The vaginal bacterial meta-transcriptome

Similar documents
Factors Influencing the Vaginal Microbiome and its Impact on Feminine Health and Wellness

Who's There? Changing concepts of vaginal microbiota

Natural and Holistic Medicine Approach in Evaluation and Treatment of Vaginal and Urinary Tract Health

Dynamic Vaginal Microbiota in Macaques Associated with Menstrual Cycle and Inflammation

Diversity & Dynamics of the Human Vaginal Microbiota. Johanna B. Holm, PhD University of Maryland Baltimore Institute for Genome Sciences

Differences in Vaginal Bacterial Communities of Women in North America: Implications for disease diagnosis and prevention

Her Diagnosis Matters: What Can You Do to Prevent Misdiagnosis of Vaginitis?

Fred Hutchinson Cancer Research Center, 2 University of Washington, 3. University of Nairobi, 4 University of Alabama at Birmingham

Vaginal microenvironment and risk to STI acquisition

The vaginal microbiome, preterm birth and HIV. Dr. Deborah Money, Professor, Dept. of Ob/Gyn, UBC

ORIGINAL ARTICLE. MICROBIOLOGICAL PROFILE OF VAGINAL SWABS. Sevitha Bhat, Nilica Devi, Shalini Shenoy

Behaviors Associated with Changes in The Vaginal Microbiome

Corporate Collaborations 2015

10/8/2015. Cigarette Smoking is Associated with an Altered Metabolomic Profile in the Vaginal Tract. The Vaginal Microbiome & Bacterial Vaginosis:

Vaginal Microbial Ecology: an introduction. The Importance of Understanding Normal Vaginal Communities

Going With Your Gut: The Microbiome and You

CLINICAL INVESTIGATION

Corporate Medical Policy

Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis

MP Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis

Bacterial Vaginosis & VVC: How Can We Improve Current Diagnosis Methods?

NIH Public Access Author Manuscript BJOG. Author manuscript; available in PMC 2012 April 1.

Comparative meta-rna-seq of the vaginal microbiota and differential expression by Lactobacillus iners in health and dysbiosis

We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors

Bacterial vaginosis (BV) results from the breakdown of

Larry J. Forney! University of Idaho!

The vaginal microbiome: Associations with sexually transmitted infections and the mucosal immune response Borgdorff, H.

Overview of Wet Preps and Gram stains. Lorna Rabe Central Lab Magee-Womens Research Institute Pittsburgh, Pa

Molecular Identification of Bacteria Associated with Bacterial Vaginosis

EDUCATIONAL COMMENTARY - CLUE CELL MORPHOLOGY: DIAGNOSTIC CONSIDERATIONS

Elevating the Standard of Care for Women s Health: The BD MAX Vaginal Panel and Management of Vaginal Infections

**Florida licensees, please note: This exercise is NOT intended to fulfill your state education requirement for molecular pathology.

Vaginal flora morphotypic profiles and assessment of bacterial vaginosis in women at risk for HIV infection

Nature and Science 2014;12(10) Nugent Scores Of Female Students From Babcock University, Southwestern Nigeria

Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. 2

Vaginitis. Background. Vaginal Environment. Vaginitis. This is a PDF version of the following document:

Normal flora and bacterial vaginosis in pregnancy: An overview

Lower Genital Tract Infections in HIV-Infected Women: Can We Afford to Miss?

Vaginitis. Is vaginal discharge ever normal? Women with vaginal discharge. Vaginal symptoms are very common. Patient with chronic vaginal discharge

Cytolytic vaginosis: misdiagnosed as candidal vaginitis

Jespers et al. BMC Infectious Diseases (2015) 15:115 DOI /s z

Research Article Detection of Fastidious Vaginal Bacteria in Women with HIV Infection and Bacterial Vaginosis

T he prevalence of bacterial vaginosis (BV) in different

Citation for published version (APA): Younes, J. A. (2015). Biophysical Interactions of vaginal microorganisms [Groningen]: University of Groningen

Improved treatment of vulvovaginal candidiasis with fluconazole plus probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14

VAGINITIS/CERVICITIS/ TRICHOMONIASIS. Susan Tuddenham, MD, MPH Division of Infectious Diseases Johns Hopkins

Isabelle Coste, 1 Philippe Judlin, 2 Jean-Pierre Lepargneur, 3 and Sami Bou-Antoun Introduction

Clinical Policy: Diagnosis of Vaginitis Reference Number: CP.MP.97

The human microbiome. Shantelle Claassen-Weitz Division of Medical Microbiology Department of Pathology.

Bacterial vaginosis (BV) is the most common gynecological infection

Clinical Study Phase I Trial of a Lactobacillus crispatus Vaginal Suppository for Prevention of Recurrent Urinary Tract Infection in Women

Evidence Based Commentary

Quantitative PCR Assessments of Bacterial Species in Women with and without Bacterial Vaginosis

Clinical Policy: Diagnosis of Vaginitis Reference Number: CP.MP.97

Role of probiotics in lower reproductive tract infection in women of age group 18 to 45 years

Human breast milk mirna, maternal probiotic supplementation and atopic dermatitis in offsrping

PREVALENCE OF BACTERIAL VAGINOSIS IN WOMEN WITH VAGINAL SYMPTOMS IN SOUTH PROVINCE, RWANDA 1*2

The Microbiome in HIV: The Good, Bad, and Ugly of Bugs in Health

A CENTRAL ROLE FOR MICROBIOTA IN PREGNANCY AND EARLY LIFE? Sacha Sidani, MD, FRCPC NASOM/GÉMOQ Annual Conference 2016

Clinical Study Vaginal Impact of the Oral Administration of Total Freeze-Dried Culture of LCR 35 in Healthy Women

Bacterial Profile of Vaginitis

Slide 1 THE HEALTHY GUT FOR AGING WELL. Slide 2 Aging. Slide 3 Aging

Journal of Biology and today's world 2013, volume 2, issue 9, pages: Probiotics for prevention of Candida Infections

BACTERIAL VAGINOSIS - LOCAL LACTOBACILLUS CASEI VAR RHAMNOSUS DÖDERLEIN MONOTHERAPY

University of Medicine and Pharmacy Carol Davila, Bucharest Panait Sarbu Hospital, Bucharest, Romania 4

RNA-seq Introduction

AND THEIR MICROBIOTA

Chlamydia, Gardenerella, and Ureaplasma

Molecular Definition of Vaginal Microbiota in East African Commercial Sex Workers

THE EFFICACY OF PROBIOTIC B. COAGULANS (SNZ-1969) TABLETS IN THE TREATMENT OF RECURRENT BACTERIAL VAGINOSIS

Curative effect of the probiotic strain Lactobacillus fermentum L23 in a murine model of vaginal infection by Gardnerella vaginalis

Bibliografia Microbiota

Dr Lilianne Scholtz (MBBCh)

BIMM 143. RNA sequencing overview. Genome Informatics II. Barry Grant. Lecture In vivo. In vitro.

FEMININE INTIMATE CARE

Bacterial vaginosis diagnosed from first void urine specimens

New Insights on the Structure of the Human Gut Microbiota. Chaysavanh Manichanh, PhD Vall d Hebron Research Institute Barcelona

Vaginal microflora associated with bacterial vaginosis in nonpregnant women: reliability of sialidase detection

POTENTIAL OF PROBIOTICS AS A VERSATILE REMEDY FOR WOMEN S UROGENITAL HEALTH: AN OPTIMISTIC PERSPECTIVE

THE HEALTHY GUT FOR AGING WELL

Strong correspondence in bacterial loads between the vagina and rectum of pregnant women

Cast of Characters. Laboratory Testing of Genital Tract Specimens. The Vaginal Life Cycle. Other organisms. Vaginitis/Vaginosis

Influence of Menstruation on the Microbiota of HealthyWomen'sLabiaMinoraasAnalyzedUsing a 16S rrna Gene-Based Clone Library Method

M.T. Tam, 1. M. Yungbluth, 2 and T. Myles 3 1Department of Obstetrics and Gynecology, St. Joseph Hospital, Chicago, IL

Institut Alfred Fournier, 25, Boulevard Saint-Jacques, Paris, France 2

FAQs EMMA. 8. Endometrial Biopsy collection

JMSCR Vol 05 Issue 04 Page April 2017

Analysis of the effect of probiotics on shaping human gut microbiota

Longitudinal qpcr Study of the Dynamics of L. crispatus, L. iners, A. vaginae, (Sialidase Positive) G. vaginalis, and P. bivia in the Vagina

Understanding probiotics and health

National Ribat University Corresponding author: Rania A Ahmed

ClincialTrials.gov Identifier: sanofi-aventis. Sponsor/company:

Stable Isotope Probing of gut bacteria RNA. Wayne Young. Identifying gut bacteria that can use sialic acid using an RNA-SIP approach

Six Years Observation After Successful Treatment of Bacterial Vaginosis

genomics for systems biology / ISB2020 RNA sequencing (RNA-seq)

Urogenital infections in women: can probiotics help?

Knowledge of probiotics by Nigerian clinicians

The nutrition assessment of an individual with a UTI or wanting to prevent a UTI may include the following parameters using NCP terminology:

RNA-Seq Preparation Comparision Summary: Lexogen, Standard, NEB

Transcription:

The vaginal bacterial meta-transcriptome Advisors: Dr. Greg Gloor (ggloor@uwo.ca) Dr. Gregor Reid (gregor@uwo.ca) Jean Macklaim mmacklai@uwo.ca The University of Western Ontario

The vaginal microbiota Normal Lactobacilli-dominated Bacterial vaginosis Lack of lactobacilli + Gardnerella, Atopobium, Prevotella... Bacterial vaginosis (BV) is the most common vaginal disorder of women of child-bearing age:10-29% of women are affected 1 No single disease-causing microbe, but a shift in the microbial community leading to a dysbiosis Malodor, discharge, irritation BV leads to increased risk of: Acquisition and transmission of STIs and HIV Urinary tract infections Complications during pregnancy, and pre-term labour 1. Allsworth JE & Peipert JF (2007) Prevalence of bacterial vaginosis: 2001-2004 national health and nutrition examination survey data. Obstetrics & Gynecology 109: 114-120

Ranking the vaginal microbiota Nugent scoring Presence/abundance of Lactobacillus, Gardnerella, Mobiluncus morphotypes on slide Amsel ( symptoms ) Discharge Maldor ph > 4.5 Clue cells Normal Bacterial vaginosis Verhelst, et al. (2005) BMC Microbiology

Bacterial enumeration/composition does not tell us the whole story What about functional differences? Hummelen et al. (2010) PLoS One Gloor et al. (2010) PLoS One

Meta-transcriptomics Organism-centric Gene-centric

Why is the vaginal microbiota a good system for metatranscriptomics? Relatively low diversity Large phylogenetic separation between organisms (sequence variation for mapping)

Vaginal bacterial meta-transcriptional profiling 2x N 2x BV Map sequenced transcripts to reference genomes (Bowtie: colorspace aware) Vaginal swabs Extract bacterial RNA Deplete rrna (95%+ of sample) to enrich mrna Sequence mrna (ABI SOLiD 4) Compare samples 1. DESeq R package (negative binomial distribution) 2. RPKM (reads per kilobase per millions of mapped reads) 50,000,000 x50bp reads/sample

How do the bacterial transcriptional profiles differ during bacterial vaginosis and how does this relate to health outcome?

Meta-transcriptome gene-centric Collect CDS sequences for vaginal strains (N=90)

Meta-transcriptome gene-centric Collect CDS sequences for vaginal strains (N=90) Cluster by 95% seq ID to make nonredundant sequence database (135,201 non-redundant CDS)

Meta-transcriptome gene-centric Collect CDS sequences for vaginal strains (N=90) Cluster by 95% seq ID to make nonredundant sequence database (135,201 non-redundant CDS) Mapping Functional assignment/annotation

Meta-transcriptome gene-centric Collect CDS sequences for vaginal strains (N=90) Cluster by 95% seq ID to make nonredundant sequence database (135,201 non-redundant CDS) Mapping 20-55% of raw reads mapped per sample: 11mil to 20mil reads N4 N30 BV27 BV31 2,528 3,234 5,135 5,992 Number of non-redundant CDS mapped at RPKM 10 Functional assignment/annotation

Functional assignment of the meta-transcriptome At broad functional level the communities are similar Step 2: consider individual genes and organisms Fraction of CDS assigned COGs

What organisms are present? Map to non-redundant cpn60 database* Choose genomes with abundant cpn60 *Janet Hill lab www.cpndb.ca

What organisms are present? Map to non-redundant cpn60 database* Choose genomes with abundant cpn60 Map to reference genomes *Janet Hill lab www.cpndb.ca

What organisms are present? Map to non-redundant cpn60 database* Choose genomes with abundant cpn60 Map to reference genomes Evaluate mapping: 1. Mapping coverage (is it real?) 2. Variants in mapped transcripts (what strain) *Janet Hill lab www.cpndb.ca

What organisms are present? Map to non-redundant cpn60 database* Choose genomes with abundant cpn60 Map to reference genomes Choose reference genome(s) best matching variants Evaluate mapping: 1. Mapping coverage (is it real?) 2. Variants in mapped transcripts (what strain) *Janet Hill lab www.cpndb.ca Extract sequence regions with high numbers of variants Compare (BLAST) to database of sequenced organisms

What organisms are present? Represents transcriptionally active organisms Eight abundant organisms plus 3 BVassociated organisms (Atopobium vaginae, Clostridiales BVAB3, Peptoniphilus lacrimalis) chosen for organism-specific transcriptome mapping

Mapping outcome N4 N30 BV27 BV31 Raw reads 47,634,967 46,943,184 48,832,687 53,655,422 Mapped reads 23,450,946 (49%) 16,545,092 (35%) 16,625,363 (34%) 14,075,880 (26%) Unique reads mapped to CDS 10,896,193 (46%) 8,541,748 (52%) 8,378,653 (50%) 5,908,471 (42%) 1-9% of reads mapped to human genome Of mapped reads, ~50% are 23s or 5s (incomplete/biased rrna depletion) Few mapping outside predicted CDS The rest are inaccessible in colorspace...

Mapping outcome 11 reference organisms Organism CDS size (bp) N4 cov N30 cov BV27 cov BV31 cov Atopobium vaginae 1,224,920 64 0.00 78 0.00 104,298 4.26 10,282 0.42 Clostridiales BVAB3 1,589,129 131 0.00 136 0.00 23,438 0.74 9,206 0.29 Gardnerella vaginalis 1,381,069 1,335 0.05 1,774 0.06 2,482,661 89.88 997,009 36.10 Lactobacillus iners 1,129,392 108,925 4.82 560,553 24.82 1,789,648 79.23 2,644,259 117.07 Lactobacillus crispatus 2,030,618 10,563,439 260.10 7,923,734 195.11 8,731 0.21 1,381,479 34.02 Lactobacillus jensenii 1,445,282 220,576 7.63 52,931 1.83 18,906 0.65 102,993 3.56 Megasphaera 1,541,005 290 0.01 475 0.02 813,353 26.39 81,674 2.65 Peptoniphilus lacrimalis 1,527,734 64 0.00 130 0.00 1,838 0.06 17,387 0.57 Prevotella amnii 2,065,134 1,243 0.03 1,491 0.04 3,080,225 74.58 381,622 9.24 Prevotella disiens 2,515,890 32 0.00 225 0.00 9,640 0.19 69,721 1.39 Prevotella timonensis 2,330,373 94 0.00 221 0.00 45,897 0.98 212,839 4.57 Total mapped reads 10,896,193 8,541,748 8,378,635 5,908,471 Uniquely mapped reads

BV organism Prevotella amnii CDS with RPKM 10 B27 B31 What transcriptionally active genes have a role in BV pathogenesis? 90% shared between 2 BV samples Represents 72% of all CDS in P. amnii Interactions with host Interactions with other members of the biota (contributions to co-occurrence and competitive exclusion)* * Andrew Fernandes (38)

Conserved L. iners gene expression? L. iners gene expression in normal biota cluster together as do BV biota During BV the gene expression is highly similar despite different biota composition L. iners cultured in MRS broth (D) has a very different profile than in vivo more similar less similar How does L. iners gene expression function differ in BV compared to normal?

An altered transcriptional profile in L. iners during BV COG categories: L. iners genes expressed in Normal COG categories: L. iners genes expressed in BV Number of genes: 60 Number of genes: 43 L. iners total CDS = 1190

L. iners - Normal vaginal conditions Putative cell-surface protein containing YSIRK and Gram-pos anchor (host adhesion) Iron-sulfur (Fe-S) cluster and ferritin (oxidative stress)

L. iners - Bacterial vaginosis Cholesterol-dependent cytolysin (acquire nutrients, invasion?) PTS transport system and related metabolic enzymes (mucin)

An altered transcriptional profile in L. iners during BV Constitutive expression PTS carbohydrate transporters Breakdown products of mucin glycoproteins

Lactobacillus crispatus under BV conditions L. iners L. crispatus

L. crispatus functional assignment of DE genes Fraction of CDS assigned COGs During BV Shift to carbohydrate transport and metabolism and energy production (similar to L. iners)

0.16 Fraction of CDS assigned COGs 0.14 0.12 0.10 0.08 0.06 0.04 0.02 0.00

What next? Dig deeper! Validate with qpcr In process of recruiting and collecting more samples Use RNA-seq to refine gene predictions and genomic architechture (start and stop positions, operon structure)

Summary Possible to get high quality data from clinical samples L. iners is able to differentially express 10% of its gene complement during BV and shows a shift towards carbohydrate utilization Carbohydrate availability driving the population changes? Organism- and gene-centric analyses paint a different picture

Acknowledgements Dr. Greg Gloor Russ Dickson Dr. Andrew Fernandes Kevin Chen Ryan Jung Charles Yin Dr. Gregor Reid Kingsley Anukam Jordan Bisanz Ruben Hummelen Roderick MacPhee Amy McMillan Shannon Mifflin Dr. Wayne Miller Marc Monachese Beth Radford Camilla Urbaniak

Why is vaginal microbiota a good system for metatranscriptomics? Relatively low diversity Usually 1-4 organisms dominating Normal Bacterial vaginosis Microbiota fraction 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 Organism abundance rank Large phylogenetic separation between organisms (sequence variation for mapping) Bacterial enumeration/composition does not tell us the whole story

Method 16s (V6) community profiling conserved variable

Studies and samples Cohort Treatment Sampling time points Total no. samples Tanzania Brazil Toronto HIV + with and without BV Oral metronidzole + Oral probiotic capsule or placeobo Day 0 2 weeks 5 weeks 15 weeks 25 weeks Study 1With and without BV Study 2With and without VVC Oral antibiotic/antifungal + Oral probiotic or placebo Day 0 (before treatment) Day 28 (after treatment) Pregnant (~28 weeks) Progesterone (prevention of preterm labour) 28 weeks gestation?? London (post-menopausal) With and without VVA (dryness) Day 0 2 weeks 4 weeks 6 weeks 8 weeks 10 weeks None London (pre-menopausal) With and without BV None Single samples 272 325 69 90 21 Total vaginal microbiota: 777 VVA Vulvovaginal atrophy (dryness) BV Bacterial vaginosis VVC Vulvovaginal candidias (yeast) Probiotic capsule: Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14

Macklaim, et al. (2010) PNAS

Reduced genome Smallest Lactobacillus genome sequenced to date (reduced across 13/20 functional categories) Highest proportion of genes acquired from foreign sources (via horizontal gene transfer) L. iners clade average No. genes COG functional category