Abstract
Comprehensive analyses of multi-omics data may provide insights into interactions between different biological layers concerning distinct clinical features. We integrated data on the gut microbiota, blood parameters and urine metabolites of treatment-naive individuals presenting a wide range of metabolic disease phenotypes to delineate clinically meaningful associations. Trans-omics correlation networks revealed that candidate gut microbial biomarkers and urine metabolite feature were covaried with distinct clinical phenotypes. Integration of the gut microbiome, the urine metabolome and the phenome revealed that variations in one of these three systems correlated with changes in the other two. In a specific note about clinical parameters of liver function, we identified Eubacteriumeligens, Faecalibacteriumprausnitzii and Ruminococcuslactaris to be associated with a healthy liver function, whereas Clostridium bolteae, Tyzzerellanexills, Ruminococcusgnavus, Blautiahansenii, and Atopobiumparvulum were associated with blood biomarkers for liver diseases. Variations in these microbiota features paralleled changes in specific urine metabolites. Network modeling yielded two core clusters including one large gut microbe-urine metabolite close-knit cluster and one triangular cluster composed of a gut microbe-blood-urine network, demonstrating close inter-system crosstalk especially between the gut microbiome and the urine metabolome. Distinct clinical phenotypes are manifested in both the gut microbiome and the urine metabolome, and inter-domain connectivity takes the form of high-dimensional networks. Such networks may further our understanding of complex biological systems, and may provide a basis for identifying biomarkers for diseases. Deciphering the complexity of human physiology and disease requires a holistic and trans-omics approach integrating multi-layer data sets, including the gut microbiome and profiles of biological fluids. By studying the gut microbiome on carotid atherosclerosis, we identified microbial features associated with clinical parameters, and we observed that groups of urine metabolites correlated with groups of clinical parameters. Combining the three data sets, we revealed correlations of entities across the three systems, suggesting that physiological changes are reflected in each of the omics. Our findings provided insights into the interactive network between the gut microbiome, blood clinical parameters and the urine metabolome concerning physiological variations, and showed the promise of trans-omics study for biomarker discovery.
Highlights
Systemic metabolism is regulated at numerous levels
We included 138 treatment-naïve subjects who presented wide variations in clinical blood parameters (Additional File: Tables S2-3). Amongst these treatment-naïve subjects, we have an over representation of individuals diagnosed with carotid atherosclerosis at the time of sampling (n=102), as the study subjects took part in a designed screening program for carotid atherosclerosis
Selective Clinical Parameters Associated With the Gut Microbiota Profile
Summary
Systemic metabolism is regulated at numerous levels. Apart from direct interactions, the gut microbiota may indirectly interact with the host via metabolites, which may appear in circulation and the urine. Composed of hundreds of trillions of microbes (Qin et al, 2010), it is an ecological community where members compete, cooperate, and synergize with each other. The composition and functional capacity of the gut microbiota may reflect the physiological state of the host, providing information of possible pathological conditions. This notion is supported by results from several case-control studies reporting on gut microbiota signatures that are linked to metabolic diseases, such as obesity and diabetes (Turnbaugh et al, 2006; Qin et al, 2012; Liu et al, 2017). Perturbations of the microbiota may cause alterations in the metabolite profile in circulation (Pedersen et al, 2016; Liu et al, 2017; Gu et al, 2017), and in addition, the compositional and functional features of the gut microbiota may be detectable in the urine (Marcobal et al, 2013)
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