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384 Alterations in the fungal microbiome in ulcerative colitis

Published online by Cambridge University Press:  24 April 2023

Sushrut Jangi
Affiliation:
Tufts Medical Center
Katie Hsia
Affiliation:
Tufts Medical Center
Naisi Zhao
Affiliation:
Tufts Medical Center
Mei Chung
Affiliation:
Tufts Medical Center
Khalid Algarrahi
Affiliation:
Tufts Medical Center
Laleh Montaser Kouhsari
Affiliation:
Tufts Medical Center
May Fu
Affiliation:
Tufts Medical Center
Hannah Chen
Affiliation:
Tufts Medical Center
Siddharth Singh
Affiliation:
University of California, San Diego Dominique
S. Michaud
Affiliation:
Tufts Medical Center
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Abstract

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OBJECTIVES/GOALS: Although gut fungi have been implicated in the immunopathogenesis of inflammatory bowel disease, the fungal microbiome has not been deeply explored across endo-histologic activity and treatment-exposure in ulcerative colitis. METHODS/STUDY POPULATION: Our retrospective cohort was derived from the Study of a Prospective Adult Research Cohort with Inflammatory Bowel Disease. We evaluated the fungal composition of fecal samples from 98 ulcerative colitis patients across endoscopic activity (n=43), endo-histologic activity (n=41), and biologic-exposure (n=98). Across all subgroups, we assessed fungal diversity and differential abundance of specific taxonomic groups. RESULTS/ANTICIPATED RESULTS: We identified 504 unique fungal amplicon sequence variants across the cohort of 98 patients, dominated by phylum Ascomycota. Compared to endoscopic remission, patients with endoscopic activity had an increased global fungus load (p DISCUSSION/SIGNIFICANCE: Endoscopic inflammation in ulcerative colitis is associated with altered fungal diversity driven by expansion of Saccharomyces and Candida compared to remission. The role of these fungal taxa as potential biomarkers and targets for personalized approaches to therapeutics in ulcerative colitis should be evaluated.

Type
Precision Medicine/Health
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2023. The Association for Clinical and Translational Science