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. 2021 Jan 20;22(3):1026. doi: 10.3390/ijms22031026

Table 2.

Summary of outcomes induced by type of treatment and microbiota disruption in humans.

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.