腸内細菌の不安定さが子どもの成長に悪影響(Microbiome instability linked to poor growth in kids)

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2025-09-09 ワシントン大学セントルイス校

ワシントン大学医学校の研究は、腸内マイクロバイオームの不安定性が幼児の成長不良に関与することを示した。マラウイの12〜24か月児8人から11か月にわたり47の糞便サンプルを採取し、長読みシーケンシングでパンゲノムを解析。その結果、腸内微生物群が頻繁に変動する子どもは成長指標(LAZスコア)が低下し、菌叢が安定している子どもは良好な成長を示した。これは食事要因に加え、腸内菌叢の安定性が発育維持に不可欠であることを示唆する。研究は包括的なパンゲノムライブラリも構築しており、成長不良の診断や治療、さらには低資源地域でのモニタリングに応用できる可能性がある。

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Culture-independent meta-pangenomics enabled by long-read metagenomics reveals associations with pediatric undernutrition

Jeremiah J. Minich, Nicholas Allsing, M. Omar Din, Michael J. Tisza, Kenneth Maleta, Daniel McDonald, Nolan Hartwick, Allen Mamerto, Caitriona Brennan, Lauren Hansen, Justin Shaffer, Emily R. Murray, Tiffany Duong, Rob Knight, Kevin Stephenson, Mark J. Manary, Todd P. Michael
Cell  Available online: 9 September 2025
DOI:https://doi.org/10.1016/j.cell.2025.08.020

腸内細菌の不安定さが子どもの成長に悪影響(Microbiome instability linked to poor growth in kids)

Highlights

  • LR platform comparison: PB and ONT yield 44–64× more cMAGs/Gbp than ILMN
  • 986 cMAGs (839 circular) from 8 children over 11 months in a longitudinal dataset
  • Multi-clade pangenome and mGWAS reveal genetic links to linear growth and breastfeeding
  • Gut microbe genome temporal instability is associated with linear growth faltering

Summary

The human gut microbiome is linked to child malnutrition, yet traditional microbiome approaches lack resolution. We hypothesized that complete metagenome-assembled genomes (cMAGs), recovered through long-read (LR) DNA sequencing, would enable pangenome and microbial genome-wide association study (GWAS) analyses to identify microbial genetic associations with child linear growth. LR methods produced 44–64× more cMAGs per gigabase pair (Gbp) than short-read methods, with PacBio (PB) yielding the most accurate and cost-effective assemblies. In a Malawian longitudinal pediatric cohort, we generated 986 cMAGs (839 circular) from 47 samples and applied this database to an expanded set of 210 samples. Machine learning identified species predictive of linear growth. Pangenome analyses revealed microbial genetic associations with linear growth, while genome instability correlated with declining length-for-age Z score (LAZ). This resource demonstrates the power of comparing cMAGs with health trajectories and establishes a new standard for microbiome association studies.

医療・健康
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