Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients

Abstract Background Liver transplantation (LT) is a critical intervention for individuals with end-stage liver disease; yet, post-transplant problems, especially infections, graft rejection, and chronic liver disease, are often linked to systemic inflammation. Cytokines, small signaling molecules, s...

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Main Authors: Mohamed Abdel-Raoof Fouda, Mohamed Abdel-Wahhab, Ahmed Esmail Abdelkader, Mohsen El-Sayd Ibrahim, Taher Abozeid Elsheikh, Hisham Mohammad Aldeweik, Nora Elfeky
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Infectious Diseases
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Online Access:https://doi.org/10.1186/s12879-025-10466-9
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author Mohamed Abdel-Raoof Fouda
Mohamed Abdel-Wahhab
Ahmed Esmail Abdelkader
Mohsen El-Sayd Ibrahim
Taher Abozeid Elsheikh
Hisham Mohammad Aldeweik
Nora Elfeky
author_facet Mohamed Abdel-Raoof Fouda
Mohamed Abdel-Wahhab
Ahmed Esmail Abdelkader
Mohsen El-Sayd Ibrahim
Taher Abozeid Elsheikh
Hisham Mohammad Aldeweik
Nora Elfeky
author_sort Mohamed Abdel-Raoof Fouda
collection DOAJ
description Abstract Background Liver transplantation (LT) is a critical intervention for individuals with end-stage liver disease; yet, post-transplant problems, especially infections, graft rejection, and chronic liver disease, are often linked to systemic inflammation. Cytokines, small signaling molecules, significantly influence immune responses during and post-liver transplantation. Nonetheless, the intricate relationships among cytokines, immune responses, and the gut microbiota, especially gut dysbiosis, are still inadequately comprehended. Thus, this study aims to identify the gut microbiota (GM) and determine their relationship to cytokines (IL-17 and IL-10) in LT patients, due to their importance in enhancing the recovery rate. Result The research included 31 liver transplant (LT) patients from the Gastroenterology Surgical Center at Mansoura University, resulting in the collection of 174 stool and blood samples from all participants. Fourteen bacterial species have been identified in samples collected at three intervals: one week before, one week post, and two weeks post LT. A change in gut microbiota composition was noted, characterized by a rise in potentially pathogenic bacteria such as Enterococci and Enterobacteriaceae (including Escherichia coli and Klebsiella) and a reduction in beneficial bacteria such as Bacteroidetes and Firmicutes. The examination of patient demographic and clinical data revealed no significant correlations between sex, age, or diagnostic categories and gut microbiota composition. The findings of the Multivariate Analysis of Variance (MANOVA) indicated a substantial effect of gut microbiota composition on cytokine levels (IL-10 and IL-17), with all tests producing p-values of 0.001. The assessment of cytokine levels indicated fluctuating variations at several time points following surgery. IL-10 levels in the GM groups exhibited a statistically significant elevation during the second week post-surgery (p = 0.036), suggesting a potential recovery-related anti-inflammatory response. In contrast, IL-17 levels rose in the NI group over time, indicating a transition to a pro-inflammatory condition. Conclusion This study emphasizes the pivotal role of the gut microbiota in regulating immune responses following transplantation.
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spelling doaj-art-63b1375ae66645f6843f78e4b6f7de1e2025-02-02T12:10:32ZengBMCBMC Infectious Diseases1471-23342025-01-0125111010.1186/s12879-025-10466-9Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patientsMohamed Abdel-Raoof Fouda0Mohamed Abdel-Wahhab1Ahmed Esmail Abdelkader2Mohsen El-Sayd Ibrahim3Taher Abozeid Elsheikh4Hisham Mohammad Aldeweik5Nora Elfeky6Microbiology, Faculty of Medicine, Mansoura UniversityGeneral Surgery, Faculty of Medicine, Mansoura UniversityFaculty of Science, Port Said UniversityFaculty of Science, Port Said UniversityFaculty of Science, Port Said UniversityMicrobiology Lab., Environmental Monitoring Administration, Ministry of HealthBotany and Microbiology Department, Faculty of Science, Menoufia UniversityAbstract Background Liver transplantation (LT) is a critical intervention for individuals with end-stage liver disease; yet, post-transplant problems, especially infections, graft rejection, and chronic liver disease, are often linked to systemic inflammation. Cytokines, small signaling molecules, significantly influence immune responses during and post-liver transplantation. Nonetheless, the intricate relationships among cytokines, immune responses, and the gut microbiota, especially gut dysbiosis, are still inadequately comprehended. Thus, this study aims to identify the gut microbiota (GM) and determine their relationship to cytokines (IL-17 and IL-10) in LT patients, due to their importance in enhancing the recovery rate. Result The research included 31 liver transplant (LT) patients from the Gastroenterology Surgical Center at Mansoura University, resulting in the collection of 174 stool and blood samples from all participants. Fourteen bacterial species have been identified in samples collected at three intervals: one week before, one week post, and two weeks post LT. A change in gut microbiota composition was noted, characterized by a rise in potentially pathogenic bacteria such as Enterococci and Enterobacteriaceae (including Escherichia coli and Klebsiella) and a reduction in beneficial bacteria such as Bacteroidetes and Firmicutes. The examination of patient demographic and clinical data revealed no significant correlations between sex, age, or diagnostic categories and gut microbiota composition. The findings of the Multivariate Analysis of Variance (MANOVA) indicated a substantial effect of gut microbiota composition on cytokine levels (IL-10 and IL-17), with all tests producing p-values of 0.001. The assessment of cytokine levels indicated fluctuating variations at several time points following surgery. IL-10 levels in the GM groups exhibited a statistically significant elevation during the second week post-surgery (p = 0.036), suggesting a potential recovery-related anti-inflammatory response. In contrast, IL-17 levels rose in the NI group over time, indicating a transition to a pro-inflammatory condition. Conclusion This study emphasizes the pivotal role of the gut microbiota in regulating immune responses following transplantation.https://doi.org/10.1186/s12879-025-10466-9Liver transplantationGut microbiotaCytokineIL-10IL-17Nosocomial infection
spellingShingle Mohamed Abdel-Raoof Fouda
Mohamed Abdel-Wahhab
Ahmed Esmail Abdelkader
Mohsen El-Sayd Ibrahim
Taher Abozeid Elsheikh
Hisham Mohammad Aldeweik
Nora Elfeky
Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients
BMC Infectious Diseases
Liver transplantation
Gut microbiota
Cytokine
IL-10
IL-17
Nosocomial infection
title Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients
title_full Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients
title_fullStr Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients
title_full_unstemmed Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients
title_short Effect of gut microbiota changes on cytokines IL-10 and IL-17 levels in liver transplantation patients
title_sort effect of gut microbiota changes on cytokines il 10 and il 17 levels in liver transplantation patients
topic Liver transplantation
Gut microbiota
Cytokine
IL-10
IL-17
Nosocomial infection
url https://doi.org/10.1186/s12879-025-10466-9
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