Gut microbial factors implicated in disease progression and treatment response in pediatric ulcerative colitis
Download from source ↗Dataset overview
Ulcerative colitis mucosal transcriptomes reveal mitochondriopathy and personalized mechanisms underlying disease severity and treatment response.
Abstract
Molecular mechanisms driving disease course and response to therapy in ulcerative colitis (UC) are not well understood. Here, we use RNAseq to define pre-treatment rectal gene expression, and fecal microbiota profiles, in 206 pediatric UC patients receiving standardised therapy. We validate our key findings in adult and paediatric UC cohorts of 408 participants. We observe a marked suppression of mitochondrial genes and function across cohorts in active UC, and that increasing disease severity is notable for enrichment of adenoma/adenocarcinoma and innate immune genes. A subset of severity genes improves prediction of corticosteroid-induced remission in the discovery cohort; this gene signature is also associated with response to anti-TNFα and anti-α<sub>4</sub>β<sub>7</sub> integrin in adults. The severity and therapeutic response gene signatures were in turn associated with shifts in microbes previously implicated in mucosal homeostasis. Our data provide insights into UC pathogenesis, and may prioritise future therapies for nonresponders to current approaches.
doi:10.1038/s41467-018-07841-3 ↗ PMID 30604764 ↗ PMC6318335 ↗
Study facts
- Organism
- —
- Platform
- Illumina HiSeq 2500
- Age group
- paediatric
- Disease groups
- —
- Anatomical sites
- —
Data availability
Specific data assets have not been resolved from the source yet — see the source repository below for the full file listing.
Strengths & limitations for reuse
Strengths
- Raw reads are advertised
- Feature/OTU tables are advertised
- Taxonomic tables are advertised
- Sample counts are documented
Limitations
- Not documented: participant counts are documented
Extraction evidence & provenance
Each extracted field is shown with the source excerpt and location used to resolve it.
Assay
| Field | Value | Evidence |
|---|---|---|
assay.platform |
Illumina HiSeq 2500 |
"instrument_model": "Illumina HiSeq 2500" Section |
assay.sequencing_type |
shotgun_metagenomics |
"library_source": "METAGENOMIC", "library_strategy": "WGS" Section |
Cohort
| Field | Value | Evidence |
|---|---|---|
cohort.age_group |
paediatric |
This project collected and profiled stool samples and rectal biopsies from pediatric patients with new-onset ulcerative colitis (UC) Section |
cohort.disease_activity_metadata_available |
True |
Clinical activity at diagnosis was established with the PUCAI ... Mayo endoscopic scope ... and total Mayo score Section |
cohort.treatment_exposure_documented |
True |
Depending on initial PUCAI score, patients received initial treatment with either mesalamine (mild disease), or corticosteroids (moderate and severe disease) Section |
cohort.treatment_response_metadata_available |
True |
152 of the 206 UC patients in our cohort also had fecal 16S rRNA microbial profiles Section |
Data_Assets
| Field | Value | Evidence |
|---|---|---|
data_assets.feature_or_otu_table |
True |
for the OTU analysis the 16S bioBakery workflow ... was applied Section |
data_assets.open_access |
True |
"isOpenAccess": "Y" Section |
data_assets.pipeline_or_tool_versions |
True |
the 16S bioBakery workflow built with AnADAMA2 ... microbial taxonomy was based on the Greengenes 16S rDNA database (version 13.5) Section |
data_assets.raw_reads |
True |
"run_count": 1453, "runs_sample": [{"run_accession": "SRR27217289" Section |
data_assets.taxonomic_table |
True |
microbial taxonomy was based on the Greengenes 16S rDNA database (version 13.5) Section |
Specimens
| Field | Value | Evidence |
|---|---|---|
specimens.body_site |
stool and rectum |
This project collected and profiled stool samples and rectal biopsies Section |
specimens.inflamed_status_available |
True |
A central pathologist blinded to clinical data examined a single rectal biopsy from each patient and assessed histological features of chronicity and quantitated acute inflammation. Section |
specimens.number_of_samples |
1453 from source |
ENA sample_count=1453 Section |
specimens.sample_type |
mixed |
This project collected and profiled stool samples and rectal biopsies Section |