Paediatric Inflammatory Bowel Disease and its Relationship with the Microbiome

Rachel S Fitzgerald1,2, Ian R Sanderson3, Marcus J Claesson4,5

  • 1School of Microbiology, University College Cork, Cork, Ireland.

Microbial Ecology
|March 5, 2021
PubMed

Insights

Pediatric inflammatory bowel disease (IBD) involves gut microbiome alterations, with reduced diversity and altered bacterial composition observed in children with IBD. These changes may extend to other biomes, offering insights into disease development.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Pediatrics

Background:

  • Pediatric inflammatory bowel disease (IBD), encompassing Crohn's disease (CD) and ulcerative colitis (UC), is a growing global health concern.
  • While genetics and environment are implicated, the role of the gut microbiome in IBD pathogenesis is increasingly recognized.
  • The pediatric IBD microbiome exhibits distinct differences compared to healthy children.

Purpose of the Study:

  • To review current research on the role of the microbiome and other biomes in pediatric IBD.
  • To investigate microbiome alterations associated with IBD, disease states, and therapeutic interventions.
  • To explore potential connections between biome changes and the etiology of pediatric IBD.

Main Methods:

  • Literature review of studies investigating the microbiome in pediatric IBD patients.
  • Analysis of research focusing on gut bacteria composition and diversity in relation to IBD.
  • Examination of studies exploring other biomes (virome, mycobiome) in pediatric IBD.

Main Results:

  • The pediatric IBD microbiome shows significantly decreased diversity and altered bacterial composition, including a reduction in Firmicutes, compared to healthy controls.
  • Microbiome changes are associated with various IBD treatments and disease severity.
  • Alterations in diversity and composition may also affect the virome and mycobiome in pediatric IBD.

Conclusions:

  • The pediatric gut microbiome is significantly altered in children with IBD.
  • Understanding biome differences in pediatric IBD is crucial for advancing knowledge of disease etiology.
  • Further research into the microbiome and other biomes holds promise for improving IBD management and treatment strategies.

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