Table 6.
Clinical studies examining the microbiota as a biomarker for HCT outcomes*
Microbiota Feature | Association | Sample size |
References |
---|---|---|---|
Sustained decontamination of gut anaerobes | Lower risk of GVHD | 194 | Beelen, 199227 |
Decontamination of gut anaerobes | Lower risk of GVHD | 134 | Beelen, 199922 |
Intestinal monodomination by Enterococcus and Proteobacteria | Higher risk of bacteremia and intestinal GVHD | 94 | Taur, 201245 |
Intestinal monodomination, especially by Enterococcus | Higher risk of bacteremia and intestinal GVHD | 31 | Holler, 20143 |
Decreased duodenal Paneth cell counts at GVHD | Higher GI GVHD severity, lower GVHD treatment response, and higher NRM** | 142 | Levine, 201346 |
Low intestinal microbiota diversity | Lower OS, higher TRM | 80 | Taur, 20141 |
Lower urinary 3-indoxyl sulfate | Higher intestinal microbiota dysbiosis, higher risk of GVHD | 31 | Holler, 20143 |
Lower urinary 3-indoxyl sulfate | Higher intestinal microbiota dysbiosis, higher TRM, lower OS | 131 | Weber, 201547 |
Higher fecal Blautia abundance | Lower GVHD-related mortality, higher OS | 115 | Jenq, 201548 |
Higher abundance or presence of a cluster of bacteria including Eubacterium limosum in fecal microbiota | Lower risk of relapse or progression of disease, higher OS | 541 | Peled, 20172 |
Higher gradient of positively to negatively correlated organisms at neutrophil recovery | Higher risk of severe acute GVHD | 66 | Golob, 201749 |
Picobirnivirus presence | Severe GI GVHD | 44 | Legoff, 201750 |
All studies are observational except Beelen, 1999
NRM=non-relapse mortality