Gut Microbiome Prediction: From Current Human Evidence to Future Possibilities

The gut microbiome is an indispensable component of the human body. Alteration in the gut microbiota composition leads to various diseases such as obesity, Type 2 Diabetes, Inflammatory Bowel Syndrome, and depression. Microbiome-based precision tests offer a futuristic strategy for wellness and longevity. However, this approach is limited by the lack of definition of a healthy microbiome in different populations and accurate disease prediction. In this study, we aimed to capture the healthy gut microbiome for different populations using the xNARA Gut Profile Test kit and in-house built proprietary algorithm and reference databases. We found that gut microbiome of different populations from India, UAE, and Singapore varied significantly, indicating a distinct geographic gut microbiome signature and Gut Health Index. The gut microbial diversity as measured by the Shannon index revealed UAE had significantly greater alpha diversity than India and Singapore. Prevotella copri (19.27%), Faecalibacterium prausnitzii (4.08%) and Levilactobacillus brevis (4.0%) were the predominant species in the Indian gut. Faecalibacterium prausnitzii (8.54%), Blautia obeum (8.10%), and Phocaeicola vulgatus (4.6%) were primarily present in Singapore participants whereas Prevotella copri (14.92%), Blautia obeum (6.09%) and Roseburia intestinalis (5.81%) were present in UAE participants. Beta diversity indicated the gut microbiota of Indian-origin participants in Singapore and UAE clustered with the indigenous inhabitants of Singapore and UAE. This highlights that geographic location has a profound effect on shaping the gut microbiome architecture than ethnicity. Regional diet and lifestyle could be crucial factors responsible for shaping the gut microbiome. The prediction accuracy of the xNARA Gut algorithm ranged from 66.66-100% when matched with the blood reports. Participants agreed with the xNARA disease risk outcomes for metabolic conditions (60%-100%), gastrofitness (62.5%-100%), mental health (50%-100%), skin conditions (50%-100%) and physical fitness (50%-100%). These observations imply the promising role of gut-based personalized diet and probiotic recommendations for lifestyle and wellness management.