Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study

Abstract Features of the gut microbiota have been associated with several chronic diseases and longevity in preclinical models as well as in observational studies. Whether these relations underlie causal effects in humans remains to be established. We aimed to determine whether the gut microbiota in...

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Main Authors: Eloi Gagnon, Patricia L. Mitchell, Hasanga D. Manikpurage, Erik Abner, Nele Taba, Tõnu Esko, Nooshin Ghodsian, Sébastien Thériault, Patrick Mathieu, Benoit J. Arsenault
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Journal of Translational Medicine
Online Access:https://doi.org/10.1186/s12967-022-03799-5
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author Eloi Gagnon
Patricia L. Mitchell
Hasanga D. Manikpurage
Erik Abner
Nele Taba
Tõnu Esko
Nooshin Ghodsian
Sébastien Thériault
Patrick Mathieu
Benoit J. Arsenault
author_facet Eloi Gagnon
Patricia L. Mitchell
Hasanga D. Manikpurage
Erik Abner
Nele Taba
Tõnu Esko
Nooshin Ghodsian
Sébastien Thériault
Patrick Mathieu
Benoit J. Arsenault
author_sort Eloi Gagnon
collection DOAJ
description Abstract Features of the gut microbiota have been associated with several chronic diseases and longevity in preclinical models as well as in observational studies. Whether these relations underlie causal effects in humans remains to be established. We aimed to determine whether the gut microbiota influences cardiometabolic traits as well as the risk of chronic diseases and human longevity using a comprehensive 2-Sample Mendelian randomization approach. We included as exposures 10 gut-associated metabolites and pathways and 57 microbial taxa abundance. We included as outcomes nine cardiometabolic traits (fasting glucose, fasting insulin, systolic blood pressure, diastolic blood pressure, HDL cholesterol, LDL cholesterol, triglycerides, estimated glomerular filtration rate, body mass index [BMI]), eight chronic diseases previously linked with the gut microbiota in observational studies (Alzheimer’s disease, depression, type 2 diabetes, non-alcoholic fatty liver disease, coronary artery disease (CAD), stroke, osteoporosis and chronic kidney disease), as well as parental lifespan and longevity. We found 7 associations with evidence of causality before and after sensitivity analyses, but not after multiple testing correction (1198 tests). Most effect sizes (4/7) were small. The two largest exposure-outcome effects were markedly attenuated towards the null upon inclusion of BMI or alcohol intake frequency in multivariable MR analyses. While finding robust genetic instruments for microbiota features is challenging hence potentially inflating type 2 errors, these results do not support a large causal impact of human gut microbita features on cardiometabolic traits, chronic diseases or longevity. These results also suggest that the previously documented associations between gut microbiota and human health outcomes may not always underly causal relations.
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spelling doaj.art-b9e79a829e284631b9b9c8a97926c5942023-02-05T12:22:21ZengBMCJournal of Translational Medicine1479-58762023-01-0121111410.1186/s12967-022-03799-5Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization studyEloi Gagnon0Patricia L. Mitchell1Hasanga D. Manikpurage2Erik Abner3Nele Taba4Tõnu Esko5Nooshin Ghodsian6Sébastien Thériault7Patrick Mathieu8Benoit J. Arsenault9Centre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecEstonian Genome Center, Institute of Genomics, University of TartuEstonian Genome Center, Institute of Genomics, University of TartuEstonian Genome Center, Institute of Genomics, University of TartuCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de QuébecAbstract Features of the gut microbiota have been associated with several chronic diseases and longevity in preclinical models as well as in observational studies. Whether these relations underlie causal effects in humans remains to be established. We aimed to determine whether the gut microbiota influences cardiometabolic traits as well as the risk of chronic diseases and human longevity using a comprehensive 2-Sample Mendelian randomization approach. We included as exposures 10 gut-associated metabolites and pathways and 57 microbial taxa abundance. We included as outcomes nine cardiometabolic traits (fasting glucose, fasting insulin, systolic blood pressure, diastolic blood pressure, HDL cholesterol, LDL cholesterol, triglycerides, estimated glomerular filtration rate, body mass index [BMI]), eight chronic diseases previously linked with the gut microbiota in observational studies (Alzheimer’s disease, depression, type 2 diabetes, non-alcoholic fatty liver disease, coronary artery disease (CAD), stroke, osteoporosis and chronic kidney disease), as well as parental lifespan and longevity. We found 7 associations with evidence of causality before and after sensitivity analyses, but not after multiple testing correction (1198 tests). Most effect sizes (4/7) were small. The two largest exposure-outcome effects were markedly attenuated towards the null upon inclusion of BMI or alcohol intake frequency in multivariable MR analyses. While finding robust genetic instruments for microbiota features is challenging hence potentially inflating type 2 errors, these results do not support a large causal impact of human gut microbita features on cardiometabolic traits, chronic diseases or longevity. These results also suggest that the previously documented associations between gut microbiota and human health outcomes may not always underly causal relations.https://doi.org/10.1186/s12967-022-03799-5
spellingShingle Eloi Gagnon
Patricia L. Mitchell
Hasanga D. Manikpurage
Erik Abner
Nele Taba
Tõnu Esko
Nooshin Ghodsian
Sébastien Thériault
Patrick Mathieu
Benoit J. Arsenault
Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study
Journal of Translational Medicine
title Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study
title_full Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study
title_fullStr Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study
title_full_unstemmed Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study
title_short Impact of the gut microbiota and associated metabolites on cardiometabolic traits, chronic diseases and human longevity: a Mendelian randomization study
title_sort impact of the gut microbiota and associated metabolites on cardiometabolic traits chronic diseases and human longevity a mendelian randomization study
url https://doi.org/10.1186/s12967-022-03799-5
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