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@ARTICLE{Svaina:1005757,
author = {Svačina, Martin K. R. and Sprenger-Svačina, Alina and
Tsakmaklis, Anastasia and Rüb, Alina M. and Klein, Ines and
Wüstenberg, Hauke and Fink, Gereon R. and Lehmann, Helmar
C. and Vehreschild, Maria J. G. T. and Farowski, Fedja},
title = {{T}he gut microbiome in intravenous
immunoglobulin‐treated chronic inflammatory demyelinating
polyneuropathy},
journal = {European journal of neurology},
volume = {30},
number = {11},
issn = {1351-5101},
address = {Oxford [u.a.]},
publisher = {Wiley-Blackwell},
reportid = {FZJ-2023-01611},
pages = {3551-3556},
year = {2023},
abstract = {AbstractBackground and purpose: The gut microbiome is
involved in autoimmunity. Data on its composition in chronic
inflammatory demyelinating polyneuropathy (CIDP), the most
common chronic autoimmune disorder of peripheral nerves, are
currently lacking.Methods: In this monocentric exploratory
pilot study, stool samples were prospectively collected from
16 CIDP patients (mean age 58 ± 10 years, $25\%$ female)
before and 1 week after administration of intravenous
immunoglobulin (IVIg). Gut microbiota were analyzed via
bacterial 16S rRNA gene sequencing and compared to 15
age-matched healthy subjects (mean age 59 ± 15 years,
$66\%$ female).Results: The gut microbiota of CIDP patients
showed an increased alpha-diversity (p = 0.005) and
enrichment of Firmicutes, such as Blautia (p = 0.0004),
Eubacterium hallii (p = 0.0004), or Ruminococcus torques (p
= 0.03), and of Actinobacteriota (p = 0.03) compared to
healthy subjects. IVIg administration did not alter the gut
microbiome composition in CIDP in this short-term
observation (p = 0.95).Conclusions: The gut microbiome in
IVIg-treated CIDP shows distinct features, with increased
bacterial diversity and enrichment of short-chain fatty acid
producing Firmicutes. IVIg had no short-term impact on the
gut microbiome in CIDP patients. As the main limitation of
this exploratory pilot study was small cohort size, future
studies also including therapy-naïve patients are warranted
to verify our findings and to explore the impact of
long-term IVIg treatment on the gut microbiome in
CIDP.Keywords: autoimmunity; firmicutes; immune
neuropathies; intestinal barrier; short-chain fatty acids
(SCFA).},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5251 - Multilevel Brain Organization and Variability
(POF4-525)},
pid = {G:(DE-HGF)POF4-5251},
typ = {PUB:(DE-HGF)16},
pubmed = {36651357},
UT = {WOS:000925036100001},
doi = {10.1111/ene.15679},
url = {https://juser.fz-juelich.de/record/1005757},
}