bioRxiv Science⌕ Search

Biology subjects

Mill, J.

Publications and source records attributed to Mill, J..

At least 19 recordsLinked to original sources

Best Practices for Pre-Processing Large-Scale ATAC-Seq Data: Why Epidemiological Studies Demand Greater Stringency

Assay for transposase accessible chromatin using sequencing (ATAC-seq) and related techniques provide critical insight into the epigenetic mechanisms that regulate gene expression in health and disease. Accurate identification of biologically meaningful chromatin accessibility signals remains an underexplored analytical challenge. Advances in sequencing technologies have increased both the magnitude and complexity of ATAC-seq datasets, leading to demand for scalable, reproducible and robust computational analysis frameworks. Peak calling, which identifies regions of chromatin accessibility, is a critical step that underpins all downstream quantitative analyses. However, there is a lack of consensus regarding the optimal peak calling strategy. Here, we present a novel bioinformatics pipeline PIPPA (Pipeline for Integrative Peak calling in Population-scale ATAC-seq), for quality control and peak set curation of large-scale ATAC-seq datasets. Using two independent cell-type sorted ATAC-seq datasets, we show that peak calling performance is dataset-dependent and that no single significance threshold performs optimally across all scenarios. We provide practical recommendations for parameters to generate high-confidence chromatin accessibility profiles. Our peak calling approach is applicable for other genome wide epigenomic assays such as ChIP-seq and CUT&Tag. By standardising this process, the PIPPA pipeline enhances epidemiological studies focused in identifying epigenetic dysregulation associated with development and disease.

bioinformatics↗

Sex-dependent DNA methylation in amyotrophic lateral sclerosis

Amyotrophic lateral sclerosis (ALS) shows well-established sex differences in incidence, age at onset and progression, but their biological basis is unclear. We hypothesised that the DNA methylation changes associated with ALS differ between the sexes, which would point to sex-specific disease processes. To test this, we performed a blood-based epigenome-wide association meta-analysis of ALS cases and controls from Project MinE, an international ALS genomics consortium, and an independent Australian cohort, comprising 8,946 individuals after quality control (5,129 males and 3,817 females; 8,942 with complete covariates in the primary models). We analysed 781,648 autosomal CpGs using complementary sex-stratified case-control models and an ALS-by-sex interaction model that directly tested whether ALS-associated methylation effects differed by sex. Sex-stratified analyses identified no genome-wide significant differences between male and female ALS effects. In contrast, interaction testing identified seven robust sex-dependent ALS-associated differentially methylated positions (P < 9 x 10-8), mapping to KCNQ1, ADPRH, HLA-F, GHRLOS, IRF5, RAD51B and one intergenic region. The strongest signal was at KCNQ1 (P = 3.1 x 10-9). Six of the seven remained genome-wide significant in a four-stratum sensitivity analysis, and none was detected in previous conventional ALS or population sex-associated methylation analyses. Together, these findings suggest a distinct sex-conditional component of the ALS blood methylome, implicating immune, metabolic and ion-channel loci and providing new candidates for investigating biological heterogeneity between males and females with ALS.

genomics↗

A single-nuclei multiomics resource across four brain regions prioritises human neural cell types influencing brain-related traits

Genetic studies have identified thousands of variants associated with brain-related traits. However, the majority of these map to non-coding regions and their causal roles and functional consequences are unclear. In this study, we profiled gene expression and chromatin accessibility in ~140,000 individual nuclei from 40 post-mortem adult human brain samples from 11 donors spanning four brain regions (amygdala, hippocampus, hypothalamus and prefrontal cortex). Integrating these data with genome-wide association study statistics allowed us to prioritise specific neural cell populations relevant for complex traits. Concordant with epidemiological evidence, we prioritise similar neuronal cell populations for BMI, schizophrenia, bipolar disorder and age at menarche associated variants. Our paired multiomic data also provides support for putative enhancer-gene relationships relevant to Alzheimer's disease. These data provide a valuable resource to help interpret trait-associated genetic variation and nominate effector transcripts and cellular pathways relevant to brain-related phenotypes.

genomics↗

Cell-type-resolved DNA methylation profiling in the cortex reveals female-specific X chromosome differences in autism

Sex differences are a prominent feature of many neurodevelopmental conditions, particularly autism for which approximately three males are diagnosed for every female. Although epigenetic dysregulation has been implicated in autism, the extent to which autism-associated epigenetic differences vary by sex and neural cell type remains poorly understood. Using fluorescence-activated nuclei sorting (FANS), we isolated neuron-enriched (NeuN+), oligodendrocyte-enriched (SOX10+), microglia-enriched (IRF8+) and astrocyte-enriched (NeuN-/SOX10-/IRF8-) nuclei from post-mortem prefrontal cortex tissue from 24 autistic (70.8% male) and 23 non-autistic (69.6% male) donors, and performed cell-type-resolved epigenome-wide association studies (EWASs) of DNA methylation. We identified cell-type-specific autism-associated differentially methylated positions (DMPs), with microglia harbouring the largest number of associations. Modelling the interaction between sex and diagnosis revealed a striking female-specific signature concentrated on the X chromosome in microglia. At the majority of these sex-by-autism DMPs, autistic females showed lower DNA methylation compared to control females consistent with an altered X chromosome inactivation (XCI) profile. Across the X chromosome, autism-associated DNA methylation differences were significantly larger in females than males and were greater at sites annotated to genes normally subject to XCI than at genes that escape XCI. Together, these data further support the importance of microglia in autism and suggest that altered X chromosome dosage regulation may contribute to sex-dependent molecular mechanisms in autism.

genomics↗

Optimizing Oxylipin Analysis with Liquid Chromatography Mass Spectrometry through Bio-Inert Systems and Ion Funnel Adjustments

Oxylipins are potent signaling lipids that affect inflammation, vascular tone, and metabolism, making them relevant in many diseases. Oxylipins are measured with liquid chromatography-mass spectrometry (LC-MS), but challenges in quantification arise due to low abundance and rapid degradation. In this study, we optimize LC-MS methods to improve the quantification of oxylipins in human plasma given growing interest in oxylipins and their impact on clinical research. Plasma samples were obtained from healthy participants and extracted by solid-phase extraction to concentrate the oxylipins. We then utilized a reversed phase targeted LC-MS/MS method using an Agilent 6495D triple quadrupole with transitions for 248 oxylipin species. Ion funnel voltages were set at 50 or 100 volts. Given the rapid degradation of oxylipins with bio-reactive surfaces, we compared both standard and Altura (bio-inert) columns, as well as standard and bio- inert LC setups. We observed that ion funnel parameters significantly alter detectable levels of oxylipins within LC-MS/MS analysis. By decreasing voltages applied to ions inside the ion funnel, signal was increased for most oxylipin species while peak quality was maintained. We also demonstrated that fully bio-inert setups quantify more compounds and show increased levels of some compounds, but fewer epoxyoctadecadienoic acid (EpODE) species. To explore this further, we injected analytical grade alpha-linolenic acid (ALA), the direct precursor of EpODEs, and observed formation of EpODEs within the instrumentation when using stainless steel columns. Our data shows that oxylipins benefit from fully bio-inert systems and optimized pre-mass analyzer parameters. The stainless-steel components of the column may also be contributing to epoxidation reactions of polyunsaturated fatty acids (PUFAs), generating oxylipin species during analysis. Finally, we utilized this method to perform oxylipin analysis in other human tissues including granulocytes, mononuclear cells, erythrocytes, skeletal muscle, and THP-1 cells, a human derived monocyte cell line.

biochemistry↗

Schizophrenia-associated DNA methylation differences in the cortex are neuron-specific

Schizophrenia is a complex neuropsychiatric disorder in which genetic risk is thought to converge on cell type-specific regulatory mechanisms in the brain. We performed a cell type-resolved epigenome-wide association study (EWAS) of schizophrenia using fluorescence-activated nuclei sorting (FANS) to isolate neuron-enriched (NeuN+), oligodendrocyte-enriched (SOX10+) and other glial-enriched (NeuN-/SOX10-) nuclei populations alongside total prefrontal cortex nuclei fractions from 216 donors (104 schizophrenia cases and 112 controls). We identified 16 differentially methylated positions (DMPs) in neuron-enriched nuclei at experiment-wide significance and more than 400 additional neuronal DMPs at a discovery threshold. In contrast, no significant associations were identified in oligodendrocyte-enriched, glial-enriched or total nuclei fractions, demonstrating that schizophrenia-associated cortical methylomic variation is highly neuron-specific and largely masked in bulk tissue analyses. Neuronal DMPs exhibited a significant bias towards hypomethylation in schizophrenia and were enriched at loci implicated by genetic studies, including CACNA1C, CACNA1G and TRIO. Pathway analyses implicated genes involved in neurodevelopment, cell adhesion, synapse organisation, neurotransmission and synaptic plasticity. Schizophrenia-associated DNA methylation signatures identified in prefrontal cortex neurons showed correlated effects in neuronal nuclei isolated from the hippocampus and striatum, indicating partial conservation of disease-associated epigenetic alterations across brain regions. Together, these findings provide strong evidence for widespread neuron-specific epigenetic dysregulation in schizophrenia and highlight the importance of cell type-resolved approaches for elucidating the molecular mechanisms underlying psychiatric disease.

genomics↗

Post-transcriptional control by RNA-binding proteins links local synaptic translation to schizophrenia genetic risk

BackgroundSynaptic function is increasingly recognized as a core property of genes implicated in psychiatric disorders. Defining the specific synaptic molecular systems underlying genetic risk is critical step toward therapeutic advances. Synaptic processes rely on rapid protein production driven by local translation of mRNA in context-specific synapses. Synaptic mRNA metabolism, transport and local translation is regulated by RNA-binding proteins (RBPs). Here, we hypothesized that genetic risk converges on localised transcripts with synaptic function and aimed to identify RBP regulatory systems that capture this shared schizophrenia genetic risk. MethodsWe use recent human and mouse bulk and single-synapse transcriptomic and proteomic datasets to test for enrichment of schizophrenia genetic risk among mRNAs stratified by localization and synaptic function employing gene set association (MAGMA) and heritability enrichment (S-LDSC) analyses. Prioritized transcripts were further analyzed for RBP control through motif enrichment analysis (Transite) of the 3UTRs of these transcripts. Candidate RBPs were then evaluated based on the strength of genetic association among their predicted binding targets. ResultsWe demonstrate that genes encoding localised mRNAs with synaptic function show significantly greater genetic association than other synaptic genes. We identified a subset of RBPs, RBFOX1/2/3, CELF4, HNRNPR, and nELAVL, whose motifs are enriched in localised synaptic mRNAs and whose targets are enriched for schizophrenia risk variants. These RBPs are prioritized as candidate regulatory systems through which genetic risk may converge on the transport, splicing and translation of localised transcripts with synaptic function. ConclusionsOur results highlight potential regulatory systems through which genetic variation influences synaptic mechanisms and provide a scalable framework for refining the link between genetic association and post-transcriptional regulation in neuropsychiatric disorders.

neuroscience↗

Optimised fluorescence-activated nuclei sorting for epigenomic analysis of cortical cell types

Increased understanding of the functional complexity of the genome has led to growing recognition of the role of non-sequence-based regulatory variation in disorders of the human central nervous system. Most genomic analyses of the brain are limited by the use of bulk tissue, which comprises a heterogeneous mix of different neural cell types with distinct epigenetic profiles, thereby limiting the ability to attribute regulatory changes to specific cell populations. Given the limited availability of human post-mortem tissue resources and the importance of integrating multi-omic data from the same samples, there is a critical need for methods that enable parallel, cell-type-resolved genomic profiling. We present optimised protocols using fluorescence-activated nuclei sorting (FANS) to isolate nuclei from different human and mouse brain cell types for downstream multi-omic analysis. Our approach enables the robust purification of neuronal, oligodendrocyte, microglial and other glial-origin nuclei from both adult and fetal brain tissue. We demonstrate that FANS-isolated nuclei are compatible with a wide range of genomic assays, including profiling of DNA modifications, histone modifications, chromatin accessibility, and gene expression. This protocol maximises the utility of limited post-mortem tissue resources and provides a unified workflow for comprehensive, cell-type-specific interrogation of molecular mechanisms involved in the brain.

genomics↗

Modulating splicing in five prime untranslated regions to treat rare haploinsufficient disease

Rare genetic disorders collectively impact over 300 million people worldwide, yet around 95% have no specific treatments. For the many rare disorders caused by haploinsufficiency, effective therapies need to upregulate protein expression. However, therapeutic upregulation is often not straightforward. Increasing protein translation of the wildtype allele through inhibiting repressive upstream open reading frames (uORFs) has been proposed as a therapeutic approach for a few specific genes. The widespread success of steric-block antisense oligonucleotides (ASOs) for this purpose is, however, debated. Here, we explore an alternative approach, using splice-switching to exclude uORF-containing exons from the mRNA. Through a genome-wide computational screening approach, we identified 79 uORF-containing 5UTR exons in haploinsufficient monogenic disease genes as candidate exon skipping targets. We demonstrate that removing the target exon significantly increased protein translation (between 1.4-5.5 fold) in a luciferase reporter assay for four of six prioritised target 5UTR exons in neurodevelopmental disorder genes (CTCF, GRIN2B, KRIT1, and TSC1). Overall, this work supports the widespread application of 5UTR exon skipping to boost translation of clinically relevant haploinsufficient genes.

genomics↗

Exploring the functions of JAKMIP1 in neuronal IL-6/STAT3 signaling and its relevance to chromosome 15q-duplication syndrome

Growing evidence supports neuroinflammation as a risk factor for neurodevelopmental and psychiatric disorders. Interleukin 6 (IL-6), a classical pro-inflammatory cytokine, has been associated with autism spectrum disorder (ASD)-related phenotypes. To better understand molecular factors that modify neuronal cytokine responses in ASD, we investigated potential roles for JAKMIP1, a gene linked to chromosome 15q-duplication syndrome (Dup15q; a form of syndromic ASD), in regulating IL-6/STAT3 signaling. We observe that JAKMIP1 deficiency impairs IL-6/STAT3 signaling and IL-6-induced neuritogenesis in SH-SY5Y cells; and discover that JAKMIP1 may regulate STAT3 expression via its C-terminus, which exhibits nucleoplasmic localization. Additionally, we find that IL-6/STAT3 signaling is altered in Dup15q hiPSCs-derived cortical neurons, which display heightened responsiveness to IL-6; though it is unclear whether and how JAKMIP1 contributes to this. Overall, our findings identify JAKMIP1 as a modulator of neuronal IL-6/STAT3 signaling and support that ASD-linked genetic variants can alter the inflammatory landscape of ASD.

neuroscience↗

ACAD10 encodes two orphan enzymes in the ether lipid biosynthetic and salvage pathways

Ether lipids play critical roles in membrane dynamics, antioxidant defense, and signaling. They comprise ~20% of mammalian phospholipids, and disruptions in their metabolism cause severe genetic disorders and are associated with neurodegenerative and metabolic diseases. Ether lipids are synthesized de novo from glycolytic intermediates or salvaged from the diet. While the products of these pathways are known, several key enzymes remain unidentified, including the 1-O-alkylglycerol kinase and the 1-O-alkyl-2-acetyl-sn-glycero-3-phosphate phosphatase. Here, we show that acyl-CoA dehydrogenase member 10 (ACAD10) catalyzes the phosphorylation of 1-O-alkylglycerols and the dephosphorylation of 1-O-alkyl-2-acetyl-sn-glycero-3-phosphate. Worms and mice lacking ACAD10 have reduced ether lipid levels and cannot salvage dietary alkylglycerols. Furthermore, individuals from the Akimel O'odham (Pima) tribe carrying ACAD10 polymorphisms also show decreased plasma ether lipid levels. Collectively, our findings resolve two long-standing gaps in ether lipid biochemistry and reveal a mechanistic link between ether lipid metabolism and a population-associated risk factor for type 2 diabetes.

biochemistry↗

Methylomic signatures of tau and amyloid-beta in transgenic mouse models of Alzheimer's disease neuropathology

Alzheimers disease (AD) is characterized by progressive neurodegeneration driven by tau and amyloid-{beta} (A{beta}) pathology. Emerging evidence implicates a role for epigenetic modifications, particularly altered DNA methylation (DNAm), in AD pathogenesis. However, few studies have comprehensively investigated DNAm in experimental models. Here, we profile DNAm dynamics in two widely used transgenic mouse models of tau (rTg4510) and A{beta} (J20) neuropathology, focusing on variation in the entorhinal cortex and hippocampus. Using reduced representation bisulfite sequencing (RRBS) and methylation arrays across multiple disease stages, we identified widespread DNAm alterations associated with genotype and neuropathological burden. In rTg4510 mice, tau accumulation was linked to extensive DNAm remodeling at genes involved in neuronal plasticity and apoptosis (including Dcaf5, Creb3l4, and As3mt). J20 mice exhibited more modest changes annotated to immune-related genes, notably at Grk2, Ncam2, and Prmt8. Of note, tau-associated DNAm changes were more consistent across brain areas than those associated with A{beta} pathology. Comparison with DNAm data from human studies revealed that a subset of DNAm sites mirrored those observed in the human AD cortex, including hypermethylation at Ank1 and Prdm16. These findings provide evidence for pathology-associated epigenetic alterations in AD, highlight shared and distinct DNAm signatures of tau and A{beta}, and offer insight into molecular mechanisms that may precede overt neurodegeneration. Our work underscores the utility of epigenomic profiling in transgenic models and provides a foundation for identifying novel targets for early intervention in AD.

neuroscience↗

Re-annotating the EPICv2 manifest with genes, intragenic features, and regulatory elements

MotivationThe Illumina Infinium MethylationEPIC v2.0 BeadChip (EPICv2 array) is a microarray for quantification of DNA methylation at sites across the human genome, succeeding previous iterations of the platform, including the HumanMethylationEPIC BeadChip (EPICv1 array). An open source manifest file provided by the manufacturer maps array probes to genes and regulatory features. However, due to a change in strategy, it is no longer consistent with annotations for previous versions of the technology. We therefore generated an extended EPICv2 manifest, to improve backwards-compatibility with EPICv1 and provide a more comprehensive framework for interpreting DNA methylation data. ResultsUsing public databases and the genomic coordinates of probes, we mapped the 923,452 sites assayed on the Illumina EPICv2 array, comprehensively annotating genes and regulatory elements. We also replicated the manufacturers approach of annotating sites in the regions <=200bp and 201-1500bp upstream of a transcription start site (the TSS200 and TSS1500), ensuring backwards-compatibility with existing pipelines for Illumina methylation array data. We found that 731,759 EPICv2 array sites (79.24% of all sites on the array) are located within a gene body (exon, intron, or UTR) according to the GENCODE Human release 49 (GENCODEv49) database. We additionally labelled sites located in a promoter or enhancer according to the GeneHancer database. Finally, the re-annotated manifest labels which sites are required for the Horvath DNA Methylation Age Calculator and MethylDetectR epigenetic clocks, to facilitate data preparation for these tools. Availability and ImplementationThe re-annotated manifest is freely available at https://doi.org/10.5281/zenodo.14933468. The re-annotation code is on GitHub: https://github.com/bethan-mallabar-rimmer/EPICv2_manifest.

bioinformatics↗

Cell-type-specific DNA methylation dynamics in the prenatal and postnatal human cortex

The human cortex undergoes extensive epigenetic remodelling during development, although the precise temporal and cell-type-specific dynamics of DNA methylation remain incompletely understood. In this study, we profiled genome-wide DNA methylation across human cortex tissue from donors aged 6 post-conception weeks (pcw) to 108 years of age. We observed widespread, developmentally regulated, changes in DNA methylation, with pronounced shifts occurring during early- and mid-gestation that were distinct from age-associated modifications in the postnatal cortex. Using fluorescence-activated nuclei sorting (FANS), we optimized a protocol for the isolation of SATB2-positive neuronal nuclei, enabling the identification of cell-type-specific DNA methylation trajectories in developing neuronal and non-neuronal populations. Developmentally dynamic DNA methylation sites were significantly enriched near genes implicated in autism and schizophrenia, supporting a role for epigenetic dysregulation in neurodevelopmental disorders. Our findings underscore the prenatal period as a critical window of epigenomic plasticity in the central nervous system with important implications for understanding the genetic basis of neurodevelopmental phenotypes.

genomics↗

Identification of SENP7 and UTF1/VENTX as new loci influencing clusteredprotocadherin methylation across blood and brain using a genome-wide associationstudy

The epigenetic regulation of clustered protocadherin (cPCDH) genes is tightly linked to their function as specific cell surface barcodes for neural self-nonself discrimination. Differential cPCDH DNA methylation in both blood and brain has been implicated in diverse human traits and diseases ranging from BMI, aging, cancer and brain disorders. However, the unique regulation of cPCDH methylation remains poorly understood. Therefore, we performed a genome-wide association study to evaluate the association of >7 million genetic variants with DNA methylation at 607 cPCDH CpGs measured in whole blood of 3777 individuals and validated findings in prefrontal cortex samples obtained from 523 brain donors. We observed concordant cPCDH methylation patterns in blood and prefrontal cortex, which switched between hypo-, intermediate and hypermethylation over short distances with the former overlapping with the promoter regions of each cPCDH member. Through methylation quantitative trait locus (meQTL) analysis in trans, we first confirmed the broad effect of the candidate gene SMCHD1 on cPCDH methylation in blood which validated in prefrontal cortex. Through a genome-wide analysis, we next identified the SENP7 and UTF1/VENTX loci to have widespread, subcluster-specific effects on cPCDH methylation in blood which was validated in prefrontal cortex. While SENP7 can indirectly affect DNA methylation through the deSUMOylation of the chromatin repressor KAP1, UTF1 and VENTX are two genes involved in embryonic development not previously implicated in epigenetic regulation. Our findings shed new light on the processes involved in cPCDH methylation that may underlie associations with disease.

genetics↗

Sex-specific DNA methylation differences in Amyotrophic lateral sclerosis

Sex is an important covariate in all genetic and epigenetic research due to its role in the incidence, progression and outcome of many phenotypic characteristics and human diseases. Amyotrophic lateral sclerosis (ALS) is a motor neuron disease with a sex bias towards higher incidence in males. Here, we report for the first time a blood-based epigenome-wide association study meta-analysis in 9274 individuals after stringent quality control (5529 males and 3975 females). We identified a total of 226 ALS saDMPs (sex-associated DMPs) annotated to a total of 159 unique genes. These ALS saDMPs were depleted at transposable elements yet significantly enriched at enhancers and slightly enriched at 3UTRs. These ALS saDMPs were enriched for transcription factor motifs such as ESR1 and REST. Moreover, we identified an additional 10 genes associated with ALS saDMPs through chromatin loop interactions, suggesting a potential regulatory role for these saDMPs on distant genes. Furthermore, we investigated the relationship between DNA methylation at specific CpG sites and overall survival in ALS using Cox proportional hazards models. We identified two ALS saDMPs, cg14380013 and cg06729676, that showed significant associations with survival. Overall, our study reports a reliable catalogue of sex-associated ALS saDMPs in ALS and elucidates several characteristics of these sites using a large-scale dataset. This resource will benefit future studies aiming to investigate the role of sex in the incidence, progression and risk for ALS.

genomics↗

Guidance for the design and analysis of cell-type specific epigenetic epidemiology studies.

Recent studies on the role of epigenetics in disease have focused on DNA methylation profiled in bulk tissues limiting the detection of the cell-type affected by disease related changes. Advances in isolating homogeneous populations of cells now make it possible to identify DNA methylation differences associated with disease in specific cell-types. Critically, these datasets will require a bespoke analytical framework that can characterise whether the difference affects multiple or is specific to a particular cell-type. We take advantage of a large set of DNA methylation profiles (n = 751) obtained from five different purified cell populations isolated from human prefrontal cortex samples and evaluate the effects on study design, data preprocessing and statistical analysis for cell-specific studies, particularly for scenarios where multiple cell types are included. We describe novel quality control metrics that confirm successful isolation of purified cell populations, which when included in standard preprocessing pipelines provide confidence in the dataset. Our power calculations show substantial gains in detecting differentially methylated positions for some purified cell populations compared to bulk tissue analyses, countering concerns regarding the feasibility of generating large enough sample sizes for informative epidemiological studies. In a simulation study, we evaluated different regression models finding that this choice impacts on the robustness of the results. These findings informed our proposed two-stage framework for association analyses. Overall, our results provide guidance for cell-specific EWAS, establishing standards for study design and analysis, while showcasing the potential of cell-specific DNA methylation analyses to reveal links between epigenetic dysregulation and disease.

bioinformatics↗

Human gut microbiota interactions shape the long-term growth dynamics and evolutionary adaptations of Clostridioides difficile

Clostridioides difficile can transiently or persistently colonize the human gut, posing a risk factor for infections. This colonization is influenced by complex molecular and ecological interactions with human gut microbiota. By investigating C. difficile dynamics in human gut communities over hundreds of generations, we show patterns of stable coexistence, instability, or competitive exclusion. Lowering carbohydrate concentration shifted a community containing C. difficile and the prevalent human gut symbiont Phocaeicola vulgatus from competitive exclusion to coexistence, facilitated by increased cross-feeding. In this environment, C. difficile adapted via single-point mutations in key metabolic genes, altering its metabolic niche from proline to glucose utilization. These metabolic changes substantially impacted inter-species interactions and reduced disease severity in the mammalian gut. In sum, human gut microbiota interactions are crucial in shaping the long-term growth dynamics and evolutionary adaptations of C. difficile, offering key insights for developing anti-C. difficile strategies.

systems biology↗