Detecting microbial dysbiosis associated with Pediatric Crohn’s disease despite the high variability of the gut microbiota

The relationship between the host and its microbiota is challenging to understand because both microbial communities and their environment are highly variable. We developed a set of techniques to address this challenge based on population dynamics and information theory. These methods identified additional bacterial taxa associated with pediatric Crohn's disease and could detect significant changes in microbial communities with fewer samples than previous statistical approaches. We also substantially improved the accuracy of the diagnosis based on the microbiota from stool samples and found that the ecological niche of a microbe predicts its role in Crohn’s disease. Bacteria typically residing in the lumen of healthy patients decrease in disease while bacteria typically residing on the mucosa of healthy patients increase in disease. Our results also show that the associations with Crohn’s disease are evolutionarily conserved and provide a mutual-information-based method to visualize dysbiosis.