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Intestinal Microbiota and Relapse After Allo-HCT

J Clin Oncol; ePub 2017 Mar 15; Peled, et al

The rich presence of a specific bacteria in intestinal flora was linked with improved relapse/progression of disease after allo-HCT, according to a retrospective discovery-validation cohort study involving 541 individuals.

Investigators analyzed the intestinal microbiota of participants admitted for allo-HCT. They looked at the link between microbiota and disease relapse/progression during 2 years of follow-up. Among the results:

  • Higher abundance of bacteria made up primarily of Eubacterium limosum was linked with a decreased risk of disease relapse/progression.
  • In patients without the bacteria, 2-year relapse/progression rate was ~34%, vs 20% in those with the bacteria.
  • These links were strongest in recipients of T-cell–replete allografts.

The authors concluded that presence of the bacteria might serve as a potential biomarker to prevent relapse and improve survival.

Citation:

Peled J, Devlin S, Staffas A, et al. Intestinal microbiota and relapse after hematopoietic-cell transplantation. [Published online ahead of print March 15, 2017]. J Clin Oncol. doi:10.1200/JCO.2016.70.3348.