Limited predictive value of the gut microbiome and metabolome for response to biological therapy in inflammatory bowel disease
Prins, Femke M; Hidding, Iwan J; Klaassen, Marjolein A Y; Collij, Valerie; Schultheiss, Johannes P D; Uniken Venema, Werna T C; Bangma, Amber; Aardema, Jurne B; Jansen, Bernadien H; Mares, Wout G N; Witteman, Ben J M; Festen, Eleonora A M; Dijkstra, Gerard; Visschedijk, Marijn C; Fidder, Herma H; Vich Vila, Arnau; Oldenburg, Bas; Gacesa, Ranko; Weersma, Rinse K
(2024) Gut Microbes, volume 16, issue 1
(Article)
Abstract
Emerging evidence suggests the gut microbiome's potential in predicting response to biologic treatments in patients with inflammatory bowel disease (IBD). In this prospective study, we aimed to predict treatment response to vedolizumab and ustekinumab, integrating clinical data, gut microbiome profiles based on metagenomic sequencing, and untargeted fecal metabolomics. We aimed
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to identify predictive biomarkers and attempted to replicate microbiome-based signals from previous studies. We found that the predictive utility of the gut microbiome and fecal metabolites for treatment response was marginal compared to clinical features alone. Testing our identified microbial ratios in an external cohort reinforced the lack of predictive power of the microbiome. Additionally, we could not confirm previously published predictive signals observed in similar sized cohorts. Overall, these findings highlight the importance of external validation and larger sample sizes, to better understand the microbiome's impact on therapy outcomes in the setting of biologicals in IBD before potential clinical implementation.
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Keywords: Gastrointestinal Microbiome/drug effects, Humans, Inflammatory Bowel Diseases/drug therapy, Metabolome/drug effects, Ustekinumab/therapeutic use, Prospective Studies, Antibodies, Monoclonal, Humanized/therapeutic use, Feces/microbiology, Female, Male, Adult, Biological Therapy/methods, Treatment Outcome, Middle Aged, Bacteria/genetics, Biomarkers/analysis, Journal Article
ISSN: 1949-0976
Publisher: Landes Bioscience
(Peer reviewed)