Fecal microbiota transplantation from patients into animals to establish human microbiota-associated animal models: a

Jakub Ruszkowski1, Zofia Kachlik2, Michał Walaszek2

  • 1Department of Nephrology, Transplantology and Internal Medicine, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland. jakub.ruszkowski@gumed.edu.pl.

Abstract

Insights

Fecal microbiota transplantation (FMT) in animal models successfully induces disease-specific gut microbiota alterations. Standardized methods are needed for future systematic reviews on gut health.

Area of Science:

  • Microbiology
  • Gastroenterology
  • Immunology

Background:

  • Fecal microbiota transplantation (FMT) from humans to animal models establishes causality between gut microbiota and disease.
  • This approach can induce or worsen specific pathophenotypes, linking gut microbial communities to health outcomes.

Purpose of the Study:

  • To conduct a scoping review of human noninfectious diseases studied via FMT in animal models.
  • To investigate FMT methodologies and assess the feasibility of systematic reviews on microbiota's role in diseases.

Main Methods:

  • Searched MEDLINE, EMBASE, Scopus, and Web of Science databases up to July 2024.
  • Identified studies using FMT in animal models for human noninfectious diseases.
  • Assessed FMT methodologies and reporting for systematic review feasibility.

Main Results:

  • Analyzed 489 studies, finding inflammatory bowel diseases, irritable bowel syndrome, obesity, colorectal cancer, and depression most studied.
  • Demonstrated high success rates (>80%) in inducing disease-specific alterations in intestinal barrier function, inflammation, immune parameters, and metabolites.
  • Commonly used C57BL/6 mice, oral gavage, and germ-free or antibiotic-pretreated recipients.

Conclusions:

  • Human-to-animal FMT studies are diverse but suffer from methodological heterogeneity and inconsistent reporting, hindering comparability.
  • Standardized protocols and guidelines are essential for future research and systematic reviews.
  • Sufficient literature exists for several conditions to conduct systematic reviews on the gut microbiota's role in human health.