RT Journal Article SR Electronic T1 The Dutch Microbiome Project defines factors that shape the healthy gut microbiome JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.11.27.401125 DO 10.1101/2020.11.27.401125 A1 R. Gacesa A1 A. Kurilshikov A1 A. Vich Vila A1 T. Sinha A1 M.A.Y. Klaassen A1 L.A. Bolte A1 S. Andreu-Sánchez A1 L. Chen A1 V. Collij A1 S. Hu A1 J.A.M. Dekens A1 V.C. Lenters A1 J.R. Björk A1 J.C. Swarte A1 M.A. Swertz A1 B.H. Jansen A1 J. Gelderloos-Arends A1 Lifelines cohort study A1 M. Hofker A1 R.C.H. Vermeulen A1 S. Sanna A1 H.J.M. Harmsen A1 C. Wijmenga A1 J. Fu A1 A. Zhernakova A1 R.K. Weersma YR 2020 UL http://biorxiv.org/content/early/2020/11/27/2020.11.27.401125.abstract AB The gut microbiome is associated with diverse diseases, but the universal signature of an (un)healthy microbiome remains elusive and there is a need to understand how genetics, exposome, lifestyle and diet shape the microbiome in health and disease. To fill this gap, we profiled bacterial composition, function, antibiotic resistance and virulence factors in the gut microbiomes of 8,208 Dutch individuals from a three-generational cohort comprising 2,756 families. We then correlated this to 241 host and environmental factors, including physical and mental health, medication use, diet, socioeconomic factors and childhood and current exposome. We identify that the microbiome is primarily shaped by environment and cohousing. Only ∼13% of taxa are heritable, which are enriched with highly prevalent and health-associated bacteria. By identifying 2,856 associations between microbiome and health, we find that seemingly unrelated diseases share a common signature that is independent of comorbidities. Furthermore, we identify 7,519 associations between microbiome features and diet, socioeconomics and early life and current exposome, of which numerous early-life and current factors are particularly linked to the microbiome. Overall, this study provides a comprehensive overview of gut microbiome and the underlying impact of heritability and exposures that will facilitate future development of microbiome-targeted therapies.Competing Interest StatementThe authors have declared no competing interest.