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 in | Frontiers in microbiology Vol. 12; p. 711134 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Switzerland
Frontiers Media
23.12.2021
Frontiers Media S.A |
Subjects | |
Online Access | Get full text |
ISSN | 1664-302X 1664-302X |
DOI | 10.3389/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 |
AuthorAffiliation_xml | – name: 9 National Heart and Lung Institute, Imperial College London , London , United Kingdom – 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 – name: 11 Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital , Shenzhen , China – name: 8 Australian Centre for Health Services Innovation, Queensland University of Technology , Brisbane, QLD , Australia – 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 – name: 2 Child Health Division, Menzies School of Health Research, Charles Darwin University , Darwin, NT , Australia – 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 – name: 30 Department of Epidemiology of Microbial Diseases, Yale School of Public Health , New Haven, CT , United States – name: 7 Department of Respiratory and Sleep Medicine, Queensland Children’s Hospital , Brisbane, QLD , Australia – name: 16 Department of Pediatrics and Microbiology, University of Washington , Seattle, WA , United States – 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 – name: 14 Department of Pediatrics, University of Colorado School of Medicine , Aurora, CO , United States – name: 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 States – 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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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 |
Language | English |
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. Attribution: http://creativecommons.org/licenses/by This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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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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