Our project in includes four work packages (WP).
WP 1 aims at isolating putative harmful bacteria from patients with inflammatory bowel disease (IBD) and colorectal cancer (CRC). From IBD patients we have sorted, isolated and cultured close to 80 unique bacterial taxa. From CRC patients we cultured close to 40 intratumoral bacterial species. Moreover, as outlined in WP1 we also planned to collect from an interventional clinical trial where IBD patients will receive exclusive enteric nutrition therapy. This trial is now finally approved and recruiting (NCT06953791.
https://clinicaltrials.gov/study/NCT06953791(si apre in una nuova finestra))
WP2 aims to overhaul and reinvent the isolation approach for putative, harmful bacterial taxa to enable high-throughput approaches and conserves time and resources. To do so, we are developing a new, ground-breaking technology to isolate harmful bacteria. While still in development, we have made crucial advances such as developing specialized microfluidic chips for bacteria.
WP3 aims at linking genetic risk with putative harmful bacterial taxa. We have used bacterial taxa isolated in WP1 and hosts that carry defined genetic risk factors. Two harmful bacterial taxa induced disease only in mouse models carrying a genetic risk, but not wild type animals, showcasing the fidelity of our concept.
WP4 serves to use the gained knowledge on pathobiont-host risk interactions from WP1-3 to identify subpopulations in IBD and CRC that may respond well to future microbiome precision therapies. One harmful bacterium that we identified is present in increased abundance in patients with Crohn´s Disease and Ulcerative colitis in about 25-30% of patient, compared to healthy individuals. The other pathobiont shows a similar enrichment, but in a smaller subpopulation of about 5% of IBD patients. This revealed the heterogeneity of harmful bacterium occurrence in the general IBD population, as anticipated. Moreover, abundance of harmful bacteria correlated with inflammatory transcripts in IBD patients, highlighting their impact in a subpopulation of patients.