared with the control cohort. However, we did not identify a single virus that can be implicated in the onset of UC and did not find an association between UC disease severity and viral presence.
Conclusion:
Presence of virus in stool was not associated with the onset of pediatric UC.
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