Department of Bioinformatics and Genomics, University of North Carolina at Charlotte, Charlotte, USA.
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Gut Microbes. 2021 Jan-Dec;13(1):1930872. doi: 10.1080/19490976.2021.1930872.
Bariatric surgery induces significant shifts in the gut microbiota which could potentially contribute to weight loss and metabolic benefits. The aim of this study was to characterize a microbial signature following Roux-en-Y Gastric bypass (RYGB) surgery using novel and existing gut microbiota sequence data. We generated 16S rRNA gene and metagenomic sequences from fecal samples from patients undergoing RYGB surgery (n = 61 for 16S rRNA gene and n = 135 for metagenomics) at pre-surgical baseline and one, six, and twelve-month post-surgery. We compared these data with three smaller publicly available 16S rRNA gene and one metagenomic datasets from patients who also underwent RYGB surgery. Linear mixed models and machine learning approaches were used to examine the presence of a common microbial signature across studies. Comparison of our new sequences with previous longitudinal studies revealed strikingly similar profiles in both fecal microbiota composition (r = 0.41 ± 0.10; < .05) and metabolic pathways (r = 0.70 ± 0.05; < .001) early after surgery across multiple datasets. Notably, , and increased after surgery, while decreased. Machine learning approaches revealed that the replicable gut microbiota signature associated with RYGB surgery could be used to discriminate pre- and post-surgical samples. Opportunistic pathogen abundance also increased post-surgery in a consistent manner across cohorts. Our study reveals a robust microbial signature involving many commensal and pathogenic taxa and metabolic pathways early after RYGB surgery across different studies and sites. Characterization of the effects of this robust microbial signature on outcomes of bariatric surgery could provide insights into the development of microbiome-based interventions for predicting or improving outcomes following surgery.
减重手术会引起肠道微生物群的显著变化,这可能有助于减轻体重和代谢获益。本研究旨在通过使用新的和现有的肠道微生物组序列数据来描述 Roux-en-Y 胃旁路 (RYGB) 手术后的微生物特征。我们从接受 RYGB 手术的患者的粪便样本中生成了 16S rRNA 基因和宏基因组序列(16S rRNA 基因 n = 61,宏基因组 n = 135),分别在术前基线和术后 1、6 和 12 个月进行测量。我们将这些数据与另外三个来自接受 RYGB 手术的患者的较小的公开可用的 16S rRNA 基因和一个宏基因组数据集进行了比较。线性混合模型和机器学习方法用于检查研究之间是否存在共同的微生物特征。我们的新序列与之前的纵向研究的比较表明,在手术后早期,粪便微生物群组成(r = 0.41 ± 0.10; <.05)和代谢途径(r = 0.70 ± 0.05; <.001)具有惊人相似的特征。值得注意的是,手术后 、 和 增加,而 减少。机器学习方法表明,与 RYGB 手术相关的可复制的肠道微生物特征可用于区分术前和术后样本。机会性病原体的丰度也在手术后以一致的方式在不同队列中增加。我们的研究揭示了一个稳健的微生物特征,涉及手术后不同研究和地点的许多共生和病原性分类群和代谢途径。对这种稳健的微生物特征对减重手术结果的影响的特征描述可能为开发基于微生物组的干预措施提供深入了解,以预测或改善手术后的结果。
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