Infant gut microbiome composition correlated with type 1 diabetes acquisition in the general population: the ABIS

Malin Bélteky1, Patricia L Milletich2, Angelica P Ahrens2

  • 1Crown Princess Victoria's Children's Hospital, Region Östergötland, Linköping, Sweden.

Diabetologia
|March 25, 2023
PubMed

Insights

Gut microbial biomarkers identified in 1-year-old infants can predict type 1 diabetes development up to 20 years before diagnosis, offering potential for early intervention strategies.

Area of Science:

  • Microbiome research
  • Immunology
  • Pediatric endocrinology

Background:

  • Type 1 diabetes (T1D) is an autoimmune disease with increasing incidence.
  • Traditional markers for T1D development include autoantibodies.
  • Early identification of T1D risk factors is crucial for potential prevention.

Purpose of the Study:

  • To identify gut microbial biomarkers in infants associated with future type 1 diabetes diagnosis.
  • To investigate microbial taxonomic and functional differences in infants who develop T1D compared to healthy controls.
  • To explore the potential of the gut microbiome as an early indicator for T1D.

Main Methods:

  • Analysis of stool samples from a longitudinal general population cohort (All Babies In Southeast Sweden).
  • 16S ribosomal RNA (rRNA) sequencing and quantitative PCR to assess microbial composition.
  • PICRUSt used for predicting functional gene content from 16S rRNA data.
  • Comparison of microbial profiles between infants with future T1D diagnosis (n=16) and healthy controls (n=268).

Main Results:

  • Specific bacterial taxa, including Porphyromonas, were more abundant in infants who later developed T1D.
  • Parasutterella and Eubacterium were more abundant in healthy control infants.
  • Ruminococcus, Flavonifractor, UBA1819, Alistipes, and Fusicatenibacter showed differential abundance patterns differentiating future T1D cases from controls.
  • Predicted higher abundance of butyrate production and pyruvate fermentation pathways in healthy control infants.

Conclusions:

  • Gut microbial biomarkers are detectable as early as one year of age in infants who develop type 1 diabetes.
  • Taxonomic and functional differences in the gut microbiome are associated with future T1D diagnosis.
  • The findings suggest a potential role for modulating the gut microbiome in T1D prevention strategies.
Abstract

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