Fecal transplant: a safe and sustainable clinical therapy for restoring intestinal microbial balance in human disease?

A Vrieze, P F de Groot, R S Kootte, M Knaapen, E van Nood, M Nieuwdorp

Research output: Contribution to journalReview articleAcademicpeer-review

74 Citations (Scopus)

Abstract

Recent studies have suggested an association between intestinal microbiota composition and human disease, however causality remains to be proven. With hindsight, the application of fecal transplantation (FMT) does indeed suggest a causal relation between interfering with gut microbiota composition and a resultant cure of several disease states. In this review, we aim to show the available evidence regarding the involvement of intestinal microbiota and human (autoimmune) disease. Moreover, we refer to (mostly case report) studies showing beneficial or adverse effects of fecal transplantation on clinical outcomes in some of these disease states. If these findings can be substantiated in larger randomized controlled double blind trials also implementing gut microbiota composition before and after intervention, fecal transplantation might provide us with novel insights into causally related intestinal microbiota, that might be serve as future diagnostic and treatment targets in human disease.

Original languageEnglish
Pages (from-to)127-37
Number of pages11
JournalBailliere's Best Practice and Research in Clinical Gastroenterology
Volume27
Issue number1
DOIs
Publication statusPublished - Feb 2013
Externally publishedYes

Bibliographical note

Copyright © 2013 Elsevier Ltd. All rights reserved.

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