DESIGNED BACTERIAL COMPOSITIONS
Compositions and methods of treating a gastrointestinal dysbiosis using a limited number of defined bacterial species are provided.
1 . A composition comprising a viable population of bacteria, the viable population containing the bacterial species of DBC 1, DBC 2, DBC 3, DBC 4, DBC 5, DBC 6, DBC 7, DBC 8, or DBC 9 of Table 3, or DBC 51, DBC S2, DBC S4, DBC S5, DBC S6, DBC S7, DBC S8, DBC S9, DBC S10, DBC S11, DBC S12, DBC S13, DBC S14, DBC S15, DBC S16, DBC S17, DBC S18, DBC S19, DBC S20, DBC S21, DBC S22, DBC S23, or DBC S24 of Table 4.
2 . The composition of claim 1 , wherein the 16S rDNA of each bacterial species in the DBC has at least 97% identity to at least one 16S rDNA sequence in FIG. 1 .
3 . The composition of claim 1 , wherein the composition consists of a viable population of bacterial species of DBC 1, DBC 2, DBC 3, DBC 4, DBC 5, DBC 6, DBC 7, DBC 8, DBC 9, DBC 51, DBC S2, DBC S4, DBC S5, DBC S6, DBC S7, DBC S8, DBC S9, DBC S10, DBC S11, DBC S12, DBC S13, DBC S14, DBC S15, DBC S16, DBC S17, DBC S18, DBC S19, DBC S20, DBC S21, DBC S22, DBC S23, or DBC S24.
4 . The composition of claim 3 , wherein the 16S rDNA of each bacterial species in the DBC has at least 97% identity to at least one 16S rDNA sequence in FIG. 1 .
5 . The composition of claim 1 , wherein the population of bacterial species is able to utilize at least 90% of the carbon sources listed in FIG. 4 .
6 . A composition comprising a population of at least five species of viable bacteria, wherein at least one of the species of the population has one or more features selected from the group consisting of: (i) utilization of one or more carbon sources utilized by a pathogenic microorganism, (ii) production of an inhibitor of histone deacetylase (HDAC), (iii) production of indole or other tryptophan metabolites, and (iv) production of an enzyme that functions in bile acid regulation.
7 . The composition of claim 6 , wherein the pathogenic microorganism is C. difficile and the population comprises one or more species of viable bacteria that can utilize at least five different C. difficile carbon sources.
8 . The composition of claim 7 , wherein the C. difficile carbon sources are selected from the group consisting of: taurocholate, glycocholate, glycochenodeoxycholate, taurochenodeoxycholate, cholate, chenodeoxycholate, and deoxycholate.
9 . The composition of claim 6 , wherein the population comprises one or more species of viable bacteria that produce an HDAC inhibitor selected from the group consisting of: butyrate, isovalerate, isobutyrate, propionate, and 2-methyl-butyrate.
10 . The composition of claim 6 , wherein the population comprises one or more species that produces one or more enzyme selected from the group consisting of bile salt hydrolase (BSH), 3-α-hydroxysteroid dehydrogenase (3-α-HSDH), 7-α-hydroxysteroid dehydrogenase (7-α-HSDH), and 12-α-hydroxysteroid dehydrogenase (12-α-HSDH).
11 . A composition comprising at least one species from each of clades 86, 90, 101, 139, 195, 197, 206, 233, 238, 241, 244, and 290, and optionally a species from clade 202.
12 . The composition of claim 6 , wherein the composition comprises 5, 6, 7, 8, 9, 10, 11, or 12 species of bacteria.
13 . The composition of claim 1 , wherein at least 75% of the bacteria are spores.
14 . A formulation comprising the composition of claim 1 and a pharmaceutically acceptable excipient.
15 . The formulation of claim 14 , wherein the pharmaceutically acceptable excipient comprises glycerol, polyethylene glycol, or cocoa butter.
16 . The formulation of claim 14 , wherein the formulation is in a capsule or tablet.
17 . A method of preventing or treating a dysbiosis in a subject at risk of or diagnosed with a dysbiosis, the method comprising administering a pharmaceutically effective amount of a composition of claim 1 to the subject.
18 . The method of claim 17 , wherein the total concentration of bacteria in the composition is 10e1 to 10e9.
19 . The method of claim 17 , wherein the bacteria of the composition are provided in 1, 2, 3, 4, or 5 capsules.
20 . A method for treating a C. difficile infection, preventing a C. difficile infection, or preventing recurrence of a C. difficile infection in a subject, the method comprising administering a therapeutically effective amount of a composition of claim 1 to the subject.