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16S Rdna Full-Length Assembly Sequencing Technology Analysis of Intestinal Microbiome in Polycystic Ovary Syndrome
ORIGINAL RESEARCH published: 10 May 2021 doi: 10.3389/fcimb.2021.634981 16S rDNA Full-Length Assembly Sequencing Technology Analysis of Intestinal Microbiome in Polycystic Ovary Syndrome Sitong Dong 1, Jiao jiao 1, Shuangshuo Jia 2, Gaoyu Li 1, Wei Zhang 1, Kai Yang 3, Zhen Wang 3, Chao Liu 4,DaLi1 and Xiuxia Wang 1* Edited by: 1 Center of Reproductive Medicine, Shengjing Hospital of China Medical University, Shenyang, China, 2 Department of 3 Tao Lin, Orthopedic Surgery, Shengjing Hospital of China Medical University, Shenyang, China, Department of Research and 4 Baylor College of Medicine, Development, Germountx Company, Beijing, China, Department of Biological Information, Kangwei Medical Analysis United States Laboratory, Shenyang, China Reviewed by: Barbara Obermayer-Pietsch, Objective: To study the characteristics and relationship of the gut microbiota in patients Medical University of Graz, Austria with polycystic ovary syndrome (PCOS). Julio Plaza-Diaz, Children’s Hospital of Eastern Ontario Method: We recruited 45 patients with PCOS and 37 healthy women from the (CHEO), Canada Alberto Sola-Leyva, Reproductive Department of Shengjing Hospital. We recorded their clinical indexes, University of Granada, Spain and sequenced their fecal samples by 16S rDNA full-length assembly sequencing Yanli Pang, technology (16S-FAST). Peking University Third Hospital, China Result: We found decreased a diversity and different abundances of a series of microbial *Correspondence: species in patients with PCOS compared to healthy controls. We found LH and AMH were Xiuxia Wang fi [email protected] signi cantly increased in PCOS with Prevotella enterotype when compared to control women with Prevotella enterotype, while glucose and lipid metabolism level remained no Specialty section: significant difference, and situations were opposite in PCOS and control women with This article was submitted to Bacteroides enterotype. -
WO 2018/064165 A2 (.Pdf)
(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2018/064165 A2 05 April 2018 (05.04.2018) W !P O PCT (51) International Patent Classification: Published: A61K 35/74 (20 15.0 1) C12N 1/21 (2006 .01) — without international search report and to be republished (21) International Application Number: upon receipt of that report (Rule 48.2(g)) PCT/US2017/053717 — with sequence listing part of description (Rule 5.2(a)) (22) International Filing Date: 27 September 2017 (27.09.2017) (25) Filing Language: English (26) Publication Langi English (30) Priority Data: 62/400,372 27 September 2016 (27.09.2016) US 62/508,885 19 May 2017 (19.05.2017) US 62/557,566 12 September 2017 (12.09.2017) US (71) Applicant: BOARD OF REGENTS, THE UNIVERSI¬ TY OF TEXAS SYSTEM [US/US]; 210 West 7th St., Austin, TX 78701 (US). (72) Inventors: WARGO, Jennifer; 1814 Bissonnet St., Hous ton, TX 77005 (US). GOPALAKRISHNAN, Vanch- eswaran; 7900 Cambridge, Apt. 10-lb, Houston, TX 77054 (US). (74) Agent: BYRD, Marshall, P.; Parker Highlander PLLC, 1120 S. Capital Of Texas Highway, Bldg. One, Suite 200, Austin, TX 78746 (US). (81) Designated States (unless otherwise indicated, for every kind of national protection available): AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DJ, DK, DM, DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, HN, HR, HU, ID, IL, IN, IR, IS, JO, JP, KE, KG, KH, KN, KP, KR, KW, KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. -
Gut Microbiota Differs in Composition and Functionality Between Children
Diabetes Care Volume 41, November 2018 2385 Gut Microbiota Differs in Isabel Leiva-Gea,1 Lidia Sanchez-Alcoholado,´ 2 Composition and Functionality Beatriz Mart´ın-Tejedor,1 Daniel Castellano-Castillo,2,3 Between Children With Type 1 Isabel Moreno-Indias,2,3 Antonio Urda-Cardona,1 Diabetes and MODY2 and Healthy Francisco J. Tinahones,2,3 Jose´ Carlos Fernandez-Garc´ ´ıa,2,3 and Control Subjects: A Case-Control Mar´ıa Isabel Queipo-Ortuno~ 2,3 Study Diabetes Care 2018;41:2385–2395 | https://doi.org/10.2337/dc18-0253 OBJECTIVE Type 1 diabetes is associated with compositional differences in gut microbiota. To date, no microbiome studies have been performed in maturity-onset diabetes of the young 2 (MODY2), a monogenic cause of diabetes. Gut microbiota of type 1 diabetes, MODY2, and healthy control subjects was compared. PATHOPHYSIOLOGY/COMPLICATIONS RESEARCH DESIGN AND METHODS This was a case-control study in 15 children with type 1 diabetes, 15 children with MODY2, and 13 healthy children. Metabolic control and potential factors mod- ifying gut microbiota were controlled. Microbiome composition was determined by 16S rRNA pyrosequencing. 1Pediatric Endocrinology, Hospital Materno- Infantil, Malaga,´ Spain RESULTS 2Clinical Management Unit of Endocrinology and Compared with healthy control subjects, type 1 diabetes was associated with a Nutrition, Laboratory of the Biomedical Research significantly lower microbiota diversity, a significantly higher relative abundance of Institute of Malaga,´ Virgen de la Victoria Uni- Bacteroides Ruminococcus Veillonella Blautia Streptococcus versityHospital,Universidad de Malaga,M´ alaga,´ , , , , and genera, and a Spain lower relative abundance of Bifidobacterium, Roseburia, Faecalibacterium, and 3Centro de Investigacion´ BiomedicaenRed(CIBER)´ Lachnospira. -
Fecal Microbiota Alterations and Small Intestinal Bacterial Overgrowth in Functional Abdominal Bloating/Distention
J Neurogastroenterol Motil, Vol. 26 No. 4 October, 2020 pISSN: 2093-0879 eISSN: 2093-0887 https://doi.org/10.5056/jnm20080 JNM Journal of Neurogastroenterology and Motility Original Article Fecal Microbiota Alterations and Small Intestinal Bacterial Overgrowth in Functional Abdominal Bloating/Distention Choong-Kyun Noh and Kwang Jae Lee* Department of Gastroenterology, Ajou University School of Medicine, Suwon, Gyeonggi-do, Korea Background/Aims The pathophysiology of functional abdominal bloating and distention (FABD) is unclear yet. Our aim is to compare the diversity and composition of fecal microbiota in patients with FABD and healthy individuals, and to evaluate the relationship between small intestinal bacterial overgrowth (SIBO) and dysbiosis. Methods The microbiota of fecal samples was analyzed from 33 subjects, including 12 healthy controls and 21 patients with FABD diagnosed by the Rome IV criteria. FABD patients underwent a hydrogen breath test. Fecal microbiota composition was determined by 16S ribosomal RNA amplification and sequencing. Results Overall fecal microbiota composition of the FABD group differed from that of the control group. Microbial diversity was significantly lower in the FABD group than in the control group. Significantly higher proportion of Proteobacteria and significantly lower proportion of Actinobacteria were observed in FABD patients, compared with healthy controls. Compared with healthy controls, significantly higher proportion of Faecalibacterium in FABD patients and significantly higher proportion of Prevotella and Faecalibacterium in SIBO (+) patients with FABD were found. Faecalibacterium prausnitzii, was significantly more abundant, but Bacteroides uniformis and Bifidobacterium adolescentis were significantly less abundant in patients with FABD, compared with healthy controls. Significantly more abundant Prevotella copri and F. -
Effect of Fructans, Prebiotics and Fibres on the Human Gut Microbiome Assessed by 16S Rrna-Based Approaches: a Review
Wageningen Academic Beneficial Microbes, 2020; 11(2): 101-129 Publishers Effect of fructans, prebiotics and fibres on the human gut microbiome assessed by 16S rRNA-based approaches: a review K.S. Swanson1, W.M. de Vos2,3, E.C. Martens4, J.A. Gilbert5,6, R.S. Menon7, A. Soto-Vaca7, J. Hautvast8#, P.D. Meyer9, K. Borewicz2, E.E. Vaughan10* and J.L. Slavin11 1Division of Nutritional Sciences, University of Illinois at Urbana-Champaign,1207 W. Gregory Drive, Urbana, IL 61801, USA; 2Laboratory of Microbiology, Wageningen University, Stippeneng 4, 6708 WE, Wageningen, the Netherlands; 3Human Microbiome Research Programme, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, P.O. Box 21, 00014, Helsinki, Finland; 4Department of Microbiology and Immunology, University of Michigan, 1150 West Medical Center Drive, Ann Arbor, MI 48130, USA; 5Microbiome Center, Department of Surgery, University of Chicago, Chicago, IL 60637, USA; 6Bioscience Division, Argonne National Laboratory, 9700 S Cass Ave, Lemont, IL 60439, USA; 7The Bell Institute of Health and Nutrition, General Mills Inc., 9000 Plymouth Ave N, Minneapolis, MN 55427, USA; 8Division Human Nutrition, Department Agrotechnology and Food Sciences, P.O. Box 17, 6700 AA, Wageningen University; 9Nutrition & Scientific Writing Consultant, Porfierdijk 27, 4706 MH Roosendaal, the Netherlands; 10Sensus (Royal Cosun), Oostelijke Havendijk 15, 4704 RA, Roosendaal, the Netherlands; 11Department of Food Science and Nutrition, University of Minnesota, 1334 Eckles Ave, St. Paul, MN 55108, USA; [email protected]; #Emeritus Professor Received: 27 May 2019 / Accepted: 15 December 2019 © 2020 Wageningen Academic Publishers OPEN ACCESS REVIEW ARTICLE Abstract The inherent and diverse capacity of dietary fibres, nondigestible oligosaccharides (NDOs) and prebiotics to modify the gut microbiota and markedly influence health status of the host has attracted rising interest. -
Human Microbiota Reveals Novel Taxa and Extensive Sporulation Hilary P
OPEN LETTER doi:10.1038/nature17645 Culturing of ‘unculturable’ human microbiota reveals novel taxa and extensive sporulation Hilary P. Browne1*, Samuel C. Forster1,2,3*, Blessing O. Anonye1, Nitin Kumar1, B. Anne Neville1, Mark D. Stares1, David Goulding4 & Trevor D. Lawley1 Our intestinal microbiota harbours a diverse bacterial community original faecal sample and the cultured bacterial community shared required for our health, sustenance and wellbeing1,2. Intestinal an average of 93% of raw reads across the six donors. This overlap was colonization begins at birth and climaxes with the acquisition of 72% after de novo assembly (Extended Data Fig. 2). Comparison to a two dominant groups of strict anaerobic bacteria belonging to the comprehensive gene catalogue that was derived by culture-independent Firmicutes and Bacteroidetes phyla2. Culture-independent, genomic means from the intestinal microbiota of 318 individuals4 found that approaches have transformed our understanding of the role of the 39.4% of the genes in the larger database were represented in our cohort human microbiome in health and many diseases1. However, owing and 73.5% of the 741 computationally derived metagenomic species to the prevailing perception that our indigenous bacteria are largely identified through this analysis were also detectable in the cultured recalcitrant to culture, many of their functions and phenotypes samples. remain unknown3. Here we describe a novel workflow based on Together, these results demonstrate that a considerable proportion of targeted phenotypic culturing linked to large-scale whole-genome the bacteria within the faecal microbiota can be cultured with a single sequencing, phylogenetic analysis and computational modelling that growth medium. -
Composition of Rabbit Caecal Microbiota and the Effects of Dietary Quercetin Supplementation and Sex Thereupon North M.K
W orld World Rabbit Sci. 2019, 27: 185-198 R abbit doi:10.4995/wrs.2019.11905 Science © WRSA, UPV, 2003 COMPOSITION OF RABBIT CAECAL MICROBIOTA AND THE EFFECTS OF DIETARY QUERCETIN SUPPLEMENTATION AND SEX THEREUPON NORTH M.K. *, DALLE ZOTTE A. †, HOFFMAN L.C. *‡ *Department of Animal Sciences, Stellenbosch University, Private Bag X1, Matieland, STELLENBOSCH 7602, South Africa. †Department of Animal Medicine, Production and Health, University of Padova, Agripolis, Viale dell’Università, 16, 35020 LEGNARO, Padova, Italy. ‡Centre for Nutrition and Food Sciences, Queensland Alliance for Agriculture and Food Innovation (QAAFI), The University of Queensland, Health and Food Sciences Precinct, 39 Kessels Road, COOPERS PLAINS 4108, Australia. Abstract: The purpose of this study was to add to the current understanding of rabbit caecal microbiota. This involved describing its microbial composition and linking this to live performance parameters, as well as determining the effects of dietary quercetin (Qrc) supplementation (2 g/kg feed) and sex on the microbial population. The weight gain and feed conversion ratio of twelve New Zealand White rabbits was measured from 5 to 12 wk old, blood was sampled at 11 wk old for the determination of serum hormone levels, and the rabbits were slaughtered and caecal samples collected at 13 wk old. Ion 16STM metagenome sequencing was used to determine the microbiota profile. The dominance of Firmicutes (72.01±1.14% of mapped reads), Lachnospiraceae (23.94±1.01%) and Ruminococcaceae (19.71±1.07%) concurred with previous reports, but variation both between studies and individual rabbits was apparent beyond this. Significant correlations between microbial families and live performance parameters were found, suggesting that further research into the mechanisms of these associations could be useful. -
Anaerostipes Caccae Gen. Nov., Sp. Nov., a New Saccharolytic, Acetate-Utilising, Butyrate-Producing Bacterium from Human Faeces
System. Appl. Microbiol. 25, 46–51 (2002) © Urban & Fischer Verlag http://www.urbanfischer.de/journals/sam Anaerostipes caccae gen. nov., sp. nov., a New Saccharolytic, Acetate-utilising, Butyrate-producing Bacterium from Human Faeces ANDREAS SCHWIERTZ1, GEORGINA L. HOLD2, SYLVIA H. DUNCAN2, BÄRBEL GRUHL1, MATTHEW D. COLLINS3, PAUL A. LAWSON3, HARRY J. FLINT2 and MICHAEL BLAUT1 1Department of Gastrointestinal Microbiology, German Institute of Human Nutrition, Bergholz-Rehbrücke, Germany 2Rowett Research Institute, Greenburn Road, Bucksburn, Aberdeen, UK 3School of Food Biosciences, University of Reading, Reading, UK Received January 28, 2002 Summary Two strains of a previously undescribed Eubacterium-like bacterium were isolated from human faeces. The strains are Gram-variable, obligately anaerobic, catalase negative, asporogenous rod-shaped cells which produced acetate, butyrate and lactate as the end products of glucose metabolism. The two iso- lates displayed 99.9% 16S rRNA gene sequence similarity to each other and treeing analysis demonstrat- ed the faecal isolates are far removed from Eubacterium sensu stricto and that they represent a new sub- line within the Clostridium coccoides group of organisms. Based on phenotypic and phylogenetic crite- ria, it is proposed that the two strains from faeces be classified as a new genus and species, Anaerostipes caccae. The type strain of Anaerostipes caccae is NCIMB 13811T (= DSM 14662T). Key words: Anaerostipes caccae – 16S rRNA – taxonomy – phylogeny – human faeces Introduction The human intestinal tract harbours an immense diver- displayed a high degree of relatedness (16S rRNA) to the sity of bacteria and the total number of resident bacteria butyrate-producing strain L1-92 described by BARCENILLA has been estimated to reach 1014 cells (SAVAGE, 1977; SUAU et al. -
Characteristics of the Gut Microbiome of Healthy Young Male Soldiers in South Korea: the Effects of Smoking
Gut and Liver https://doi.org/10.5009/gnl19354 pISSN 1976-2283 eISSN 2005-1212 Original Article Characteristics of the Gut Microbiome of Healthy Young Male Soldiers in South Korea: The Effects of Smoking Hyuk Yoon1, Dong Ho Lee1, Je Hee Lee2, Ji Eun Kwon3, Cheol Min Shin1, Seung-Jo Yang2, Seung-Hwan Park4, Ju Huck Lee4, Se Won Kang4, Jung-Sook Lee4, and Byung-Yong Kim2 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, 2ChunLab Inc., Seoul, 3Armed Forces Capital Hospital, Seongnam, and 4Korean Collection for Type Cultures, Biological Resource Center, Korea Research Institute of Bioscience and Biotechnology, Jeongeup, Korea Article Info Background/Aims: South Korean soldiers are exposed to similar environmental factors. In this Received October 14, 2019 study, we sought to evaluate the gut microbiome of healthy young male soldiers (HYMS) and to Revised January 6, 2020 identify the primary factors influencing the microbiome composition. January 17, 2020 Accepted Methods: We prospectively collected stool from 100 HYMS and performed next-generation se- Published online May 13, 2020 quencing of the 16S rRNA genes of fecal bacteria. Clinical data, including data relating to the diet, smoking, drinking, and exercise, were collected. Corresponding Author Results: The relative abundances of the bacterial phyla Firmicutes, Actinobacteria, Bacteroide- Dong Ho Lee tes, and Proteobacteria were 72.3%, 14.5%, 8.9%, and 4.0%, respectively. Fifteen species, most ORCID https://orcid.org/0000-0002-6376-410X of which belonged to Firmicutes (87%), were detected in all examined subjects. Using cluster E-mail [email protected] analysis, we found that the subjects could be divided into the two enterotypes based on the gut Byung-Yong Kim microbiome bacterial composition. -
Downloaded from the VFDB Data- Base (Virulence Factors Database) Containing Nucleotide Sample Collection and Metagenomic Sequencing Sequences of 2585 Genes [53]
Dubinkina et al. Microbiome (2017) 5:141 DOI 10.1186/s40168-017-0359-2 RESEARCH Open Access Links of gut microbiota composition with alcohol dependence syndrome and alcoholic liver disease Veronika B. Dubinkina1,2,3,4, Alexander V. Tyakht2,5*, Vera Y. Odintsova2, Konstantin S. Yarygin1,2, Boris A. Kovarsky2, Alexander V. Pavlenko1,2, Dmitry S. Ischenko1,2, Anna S. Popenko2, Dmitry G. Alexeev1,2, Anastasiya Y. Taraskina6, Regina F. Nasyrova6, Evgeny M. Krupitsky6, Nino V. Shalikiani7, Igor G. Bakulin7, Petr L. Shcherbakov7, Lyubov O. Skorodumova2, Andrei K. Larin2, Elena S. Kostryukova1,2, Rustam A. Abdulkhakov8, Sayar R. Abdulkhakov8,9, Sergey Y. Malanin9, Ruzilya K. Ismagilova9, Tatiana V. Grigoryeva9, Elena N. Ilina2 and Vadim M. Govorun1,2 Abstract Background: Alcohol abuse has deleterious effects on human health by disrupting the functions of many organs and systems. Gut microbiota has been implicated in the pathogenesis of alcohol-related liver diseases, with its composition manifesting expressed dysbiosis in patients suffering from alcoholic dependence. Due to its inherent plasticity, gut microbiota is an important target for prevention and treatment of these diseases. Identification of the impact of alcohol abuse with associated psychiatric symptoms on the gut community structure is confounded by the liver dysfunction. In order to differentiate the effects of these two factors, we conducted a comparative “shotgun” metagenomic survey of 99 patients with the alcohol dependence syndrome represented by two cohorts—with and without liver cirrhosis. The taxonomic and functional composition of the gut microbiota was subjected to a multifactor analysis including comparison with the external control group. Results: Alcoholic dependence and liver cirrhosis were associated with profound shifts in gut community structures and metabolic potential across the patients. -
Nondigestible Carbohydrates, Butyrate, and Butyrate-Producing Bacteria
Critical Reviews in Food Science and Nutrition ISSN: 1040-8398 (Print) 1549-7852 (Online) Journal homepage: https://www.tandfonline.com/loi/bfsn20 Nondigestible carbohydrates, butyrate, and butyrate-producing bacteria Xiaodan Fu, Zhemin Liu, Changliang Zhu, Haijin Mou & Qing Kong To cite this article: Xiaodan Fu, Zhemin Liu, Changliang Zhu, Haijin Mou & Qing Kong (2018): Nondigestible carbohydrates, butyrate, and butyrate-producing bacteria, Critical Reviews in Food Science and Nutrition, DOI: 10.1080/10408398.2018.1542587 To link to this article: https://doi.org/10.1080/10408398.2018.1542587 Published online: 22 Dec 2018. Submit your article to this journal Article views: 112 View Crossmark data Full Terms & Conditions of access and use can be found at https://www.tandfonline.com/action/journalInformation?journalCode=bfsn20 CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION https://doi.org/10.1080/10408398.2018.1542587 REVIEW Nondigestible carbohydrates, butyrate, and butyrate-producing bacteria Xiaodan Fu, Zhemin Liu, Changliang Zhu, Haijin Mou, and Qing Kong College of Food Science and Engineering, Ocean University of China, Qingdao, China ABSTRACT KEYWORDS Nondigestible carbohydrates (NDCs) are fermentation substrates in the colon after escaping diges- Nondigestible carbohy- tion in the upper gastrointestinal tract. Among NDCs, resistant starch is not hydrolyzed by pancre- drates; oligosaccharides; atic amylases but can be degraded by enzymes produced by large intestinal bacteria, including short-chain fatty acids; butyrate; butyrate- clostridia, bacteroides, and bifidobacteria. Nonstarch polysaccharides, such as pectin, guar gum, producing bacteria alginate, arabinoxylan, and inulin fructans, and nondigestible oligosaccharides and their deriva- tives, can also be fermented by beneficial bacteria in the large intestine. Butyrate is one of the most important metabolites produced through gastrointestinal microbial fermentation and func- tions as a major energy source for colonocytes by directly affecting the growth and differentiation of colonocytes. -
Influence of a Dietary Supplement on the Gut Microbiome of Overweight Young Women Peter Joller 1, Sophie Cabaset 2, Susanne Maur
medRxiv preprint doi: https://doi.org/10.1101/2020.02.26.20027805; this version posted February 27, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license . 1 Influence of a Dietary Supplement on the Gut Microbiome of Overweight Young Women Peter Joller 1, Sophie Cabaset 2, Susanne Maurer 3 1 Dr. Joller BioMedical Consulting, Zurich, Switzerland, [email protected] 2 Bio- Strath® AG, Zurich, Switzerland, [email protected] 3 Adimed-Zentrum für Adipositas- und Stoffwechselmedizin Winterthur, Switzerland, [email protected] Corresponding author: Peter Joller, PhD, Spitzackerstrasse 8, 6057 Zurich, Switzerland, [email protected] PubMed Index: Joller P., Cabaset S., Maurer S. Running Title: Dietary Supplement and Gut Microbiome Financial support: Bio-Strath AG, Mühlebachstrasse 38, 8008 Zürich Conflict of interest: P.J none, S.C employee of Bio-Strath, S.M none Word Count 3156 Number of figures 3 Number of tables 2 Abbreviations: BMI Body Mass Index, CD Crohn’s Disease, F/B Firmicutes to Bacteroidetes ratio, GALT Gut-Associated Lymphoid Tissue, HMP Human Microbiome Project, KEGG Kyoto Encyclopedia of Genes and Genomes Orthology Groups, OTU Operational Taxonomic Unit, SCFA Short-Chain Fatty Acids, SMS Shotgun Metagenomic Sequencing, NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. medRxiv preprint doi: https://doi.org/10.1101/2020.02.26.20027805; this version posted February 27, 2020.