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Longitudinal multi-omics of host–microbe dynamics in prediabetes

Wenyu Zhou, M. Reza Sailani, Kévin Contrepois, Yanjiao Zhou, Sara Ahadi, Shana R. Leopold, Martin J. Zhang, Varsha Rao, Monika Avina, Tejaswini Mishra, Jethro Johnson, Brittany Lee-McMullen, Songjie Chen, Ahmed A. Metwally, Thi Dong Binh Tran, Hoan Nguyen, Xin Zhou, Brandon Albright, Bo-Young Hong, Lauren Petersen, Eddy Bautista, Blake Hanson, Lei Chen, Daniel Spakowicz, Amir Bahmani, Denis Salins, Benjamin Leopold, Melanie Ashland, Orit Dagan-Rosenfeld, Shannon Rego, Patricia Limcaoco, Elizabeth Colbert, Candice Allister, Dalia Perelman, Colleen Craig, Eric Wei, Hassan Chaib, Daniel Hornburg, Jessilyn Dunn, Liang Liang, Sophia Miryam Schüssler-Fiorenza Rose, Kim Kukurba, Brian Piening, Hannes Rost, David Tse, Tracey McLaughlin, Erica Sodergren, George M. Weinstock () and Michael Snyder ()
Additional contact information
Wenyu Zhou: Stanford University School of Medicine
M. Reza Sailani: Stanford University School of Medicine
Kévin Contrepois: Stanford University School of Medicine
Yanjiao Zhou: The Jackson Laboratory for Genomic Medicine
Sara Ahadi: Stanford University School of Medicine
Shana R. Leopold: The Jackson Laboratory for Genomic Medicine
Martin J. Zhang: Stanford University
Varsha Rao: Stanford University School of Medicine
Monika Avina: Stanford University School of Medicine
Tejaswini Mishra: Stanford University School of Medicine
Jethro Johnson: The Jackson Laboratory for Genomic Medicine
Brittany Lee-McMullen: Stanford University School of Medicine
Songjie Chen: Stanford University School of Medicine
Ahmed A. Metwally: Stanford University School of Medicine
Thi Dong Binh Tran: The Jackson Laboratory for Genomic Medicine
Hoan Nguyen: The Jackson Laboratory for Genomic Medicine
Xin Zhou: The Jackson Laboratory for Genomic Medicine
Brandon Albright: The Jackson Laboratory for Genomic Medicine
Bo-Young Hong: The Jackson Laboratory for Genomic Medicine
Lauren Petersen: The Jackson Laboratory for Genomic Medicine
Eddy Bautista: The Jackson Laboratory for Genomic Medicine
Blake Hanson: The Jackson Laboratory for Genomic Medicine
Lei Chen: The Jackson Laboratory for Genomic Medicine
Daniel Spakowicz: The Jackson Laboratory for Genomic Medicine
Amir Bahmani: Stanford Center for Genomics and Personalized Medicine
Denis Salins: Stanford University School of Medicine
Benjamin Leopold: The Jackson Laboratory for Genomic Medicine
Melanie Ashland: Stanford University School of Medicine
Orit Dagan-Rosenfeld: Stanford University School of Medicine
Shannon Rego: Stanford University School of Medicine
Patricia Limcaoco: Stanford University School of Medicine
Elizabeth Colbert: Stanford University School of Medicine
Candice Allister: Stanford University School of Medicine
Dalia Perelman: Stanford University School of Medicine
Colleen Craig: Stanford University School of Medicine
Eric Wei: Stanford University School of Medicine
Hassan Chaib: Stanford University School of Medicine
Daniel Hornburg: Stanford University School of Medicine
Jessilyn Dunn: Stanford University School of Medicine
Liang Liang: Stanford University School of Medicine
Sophia Miryam Schüssler-Fiorenza Rose: Veteran Affairs Palo Alto Health Care System
Kim Kukurba: Stanford University School of Medicine
Brian Piening: Providence Cancer Center
Hannes Rost: University of Toronto
David Tse: Stanford University
Tracey McLaughlin: Stanford University School of Medicine
Erica Sodergren: The Jackson Laboratory for Genomic Medicine
George M. Weinstock: The Jackson Laboratory for Genomic Medicine
Michael Snyder: Stanford University School of Medicine

Nature, 2019, vol. 569, issue 7758, 663-671

Abstract: Abstract Type 2 diabetes mellitus (T2D) is a growing health problem, but little is known about its early disease stages, its effects on biological processes or the transition to clinical T2D. To understand the earliest stages of T2D better, we obtained samples from 106 healthy individuals and individuals with prediabetes over approximately four years and performed deep profiling of transcriptomes, metabolomes, cytokines, and proteomes, as well as changes in the microbiome. This rich longitudinal data set revealed many insights: first, healthy profiles are distinct among individuals while displaying diverse patterns of intra- and/or inter-personal variability. Second, extensive host and microbial changes occur during respiratory viral infections and immunization, and immunization triggers potentially protective responses that are distinct from responses to respiratory viral infections. Moreover, during respiratory viral infections, insulin-resistant participants respond differently than insulin-sensitive participants. Third, global co-association analyses among the thousands of profiled molecules reveal specific host–microbe interactions that differ between insulin-resistant and insulin-sensitive individuals. Last, we identified early personal molecular signatures in one individual that preceded the onset of T2D, including the inflammation markers interleukin-1 receptor agonist (IL-1RA) and high-sensitivity C-reactive protein (CRP) paired with xenobiotic-induced immune signalling. Our study reveals insights into pathways and responses that differ between glucose-dysregulated and healthy individuals during health and disease and provides an open-access data resource to enable further research into healthy, prediabetic and T2D states.

Date: 2019
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DOI: 10.1038/s41586-019-1236-x

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