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Ben Mullish

@bhmullish.bsky.social

MRC Clinician Scientist Fellow and Honorary Consultant in Hepatology and Gastroenterology, based at Imperial College London. All comments in a personal capacity.

519 Followers  |  248 Following  |  18 Posts  |  Joined: 15.08.2024  |  2.2855

Latest posts by bhmullish.bsky.social on Bluesky

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Honoured to speak on #FMT #LBPs at the #EHMSG meeting today in session with Nicolas Benech and Jens Walter. Thanks to Gianluca Ianiro for organising, and for even getting a @nobelprize.bsky.social winner for Physics to speak to us, Giorgio Parisi! @imperialmdr.bsky.social #microbiomeclinicians

11.09.2025 15:00 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 2    πŸ“Œ 0
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Operational considerations for the running of an NHS faecal microbiota transplant (FMT) service

www.sciencedirect.com/science/arti... - we used an AMS approach to operationalise & formalise a structured approach to FMT @imperialcollegeldn.bsky.social @imperialnhs.bsky.social

10.08.2025 13:46 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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Operational considerations for the running of an NHS faecal microbiota transplant (FMT) service

Out now from us in @thejhi.bsky.social - operational considerations in running an #NHS #FMT service: www.sciencedirect.com/science/arti... @imperialmdr.bsky.social @imperialbrc.bsky.social #GastroSky #MicroSky #IDSky

10.08.2025 03:56 β€” πŸ‘ 2    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

Very pleased to see this out in @cmijournal.bsky.social - what non-antimicrobial options are there for recurrent #UTI, and what might be the role for #FMT? www.clinicalmicrobiologyandinfection.com/article/S119... @rohmaghani.bsky.social @imperialmdr.bsky.social @imperialbrc.bsky.social #MicroSky

29.07.2025 22:21 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Antibiotics fuel the rise of vancomycin-resistant enterococci intestinal colonisation by remodelling the metabolic landscape of the gut microbiome Antibiotics save lives- but also reshape the gut microbiome, unintentionally promoting VRE colonisation. This study reveals how antibiotic-driven metabolic shifts promote VRE expansion and highlights ...

We’ve also written a Behind the Paper blog post to accompany our article, which you can find here: go.nature.com/401ctsa

22.07.2025 09:12 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

Great to see this work from Shiv Radhakrishnan and colleagues out in #GutMicrobes - using network analysis to explore #microbiome #metabolome interactions in an #IBD inception cohort: doi.org/10.1080/1949... @imperialmdr.bsky.social @imperialhepatology.bsky.social #IBDSky #GISky

18.07.2025 12:11 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Vancomycin-resistant enterococci utilise antibiotic-enriched nutrients for intestinal colonisation - Nature Communications Here, the authors show that vancomycin-resistant enterococci grow in the antibiotic-treated gut microbiome by utilising enriched nutrients in the presence of reduced concentrations of inhibitory micro...

So excited to share a new paper from my lab just published in Nature Communications! We showed that vancomycin-resistant enterococci (VRE) occupied distinct intestinal niches in the antibiotic-treated intestine. doi.org/10.1038/s414... Amazing work by first author Olivia King and colleagues!

14.07.2025 09:11 β€” πŸ‘ 38    πŸ” 13    πŸ’¬ 3    πŸ“Œ 0
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Vancomycin-resistant enterococci utilise antibiotic-enriched nutrients for intestinal colonisation - Nature Communications Here, the authors show that vancomycin-resistant enterococci grow in the antibiotic-treated gut microbiome by utilising enriched nutrients in the presence of reduced concentrations of inhibitory micro...

Vancomycin-resistant π™€π™£π™©π™šπ™§π™€π™˜π™€π™˜π™˜π™ͺ𝙨 π™›π™–π™šπ™˜π™žπ™ͺ𝙒 (VRE) thrives in the antibiotic-perturbed gut

VRE gobbles up enriched sugars and amino acids, and loss of short-chain fatty acids (acetate, propionate, butyrate) eliminates natural growth brakes

Therapeutic angle: Prebiotic SCFA mixtures block VRE growth!

11.07.2025 13:08 β€” πŸ‘ 27    πŸ” 9    πŸ’¬ 1    πŸ“Œ 0

A great privilege to work with @julieakmcdonald.bsky.social lab on this new paper, now out in @natureportfolio.nature.com Communications - how #antibiotic-related changes in gut #nutrients and #metabolites promote #VRE colonisation: doi.org/10.1038/s414... @imperialmdr.bsky.social

10.07.2025 20:57 β€” πŸ‘ 7    πŸ” 3    πŸ’¬ 0    πŸ“Œ 1

And keeping an open mind about other therapeutic strategies, including vancomycin - read more about work by @nabilquraishi.bsky.social and colleagues on this here: bsky.app/profile/bhmu...

10.05.2025 06:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Well - for one - looking forward to the results of the FARGO trial @cholestasisdoc.bsky.social @pscsupport.bsky.social: bsky.app/profile/bhmu...

10.05.2025 06:33 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Honoured to to be part of this Future of Hepatology session at @easlnews.bsky.social #EASL2025, discussing the promise of #microbiome related therapies in #PSC #cholestatic liver disease - where have we come since the original #FMT #PSC pilot study by @DrAllegrettiIBD? doi.org/10.14309/ajg...

10.05.2025 06:33 β€” πŸ‘ 8    πŸ” 3    πŸ’¬ 2    πŸ“Œ 0
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MAST study The Imperial MAST study: Intestinal Microbiota Transplant Prior to Allogeneic Stem Cell Transplant (MAST) study.

Delighted to welcome Manchester Royal Infirmary onto the #MAST trial as our seventh site! Pleased to be able to expand our coverage for this important trial of #GutMicrobiome manipulation with #IMT #FMT before #HCT; find out more here: www.imperial.ac.uk/metabolism-d... @imperialmdr.bsky.social

28.03.2025 09:31 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Want to know more about why we are looking at the #GutMicrobiome #IMT #HCT as therapy? Find out even more here: youtu.be/zDd1qdVCa6A?...

19.03.2025 17:38 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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The #MAST trial is pushing forward, investigating the impact of #IMT #FMT prior to #HCT in seven UK centres #HaemSky #MicrobiomeSky #GastroSky @imperialmdr.bsky.social @bloodcanceruk.bsky.social ruk.bsky.social @anthonynolan.bsky.social. Find out more from our poster or our website: rb.gy/myizsb

19.03.2025 17:36 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

The relationships between MASLD, extrahepatic multimorbidity and all-cause mortality in UK Biobank cohort https://www.medrxiv.org/content/10.1101/2025.03.09.25323328v1

13.03.2025 10:02 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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A great first day at the #BSG #GutMicrobiome event, covering everything from early life @halllab.bsky.social, to #liver @debbieshawcross.bsky.social, to #cancer @jameskinross.bsky.social, and culminating in a tour de force on #IBD and the #microbiome in clinical practice from Prof Harry Sokol

06.03.2025 21:46 β€” πŸ‘ 7    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

MAST is moving onwards and upwards and now up to 18 recruited patients. We push on, hoping to see how gut #microbiome manipulation with #IMT #FMT can help our patients with #BloodCancer #HCT @bloodcanceruk.bsky.social @anthonynolan.bsky.social

22.01.2025 11:10 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
FAecal micRobiota transplantation in primary sclerosinG chOlangitis (FARGO): study protocol for a randomised, multicentre, phase IIa, placebo-controlled trial Introduction Primary sclerosing cholangitis (PSC) is the classical hepatobiliary manifestation of inflammatory bowel disease (IBD). The strong association between gut and liver inflammation has driven...

Pleased that #FARGO - a randomised, multicentre, placebo-controlled phase IIa trial of #FMT to treat #PSC - is running and recruiting. Have a look at the protocol paper out now in #BMJOpen: doi.org/10.1136/bmjo... @pscsupport.bsky.social @cholestasisdoc.bsky.social

07.01.2025 07:30 β€” πŸ‘ 23    πŸ” 10    πŸ’¬ 1    πŸ“Œ 2

Great that the #MAST trial is moving ahead, and really hoping that this shows the #microbiome as a route to give new treatment prospects to #HCT #BloodCancer patients @bloodcanceruk.bsky.social @cancerresearchuk.org

22.12.2024 19:36 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Open label vancomycin in primary sclerosing cholangitis-inflammatory bowel disease: improved colonic disease activity and associations with changes in host-microbiome-metabolomic signatures AbstractBackground. We conducted a single-arm interventional study, to explore mucosal changes associated with clinical remission under oral vancomycin (OV

Great work by Nabil Quraishi, Palak Trivedi and many others - unravelling the positive impact of #vancomycin in #PSC #IBD by altering interactions between the host, #microbiome, and #metabolome. Now in #JCC: academic.oup.com/ecco-jcc/adv... #GastroSky

14.12.2024 11:53 β€” πŸ‘ 25    πŸ” 7    πŸ’¬ 0    πŸ“Œ 4

Great to work with the lab of @julieakmcdonald.bsky.social and see this preprint out on @biorxivpreprint.bsky.social, looking at how nutrient availability and microbial #metabolites impact #VRE colonisation in the #antibiotic treated gut: www.biorxiv.org/content/10.1... #MicroSky #GastroSky

13.12.2024 15:27 β€” πŸ‘ 7    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Diverse phenotypes, consistent treatment: a study of 30,997 South Asian and White IBD patients using the UK IBD BioResource AbstractObjective. To evaluate South Asian (SA) and White (WH) inflammatory bowel disease (IBD) phenotypes, and to explore treatment approach variations be

Great work by Sharmili Balarajah with #ImperialMDR colleagues and the @nihr.bsky.social #IBD Bioresource team, now in press in #JCC - exploring differences in #IBD phenotypes and treatment approaches between White and South Asian patients in the UK: academic.oup.com/ecco-jcc/adv...

07.12.2024 13:24 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Thanks to Gianluca Ianiro for co-ordinating the international consensus statement on #microbiome testing in clinical practice, now in Lancet GastroHep - an assessment of where we are and where we hope to go: doi.org/10.1016/S246... #GastroSky #MedSky

06.12.2024 06:49 β€” πŸ‘ 9    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

Unstoppable in the name of #AMR, even if it means being poisoned by The Thames - #microbiome manipulator extraordinaire, Prof Julian Marchesi @gut-health.bsky.social

03.12.2024 17:08 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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MAST study The Imperial MAST study: Intestinal Microbiota Transplant Prior to Allogeneic Stem Cell Transplant (MAST) study.

We are pleased that the #MAST study is live on @bsky.app! Read here πŸ‘‡ about this trial of modulating the #GutMicrobiome using #IMT #FMT prior to #HCT for #BloodCancer 🩸🦠:
www.imperial.ac.uk/metabolism-d... #MRC #EnteroBiotix @anthonynolan.bsky.social @bloodcanceruk.bsky.social

02.12.2024 09:15 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Fight or Flight β€” Facing the Marburg Outbreak in Rwanda | NEJM Having diagnosed two ICU patients with the first known cases of Marburg virus disease in Rwanda, a physician must prioritize limiting spread, despite pleas for transfer from the patients’ families.

An extraordinary read of incredible braveness in a horrific situation in this week’s #NEJM: www.nejm.org/doi/full/10....

20.11.2024 23:43 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Faecal (or intestinal) microbiota transplant: a tool for repairing the gut microbiome Faecal/intestinal microbiota transplant (FMT/IMT) is an efficacious treatment option for recurrent Clostridioides difficile infection, which has prompted substantial interest in FMT’s potential rol...

Great to have our new review out - what we do and don't know about how clinical, biological and procedural considerations impact the efficacy of #IMT #FMT in repairing the #GutMicrobiome: www.tandfonline.com/doi/full/10.... … a great team effort

13.11.2024 12:23 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

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