Circulating microbial cell–free DNA is increased during neutropenia after hematopoietic stem cell transplantation Journal Article


Authors: Blair, L. M.; Akhund-Zade, J.; Katsamakis, Z. A.; Smibert, O. C.; Wolfe, A. E.; Giardina, P.; Slingerland, J.; Bercovici, S.; Perales, M. A.; Taur, Y.; van den Brink, M. R. M.; Peled, J. U.; Markey, K. A.
Article Title: Circulating microbial cell–free DNA is increased during neutropenia after hematopoietic stem cell transplantation
Abstract: We used a next-generation sequencing platform to characterize microbial cell–free DNA (mcfDNA) in plasma samples from patients undergoing allogeneic hematopoietic stem cell transplantation (allo-HCT). In this observational study, we sought to characterize plasma mcfDNA in order to explore its potential association with the immunologic complications of transplantation. We compared serially collected patient samples with plasma collected from healthy control subjects. We observed changes in total mcfDNA burden in the plasma after transplantation, which was most striking during the early posttransplant neutropenic phase. This elevation could be attributed to a number of specific bacterial taxa, including Veillonella, Bacteroides, and Prevotella (genus level). For an additional cohort of patients, we compared the data of mcfDNA from plasma with 16s-ribosomal RNA sequencing data from stool samples collected at matched time points. In a number of patients, we confirmed that mcfDNA derived from specific microbial taxa (eg, Enterococcus) could also be observed in the matched stool sample. Quantification of mcfDNA may generate novel insights into mechanisms by which the intestinal microbiome influences systemic cell populations and, thus, has been associated with outcomes for patients with cancer. © 2023 by The American Society of Hematology.
Keywords: mcfdna is increased during neutropenia after allo-hct.; studying the taxa-of-origin of this circulating dna may provide novel insights into post-hct biology
Journal Title: Blood Advances
Volume: 7
Issue: 21
ISSN: 2473-9529
Publisher: American Society of Hematology  
Date Published: 2023-11-14
Start Page: 6744
End Page: 6750
Language: English
DOI: 10.1182/bloodadvances.2023010208
PUBMED: 37399491
PROVIDER: scopus
PMCID: PMC10651422
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Source: Scopus
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MSK Authors
  1. Miguel-Angel Perales
    913 Perales
  2. Ying Taur
    147 Taur
  3. Jonathan U Peled
    154 Peled
  4. Kate Ann Markey
    38 Markey