Microbial signatures in post-infectious irritable bowel syndrome--toward patient stratification for improved diagnostics and treatment

Gut Microbes. 2015;6(6):364-9. doi: 10.1080/19490976.2015.1096486.

Abstract

Irritable bowel syndrome (IBS) is a multifactorial and heterogeneous disorder estimated to affect over 10% of the Western population. A subset of the patients reports the start of the disease after an episode of gastroenteritis. The alterations in the intestinal microbiota of the post-infectious IBS (PI-IBS) patients were recently investigated in a British cohort and shown to differentiate from the healthy controls and resemble that of diarrhea-predominant IBS (IBS-D) patients. The altered 27 genus-like groups created a microbial signature, which could be used to objectively stratify patients and healthy controls. In this addendum, we combine the microbiota data derived from the British cohort with that of a recently reported Swedish PI-IBS cohort. Remarkably, robust and reproducible microbiota signatures were observed in these PI-IBS patients. We discuss these results with attention on the emerging role of microbiota in the classification, development and treatment of PI-IBS.

Keywords: IMD; PI-IBS; irritable bowel syndrome; microbiota.

MeSH terms

  • Feces / microbiology
  • Gene Expression
  • Humans
  • Intestinal Mucosa / metabolism
  • Irritable Bowel Syndrome / diagnosis
  • Irritable Bowel Syndrome / genetics
  • Irritable Bowel Syndrome / microbiology*
  • Irritable Bowel Syndrome / therapy
  • Microbiota