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Updated: Jul 19, 2025

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Human microbiome variation associated with race and ethnicity emerges as early as 3 months of age
Elizabeth K Mallott1,2,3, Alexandra R Sitarik4, Leslie D Leve5
1Vanderbilt Microbiome Innovation Center, Vanderbilt University, Nashville, Tennessee, United States of America.
Insights
Race and ethnicity-associated gut microbiome variation emerges after 3 months of age in children. This early variation persists, impacting adult health and contributing to health disparities.
Area of Science:
- Human microbiome research
- Developmental biology
- Health disparities
Background:
- Human microbiome composition is linked to disease incidence, prevalence, and mortality.
- Microbiome variation is known to associate with race and ethnicity in the United States.
- The specific age at which these race and ethnicity-associated microbiome differences emerge in early life is not well understood.
Purpose of the Study:
- To determine the age of onset for race and ethnicity-associated gut microbiome variation in children.
- To investigate the persistence of these variations through childhood.
- To identify key microbial taxa and developmental windows influencing these associations.
Main Methods:
- Analysis of gut microbiome data from 729 children across 8 cohort studies (2,756 samples).
- Utilized machine learning models to distinguish racial and ethnic categories based on childhood microbiomes.
- Compared bacterial taxa varying in children with those known to vary in adults.
Main Results:
- Race and ethnicity-associated gut microbiome variation emerges after 3 months of age and continues through childhood.
- Machine learning accurately distinguished racial and ethnic groups (87% accuracy) using childhood microbiome data.
- Taxa predictive of race/ethnicity in children were also important for predicting adult race/ethnicity.
Conclusions:
- A critical developmental window at or shortly after 3 months of age is identified for the establishment of race and ethnicity-associated microbiome patterns.
- Social and environmental factors likely drive these early microbiome variations.
- These early-life microbiome differences may contribute to adult health outcomes and health disparities.
Abstract:
Human microbiome variation is linked to the incidence, prevalence, and mortality of many diseases and associates with race and ethnicity in the United States. However, the age at which microbiome variability emerges between these groups remains a central gap in knowledge. Here, we identify that gut microbiome variation associated with race and ethnicity arises after 3 months of age and persists through childhood. One-third of the bacterial taxa that vary across caregiver-identified racial categories in children are taxa reported to also vary between adults. Machine learning modeling of childhood microbiomes from 8 cohort studies (2,756 samples from 729 children) distinguishes racial and ethnic categories with 87% accuracy. Importantly, predictive genera are also among the top 30 most important taxa when childhood microbiomes are used to predict adult self-identified race and ethnicity. Our results highlight a critical developmental window at or shortly after 3 months of age when social and environmental factors drive race and ethnicity-associated microbiome variation and may contribute to adult health and health disparities.
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