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DTSTAMP:20260411T215611
DTSTART:20171219T100000
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DTEND:20171219T110000
URL:https://murmitoyen.com/events/vanille/udem/detail/794981-personalizing-
 treatments-using-microbiome-and-clinical-data
LOCATION:CHU Sainte-Justine\, 3175\, Chemin de la Côte-Sainte-Catherine\, 
 Montréal\, QC\, Canada\, H3T 1C5
SUMMARY:Personalizing treatments using microbiome and clinical data
DESCRIPTION:Conférence scientifique | Centre de recherche du CHU Sainte-Ju
 stine  Conférence d'Eran Segal\, PhD\, professeur\, Département d'inform
 atique et de mathématiques appliquées\, Institut Weizmann des Sciences\
 nRésumé : Accumulating evidence supports a causal role for the human gut
  microbiome in obesity\, diabetes\, metabolic disorders\, cardiovascular d
 isease\, and numerous other conditions\, including cancer. Here\, I will p
 resent our research on the role of the human microbiome in health and dise
 ase\, aimed at developing personalized medicine approaches that combine hu
 man genetics\, microbiome\, and nutrition.\nIn one project\, we set out t
 o understand personal variation in the glycemic response to food\, tacklin
 g the subject of personalization of human nutrition\, a poorly studied top
 ic that is critical for human health and to billions of people predisposed
  to\, or suffering from\, obesity\, T2D and related co-morbidities. We ass
 embled a 1\,000 person cohort and measured blood glucose response to >50\,
 000 meals\, lifestyle\, medical and food frequency questionnaires\, blood 
 tests\, genetics\, and gut microbiome. We showed that blood glucose respon
 ses to meals greatly vary between people even when consuming identical foo
 ds\; devised the first algorithm for accurately predicting personalized gl
 ucose responses to food based on clinical and microbiome data\; and showed
  that personalized diets based on our algorithm successfully balanced bloo
 d glucose levels in prediabetic individuals. These results suggest that pe
 rsonalized diets may successfully modify elevated postprandial blood gluco
 se and its metabolic consequences.\nI will also present our studies of th
 e mechanisms driving recurrent post-dieting obesity in which we identified
  an intestinal microbiome signature that persists after successful dieting
  of obese mice. This microbiome signature contributes to faster weight reg
 ain and metabolic aberrations upon re-exposure to obesity-promoting condit
 ions and transmits the accelerated weight regain phenotype upon inter-anim
 al transfer. These results thus highlight a possible microbiome contributi
 on to accelerated post-dieting weight regain\, and suggest that microbiome
 -targeting approaches may help to diagnose and treat this common disorder.
 \nFinally\, we studied the relative contribution of host genetics and env
 ironmental factors in shaping human gut microbiome composition. To this en
 d\, we examined genotype and microbiome data in over 1\,000 healthy indivi
 duals from several distinct ancestral origins who share a relatively commo
 n environment\, and demonstrated that the gut microbiome is not significan
 tly associated with genetic ancestry. In contrast\, we find significant si
 milarities in the microbiome composition of genetically unrelated individu
 als who share a household\, and show that over 20% of the gut microbiome v
 ariance can be explained via environmental factors related to diet\, drugs
  and anthropometric measurements. We define the term biome-explainability 
 as the variance of a host phenotype explained by the microbiome after acco
 unting for the contribution of human genetics. Consistent with our finding
  that microbiome and host genetics are largely independent\, we find signi
 ficant biome-explainability levels of 24%-36% for several human traits and
  disease risk factors. We also successfully replicated our results in an i
 ndependent Dutch cohort. Overall\, our results suggest that human microbio
 me composition is dominated by environmental factors rather than by host g
 enetics.\n                  
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