The Cystic Fibrosis Microbiome and its Association with Incident Infections with Mycobacteroides (Mycobacterium) abscessus

dc.contributor.advisorParkins, Michael
dc.contributor.authorBharadwaj, Lalit
dc.contributor.committeememberStorey, Douglas
dc.contributor.committeememberArrieta, Marie-Claire
dc.contributor.committeememberSurette, Michael
dc.date2021-06
dc.date.accessioned2021-05-21T15:06:09Z
dc.date.available2021-05-21T15:06:09Z
dc.date.issued2021-05-13
dc.description.abstractInfection with M. abscessus complex (MABC) is increasingly detected within CF populations. MABC infection has been associated with exaggerated lung function decline and poses significant treatment complexities. We performed a retrospective case-control study of twenty-one patients with MABC infection matching each to two randomly identified age (+/-2 yrs) and gender-matched uninfected controls. Total genomic DNA from sputum was extracted, amplified and Illumina MiSeq paired-end sequencing of the hypervariable V3 region of the 16S rRNA gene was performed. Demographics and dynamic variables of disease were recorded and compared between groups. 174 sputum samples (median 8, IQR (6-12)) from MABC cases and 42 control samples were assessed. The sputum microbiota from patients who would develop MABC infection in the subsequent two years differed from controls (p=0.038, R2 = 2.5%, PERMANOVA). In particular, sputum from MABC cases – prior to its identification – had higher alpha-diversity; Shannon diversity (p=0.023), Observed species (p=0.042) and lower P. aeruginosa relative and absolute abundance (p=0.035). We observed significant changes in community structure over time during potent antibacterial therapies, returning to baseline upon their discontinuation. These data suggest that sputum microbiome analysis and P. aeruginosa bioburden should be evaluated in multi-center studies as potential biomarkers to predict MABC infection and treatment response.en_US
dc.identifier.citationBharadwaj, L. (2021). The Cystic Fibrosis Microbiome and its Association with Incident Infections with Mycobacteroides (Mycobacterium) abscessus (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/38888
dc.identifier.urihttp://hdl.handle.net/1880/113441
dc.language.isoengen_US
dc.publisher.facultyCumming School of Medicineen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectcystic fibrosis, Non-tuberculous Mycobacterium , pulmonary microbiome, 16S rRNA sequencing, sputum,en_US
dc.subject.classificationMicrobiologyen_US
dc.subject.classificationHealth Sciencesen_US
dc.titleThe Cystic Fibrosis Microbiome and its Association with Incident Infections with Mycobacteroides (Mycobacterium) abscessusen_US
dc.typemaster thesisen_US
thesis.degree.disciplineMedicine – Microbiology & Infectious Diseasesen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Science (MSc)en_US
ucalgary.item.requestcopytrueen_US
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