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Changes in the respiratory microbiome during acute exacerbations of idiopathic pulmonary fibrosis

Molyneaux, PL; Cox, MJ; Wells, AU; Kim, HC; Ji, W; Cookson, WOC; Moffatt, MF; ... Maher, TM; + view all (2017) Changes in the respiratory microbiome during acute exacerbations of idiopathic pulmonary fibrosis. Respiratory Research , 18 , Article 29. 10.1186/s12931-017-0511-3. Green open access

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Abstract

Acute exacerbations of idiopathic pulmonary fibrosis (AE-IPF) have been defined as events of clinically significant respiratory deterioration with an unidentifiable cause. They carry a significant mortality and morbidity and while their exact pathogenesis remains unclear, the possibility remains that hidden infection may play a role. The aim of this pilot study was to determine whether changes in the respiratory microbiota occur during an AE-IPF. Bacterial DNA was extracted from bronchoalveolar lavage from patients with stable IPF and those experiencing an AE-IPF. A hyper-variable region of the 16S ribosomal RNA gene (16S rRNA) was amplified, quantified and pyrosequenced. Culture independent techniques demonstrate AE-IPF is associated with an increased BAL bacterial burden compared to stable disease and highlight shifts in the composition of the respiratory microbiota during an AE-IPF.

Type: Article
Title: Changes in the respiratory microbiome during acute exacerbations of idiopathic pulmonary fibrosis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12931-017-0511-3
Publisher version: http://dx.doi.org/10.1186/s12931-017-0511-3
Language: English
Additional information: Copyright © The Author(s) 2017. Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: 16S, Acute exacerbation, Bacterial infection, Idiopathic pulmonary fibrosis
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1540741
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