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Longitudinal Changes in Selected Gut Microorganisms During Gluten-Free Diet in Pediatric Coeliac Disease Cover

Longitudinal Changes in Selected Gut Microorganisms During Gluten-Free Diet in Pediatric Coeliac Disease

Open Access
|Jun 2026

Figures & Tables

graphic/j_pjm-2026-017_ufig_001.jpg
Table I

Primer and probe sequences for qPCR and corresponding thermal cycling parameters used for detection of the respective microorganisms.

MicroorganismSequence (5’ to 3’)Thermal cycling conditionsReferences
Bifidobacterium
forward primer
reverse primer
probe
CGCGTCYGGTGTGAAAG
CCCCACATCCAGCATCCA
6-FAM-AACAGGATTAGATACCC-MGB
50°C – 2 min
95°C – 10 min
95°C15 s60°C1 min}45×
Delroisse et al. 2008
Candida tropicalis
forward primer
reverse primer
probe
GCGGTAGGAGAATTGCGTT
TCATTATGCCAACATCCTAGGTTTA
6-FAM-CGCAGTCCTCAGTCTAGG CTGG-
CAG BHQ-1
50°C – 2 min
95°C – 10 min
95°C15 s60°C1 min}45×
Brinkman et al. 2003
Saccharomyces cerevisiae
forward primer
reverse primer
probe
GAAATGCCACCGTGAATGC
CTTTGGTGGTGATCCTCTATGATTG
6-FAM-TGGCACCATGAACCCTAGC GTC-GTT-BHQ-1
95°C – 5 min
94°C30 s50°C30 s60°C30 s}45×
Farmani et al. 2025
Methanobrevibacter smithii
forward primer
reverse primer
probe
CCGGGTATCTAATCCGGTTC
CTCCCAGGGTAGAGGTGAAA
6-FAM-CCGTCAGAATCGTTCCAGT CAG-
BHQ-1
95°C – 15 min
95°C30 s60°C1 min}45×
Dridi et al. 2009
Fig. 1.

Study workflow illustrating the assignment of DNA samples to study groups and subsequent qPCR analysis.

Fig. 2.

The prevalence of Bifidobacterium spp., Candida tropicalis, Saccharomyces cerevisiae, and Methanobrevibacter smithii in stool samples from pediatric coeliac patients and healthy controls.

* – statistically significant differences between the study groups (χ2(4) = 15.34; p = 0.004)

Fig. 3.

Venn diagram illustrating the overlap of detected microorganisms in stool samples from pediatric coeliac disease. Each set represents samples positive for the given microorganism in at least one of the longitudinal sampling time points. Numbers indicate the number of samples harboring individual microorganisms or their combinations.

Fig. 4.

Estimated abundance of selected intestinal microorganisms in stool samples collected from children with coeliac disease before and during adherence to a gluten-free diet and from healthy controls. Microbial abundance was calculated based on qPCR standard curves and expressed as CFU/g of stool. Panels: (A) Bifidobacterium spp., (B) Candida tropicalis, (C) Saccharomyces cerevisiae, (D) Methanobrevibacter smithii. Values represent mean abundance calculated from positive samples. Error bars represent standard deviation calculated from positive samples.

a – statistically significant difference between pre-diet and 1-year follow-up (p = 0.038)

b – statistically significant difference between 1-year and 2-year follow-up (p = 0.031)

c – statistically significant difference between 1-year follow-up and control (p = 0.018)

Table II

Mean microbial load (CFU/g of stool) of selected microorganisms in positive samples determined by qPCR.

MicroorganismGroup
Pre-diet6-month follow-up1-year follow-up2-year follow-uphealthy control
Bifidobacterium spp.* [mean microbial load per gram of stool in positive samples]1.03 × 108 CFU/g (n = 21)2.40 × 1010CFU/g (n = 19)5.71 × 106 CFU/g (n = 22)4.26 × 108 CFU/g (n = 22)4.57 × 107 CFU/g (n = 22)
Candida tropicalis1.01 × 106 CFU/g (n = 4)3.02 × 100 CFU/g (n = 4)8.04 × 102 CFU/g (n = 7)6.74 × 105 CFU/g (n = 13)9.57 × 104 CFU/g (n = 13)
Saccharomyces cerevisiae1.34 × 106 CFU/g (n = 5)8.05 × 107 CFU/g (n = 7)1.74 × 107 CFU/g (n = 10)3.61 × 108 CFU/g (n = 9)1.14 × 108 CFU/g (n = 14)
Methanobrevibacter. smithii4.35 × 101 CFU/g (n = 5)1.36 × 102 CFU/g (n = 5)1.97 × 102 CFU/g (n = 2)1.22 × 102 CFU/g (n = 7)1.02 × 102 CFU/g (n = 8)

1* – Statistically significant differences: pre-diet vs. 1-year follow-up (p = 0.038); 1-year follow-up vs. 2-year follow up (p = 0.031); 1-year follow-up vs. control (p = 0.018). All samples (n = 24 per group) were analyzed by qPCR. Quantitative values are presented for positive samples only.

1 n – the number of positive samples in each group

Fig. 5.

Distribution of Cq values of selected microorganisms across study groups.

DOI: https://doi.org/10.33073/pjm-2026-017 | Journal eISSN: 2544-4646 | Journal ISSN: 1733-1331
Language: English
Page range: 195 - 209
Submitted on: Feb 12, 2026
Accepted on: Apr 22, 2026
Published on: Jun 29, 2026
Published by: Polish Society of Microbiologists
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Aleksandra Zięba, Kamil Drożdż, Agnieszka Krawczyk, published by Polish Society of Microbiologists
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.