Improving saliva shotgun metagenomics by chemical host DNA depletion
© The Author(s). 2018
Received: 15 December 2017
Accepted: 19 February 2018
Published: 27 February 2018
Shotgun sequencing of microbial communities provides in-depth knowledge of the microbiome by cataloging bacterial, fungal, and viral gene content within a sample, providing an advantage over amplicon sequencing approaches that assess taxonomy but not function and are taxonomically limited. However, mammalian DNA can dominate host-derived samples, obscuring changes in microbial populations because few DNA sequence reads are from the microbial component. We developed and optimized a novel method for enriching microbial DNA from human oral samples and compared its efficiency and potential taxonomic bias with commercially available kits.
Three commercially available host depletion kits were directly compared with size filtration and a novel method involving osmotic lysis and treatment with propidium monoazide (lyPMA) in human saliva samples. We evaluated the percentage of shotgun metagenomic sequencing reads aligning to the human genome, and taxonomic biases of those not aligning, compared to untreated samples. lyPMA was the most efficient method of removing host-derived sequencing reads compared to untreated sample (8.53 ± 0.10% versus 89.29 ± 0.03%). Furthermore, lyPMA-treated samples exhibit the lowest taxonomic bias compared to untreated samples.
Osmotic lysis followed by PMA treatment is a cost-effective, rapid, and robust method for enriching microbial sequence data in shotgun metagenomics from fresh and frozen saliva samples and may be extensible to other host-derived sample types.
In the past decade, sequencing costs have plummeted, and 16S rRNA gene amplicon sequencing has become a nearly ubiquitous tool used to characterize bacterial populations from a wide range of environments and host systems [1, 2]. This technique has revealed that bacteria inhabit a far greater range of human body sites than previously believed, including many long presumed to be sterile (e.g., urine , breast milk , blood , and atherosclerotic plaque ). However, 16S rRNA gene amplicon sequencing has several limitations.
Taxonomic resolution is intrinsically limited in amplicon analysis and can fail to distinguish species and strains with distinct biological functions. Primer choice can affect the representation of particular clades of bacteria . Eukaryotic microbes are not captured by 16S rRNA gene amplicon sequencing and require 18S rRNA gene, internal transcribed spacer, or mitochondrial sequencing approaches; viruses are not detected by any of these methods and require custom clade-specific primers.
Current approaches to deplete host reads can be divided into two major groups: those that act prior to DNA extraction (pre-extraction) and those that act on DNA after extraction (post-extraction). Pre-extraction approaches generally follow a two-step procedure. The first step is to selectively lyse mammalian cells, which is easy because the mammalian cell membrane is more fragile than most microbial membranes/cell walls. The second step removes exposed DNA enzymatically, leaving only the intact microbial cells for downstream analysis. These kits have improved microbial sequencing yield in a variety of sample types, including bronchoalveolar lavage fluid , blood , and sonicate fluid from prosthetic joint infections . However, the multiple wash steps required limit the potential of low biomass samples to be successfully treated . Furthermore, loss of bacterial DNA and a potential bias toward Gram-positive taxa has been reported .
Post-extraction separation approaches avoid some of these hurdles and thus pose an attractive alternative. One approach targets methylated nucleotides , which are typically more frequent in eukaryotic genomes. However, a bias against microbes with AT-rich genomes has been reported , and therefore, this method is not suitable for eukaryotic microorganisms with methylation patterns similar to the host. Another approach is targeting host-specific sequences for hybridization-based depletion with CRISPR/Cas9. This method has been successfully employed for highly repetitive rRNA sequences  but is not easily adapted to depletion of sequences at the genome scale.
To overcome the disadvantages associated with each of the currently available host-depletion methods, we optimized a cost-effective technique with minimal sample processing and hands-on time. Similar to other pre-extraction methods, it starts with selective mammalian cell lysis, but instead of enzymatic digestion of exposed DNA, we employed propidium monoazide (PMA). PMA has been used extensively over the past decade for detection of live/dead cells . Similar to propidium iodide, PMA is a cell membrane impermeable DNA intercalator. Upon exposure to visible light, the azide group of the PMA molecule is photolytically cleaved and undergoes a C–H insertion reaction to form a covalent bond with DNA . It is thought that this reaction fragments the DNA, effectively eliminating any exposed DNA from downstream analysis [17, 18]. Any excess PMA in the sample reacts with water and becomes inert. We induced selective osmotic lysis of mammalian cells by resuspension in pure water followed by treatment with PMA (lyPMA). This method requires less than 5-min hands-on time and involves no special laboratory equipment.
To evaluate the efficiency and potential bias of the lyPMA treatment, we compared this protocol to raw samples and four alternative methods used for host depletion: 5-μm filtration (Fil), QIAamp DNA Microbiome Kit (QIA), MolYsis™ Basic (Mol), and NEBNext® Microbiome DNA Enrichment Kit (NEB). We chose saliva samples to compare methods of host depletion because it is easy to collect, has enough biomass to be divided into multiple groups per sample, and consistently has a high (~ 90%) percentage of human DNA in shotgun metagenomic sequencing (Fig. 1). The efficiency of host depletion and the effect on microbial community was assessed.
Differential cell size-based approaches to host DNA depletion
One of the most obvious differences between mammalian and microbial cells is their size. Our preliminary attempts to reduce host DNA therefore focused on separating cells according to size. Because buccal epithelial cells are on average 50 μm wide, whereas a typical bacterial coccus is ~ 1 μm, we passed saliva samples across a 5-μm filter and analyzed the filtrate and residue compared to the raw sample. We designed a qPCR assay to evaluate the percentage of host DNA relative to untreated sample using a human-specific primer against the PTGER2 gene . No significant difference across any of these three partitions was observed (Additional file 1: Figure S1A). To exclude the potential of host cell shearing during filtration, we next tried differential centrifugation to enrich for microbial DNA. First, a short, slow centrifugation (30 s at 2500g) of human saliva was performed to pellet large cells , and then the supernatant was washed with a longer, faster centrifugation (8 min at 10,000g) to pellet all remaining cells. No significant difference in percentage of human DNA at any of these steps compared to the original raw sample was observed (Additional file 1: Figure S1B). Lastly, we attempted to take advantage of differences in forward and backward scatter (which canonically correlates to event size and density, respectively) using flow cytometry to separate microbial from human cells. Although three distinct groups of varying size were clearly observed (Additional file 1: Figure S1C), there was no significant difference in percentage of human DNA among the sorting gates compared to the raw sample (Additional file 1: Figure S1D).
These preliminary attempts to separate mammalian from microbial cells based on cell size were unsuccessful in reducing the amount of host DNA. We hypothesized that there must be a significant amount of extracellular host DNA that is not separated by size-based approaches. Indeed, DNAse treatment of saliva samples after a short, slow centrifugation significantly reduced the percentage of human DNA (Additional file 1: Figure S1E). However, enzymatic treatment can be expensive, sensitive, and, because it must be processed on fresh samples, difficult to scale. As an alternative to enzymatic digestion of extracellular DNA, we next tested the ability of PMA to remove host DNA.
Optimization of lyPMA for host DNA removal
To optimize the lyPMA protocol, we compared different methods of selective mammalian cell lysis and multiple concentrations of PMA. Quantitative polymerase chain reaction (qPCR) analysis of the human-specific PTGER2 gene revealed that, compared to untreated controls, PMA treatment reduced the percentage of human DNA following selective mammalian cell lysis by sonication (25.6%) and osmotic lysis with H2O (1.7%) and following mammalian cell removal by differential centrifugation (1.4%) (Additional file 2: Figure S2A). Interestingly, PMA treatment of raw saliva sample (without an initial selective lysis step) also reduced the percentage of human DNA (16.8%), suggesting that the majority of human DNA in saliva is already exposed. We also evaluated the effect of PMA concentration (1, 10, and 50 μM) on the reduction of extracellular host DNA following differential centrifugation. Treatment with 10 μM PMA was the optimal concentration to achieve host DNA reduction without compromising microbial DNA recovery, although the results were not highly sensitive to PMA concentration (Additional file 2: Figure S2B). The relative percentage of bacterial DNA was also evaluated by qPCR to ensure specific removal of human DNA. Compared to raw saliva samples, osmotic lysis (7.82-fold) and 10 μm PMA concentration (13.4-fold) had the greatest increase in the proportion of bacterial DNA (Additional file 2: Figure S2C, D). We thus used osmotic lysis followed by 10 μM PMA treatment for comparison of the lyPMA approach to commercially available alternatives.
Efficiency of host depletion across microbial enrichment methods
To compare lyPMA to other methods of host DNA depletion, saliva samples were collected from eight healthy participants (4 mL each). Each sample was homogenized and divided into 18 separate 200-μl aliquots. Triplicate aliquots were processed in parallel for each of the six methods (i.e., untreated (raw) samples, Fil, NEB, Mol, QIA, and lyPMA; see the “Methods” section). DNA was extracted from all samples, and shotgun DNA sequencing libraries were prepared in parallel. The concentration of DNA following host depletion was significantly lower in all five methods compared to raw samples (Additional file 3: Figure S3A). Samples for sequencing were pooled such that the raw samples had twice as many reads compared to the host-depleted samples, with the assumption that we could thereby increase the number of microbial reads in the raw samples to better assess potential taxonomic biases (Additional file 3: Figure S3B). Samples with less than 50,000 quality-filtered microbial reads (n = 7) were excluded from downstream analysis, leaving 137 samples to evaluate efficiency of host depletion and microbial community effect.
Effect on microbial community composition caused by host depletion methods
Adonis statistical assessment of beta-diversity metrics driven by participant or host DNA depletion method
Degrees of freedom
Evaluation of lyPMA treatment on frozen saliva samples
Microbiome sampling often requires samples to be frozen and preserved for downstream processing. We therefore tested the effectiveness of lyPMA on previously frozen samples. Saliva samples from three participants were divided into 200-μl aliquots and either immediately stored at − 20 °C or cryopreserved by mixing with 20% glycerol prior to freezing (Additional file 6: Figure S6). After 3 days, samples were thawed and replicate frozen and cryopreserved samples were treated with lyPMA. Similar to the freshly processed samples, the majority of reads from the untreated samples aligned to the human genome (84.73 ± 2.56%). lyPMA samples that were cryopreserved with glycerol had a similar reduction in host-aligned reads to the freshly processed samples (7.18 ± 3.09%). Without cryopreservation, lyPMA was less efficient and more variable (53.78 ± 27.43%). The BC dissimilarity value was similar for technical replicates of raw samples (0.146 ± 0.004) and raw versus matched cryopreserved lyPMA (0.276 ± 0.071) but was higher for raw versus matched non-cryopreserved lyPMA (0.348 ± 0.002).
In our hands, immunoprecipitation of methylated eukaryotic DNA was unsuccessful at reducing the percentage of host-aligned sequences, as evidenced by our post-extraction processing of DNA with the NEBNext enrichment kit. It is important to note that this protocol recommends an input of high molecular weight gDNA (> 15 kb fragments) and our input gDNA peaked at ~ 10 kb. To achieve maximal efficiency, samples should be extracted with phenol chloroform followed by isolation of appropriately sized DNA from a low-melt agarose gel . However, we extracted all samples in parallel using a high-throughput DNA extraction pipeline  to reduce any confounding variables from differing DNA extraction methods.
Selective lysis of mammalian cells followed by removal of exposed DNA was a consistently effective method of reducing host-aligned sequencing reads. MolYsis, QIAamp, and lyPMA treatments all significantly improved microbial yield, with lyPMA outperforming alternative treatments. It is possible that increasing the enzyme concentration of the MolYsis or QIAamp kits would further reduce the percentage of host-aligned reads. Regardless, lyPMA treatment has an advantage over enzymatic degradation in that it requires fewer washing steps and less hands-on time and has a fraction of the reagent costs compared to commercial alternatives (PMA ~ 0.15$/sample; QIAmp ~ 10$/sample; MolYsis ~ 7$sample; NEB ~ 30$/sample).
Any method to enrich microbial sequences will invariably have some effect on the microbial community. However, the Bray-Curtis distance between lyPMA and matched raw samples was significantly smaller than for every other host depletion method. This suggests lyPMA treatment can be used to reduce the percentage of reads in saliva samples while minimizing biases in representation in the microbial community. Importantly, the distortions induced were less than the differences among individuals, strongly suggesting that the ability to read out clinically significant microbiome states would be preserved. Furthermore, the differences observed may actually be biologically relevant. PMA treatment only detects intact, or live, microbial cells, which can have a statistically significant impact on biological interpretation, as has been shown in recent studies on a broad range of topics including the soil microbiome , spaceship clean rooms , cystic fibrosis patient samples , food safety [26, 27], and saliva .
The lyPMA method has been optimized for saliva; however, saliva is only one of many sample types where microbial analysis is hampered by a large amount of host DNA. Expanding this technique to different sample types will require tailoring the method to account for selective lysis, ideal PMA concentration, and optimal temperature and duration of light exposure.
Osmotic lysis in distilled water followed by treatment with PMA (lyPMA) is a novel method to significantly reduce the percentage of human DNA in shotgun metagenomic sequencing. The method requires only standard laboratory equipment and is suitable for any DNA extraction technique. lyPMA increases microbial reads in human saliva samples by an order of magnitude. Given a low consumable cost of around 15 cents per sample, lyPMA can therefore reduce the sequencing cost by an order of magnitude.
qPCR evaluation of human and microbial gDNA
A total of 1 ng purified DNA from human saliva was used as a template to amplify the human-specific primer PTGER2: hPTGER2f (5′- GCTGCTTCTCATTGTCTCGG -3′) and PTGER2r (5′- GCCAGGAGAATGAGGTGGTC -3′) , and the 16S rRNA gene: Bakt-805R (5′- CCTACGGGNGGCWGCAG -3′) and Bakt_341f (5′- GACTACHVGGGTATCTAATCC -3′) . All reactions were performed in triplicate. The final qPCR reaction volume totaled 10 μl containing 5 μl KAPA HiFi HotStart ReadyMix (2×), 1 ng DNA, 0.5 μM forward and reverse primer, 1× SYBR green (Life Technologies), and the remainder water. The qPCR amplification was carried out over 35 cycles (20 s at 98 °C, 15 s at 60 °C, 35 s at 72 °C) with an initial 3-min hot start at 95 °C and a final extension step (1 min at 72 °C). In each experiment, a standard curve was included comprising known ratios (100:0, 25:75, 50:50, 75:25, and 0:100) of human gDNA (extracted HEK293T cells) and bacterial gDNA (extracted from Escherichia coli) in order to extrapolate the percentage of human versus microbial DNA. All samples were run in triplicate reactions and the error bars represent standard deviation among these technical replicates.
Preliminary attempts at host DNA removal
Approximately 20 mg of frozen fecal sample was homogenized with 1 ml sterile phosphate buffered saline (PBS) by vortexing at maximum speed for 10 min. The sample was centrifuged for 3 min at 2000g, diluted with an additional 2 ml PBS, and filtered across a 35-μm filter. Triplicate 50-μl aliquots were stored for analysis of the unsorted sample, and the remaining sample was stained with a final concentration of 2× SYBR green I in the dark for 15 min. The sample was diluted 1:10 in sterile PBS and run on a Sony SH800 FACS using a 100-μm nozzle with threshold set on the forward scatter detector at 1%. Events with SYBR-specific fluorescence emission (520 nm) stronger than vehicle control were selected for analysis. Of these SYBR-positive events, three distinct populations were gated in the forward and backward scatter axes (representing event size and density, respectively). 100,000 events per gate were sorted and centrifuged at 10,000g for 8 min to pellet cells. DNA was extracted from the cell pellets as detailed below.
Two hundred-microliter saliva samples were sonicated in an ice bath for 15 min at 40 Hz (Branson 2510, Marshall Scientific), which was previously shown to separate microbial biofilms without lysing bacteria cells  and then treated with PMA as detailed below.
Raw saliva samples were centrifuged for 5 min at 5500g, and the pellet was resuspended in 100 μl 1× TURBO™ DNase buffer. Next, 3 units of TURBO™ DNAse I was added and the samples were incubated at 37 °C for 20 min. The sample was washed with 500 μl sterile 1× PBS containing 0.1 μM EDTA to inhibit the DNAse, and DNA was extracted from the pellet as detailed below.
Comparative study details
Sample collection and host depletion
Volunteers were asked to refrain from eating or drinking for 1 h prior to sample collection. A total of 4 ml of unstimulated saliva was collected from eight volunteers into sterile 15-ml conical tubes. The sample was vortexed for 30 s, and 200-μl aliquots were made for each method in triplicate (18 replicate samples in total per individual). The samples were immediately processed in parallel as described below.
Samples were kept on ice while the other samples were processed, then stored at − 20 °C.
Five-micrometer filtration (Fil)
Two hundred microliters of sterile, 1× PBS, was added to each sample and vortexed for 15 s. The diluted sample was run across a pluriStrainer® 5-μm filter (PluriSelect) by inducing low pressure with a 10-ml syringe on the Connector Ring. The effluent was retained and frozen at − 20 °C.
MolYsis™ Basic kit (Mol)
Samples were processed according to the manufacturer’s instructions. After removal of MolDNase A, samples were frozen at − 20 °C.
Qiagen QIAamp DNA Microbiome Enrichment Kit (QIA)
Samples were processed according to the manufacturer’s instructions. After proteinase K treatment, samples were frozen at − 20 °C.
PMA treatment (lyPMA)
Two hundred-microliter unstimulated saliva aliquots were centrifuged at 10,000g for 8 min. The supernatant was discarded and the cell pellet was resuspended in 200 μl sterile H2O by pipetting and a brief vortex then left at room temperature for 5 min to osmotically lyse mammalian cells. A final concentration of 10 μm PMA (Biotium) was added (10 μl of 0.2 mM PMA solution added to 200-μl sample), and the sample was briefly vortexed, then incubated in the dark at room temperature for 5 min. Samples were then laid horizontally on ice < 20 cm  from a standard, bench top fluorescent light bulb (Philips F28T5/835 ALTO 40PK) for 25 min, with brief centrifugation and rotation every ~ 5 min. After exposure, samples were frozen at − 20 °C.
NEBNext Microbiome DNA Enrichment Kit (NEB)
Samples were treated as raw throughout sample collection and DNA extraction, then processed according to the manufacturer’s instructions.
Frozen samples were thawed and transferred into 96-well plates containing garnet beads and extracted using Qiagen PowerSoil DNA kit adapted for magnetic bead purification as previously described . DNA was eluted in 100 μl Qiagen elution buffer.
Library generation and sequencing
All data presented combines two independent experiments performed identically, with each experiment containing replicate saliva samples processed as described above for four individuals each. Extracted DNA was quantified via Qubit™ dsDNA HS Assay (ThermoFisher Scientific), and 1 ng of input DNA was used in a 1:10 miniaturized Kapa HyperPlus protocol. For samples with less than 1 ng DNA, a maximum volume of 3.5 μl input was used. Library concentration was determined with triplicate readings of the Kapa Illumina Library Quantification Kit; 20 fmol of raw sample libraries and 10 fmol of host-depleted libraries were pooled and size selected for fragments between 300 and 800 bp on the Sage Science PippinHT to exclude primer dimers. The pooled library was sequenced as a paired-end 150-cycle run on an Illumina HiSeq2500 v2 in Rapid Run mode at the UCSD IGM Genomics Center.
Sequencing data analysis
Demultiplexed sequences were processed using an in-house modular workflow employing Snakemake  (https://github.com/tanaes/snakemake_assemble, commit 1c393f4). First, reads were trimmed and quality filtered using Atropos v 1.1.5, a fork of Cutadapt . Reads aligning to the host genome (GRCh38.p7) were identified using Bowtie 2 v2.3.0  with parameters set by the flag—very sensitive local. A total of seven samples with fewer than 50,000 quality-filtered non-human reads were excluded from downstream analysis. The host-filtered microbial reads from the remaining 137 samples were profiled using MetaPhlAn v2.0  with standard parameters. The MetaPhlAn taxonomic output matrix was filtered to represent only the relative abundance of the most specific taxonomic level. Taxa only identified in one out of the 137 samples were excluded from analysis, resulting in 175 taxa. This filtered matrix was used for Bray-Curtis and Binary Jaccard beta diversity analysis using QIIME. For phylogenetic analyses including UniFrac , a tree was created using the MetaPhlAn2 taxonomy, with internal branches assigned a length of 1. Because some taxa could not be assigned to the tips of the tree, internal nodes were added as tips assigned a length of 0, allowing these taxa to contribute to the analysis.
We would like to acknowledge Dr. Paul Carini for his advice in optimizing the PMA protocol used in this manuscript, Dr. Anup Mahurkar for providing the HMP metagenomic data, and Serene Sun for the statistical analysis advice.
Research reported in this publication was supported in part by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under award number AR071731. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This research was also supported in part by the Center for Microbiome Innovation, UC San Diego, and a fellowship award from BASF (Germany) awarded to CM.
Availability of data and materials
The dataset supporting the conclusions of this article (all human-filtered microbial sequencing data) is publicly available at qiita.ucsd.edu under Qiita ID 11541 and the European Nucleotide Archive (ENA) under Study ID PRJEB24090, accession ERP105893.
CM, LZ, RK, and KZ designed the experiment. CM performed the experiment and wrote the manuscript with input from all authors. CM, JS, CZ, and LZ analyzed, interpreted, and visualized the data. All authors read and approved the final manuscript.
Ethics approval and consent to participate
All human subjects who participated in this project were consented under the UCSD HRPP approved protocol #150275 Explaining Variability in Human-associated microbial Communities PI Rob Knight (Federalwide Assurance number, FWA00004495).
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Zuñiga C, Zaramela L, Zengler K. Elucidation of complexity and prediction of interactions in microbial communities. Microb Biotechnol. 2017;10:1500–22.View ArticlePubMedPubMed CentralGoogle Scholar
- Knight R, Callewaert C, Marotz C, Hyde ER, Debelius JW, Mcdonald D, et al. The microbiome and human biology. Annu Rev Genomics Hum Genet. 2017;183:65–86.View ArticleGoogle Scholar
- Hilt EE, McKinley K, Pearce MM, Rosenfeld AB, Zilliox MJ, Mueller ER, et al. Urine is not sterile: use of enhanced urine culture techniques to detect resident bacterial flora in the adult female bladder. J Clin Microbiol. 2014;52:871–6.View ArticlePubMedPubMed CentralGoogle Scholar
- Martín R, Heilig HGHJ, Zoetendal EG, Jiménez E, Fernández L, Smidt H, et al. Cultivation-independent assessment of the bacterial diversity of breast milk among healthy women. Res Microbiol. 2007;158:31–7.View ArticlePubMedGoogle Scholar
- Potgieter M, Bester J, Kell DB, Pretorius E. The dormant blood microbiome in chronic, inflammatory diseases. FEMS Microbiol Rev. 2015;39:567–91.View ArticlePubMedPubMed CentralGoogle Scholar
- Koren O, Spor A, Felin J, Fak F, Stombaugh J, Tremaroli V, et al. Human oral, gut, and plaque microbiota in patients with atherosclerosis. Proc Natl Acad Sci. 2011;108:4592–8.View ArticlePubMedGoogle Scholar
- Klindworth A, Pruesse E, Schweer T, Peplies J, Quast C, Horn M, et al. Evaluation of general 16S ribosomal RNA gene PCR primers for classical and next-generation sequencing-based diversity studies. Nucleic Acids Res. 2013;41:e1.View ArticlePubMedGoogle Scholar
- Wen Y, Xiao F, Wang C, Wang Z. The impact of different methods of DNA extraction on microbial community measures of BALF samples based on metagenomic data. Am J Transl Res. 2016;8:1412–25.PubMedPubMed CentralGoogle Scholar
- Hansen WLJ, Bruggeman CA, Wolffs PFG. Pre-analytical sample treatment and DNA extraction protocols for the detection of bacterial pathogens from whole blood. Methods Mol Biol. 2013;943:81–90.View ArticlePubMedGoogle Scholar
- Thoendel M, Jeraldo P, Greenwood-Quaintance K, Yao J, Abdel M, Chia N, et al. Identification of prosthetic joint pathogens directly in clinical specimens by metagenomic shotgun sequencing. Open forum Infect Dis. 2016;3:1.View ArticleGoogle Scholar
- Ferretti P, Farina S, Cristofolini M, Girolomoni G, Tett A, Segata N. Experimental metagenomics and ribosomal profiling of the human skin microbiome. Exp Dermatol. 2017;26:211–9.View ArticlePubMedGoogle Scholar
- Horz H-P, Scheer S, Huenger F, Vianna ME, Conrads G. Selective isolation of bacterial DNA from human clinical specimens. J Microbiol Methods. 2008;72:98–102.View ArticlePubMedGoogle Scholar
- Feehery GR, Yigit E, Oyola SO, Langhorst BW, Schmidt VT, Stewart FJ, et al. A method for selectively enriching microbial DNA from contaminating vertebrate host DNA. PLoS One. 2013;8:e76096.View ArticlePubMedPubMed CentralGoogle Scholar
- Liu G, Weston CQ, Pham LK, Waltz S, Barnes H, King P, et al. Epigenetic segregation of microbial genomes from complex samples using restriction endonucleases hpaii and McrB. PLoS One. 2016;11:e0146064.View ArticlePubMedPubMed CentralGoogle Scholar
- Gu W, Crawford ED, O’Donovan BD, Wilson MR, Chow ED, Retallack H, et al. Depletion of abundant sequences by hybridization (DASH): using Cas9 to remove unwanted high-abundance species in sequencing libraries and molecular counting applications. Genome Biol. 2016;17:41.View ArticlePubMedPubMed CentralGoogle Scholar
- Nocker A, Cheung CY, Camper AK. Comparison of propidium monoazide with ethidium monoazide for differentiation of live vs. dead bacteria by selective removal of DNA from dead cells. J Microbiol Methods. 2006;67:310–20.View ArticlePubMedGoogle Scholar
- Fittipaldi M, Nocker A, Codony F. Progress in understanding preferential detection of live cells using viability dyes in combination with DNA amplification. J Microbiol Methods. 2012;91:276–89.View ArticlePubMedGoogle Scholar
- Soejima T, Iida K, Qin T, Taniai H, Seki M, Takade A, et al. Photoactivated ethidium monoazide directly cleaves bacterial DNA and is applied to PCR for discrimination of live and dead bacteria. Microbiol Immunol. 2007;51:763–75.View ArticlePubMedGoogle Scholar
- Alcoser SY, Kimmel DJ, Borgel SD, Carter JP, Dougherty KM, Hollingshead MG. Real-time PCR-based assay to quantify the relative amount of human and mouse tissue present in tumor xenografts. BMC Biotechnol. 2011;11:124.View ArticlePubMedPubMed CentralGoogle Scholar
- Ji P, Zhang Y, Wang J, Zhao F. MetaSort untangles metagenome assembly by reducing microbial community complexity. Nat Commun. 2017;8:14306.View ArticlePubMedPubMed CentralGoogle Scholar
- Kuczynski J, et al. Using QIIME to analyze 16S rRNA gene sequences from microbial communities. Curr Protoc Microbiol. 2012:1E-5.Google Scholar
- Marotz C, Amir A, Humphrey G, Gaffney J, Gogul G, Knight RDNA. Extraction for streamlined metagenomics of diverse environmental samples. BioTechniques. 2017;62:290–3.View ArticlePubMedGoogle Scholar
- Carini P, Marsden PJ, Leff JW, Morgan EE, Strickland MS, Fierer N. Relic DNA is abundant in soil and obscures estimates of soil microbial diversity. Nat Microbiol. 2016;2:16242.View ArticlePubMedGoogle Scholar
- Mahnert A, Vaishampayan P, Probst AJ, Auerbach A, Moissl-Eichinger C, Venkateswaran K, et al. Cleanroom maintenance significantly reduces abundance but not diversity of indoor microbiomes. PLoS One. 2015;10(8):e0134848.View ArticlePubMedPubMed CentralGoogle Scholar
- Nguyen LDN, Deschaght P, Merlin S, Loywick A, Audebert C, Van Daele S, et al. Effects of propidium monoazide (PMA) treatment on mycobiome and bacteriome analysis of cystic fibrosis airways during exacerbation. PLoS One. 2016;11:e0168860.View ArticlePubMedPubMed CentralGoogle Scholar
- Weber M, Geißert J, Kruse M, Lipski A. Comparative analysis of bacterial community composition in bulk tank raw milk by culture-dependent and culture-independent methods using the viability dye propidium monoazide. J Dairy Sci. 2014;97:6761–76.View ArticlePubMedGoogle Scholar
- Zhao F, Liu H, Zhang Z, Xiao L, Sun X, Xie J, et al. Reducing bias in complex microbial community analysis in shrimp based on propidium monoazide combined with PCR-DGGE. Food Control. 2016;68:139–44.View ArticleGoogle Scholar
- Exterkate RAM, Zaura E, Brandt BW, Buijs MJ, Koopman JE, Crielaard W, et al. The effect of propidium monoazide treatment on the measured bacterial composition of clinical samples after the use of a mouthwash. Clin Oral Investig. 2015;19:813–22.View ArticlePubMedGoogle Scholar
- Kerstens M, Boulet G, Van Kerckhoven M, Clais S, Lanckacker E, Delputte P, et al. A flow cytometric approach to quantify biofilms. Folia Microbiol. 2015;60:335–42.View ArticleGoogle Scholar
- Köster J, Rahmann S. Snakemake—a scalable bioinformatics workflow engine. Bioinformatics. 2012;28:2520–2.View ArticlePubMedGoogle Scholar
- Didion JP, Martin M, Collins FS. Atropos: specific, sensitive, and speedy trimming of sequencing reads. PeerJ. 2017;5:e3720.View ArticlePubMedPubMed CentralGoogle Scholar
- Langmead B, Trapnell C, Pop M, Salzberg S. Ultrafast and memory-efficient alignment of short DNA sequences to the human genome. Genome Biol. 2009;10:R25.View ArticlePubMedPubMed CentralGoogle Scholar
- Truong DT, Franzosa EA, Tickle TL, Scholz M, Weingart G, Pasolli E, et al. MetaPhlAn2 for enhanced metagenomic taxonomic profiling. Nat Methods. 2015;12:902–3.View ArticlePubMedGoogle Scholar
- Lozupone C, Lladser ME, Knights D, Stombaugh J, UniFrac KR. An effective distance metric for microbial community comparison. ISME J. 2011;5:69–72.View ArticleGoogle Scholar