This study will focus on women who are pregnant when they enroll, or become pregnant during the study, in order to follow their infants from birth to 8 years of age to determine trajectories of growth over time and identify genomic and epigenomic factors related to development of obesity. Critical to obtaining this information will be the review of Electronic Health Records of providers who have the correct measuring... more »

This study will focus on a subsample of all pregnant women and follow them throughout pregnancy to obtain serial assessments and measurements, including laboratory microbiologic evaluation testing of oral, skin and vaginal specimens. Follow-up would end at delivery of the infant; serial pregnancies would be eligible to re-enroll. Assessments and measures would be used along with health outcomes to determine associations... more »

Follow a subsample of all infants and children (< 3 years of age) throughout childhood to obtain the following serial assessments: blood tests, medication history, neonatal, infant and childhood health outcomes; physical measurements and laboratory microbiologic evaluations of oral, skin and vaginal specimens. Assessments and measures would be used along with health outcomes to determine associations and develop predictive... more »

There is a fluid intake range that is healthy. Below this level predisposes to urinary tract infections, urinary stone formation, changes in the gut and urinary micro biome, and results in generalized symptoms of well-being. Fluid intake above a healthy threshold predisposes to lower urinary tract symptoms, sleep interruptions and may affect symptoms of well-being.

The proposed study would identify microbial communities and metabolic profiles associated with stigmatized conditions such as idiopathic malodor or mental health.
Working with systemic malodor/PATM community provides unprecedented opportunities to explore biomarkers of depression, social stress, diabetes, inflammatory diseases, dental, cardiovascular, and digestive health, exposure to antibiotics, lifestyle & dietary... more »

The scientific and medical communities are rapidly learning more about the human microbiome and the role it plays in our health, but there are still many gaps that need to be addressed. The purpose of this study would be to focus on identifying the relationship between the microbiome and a systemic disease state, helping to inform new methods for translating knowledge about the micriobiome into better, more efficient... more »

The human microbiota has been found to be associated with a number of health conditions, such as obesity. However, these studies have been relatively small and from convenience samples. It is important to understand how the human microbiota impacts these chronic disease risk factors in order to prevent future disease development. We propose collecting oral and fecal samples to determine associations with many chronic... more »

Precision microbiome engineering could be applied to vaccine delivery, immunology, drug-resistant infections, and post-surgical infections.

Specific research questions re pathogenesis and treatment:

- What aspects of the indigenous microbiota mediate colonization resistance against C. difficile, as well as other multi-drug resistant organisms such as carbapenamase-producing gram negative bacteria and vancomycin resistant... more »

How is precision medicine as it applies to infectious diseases different than how it is considered for Oncology or other fields?

• Time-pressured setting (e.g., initiating therapy for a hospital acquired or ventilator-associated bacterial pneumonia patient)

• Microbiome vs. human genome

• Intersections with other cognitive and procedural specialties across the board

The microbiome variations have been associated with health and disease status in cross-sectional studies. There is a need to examine these associations in a longitudinal fashion and to establish baseline changes in health and disease over a lifespan. All of Us Together provides a game-changing amount of longitudinal data on enough individuals to begin to map the complex relationship between exposures (diet, antibiotics,... more »

1. Questionaire to assess for Leaky Gut.

2. Lab tests to assess for abnormal Intestinal flora.

3. Serum lab tests to assess for inflamation in body.

4. Dietary and nutritional supplement protocol to follow to establish healthy gut microbiome.

5. Correlate positive leaky gut diagnosis with other medical disorders present in the subject.

The simple addition of fecal sample for the use of gut microbiome taxonomical assessment could prove a valuable resource for testing hypotheses about the gut flora as a target of, and contributor to myriad human health and disease states. Fecal sample collection is non-invasive and gut bacterial lab methods are becoming increasingly refined and high-throughput.

Integrate multi-omic approaches (metabolomic, proteomic, inflammasome, microbiome analyses) with dietary assessment and clinical data in a nested cohort study. Dietary and/or microbial metabolites may modulate body weight and may influence other comorbidities. A comprehensive analysis of inflammatory and metabolic biomarkers of oxidative stress, nutritional assessment, short chain fatty acids and other microbial metabolites... more »

Oral bacteria are known to have both beneficial and detrimental effects on oral health including carcinogenesis in the oral cavity. Since ethanol is a good organic solvent, oral bacterial enzymes and toxins may achieve greater exposure to the oral mucosa as a result of ethanol consumption, facilitating toxin access to intracellular processes. Subjects with different microbiome profiles and bacterial metabolites can be... more »

Microbiota has been found in tumor tissues and these communities are often found to differ from the neighboring healthy tissue. Current studies tend to be small and from single cancer centers. We propose collecting tumor samples for microbial analysis in conjunction with cancer treatment data to evaluate microbial characteristics which predict successful treatment. Comparisons can be made to evaluate microbial compositions... more »