A clinician's guide to microbiome analysis
Abstract
Microbiome analysis involves determining the composition and function of a community of microorganisms in a particular location. For the gastroenterologist, this technology opens up a rapidly evolving set of challenges and opportunities for generating novel insights into the health of patients on the basis of microbiota characterizations from intestinal, hepatic or extraintestinal samples. Alterations in gut microbiota composition correlate with intestinal and extraintestinal disease and, although only a few mechanisms are known, the microbiota are still an attractive target for developing biomarkers for disease detection and management as well as potential therapeutic applications. In this Review, we summarize the major decision points confronting new entrants to the field or for those designing new projects in microbiome research. We provide recommendations based on current technology options and our experience of sequencing platform choices. We also offer perspectives on future applications of microbiome research, which we hope convey the promise of this technology for clinical applications.
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The large intestine is an important host site for microbial metabolism.
“The large intestine is thus an important host site for microbial metabolism, a convenient truth that fortunately aligns with our reliance on the analysis of stool samples to gain insights into our microbial inhabitants (Fraher et al., 2012;Claesson et al., 2017).”
From Gut reactions: Breaking down xenobiotic–microbiome interactions (2019) · cites this paper as Claesson et al., 2017
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Mohammed, M. H., Ghosh, T. S., Reddy, R. M., et al. (2011) · BMC Genomics · doi:10.1186/1471-2164-12-s3-s4 · Cited by 24 · see citing works
Meta-QC-Chain: Comprehensive and Fast Quality Control Method for Metagenomic Data
Zhou, Q., Su, X., Jing, G., et al. (2014) · Genomics Proteomics & Bioinformatics · doi:10.1016/j.gpb.2014.01.002 · Cited by 21 · see citing works
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Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., et al. (2019) · Physiological Reviews · doi:10.1152/physrev.00018.2018 · Cited by 5,286 · see citing works
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Le Bastard, Q., Al‐Ghalith, G. A., Grégoire, M., Chapelet, G., Javaudin, F., Dailly, E., Batard, E., Knights, D., & Montassier, E. (2018) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.14451 · Cited by 263 · see citing works
Age-dependent changes in GI physiology and microbiota: time to reconsider?
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Cowan, C. S. M., Dinan, T. G., & Cryan, J. F. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13156 · Cited by 176 · see citing works
- Authors
- Claesson, M. J., Clooney, A. G., & O'Toole, P. W.
- Affiliations
- University College Cork (IE)
- Corresponding author
- Claesson, Marcus J.
- Venue
- Nature Reviews Gastroenterology & Hepatology
- Published
- 2017-08-09
- Volume
- 14
- Issue
- 10
- Pages
- 585-595
- ISSN
- 1759-5045 (ISSN-L)
- 1759-5053
- OpenAlex
- W2743544008
- Cited by
- 153
- References
- 210
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 18 · 2023: 12 · 2022: 19 · 2021: 25 · 2020: 28 · 2019: 22 · 2018: 11 · 2017: 3
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Gastroenterology & Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Science Foundation Ireland
- APC Microbiome Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Physical Sciences › Environmental Science › Ecology › Microbial Community Ecology and Physiology
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- microbiome analysis, gut microbiota, microbiota composition, microbiota function, biomarkers, microbiota-based therapy, intestinal diseases, extraintestinal diseases
- MeSH terms
- Gastrointestinal Microbiome, Genetic Techniques, Humans, Research Design, Computational Biology, Metagenomics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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