Gut Viral and Bacterial Associations with Celiac Disease in the TEDDY Cohort

这个项目的目标是检测900名儿童的粪便和血清。 队列泰迪研究，以确定微生物组和/或病毒感染的变化是否与 导致乳糜泻的自身免疫力的发展。之前的研究和新出现的证据表明 涉及几种病毒和微生物组特征与乳糜泻，但尚未证明有很强的联系 并导致了对乳糜泻领域的非决定性发现。当前应用程序是一个辅助应用程序 大型国际15年前瞻性泰迪研究的研究项目，旨在找到 环境因素是1型糖尿病的诱因，已经有297名儿童患上了乳糜泻，但没有患上T1D 自身免疫力。该项目将利用泰迪的大规模和国际化范围及其丰富的遗传和 这些儿童的饮食数据，以研究这一新的乳糜泻病例对照队列。我们将使用经过验证的Next 最近对微生物组和病毒组进行了世代测序、qRT-PCR和血清学方法 用Teddy对T1D结果进行分析。目标1将在这些病毒中发现并分析完整的粪便病毒 随着时间的推移，儿童在转化为tTGA自身免疫和乳糜泻之前，要识别相关病毒 患有乳糜泻和自身免疫性疾病。目标2将随着时间的推移检查微生物组结构，以确定 与乳糜泻发病相关的细菌分类群或功能，并将产生完整的基因组 发现与疾病结局相关的关键变异细菌的序列。这两个目标都将确定 控制混杂因素或其他因素，独立增加乳糜泻结局风险的药物 用回归方法分析疾病的各个组成部分。目标3将进一步调查，以确定是否有 病毒或细菌与其他已知危险因素的协同或相互作用，如儿童的面筋摄入量和 遗传风险(人类白细胞抗原和已知的相关SNPs)。这将确定一组(S)可能有助于 协同作用，以产生CD结果。拟议的工作意义重大，因为它将应用 规模更大、国际化的Teddy队列及其丰富的儿童遗传分析数据库可供研究 逐步收集粪便和血清，以确定与 TTGA自身免疫与乳糜泻。拟议的工作具有创新性，因为它将提供第一个 对足以导致乳糜泻结果的病毒体和微生物组成分的综合分析 这可能会产生协同效应。这些发现将有助于更好地理解是什么触发了乳糜泻。 这将与开发因果机制假说更相关，并将开辟概念性途径 用于关键的诊断或预防性干预。

The goal of this project is to examine stool and sera of 900 children previously collected from the prospective cohort TEDDY study, to determine if changes in microbiome or virus infections or both are linked to development of autoimmunity that leads to celiac disease. Previous studies and emerging evidence have implicated several viruses and microbiome signatures with celiac disease but have not proven strong linkage and have resulted inconclusive findings for the celiac disease field. The current application is an ancillary research project of the large international 15 year prospective TEDDY Study that is designed to find environmental triggers of Type 1 Diabetes and has had 297 children develop celiac disease but not T1D autoimmunity. The project will utilize the large scale and international scope of TEDDY and its rich genetic and dietary data on these children, to study this new celiac case-control cohort. We will use proven next generation sequencing, qRT-PCR and serologic approaches recently carried out for microbiome and virome analysis for T1D outcomes with TEDDY. Aim 1 will discover and analyze the complete stool virome in these children over time, before conversion to tTGA autoimmunity and celiac disease, to identify viruses associated with celiac autoimmunity and disease. Aim 2 will examine the microbiome structure over time to determine bacterial taxa or functions associated with celiac disease development and will derive complete genomic sequences of key variant bacteria found associated with disease outcomes. Both of these aims will identify agents that contribute independently to the risk of celiac outcomes, controlling for confounders or other components of the disease with regression approaches. Aim 3 will probe further to determine if there is synergy or interactions of viruses or bacteria with other known risk factors such as the child's gluten intake and genetic risk (HLA and known associated SNPs). This will identify the set(s) of components that may contribute synergistically to cause CD outcomes. The proposed work is significant since it will apply the power of the larger and international TEDDY cohort and its rich database of genetic analyses of children to study progressively collected stools and sera to determine viruses and/or microbiome signatures that are linked to tTGA autoimmunity and celiac disease. The proposed work is innovative because it will provide the first comprehensive analysis of virome and microbiome components sufficient to cause celiac disease outcomes that may work synergistically. These findings will lead to a better understanding of what triggers celiac disease that will be more relevant for developing hypotheses of causal mechanisms and will open conceptual avenues for key diagnostic or preventative interventions.