Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children

Background: Although the role of fungi in gut inflammation in IBD has been suggested, data are still limited in ulcerative colitis (UC). Our aim was to describe the gut fungal profile in a pediatric UC in Saudi Arabia. Methods: Fecal samples from children with UC and control samples provided by heal...

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Main Authors: Mohammad El Mouzan, Abdulaziz Al Quorain, Asaad Assiri, Abdullah Almasoud, Badr Alsaleem, Ahmed Aladsani, Ahmed Al Sarkhy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:https://journals.lww.com/10.4103/sjg.sjg_221_24
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author Mohammad El Mouzan
Abdulaziz Al Quorain
Asaad Assiri
Abdullah Almasoud
Badr Alsaleem
Ahmed Aladsani
Ahmed Al Sarkhy
author_facet Mohammad El Mouzan
Abdulaziz Al Quorain
Asaad Assiri
Abdullah Almasoud
Badr Alsaleem
Ahmed Aladsani
Ahmed Al Sarkhy
author_sort Mohammad El Mouzan
collection DOAJ
description Background: Although the role of fungi in gut inflammation in IBD has been suggested, data are still limited in ulcerative colitis (UC). Our aim was to describe the gut fungal profile in a pediatric UC in Saudi Arabia. Methods: Fecal samples from children with UC and control samples provided by healthy school children were collected. The fungal DNA was analyzed using Shotgun metagenomic procedures. Shannon alpha diversity, beta diversity, differential abundance, random forest classification algorithm, and area under the curve were analyzed. Results: There were 20 children with UC and 20 healthy school children. The median age and range were 13 (0.5–21) and 13 (7–16) years for children with UC and controls, respectively. Male subjects were 40% and 35% for UC and controls, respectively. At diagnosis, the UC extent was E4 (38%); E3 (25%); E2 (37%) and 35% had a PUCAI ≥65. The reduction of alpha diversity and the significant dissimilarity in children with UC were similar to those of most published studies. However, a significant difference was found at all taxa levels with a remarkable enhancement of Candida genus and Saccharomyces cerevisiae in children with UC. Three species were identified as fungal signatures and an area under the curve of 98.4% (95.1–100% CI), indicating an association with UC that has not been reported thus far. Conclusion: We report significant fungal dysbiosis in children with UC consistent with published literature. However, the report of potential fungal signature and a strong association with UC deserves further studies with a bigger sample size from other populations.
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1998-4049
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series The Saudi Journal of Gastroenterology
spelling doaj-art-a0a39b330eaa4555962ebb38d2ee7aaf2025-08-20T02:47:09ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492025-01-01311283310.4103/sjg.sjg_221_24Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi childrenMohammad El MouzanAbdulaziz Al QuorainAsaad AssiriAbdullah AlmasoudBadr AlsaleemAhmed AladsaniAhmed Al SarkhyBackground: Although the role of fungi in gut inflammation in IBD has been suggested, data are still limited in ulcerative colitis (UC). Our aim was to describe the gut fungal profile in a pediatric UC in Saudi Arabia. Methods: Fecal samples from children with UC and control samples provided by healthy school children were collected. The fungal DNA was analyzed using Shotgun metagenomic procedures. Shannon alpha diversity, beta diversity, differential abundance, random forest classification algorithm, and area under the curve were analyzed. Results: There were 20 children with UC and 20 healthy school children. The median age and range were 13 (0.5–21) and 13 (7–16) years for children with UC and controls, respectively. Male subjects were 40% and 35% for UC and controls, respectively. At diagnosis, the UC extent was E4 (38%); E3 (25%); E2 (37%) and 35% had a PUCAI ≥65. The reduction of alpha diversity and the significant dissimilarity in children with UC were similar to those of most published studies. However, a significant difference was found at all taxa levels with a remarkable enhancement of Candida genus and Saccharomyces cerevisiae in children with UC. Three species were identified as fungal signatures and an area under the curve of 98.4% (95.1–100% CI), indicating an association with UC that has not been reported thus far. Conclusion: We report significant fungal dysbiosis in children with UC consistent with published literature. However, the report of potential fungal signature and a strong association with UC deserves further studies with a bigger sample size from other populations.https://journals.lww.com/10.4103/sjg.sjg_221_24ibdmycobiomesaudichildrenulcerative colitis
spellingShingle Mohammad El Mouzan
Abdulaziz Al Quorain
Asaad Assiri
Abdullah Almasoud
Badr Alsaleem
Ahmed Aladsani
Ahmed Al Sarkhy
Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children
The Saudi Journal of Gastroenterology
ibd
mycobiome
saudi
children
ulcerative colitis
title Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children
title_full Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children
title_fullStr Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children
title_full_unstemmed Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children
title_short Gut fungal profile in new onset treatment-naïve ulcerative colitis in Saudi children
title_sort gut fungal profile in new onset treatment naive ulcerative colitis in saudi children
topic ibd
mycobiome
saudi
children
ulcerative colitis
url https://journals.lww.com/10.4103/sjg.sjg_221_24
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