Reduced microbial diversity in adult survivors of childhood acute lymphoblastic leukemia and microbial associations with increased immune activation
Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy. These late effects include chronic inflammation-related comorbidities such as obesity and type 2 diabetes, but the underlying cause is poorly...
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Published in | Microbiome Vol. 5; no. 1; p. 35 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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BioMed Central
20.03.2017
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Abstract | Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy. These late effects include chronic inflammation-related comorbidities such as obesity and type 2 diabetes, but the underlying cause is poorly understood.
We compared the anal microbiota composition of adult survivors of childhood ALL (N = 73) with healthy control subjects (N = 61). We identified an altered community with reduced microbial diversity in cancer survivors, who also exhibit signs of immune dysregulation including increased T cell activation and chronic inflammation. The bacterial community among cancer survivors was enriched for Actinobacteria (e.g. genus Corynebacterium) and depleted of Faecalibacterium, correlating with plasma concentrations of IL-6 and CRP and HLA-DR+CD4+ and HLA-DR+CD8+ T cells, which are established markers of inflammation and immune activation.
We demonstrated a relationship between microbial dysbiosis and immune dysregulation in adult ALL survivors. These observations suggest that interventions that could restore microbial diversity may ameliorate chronic inflammation and, consequently, development of late effects of childhood cancer survivors. |
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AbstractList | Background Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy. These late effects include chronic inflammation-related comorbidities such as obesity and type 2 diabetes, but the underlying cause is poorly understood. Results We compared the anal microbiota composition of adult survivors of childhood ALL (N = 73) with healthy control subjects (N = 61). We identified an altered community with reduced microbial diversity in cancer survivors, who also exhibit signs of immune dysregulation including increased T cell activation and chronic inflammation. The bacterial community among cancer survivors was enriched for Actinobacteria (e.g. genus Corynebacterium) and depleted of Faecalibacterium, correlating with plasma concentrations of IL-6 and CRP and HLA-DR+CD4+ and HLA-DR+CD8+ T cells, which are established markers of inflammation and immune activation. Conclusions We demonstrated a relationship between microbial dysbiosis and immune dysregulation in adult ALL survivors. These observations suggest that interventions that could restore microbial diversity may ameliorate chronic inflammation and, consequently, development of late effects of childhood cancer survivors. Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy. These late effects include chronic inflammation-related comorbidities such as obesity and type 2 diabetes, but the underlying cause is poorly understood.BACKGROUNDAdult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy. These late effects include chronic inflammation-related comorbidities such as obesity and type 2 diabetes, but the underlying cause is poorly understood.We compared the anal microbiota composition of adult survivors of childhood ALL (N = 73) with healthy control subjects (N = 61). We identified an altered community with reduced microbial diversity in cancer survivors, who also exhibit signs of immune dysregulation including increased T cell activation and chronic inflammation. The bacterial community among cancer survivors was enriched for Actinobacteria (e.g. genus Corynebacterium) and depleted of Faecalibacterium, correlating with plasma concentrations of IL-6 and CRP and HLA-DR+CD4+ and HLA-DR+CD8+ T cells, which are established markers of inflammation and immune activation.RESULTSWe compared the anal microbiota composition of adult survivors of childhood ALL (N = 73) with healthy control subjects (N = 61). We identified an altered community with reduced microbial diversity in cancer survivors, who also exhibit signs of immune dysregulation including increased T cell activation and chronic inflammation. The bacterial community among cancer survivors was enriched for Actinobacteria (e.g. genus Corynebacterium) and depleted of Faecalibacterium, correlating with plasma concentrations of IL-6 and CRP and HLA-DR+CD4+ and HLA-DR+CD8+ T cells, which are established markers of inflammation and immune activation.We demonstrated a relationship between microbial dysbiosis and immune dysregulation in adult ALL survivors. These observations suggest that interventions that could restore microbial diversity may ameliorate chronic inflammation and, consequently, development of late effects of childhood cancer survivors.CONCLUSIONSWe demonstrated a relationship between microbial dysbiosis and immune dysregulation in adult ALL survivors. These observations suggest that interventions that could restore microbial diversity may ameliorate chronic inflammation and, consequently, development of late effects of childhood cancer survivors. Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy. These late effects include chronic inflammation-related comorbidities such as obesity and type 2 diabetes, but the underlying cause is poorly understood. We compared the anal microbiota composition of adult survivors of childhood ALL (N = 73) with healthy control subjects (N = 61). We identified an altered community with reduced microbial diversity in cancer survivors, who also exhibit signs of immune dysregulation including increased T cell activation and chronic inflammation. The bacterial community among cancer survivors was enriched for Actinobacteria (e.g. genus Corynebacterium) and depleted of Faecalibacterium, correlating with plasma concentrations of IL-6 and CRP and HLA-DR+CD4+ and HLA-DR+CD8+ T cells, which are established markers of inflammation and immune activation. We demonstrated a relationship between microbial dysbiosis and immune dysregulation in adult ALL survivors. These observations suggest that interventions that could restore microbial diversity may ameliorate chronic inflammation and, consequently, development of late effects of childhood cancer survivors. |
ArticleNumber | 35 |
Author | Chua, Ling Ling Abdullah, Noor Kamila Loke, P’ng Azanan, Mohamad Shafiq Woo, Yin Ling Rajasuriar, Reena Ariffin, Hany Lee, Soo Ching Tang, Mei San Lim, Yvonne Ai Lian |
Author_xml | – sequence: 1 givenname: Ling Ling surname: Chua fullname: Chua, Ling Ling – sequence: 2 givenname: Reena surname: Rajasuriar fullname: Rajasuriar, Reena – sequence: 3 givenname: Mohamad Shafiq surname: Azanan fullname: Azanan, Mohamad Shafiq – sequence: 4 givenname: Noor Kamila surname: Abdullah fullname: Abdullah, Noor Kamila – sequence: 5 givenname: Mei San surname: Tang fullname: Tang, Mei San – sequence: 6 givenname: Soo Ching surname: Lee fullname: Lee, Soo Ching – sequence: 7 givenname: Yin Ling surname: Woo fullname: Woo, Yin Ling – sequence: 8 givenname: Yvonne Ai Lian surname: Lim fullname: Lim, Yvonne Ai Lian – sequence: 9 givenname: Hany surname: Ariffin fullname: Ariffin, Hany – sequence: 10 givenname: P’ng surname: Loke fullname: Loke, P’ng |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28320465$$D View this record in MEDLINE/PubMed |
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Keywords | Alpha diversity Microbiota dysbiosis Acute lymphoblastic leukemia Adult survivors of childhood cancer Immune activation Inflammation Microbiome |
Language | English |
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Snippet | Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation of therapy.... Background Adult survivors of childhood cancers such as acute lymphoblastic leukemia (ALL) have health problems that persist or develop years after cessation... |
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SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source |
StartPage | 35 |
SubjectTerms | Actinobacteria Actinobacteria - genetics Actinobacteria - isolation & purification Adolescent Adult Anal Canal - microbiology Bacteria - genetics Bacteria - isolation & purification Biodiversity Biomarkers C-Reactive Protein - analysis Cancer therapies CD4-Positive T-Lymphocytes CD8-Positive T-Lymphocytes Chemotherapy Childhood Corynebacterium Deoxyribonucleic acid Diabetes Diabetes Mellitus, Type 2 - etiology Disease DNA Dysbiosis Feces Genetic testing Healthy Volunteers HLA-DR Antigens Homeostasis Humans Immune response Immune system Inflammation Interleukin-6 - immunology Leukemia Lymphocyte Activation - immunology Lymphocytes T Metabolism Metabolites Microbiota Obesity - etiology Precursor Cell Lymphoblastic Leukemia-Lymphoma - complications Precursor Cell Lymphoblastic Leukemia-Lymphoma - immunology Precursor Cell Lymphoblastic Leukemia-Lymphoma - microbiology Surveillance Survivors Thermal cycling Transplants & implants Young Adult |
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Title | Reduced microbial diversity in adult survivors of childhood acute lymphoblastic leukemia and microbial associations with increased immune activation |
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