Integrative analysis of the intestinal metabolome of childhood asthma

The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology. We sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthm...

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Published inJournal of allergy and clinical immunology Vol. 144; no. 2; pp. 442 - 454
Main Authors Lee-Sarwar, Kathleen A., Kelly, Rachel S., Lasky-Su, Jessica, Zeiger, Robert S., O'Connor, George T., Sandel, Megan T., Bacharier, Leonard B., Beigelman, Avraham, Laranjo, Nancy, Gold, Diane R., Weiss, Scott T., Litonjua, Augusto A.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2019
Elsevier Limited
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Online AccessGet full text
ISSN0091-6749
1097-6825
1097-6825
DOI10.1016/j.jaci.2019.02.032

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Abstract The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology. We sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial. Metabolomic profiling was performed by using mass spectrometry on fecal samples collected from 361 three-year-old subjects. Adjusted logistic regression analyses identified metabolites and modules of highly correlated metabolites associated with asthma diagnosis by age 3 years. Sparse canonical correlation analysis identified associations relevant to asthma between the intestinal metabolome and other “omics”: the intestinal microbiome as measured by using 16S rRNA sequencing, the plasma metabolome as measured by using mass spectrometry, and diet as measured by using food frequency questionnaires. Several intestinal metabolites were associated with asthma at age 3 years, including inverse associations between asthma and polyunsaturated fatty acids (adjusted logistic regression β = −6.3; 95% CI, −11.3 to −1.4; P = .01) and other lipids. Asthma-associated intestinal metabolites were significant mediators of the inverse relationship between exclusive breast-feeding for the first 4 months of life and asthma (P for indirect association = .04) and the positive association between a diet rich in meats and asthma (P = .03). Specific intestinal bacterial taxa, including the family Christensenellaceae, and plasma metabolites, including γ-tocopherol/β-tocopherol, were positively associated with asthma and asthma-associated intestinal metabolites. Integrative analyses revealed significant interrelationships between the intestinal metabolome and the intestinal microbiome, plasma metabolome, and diet in association with childhood asthma. These findings require replication in future studies. [Display omitted]
AbstractList The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology. We sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial. Metabolomic profiling was performed by using mass spectrometry on fecal samples collected from 361 three-year-old subjects. Adjusted logistic regression analyses identified metabolites and modules of highly correlated metabolites associated with asthma diagnosis by age 3 years. Sparse canonical correlation analysis identified associations relevant to asthma between the intestinal metabolome and other “omics”: the intestinal microbiome as measured by using 16S rRNA sequencing, the plasma metabolome as measured by using mass spectrometry, and diet as measured by using food frequency questionnaires. Several intestinal metabolites were associated with asthma at age 3 years, including inverse associations between asthma and polyunsaturated fatty acids (adjusted logistic regression β = −6.3; 95% CI, −11.3 to −1.4; P = .01) and other lipids. Asthma-associated intestinal metabolites were significant mediators of the inverse relationship between exclusive breast-feeding for the first 4 months of life and asthma (P for indirect association = .04) and the positive association between a diet rich in meats and asthma (P = .03). Specific intestinal bacterial taxa, including the family Christensenellaceae, and plasma metabolites, including γ-tocopherol/β-tocopherol, were positively associated with asthma and asthma-associated intestinal metabolites. Integrative analyses revealed significant interrelationships between the intestinal metabolome and the intestinal microbiome, plasma metabolome, and diet in association with childhood asthma. These findings require replication in future studies. [Display omitted]
Intestinal metabolites, including immune-modulating lipids, are associated with childhood asthma. Specific bacterial taxa, plasma metabolites and dietary factors, including lack of breastfeeding and meat intake, correlate with asthma-associated metabolites.
The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology. We sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial. Metabolomic profiling was performed by using mass spectrometry on fecal samples collected from 361 three-year-old subjects. Adjusted logistic regression analyses identified metabolites and modules of highly correlated metabolites associated with asthma diagnosis by age 3 years. Sparse canonical correlation analysis identified associations relevant to asthma between the intestinal metabolome and other "omics": the intestinal microbiome as measured by using 16S rRNA sequencing, the plasma metabolome as measured by using mass spectrometry, and diet as measured by using food frequency questionnaires. Several intestinal metabolites were associated with asthma at age 3 years, including inverse associations between asthma and polyunsaturated fatty acids (adjusted logistic regression β = -6.3; 95% CI, -11.3 to -1.4; P = .01) and other lipids. Asthma-associated intestinal metabolites were significant mediators of the inverse relationship between exclusive breast-feeding for the first 4 months of life and asthma (P for indirect association = .04) and the positive association between a diet rich in meats and asthma (P = .03). Specific intestinal bacterial taxa, including the family Christensenellaceae, and plasma metabolites, including γ-tocopherol/β-tocopherol, were positively associated with asthma and asthma-associated intestinal metabolites. Integrative analyses revealed significant interrelationships between the intestinal metabolome and the intestinal microbiome, plasma metabolome, and diet in association with childhood asthma. These findings require replication in future studies.
BackgroundThe intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology.ObjectiveWe sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial.MethodsMetabolomic profiling was performed by using mass spectrometry on fecal samples collected from 361 three-year-old subjects. Adjusted logistic regression analyses identified metabolites and modules of highly correlated metabolites associated with asthma diagnosis by age 3 years. Sparse canonical correlation analysis identified associations relevant to asthma between the intestinal metabolome and other “omics”: the intestinal microbiome as measured by using 16S rRNA sequencing, the plasma metabolome as measured by using mass spectrometry, and diet as measured by using food frequency questionnaires.ResultsSeveral intestinal metabolites were associated with asthma at age 3 years, including inverse associations between asthma and polyunsaturated fatty acids (adjusted logistic regression β = −6.3; 95% CI, −11.3 to −1.4; P = .01) and other lipids. Asthma-associated intestinal metabolites were significant mediators of the inverse relationship between exclusive breast-feeding for the first 4 months of life and asthma (P for indirect association = .04) and the positive association between a diet rich in meats and asthma (P = .03). Specific intestinal bacterial taxa, including the family Christensenellaceae, and plasma metabolites, including γ-tocopherol/β-tocopherol, were positively associated with asthma and asthma-associated intestinal metabolites.ConclusionIntegrative analyses revealed significant interrelationships between the intestinal metabolome and the intestinal microbiome, plasma metabolome, and diet in association with childhood asthma. These findings require replication in future studies.
The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology.BACKGROUNDThe intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology.We sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial.OBJECTIVEWe sought to perform an untargeted integrative analysis of the intestinal metabolome of childhood asthma in this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial.Metabolomic profiling was performed by using mass spectrometry on fecal samples collected from 361 three-year-old subjects. Adjusted logistic regression analyses identified metabolites and modules of highly correlated metabolites associated with asthma diagnosis by age 3 years. Sparse canonical correlation analysis identified associations relevant to asthma between the intestinal metabolome and other "omics": the intestinal microbiome as measured by using 16S rRNA sequencing, the plasma metabolome as measured by using mass spectrometry, and diet as measured by using food frequency questionnaires.METHODSMetabolomic profiling was performed by using mass spectrometry on fecal samples collected from 361 three-year-old subjects. Adjusted logistic regression analyses identified metabolites and modules of highly correlated metabolites associated with asthma diagnosis by age 3 years. Sparse canonical correlation analysis identified associations relevant to asthma between the intestinal metabolome and other "omics": the intestinal microbiome as measured by using 16S rRNA sequencing, the plasma metabolome as measured by using mass spectrometry, and diet as measured by using food frequency questionnaires.Several intestinal metabolites were associated with asthma at age 3 years, including inverse associations between asthma and polyunsaturated fatty acids (adjusted logistic regression β = -6.3; 95% CI, -11.3 to -1.4; P = .01) and other lipids. Asthma-associated intestinal metabolites were significant mediators of the inverse relationship between exclusive breast-feeding for the first 4 months of life and asthma (P for indirect association = .04) and the positive association between a diet rich in meats and asthma (P = .03). Specific intestinal bacterial taxa, including the family Christensenellaceae, and plasma metabolites, including γ-tocopherol/β-tocopherol, were positively associated with asthma and asthma-associated intestinal metabolites.RESULTSSeveral intestinal metabolites were associated with asthma at age 3 years, including inverse associations between asthma and polyunsaturated fatty acids (adjusted logistic regression β = -6.3; 95% CI, -11.3 to -1.4; P = .01) and other lipids. Asthma-associated intestinal metabolites were significant mediators of the inverse relationship between exclusive breast-feeding for the first 4 months of life and asthma (P for indirect association = .04) and the positive association between a diet rich in meats and asthma (P = .03). Specific intestinal bacterial taxa, including the family Christensenellaceae, and plasma metabolites, including γ-tocopherol/β-tocopherol, were positively associated with asthma and asthma-associated intestinal metabolites.Integrative analyses revealed significant interrelationships between the intestinal metabolome and the intestinal microbiome, plasma metabolome, and diet in association with childhood asthma. These findings require replication in future studies.CONCLUSIONIntegrative analyses revealed significant interrelationships between the intestinal metabolome and the intestinal microbiome, plasma metabolome, and diet in association with childhood asthma. These findings require replication in future studies.
Author Zeiger, Robert S.
Beigelman, Avraham
Laranjo, Nancy
Lee-Sarwar, Kathleen A.
Kelly, Rachel S.
Gold, Diane R.
O'Connor, George T.
Weiss, Scott T.
Sandel, Megan T.
Lasky-Su, Jessica
Litonjua, Augusto A.
Bacharier, Leonard B.
AuthorAffiliation 3 Departments of Allergy and Research and Evaluation, Kaiser Permanente Southern California, San Diego and Pasadena, CA, USA
2 Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
8 Division of Pediatric Pulmonary Medicine, Golisano Children’s Hospital at Strong, University of Rochester Medical Center, Rochester, NY, USA
4 Pulmonary Center and Department of Medicine, Boston University School of Medicine, Boston, MA, USA
1 Division of Rheumatology, Immunology and Allergy, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
7 Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
5 Department of Pediatrics, Boston Medical Center, Boston, MA, USA
6 Division of Pediatric Allergy, Immunology and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO and St Louis Children’s Hospital, St Louis, MO, USA
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/30914378$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright 2019 American Academy of Allergy, Asthma & Immunology
Copyright © 2019 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
2019. American Academy of Allergy, Asthma & Immunology
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Issue 2
Keywords nutrition
breast-feeding
PUFA
vitamin E
Christensenellaceae
diet
microbiome
VDAART
metabolome
Asthma
Language English
License Copyright © 2019 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
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SSID ssj0009389
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Snippet The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology. We sought to perform...
BackgroundThe intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology.ObjectiveWe...
The intestinal metabolome reflects the biological consequences of diverse exposures and might provide insight into asthma pathophysiology.BACKGROUNDThe...
Intestinal metabolites, including immune-modulating lipids, are associated with childhood asthma. Specific bacterial taxa, plasma metabolites and dietary...
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Index Database
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Publisher
StartPage 442
SubjectTerms Age
Antibiotics
Asthma
Asthma - metabolism
Asthma - microbiology
Bacteria - classification
Bacteria - genetics
Bacteria - metabolism
Breast
breast-feeding
Breastfeeding & lactation
Child, Preschool
Childhood
Children
Children & youth
Christensenellaceae
Correlation analysis
Diet
Eigenvalues
Feces - microbiology
Female
Gastrointestinal Microbiome
Humans
Infant
Infant, Newborn
Intestine
Lipid metabolism
Male
Mass spectroscopy
Metabolites
Metabolome
Metabolomics
microbiome
Microbiomes
nutrition
Parent educational background
Polyunsaturated fatty acids
Precision medicine
Principal components analysis
Questionnaires
RNA, Bacterial - genetics
RNA, Bacterial - metabolism
RNA, Ribosomal, 16S - genetics
RNA, Ribosomal, 16S - metabolism
rRNA 16S
Vitamin D
vitamin E
Title Integrative analysis of the intestinal metabolome of childhood asthma
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0091674919304063
https://dx.doi.org/10.1016/j.jaci.2019.02.032
https://www.ncbi.nlm.nih.gov/pubmed/30914378
https://www.proquest.com/docview/2268275418
https://www.proquest.com/docview/2198557372
https://pubmed.ncbi.nlm.nih.gov/PMC6688902
Volume 144
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