1. The intestinal microbiome is a co-determinant of the postprandial plasma glucose response
- Author
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Nadja B Søndertoft, Lotte Lauritzen, Manimozhiyan Arumugam, Torben Hansen, H. Bjørn Nielsen, Liwei Lyu, Josef Korbinian Vogt, Rikke J Gøbel, Carsten Eriksen, Yong Fan, Tine Rask Licht, Martin Iain Bahl, Hanne Frøkiær, Henrik Vestergaard, Oluf Pedersen, Lars Ängquist, Mette Kristensen, Ramneek Gupta, Tue H. Hansen, and Susanne Brix
- Subjects
Blood Glucose ,Male ,0301 basic medicine ,Physiology ,Type 2 diabetes ,Machine Learning ,Mathematical and Statistical Techniques ,0302 clinical medicine ,Medicine and Health Sciences ,Medicine ,Phenomics ,Bifidobacterium ,Plasma glucose ,Multidisciplinary ,biology ,Organic Compounds ,Monosaccharides ,Statistics ,Gastrointestinal Microbiome ,Fasting ,Genomics ,Middle Aged ,Postprandial Period ,Body Fluids ,Chemistry ,Blood ,Postprandial ,Medical Microbiology ,Physical Sciences ,Intestinal Microbiome ,Female ,Anatomy ,Algorithms ,Research Article ,Computer and Information Sciences ,medicine.medical_specialty ,Science ,Carbohydrates ,030209 endocrinology & metabolism ,Microbial Genomics ,Research and Analysis Methods ,Models, Biological ,Microbiology ,Blood Plasma ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Artificial Intelligence ,Internal medicine ,Genetics ,Humans ,Statistical Methods ,Risk factor ,Life Style ,Bacteria ,business.industry ,Organic Chemistry ,Gut Bacteria ,Chemical Compounds ,Organisms ,Biology and Life Sciences ,biology.organism_classification ,medicine.disease ,Gastrointestinal Tract ,Glucose ,030104 developmental biology ,Blood pressure ,Endocrinology ,Microbiome ,business ,Digestive System ,Mathematics ,Forecasting - Abstract
Elevated postprandial plasma glucose is a risk factor for development of type 2 diabetes and cardiovascular disease. We hypothesized that the inter-individual postprandial plasma glucose response varies partly depending on the intestinal microbiome composition and function. We analyzed data from Danish adults (n = 106), who were self-reported healthy and attended the baseline visit of two previously reported randomized controlled cross-over trials within the Gut, Grain and Greens project. Plasma glucose concentrations at five time points were measured before and during three hours after a standardized breakfast. Based on these data, we devised machine learning algorithms integrating bio-clinical, as well as shotgun-sequencing-derived taxa and functional potentials of the intestinal microbiome to predict individual postprandial glucose excursions. In this post hoc study, we found microbial and clinical features, which predicted up to 48% of the inter-individual variance of postprandial plasma glucose responses (Pearson correlation coefficient of measured vs. predicted values, R = 0.69, 95% CI: 0.45 to 0.84, pBifidobacterium genus, richness of metagenomics species and abundance of a metagenomic species annotated to Clostridiales at order level. A model based only on microbial features predicted up to 14% of the variance in postprandial plasma glucose excursions (R = 0.37, 95% CI: 0.02 to 0.64, p = 0.04). Adding fasting glycaemic measures to the model including microbial and bio-clinical features increased the predictive power to R = 0.78 (95% CI: 0.59 to 0.89, p
- Published
- 2020
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