Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Combinatorial, additive and dose-dependent drug-microbiome associations.
Nature 600, 500-505 (2021)
During the transition from a healthy state to cardiometabolic disease, patients become heavily medicated, which leads to an increasingly aberrant gut microbiome and serum metabolome, and complicates biomarker discovery1-5. Here, through integrated multi-omics analyses of 2,173 European residents from the MetaCardis cohort, we show that the explanatory power of drugs for the variability in both host and gut microbiome features exceeds that of disease. We quantify inferred effects of single medications, their combinations as well as additive effects, and show that the latter shift the metabolome and microbiome towards a healthier state, exemplified in synergistic reduction in serum atherogenic lipoproteins by statins combined with aspirin, or enrichment of intestinal Roseburia by diuretic agents combined with beta-blockers. Several antibiotics exhibit a quantitative relationship between the number of courses prescribed and progression towards a microbiome state that is associated with the severity of cardiometabolic disease. We also report a relationship between cardiometabolic drug dosage, improvement in clinical markers and microbiome composition, supporting direct drug effects. Taken together, our computational framework and resulting resources enable the disentanglement of the effects of drugs and disease on host and microbiome features in multimedicated individuals. Furthermore, the robust signatures identified using our framework provide new hypotheses for drug-host-microbiome interactions in cardiometabolic disease.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Schlagwörter
Proton Pump Inhibitors; Human Gut Microbiome; American-college; Antibiotic Use; Task-force; Management; Guideline; Alters; Impact
ISSN (print) / ISBN
0028-0836
e-ISSN
1476-4687
Zeitschrift
Nature
Quellenangaben
Band: 600,
Heft: 7889,
Seiten: 500-505
Verlag
Nature Publishing Group
Verlagsort
London
Nichtpatentliteratur
Publikationen
Begutachtungsstatus
Peer reviewed
Institut(e)
Helmholtz Institute for Metabolism, Obesity and Vascular Research (HI-MAG)
Förderungen
EMBL
H2020 European Research Council
Deutsche Forschungsgemeinschaft
NIHR Imperial Biomedical Research Centre
French National Research Agency
National Center for Precision Diabetic Medicine -PreciDIAB
French National Agency for Research
European Union (FEDER)
Hauts-de-France Regional Council
European Metropolis of Lille (MEL)
Novo Nordisk Foundation
Isite ULNE
ANR
European Union's Seventh Framework Program for research, technological development and demonstration
H2020 European Research Council
Deutsche Forschungsgemeinschaft
NIHR Imperial Biomedical Research Centre
French National Research Agency
National Center for Precision Diabetic Medicine -PreciDIAB
French National Agency for Research
European Union (FEDER)
Hauts-de-France Regional Council
European Metropolis of Lille (MEL)
Novo Nordisk Foundation
Isite ULNE
ANR
European Union's Seventh Framework Program for research, technological development and demonstration