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 Joanna  Bybee1,  Rojelio  Mejia2,Ruben  Cimino3,   Ashish  Damania2,  Rebecca  Jen3,  Patricia  Bryan3,   Alejandro  Krolewiek3,  Barton  E.  Slatko1   1New  England  Biolabs  Inc.,  Ipswich    MA  USA   2Na)onal  School  of  Tropical    Medicine,  Baylor  college  of  Medicine,  Houston  TX  USA   3Universidad  Nacional  de  Salta,  Salta  Province,  Argen)na  

 

Abstract  

Next   genera3on   sequencing   (NGS)   for   microbiome   analysis   is   commonly   performed   using   16S  rRNA   gene   sequencing   or   whole   genome   shotgun   sequencing   (WGS).   We   carried   out   both   WGS   and   16S   sequencing   on   human   fecal   samples  from  a  122  Argen3nian  cohort  study  focusing  on  two  groups:  helminth  infected  (Ascaris,  Ancylostoma,  Necator,  Strongyloides,  and  Trichuris)  versus  non-­‐infected  (no-­‐parasite)  individuals  verified  by  mul3-­‐parallel  real-­‐3me  quan3ta3ve  PCR.  WGS   approach  provided  higher  resolu3on  allowing  classifica3on  to  the  bacterial  strain  level  and  in  some  cases  even  sub-­‐strain  level.  16S  sequencing  could  not  provide  resolu3on  below  genus  level.  Both  methods  demonstrated  similar  sensi3vity  to  detect   Shannon   alpha   diversity   differences.   While   there   were   no   sta3s3cal   differences   within   the   helminth   infected   group   (p   =   0.999)   or   no-­‐parasite   group   (p   =   0.400),   WGS   showed   a   significant   increase   in   difference   of   means   (DOM)   as   compared   to   16S   rRNA   gene   sequencing.   DOM   provides   a   measure   of   the   change   in   propor3on   of   specific   bacterial   sequences   for   helminth   and   no-­‐parasite   groups.   This   measure   is   useful   for   determining   the   capacity   of   an   assay   to   discriminate   between   2   experimental   groups   and   small   effect   size.   The   WGS   method   provides   rich   metagenomic   func3onal   informa3on   as   compared   to   16S   rRNA   sequencing.   Metagenomic   func3onal   informa3on   for   16S   rRNA   reads   can   be   inferred   using   PICRUST   so`ware   through   taxonomic   informa3on,  but  it  lacks  the  direct  evidence  of  genes  found  in  WGS.  On  the  other  hand,  16S  sequencing  is  computa3onally  inexpensive,  while  WGS  data  are  challenging  to  manage/analyse  and  require  so`ware  with  complex  algorithms.  Our  results  show   that   WGS   offers   higher   taxonomic   resolu3on   and   discrimina3on   along   with   metagenomic   func3onal   informa3on   while   16S   provides   a   reasonable   op3on   if   the   taxonomic   informa3on   is   the   primary   focus   of   a   study.   This   study   provides   important   informa3on  for  selec3ng  the  op3mal  assay  based  on  func3on  and  price  with  implica3ons  in  evolu3onary  inves3ga3ons  and  tropical  medicine.  

•  Asymptoma3c  children   •  Ages  4-­‐6  years  old   •  No  recent  an3bio3cs   •  qPCR  and  microscopy  for   presence  of  :     Ascaris  lumbricoides                         Strongyloides  stercoralis   Ancylostoma  duodenale         Giardia  lamblia     Necator  americanus                       Cryptosporidium  species     Trichuris  trichiura                                 Entamoeba  histoly;ca     •  NEBNext®  Microbiome  DNA   Enrichment  Kit   •  NEBNext®  Ultra™  DNA  Library   Prep  Kit  for  Illumina®   •  Illumina  NextSeq®  Whole   genome  sequencing   •  Livermore  Metagenomics   Analysis  Toolkit  (LMAT)  and   Diamond  so`ware   •  Phred  quality  score  20  (99%   base  call  accuracy)   •  Normalized  to  10,000  reads   for  bacterial  diversity  

0 0.01 0.1

Proportion of sequences (%)

Proportion of sequences (%)

1

Giardia Non-Giardia

1

10

100 1000 10000

Giardia fg/µl •  Greater  than  1  fg/µl  Giardia  DNA  has   significant  decrease  in  bacterial   diversity  to  No  Parasite  group  (p  =   0.0244)   5

Giardia Helminths No Parasites Giardia Helminth

•  Giardia  infec3ons  had  lower   cellular  amino  acid  metabolic   processes  than  helminth   infec3ons                    (p  =  0.047)  

4

3

•  f   2

1

•  Higher  Giardia  burdens   correlate  to  less  bacterial   diversity  which  could   indicate  worse  disease   status  

•   Giardia  infected  group   had  significant  increases  in                  Prevotella  species                      compared                  to  helminth  groups                         •  Coinfec3ons  negated   those                      differences       •  Metagenomics  showed   lower  cellular  amino  acid   processes  and  decreased   cobalamin  (Vitamin  B12)   biosynthesis  genes  in   Giardia  infected  children   and  related  to  high  Giardia   burden  

•  Useful  for  epidemiology   and  morbidity  studies   0 o Giardia > 1 fg/µl No Giardia Helminths •  Correlate  mechanism  of   l Giardia< 1 fg/µl Parasites Helminth decreased  Vitamin  B12   genes  to  growth  delays  in   •  High  Giardia  infected  children   •  Giardia  >1  fg/µl  group  had  more   children  infected  with   had  decreased  cobalamin   abundant  Prevotella  than  No  Parasite   intes3nal  parasites   biosynthesis  genes  compared  to   group  p  =  0.037  (A)  with  Helminths   No  Parasites  (p  =  0.038)(A)    with   •  Expanding  understanding   group  decreased  Prevotella  to  Giardia   of  morbidity  and   compensatory  effects  from   group  (p  =  0.024)  and  Giardia/helminth   malnutri3on   Helminth  infec3ons                      (p  =   co-­‐infected  nega3ng  these  differences   0.021)(B)     B   A (p   =   0 .019)   ( B)   B   •  Future  direc3ons:   A   •  Correlate   quan3ty   of   parasite   DNA   with   clinical   outcomes   •  Associate  morbidity  to   changes  in  microbiome   •  Treat  children  with  an3-­‐ parasi3cs  and  evaluate   changes  in  microbiome   Propor3on  of  sequences  (%)  

•  99  pa3ent  samples  

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Conclusions  

•  These  findings  are  mostly   with  higher  Giardia   burdens  and  likely  due  to   changes  in  intes3nal   micro-­‐environments  due   to  Giardia  crea3ng   anaerobic   microenvironments  

Propor3on  of  sequences  (%)  

•  Temperate  climate    

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Propor3on  oof  f  sequences   sequences  (%)   (%)   Propor3on  

•  Peri-­‐urban  community    

Spearman r = -0.5491 p = 0.0244

Prevotella  propor3on  (%)  

•  Field  site:  Orán,  Argen3na    

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Shannon Alpha Diversity

Materials  and   methods  

•  Giardia  group  had  more   anaerobic  bacteria  than   other  cohorts  op3mizing   condi3ons  for  Prevotella   (p  =  0.012)  

•  Increasing  Giardia  burden   (fg/µl)  correlates  to   decreasing  intes3nal   bacterial  diversity  

Prevotella  propor3on  (%)  

•   >2  billion  GI  parasite  infec3ons   worldwide  in  poorest  and  resource-­‐ deprived  communi3es   •  GI  parasites  may  disrupt  normal   intes3nal  microbiota   •  Decreased  microbial  biodiversity  is   associated  with  disease,  including:     §  Malabsorp3on   §  Inflammatory  bowel   diseases     •  Vitamin  B12  involved  in  metabolism   of  every  human  cell   •  Bacteria  have  the  enzymes  needed   for  vitamin  B12  biosynthesis   •  qPCR  is  rapid,  quan3ta3ve,  high-­‐ throughput  and  is  a  more  reliable   species-­‐specific  method  

Results    

Shannon Alpha Diversity

Introduc)on  

Acknowledgements  

Funding  for  this  project  was  provided   by  the  Na3onal  School  of  Tropical   Medicine,  Baylor  College  of  Medicine   and  New  England  Biolabs,  Inc.  

     High  Giardia                          Low   Giardia                        No  Parasites            

     High  Giardia                  Low  Giardia                        No   Parasites                    

Giardia        Helminths            No  Parasites              Giardia      High  Giardia      Low  Giardia    No  Parasites         Giardia    Helminths      No                Giardia                                                              Parasites  Helminth                                      Helminth                                    

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