RT Journal Article SR Electronic T1 Mucosal host–microbe interactions associate with clinical phenotypes in inflammatory bowel disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.06.04.494807 DO 10.1101/2022.06.04.494807 A1 Shixian Hu A1 Arno R. Bourgonje A1 Ranko Gacesa A1 Bernadien H. Jansen A1 Johannes R. Björk A1 Amber Bangma A1 Iwan J. Hidding A1 Hendrik M. van Dullemen A1 Marijn C. Visschedijk A1 Klaas Nico Faber A1 Gerard Dijkstra A1 Hermie J. M. Harmsen A1 Eleonora A. M. Festen A1 Arnau Vich Vila A1 Lieke M. Spekhorst A1 Rinse K. Weersma YR 2022 UL http://biorxiv.org/content/early/2022/06/04/2022.06.04.494807.abstract AB Dysregulation of gut mucosal host–microbe interactions is a central feature of inflammatory bowel disease (IBD). To study tissue-specific interactions, we performed transcriptomic (RNA-seq) and microbial (16S-rRNA-seq) profiling of 696 intestinal biopsies derived from 353 patients with IBD and controls. Analysis of transcript-bacteria interactions identified six distinct groups of inflammation-related pathways that were associated with intestinal microbiota, findings we could partially validate in an independent cohort. An increased abundance of Bifidobacterium was associated with higher expression of genes involved in fatty acid metabolism, while Bacteroides was associated with increased metallothionein signaling. In fibrostenotic Crohn’s disease, a transcriptional network dominated by immunoregulatory genes associated with Lachnoclostridium bacteria in non-stenotic tissue. In patients using TNF-α-antagonists, a transcriptional network dominated by fatty acid metabolism genes associated with Ruminococcaceae. Mucosal microbiota composition was associated with enrichment of specific intestinal cell types. Overall, we identify multiple host–microbe interactions that may guide microbiota-directed precision medicine.Competing Interest StatementRKW acted as consultant for Takeda, received unrestricted research grants from Takeda, Johnson & Johnson, Tramedico and Ferring and received speaker fees from MSD, Abbvie, and Janssen Pharmaceuticals. GD received an unrestricted research grant from Takeda and speaker fees from Pfizer and Janssen Pharmaceuticals. All other authors declare no competing interests.