Fecal Microbiota and Human Intestinal Fluid Transplantation: Methodologies and Outlook

Ye Chen1, Lin Zhiliang1, Cui Jiaqu1

  • 1Department of Colorectal Disease Specialty, Clinical Research Center for Digestive Diseases, The Tenth People's Hospital, Tongji University, Shanghai, China.

Insights

Human intestinal fluid transplantation (HIFT) is a novel therapy for small intestinal diseases, addressing limitations of fecal microbiota transplantation (FMT). HIFT utilizes processed intestinal fluid to restore gut microecology, with ongoing clinical studies validating its safety and efficacy.

Area of Science:

  • Microbiology
  • Gastroenterology
  • Transplantation Medicine

Background:

  • Fecal microbiota transplantation (FMT) is an established therapy for modulating gut microecology.
  • FMT efficacy is limited in small intestinal diseases due to unique microbial characteristics.
  • A novel approach is needed to address the microecological challenges in the small intestine.

Purpose of the Study:

  • To introduce human intestinal fluid transplantation (HIFT) as a new therapeutic strategy.
  • To describe the methodology for HIFT preparation and administration.
  • To outline the development of a HIFT preparation system and clinical validation studies.

Main Methods:

  • Human intestinal fluid collected via nasojejunal tube.
  • Preparation of intestinal fluid into capsules using freeze-dried powder.
  • Establishment of strict donor screening and management standards.
  • Development of a high-standard HIFT preparation system.
  • Conducting clinical studies to assess HIFT safety and efficacy.

Main Results:

  • Human intestinal fluid transplantation (HIFT) is proposed as a novel therapy.
  • HIFT preparation involves collection, freeze-drying, and encapsulation of intestinal fluid.
  • Rigorous donor screening and management protocols are implemented.
  • Clinical studies are underway to evaluate HIFT's safety and efficacy.
  • HIFT aims to complement FMT for comprehensive microecological restoration.

Conclusions:

  • Human intestinal fluid transplantation (HIFT) offers a promising alternative for small intestinal diseases.
  • HIFT addresses the limitations of FMT in unique small intestinal environments.
  • Ongoing research focuses on optimizing HIFT preparation and clinical application.
  • HIFT, potentially combined with FMT, seeks to improve treatment outcomes for intestinal disorders.