The adult microbiome of healthy and otitis patients: Definition of the core healthy and diseased ear microbiomes

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Reviewed Marked as Reviewed by Svetlana up on 2024-7-15
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Burton M, Krumbeck JA, Wu G, Tang S, Prem A, Gupta AK, Dawson TL
Journal
PloS one
Year
2022
Otitis media (OM) and externa (OE) are painful, recurrent ear conditions. As most otitis publications focus on the bacterial content of childhood ears, there remains a dearth of information regarding the adult ear microbiome including both bacteria and fungi. This study compares the outer ear microbiome of healthy adults to adults affected by OE and OM using both intergenic-transcribed-spacer (ITS) and 16S-rDNA sequencing. The adult ear core microbiome consists of the prokaryote Cutibacterium acnes and the eukaryotic Malassezia arunalokei, M. globosa, and M. restricta. The healthy ear mycobiome is dominated by Malassezia and can be divided into two groups, one dominated by M. arunalokei, the other by M. restricta. Microbiome diversity and biomass varied significantly between healthy and diseased ears, and analyses reveal the presence of a potential mutualistic, protective effect of Malassezia species and C. acnes. The healthy ear core microbiome includes the bacteria Staphylococcus capitis and S. capitis/caprae, while the diseased ear core is composed of known bacterial and fungal pathogens including Aspergillus sp., Candida sp., Pseudomonas aeruginosa, S. aureus, and Corynebacterium jeikeium. The data presented highlight the need for early detection of the cause of otitis to direct more appropriate, efficient treatments. This will improve patient outcomes and promote improved antimicrobial stewardship.

Experiment 1


Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/03/26

Curator: Alcantara.m

Revision editor(s): Alcantara.m, Scholastica

Subjects

Location of subjects
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
Ear Auditory apparatus,Auris,Ear,ear
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Otitis media , Otitis externa inflammation of middle ear,medial otitis,middle Ear Inflammation,middle ear inflammation,otitis Media,otitis media,otitis media (disease),Otitis media,external Ear infection,infectious otitis externa,otitis externa,outer Ear infection,swimmer's Ear,swimmer's ear,Otitis externa
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy group
Group 1 name Corresponds to the case (exposed) group for case-control studies
Otitis media and otitis externa
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Adults patients affected by otitis externa (OE) and otitis media (OM)
Group 0 sample size Number of subjects in the control (unexposed) group
92
Group 1 sample size Number of subjects in the case (exposed) group
70
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
Patients receiving any antimicrobial treatment at time of sample collection

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V1-V3
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
LEfSe
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Richness Number of species
unchanged

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Source: Fig. 3A

Description: Taxa significantly different in healthy versus otitis externa (OE) and otitis media (OM) groups at the phylum to genus level for bacteria.

Abundance in Group 1: decreased abundance in Otitis media and otitis externa

NCBI Quality ControlLinks
Propionibacteriaceae
Propionibacteriales
Actinomycetota
Staphylococcaceae
Bacillales
Carnobacteriaceae
Bacilli

Revision editor(s): Scholastica

Experiment 2


Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/03/31

Curator: Alcantara.m

Revision editor(s): Alcantara.m, Scholastica

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Otitis externa , Otitis media external Ear infection,infectious otitis externa,otitis externa,outer Ear infection,swimmer's Ear,swimmer's ear,Otitis externa,inflammation of middle ear,medial otitis,middle Ear Inflammation,middle ear inflammation,otitis Media,otitis media,otitis media (disease),Otitis media
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy and Otitis media
Group 1 name Corresponds to the case (exposed) group for case-control studies
Otitis externa
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Adults patients affected by otitis externa (OE)
Group 0 sample size Number of subjects in the control (unexposed) group
140
Group 1 sample size Number of subjects in the case (exposed) group
22

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Richness Number of species
unchanged

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Source: Fig. 3A

Description: Taxa significantly different in healthy and otitis media (OM) versus otitis externa (OE) groups at the phylum to genus level for bacteria.

Abundance in Group 1: increased abundance in Otitis externa

NCBI Quality ControlLinks
Chroococcidiopsidaceae
Chroococcidiopsidales
Enterobacteriaceae
Enterobacterales
Pseudomonadaceae
Pseudomonadales
Gammaproteobacteria
OtherOther

Revision editor(s): Scholastica

Experiment 3


Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy and Otitis externa
Group 1 name Corresponds to the case (exposed) group for case-control studies
Otitis media
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Adults patients affected by otitis media (OM)
Group 0 sample size Number of subjects in the control (unexposed) group
114
Group 1 sample size Number of subjects in the case (exposed) group
48

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Richness Number of species
unchanged

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Source: Fig. 3A

Description: Taxa significantly different in healthy and otitis externa (OE) versus otitis media (OM) groups at the phylum to genus level for bacteria.

Abundance in Group 1: increased abundance in Otitis media

NCBI Quality ControlLinks
Enterococcaceae
Peptoniphilaceae
Tissierellales
Tissierellia
Alcaligenaceae
Campylobacteraceae
Campylobacterales
Epsilonproteobacteria
Yersiniaceae

Revision editor(s): Scholastica

Experiment 4


Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Chloe

Revision editor(s): Scholastica, Chloe

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Otitis media , Otitis externa inflammation of middle ear,medial otitis,middle Ear Inflammation,middle ear inflammation,otitis Media,otitis media,otitis media (disease),Otitis media,external Ear infection,infectious otitis externa,otitis externa,outer Ear infection,swimmer's Ear,swimmer's ear,Otitis externa
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy group
Group 1 name Corresponds to the case (exposed) group for case-control studies
Otitis media and otitis externa
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Adults patients affected by otitis externa (OE) and otitis media (OM)
Group 0 sample size Number of subjects in the control (unexposed) group
92
Group 1 sample size Number of subjects in the case (exposed) group
70

Lab analysis

Sequencing type
ITS / ITS2
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified

Statistical Analysis

Alpha Diversity

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

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Source: Fig. 3B

Description: Taxa significantly different in healthy versus otitis externa (OE) and otitis media (OM) groups at the phylum to genus level for fungi.

Abundance in Group 1: decreased abundance in Otitis media and otitis externa

NCBI Quality ControlLinks
Malasseziales
Malasseziomycetes
Malasseziaceae

Revision editor(s): Scholastica

Experiment 5


Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Otitis externa , Otitis media external Ear infection,infectious otitis externa,otitis externa,outer Ear infection,swimmer's Ear,swimmer's ear,Otitis externa,inflammation of middle ear,medial otitis,middle Ear Inflammation,middle ear inflammation,otitis Media,otitis media,otitis media (disease),Otitis media
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy and Otitis media
Group 1 name Corresponds to the case (exposed) group for case-control studies
Otitis externa
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Adults patients affected by otitis externa (OE)
Group 0 sample size Number of subjects in the control (unexposed) group
140
Group 1 sample size Number of subjects in the case (exposed) group
22

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Source: Fig. 3B

Description: Taxa significantly different in healthy and otitis media (OM) versus otitis externa (OE) groups at the phylum to genus level for fungi.

Abundance in Group 1: increased abundance in Otitis externa

NCBI Quality ControlLinks
Aspergillaceae
Eurotiales
Eurotiomycetes
Sordariomycetes
Hymenochaetales
Polyporales
Agaricomycetes
Tremellales
Tremellomycetes

Revision editor(s): Scholastica

Experiment 6


Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy and Otitis externa
Group 1 name Corresponds to the case (exposed) group for case-control studies
Otitis media
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Adults patients affected by otitis media (OM)
Group 0 sample size Number of subjects in the control (unexposed) group
114
Group 1 sample size Number of subjects in the case (exposed) group
48

Lab analysis

Statistical Analysis

Alpha Diversity

Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-7-15

Curated date: 2024/05/30

Curator: Scholastica

Revision editor(s): Scholastica

Source: Fig. 3B

Description: Taxa significantly different in healthy and otitis externa (OE) versus otitis media (OM) groups at the phylum to genus level for fungi.

Abundance in Group 1: increased abundance in Otitis media

NCBI Quality ControlLinks
Dothideomycetes
Debaryomycetaceae
Saccharomycetales
Saccharomycetes
Stereaceae
Russulales
Cystofilobasidiales
Filobasidiaceae

Revision editor(s): Scholastica