bioRxiv preprint doi: https://doi.org/10.1101/2020.02.29.971242; this version posted March 3, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 1 2 Children Developing Celiac Disease Have a Distinct and Proinflammatory Gut 3 Microbiota in the First 5 Years of Life 4 5 Qian Huang1, Yi Yang2, Vladimir Tolstikov3, Michael A. Kiebish3, Jonas F 6 Ludvigsson4,5, Noah W. Palm2, Johnny Ludvigsson6, Emrah Altindis1 7 8 9 Affiliations: 10 1 Boston College Biology Department, Chestnut Hill, MA 02467, USA 11 2 Department of Immunobiology, Yale University School of Medicine, New Haven, CT 12 06510, USA. 13 14 3 BERG, LLC, Framingham, MA, USA. 15 16 4 Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 17 Stockholm, Sweden 18 19 5 Department of Paediatrics, Örebro University Hospital, Sweden 20 6 Crown Princess Victoria's Children's Hospital, Region Östergötland, Division of 21 Pediatrics, Linköping University, Linköping, SE 58185, Sweden. 22 23 24 25 26 27 Correspondence to: Emrah Altindis, Boston College Biology Department, Higgins Hall, 28 140 Commonwealth Avenue Chestnut Hill, MA 02467. E-mail:
[email protected] 1 bioRxiv preprint doi: https://doi.org/10.1101/2020.02.29.971242; this version posted March 3, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 29 ABSTRACT 30 Objective: Celiac disease (CD) is an immune-mediated disease characterized by small intestinal 31 inflammation.