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Updated: Jul 6, 2025

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
Genetic support of the causal association between gut microbiota and peripheral artery disease: a bidirectional
Hongshuo Shi1, Xin Yuan1, Fangfang Wu1
1Department of Peripheral Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Background:
The causal relationship between gut microbiota and peripheral artery disease (PAD) is still not clear. In this research, we employed the Mendelian randomization (MR) technique to explore the potential causal connection between 211 gut microbiota species and PAD. We also investigated whether the causal effects operate in both directions.
Methods:
We used Genome-wide Association Studies (GWAS) summary statistics data from the MiBioGen and FinnGen consortia to conduct a two-sample MR analysis to explore the causal link between gut microbiota and PAD. Sensitivity analysis is conducted to assess the robustness of the MR results. In addition to that, reverse MR analysis was performed to examine the inverse causal relationship.
Results:
The inverse variance weighted (IVW) method provided evidence supporting a causal relationship between 9 specific gut microbiota taxa and PAD. The study findings indicated that family Family XI (OR=1.11, CI 1.00-1.24, P=0.048), genus Lachnoclostridium (OR=1.24, 1.02-1.50, P=0.033), and genus Lachnospiraceae UCG001 (OR=1.17, 1.01-1.35, P=0.031) are risk factors associated with PAD. class Actinobacteria (OR=0.84, 0.72-0.99, P=0.034), family Acidaminococcaceae (OR=0.80, 0.66-0.98, P=0.029), genus Coprococcus2 (OR=0.79, 0.64-0.98, P=0.029), genus Ruminococcaceae UCG004 (OR=0.84, 0.72-0.99, P=0.032), genus Ruminococcaceae UCG010 (OR=0.74, 0.58-0.96, P=0.022), and order NB1n (OR=0.88, 0.79-0.98, P=0.02) may be associated with the risk factors of PAD. Moreover, our analysis did not uncover any evidence of a reverse causal relationship between PAD and the nine specific gut microbiota taxa investigated.
Conclusions:
Our MR research has confirmed the potential causal relationship between gut microbiota and PAD while also identifying specific gut bacterial communities associated with PAD.
Insights
This study used Mendelian randomization to investigate the gut microbiota
Area of Science:
- Microbiome Research
- Genetics
- Cardiovascular Disease Epidemiology
Background:
- The precise relationship between gut microbiota composition and peripheral artery disease (PAD) remains incompletely understood.
- Investigating potential causal links is crucial for understanding PAD pathogenesis.
Purpose of the Study:
- To explore the potential causal relationship between 211 gut microbial species and peripheral artery disease (PAD) using Mendelian randomization (MR).
- To determine if these causal effects are bidirectional.
Main Methods:
- A two-sample Mendelian randomization (MR) analysis was performed using Genome-wide Association Studies (GWAS) summary statistics from the MiBioGen and FinnGen consortia.
- Sensitivity analyses were conducted to ensure the robustness of the findings.
- Reverse MR analysis was employed to assess potential inverse causal relationships.
Main Results:
- The study identified nine specific gut microbial taxa with a potential causal relationship to PAD.
- Increased risk of PAD was associated with higher abundance of Family XI, genus *Lachnoclostridium*, and genus *Lachnospiraceae* UCG001.
- Protective associations with PAD risk were observed for class *Actinobacteria*, family *Acidaminococcaceae*, genus *Coprococcus2*, genus *Ruminococcaceae* UCG004, genus *Ruminococcaceae* UCG010, and order NB1n.
Conclusions:
- This MR study provides evidence supporting a causal link between specific gut microbiota and PAD.
- The findings identify key bacterial taxa that may influence PAD risk, offering potential targets for future interventions.
- No significant reverse causal relationship between PAD and the investigated gut microbiota was detected.
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