Fecal microbiota transplantation: present and future

Fecal microbiota transplantation (FMT) involves transplanting fecal matter from healthy donors into patients with gut dysbiosis to restore microbial balance. It has been proven to be highly effective in treating recurrent Clostridioides difficile infection (CDI), and United States Food and Drug Admi...

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Main Authors: Ra Ri Cha, Irene Sonu
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2025-05-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://e-ce.org/upload/pdf/ce-2024-270.pdf
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author Ra Ri Cha
Irene Sonu
author_facet Ra Ri Cha
Irene Sonu
author_sort Ra Ri Cha
collection DOAJ
description Fecal microbiota transplantation (FMT) involves transplanting fecal matter from healthy donors into patients with gut dysbiosis to restore microbial balance. It has been proven to be highly effective in treating recurrent Clostridioides difficile infection (CDI), and United States Food and Drug Administration-approved microbiome-based therapies, such as REBYOTA (fecal microbiota live-jslm) and VOWST (fecal microbiota spores live-brpk), offer promising treatment options. Although FMT is widely used to treat recurrent CDI, its use in gastrointestinal and metabolic diseases remains limited. Future research directions include optimizing donor selection, understanding microbial mechanisms, and exploring the potential of FMT for treating other diseases. Ongoing research not only aims to broaden its indications but also improves its safety and efficacy. Emerging therapies such as VE303 (Vedanta) are being studied to refine treatment approaches and expand the use of microbiota-based therapies. Further studies are needed to standardize guidelines, improve patient outcomes, and better define the role of FMT in the treatment of diseases beyond recurrent CDI.
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publishDate 2025-05-01
publisher Korean Society of Gastrointestinal Endoscopy
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spelling doaj-art-2642e3c344f7422da5ad99a39a9bb86e2025-08-20T03:16:21ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-05-0158335235910.5946/ce.2024.2707984Fecal microbiota transplantation: present and futureRa Ri Cha0Irene Sonu1 Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Jinju, Korea Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USAFecal microbiota transplantation (FMT) involves transplanting fecal matter from healthy donors into patients with gut dysbiosis to restore microbial balance. It has been proven to be highly effective in treating recurrent Clostridioides difficile infection (CDI), and United States Food and Drug Administration-approved microbiome-based therapies, such as REBYOTA (fecal microbiota live-jslm) and VOWST (fecal microbiota spores live-brpk), offer promising treatment options. Although FMT is widely used to treat recurrent CDI, its use in gastrointestinal and metabolic diseases remains limited. Future research directions include optimizing donor selection, understanding microbial mechanisms, and exploring the potential of FMT for treating other diseases. Ongoing research not only aims to broaden its indications but also improves its safety and efficacy. Emerging therapies such as VE303 (Vedanta) are being studied to refine treatment approaches and expand the use of microbiota-based therapies. Further studies are needed to standardize guidelines, improve patient outcomes, and better define the role of FMT in the treatment of diseases beyond recurrent CDI.http://e-ce.org/upload/pdf/ce-2024-270.pdf infectionfecal microbiota transplantationtherapeutics
spellingShingle Ra Ri Cha
Irene Sonu
Fecal microbiota transplantation: present and future
Clinical Endoscopy
infection
fecal microbiota transplantation
therapeutics
title Fecal microbiota transplantation: present and future
title_full Fecal microbiota transplantation: present and future
title_fullStr Fecal microbiota transplantation: present and future
title_full_unstemmed Fecal microbiota transplantation: present and future
title_short Fecal microbiota transplantation: present and future
title_sort fecal microbiota transplantation present and future
topic infection
fecal microbiota transplantation
therapeutics
url http://e-ce.org/upload/pdf/ce-2024-270.pdf
work_keys_str_mv AT raricha fecalmicrobiotatransplantationpresentandfuture
AT irenesonu fecalmicrobiotatransplantationpresentandfuture