Pronounced gut microbiota signatures in patients with JAK2V617F-positive essential thrombocythemia

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Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Eickhardt-Dalbøge CS, Ingham AC, Nielsen HV, Fuursted K, Stensvold CR, Andersen LO, Larsen MK, Kjær L, Christensen SF, Knudsen TA, Skov V, Ellervik C, Olsen LR, Hasselbalch HC, Elmer Christensen JJ, Nielsen XC
Journal
Microbiology spectrum
Year
2023
Keywords:
ET, JAK2V617F, essential thrombocythemia, gut microbiome, gut microbiota, inflammation, myelofibrosis, myeloproliferative neoplasms, polycythemia vera
Essential thrombocythemia (ET) is part of the Philadelphia chromosome-negative myeloproliferative neoplasms. It is characterized by an increased risk of thromboembolic events and also to a certain degree hypermetabolic symptoms. The gut microbiota is an important initiator of hematopoiesis and regulation of the immune system, but in patients with ET, where inflammation is a hallmark of the disease, it is vastly unexplored. In this study, we compared the gut microbiota via amplicon-based 16S rRNA gene sequencing of the V3-V4 region in 54 patients with ET according to mutation status Janus-kinase 2 (JAK2V617F)-positive vs JAK2V617F-negative patients with ET, and in 42 healthy controls (HCs). Gut microbiota richness was higher in patients with ET (median-observed richness, 283.5; range, 75-535) compared with HCs (median-observed richness, 191.5; range, 111-300; P < 0.001). Patients with ET had a different overall bacterial composition (beta diversity) than HCs (analysis of similarities [ANOSIM]; R = 0.063, P = 0.004). Patients with ET had a significantly lower relative abundance of taxa within the Firmicutes phylum compared with HCs (51% vs 59%, P = 0.03), and within that phylum, patients with ET also had a lower relative abundance of the genus Faecalibacterium (8% vs 15%, P < 0.001), an important immunoregulative bacterium. The microbiota signatures were more pronounced in patients harboring the JAK2V617F mutation, and highly similar to patients with polycythemia vera as previously described. These findings suggest that patients with ET may have an altered immune regulation; however, whether this dysregulation is induced in part by, or is itself inducing, an altered gut microbiota remains to be investigated. IMPORTANCE Essential thrombocythemia (ET) is a cancer characterized by thrombocyte overproduction. Inflammation has been shown to be vital in both the initiation and progression of other myeloproliferative neoplasms, and it is well known that the gut microbiota is important in the regulation of our immune system. However, the gut microbiota of patients with ET remains uninvestigated. In this study, we characterized the gut microbiota of patients with ET compared with healthy controls and thereby provide new insights into the field. We show that the gut microbiota of patients with ET differs significantly from that of healthy controls and the patients with ET have a lower relative abundance of important immunoregulative bacteria. Furthermore, we demonstrate that patients with JAK2V617F-positive ET have pronounced gut microbiota signatures compared with JAK2V617F-negative patients. Thereby confirming the importance of the underlying mutation, the immune response as well as the composition of the microbiota.

Experiment 1


Needs review

Curated date: 2024/03/12

Curator: Deacme

Revision editor(s): Deacme

Subjects

Location of subjects
Denmark
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
Essential thrombocythemia essential thrombocytemia,essential thrombocythaemia,essential thrombocythemia,essential thrombocytosis,ET,hemorrhagic thrombocythemia,idiopathic thrombocythemia,primary thrombocythemia,primary thrombocytosis,Essential thrombocythemia
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy Controls
Group 1 name Corresponds to the case (exposed) group for case-control studies
ET Patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Participants with cancer characterised by thrombocyte overproduction
Group 0 sample size Number of subjects in the control (unexposed) group
42
Group 1 sample size Number of subjects in the case (exposed) group
54
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
2 months

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V3-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
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
0.005
Matched on Factors on which subjects have been matched on in a case-control study
sex

Alpha Diversity

Richness Number of species
increased

Signature 1

Needs review

Curated date: 2024/03/12

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6a

Description: Differential abundance analysis identified using LEfSe between healthy controls and patients with Essential Thrombocythemia

Abundance in Group 1: increased abundance in ET Patients

NCBI Quality ControlLinks
Actinomycetota
Coriobacteriales
Coriobacteriia
Erysipelotrichaceae
Veillonella

Revision editor(s): Deacme

Signature 2

Needs review

Curated date: 2024/03/12

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6a

Description: Differential abundance analysis identified using LEfSe between healthy controls and patients with Essential Thrombocythemia

Abundance in Group 1: decreased abundance in ET Patients

NCBI Quality ControlLinks
Agathobacter
Clostridia
Eubacteriales
Faecalibacterium
Lachnospiraceae
Lachnospirales
Oscillospiraceae

Revision editor(s): Deacme

Experiment 2


Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
JAK2V617F-positive
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Essential thrombocythemia patients positive for the JAK2V617F mutation
Group 1 sample size Number of subjects in the case (exposed) group
36

Lab analysis

Statistical Analysis

Alpha Diversity

Inverse Simpson Modification of Simpsons index D as 1/D to obtain high values in datasets of high diversity and vice versa
unchanged
Richness Number of species
increased

Signature 1

Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6b

Description: Differential abundance analysis identified using LEfSe between healthy controls and Essential thrombocythemia patients positive for the JAK2V617F mutation

Abundance in Group 1: increased abundance in JAK2V617F-positive

NCBI Quality ControlLinks
Actinomycetota
Coriobacteriales
Coriobacteriia
Erysipelotrichaceae
Erysipelotrichales
Turicibacter
Veillonella

Revision editor(s): Deacme

Signature 2

Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6b

Description: Differential abundance analysis identified using LEfSe between healthy controls and Essential thrombocythemia patients positive for the JAK2V617F mutation

Abundance in Group 1: decreased abundance in JAK2V617F-positive

NCBI Quality ControlLinks
Agathobacter
Clostridia
Faecalibacterium
Lachnospiraceae
Lachnospirales
Oscillospiraceae

Revision editor(s): Deacme

Experiment 3


Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
JAK2V617F-negaive
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Essential thrombocythemia patients negative for the JAK2V617F mutation
Group 1 sample size Number of subjects in the case (exposed) group
16

Lab analysis

Statistical Analysis

Alpha Diversity

Inverse Simpson Modification of Simpsons index D as 1/D to obtain high values in datasets of high diversity and vice versa
unchanged
Richness Number of species
unchanged

Signature 1

Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6c

Description: Differential abundance analysis identified using LEfSe between healthy controls and Essential thrombocythemia patients negative for the JAK2V617F mutation

Abundance in Group 1: increased abundance in JAK2V617F-negaive

NCBI Quality ControlLinks
Coriobacteriales
Coriobacteriia
Oscillospiraceae
Subdoligranulum
UCG-002UCG-002

Revision editor(s): Deacme

Signature 2

Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6c

Description: Differential abundance analysis identified using LEfSe between healthy controls and Essential thrombocythemia patients negative for the JAK2V617F mutation

Abundance in Group 1: decreased abundance in JAK2V617F-negaive

NCBI Quality ControlLinks
Agathobacter
Faecalibacterium
Lachnospiraceae
Lachnospirales

Revision editor(s): Deacme

Experiment 4


Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
JAK2V617F-negative
Group 1 name Corresponds to the case (exposed) group for case-control studies
JAK2V617F-positive
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Essential thrombocythemia patients positive for the JAK2V617F mutation
Group 0 sample size Number of subjects in the control (unexposed) group
16
Group 1 sample size Number of subjects in the case (exposed) group
36

Lab analysis

Statistical Analysis

Alpha Diversity

Inverse Simpson Modification of Simpsons index D as 1/D to obtain high values in datasets of high diversity and vice versa
unchanged
Richness Number of species
unchanged

Signature 1

Needs review

Curated date: 2024/03/14

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6d

Description: Differential abundance analysis identified using LEfSe between Essential thrombocythemia patients negative for the JAK2V617F mutation and patients positive for the JAK2V617F mutation

Abundance in Group 1: increased abundance in JAK2V617F-positive

NCBI Quality ControlLinks
Bacilli
Bifidobacteriaceae
Bifidobacteriales
Bifidobacterium
Erysipelotrichales

Revision editor(s): Deacme

Signature 2

Needs review

Curated date: 2024/03/16

Curator: Deacme

Revision editor(s): Deacme

Source: Fig 6d

Description: Differential abundance analysis identified using LEfSe between Essential thrombocythemia patients negative for the JAK2V617F mutation and patients positive for the JAK2V617F mutation

Abundance in Group 1: decreased abundance in JAK2V617F-positive

NCBI Quality ControlLinks
UCG-002UCG-002

Revision editor(s): Deacme