Dietary inflammatory potential in relation to the gut microbiome: results from a cross-sectional study

Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (Dietary Inflammatory Index (DII®)) with gut microbiota diversity, composition and function. In cancer-free patient volunt...

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Published inBritish journal of nutrition Vol. 124; no. 9; pp. 931 - 942
Main Authors Zheng, Jiali, Hoffman, Kristi L., Chen, Jiun-Sheng, Shivappa, Nitin, Sood, Akhil, Browman, Gladys J., Dirba, Danika D., Hanash, Samir, Wei, Peng, Hebert, James R., Petrosino, Joseph F., Schembre, Susan M., Daniel, Carrie R.
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 14.11.2020
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Online AccessGet full text
ISSN0007-1145
1475-2662
1475-2662
DOI10.1017/S0007114520001853

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Abstract Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (Dietary Inflammatory Index (DII®)) with gut microbiota diversity, composition and function. In cancer-free patient volunteers initially approached at colonoscopy and healthy volunteers recruited from the medical centre community, we assessed 16S ribosomal DNA in all subjects who provided dietary assessments and stool samples (n 101) and the gut metagenome in a subset of patients with residual fasting blood samples (n 34). Associations of energy-adjusted DII scores with microbial diversity and composition were examined using linear regression, permutational multivariate ANOVA and linear discriminant analysis. Spearman correlation was used to evaluate associations of species and pathways with DII and circulating inflammatory markers. Across DII levels, α- and β-diversity did not significantly differ; however, Ruminococcus torques, Eubacterium nodatum, Acidaminococcus intestini and Clostridium leptum were more abundant in the most pro-inflammatory diet group, while Akkermansia muciniphila was enriched in the most anti-inflammatory diet group. With adjustment for age and BMI, R. torques, E. nodatum and A. intestini remained significantly associated with a more pro-inflammatory diet. In the metagenomic and fasting blood subset, A. intestini was correlated with circulating plasminogen activator inhibitor-1, a pro-inflammatory marker (rho = 0·40), but no associations remained significant upon correction for multiple testing. An index reflecting overall inflammatory potential of the diet was associated with specific microbes, but not overall diversity of the gut microbiome in our study. Findings from this preliminary study warrant further research in larger samples and prospective cohorts.
AbstractList Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (Dietary Inflammatory Index (DII®)) with gut microbiota diversity, composition and function. In cancer-free patient volunteers initially approached at colonoscopy and healthy volunteers recruited from the medical centre community, we assessed 16S ribosomal DNA in all subjects who provided dietary assessments and stool samples (n 101) and the gut metagenome in a subset of patients with residual fasting blood samples (n 34). Associations of energy-adjusted DII scores with microbial diversity and composition were examined using linear regression, permutational multivariate ANOVA and linear discriminant analysis. Spearman correlation was used to evaluate associations of species and pathways with DII and circulating inflammatory markers. Across DII levels, α- and β-diversity did not significantly differ; however, Ruminococcus torques, Eubacterium nodatum, Acidaminococcus intestini and Clostridium leptum were more abundant in the most pro-inflammatory diet group, while Akkermansia muciniphila was enriched in the most anti-inflammatory diet group. With adjustment for age and BMI, R. torques, E. nodatum and A. intestini remained significantly associated with a more pro-inflammatory diet. In the metagenomic and fasting blood subset, A. intestini was correlated with circulating plasminogen activator inhibitor-1, a pro-inflammatory marker (rho = 0·40), but no associations remained significant upon correction for multiple testing. An index reflecting overall inflammatory potential of the diet was associated with specific microbes, but not overall diversity of the gut microbiome in our study. Findings from this preliminary study warrant further research in larger samples and prospective cohorts.
Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (Dietary Inflammatory Index (DII ® )) with gut microbiota diversity, composition and function. In cancer-free patient volunteers initially approached at colonoscopy and healthy volunteers recruited from the medical centre community, we assessed 16S ribosomal DNA in all subjects who provided dietary assessments and stool samples ( n 101) and the gut metagenome in a subset of patients with residual fasting blood samples ( n 34). Associations of energy-adjusted DII scores with microbial diversity and composition were examined using linear regression, permutational multivariate ANOVA and linear discriminant analysis. Spearman correlation was used to evaluate associations of species and pathways with DII and circulating inflammatory markers. Across DII levels, α - and β -diversity did not significantly differ; however, Ruminococcus torques, Eubacterium nodatum, Acidaminococcus intestini and Clostridium leptum were more abundant in the most pro-inflammatory diet group, while Akkermansia muciniphila was enriched in the most anti-inflammatory diet group. With adjustment for age and BMI, R. torques, E. nodatum and A. intestini remained significantly associated with a more pro-inflammatory diet. In the metagenomic and fasting blood subset, A. intestini was correlated with circulating plasminogen activator inhibitor-1, a pro-inflammatory marker (rho = 0·40), but no associations remained significant upon correction for multiple testing. An index reflecting overall inflammatory potential of the diet was associated with specific microbes, but not overall diversity of the gut microbiome in our study. Findings from this preliminary study warrant further research in larger samples and prospective cohorts.
Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (DII®) with gut microbiota diversity, composition, and function. In cancer-free patient volunteers initially approached at colonoscopy and healthy volunteers recruited from the medical center community, we assessed 16S rDNA in all subjects who provided dietary assessments and stool samples (n=101) and the gut metagenome in a subset of patients with residual fasting blood samples (n=34). Associations of energy-adjusted DII scores with microbial diversity and composition were examined using linear regression, permutational multivariate analysis of variance, and linear discriminant analysis. Spearman correlation was used to evaluate associations of species and pathways with DII and circulating inflammatory markers. Alpha- and beta-diversity did not significantly differ across DII levels; however, Ruminococcus torques, Eubacterium nodatum, Acidaminococcus intestini, and Clostridium leptum were more abundant in the most pro-inflammatory diet group, while Akkermansia muciniphila was enriched in the most anti-inflammatory diet group. With adjustment for age and BMI, R. torques, E. nodatum, A. intestini remained significantly associated with a more pro-inflammatory diet. In the metagenomic and fasting blood subset, A. intestini was correlated with circulating PAI-1, a pro-inflammatory marker (rho=0.40), but no associations remained significant upon correction for multiple testing. An index reflecting overall inflammatory potential of the diet was associated with specific microbes, but not overall diversity of the gut microbiome in our study. Findings from this preliminary study warrant further research in larger samples and prospective cohorts.
Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (Dietary Inflammatory Index (DII®)) with gut microbiota diversity, composition and function. In cancer-free patient volunteers initially approached at colonoscopy and healthy volunteers recruited from the medical centre community, we assessed 16S ribosomal DNA in all subjects who provided dietary assessments and stool samples (n 101) and the gut metagenome in a subset of patients with residual fasting blood samples (n 34). Associations of energy-adjusted DII scores with microbial diversity and composition were examined using linear regression, permutational multivariate ANOVA and linear discriminant analysis. Spearman correlation was used to evaluate associations of species and pathways with DII and circulating inflammatory markers. Across DII levels, α- and β-diversity did not significantly differ; however, Ruminococcus torques, Eubacterium nodatum, Acidaminococcus intestini and Clostridium leptum were more abundant in the most pro-inflammatory diet group, while Akkermansia muciniphila was enriched in the most anti-inflammatory diet group. With adjustment for age and BMI, R. torques, E. nodatum and A. intestini remained significantly associated with a more pro-inflammatory diet. In the metagenomic and fasting blood subset, A. intestini was correlated with circulating plasminogen activator inhibitor-1, a pro-inflammatory marker (rho = 0·40), but no associations remained significant upon correction for multiple testing. An index reflecting overall inflammatory potential of the diet was associated with specific microbes, but not overall diversity of the gut microbiome in our study. Findings from this preliminary study warrant further research in larger samples and prospective cohorts.Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the literature-derived index (Dietary Inflammatory Index (DII®)) with gut microbiota diversity, composition and function. In cancer-free patient volunteers initially approached at colonoscopy and healthy volunteers recruited from the medical centre community, we assessed 16S ribosomal DNA in all subjects who provided dietary assessments and stool samples (n 101) and the gut metagenome in a subset of patients with residual fasting blood samples (n 34). Associations of energy-adjusted DII scores with microbial diversity and composition were examined using linear regression, permutational multivariate ANOVA and linear discriminant analysis. Spearman correlation was used to evaluate associations of species and pathways with DII and circulating inflammatory markers. Across DII levels, α- and β-diversity did not significantly differ; however, Ruminococcus torques, Eubacterium nodatum, Acidaminococcus intestini and Clostridium leptum were more abundant in the most pro-inflammatory diet group, while Akkermansia muciniphila was enriched in the most anti-inflammatory diet group. With adjustment for age and BMI, R. torques, E. nodatum and A. intestini remained significantly associated with a more pro-inflammatory diet. In the metagenomic and fasting blood subset, A. intestini was correlated with circulating plasminogen activator inhibitor-1, a pro-inflammatory marker (rho = 0·40), but no associations remained significant upon correction for multiple testing. An index reflecting overall inflammatory potential of the diet was associated with specific microbes, but not overall diversity of the gut microbiome in our study. Findings from this preliminary study warrant further research in larger samples and prospective cohorts.
Author Schembre, Susan M.
Hoffman, Kristi L.
Daniel, Carrie R.
Sood, Akhil
Browman, Gladys J.
Zheng, Jiali
Hanash, Samir
Wei, Peng
Chen, Jiun-Sheng
Shivappa, Nitin
Dirba, Danika D.
Hebert, James R.
Petrosino, Joseph F.
AuthorAffiliation 4 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
8 Department of Family and Community Medicine, University of Arizona, Tucson, AZ, USA
2 Alkek Center for Metagenomics and Microbiome Research, Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA
7 Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
1 Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
6 Department of Clinical Cancer Prevention, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
3 Quantitative Sciences Program, The University of Texas Graduate School of Biomedical Sciences at Houston and MD Anderson Cancer Center, Houston, TX, USA
5 Department of Behavioral Science, Division of Cancer Prevention
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– name: 8 Department of Family and Community Medicine, University of Arizona, Tucson, AZ, USA
– name: 6 Department of Clinical Cancer Prevention, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
– name: 1 Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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  givenname: Danika D.
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  organization: 3Quantitative Sciences Program, The University of Texas Graduate School of Biomedical Sciences at Houston and MD Anderson Cancer Center, Houston, TX77030, USA
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  givenname: James R.
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  givenname: Joseph F.
  surname: Petrosino
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  organization: 2Alkek Center for Metagenomics and Microbiome Research, Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX77030, USA
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  givenname: Susan M.
  surname: Schembre
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  givenname: Carrie R.
  surname: Daniel
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  email: cdaniel@mdanderson.org
  organization: 1Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX77030, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32475373$$D View this record in MEDLINE/PubMed
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Issue 9
Keywords Gut microbiota
Circulating markers
Inflammation
Cross-sectional studies
Diet
Language English
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AUTHORSHIP
JZ and CRD designed the research and drafted the manuscript; JZ conducted the analysis; JZ, KLH, PW, SMS and CRD contributed to the design of the analysis and interpretation of results. KLH, JSC, PW provided statistical support. CRD, SMS, and JFP designed and carried out the initial studies; NS and JRH contributed to the scoring of the E-DII and helped with E-DII score interpretation; DDD, GB, and KLH were involved in the collection and processing of the data. SH and JFP provided essential reagents or materials. All authors contributed to the critical revision and approval of the manuscript. CRD had primary responsibility for final content.
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/7554089
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PublicationTitle British journal of nutrition
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Snippet Diet has direct and indirect effects on health through inflammation and the gut microbiome. We investigated total dietary inflammatory potential via the...
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SubjectTerms Acidaminococcus
Adult
Biomarkers
Biomarkers - blood
Blood
Blood circulation
Chronic illnesses
Clostridium leptum
Colon
Colonoscopy
Composition
Correlation analysis
Cross-Sectional Studies
Deoxyribonucleic acid
Diet
Diet - adverse effects
Diet Surveys
Diet, Healthy - statistics & numerical data
Dietary Surveys and Nutritional Epidemiology
Digestive system
Discriminant analysis
DNA
Energy
Eubacterium nodatum
Fasting
Fasting - blood
Female
Food
Gastrointestinal Microbiome - physiology
Gut microbiota
Health care facilities
Healthy Volunteers
Humans
Inflammation
Inflammation - etiology
Inflammation - microbiology
Inflammation Mediators - blood
Intestinal microflora
intestinal microorganisms
Linear Models
Male
Markers
medical facilities
Metabolism
Metagenomics
Microbiomes
Microbiota
Microorganisms
Middle Aged
patients
Plasminogen activator inhibitors
Proteins
Regression analysis
ribosomal DNA
RNA, Ribosomal, 16S - analysis
Skin cancer
Statistics, Nonparametric
Variance analysis
Title Dietary inflammatory potential in relation to the gut microbiome: results from a cross-sectional study
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