Infection with gut parasites correlates with gut microbiome diversity across human populations in Africa

Soil-transmitted helminths (STH) are common in (sub)tropical regions and primarily affect impoverished populations. STHs reside in the gut, interacting both with the gut microbiota and host immunity. Clinical STH detection is laborious and often not performed within the context of gut microbiome studies. Here, we assessed whether fecal metagenome data could be used to assess STH infection, and to relate STH infection to microbiome diversity. We generated 310 gut metagenomes for mother-child pairs from two different locations in Gabon: one rural and one semi-urban. The presence and abundance of four STH parasites (Ascaris lumbricoides, Strongyloides stercoralis, Trichuris trichiura, and Necator americanus) were assessed using both microscopy and qPCR. Sequence data were used to characterize the microbiomes and to detect the presence of these four STH parasites. We found that metagenome data could accurately detect the presence of all four STHs, as reflected by high sensitivity and specificity compared to microscopy or qPCR detection. Furthermore, the number of STH species present in stool was associated with microbiome diversity and with the abundances of specific taxa, most notably in young children. We applied this approach to microbiome data from five other populations in Africa and corroborated our findings. Our results demonstrate that human intestinal parasites can be accurately detected via metagenomic sequencing, and highlight how infection with multiple STH parasites is linked to consistent features in the gut microbiome in populations in Africa.