Compositional changes in fecal microbiota associated with clinical phenotypes and prognosis in Korean patients with inflammatory bowel disease

From BugSigDB
Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Shin SY, Kim Y, Kim WS, Moon JM, Lee KM, Jung SA, Park H, Huh EY, Kim BC, Lee SC, Choi CH
Journal
Intestinal research
Year
2023
Keywords:
Biomarkers, Inflammatory bowel disease, Microbiota, Phenotype, Prognosis
BACKGROUND/AIMS: The fecal microbiota of Korean patients with inflammatory bowel disease (IBD) was investigated with respect to disease phenotypes and taxonomic biomarkers for diagnosis and prognosis of IBD. METHODS: Fecal samples from 70 ulcerative colitis (UC) patients, 39 Crohn's disease (CD) patients, and 100 healthy control individuals (HC) were collected. The fecal samples were amplified via polymerase chain reaction and sequenced using Illumina MiSeq. The relationships between fecal bacteria and clinical phenotypes were analyzed using the EzBioCloud database and 16S microbiome pipeline. RESULTS: The alpha-diversity of fecal bacteria was significantly lower in UC and CD (P<0.05) compared to that in HC. Bacterial community compositions in UC and CD were significantly different from that of HC according to Bray-Curtis dissimilarities, and there was also a difference between community composition in UC and CD (P=0.01). In UC, alpha-diversity was further decreased when the disease was more severe and the extent of disease was greater, and community composition significantly differed depending on the extent of the disease. We identified 9 biomarkers of severity and 6 biomarkers of the extent of UC. We also identified 5 biomarkers of active disease and 3 biomarkers of ileocolonic involvement in CD. Lachnospiraceae and Ruminococcus gnavus were biomarkers for better prognosis in CD. CONCLUSIONS: The fecal microbiota profiles of IBD patients were different from those of HC, and several bacterial taxa may be used as biomarkers to determine disease phenotypes and prognosis. These data may also help discover new therapeutic targets for IBD.

Experiment 1


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Subjects

Location of subjects
South Korea
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
Ulcerative colitis colitis ulcerative,Colitis, Ulcerative,Left-sided ulcerative (chronic) colitis,Left-sided ulcerative colitis,left-sided ulcerative colitis,Other ulcerative colitis,Other ulcerative colitis (disorder),UC - ulcerative colitis,ulcerative colitis,ulcerative colitis (disease),ulcerative colitis (disorder),Ulcerative colitis, unspecified,ULCERATVE COLITIS UNSPCF,Ulcerative colitis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy control individual
Group 1 name Corresponds to the case (exposed) group for case-control studies
Ulcerative colitis patient
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients diagnosed with ulcerative colitis from 3 different academic hospitals in Korea.
Group 0 sample size Number of subjects in the control (unexposed) group
100
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 who used drugs can affect intestinal microbial community, such as probiotics and antibiotics, within a month were excluded.

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V4
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
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
3.0

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Atrayees

Source: Figure 4a

Description: Taxa list according to linear discriminate analysis values determined from comparisons between HC and UC patients. HC, healthy control individuals; UC, ulcerative colitis.

Abundance in Group 1: increased abundance in Ulcerative colitis patient

NCBI Quality ControlLinks
Bifidobacterium dentium
Blautia obeum
Enterocloster clostridioformis
Flavonifractor plautii
Haemophilus parainfluenzae
Lachnospira eligens
Proteus vulgaris
Veillonella dispar
Parabacteroides

Revision editor(s): Yjung24, Atrayees

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 4a

Description: Taxa list according to linear discriminate analysis values determined from comparisons between HC and UC patients. HC, healthy control individuals; UC, ulcerative colitis.

Abundance in Group 1: decreased abundance in Ulcerative colitis patient

NCBI Quality ControlLinks
Megamonas rupellensis
Alistipes putredinis
Bifidobacterium pseudolongum
Ruminococcus bromii
Dorea longicatena
Parabacteroides merdae
Bifidobacterium pullorum subsp. gallinarum
Collinsella aerofaciens
Holdemanella biformis
Subdoligranulum variabile
Mediterraneibacter faecis
Ligilactobacillus ruminis
Senegalimassilia anaerobia
Akkermansia muciniphila

Revision editor(s): Yjung24

Experiment 2


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Crohn's disease Colitis, Granulomatous,CROHN DIS,Crohn Disease,Crohn disease,Crohn's associated gastritis,Crohn's disease,Crohn's disease of colon,Crohn's disease of large bowel,CROHNS DIS,Crohns Disease,Enteritis, Granulomatous,Enteritis, Regional,Gastritis Associated with Crohn Disease,Gastritis Associated with Crohn's Disease,granulomatous colitis,Ileitis, Regional,Ileitis, Terminal,Ileocolitis,pediatric Crohn's disease,regional enteritis,crohn disease,crohn's disease
Group 1 name Corresponds to the case (exposed) group for case-control studies
Crohn's disease patient
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients diagnosed with Crohn's disease from 3 different academic hospitals in Korea.
Group 1 sample size Number of subjects in the case (exposed) group
39

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Source: Figure 4b

Description: Taxa list according to linear discriminate analysis values determined from comparisons between HC and CD patients. HC, healthy control individuals; CD, Crohn’s disease.

Abundance in Group 1: increased abundance in Crohn's disease patient

NCBI Quality ControlLinks
Bifidobacterium dentium
Bilophila wadsworthia
Enterocloster clostridioformis
Escherichia coli
Faecalimonas umbilicata
Lactobacillus gasseri
Leuconostoc lactis
Mediterraneibacter gnavus
Megasphaera elsdenii
Pseudomonas fragi
Streptococcus gallolyticus
Veillonella parvula
Veillonella dispar

Revision editor(s): Yjung24, Peace Sandy

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Source: Figure 4b

Description: Taxa list according to linear discriminate analysis values determined from comparisons between HC and CD patients. HC, healthy control individuals; CD, Crohn’s disease.

Abundance in Group 1: decreased abundance in Crohn's disease patient

NCBI Quality ControlLinks
Alistipes putredinis
Bifidobacterium pseudolongum
Bifidobacterium pullorum subsp. gallinarum
Collinsella aerofaciens
Dorea longicatena
Faecalibacterium prausnitzii
Holdemanella biformis
Mediterraneibacter faecis
Parabacteroides merdae
Romboutsia timonensis
Roseburia cecicola
Roseburia inulinivorans
Ruminococcus bromii
Subdoligranulum variabile
[Eubacterium] siraeum

Revision editor(s): Yjung24, Peace Sandy

Experiment 3


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Ulcerative colitis colitis ulcerative,Colitis, Ulcerative,Left-sided ulcerative (chronic) colitis,Left-sided ulcerative colitis,left-sided ulcerative colitis,Other ulcerative colitis,Other ulcerative colitis (disorder),UC - ulcerative colitis,ulcerative colitis,ulcerative colitis (disease),ulcerative colitis (disorder),Ulcerative colitis, unspecified,ULCERATVE COLITIS UNSPCF,Ulcerative colitis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Patients with mild ulcerative colitis
Group 1 name Corresponds to the case (exposed) group for case-control studies
Patients with moderate to severe ulcerative colitis
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
patients diagnosed with ulcerative colitis (UC) from 3 different academic hospitals in Korea categorized as moderate to severe forms of UC. The severity of disease was assessed by the Mayo score for UC. Severity was estimated at the time of fecal sampling, and the average follow-up period was 8.0 ± 1.3 years.
Group 0 sample size Number of subjects in the control (unexposed) group
37
Group 1 sample size Number of subjects in the case (exposed) group
18

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 5a

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in ulcerative colitis (UC) patients. Comparisons between moderate to severe and mild UC (A).

Abundance in Group 1: increased abundance in Patients with moderate to severe ulcerative colitis

NCBI Quality ControlLinks
Clostridioides difficile
Ligilactobacillus salivarius

Revision editor(s): Yjung24

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Atrayees

Source: Figure 5a

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in ulcerative colitis (UC) patients. Comparisons between moderate to severe and mild UC (A).

Abundance in Group 1: decreased abundance in Patients with moderate to severe ulcerative colitis

NCBI Quality ControlLinks
Bacteroides acidifaciens
Bacteroides caccae
Bilophila wadsworthia
Howardella ureilytica
Ruminococcus callidus
Streptococcus pneumoniae
[Clostridium] innocuum
Alistipes

Revision editor(s): Yjung24, Atrayees

Experiment 4


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Patients with remission ulcerative colitis (symptoms of UC are reduced or inapparent)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients diagnosed with ulcerative colitis (UC) from 3 different academic hospitals in Korea categorized as moderate to severe forms of UC. The severity of disease was assessed by the Mayo score for UC. Severity was estimated at the time of fecal sampling, and the average follow-up period was 8.0 ± 1.3 years.
Group 0 sample size Number of subjects in the control (unexposed) group
15

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 5b

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in ulcerative colitis (UC) patients. Comparisons between moderate to severe UC and remission (B).

Abundance in Group 1: increased abundance in Patients with moderate to severe ulcerative colitis

NCBI Quality ControlLinks
Lactococcus lactis
Intestinibacter bartlettii
Clostridioides difficile
Weissella confusa
Anaerostipes hadrus
Thomasclavelia spiroformis
Leuconostoc lactis
Lactococcus plantarum

Revision editor(s): Yjung24

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/24

Curator: Yjung24

Revision editor(s): Yjung24, Atrayees

Source: Figure 5b

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in ulcerative colitis (UC) patients. Comparisons between moderate to severe UC and remission (B).

Abundance in Group 1: decreased abundance in Patients with moderate to severe ulcerative colitis

NCBI Quality ControlLinks
Alistipes onderdonkii
Alistipes putredinis
Bacteroides acidifaciens
Bacteroides caccae
Bacteroides cellulosilyticus
Bilophila wadsworthia
Butyricimonas paravirosa
Odoribacter splanchnicus
Parabacteroides distasonis
Ruminococcus callidus
Streptococcus sanguinis
Alistipes
Sutterella

Revision editor(s): Yjung24, Atrayees

Experiment 5


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Distal colitis , Pancolitis distal colitis,inflammation of left colon,left colon inflammation,Distal colitis,pan-ulcerative colitis,pancolitis,universal colitis,Pancolitis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
patients with proctitis ulcerative colitis
Group 1 name Corresponds to the case (exposed) group for case-control studies
patients with left sided or extensive ulcerative colitis
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
patients diagnosed with ulcerative colitis (UC) from 3 different academic hospitals in Korea defined as left sided (distal colitis) or extensive (pancolitis).
Group 0 sample size Number of subjects in the control (unexposed) group
21
Group 1 sample size Number of subjects in the case (exposed) group
28

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
unchanged

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 5c

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in ulcerative colitis (UC) patients. Comparisons between left sided or extensive UC and proctitis.

Abundance in Group 1: increased abundance in patients with left sided or extensive ulcerative colitis

NCBI Quality ControlLinks
Bifidobacterium bifidum
Intestinibacter bartlettii
Flavonifractor plautii
Anaerostipes hadrus
Lacticaseibacillus paracasei
Mediterraneibacter gnavus

Revision editor(s): Yjung24

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24, Atrayees

Source: Figure 5c

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in ulcerative colitis (UC) patients. Comparisons between left sided or extensive UC and proctitis.

Abundance in Group 1: decreased abundance in patients with left sided or extensive ulcerative colitis

NCBI Quality ControlLinks
Alistipes communis
Alistipes senegalensis
Howardella ureilytica
Leyella stercorea
Ligilactobacillus ruminis
Odoribacter splanchnicus
Parabacteroides merdae
Paraprevotella clara
Parasutterella excrementihominis
Prevotella
Segatella copri
Senegalimassilia anaerobia
Slackia isoflavoniconvertens
Sporobacter
Tractidigestivibacter scatoligenes

Revision editor(s): Yjung24, Atrayees

Experiment 6


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Crohn's disease Colitis, Granulomatous,CROHN DIS,Crohn Disease,Crohn disease,Crohn's associated gastritis,Crohn's disease,Crohn's disease of colon,Crohn's disease of large bowel,CROHNS DIS,Crohns Disease,Enteritis, Granulomatous,Enteritis, Regional,Gastritis Associated with Crohn Disease,Gastritis Associated with Crohn's Disease,granulomatous colitis,Ileitis, Regional,Ileitis, Terminal,Ileocolitis,pediatric Crohn's disease,regional enteritis,crohn disease,crohn's disease
Group 0 name Corresponds to the control (unexposed) group for case-control studies
patients with remission Crohn's disease
Group 1 name Corresponds to the case (exposed) group for case-control studies
patients with active Crohn's disease
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients diagnosed with Crohn's disease (CD) from 3 different academic hospitals in Korea. The severity of disease was assessed by the Crohn’s Disease Activity Index CD. Active status including mild, moderate, severe forms of CD. Severity was estimated at the time of fecal sampling, and the average follow-up period was 8.0 ± 1.3 years.
Group 0 sample size Number of subjects in the control (unexposed) group
24
Group 1 sample size Number of subjects in the case (exposed) group
15

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 6a

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in Crohn’s disease (CD) patients. Comparisons between remission and active CD (A).

Abundance in Group 1: increased abundance in patients with active Crohn's disease

NCBI Quality ControlLinks
Phascolarctobacterium succinatutens
Ligilactobacillus salivarius
Limosilactobacillus mucosae
Porphyromonas asaccharolytica
Coprococcus catus

Revision editor(s): Yjung24

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 6a

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in Crohn’s disease (CD) patients. Comparisons between remission and active CD (A).

Abundance in Group 1: decreased abundance in patients with active Crohn's disease

NCBI Quality ControlLinks
Bacteroides uniformis
Eggerthella lenta
[Clostridium] innocuum
Flavonifractor plautii
Thomasclavelia ramosa
Blautia coccoides
Dorea longicatena
Mediterraneibacter gnavus
Phocaeicola plebeius
Anaerostipes hadrus
Parabacteroides distasonis
Enterocloster clostridioformis
Mediterraneibacter glycyrrhizinilyticus

Revision editor(s): Yjung24

Experiment 7


Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24, Peace Sandy

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Ileocolitis ileal crohn's,ileocolic Crohn's,ileocolitis,Ileocolitis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
patients with small bowel Crohn's disease
Group 1 name Corresponds to the case (exposed) group for case-control studies
patients with ileocolonic Crohn's disease
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients diagnosed with ileocolonic Crohn's disease (CD) from 3 different academic hospitals in Korea.
Group 0 sample size Number of subjects in the control (unexposed) group
17
Group 1 sample size Number of subjects in the case (exposed) group
17

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 6b

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in Crohn’s disease (CD) patients. Comparisons between ileocolonic and small bowel CD (B).

Abundance in Group 1: increased abundance in patients with ileocolonic Crohn's disease

NCBI Quality ControlLinks
Lactobacillus gasseri
Bacteroides ovatus
Weissella confusa

Revision editor(s): Yjung24

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-1-26

Curated date: 2023/11/25

Curator: Yjung24

Revision editor(s): Yjung24

Source: Figure 6b

Description: Taxa list according to linear discriminate analysis values determined from comparisons according to disease severity and extent in Crohn’s disease (CD) patients. Comparisons between ileocolonic and small bowel CD (B).

Abundance in Group 1: decreased abundance in patients with ileocolonic Crohn's disease

NCBI Quality ControlLinks
Blautia coccoides
Bilophila wadsworthia
Enterocloster clostridioformis

Revision editor(s): Yjung24