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Paper

Airway Microbiota Determines Innate Cell Inflammatory or Tissue Remodeling Profiles in Lung Transplantation

Evidence level: observational study with laboratory assays; abstract-only

In lavage samples from 112 lung transplant recipients, airway bacterial communities aligned with macrophage inflammatory or remodelling gene profiles.

As of . Primary source: Publisher record via DOI.

Summary

The study isolated microbiota DNA and host RNA from 203 bronchoalveolar lavage samples from 112 patients after lung transplantation, determined the bacterial composition by 16S ribosomal RNA analysis, and measured macrophage-related gene expression. According to the abstract, a balanced community of pro-inflammatory (for example Staphylococcus and Pseudomonas) and low-stimulatory bacteria (for example Prevotella and Streptococcus) was linked to non-polarised activation, whereas inflammatory and remodelling profiles were linked to bacterial dysbiosis. Laboratory assays provided direct evidence that dysbiosis could lead to inflammatory or remodelling profiles in macrophages. The authors suggest that crosstalk between bacteria and innate immune cells may determine graft function. CLAD is named as the long-term outcome of concern, but the abstract does not report CLAD outcomes.

Details

doi
10.1164/rccm.201512-2424oc
pmid
27248293
authors
Bernasconi E, Pattaroni C, Koutsokera A, Pison C, Kessler R, Benden C, Soccal PM, Magnan A, Aubert JD, Marsland BJ, Nicod LP
journal
American Journal of Respiratory and Critical Care Medicine
year
2016
volume
194
issue
10
pages
1252-1263

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Information resource only. Not medical advice. Not a substitute for the care of the patient's transplant team.