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1.
Microbiol Spectr ; 10(1): e0187221, 2022 02 23.
Article in English | MEDLINE | ID: mdl-35196818

ABSTRACT

The gut virome is a reservoir of diverse symbiotic and pathogenic viruses coevolving with their hosts, and yet limited research has explored the gut viromes of highland-dwelling rare species. Using viral metagenomic analysis, the viral communities of the Phrynocephalus lizards living in the Qinghai-Tibet Plateau were investigated. Phage-encoded functional genes and antibiotic resistance genes (ARGs) were analyzed. The viral communities of different lizard species were all predominated by bacteriophages, especially the Caudovirales order. The virome of Phrynocephalus erythrurus living around the Namtso Lake possessed a unique structure, with the greatest abundance of the Parvoviridae family and the highest number of exclusive viral species. Several vertebrate-infecting viruses were discovered, including caliciviruses, astroviruses, and parvoviruses. Phylogenetic analyses demonstrated that the virus hallmark genes of bacteriophages possessed high genetic diversity. After functional annotation, the majority of phage-associated functional genes were classified in the energy metabolism category. In addition, plenty of ARGs belonging to the multidrug category were discovered, and five ARGs were exclusive to the virome from Phrynocephalus theobaldi. This study provided the first insight into the structure and function of the virome in highland lizards, contributing to the protection of threatened lizard species. Also, our research is of exemplary significance for the gut virome research of lizard species and other cold-blooded and highland-dwelling animals, prompting a better understanding of the interspecific differences and transmission of commensal viruses. IMPORTANCE The Phrynocephalus lizards inhabiting the Qinghai-Tibet Plateau (QTP) are considered to be the highest-altitude lizard species in the world, and they have been added to the IUCN list of threatened species. Living in the QTP with hypoxic, arid, natural conditions, the lizards presented a unique pattern of gut virome, which could provide both positive and negative effects, such as the enrichment of functional genes and the dissemination of antibiotic resistance genes (ARGs). This work provides the foundation for further research on the gut virome in these endangered lizard species and other cold-blooded and highland-dwelling animals, contributing to the maintenance of ecological balance on the plateau.


Subject(s)
Gastrointestinal Microbiome , Lizards/virology , Symbiosis/physiology , Virome , Animals , Bacteriophages/genetics , Lizards/metabolism , Metagenome , Metagenomics , Phylogeny , Tibet , Virome/physiology , Viruses/classification , Viruses/genetics
2.
Nat Commun ; 13(1): 965, 2022 02 18.
Article in English | MEDLINE | ID: mdl-35181661

ABSTRACT

Despite the accelerating number of uncultivated virus sequences discovered in metagenomics and their apparent importance for health and disease, the human gut virome and its interactions with bacteria in the gastrointestinal tract are not well understood. This is partly due to a paucity of whole-virome datasets and limitations in current approaches for identifying viral sequences in metagenomics data. Here, combining a deep-learning based metagenomics binning algorithm with paired metagenome and metavirome datasets, we develop Phages from Metagenomics Binning (PHAMB), an approach that allows the binning of thousands of viral genomes directly from bulk metagenomics data, while simultaneously enabling clustering of viral genomes into accurate taxonomic viral populations. When applied on the Human Microbiome Project 2 (HMP2) dataset, PHAMB recovered 6,077 high-quality genomes from 1,024 viral populations, and identified viral-microbial host interactions. PHAMB can be advantageously applied to existing and future metagenomes to illuminate viral ecological dynamics with other microbiome constituents.


Subject(s)
Bacteriophages/classification , Gastrointestinal Microbiome/genetics , Gastrointestinal Tract/virology , Metagenome/genetics , Virome/genetics , Bacteriophages/genetics , Gastrointestinal Microbiome/physiology , Genome, Viral/genetics , Humans , Metagenomics , Virome/physiology
3.
Cell Host Microbe ; 30(1): 110-123.e5, 2022 Jan 12.
Article in English | MEDLINE | ID: mdl-34932985

ABSTRACT

Rotavirus vaccines (RVVs) have substantially diminished mortality from severe rotavirus (RV) gastroenteritis but are significantly less effective in low- and middle-income countries (LMICs), limiting their life-saving potential. The etiology of RVV's diminished effectiveness remains incompletely understood, but the enteric microbiota has been implicated in modulating immunity to RVVs. Here, we analyze the enteric microbiota in a longitudinal cohort of 122 Ghanaian infants, evaluated over the course of 3 Rotarix vaccinations between 6 and 15 weeks of age, to assess whether bacterial and viral populations are distinct between non-seroconverted and seroconverted infants. We identify bacterial taxa including Streptococcus and a poorly classified taxon in Enterobacteriaceae as positively correlating with seroconversion. In contrast, both bacteriophage diversity and detection of Enterovirus B and multiple novel cosaviruses are negatively associated with RVV seroconversion. These findings suggest that virome-RVV interference is an underappreciated cause of poor vaccine performance in LMICs.


Subject(s)
Intestine, Small/virology , Rotavirus Infections/immunology , Rotavirus/physiology , Virome/physiology , Bacteria/classification , Bacteriophages , Cohort Studies , Coinfection , Feces/microbiology , Female , Gastrointestinal Microbiome , Ghana , Humans , Immunization , Infant , Male , Metagenome , Rotavirus Infections/virology , Rotavirus Vaccines , Seroconversion , Vaccination , Vaccines, Attenuated
4.
STAR Protoc ; 3(1): 101045, 2022 03 18.
Article in English | MEDLINE | ID: mdl-34870243

ABSTRACT

In this protocol, we describe global proteome profiling for the respiratory specimen of COVID-19 patients, patients suspected with COVID-19, and H1N1 patients. In this protocol, details for identifying host, viral, or bacterial proteome (Meta-proteome) are provided. Major steps of the protocol include virus inactivation, protein quantification and digestion, desalting of peptides, high-resolution mass spectrometry (HRMS)-based analysis, and downstream bioinformatics analysis. For complete details on the use and execution of this profile, please refer to Maras et al. (2021).


Subject(s)
COVID-19/diagnosis , Genomics/methods , Proteomics/methods , COVID-19/metabolism , Chromatography, Liquid/methods , Computational Biology , Diagnostic Tests, Routine , Gene Expression Profiling , Genetic Techniques , Genome, Viral/genetics , Humans , Influenza A Virus, H1N1 Subtype/metabolism , Influenza A Virus, H1N1 Subtype/pathogenicity , Peptides , Proteome , SARS-CoV-2/metabolism , SARS-CoV-2/pathogenicity , Specimen Handling/methods , Tandem Mass Spectrometry/methods , Virome/genetics , Virome/physiology
5.
Viruses ; 13(12)2021 12 17.
Article in English | MEDLINE | ID: mdl-34960807

ABSTRACT

A commercial pig farm with no history of porcine circovirus 2 (PCV2) or porcine reproductive and respiratory syndrome virus (PRRSV) repeatedly reported a significant reduction in body weight gain and wasting symptoms in approximately 20-30% of the pigs in the period between three and six weeks after weaning. As standard clinical interventions failed to tackle symptomatology, viral metagenomics were used to describe and monitor the enteric virome at birth, 3 weeks, 4 weeks, 6 weeks, and 9 weeks of age. The latter four sampling points were 7 days, 3 weeks, and 6 weeks post weaning, respectively. Fourteen distinct enteric viruses were identified within the herd, which all have previously been linked to enteric diseases. Here we show that wasting is associated with alterations in the enteric virome of the pigs, characterized by: (1) the presence of enterovirus G at 3 weeks of age, followed by a higher prevalence of the virus in wasting pigs at 6 weeks after weaning; (2) rotaviruses at 3 weeks of age; and (3) porcine sapovirus one week after weaning. However, the data do not provide a causal link between specific viral infections and the postweaning clinical problems on the farm. Together, our results offer evidence that disturbances in the enteric virome at the preweaning stage and early after weaning have a determining role in the development of intestinal barrier dysfunctions and nutrient uptake in the postweaning growth phase. Moreover, we show that the enteric viral load sharply increases in the week after weaning in both healthy and wasting pigs. This study is also the first to report the dynamics and co-infection of porcine rotavirus species and porcine astrovirus genetic lineages during the first 9 weeks of the life of domestic pigs.


Subject(s)
Enteroviruses, Porcine/isolation & purification , Intestines/virology , Rotavirus/isolation & purification , Sapovirus/isolation & purification , Swine Diseases/virology , Virome/physiology , Wasting Syndrome/veterinary , Animals , Astroviridae/isolation & purification , Female , Male , Metagenomics , Swine , Wasting Syndrome/virology , Weaning
6.
J Gen Virol ; 102(10)2021 10.
Article in English | MEDLINE | ID: mdl-34704919

ABSTRACT

The endosymbiont bacteria of the genus Wolbachia are associated with multiple mutualistic effects on insect biology, including nutritional and antiviral properties. Members of the genus Wolbachia naturally occur in fly species of the genus Drosophila, providing an operational model host for studying how virome composition may be affected by its presence. Drosophila simulans populations can carry a variety of strains of members of the genus Wolbachia, with the wAu strain associated with strong antiviral protection under experimental conditions. We used D. simulans sampled from the Perth Hills, Western Australia, to investigate the potential virus protective effect of the wAu strain of Wolbachia on individual wild-caught flies. Our data revealed no appreciable variation in virus composition and abundance between individuals infected or uninfected with Wolbachia associated with the presence or absence of wAu. However, it remains unclear whether wAu might affect viral infection and host survival by increasing tolerance rather than inducing complete resistance. These data also provide new insights into the natural virome diversity of D. simulans. Despite the small number of individuals sampled, we identified a repertoire of RNA viruses, including nora virus, galbut virus, thika virus and La Jolla virus, that have been identified in other species of the genus Drosophila. Chaq virus-like sequences associated with galbut virus were also detected. In addition, we identified five novel viruses from the families Reoviridae, Tombusviridae, Mitoviridae and Bunyaviridae. Overall, this study highlights the complex interaction between Wolbachia and RNA virus infections and provides a baseline description of the natural virome of D. simulans.


Subject(s)
Drosophila simulans/microbiology , RNA Viruses/physiology , Virome/physiology , Wolbachia/physiology , Animals , Drosophila simulans/virology , Female , Phylogeny , RNA Viruses/classification , RNA Viruses/genetics , RNA Viruses/isolation & purification , Symbiosis , Virome/genetics , Wolbachia/isolation & purification
7.
J Hepatol ; 75(6): 1465-1475, 2021 12.
Article in English | MEDLINE | ID: mdl-34437908

ABSTRACT

Humans harbour a large quantity of microbes in the intestinal tract and have evolved symbiotic relationships with many of them. However, several specific bacterial pathobionts are associated with liver disease pathogenesis. Although bacteriophages (phages) and eukaryotic viruses (collectively known as "the virome") outnumber bacteria and fungi in the intestine, little is known about the intestinal virome in patients with liver disease. As natural predators of bacteria, phages can precisely edit the bacterial microbiota. Hence, there is interest in using them to target bacterial pathobionts in several diseases, including those of the liver. Herein, we will summarise changes in the faecal virome associated with fatty liver diseases and cirrhosis, and describe the therapeutic potential of phages and potential challenges to their clinical application.


Subject(s)
Bacteriophages/metabolism , Gastrointestinal Tract/metabolism , Liver Diseases/drug therapy , Virome/physiology , Bacteriophages/pathogenicity , Gastrointestinal Tract/drug effects , Humans , Liver Diseases/physiopathology , Virome/drug effects , Virome/immunology
10.
Curr Opin Virol ; 48: 17-22, 2021 06.
Article in English | MEDLINE | ID: mdl-33813257

ABSTRACT

Healthy human infants are typically born without high concentrations of viral particles in their intestines, but after a few weeks of life particle counts typically reach a billion per gram of stool. Where do these vast populations come from? Recent studies support the idea that colonization is stepwise. First pioneer bacteria seed the infant gut. Bacteria commonly harbor prophage sequences integrated in their genomes, which periodically induce to make particles, providing a first wave of viral particles. Later more viruses infecting human cells are detected. Analysis showed that lower accumulation of viruses that grow in human cells is associated with breastfeeding. Thus these studies emphasize the environmental influences on formation of the early life virome, and begin to point the way toward modulating viral colonization to optimize health.


Subject(s)
Gastrointestinal Tract/virology , Host Microbial Interactions/physiology , Virome/physiology , Adult , Breast Feeding , DNA Viruses/physiology , Feces/microbiology , Feces/virology , Gastrointestinal Microbiome , Humans , Infant, Newborn , RNA Phages/physiology , Virion
11.
J Exp Med ; 218(5)2021 05 03.
Article in English | MEDLINE | ID: mdl-33760921

ABSTRACT

The diverse enteric viral communities that infect microbes and the animal host collectively constitute the gut virome. Although recent advances in sequencing and analysis of metaviromes have revealed the complexity of the virome and facilitated discovery of new viruses, our understanding of the enteric virome is still incomplete. Recent studies have uncovered how virome-host interactions can contribute to beneficial or detrimental outcomes for the host. Understanding the complex interactions between enteric viruses and the intestinal immune system is a prerequisite for elucidating their role in intestinal diseases. In this review, we provide an overview of the enteric virome composition and summarize recent findings about how enteric viruses are sensed by and, in turn, modulate host immune responses during homeostasis and disease.


Subject(s)
Gastrointestinal Microbiome/immunology , Gastrointestinal Tract/immunology , Homeostasis/immunology , Immune System/immunology , Virome/immunology , Animals , Gastrointestinal Microbiome/physiology , Gastrointestinal Tract/microbiology , Gastrointestinal Tract/virology , Host Microbial Interactions/immunology , Humans , Intestinal Diseases/immunology , Intestinal Diseases/virology , Virome/physiology , Virus Diseases/immunology , Virus Diseases/virology
12.
Curr Opin Virol ; 47: 86-94, 2021 04.
Article in English | MEDLINE | ID: mdl-33652230

ABSTRACT

Viruses are ubiquitous, essential components of any ecosystem, and of multicellular organism holobionts. Numerous viruses cause acute infection, killing the host or being cleared by immune system. In many other cases, viruses coexist with the host as symbionts, either temporarily or for the duration of the host's life. Apparently, virus-host relationships span the entire range from aggressive parasitism to mutualism. Here we attempt to delineate the healthy human virome, that is, the entirety of viruses that are present in a healthy human body. The bulk of the healthy virome consists of bacteriophages infecting bacteria in the intestine and other locations. However, a variety of viruses, such as anelloviruses and herpesviruses, and the numerous endogenous retroviruses, persist by replicating in human cells, and these are our primary focus. Crucially, the boundary between symbiotic and pathogenic viruses is fluid such that members of the healthy virome can become pathogens under changing conditions.


Subject(s)
Host-Pathogen Interactions , Symbiosis , Virome/physiology , Bacteriophages/classification , Bacteriophages/pathogenicity , Bacteriophages/physiology , Humans , Virus Physiological Phenomena , Virus Replication , Viruses/classification , Viruses/pathogenicity
13.
Sci Rep ; 11(1): 2562, 2021 01 28.
Article in English | MEDLINE | ID: mdl-33510449

ABSTRACT

The relationship between viral infection and obesity has been known for several decades but epidemiological data is limited to only a few viral pathogens. The association between obesity and a wide range of viruses was assessed using VirScan, a pan-viral serological profiling tool. Serum specimens from 457 Qatari adults (lean = 184; obese = 273) and 231 Qatari children (lean = 111; obese = 120) were analyzed by VirScan. Associations with obesity were determined by odds ratio (OR) and Fisher's test (p values), and by multivariate regression analysis to adjust for age and gender. Although there was no association of viral infections with obesity in the pediatric population, a nominal association of obesity with seropositivity to members of the Herpesviridae family is observed for the adult population (OR = 1.5-3.3; p < 0.05). After adjusting p values for multiple comparisons (Bonferroni correction) the odds of being obese is significantly higher in herpes simplex virus 1 (HSV-1) seropositive Qatari adults (OR = 3.3; 95% CI 2.15-4.99; p = 2.787E - 08). By VirScan, the sero-prevalence of HSV1 is 81.3% and 57.1% among Qatari obese and lean adult populations, respectively. Higher prevalence of antibodies against several peptide epitopes of HSV-1/2 is positively associated with obesity (OR = 2.35-3.82; p ≤ 3.981E - 05). By multivariate regression analysis, HSV-1 was independently associated with obesity irrespective of age and gender. Our results suggest that obesity among Qataris may be associated with a higher prevalence of herpesvirus infections, in particular HSV-1. Furthermore, the high prevalence of antibodies against peptide antigens specific to HSV-1 and -2 in the obese population suggests that these viral peptides may play a role in adipogenesis. Further studies with these candidate peptides in cell culture or animal models may confirm their adipogenic roles.


Subject(s)
Obesity/metabolism , Obesity/virology , Virome/physiology , Adult , Endocrine System/metabolism , Endocrine System/virology , Female , Herpesviridae/genetics , Herpesviridae/pathogenicity , Humans , Male , Metabolic Diseases/metabolism , Metabolic Diseases/virology , Middle Aged , Virology/methods , Virome/genetics
14.
Virol Sin ; 36(1): 133-140, 2021 Feb.
Article in English | MEDLINE | ID: mdl-32725480

ABSTRACT

The virus receptors are key for the viral infection of host cells. Identification of the virus receptors is still challenging at present. Our previous study has shown that human virus receptor proteins have some unique features including high N-glycosylation level, high number of interaction partners and high expression level. Here, a random-forest model was built to identify human virus receptorome from human cell membrane proteins with an accepted accuracy based on the combination of the unique features of human virus receptors and protein sequences. A total of 1424 human cell membrane proteins were predicted to constitute the receptorome of the human-infecting virome. In addition, the combination of the random-forest model with protein-protein interactions between human and viruses predicted in previous studies enabled further prediction of the receptors for 693 human-infecting viruses, such as the enterovirus, norovirus and West Nile virus. Finally, the candidate alternative receptors of the SARS-CoV-2 were also predicted in this study. As far as we know, this study is the first attempt to predict the receptorome for the human-infecting virome and would greatly facilitate the identification of the receptors for viruses.


Subject(s)
Receptors, Virus/metabolism , Virome/physiology , Computational Biology , Host-Pathogen Interactions , Humans , Membrane Proteins/chemistry , Membrane Proteins/genetics , Membrane Proteins/metabolism , Models, Theoretical , Receptors, Virus/chemistry , Receptors, Virus/genetics , SARS-CoV-2/metabolism , Viral Proteins/metabolism
15.
Gastroenterology ; 160(4): 1050-1066, 2021 03.
Article in English | MEDLINE | ID: mdl-33347881

ABSTRACT

The intestinal microbiota comprises diverse fungal and viral components, in addition to bacteria. These microbes interact with the immune system and affect human physiology. Advances in metagenomics have associated inflammatory and autoimmune diseases with alterations in fungal and viral species in the gut. Studies of animal models have found that commensal fungi and viruses can activate host-protective immune pathways related to epithelial barrier integrity, but can also induce reactions that contribute to events associated with inflammatory bowel disease. Changes in our environment associated with modernization and the COVID-19 pandemic have exposed humans to new fungi and viruses, with unknown consequences. We review the lessons learned from studies of animal viruses and fungi commonly detected in the human gut and how these might affect health and intestinal disease.


Subject(s)
Gastrointestinal Microbiome/physiology , Immunity/immunology , Inflammatory Bowel Diseases/etiology , Mycobiome/physiology , Virome/physiology , Animals , COVID-19/complications , Fecal Microbiota Transplantation , Humans , Lectins, C-Type/physiology , SARS-CoV-2 , Th1 Cells/immunology
16.
Viruses ; 12(10)2020 10 08.
Article in English | MEDLINE | ID: mdl-33050079

ABSTRACT

Quebec is the third-largest wine grape producing province in Canada, and the industry is constantly expanding. Traditionally, 90% of the grapevine cultivars grown in Quebec were winter hardy and largely dominated by interspecific hybrid Vitis sp. cultivars. Over the years, the winter protection techniques adopted by growers and climate changes have offered an opportunity to establish V. vinifera L. cultivars (e.g., Pinot noir). We characterized the virome of leafroll-infected interspecific hybrid cultivar and compared it to the virome of V. vinifera cultivar to support and facilitate the transition of the industry. A dsRNA sequencing method was used to sequence symptomatic and asymptomatic grapevine leaves of different cultivars. The results suggested a complex virome in terms of composition, abundance, richness, and phylogenetic diversity. Three viruses, grapevine Rupestris stem pitting-associated virus, grapevine leafroll-associated virus (GLRaV) 3 and 2 and hop stunt viroid (HSVd) largely dominated the virome. However, their presence and abundance varied among grapevine cultivars. The symptomless grapevine cultivar Vidal was frequently infected by multiple virus and viroid species and different strains of the same virus, including GLRaV-3 and 2. Our data show that viruses and viroids associated with the highest number of grapevines expressing symptoms included HSVd, GLRaV-3 and GLRaV-2, in gradient order. However, co-occurrence analysis revealed that the presence of GLRaV species was randomly associated with the development of virus-like symptoms. These findings and their implications for grapevine leafroll disease management are discussed.


Subject(s)
Closteroviridae/genetics , Closterovirus/genetics , Flexiviridae/genetics , Vitis/virology , Canada , Closteroviridae/isolation & purification , Closterovirus/isolation & purification , Flexiviridae/isolation & purification , Genetic Variation/genetics , Genome, Viral/genetics , Plant Diseases/prevention & control , Plant Diseases/virology , RNA, Viral/genetics , Virome/physiology , Wine
17.
Viruses ; 12(10)2020 10 09.
Article in English | MEDLINE | ID: mdl-33050261

ABSTRACT

Bacterial vaginosis (BV) is characterized by a reduction in Lactobacillus (L.) spp. abundance and increased abundance of facultative anaerobes, such as Gardnerella spp. BV aetiology is not fully understood; however, bacteriophages could play a pivotal role in the perturbation of the vaginal bacterial community. We investigated the vaginal viral community, including bacteriophages and the association to the bacterial community and BV-status. Vaginal samples from 48 patients undergoing IVF treatment for non-female factor infertility were subjected to metagenomic sequencing of purified virus-like particles. The vaginal viral community was characterized and correlated with the BV-status by Nugent score, bacterial community, structure, and the presence of key vaginal bacterial species. The majority of identified vaginal viruses belonged to the class of double-stranded DNA bacteriophages, with eukaryotic viruses constituting 4% of the total reads. Clear links between the viral community composition and BV (q = 0.006, R = 0.26) as well as the presence of L. crispatus (q = 0.001, R = 0.43), L. iners, Gardnerella spp., and Atopobium vaginae were found (q < 0.002, R > 0.15). The eukaryotic viral community also correlated with BV-status (q = 0.018, R = 0.20). In conclusion, the vaginal virome was clearly linked with bacterial community structure and BV-status.


Subject(s)
Bacteriophages/isolation & purification , Dysbiosis/microbiology , Vagina/microbiology , Vaginosis, Bacterial/microbiology , Virome/physiology , Adult , Bacteria/classification , Bacteria/isolation & purification , Bacteria/virology , Bacteriophages/genetics , Cross-Sectional Studies , Female , Humans , Lactobacillus/isolation & purification , Young Adult
18.
J Crohns Colitis ; 14(11): 1600-1610, 2020 Nov 07.
Article in English | MEDLINE | ID: mdl-32406906

ABSTRACT

BACKGROUND AND AIMS: Dysbiosis of the gut microbiota is a well-known correlate of the pathogenesis of inflammatory bowel disease [IBD]. However, few studies have examined the microbiome in very early-onset [VEO] IBD, which is defined as onset of IBD before 6 years of age. Here we focus on the viral portion of the microbiome-the virome-to assess possible viral associations with disease processes, reasoning that any viruses potentially associated with IBD might grow more robustly in younger subjects, and so be more detectable. METHODS: Virus-like particles [VLPs] were purified from stool samples collected from patients with VEO-IBD [n = 54] and healthy controls [n = 23], and characterized by DNA and RNA sequencing and VLP particle counts. RESULTS: The total number of VLPs was not significantly different between VEO-IBD and healthy controls. For bacterial viruses, the VEO-IBD subjects were found to have a higher ratio of Caudovirales vs to Microviridae compared to healthy controls. An increase in Caudovirales was also associated with immunosuppressive therapy. For viruses infecting human cells, Anelloviridae showed higher prevalence in VEO-IBD compared to healthy controls. Within the VEO-IBD group, higher levels of Anelloviridae DNA were also positively associated with immunosuppressive treatment. To search for new viruses, short sequences enriched in VEO-IBD samples were identified, and some could be validated in an independent cohort, although none was clearly viral; this provides sequence tags to interrogate in future studies. CONCLUSIONS: These data thus document perturbations to normal viral populations associated with VEO-IBD, and provide a biomarker-Anelloviridae DNA levels-potentially useful for reporting the effectiveness of immunosuppression.


Subject(s)
Anelloviridae/isolation & purification , Feces/virology , Immunosuppressive Agents/therapeutic use , Inflammatory Bowel Diseases , Virome/physiology , Age of Onset , Biomarkers, Pharmacological/analysis , Child, Preschool , Correlation of Data , Female , Gastrointestinal Microbiome/physiology , Humans , Inflammatory Bowel Diseases/epidemiology , Inflammatory Bowel Diseases/physiopathology , Inflammatory Bowel Diseases/virology , Male , Metagenome/immunology , Risk Factors , United States/epidemiology , Viruses/classification , Viruses/isolation & purification
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