Bacterial Signatures of Paediatric Respiratory Disease: An Individual Participant Data Meta-Analysis

Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggeste...

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Published inFrontiers in microbiology Vol. 12; p. 711134
Main Authors Broderick, David T. J., Waite, David W., Marsh, Robyn L., Camargo, Carlos A., Cardenas, Paul, Chang, Anne B., Cookson, William O. C., Cuthbertson, Leah, Dai, Wenkui, Everard, Mark L., Gervaix, Alain, Harris, J. Kirk, Hasegawa, Kohei, Hoffman, Lucas R., Hong, Soo-Jong, Josset, Laurence, Kelly, Matthew S., Kim, Bong-Soo, Kong, Yong, Li, Shuai C., Mansbach, Jonathan M., Mejias, Asuncion, O’Toole, George A., Paalanen, Laura, Pérez-Losada, Marcos, Pettigrew, Melinda M., Pichon, Maxime, Ramilo, Octavio, Ruokolainen, Lasse, Sakwinska, Olga, Seed, Patrick C., van der Gast, Christopher J., Wagner, Brandie D., Yi, Hana, Zemanick, Edith T., Zheng, Yuejie, Pillarisetti, Naveen, Taylor, Michael W.
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media 23.12.2021
Frontiers Media S.A
Subjects
Online AccessGet full text
ISSN1664-302X
1664-302X
DOI10.3389/fmicb.2021.711134

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Abstract Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies. Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses. Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus . Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
AbstractList Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies. Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses. Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus . Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha-and beta-diversity approaches, machine learning, and biomarker analyses. Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus. Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies. Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses. Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus. Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies. Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses. Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus. Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies.Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses.Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus. Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively.Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies. We obtained raw microbiota data from public repositories or communication with corresponding authors. Cross-sectional analyses of the paediatric (<18 years) microbiota in acute and chronic respiratory conditions, with >10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses. We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including and . Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
Author Marsh, Robyn L.
Yi, Hana
Sakwinska, Olga
Everard, Mark L.
Harris, J. Kirk
Zheng, Yuejie
Dai, Wenkui
Josset, Laurence
Hasegawa, Kohei
Chang, Anne B.
Kim, Bong-Soo
Taylor, Michael W.
O’Toole, George A.
Ruokolainen, Lasse
Cuthbertson, Leah
Mansbach, Jonathan M.
Pichon, Maxime
Paalanen, Laura
Li, Shuai C.
Pillarisetti, Naveen
Hoffman, Lucas R.
Hong, Soo-Jong
Zemanick, Edith T.
Cookson, William O. C.
Pettigrew, Melinda M.
Seed, Patrick C.
van der Gast, Christopher J.
Cardenas, Paul
Broderick, David T. J.
Camargo, Carlos A.
Mejias, Asuncion
Pérez-Losada, Marcos
Kelly, Matthew S.
Kong, Yong
Gervaix, Alain
Ramilo, Octavio
Wagner, Brandie D.
Waite, David W.
AuthorAffiliation 9 National Heart and Lung Institute, Imperial College London , London , United Kingdom
32 University of Poitiers, INSERM U1070 , Poitiers , France
22 Department of Computer Science, City University of Hong Kong, Kowloon , Hong Kong SAR , China
33 Department of Biosciences, University of Helsinki , Helsinki , Finland
38 School of Biosystem and Biomedical Science, Korea University , Seoul , South Korea
1 School of Biological Sciences, University of Auckland , Auckland , New Zealand
8 Australian Centre for Health Services Innovation, Queensland University of Technology , Brisbane, QLD , Australia
24 Department of Pediatrics, Boston Children’s Hospital , Boston, MA , United States
10 Royal Brompton and Harefield NHS Foundation Trust , London , United Kingdom
25 Division of Pediatric Infectious Diseases, Department of Pediatrics, Center for Vaccines and Immunity, Abigail Wexner Research Institute at Nationwide Children’s Hospital, The Ohio State University College of Medicine , Columbus, OH , United
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– name: 24 Department of Pediatrics, Boston Children’s Hospital , Boston, MA , United States
– name: 19 Division of Pediatric Infectious Diseases, Duke University , Durham, NC , United States
– name: 21 Department of Biostatistics, Yale School of Public Health, Yale University , New Haven, CT , United States
– name: 10 Royal Brompton and Harefield NHS Foundation Trust , London , United Kingdom
– name: 33 Department of Biosciences, University of Helsinki , Helsinki , Finland
– name: 35 Department of Pediatrics, Feinberg School of Medicine, Northwestern University , Chicago, IL , United States
– name: 38 School of Biosystem and Biomedical Science, Korea University , Seoul , South Korea
– name: 18 Hospices Civils de Lyon , Lyon , France
– name: 4 Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA , United States
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– name: 36 Department of Life Sciences, Manchester Metropolitan University , Manchester , United Kingdom
– name: 29 CIBIO-InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus Agrário de Vairão , Vairão , Portugal
– name: 27 Finnish Institute for Health and Welfare (THL) , Helsinki , Finland
– name: 37 Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Aurora , Aurora, CO , United States
– name: 28 Department of Biostatistics and Bioinformatics, Computational Biology Institute, Milken Institute School of Public Health, George Washington University , Washington, DC , United States
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– name: 40 Starship Children’s Hospital , Auckland , New Zealand
– name: 22 Department of Computer Science, City University of Hong Kong, Kowloon , Hong Kong SAR , China
– name: 1 School of Biological Sciences, University of Auckland , Auckland , New Zealand
– name: 13 Department of Pediatrics, Gynecology and Obstetrics, Faculty of Medicine, University Hospitals of Geneva , Geneva , Switzerland
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– name: 31 CHU Poitiers, Infectious Agents Department , Poitiers , France
– name: 15 Seattle Children’s Hospital , Seattle, WA , United States
– name: 32 University of Poitiers, INSERM U1070 , Poitiers , France
– name: 12 School of Medicine, University of Western Australia , Perth, WA , Australia
– name: 26 Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth , Hanover, NH , United States
– name: 39 Shenzhen Children’s Hospital , Shenzhen , China
– name: 5 Harvard Medical School , Boston, MA , United States
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– name: 3 Department of Emergency Medicine, Massachusetts General Hospital , Boston, MA , United States
– name: 6 Colegio de Ciencias Biológicas y Ambientales, Instituto de Microbiología, Universidad San Francisco de Quito , Quito , Ecuador
– name: 20 Department of Life Science, Multidisciplinary Genome Institute, Hallym University , Chuncheon , South Korea
– name: 17 Department of Pediatrics, Childhood Asthma Atopy Center, Humidifier Disinfectant Health Center, Asan Medical Center, University of Ulsan College of Medicine , Seoul , South Korea
– name: 23 Department of Biomedical Engineering, City University of Hong Kong, Kowloon , Hong Kong SAR , China
– name: 34 Nestlé Research , Lausanne , Switzerland
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/35002989$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor.
Attribution
Copyright © 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor. 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor
Copyright_xml – notice: Copyright © 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor.
– notice: Attribution
– notice: Copyright © 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor. 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor
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Keywords paediatrics
meta-analysis
microbiota (16S)
individual participant data (IPD) meta-analysis
respiratory infection
respiratory tract
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License Copyright © 2021 Broderick, Waite, Marsh, Camargo, Cardenas, Chang, Cookson, Cuthbertson, Dai, Everard, Gervaix, Harris, Hasegawa, Hoffman, Hong, Josset, Kelly, Kim, Kong, Li, Mansbach, Mejias, O’Toole, Paalanen, Pérez-Losada, Pettigrew, Pichon, Ramilo, Ruokolainen, Sakwinska, Seed, van der Gast, Wagner, Yi, Zemanick, Zheng, Pillarisetti and Taylor.
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PMCID: PMC8733647
Edited by: Leonard Peruski, Centers for Disease Control and Prevention (CDC), United States
Reviewed by: Benjamin G. Wu, New York University, United States; Celine Pattaroni, Monash University, Australia
This article was submitted to Infectious Agents and Disease, a section of the journal Frontiers in Microbiology
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Snippet Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether...
The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria...
Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether...
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SubjectTerms Bacteriology
Human health and pathology
individual participant data (IPD) meta-analysis
Infectious diseases
Life Sciences
meta-analysis
Microbiology
Microbiology and Parasitology
microbiota (16S)
paediatrics
Quantitative Methods
respiratory infection
respiratory tract
Santé publique et épidémiologie
Virology
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Title Bacterial Signatures of Paediatric Respiratory Disease: An Individual Participant Data Meta-Analysis
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