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Fecal Microbiota Transplantation for refractory immune checkpoint inhibitor-associated colitis

Ying-Hong Wang, Diana H. Wiesnoski, Beth A. Helmink, V. Gopalakrishnan, Kati Choi, H. Dupont, Zhi-Dong Jiang, Hamzah Abu-Sbeih et al.

Nature Medicine, 2018

663 citations

Abstract

We report the first case series of immune checkpoint inhibitors (ICI)-associated colitis successfully treated with fecal microbiota transplantation, with reconstitution of the gut microbiome and a relative increase in the proportion of regulatory T-cells within the colonic mucosa. These preliminary data provide evidence that modulation of the gut microbiome may abrogate ICI-associated colitis. Preliminary evidence from two cases suggests that fecal microbiota transplantation may provide a viable treatment option for a severe adverse effect of immune checkpoint blockade therapy in patients with cancer.

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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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