Abstract

BackgroundInduced and spontaneous sputum are used to evaluate the airways microbiota. Whether the sputum types can be used interchangeably in microbiota research is unknown. Our aim was to compare microbiota in induced and spontaneous sputum from COPD patients sampled during the same consultation.MethodsCOPD patients from Bergen, Norway, were followed between 2006/2010, examined during the stable state and exacerbations. 30 patients delivered 36 sample pairs. DNA was extracted by enzymatic and mechanical lysis methods. The V3-V4 region of the 16S rRNA gene was PCR-amplified and prepared for paired-end sequencing. Illumina Miseq System was used for sequencing, and Quantitative Insights Into Microbial Ecology (QIIME) and Stata were used for bioinformatics and statistical analyses.ResultsApproximately 4 million sequences were sorted into 1004 different OTUs and further assigned to 106 different taxa. Pair-wise comparison of both taxonomic composition and beta-diversity revealed significant differences in one or both parameters in 1/3 of sample pairs. Alpha-diversity did not differ. Comparing abundances for each taxa identified, showed statistically significant differences between the mean abundances in induced versus spontaneous samples for 15 taxa when disease state was considered. This included potential pathogens like Haemophilus and Moraxella.ConclusionWhen studying microbiota in sputum samples one should take into consideration how samples are collected and avoid the usage of both induced and spontaneous sputum in the same study.

Highlights

  • Induced and spontaneous sputum are used to evaluate the airways microbiota

  • The emerging gold standard for exploring the microbiota in the lower airways with minimal oral contamination is through bronchoscopy, but this is impossible during most acute exacerbation of chronic obstructive pulmonary disease (AECOPD)

  • Analyses of similarities (ANOSIM), were used to compare differences in betadiversity between induced sputum samples (ISS) and sputum samples (SSS) when samples were grouped by type [23], both considering WUF and its qualitative equivalent unweighted UniFrac distances (UWUF)

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Summary

Introduction

Induced and spontaneous sputum are used to evaluate the airways microbiota. Whether the sputum types can be used interchangeably in microbiota research is unknown. Our aim was to compare microbiota in induced and spontaneous sputum from COPD patients sampled during the same consultation. Chronic obstructive pulmonary disease (COPD) is characterized by a chronic inflammation of the lower airways, dominated by an influx of innate immune cells. The chronic inflammation seen in COPD might be a consequence of a disrupted equilibrium between the pulmonary microbiota and the innate immune system. To explore this hypothesis, accurate measurements of the microbiota during both stable state. The validity of SSS with regard to 16S rRNA marker-gene based studies on non-CF patients is unknown to date

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