The gut microbiome-Does stool represent right?

16S rRNA Biogeography Bowel Prep Bowel prep Colonoscopy Drug design Gut microbiome Innovation Microbiome NGS Personalized medicine Prep Stratification WGS

Journal

Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 09 08 2022
revised: 03 02 2023
accepted: 06 02 2023
medline: 27 4 2023
pubmed: 27 4 2023
entrez: 27 4 2023
Statut: epublish

Résumé

Many stool-based gut microbiome studies have highlighted the importance of the microbiome. However, we hypothesized that stool is a poor proxy for the inner-colonic microbiome and that studying stool samples may be inadequate to capture the true inner-colonic microbiome. To test this hypothesis, we conducted prospective clinical studies with up to 20 patients undergoing an FDA-cleared gravity-fed colonic lavage without oral purgative pre-consumption. The objective of this study was to present the analysis of inner-colonic microbiota obtained non-invasively during the lavage and how these results differ from stool samples. The inner-colonic samples represented the descending, transverse, and ascending colon. All samples were analyzed for 16S rRNA and shotgun metagenomic sequences. The taxonomic, phylogenetic, and biosynthetic gene cluster analyses showed a distinctive biogeographic gradient and revealed differences between the sample types, especially in the proximal colon. The high percentage of unique information found only in the inner-colonic effluent highlights the importance of these samples and likewise the importance of collecting them using a method that can preserve these distinctive signatures. We proposed that these samples are imperative for developing future biomarkers, targeted therapeutics, and personalized medicine.

Identifiants

pubmed: 37101508
doi: 10.1016/j.heliyon.2023.e13602
pii: S2405-8440(23)00809-5
pmc: PMC10123208
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e13602

Informations de copyright

©2023PublishedbyElsevierLtd.

Déclaration de conflit d'intérêts

The authors declare no competing interests.

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Auteurs

Orly Levitan (O)

Hygieacare Inc., Norfolk, VA, USA.
Department of Biochemistry and Microbiology, Rutgers University, NJ, USA.

Lanying Ma (L)

Pragma Bio, South San Francisco, CA, USA.

Donato Giovannelli (D)

Department of Biology, University of Naples Federico II, Naples, Italy.
National Research Council - Institute of Marine Biological Resources and Biotechnologies (CNR-IRBIM), Ancona, Italy.

Dawn B Burleson (DB)

Hygieacare Inc., Norfolk, VA, USA.

Peter McCaffrey (P)

Pragma Bio, South San Francisco, CA, USA.

Ayin Vala (A)

Pragma Bio, South San Francisco, CA, USA.

David A Johnson (DA)

Eastern VA Medical School, Norfolk VA, USA.

Classifications MeSH