Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort

Abstract Chronic obstructive pulmonary disease (COPD) is heterogeneous in development, progression, and phenotypes. Little is known about the lung microbiome, sampled by bronchoscopy, in milder COPD and its relationships to clinical features that reflect disease heterogeneity (lung function, symptom...

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Main Authors: Kristopher Opron, Lesa A. Begley, John R. Erb-Downward, Christine Freeman, Siddharth Madapoosi, Neil E. Alexis, Igor Barjaktarevic, R. Graham Barr, Eugene R. Bleecker, Russell P. Bowler, Stephanie A. Christenson, Alejandro P. Comellas, Christopher B. Cooper, David J. Couper, Claire M. Doerschuk, Mark T. Dransfield, MeiLan K. Han, Nadia N. Hansel, Annette T. Hastie, Eric A. Hoffman, Robert J. Kaner, Jerry Krishnan, Wanda K. O’Neal, Victor E. Ortega, Robert Paine, Stephen P. Peters, J. Michael Wells, Prescott G. Woodruff, Fernando J. Martinez, Jeffrey L. Curtis, Gary B. Huffnagle, Yvonne J. Huang
Format: Article
Language:English
Published: Nature Portfolio 2021-02-01
Series:npj Biofilms and Microbiomes
Online Access:https://doi.org/10.1038/s41522-021-00185-9
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author Kristopher Opron
Lesa A. Begley
John R. Erb-Downward
Christine Freeman
Siddharth Madapoosi
Neil E. Alexis
Igor Barjaktarevic
R. Graham Barr
Eugene R. Bleecker
Russell P. Bowler
Stephanie A. Christenson
Alejandro P. Comellas
Christopher B. Cooper
David J. Couper
Claire M. Doerschuk
Mark T. Dransfield
MeiLan K. Han
Nadia N. Hansel
Annette T. Hastie
Eric A. Hoffman
Robert J. Kaner
Jerry Krishnan
Wanda K. O’Neal
Victor E. Ortega
Robert Paine
Stephen P. Peters
J. Michael Wells
Prescott G. Woodruff
Fernando J. Martinez
Jeffrey L. Curtis
Gary B. Huffnagle
Yvonne J. Huang
author_facet Kristopher Opron
Lesa A. Begley
John R. Erb-Downward
Christine Freeman
Siddharth Madapoosi
Neil E. Alexis
Igor Barjaktarevic
R. Graham Barr
Eugene R. Bleecker
Russell P. Bowler
Stephanie A. Christenson
Alejandro P. Comellas
Christopher B. Cooper
David J. Couper
Claire M. Doerschuk
Mark T. Dransfield
MeiLan K. Han
Nadia N. Hansel
Annette T. Hastie
Eric A. Hoffman
Robert J. Kaner
Jerry Krishnan
Wanda K. O’Neal
Victor E. Ortega
Robert Paine
Stephen P. Peters
J. Michael Wells
Prescott G. Woodruff
Fernando J. Martinez
Jeffrey L. Curtis
Gary B. Huffnagle
Yvonne J. Huang
author_sort Kristopher Opron
collection DOAJ
description Abstract Chronic obstructive pulmonary disease (COPD) is heterogeneous in development, progression, and phenotypes. Little is known about the lung microbiome, sampled by bronchoscopy, in milder COPD and its relationships to clinical features that reflect disease heterogeneity (lung function, symptom burden, and functional impairment). Using bronchoalveolar lavage fluid collected from 181 never-smokers and ever-smokers with or without COPD (GOLD 0-2) enrolled in the SubPopulations and InteRmediate Outcome Measures In COPD Study (SPIROMICS), we find that lung bacterial composition associates with several clinical features, in particular bronchodilator responsiveness, peak expiratory flow rate, and forced expiratory flow rate between 25 and 75% of FVC (FEF25–75). Measures of symptom burden (COPD Assessment Test) and functional impairment (six-minute walk distance) also associate with disparate lung microbiota composition. Drivers of these relationships include members of the Streptococcus, Prevotella, Veillonella, Staphylococcus, and Pseudomonas genera. Thus, lung microbiota differences may contribute to airway dysfunction and airway disease in milder COPD.
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spelling doaj.art-10a254afe79640d29b0d02561b498bb02022-12-21T20:36:12ZengNature Portfolionpj Biofilms and Microbiomes2055-50082021-02-017111010.1038/s41522-021-00185-9Lung microbiota associations with clinical features of COPD in the SPIROMICS cohortKristopher Opron0Lesa A. Begley1John R. Erb-Downward2Christine Freeman3Siddharth Madapoosi4Neil E. Alexis5Igor Barjaktarevic6R. Graham Barr7Eugene R. Bleecker8Russell P. Bowler9Stephanie A. Christenson10Alejandro P. Comellas11Christopher B. Cooper12David J. Couper13Claire M. Doerschuk14Mark T. Dransfield15MeiLan K. Han16Nadia N. Hansel17Annette T. Hastie18Eric A. Hoffman19Robert J. Kaner20Jerry Krishnan21Wanda K. O’Neal22Victor E. Ortega23Robert Paine24Stephen P. Peters25J. Michael Wells26Prescott G. Woodruff27Fernando J. Martinez28Jeffrey L. Curtis29Gary B. Huffnagle30Yvonne J. Huang31Division of Pulmonary/Critical Care Medicine, University of MichiganDivision of Pulmonary/Critical Care Medicine, University of MichiganDivision of Pulmonary/Critical Care Medicine, University of MichiganDivision of Pulmonary/Critical Care Medicine, University of MichiganDivision of Pulmonary/Critical Care Medicine, University of MichiganUniversity of North Carolina at Chapel HillUniversity of California at Los AngelesColumbia UniversityUniversity of Arizona College of MedicineNational Jewish HealthUniversity of California at San FranciscoUniversity of IowaUniversity of California at Los AngelesUniversity of North Carolina at Chapel HillUniversity of North Carolina at Chapel HillUniversity of Alabama at BirminghamDivision of Pulmonary/Critical Care Medicine, University of MichiganJohn Hopkins UniversityWake Forest School of MedicineUniversity of IowaWeill Cornell Medical CollegeUniversity of IllinoisUniversity of North Carolina at Chapel HillWake Forest School of MedicineUniversity of UtahWake Forest School of MedicineUniversity of Alabama at BirminghamUniversity of California at San FranciscoWeill Cornell Medical CollegeDivision of Pulmonary/Critical Care Medicine, University of MichiganDivision of Pulmonary/Critical Care Medicine, University of MichiganDivision of Pulmonary/Critical Care Medicine, University of MichiganAbstract Chronic obstructive pulmonary disease (COPD) is heterogeneous in development, progression, and phenotypes. Little is known about the lung microbiome, sampled by bronchoscopy, in milder COPD and its relationships to clinical features that reflect disease heterogeneity (lung function, symptom burden, and functional impairment). Using bronchoalveolar lavage fluid collected from 181 never-smokers and ever-smokers with or without COPD (GOLD 0-2) enrolled in the SubPopulations and InteRmediate Outcome Measures In COPD Study (SPIROMICS), we find that lung bacterial composition associates with several clinical features, in particular bronchodilator responsiveness, peak expiratory flow rate, and forced expiratory flow rate between 25 and 75% of FVC (FEF25–75). Measures of symptom burden (COPD Assessment Test) and functional impairment (six-minute walk distance) also associate with disparate lung microbiota composition. Drivers of these relationships include members of the Streptococcus, Prevotella, Veillonella, Staphylococcus, and Pseudomonas genera. Thus, lung microbiota differences may contribute to airway dysfunction and airway disease in milder COPD.https://doi.org/10.1038/s41522-021-00185-9
spellingShingle Kristopher Opron
Lesa A. Begley
John R. Erb-Downward
Christine Freeman
Siddharth Madapoosi
Neil E. Alexis
Igor Barjaktarevic
R. Graham Barr
Eugene R. Bleecker
Russell P. Bowler
Stephanie A. Christenson
Alejandro P. Comellas
Christopher B. Cooper
David J. Couper
Claire M. Doerschuk
Mark T. Dransfield
MeiLan K. Han
Nadia N. Hansel
Annette T. Hastie
Eric A. Hoffman
Robert J. Kaner
Jerry Krishnan
Wanda K. O’Neal
Victor E. Ortega
Robert Paine
Stephen P. Peters
J. Michael Wells
Prescott G. Woodruff
Fernando J. Martinez
Jeffrey L. Curtis
Gary B. Huffnagle
Yvonne J. Huang
Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort
npj Biofilms and Microbiomes
title Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort
title_full Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort
title_fullStr Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort
title_full_unstemmed Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort
title_short Lung microbiota associations with clinical features of COPD in the SPIROMICS cohort
title_sort lung microbiota associations with clinical features of copd in the spiromics cohort
url https://doi.org/10.1038/s41522-021-00185-9
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