Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy

Abstract Tenofovir and entecavir are currently designated as the preferred oral antiviral drugs for chronic hepatitis B. However, only less than 40% of patients can achieve HBeAg seroconversion. We aim at investigating the role of intestinal microbiome in HBeAg seroconversion induced by oral antivir...

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Autores principales: Yu-Li Zeng, Lei Qin, Wen-Jun Wei, Hong Cai, Xiao-Fang Yu, Wei Zhang, Xiao-Lu Wu, Xiao-Bin Liu, Wei-Ming Chen, Pan You, Mei-Zhu Hong, Yaming Liu, Xuan Dong, Ben-Chang Shia, Jian-Jun Niu, Jin-Shui Pan
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:796538f2eed8453fb934db7155a76d2a2021-12-02T10:44:08ZMeta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy10.1038/s41598-021-82939-12045-2322https://doaj.org/article/796538f2eed8453fb934db7155a76d2a2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82939-1https://doaj.org/toc/2045-2322Abstract Tenofovir and entecavir are currently designated as the preferred oral antiviral drugs for chronic hepatitis B. However, only less than 40% of patients can achieve HBeAg seroconversion. We aim at investigating the role of intestinal microbiome in HBeAg seroconversion induced by oral antiviral therapy and describe multi-omics characteristics of HBeAg seroconversion associated intestinal flora. In this study, we prospectively collected fecal samples at baseline from the patients with HBeAg positive chronic hepatitis B who would have oral antiviral therapy. 16S rDNA sequencing and metabolomics were performed. We identified HBeAg seroconversion-related microbial signature and constructed prediction model for HBeAg seroconversion. Thirty-seven of these subjects achieved HBeAg seroconversion within 156 weeks after the initiation of oral antiviral therapy, while 41 subjects remained HBeAg positive even after over 156 weeks of therapy. A computational statistical and machine learning approach allowed us to identify a microbial signature for HBeAg seroconversion. Using random forest method, we further constructed a classifier based on the microbial signature, with area under curve being 0.749 for the test set. Patients who achieved HBeAg seroconversion tended to have lower abundance of certain fecal metabolites such as essential amino acids, and several dipeptides. By analyzing the fecal microbiota from the patients with and without HBeAg seroconversion, we showed intestinal microbiome play a critical role in HBeAg seroconversion induced by oral antiviral therapy. We also identified intestinal microbial signature that is associated with HBeAg seroconversion after oral antiviral therapy.Yu-Li ZengLei QinWen-Jun WeiHong CaiXiao-Fang YuWei ZhangXiao-Lu WuXiao-Bin LiuWei-Ming ChenPan YouMei-Zhu HongYaming LiuXuan DongBen-Chang ShiaJian-Jun NiuJin-Shui PanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yu-Li Zeng
Lei Qin
Wen-Jun Wei
Hong Cai
Xiao-Fang Yu
Wei Zhang
Xiao-Lu Wu
Xiao-Bin Liu
Wei-Ming Chen
Pan You
Mei-Zhu Hong
Yaming Liu
Xuan Dong
Ben-Chang Shia
Jian-Jun Niu
Jin-Shui Pan
Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy
description Abstract Tenofovir and entecavir are currently designated as the preferred oral antiviral drugs for chronic hepatitis B. However, only less than 40% of patients can achieve HBeAg seroconversion. We aim at investigating the role of intestinal microbiome in HBeAg seroconversion induced by oral antiviral therapy and describe multi-omics characteristics of HBeAg seroconversion associated intestinal flora. In this study, we prospectively collected fecal samples at baseline from the patients with HBeAg positive chronic hepatitis B who would have oral antiviral therapy. 16S rDNA sequencing and metabolomics were performed. We identified HBeAg seroconversion-related microbial signature and constructed prediction model for HBeAg seroconversion. Thirty-seven of these subjects achieved HBeAg seroconversion within 156 weeks after the initiation of oral antiviral therapy, while 41 subjects remained HBeAg positive even after over 156 weeks of therapy. A computational statistical and machine learning approach allowed us to identify a microbial signature for HBeAg seroconversion. Using random forest method, we further constructed a classifier based on the microbial signature, with area under curve being 0.749 for the test set. Patients who achieved HBeAg seroconversion tended to have lower abundance of certain fecal metabolites such as essential amino acids, and several dipeptides. By analyzing the fecal microbiota from the patients with and without HBeAg seroconversion, we showed intestinal microbiome play a critical role in HBeAg seroconversion induced by oral antiviral therapy. We also identified intestinal microbial signature that is associated with HBeAg seroconversion after oral antiviral therapy.
format article
author Yu-Li Zeng
Lei Qin
Wen-Jun Wei
Hong Cai
Xiao-Fang Yu
Wei Zhang
Xiao-Lu Wu
Xiao-Bin Liu
Wei-Ming Chen
Pan You
Mei-Zhu Hong
Yaming Liu
Xuan Dong
Ben-Chang Shia
Jian-Jun Niu
Jin-Shui Pan
author_facet Yu-Li Zeng
Lei Qin
Wen-Jun Wei
Hong Cai
Xiao-Fang Yu
Wei Zhang
Xiao-Lu Wu
Xiao-Bin Liu
Wei-Ming Chen
Pan You
Mei-Zhu Hong
Yaming Liu
Xuan Dong
Ben-Chang Shia
Jian-Jun Niu
Jin-Shui Pan
author_sort Yu-Li Zeng
title Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy
title_short Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy
title_full Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy
title_fullStr Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy
title_full_unstemmed Meta-omics characteristics of intestinal microbiota associated to HBeAg seroconversion induced by oral antiviral therapy
title_sort meta-omics characteristics of intestinal microbiota associated to hbeag seroconversion induced by oral antiviral therapy
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/796538f2eed8453fb934db7155a76d2a
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