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Disruption of the oral microbiota is associated with a higher risk of relapse after allogeneic hematopoietic stem cell transplantation
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Disruption of the oral microbiota is associated with a higher risk of relapse after allogeneic hematopoietic stem cell transplantation
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Journal Article
Disruption of the oral microbiota is associated with a higher risk of relapse after allogeneic hematopoietic stem cell transplantation
2021
Overview
Intestinal microbiota (IM) diversity and composition regulates host immunity and affects outcomes after allogeneic stem cell transplantation (allo-HSCT). We evaluated if the oral mucosa microbiota (OM) could impact the outcomes in patients who underwent allo-HSCT. Samples from the oral mucosa of 30 patients were collected at three time points: before the conditioning regimen, at aplasia, and at engraftment. We analyzed the associations of OM diversity and composition with allo-HSCT outcomes. Lower OM diversity at preconditioning was associated with a higher risk of relapse at 3 years (68% versus 33%, respectively;
P
= 0.04). Dominance (relative abundance ≥ 30%) by a single genus at preconditioning was also associated with a higher risk of relapse (63% versus 36% at 3 years, respectively;
P
= 0.04), as well as worse progression-free survival (PFS; 19% versus 55%, respectively;
P
= 0.01), and overall survival (OS) at 3 years (38% versus 81%, respectively;
P
= 0.02). In our study we observed that OM dysbiosis is associated with a higher risk of relapse and worse survival after allo-HSCT.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
/ Adult
/ Aged
/ Aplasia
/ Female
/ Hematopoietic Stem Cell Transplantation - adverse effects
/ Humanities and Social Sciences
/ Humans
/ Male
/ Mucosa
/ Neoplasm Recurrence, Local - epidemiology
/ Neoplasm Recurrence, Local - microbiology
/ Neoplasm Recurrence, Local - pathology
/ Science
