Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection

ABSTRACT There has been no prior application of matched metagenomics and metatranscriptomics in Clostridioides difficile infection (CDI) evaluating the role of fungi in CDI or identifying community functions that contribute to the development of this disease. We collected diarrheal stools from 49 in...

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Autores principales: David B. Stewart, Justin R. Wright, Maria Fowler, Christopher J. McLimans, Vasily Tokarev, Isabella Amaniera, Owen Baker, Hoi-Tong Wong, Jeff Brabec, Rebecca Drucker, Regina Lamendella
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Publicado: American Society for Microbiology 2019
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spelling oai:doaj.org-article:b75e5addef4049a689dd3a3dc1a6bcdc2021-11-15T15:22:27ZIntegrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection10.1128/mSphere.00454-192379-5042https://doaj.org/article/b75e5addef4049a689dd3a3dc1a6bcdc2019-08-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00454-19https://doaj.org/toc/2379-5042ABSTRACT There has been no prior application of matched metagenomics and metatranscriptomics in Clostridioides difficile infection (CDI) evaluating the role of fungi in CDI or identifying community functions that contribute to the development of this disease. We collected diarrheal stools from 49 inpatients (18 of whom tested positive for CDI) under stringent inclusion criteria. We utilized a tiered sequencing approach to identify enriched bacterial and fungal taxa, using 16S and internal transcribed spacer (ITS) rRNA gene amplicon sequencing, with matched metagenomics and metatranscriptomics performed on a subset of the population. Distinct bacterial and fungal compositions distinguished CDI-positive and -negative patients, with the greatest differentiation between the cohorts observed based on bacterial metatranscriptomics. Bipartite network analyses demonstrated that Aspergillus and Penicillium taxa shared a strong positive relationship in CDI patients and together formed negative cooccurring relationships with several bacterial taxa, including the Oscillospira, Comamonadaceae, Microbacteriaceae, and Cytophagaceae. Metatranscriptomics revealed enriched pathways in CDI patients associated with biofilm production primarily driven by Escherichia coli and Pseudomonas, quorum-sensing proteins, and two-component systems related to functions such as osmotic regulation, linoleic acid metabolism, and flagellar assembly. Differential expression of functional pathways unveiled a mechanism by which the causal dysbiosis of CDI may self-perpetuate, potentially contributing to treatment failures. We propose that CDI has a distinct fungus-associated bacteriome, and this first description of metatranscriptomics in human subjects with CDI demonstrates that inflammation, osmotic changes, and biofilm production are key elements of CDI pathophysiology. IMPORTANCE Our data suggest a potential role for fungi in the most common nosocomial bacterial infection in the United States, introducing the concept of a transkingdom interaction between bacteria and fungi in this disease. We also provide the first direct measure of microbial community function in Clostridioides difficile infection using patient-derived tissue samples, revealing antibiotic-independent mechanisms by which C. difficile infection may resist a return to a healthy gut microbiome.David B. StewartJustin R. WrightMaria FowlerChristopher J. McLimansVasily TokarevIsabella AmanieraOwen BakerHoi-Tong WongJeff BrabecRebecca DruckerRegina LamendellaAmerican Society for MicrobiologyarticleClostridioides difficilemetagenomicsmetatranscriptomicsmicrobiomemycobiomeMicrobiologyQR1-502ENmSphere, Vol 4, Iss 4 (2019)
institution DOAJ
collection DOAJ
language EN
topic Clostridioides difficile
metagenomics
metatranscriptomics
microbiome
mycobiome
Microbiology
QR1-502
spellingShingle Clostridioides difficile
metagenomics
metatranscriptomics
microbiome
mycobiome
Microbiology
QR1-502
David B. Stewart
Justin R. Wright
Maria Fowler
Christopher J. McLimans
Vasily Tokarev
Isabella Amaniera
Owen Baker
Hoi-Tong Wong
Jeff Brabec
Rebecca Drucker
Regina Lamendella
Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection
description ABSTRACT There has been no prior application of matched metagenomics and metatranscriptomics in Clostridioides difficile infection (CDI) evaluating the role of fungi in CDI or identifying community functions that contribute to the development of this disease. We collected diarrheal stools from 49 inpatients (18 of whom tested positive for CDI) under stringent inclusion criteria. We utilized a tiered sequencing approach to identify enriched bacterial and fungal taxa, using 16S and internal transcribed spacer (ITS) rRNA gene amplicon sequencing, with matched metagenomics and metatranscriptomics performed on a subset of the population. Distinct bacterial and fungal compositions distinguished CDI-positive and -negative patients, with the greatest differentiation between the cohorts observed based on bacterial metatranscriptomics. Bipartite network analyses demonstrated that Aspergillus and Penicillium taxa shared a strong positive relationship in CDI patients and together formed negative cooccurring relationships with several bacterial taxa, including the Oscillospira, Comamonadaceae, Microbacteriaceae, and Cytophagaceae. Metatranscriptomics revealed enriched pathways in CDI patients associated with biofilm production primarily driven by Escherichia coli and Pseudomonas, quorum-sensing proteins, and two-component systems related to functions such as osmotic regulation, linoleic acid metabolism, and flagellar assembly. Differential expression of functional pathways unveiled a mechanism by which the causal dysbiosis of CDI may self-perpetuate, potentially contributing to treatment failures. We propose that CDI has a distinct fungus-associated bacteriome, and this first description of metatranscriptomics in human subjects with CDI demonstrates that inflammation, osmotic changes, and biofilm production are key elements of CDI pathophysiology. IMPORTANCE Our data suggest a potential role for fungi in the most common nosocomial bacterial infection in the United States, introducing the concept of a transkingdom interaction between bacteria and fungi in this disease. We also provide the first direct measure of microbial community function in Clostridioides difficile infection using patient-derived tissue samples, revealing antibiotic-independent mechanisms by which C. difficile infection may resist a return to a healthy gut microbiome.
format article
author David B. Stewart
Justin R. Wright
Maria Fowler
Christopher J. McLimans
Vasily Tokarev
Isabella Amaniera
Owen Baker
Hoi-Tong Wong
Jeff Brabec
Rebecca Drucker
Regina Lamendella
author_facet David B. Stewart
Justin R. Wright
Maria Fowler
Christopher J. McLimans
Vasily Tokarev
Isabella Amaniera
Owen Baker
Hoi-Tong Wong
Jeff Brabec
Rebecca Drucker
Regina Lamendella
author_sort David B. Stewart
title Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection
title_short Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection
title_full Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection
title_fullStr Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection
title_full_unstemmed Integrated Meta-omics Reveals a Fungus-Associated Bacteriome and Distinct Functional Pathways in <named-content content-type="genus-species">Clostridioides difficile</named-content> Infection
title_sort integrated meta-omics reveals a fungus-associated bacteriome and distinct functional pathways in <named-content content-type="genus-species">clostridioides difficile</named-content> infection
publisher American Society for Microbiology
publishDate 2019
url https://doaj.org/article/b75e5addef4049a689dd3a3dc1a6bcdc
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