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September 10, 2026EBioMedicineOpen Access

A functional immune-based platform for donor-recipient matching in faecal microbiota transplantation for inflammatory bowel disease

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Authors

CAChiara AmorosoFSFrancesco StratiPMPaola Maragno

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Overview

Ex vivo proof-of-concept study reveals individualized immune responses to donor microbiota in inflammatory bowel disease, suggesting personalized matching could optimize transplant efficacy.

Key Points

  • To determine whether recipient-specific immune responses to donor microbiota can be used to establish a personalized donor-recipient matching strategy for fecal microbiota transplantation in inflammatory bowel disease.
  • Developed an ex vivo proof-of-concept assay termed the Gut Microbiota-Leukocyte Reaction (GMLR).
  • Exposed lamina propria mononuclear cells isolated from intestinal biopsies of recipients with inflammatory bowel disease to healthy donor microbiota and measured disease-associated cytokines.
  • Donor microbiota segregated into distinct clusters with differential immune signatures, significantly inducing IL-22 (p = 0.033) and showing a non-significant trend toward IL-17 reduction (p = 0.054).
  • Immune responses demonstrated substantial inter-patient variability across recipients, which enabled the generation of an algorithmic scoring framework to prioritize compatible donor-recipient pairs.

Cite This Study

Amoroso et al. (2026) studied this question.

synapsesocial.com/papers/6aa27a5658559d80afc72eb8https://doi.org/10.1016/j.ebiom.2026.106475
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