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      Recent urbanization in China is correlated with a Westernized microbiome encoding increased virulence and antibiotic resistance genes

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          Abstract

          Background

          Urbanization is associated with an increased risk for a number of diseases, including obesity, diabetes, and cancer, which all also show associations with the microbiome. While microbial community composition has been shown to vary across continents and in traditional versus Westernized societies, few studies have examined urban-rural differences in neighboring communities within a single country undergoing rapid urbanization. In this study, we compared the gut microbiome, plasma metabolome, dietary habits, and health biomarkers of rural and urban people from a single Chinese province.

          Results

          We identified significant differences in the microbiota and microbiota-related plasma metabolites in rural versus recently urban subjects from the Hunan province of China. Microbes with higher relative abundance in Chinese urban samples have been associated with disease in other studies and were substantially more prevalent in the Human Microbiome Project cohort of American subjects. Furthermore, using whole metagenome sequencing, we found that urbanization was associated with a loss of microbial diversity and changes in the relative abundances of Viruses, Archaea, and Bacteria. Gene diversity, however, increased with urbanization, along with the proportion of reads associated with antibiotic resistance and virulence, which were strongly correlated with the presence of Escherichia and Shigella.

          Conclusions

          Our data suggest that urbanization has produced convergent evolution of the gut microbial composition in American and urban Chinese populations, resulting in similar compositional patterns of abundant microbes through similar lifestyles on different continents, including a loss of potentially beneficial bacteria and an increase in potentially harmful genes via increased relative abundance of Escherichia and Shigella.

          Electronic supplementary material

          The online version of this article (10.1186/s40168-017-0338-7) contains supplementary material, which is available to authorized users.

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          Most cited references16

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          The comprehensive antibiotic resistance database.

          The field of antibiotic drug discovery and the monitoring of new antibiotic resistance elements have yet to fully exploit the power of the genome revolution. Despite the fact that the first genomes sequenced of free living organisms were those of bacteria, there have been few specialized bioinformatic tools developed to mine the growing amount of genomic data associated with pathogens. In particular, there are few tools to study the genetics and genomics of antibiotic resistance and how it impacts bacterial populations, ecology, and the clinic. We have initiated development of such tools in the form of the Comprehensive Antibiotic Research Database (CARD; http://arpcard.mcmaster.ca). The CARD integrates disparate molecular and sequence data, provides a unique organizing principle in the form of the Antibiotic Resistance Ontology (ARO), and can quickly identify putative antibiotic resistance genes in new unannotated genome sequences. This unique platform provides an informatic tool that bridges antibiotic resistance concerns in health care, agriculture, and the environment.
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            The microbiome in inflammatory bowel disease: current status and the future ahead.

            Studies of the roles of microbial communities in the development of inflammatory bowel disease (IBD) have reached an important milestone. A decade of genome-wide association studies and other genetic analyses have linked IBD with loci that implicate an aberrant immune response to the intestinal microbiota. More recently, profiling studies of the intestinal microbiome have associated the pathogenesis of IBD with characteristic shifts in the composition of the intestinal microbiota, reinforcing the view that IBD results from altered interactions between intestinal microbes and the mucosal immune system. Enhanced technologies can increase our understanding of the interactions between the host and its resident microbiota and their respective roles in IBD from both a large-scale pathway view and at the metabolic level. We review important microbiome studies of patients with IBD and describe what we have learned about the mechanisms of intestinal microbiota dysfunction. We describe the recent progress in microbiome research from exploratory 16S-based studies, reporting associations of specific organisms with a disease, to more recent studies that have taken a more nuanced view, addressing the function of the microbiota by metagenomic and metabolomic methods. Finally, we propose study designs and methodologies for future investigations of the microbiome in patients with inflammatory gut and autoimmune diseases in general. Copyright © 2014 AGA Institute. Published by Elsevier Inc. All rights reserved.
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              Urbanisation and health in China

              Summary China has seen the largest human migration in history, and the country's rapid urbanisation has important consequences for public health. A provincial analysis of its urbanisation trends shows shifting and accelerating rural-to-urban migration across the country and accompanying rapid increases in city size and population. The growing disease burden in urban areas attributable to nutrition and lifestyle choices is a major public health challenge, as are troubling disparities in health-care access, vaccination coverage, and accidents and injuries in China's rural-to-urban migrant population. Urban environmental quality, including air and water pollution, contributes to disease both in urban and in rural areas, and traffic-related accidents pose a major public health threat as the country becomes increasingly motorised. To address the health challenges and maximise the benefits that accompany this rapid urbanisation, innovative health policies focused on the needs of migrants and research that could close knowledge gaps on urban population exposures are needed.
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                Author and article information

                Contributors
                919-962-6110 , pglarsen@unc.edu
                Journal
                Microbiome
                Microbiome
                Microbiome
                BioMed Central (London )
                2049-2618
                15 September 2017
                15 September 2017
                2017
                : 5
                : 121
                Affiliations
                [1 ]ISNI 0000 0000 8598 2218, GRID grid.266859.6, Department of Bioinformatics and Genomics, , University of North Carolina at Charlotte, ; Charlotte, NC 28223 USA
                [2 ]ISNI 0000000122483208, GRID grid.10698.36, Department of Biostatistics, Gillings School of Global Public Health, , University of North Carolina at Chapel Hill, ; Chapel Hill, NC 27516 USA
                [3 ]ISNI 0000 0000 8598 2218, GRID grid.266859.6, Department of Bioinformatics and Genomics, , University of North Carolina at Charlotte, ; Kannapolis, NC 28081 USA
                [4 ]ISNI 0000 0000 8598 2218, GRID grid.266859.6, Bioinformatics Services Division, Department of Bioinformatics and Genomics, , University of North Carolina at Charlotte, ; Charlotte, NC 28081 USA
                [5 ]Department of Nutrition and Chronic Disease Prevention, Hunan Center for Disease Control and Prevention, Changsha, Hunan Province 410005 China
                [6 ]ISNI 0000 0001 1034 1720, GRID grid.410711.2, Department of Nutrition, Gillings School of Global Public Health, , University of North Carolina, ; Chapel Hill, NC 27516 USA
                [7 ]ISNI 0000 0004 1936 8091, GRID grid.15276.37, Department of Medicine, Division of Gastroenterology, , University of Florida, CGRC, ; Gainesville, FL 32610 USA
                Author information
                http://orcid.org/0000-0001-5322-4188
                Article
                338
                10.1186/s40168-017-0338-7
                5603068
                28915922
                89b8b15d-6981-494c-b1eb-6647384a23f8
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 19 June 2017
                : 6 September 2017
                Funding
                Funded by: National Institute of Diabetes and Digestive and Kidney Diseases (US)
                Award ID: R01-DK104371
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100006108, National Center for Advancing Translational Sciences;
                Award ID: UL1TR001111
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2017

                microbiome,urbanization,china,metagenomics,metabolome
                microbiome, urbanization, china, metagenomics, metabolome

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