2018
DOI: 10.1038/s41591-018-0164-x
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Regional variation limits applications of healthy gut microbiome reference ranges and disease models

Abstract: Dysbiosis, departure of the gut microbiome from a healthy state, has been suggested to be a powerful biomarker of disease incidence and progression. Diagnostic applications have been proposed for inflammatory bowel disease diagnosis and prognosis, colorectal cancer prescreening and therapeutic choices in melanoma. Noninvasive sampling could facilitate large-scale public health applications, including early diagnosis and risk assessment in metabolic and cardiovascular diseases. To understand the generalizabilit… Show more

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Cited by 685 publications
(620 citation statements)
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“…Moreover, we detected significantly lower abundances of Akkermansia muciniphila (MLG-2159) and Clostridium bartlettii (MLG-7540) and higher abundances of Bacteroides caccae (MLG-10234 and MLG-10325), Bacteroides finegoldii (MLG-10154 and MLG-10159), and Collinsella intestinalis (MLG-10084) in TN-T2D patients compared with NGT and Pre-DM individuals ( Figure 2A , P < 0.05). Finally, the abundance of Megasphaera elsdenii (MLG-1568) was significantly higher in both TN-T2D and Pre-DM individuals than in NGT individuals ( Figure 2A , P < 0.05), in line with the positive correlation between the relative abundance of the genus Megasphaera and T2D recently reported in a large cohort with about 7000 individuals from South China [35]. Several key findings were further validated in faecal samples of 94 treatment naïve T2D patients in Shanghai (Gu et al, 2017a), such as a lower abundance of A. muciniphila and C. bartlettii compared to NGT and Pre-DM individuals, and a lower abundance of E.coli compared to Pre-DM individuals in this study ( Figure 2A, Table S5 , Wilcoxon rank test, P < 0.05).…”
Section: Resultssupporting
confidence: 84%
“…Moreover, we detected significantly lower abundances of Akkermansia muciniphila (MLG-2159) and Clostridium bartlettii (MLG-7540) and higher abundances of Bacteroides caccae (MLG-10234 and MLG-10325), Bacteroides finegoldii (MLG-10154 and MLG-10159), and Collinsella intestinalis (MLG-10084) in TN-T2D patients compared with NGT and Pre-DM individuals ( Figure 2A , P < 0.05). Finally, the abundance of Megasphaera elsdenii (MLG-1568) was significantly higher in both TN-T2D and Pre-DM individuals than in NGT individuals ( Figure 2A , P < 0.05), in line with the positive correlation between the relative abundance of the genus Megasphaera and T2D recently reported in a large cohort with about 7000 individuals from South China [35]. Several key findings were further validated in faecal samples of 94 treatment naïve T2D patients in Shanghai (Gu et al, 2017a), such as a lower abundance of A. muciniphila and C. bartlettii compared to NGT and Pre-DM individuals, and a lower abundance of E.coli compared to Pre-DM individuals in this study ( Figure 2A, Table S5 , Wilcoxon rank test, P < 0.05).…”
Section: Resultssupporting
confidence: 84%
“…Companies which manufacture high-throughput DNA extraction will need to invest in research and development to reduce well-to-well contamination. Lastly, measuring and accounting for well-to-well contamination identification and reduction will be critical for diagnostic research going forward [3540].…”
Section: Discussionmentioning
confidence: 99%
“…We started by testing the associations between the taxonomic composition of the microbiome and the selected socioeconomic risk and caregiver behavior covariates. To maximize scientific rigor, we constructed a CCA model, which is based on a Euclidian distance, that first accounted for the selected demography (child ethnicity) and the selected gut-linked covariates (previously shown to influence gut [2528]; geographic location) by determining the amount of variance explained. These two demography and gut history covariates accounted for 19.9% of the total variance in taxonomic composition.…”
Section: Resultsmentioning
confidence: 99%