Table 2.
Treatment | Microbiota Feature | Outcome |
---|---|---|
Allogeneic hematopoietic stem cell transplantation | Decontamination of gut anaerobes | Lower risk of GvHD [127,132] |
Decreased duodenal Paneth cells | Higher GI GvHD and NRM [148] | |
Low intestinal microbiota diversity | Higher TRM, lower OS and GvHD-related mortality [135,138] | |
Enterococcus spp. domination | Increased GI GvHD severity [145] Increased GvHD-related and overall mortality [146,157] Associated with blood stream infections [110,158] | |
Blautia abundance | Reduced GvHD-related mortality [136] | |
Clostridia spp. depletion | Increased GvHD [150] | |
Barnesiella spp. abundance | Protection against Enterococcus domination [159] | |
Akkermansia muciniphila domination | Mucus degradation [128] | |
Lactobacillales domination | Associated with GvHD development [140] | |
Eubacterium limosum abundance | Lower risk of relapse or progression, higher OS [90] | |
Picobirnivirus presence | Severe GI GvHD [160] | |
Lower urinary 3-indoxyl sulfate | Higher risk of GvHD, higher TRM, lower OS, higher dysbiosis [145,155] | |
Autologous stem cell transplantation | Reduction in diversity index and an increased dominance index | Development of mucositis [161] |
Decreased in Firmicutes and Actinobacteria and increased in Proteobacteria | Development of GI mucositis [161] | |
Chemotherapy | Baseline levels of Porphyromonadaceae | Predictor of infection during induction for acute myeloid leukemia [162] |
Relative abundance of E hallii | Higher negative minimal residual disease rate in bone marrow for multiple myeloma [163] | |
CAR T-cell therapy | Oscillospiraceae, Ruminococcacaeae and Lachnospiraceae enriched | Association with complete remission after CAR T cell therapy [164] |
Higher abundance of Lachnospiraceae | Development of cytokine release syndrome and/or neurotoxicity [164] |
GI gastrointestinal; GvHD graft versus host disease; NRM no-relapse mortality; OS overall survival; TRM, transplant-related mortality.