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DELVE INTO THE WORLD OF
THE HUMAN MICROBIOME
AND METAGENOMICS
Speck&Tech 59 "Genomic Bites", 11/12/2023, Trento
Microorganisms are everywhere,
from different and extreme environments
2
3
THE HUMAN MICROBIOME
Bacteria, archaea, fungi, viruses, and microeukaryotes,
living in a specific human body site
Prevents pathogen colonization
Degrades indigestible food components
Modulates the immune system
4
MICROBIOME & HUMAN HEALTH
5
HOW TO CHARACTERIZE THE MICROBIOME
e.g., phenotypic
characterization
Computational
analyses
Isolate
sequencing
Limitation is that we
cannot cultivate all
microorganisms
6
HOW TO CHARACTERIZE THE MICROBIOME
Computational
analyses
Study of the whole genetic
content of a sample without
the need of cultivation
7
SHOTGUN
METAGENOMICS
WORKFLOW
Quince C, et al. Nature Biotechnology (2017)
8
TOOLS FOR MICROBIAL PROFILING
biobakery/biobakery
ChocoPhlAn 3
9
TAXONOMICAL PROFILING
Genome catalog
SGB organization
Marker identification Taxonomic info
MetaPhlAn 4 DB
MetaPhlAn 4
Metagenomic
samples
Taxonomical
profiling
MetaPhlAn4 Tutorial (github.com/biobakery/MetaPhlAn/wiki/MetaPhlAn-Workshop-on-Genomics-2023)
MetaPhlAn4 (github.com/biobakery/MetaPhlAn)
10
TAXONOMICAL PROFILING
Metagenome
MetaPhlAn 4
Taxonomic profiled
Metagenome
Relative
abundance
Species 3
Species 2
Species 1
11
PREBIOMICS IN A NUTSHELL
Born in 2017 with a focus on dental implant clinical
testing for personalized treatment, now expanding
into:
▪ State-of-the-art microbiome NGS services
▪ Cutting-edge AI and bioinformatic microbiome
tools
▪ Stool and skin microbiome clinical kits
▪ Revolutionary R&D on oral microbiome links with
systemic disease
Build a revolutionary microbiome platform for a better healthcare
12
FROM ACADEMIC RESEARCH TO THE MARKET
Foundational scientific discovery published
by PreBiomics team
A microbiome-based test for dentists is able to: (1) prevention, (2) early
diagnosis, and (3) personalized treatment indications for peri-implant diseases
13
PREBIOMICS IMPLANT TEST
Sample collection Delivery
NGS
process & analysis
Report
Translating shotgun metagenomics workflow into a market application
14
PREBIOMICS IMPLANT TEST
PreBiomics Beta Program – The largest oral metagenomics database
Italian dental clinics recruited
+50
Patients recruited
1198
Peri-implant plaque & saliva samples
2441
Health & clinical parameters collected
+70
Peri-implantitis
34.7%
Mucositis
37.0%
Healthy
28.3%
15
HOW WE ANALYZE MICROBIOME DATA
Taxonomical profiling - MetaPhlAn output
16
HOW WE ANALYZE MICROBIOME DATA
Alpha diversity
• Used to measure the diversity within a
sample.
• Species count: the number of different
species present in a sample. It does not take
into account the abundance of the species or
their relative distributions.
Taxonomical profiling – Alpha diversity
17
HOW WE ANALYZE MICROBIOME DATA
Alpha diversity
Alpha diversity in diseased
samples is substantially reduced
compared to healthy samples.
Taxonomical profiling – Alpha diversity
18
HOW WE ANALYZE MICROBIOME DATA
Beta diversity
• Used to measure the diversity between
samples, e.g.: how different are two samples
in microbial composition.
• Bray-Curtis distance: Take into account the
abundance of the species.
0 = same species at same abundance
1 = completely different species abundance
Taxonomical profiling – Beta diversity
19
HOW WE ANALYZE MICROBIOME DATA
Beta diversity
Healthy samples are more variable
in microbial composition with
respect to the diseased ones that
are more defined.
Taxonomical profiling – Beta diversity
20
HOW WE ANALYZE MICROBIOME DATA
Heatmaps
• Useful when using
large datasets
• Identify if some
bacteria are
consistently highly
abundant in one
group with respect to
another
Personal
•Age, gender,
height, weight,
BMI, etc.
Lifestyle
•Smoking,
sports
Systemic
health
•Diabetes,
autoimmune
diseases,
cardiovascular
diseases,
antibiotic
usage, etc.
Oral health
•Parodontitis,
caries, history
of peri-
implantitis,
number of
teeth left, etc.
Dental implant
•PPD, BoP,
plaque index,
suppuration,
etc.
21
HOW WE ANALYZE MICROBIOME DATA
Implementation of machine learning algorithms
Peri-implant plaque & saliva samples
2441
Health & clinical parameters collected
+70
Microbiome data Metadata
22
HOW WE ANALYZE MICROBIOME DATA
Implementation of machine learning algorithms
Machine learning assesses links between the microbial features of the
dental plaque samples and collected metadata
23
HOW WE ANALYZE MICROBIOME DATA
Implementation of machine learning algorithms
Dental plaque microbiome has a distinctive and highly predictive
signature in peri-implantitis
24
PREBIOMICS IMPLANT TEST
Application of ML algorithm in our test
Development of the Peri-Implant Microbiome Score
Identify peri-implantitis biomarkers before there
is visible clinical manifestation of the peri-implant
disease
Disease
prevention
25
PREBIOMICS NGS FACILITY
▪ 10 laboratory technicians
fully dedicated
▪ Semi-automated processing
focused on human
microbiome samples
▪ High-throughput laboratory
designed to sequence up to
20,000 samples per month
▪ Dynamic and multi-
disciplinary team of
computational scientists
26
THANKS FOR THE
ATTENTION!
Mattia Bolzan
Chief Technology Officer
mattia.bolzan@prebiomics.com

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Delve into the world of the human microbiome and metagenomics

  • 1. DELVE INTO THE WORLD OF THE HUMAN MICROBIOME AND METAGENOMICS Speck&Tech 59 "Genomic Bites", 11/12/2023, Trento
  • 2. Microorganisms are everywhere, from different and extreme environments 2
  • 3. 3 THE HUMAN MICROBIOME Bacteria, archaea, fungi, viruses, and microeukaryotes, living in a specific human body site Prevents pathogen colonization Degrades indigestible food components Modulates the immune system
  • 5. 5 HOW TO CHARACTERIZE THE MICROBIOME e.g., phenotypic characterization Computational analyses Isolate sequencing Limitation is that we cannot cultivate all microorganisms
  • 6. 6 HOW TO CHARACTERIZE THE MICROBIOME Computational analyses Study of the whole genetic content of a sample without the need of cultivation
  • 7. 7 SHOTGUN METAGENOMICS WORKFLOW Quince C, et al. Nature Biotechnology (2017)
  • 8. 8 TOOLS FOR MICROBIAL PROFILING biobakery/biobakery ChocoPhlAn 3
  • 9. 9 TAXONOMICAL PROFILING Genome catalog SGB organization Marker identification Taxonomic info MetaPhlAn 4 DB MetaPhlAn 4 Metagenomic samples Taxonomical profiling MetaPhlAn4 Tutorial (github.com/biobakery/MetaPhlAn/wiki/MetaPhlAn-Workshop-on-Genomics-2023) MetaPhlAn4 (github.com/biobakery/MetaPhlAn)
  • 10. 10 TAXONOMICAL PROFILING Metagenome MetaPhlAn 4 Taxonomic profiled Metagenome Relative abundance Species 3 Species 2 Species 1
  • 11. 11 PREBIOMICS IN A NUTSHELL Born in 2017 with a focus on dental implant clinical testing for personalized treatment, now expanding into: ▪ State-of-the-art microbiome NGS services ▪ Cutting-edge AI and bioinformatic microbiome tools ▪ Stool and skin microbiome clinical kits ▪ Revolutionary R&D on oral microbiome links with systemic disease Build a revolutionary microbiome platform for a better healthcare
  • 12. 12 FROM ACADEMIC RESEARCH TO THE MARKET Foundational scientific discovery published by PreBiomics team A microbiome-based test for dentists is able to: (1) prevention, (2) early diagnosis, and (3) personalized treatment indications for peri-implant diseases
  • 13. 13 PREBIOMICS IMPLANT TEST Sample collection Delivery NGS process & analysis Report Translating shotgun metagenomics workflow into a market application
  • 14. 14 PREBIOMICS IMPLANT TEST PreBiomics Beta Program – The largest oral metagenomics database Italian dental clinics recruited +50 Patients recruited 1198 Peri-implant plaque & saliva samples 2441 Health & clinical parameters collected +70 Peri-implantitis 34.7% Mucositis 37.0% Healthy 28.3%
  • 15. 15 HOW WE ANALYZE MICROBIOME DATA Taxonomical profiling - MetaPhlAn output
  • 16. 16 HOW WE ANALYZE MICROBIOME DATA Alpha diversity • Used to measure the diversity within a sample. • Species count: the number of different species present in a sample. It does not take into account the abundance of the species or their relative distributions. Taxonomical profiling – Alpha diversity
  • 17. 17 HOW WE ANALYZE MICROBIOME DATA Alpha diversity Alpha diversity in diseased samples is substantially reduced compared to healthy samples. Taxonomical profiling – Alpha diversity
  • 18. 18 HOW WE ANALYZE MICROBIOME DATA Beta diversity • Used to measure the diversity between samples, e.g.: how different are two samples in microbial composition. • Bray-Curtis distance: Take into account the abundance of the species. 0 = same species at same abundance 1 = completely different species abundance Taxonomical profiling – Beta diversity
  • 19. 19 HOW WE ANALYZE MICROBIOME DATA Beta diversity Healthy samples are more variable in microbial composition with respect to the diseased ones that are more defined. Taxonomical profiling – Beta diversity
  • 20. 20 HOW WE ANALYZE MICROBIOME DATA Heatmaps • Useful when using large datasets • Identify if some bacteria are consistently highly abundant in one group with respect to another
  • 21. Personal •Age, gender, height, weight, BMI, etc. Lifestyle •Smoking, sports Systemic health •Diabetes, autoimmune diseases, cardiovascular diseases, antibiotic usage, etc. Oral health •Parodontitis, caries, history of peri- implantitis, number of teeth left, etc. Dental implant •PPD, BoP, plaque index, suppuration, etc. 21 HOW WE ANALYZE MICROBIOME DATA Implementation of machine learning algorithms Peri-implant plaque & saliva samples 2441 Health & clinical parameters collected +70 Microbiome data Metadata
  • 22. 22 HOW WE ANALYZE MICROBIOME DATA Implementation of machine learning algorithms Machine learning assesses links between the microbial features of the dental plaque samples and collected metadata
  • 23. 23 HOW WE ANALYZE MICROBIOME DATA Implementation of machine learning algorithms Dental plaque microbiome has a distinctive and highly predictive signature in peri-implantitis
  • 24. 24 PREBIOMICS IMPLANT TEST Application of ML algorithm in our test Development of the Peri-Implant Microbiome Score Identify peri-implantitis biomarkers before there is visible clinical manifestation of the peri-implant disease Disease prevention
  • 25. 25 PREBIOMICS NGS FACILITY ▪ 10 laboratory technicians fully dedicated ▪ Semi-automated processing focused on human microbiome samples ▪ High-throughput laboratory designed to sequence up to 20,000 samples per month ▪ Dynamic and multi- disciplinary team of computational scientists
  • 26. 26 THANKS FOR THE ATTENTION! Mattia Bolzan Chief Technology Officer mattia.bolzan@prebiomics.com