Microbiome Lab, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Departament de Medicina, Universitat Autònoma de Barcelona, 08193 Cerdanyola del Vallès, Spain.
Int J Mol Sci. 2022 Sep 17;23(18):10868. doi: 10.3390/ijms231810868.
The development of biomarkers for inflammatory bowel disease (IBD) diagnosis would be relevant in a generalized context. However, intercontinental investigation on these microbial biomarkers remains scarce. We examined taxonomic microbiome variations in IBD using published DNA shotgun metagenomic data. For this purpose, we used sequenced data from our previous Spanish Crohn's disease (CD) and ulcerative colitis (UC) cohort, downloaded sequence data from a Chinese CD cohort, and downloaded taxonomic and functional profiling tables from a USA CD and UC cohort. At the global level, geographical location and disease phenotype were the main explanatory covariates of microbiome variations. In healthy controls (HC) and UC, geography turned out to be the most important factor, while disease intestinal location was the most important one in CD. Disease severity correlated with lower alpha-diversity in UC but not in CD. Across geography, alpha-diversity was significantly different independently of health status, except for CD. Despite recruitment from different countries and with different disease severity scores, CD patients may harbor a very similar microbial taxonomic profile. Our study pointed out that geographic location, disease activity status, and other environmental factors are important contributing factors in microbiota changes in IBD. We therefore strongly recommend taking these factors into consideration for future IBD studies to obtain globally valid and reproducible biomarkers.
炎症性肠病(IBD)生物标志物的发展对于普遍情况具有重要意义。然而,针对这些微生物生物标志物的洲际研究仍然很少。我们使用已发表的 DNA 鸟枪法宏基因组数据研究了 IBD 的分类微生物组变化。为此,我们使用了来自我们之前的西班牙克罗恩病(CD)和溃疡性结肠炎(UC)队列的测序数据,从中国 CD 队列下载了序列数据,并从美国 CD 和 UC 队列下载了分类和功能分析表。在全球水平上,地理位置和疾病表型是微生物组变化的主要解释性协变量。在健康对照组(HC)和 UC 中,地理位置是最重要的因素,而在 CD 中,疾病肠道位置是最重要的因素。疾病严重程度与 UC 中的 alpha 多样性降低相关,但在 CD 中则不然。在跨越地理位置时,alpha 多样性的差异与健康状况无关,CD 除外。尽管来自不同国家,且疾病严重程度评分不同,但 CD 患者可能具有非常相似的微生物分类特征。我们的研究指出,地理位置、疾病活动状态和其他环境因素是 IBD 中微生物组变化的重要影响因素。因此,我们强烈建议在未来的 IBD 研究中考虑这些因素,以获得具有全球有效性和可重复性的生物标志物。
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