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Engineering >> 2023, Volume 29, Issue 10 doi: 10.1016/j.eng.2023.03.007

An Evaluation Method of Human Gut Microbial Homeostasis by Testing Specific Fecal Microbiota

a State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China
b Jinan Microecological Biomedicine Shandong Laboratory, Jinan 250000, China
c Research Units of Infectious Disease and Microecology, Chinese Academy of Medical Sciences, Beijing 100730, China
d School of Medicine, Zhejiang University, Hangzhou 310000, China
e Department of Orthopedic Surgery and Shanghai Institute of Microsurgery on Extremities, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China
f Department of Infectious Diseases, Hangzhou Ninth People's Hospital, Hangzhou 310003, China
g Department of Radiation Oncology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China

# These authors contributed equally to this work.

Received: 2023-01-04 Revised: 2023-02-22 Accepted: 2023-03-28 Available online: 2023-04-20

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Abstract

Research on microecology has been carried out with broad perspectives in recent decades, which has enabled a better understanding of the gut microbiota and its roles in human health and disease. It is of great significance to routinely acquire the status of the human gut microbiota; however, there is no method to evaluate the gut microbiome through small amounts of fecal microbes. In this study, we found ten predominant groups of gut bacteria that characterized the whole microbiome in the human gut from a largesample Chinese cohort, constructed a real-time quantitative polymerase chain reaction (qPCR) method and developed a set of analytical approaches to detect these ten groups of predominant gut bacterial species with great maneuverability, efficiency, and quantitative features. Reference ranges for the ten predominant gut bacterial groups were established, and we found that the concentration and pairwise ratios of the ten predominant gut bacterial groups varied with age, indicating gut microbial dysbiosis. By comparing the detection results of liver cirrhosis (LC) patients with those of healthy control subjects, differences were then analyzed, and a classification model for the two groups was built by machine learning. Among the six established classification models, the model established by using the random forest algorithm achieved the highest area under the curve (AUC) value and sensitivity for predicting LC. This research enables easy, rapid, stable, and reliable testing and evaluation of the balance of the gut microbiota in the human body, which may contribute to clinical work.

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