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CAT: a conditional association test for microbiome data using a permutation approach.

Yushu Shi1, Liangliang Zhang2, Kim-Anh Do3

  • 1Department of Population Health Sciences, Weill Cornell Medicine, 575 Lexington Avenue, New York, NY 10065, United States.

Briefings in Bioinformatics
|July 11, 2025
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Summary
This summary is machine-generated.

This study introduces a new conditional association test (CAT) for microbiome analysis. CAT quantifies a feature's unique contribution to predicting outcomes, accounting for intercorrelations and phylogenetic relationships.

Keywords:
beta diversity metricscoefficient of determinationconditional association testmicrobiome datapermutation

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Area of Science:

  • Microbiome research
  • Statistical genetics
  • Bioinformatics

Background:

  • Microbiome analysis often aims to link taxonomic features to specific outcomes.
  • Intercorrelated microbiome features and phylogenetic relationships complicate individual feature association testing.
  • Existing methods may not fully capture the unique contribution of individual features.

Purpose of the Study:

  • To propose a novel conditional association test (CAT) for microbiome analysis.
  • To develop a method that accounts for feature intercorrelations and phylogenetic relatedness.
  • To provide a direct quantification of feature importance in predicting outcomes.

Main Methods:

  • CAT employs a permutation approach to assess feature importance.
  • It quantifies the weakening of the association with an outcome upon feature permutation, measured by the change in R-squared.
  • Leverages global tests like PERMANOVA and MiRKAT-based methods for various outcome types (continuous, binary, categorical, count, survival, correlated).

Main Results:

  • CAT provides a direct quantification of feature importance, distinct from marginal association tests.
  • Simulation studies confirm CAT's ability to isolate the added value of a feature.
  • Applications to melanoma patient microbiome data demonstrate its utility in immunotherapy response and survival outcome studies.

Conclusions:

  • CAT offers a robust method for assessing individual microbiome feature importance.
  • It can help disentangle complex relationships within microbiome data.
  • The findings support the potential of CAT for designing targeted microbiome interventions to improve clinical outcomes.