Gut microbiota composition correlates with diet and health …

ARTICLE RESEARCH

Colour key

4A 3A 3B 4B 1A 2A 1B 2B

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c

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Bacteroidaceae Rikenellaceae Porphyromonadaceae Prevotellaceae Marinilabiaceae Ruminococcaceae Lachnospiraceae Incertae Sedis XIV Eubacteriaceae Clostridiaceae Erysipelotrichaceae Alcaligenaceae Bifidobacteriaceae Other Unclassified

PC1 (6.7%)

b

100

50

PC1 (23%)

0

community-dwelling subjects. Eighteen other non-UniFrac b -diversity metrics supported microbiota separation by residence location (Supplementary Fig. 1). When we examined OTU abundance, we identified a cluster com- prised of the majority of the long-stay subjects, separated from the majority of the community-dwelling and young healthy subjects (Fig. 1c). Family-level microbiota assignments showed that long-stay microbiota had a higher proportion of phylum Bacteroidetes , compared to a higher proportion of phylum Firmicutes and unclassified reads in community-dwelling subjects (Fig. 1c). At genus level, Coprococcus and Roseburia (of the Lachnospiraceae family) were more abundant in the faecal microbiota of community-dwelling subjects (Supplementary Table 1 shows complete list of genera differentially abundant by com- munity location). Genera associated with long-stay subjects included Figure 1 | Microbiota analysis separates elderly subjects based upon where they live in the community. a , Unweighted and b , weighted UniFrac PCoA of faecal microbiota from 191 subjects. Subject colour coding: green, community; yellow, day hospital; orange, rehabilitation; red, long-stay; and purple, young healthy control subjects. c , Hierarchical Ward-linkage clustering based on the Spearman correlation coefficients of the proportion of OTUs, filtered for OTU subject prevalence of at least 20%. Subjects colour coding as in a . Labelled

Parabacteroides , Eubacterium , Anaerotruncus , Lactonifactor and Coprobacillus (Supplementary Table 2). The genera associated with community belonged to fewer families, Lachnospiraceae were the most dominant. Thus, the microbiota composition of an individual segre- gated depending on where they lived within a single ethnogeographic region, in a homogeneous cohort where confounding effects of climate, culture, nationality and extreme environment were not a factor. Concordance of diet and microbiota Dietary data (for 168 of the 178 subjects, plus five percutaneous endoscopic gastrostomy (PEG)-fed subjects) was collected through a semiquantitative, 147-item, food frequency questionnaire (FFQ), weighted by 10 consumption frequencies. The data were visualized with correspondence analysis (CoA; Fig. 2a). The first CoA axis clusters in top of panel c (basis for the eight groups in Fig. 4) are highlighted by black squares. OTUs are clustered by the vertical tree, colour-coded by family assignments. Bacteroidetes phylum, blue gradient; Firmicutes , red; Proteobacteria , green; and Actinobacteria , yellow. Only 774 OTUs confidently classified to family level are visualized. The bottom panel shows relative abundance of family-classified microbiota.

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Colour key

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Unweighted UniFrac

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Weighted UniFrac

Non-mineral/vitamin supp.

Vitamin supp.

Herbal tea

Dairy desserts

Porridge

Milk

Probiotic yoghurt

Mineral supp.

Spinach

Wheat-free bread

Brown rice

Chicken

Dried fruit

Mashed potatoes

Garlic Sweet peppers

Oily fish

Milk pudding

Wine

Fried fish

White fish

Low-fat milk

Boiled potatoes

Sugar

Citrus fruit

Onions

Processed meat

Cheese

Coffee

Sweets

Tomatoes

Plain buiscuits

Jam

Butter

Choc. biscuits

White bread

PC1

DG1

DG2

DG3

DG4

Figure 2 | Dietary patterns in community location correlate with separations based on microbiota composition. a , Food correspondence analysis. Top panel, FFQ PCA; bottom panel, driving food types. b , Procrustes analysis combining unweighted and weighted UniFrac PCoA of microbiota (non-circle end of lines) with food type PCA (circle-end of lines). c , Four dietary groups (DG1, DG2, DG3 and DG4) revealed through complete linkage clustering using Euclidean distances applied to first eigenvector in

correspondence analysis. Colour codes in a , and horizontal clustering in b and c , are community location, as per Fig. 1. Food labelling in lower panel in a , and vertical clustering in c : green, fruit and vegetables; orange, grains such as potatoes, cereals and bread; brown, meat; cyan, fish; yellow, dairy products; blue, sweets, cakes and alcohol; grey vitamins, minerals and tea. Only peripheral and most driving foods are labelled; for a complete list see Supplementary Table 2.

9 AUGUST 2012 | VOL 488 | NATURE | 179

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