Characterization of Stool Virome in Children Newly Diagnosed With Moderate to Severe Ulcerative Colitis

Author:

Tokarz Rafal1,Hyams Jeffrey S2,Mack David R3,Boyle Brendan4,Griffiths Anne M5,LeLeiko Neal S6,Sauer Cary G7,Shah Sapana8,Markowitz James9,Baker Susan S10,Rosh Joel11,Baldassano Robert N12,Kugathasan Subra7,Walters Thomas5,Tagliafierro Teresa1,Sameroff Stephen1,Lee Bohyun1,Che Xiaoyu1,Oleynik Alexandra1,Denson Lee A7,Lipkin W Ian13

Affiliation:

1. Center for Infection and Immunity, Mailman School of Public Health, Columbia University, NY, USA

2. Connecticut Children’s Medical Center, Hartford, CT, USA

3. Children’s Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada

4. Nationwide Children’s Hospital, Columbus, OH, USA

5. Hospital For Sick Children, Toronto, Canada

6. Hasbro Children’s Hospital, Providence, RI, USA

7. Emory University, Atlanta, GA, USA

8. Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

9. Cohen Children’s Medical Center of New York, New Hyde Park, NY, USA

10. Women & Children’s Hospital of Buffalo WCHOB, Buffalo, NY, USA

11. Goryeb Children’s Hospital, Atlantic Health, Morristown, NJ, USA

12. The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

13. Cincinnati Children’s Hospital Medical Center and the University of Cincinnati College of Medicine, Cincinnati, OH, USA

Abstract

Abstract Background Viral infections have been suggested as possible triggers for the onset of ulcerative colitis (UC). Methods We employed VirCapSeq-Vert, a high-throughput sequencing virus capture platform, to examine the stool virome of children with newly diagnosed moderate to severe UC. We surveyed fecal samples collected at presentation, after symptom remission, and from a control group diagnosed with irritable bowel syndrome. Results Seventy subjects with UC (mean age 13 years, 45 had moderate symptoms, 25 had severe, 69 of 70 had a Mayo endoscopy subscore 2/3) were studied. We detected a wide range of animal viruses that were taxonomically classified into 12 viral families. A virus was present in 50% of fecal samples collected at presentation, 41% of samples collected after remission, and 40% of samples in our control group. The most frequently identified viruses were diet-based gyroviruses. The UC cohort had a significantly higher prevalence of anelloviruses compared with the control cohort. However, we did not identify a single virus that can be implicated in the onset of UC and did not find an association between UC disease severity and viral presence. Conclusion Presence of virus in stool was not associated with the onset of pediatric UC.

Funder

NIDDK

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology,Immunology and Allergy

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