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Microbiota dysbiosis after high-dose melphalan and autologous hematopoietic cell transplantation in multiple myeloma

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Fig. 1: Gut microbiota diversity during transplantation period.

References

  1. Peled JU, Gomes ALC, Devlin SM, Littmann ER, Taur Y, Sung AD, et al. Microbiota as predictor of mortality in allogeneic hematopoietic-cell transplantation. N Engl J Med. 2020;382:822–34. https://doi.org/10.1056/NEJMoa1900623.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Khan N, Lindner S, Gomes ALC, Devlin SM, Shah G, Sung AD, et al. Fecal microbiota diversity disruption and clinical outcomes after auto-HCT: a multicenter observational study. Blood. 2020. https://doi.org/10.1182/blood.2020006923.

  3. Rashidi A, Ebadi M, Rehman TU, Elhusseini H, Halaweish HF, Kaiser T, et al. Lasting shift in the gut microbiota in patients with acute myeloid leukemia. Blood Adv. 2022;6:3451–7. https://doi.org/10.1182/bloodadvances.2021006783.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Garzón Herazo JR, Muñoz Velandia OM, Solano JC, Molina Pimienta L, Figueroa Lemus WJ. The nutrition risk index is associated with bacteremia within 30 days after autologous stem cell transplantation in patients with multiple myeloma. Transpl Infect Dis. 2020;22:e13302 https://doi.org/10.1111/tid.13302.

    Article  CAS  PubMed  Google Scholar 

  5. Shah UA, Maclachlan KH, Derkach A, Salcedo M, Barnett K, Caple J, et al. Sustained minimal residual disease negativity in multiple myeloma is associated with stool butyrate and healthier plant-based diets. Clin Cancer Res. 2022;28:5149–55. https://doi.org/10.1158/1078-0432.Ccr-22-0723.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Pianko MJ, Devlin SM, Littmann ER, Chansakul A, Mastey D, Salcedo M, et al. Minimal residual disease negativity in multiple myeloma is associated with intestinal microbiota composition. Blood Adv. 2019;3:2040–4. https://doi.org/10.1182/bloodadvances.2019032276.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Malard F, Gaugler B, Mohty M. Faecal microbiota transplantation in patients with haematological malignancies undergoing cellular therapies: from translational research to routine clinical practice. Lancet Haematol. 2022;9:e776–e785. https://doi.org/10.1016/s2352-3026(22)00223-x.

    Article  CAS  PubMed  Google Scholar 

  8. Malard F, Vekhoff A, Lapusan S, Isnard F, D’incan-Corda E, Rey J, et al. Gut microbiota diversity after autologous fecal microbiota transfer in acute myeloid leukemia patients. Nat Commun. 2021;12:3084 https://doi.org/10.1038/s41467-021-23376-6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Taur Y, Coyte K, Schluter J, Robilotti E, Figueroa C, Gjonbalaj M, et al. Reconstitution of the gut microbiota of antibiotic-treated patients by autologous fecal microbiota transplant. Sci Transl Med. 2018;10. https://doi.org/10.1126/scitranslmed.aap9489.

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Acknowledgements

The authors acknowledge the « af3m, Association Française des Malades du Myélome Multiple » and the « IFM, Intergroupe Francophone du Myélome » for their support. The authors acknowledge the “Tumorothèque” of the Clinical Haematology Department at Saint-Antoine hospital for logistical support for handling of samples. The authors acknowledge the Association for Training, Education and Research in Hematology, Immunology and Transplantation for the generous and continuous support of the research work. We thank our nursing staff for offering the best care to our patients.

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FM designed the study, recruited patients, performed experimental work, collected, assembled and analyzed data, and wrote and revised the manuscript. GB recruited patients, collected and assembled data, and helped write the manuscript. BG, LS, NS and LR, performed experimental work, collected, assembled, analyzed data, and helped write the manuscript. ZW, ABo, RD, ABa and EB recruited patients, collected data and helped write the manuscript. MM designed the study, supervised research, analyzed data and helped write the manuscript.

Corresponding author

Correspondence to Florent Malard.

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Competing interests

FM reports lecture honoraria from, Therakos/Mallinckrodt, Janssen, Sanofi, JAZZ Pharmaceuticals, Gilead, Novartis, and Bristol Myers Squibb, all outside the submitted work. MM reports grants and lecture honoraria from Janssen, Sanofi, Maat Pharma and JAZZ Pharmaceuticals, lecture honoraria from Celgene, Amgen, BMS, Takeda, and Pfizer, grants from Roche, all outside the submitted work. The other authors declare no competing financial interests. RD reports research funding from Ligue contre le Cancer, Arthur Sachs, Monahan Foundation, Servier Foundation, Philippe Foundation, DCP AP-HP, honoraria from Novartis and Takeda, non-financial support from Kite Pharma/Gilead, all outside the submitted work.

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Malard, F., Battipaglia, G., Gaugler, B. et al. Microbiota dysbiosis after high-dose melphalan and autologous hematopoietic cell transplantation in multiple myeloma. Bone Marrow Transplant 58, 1275–1278 (2023). https://doi.org/10.1038/s41409-023-02078-1

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