Blue poo: impact of gut transit time on the gut microbiome using a novel marker

From BugSigDB
Reviewed Marked as Reviewed by Svetlana up on 2025-3-27
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Asnicar F, Leeming ER, Dimidi E, Mazidi M, Franks PW, Al Khatib H, Valdes AM, Davies R, Bakker E, Francis L, Chan A, Gibson R, Hadjigeorgiou G, Wolf J, Spector TD, Segata N, Berry SE
Journal
Gut
Year
2021
Keywords:
gastrointestinal transit, intestinal bacteria
BACKGROUND AND AIMS: Gut transit time is a key modulator of host-microbiome interactions, yet this is often overlooked, partly because reliable methods are typically expensive or burdensome. The aim of this single-arm, single-blinded intervention study is to assess (1) the relationship between gut transit time and the human gut microbiome, and (2) the utility of the 'blue dye' method as an inexpensive and scalable technique to measure transit time. METHODS: We assessed interactions between the taxonomic and functional potential profiles of the gut microbiome (profiled via shotgun metagenomic sequencing), gut transit time (measured via the blue dye method), cardiometabolic health and diet in 863 healthy individuals from the PREDICT 1 study. RESULTS: We found that gut microbiome taxonomic composition can accurately discriminate between gut transit time classes (0.82 area under the receiver operating characteristic curve) and longer gut transit time is linked with specific microbial species such as Akkermansia muciniphila, Bacteroides spp and Alistipes spp (false discovery rate-adjusted p values <0.01). The blue dye measure of gut transit time had the strongest association with the gut microbiome over typical transit time proxies such as stool consistency and frequency. CONCLUSIONS: Gut transit time, measured via the blue dye method, is a more informative marker of gut microbiome function than traditional measures of stool consistency and frequency. The blue dye method can be applied in large-scale epidemiological studies to advance diet-microbiome-health research. Clinical trial registry website https://clinicaltrials.gov/ct2/show/NCT03479866 and trial number NCT03479866.

Experiment 1


Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/20

Curator: Joiejoie

Revision editor(s): Joiejoie, KateRasheed

Subjects

Location of subjects
United Kingdom
United States of America
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Increased intestinal transit time Increased intestinal transit time,increased intestinal transit time
Group 0 name Corresponds to the control (unexposed) group for case-control studies
C1-Fast Gut Transit Time
Group 1 name Corresponds to the case (exposed) group for case-control studies
C4-Slow Gut Transit Time
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
This group consists of participants with the slowest gut transit time, associated with lower microbial diversity and distinct taxonomic composition.
Group 0 sample size Number of subjects in the control (unexposed) group
79
Group 1 sample size Number of subjects in the case (exposed) group
174
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
3 months

Lab analysis

Sequencing type
WMS
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Mann-Whitney (Wilcoxon)
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.01
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes

Alpha Diversity

Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/25

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: increased abundance in C4-Slow Gut Transit Time

NCBI Quality ControlLinks
Akkermansia muciniphila
Alistipes finegoldii
Alistipes putredinis
Bacteroides caccae
Bacteroides uniformis
Barnesiella intestinihominis
Parabacteroides distasonis

Revision editor(s): Joiejoie

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: decreased abundance in C4-Slow Gut Transit Time

NCBI Quality ControlLinks
Agathobacter rectalis

Revision editor(s): Joiejoie

Experiment 2


Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/21

Curator: Joiejoie

Revision editor(s): Joiejoie

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
C2-Normal-Fast Gut Transit Time
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
This group represents individuals with a gut transit time of 14–38 hours, distinguishing them as the faster segment within the normal range.
Group 1 sample size Number of subjects in the case (exposed) group
424

Lab analysis

Statistical Analysis

Alpha Diversity

Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Needs review

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: increased abundance in C2-Normal-Fast Gut Transit Time

NCBI Quality ControlLinks
Bacteroides uniformis

Revision editor(s): Joiejoie

Experiment 3


Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/21

Curator: Joiejoie

Revision editor(s): Joiejoie

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
C2-Normal-Fast Gut Transit Time
Group 1 name Corresponds to the case (exposed) group for case-control studies
C4-Slow Gut Transit Time
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
This group consists of participants with the slowest gut transit time, associated with lower microbial diversity and distinct taxonomic composition.
Group 0 sample size Number of subjects in the control (unexposed) group
424
Group 1 sample size Number of subjects in the case (exposed) group
174

Lab analysis

Statistical Analysis

Alpha Diversity

Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/21

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: The relative abundances of specific gut microbiome species across four gut transit time classes, highlighting species with significant differences and average relative abundances exceeding 1% in the PREDICT 1 study.

Abundance in Group 1: increased abundance in C4-Slow Gut Transit Time

NCBI Quality ControlLinks
Akkermansia muciniphila
Alistipes finegoldii
Alistipes putredinis
Bacteroides caccae
Barnesiella intestinihominis

Revision editor(s): Joiejoie

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/21

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: The relative abundances of specific gut microbiome species across four gut transit time classes, highlighting species with significant differences and average relative abundances exceeding 1% in the PREDICT 1 study.

Abundance in Group 1: decreased abundance in C4-Slow Gut Transit Time

NCBI Quality ControlLinks
Agathobacter rectalis

Revision editor(s): Joiejoie

Experiment 4


Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/25

Curator: Joiejoie

Revision editor(s): Joiejoie

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
C3 - Normal Gut Transit Time
Group 0 sample size Number of subjects in the control (unexposed) group
186

Lab analysis

Statistical Analysis

Alpha Diversity

Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: increased abundance in C4-Slow Gut Transit Time

NCBI Quality ControlLinks
Akkermansia muciniphila
Alistipes finegoldii
Alistipes putredinis
Barnesiella intestinihominis
Parabacteroides distasonis

Revision editor(s): Joiejoie

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: decreased abundance in C4-Slow Gut Transit Time

NCBI Quality ControlLinks
Agathobacter rectalis

Revision editor(s): Joiejoie

Experiment 5


Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/25

Curator: Joiejoie

Revision editor(s): Joiejoie

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
C1-Fast Gut Transit Time
Group 1 name Corresponds to the case (exposed) group for case-control studies
C3 - Normal Gut Transit Time
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
This group represents individuals with a gut transit time of 38–58 hours, distinguishing them as the slower segment within the normal range.
Group 0 sample size Number of subjects in the control (unexposed) group
79
Group 1 sample size Number of subjects in the case (exposed) group
186

Lab analysis

Statistical Analysis

Alpha Diversity

Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: increased abundance in C3 - Normal Gut Transit Time

NCBI Quality ControlLinks
Bacteroides uniformis

Revision editor(s): Joiejoie

Experiment 6


Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
C2-Normal-Fast Gut Transit Time
Group 1 name Corresponds to the case (exposed) group for case-control studies
C3-Normal Gut Transit Time
Group 0 sample size Number of subjects in the control (unexposed) group
424

Lab analysis

Statistical Analysis

Alpha Diversity

Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-27

Curated date: 2025/03/26

Curator: Joiejoie

Revision editor(s): Joiejoie

Source: Fig. 3B

Description: Relative abundances for the four gut transit time classes in PREDICT 1

Abundance in Group 1: increased abundance in C3-Normal Gut Transit Time

NCBI Quality ControlLinks
Akkermansia muciniphila

Revision editor(s): Joiejoie