RT Journal A1 Lee, Sunjae A1 Portlock, Theo A1 Le Chatelier, Emmanuelle A1 Garcia-Guevara, Fernando A1 Clasen, Frederick A1 OƱate, Florian Plaza A1 Pons, Nicolas A1 Begum, Neelu A1 Harzandi, Azadeh A1 Proffitt, Ceri A1 Rosario, Dorines A1 Vaga, Stefania A1 Park, Junseok A1 von Feilitzen, Kalle A1 Johansson, Fredric A1 Zhang, Cheng A1 Edwards, Lindsey A. A1 Lombard, Vincent A1 Gauthier, Franck A1 Steves, Claire J. A1 Gomez-Cabrero, David A1 Henrissat, Bernard A1 Lee, Doheon A1 Engstrand, Lars A1 Shawcross, Debbie L. A1 Proctor, Gordon A1 Almeida, Mathieu A1 Nielsen, Jens A1 Mardinoglu, Adil A1 Moyes, David L. A1 Ehrlich, Stanislav Dusko A1 Uhlen, Mathias A1 Shoaie, Saeed T1 Global compositional and functional states of the human gut microbiome in health and disease JF Genome Research JO Genome Research YR 2024 FD June 01 VO 34 IS 6 SP 967 OP 978 DO 10.1101/gr.278637.123 UL http://genome.cshlp.org/content/34/6/967.abstract AB The human gut microbiota is of increasing interest, with metagenomics a key tool for analyzing bacterial diversity and functionality in health and disease. Despite increasing efforts to expand microbial gene catalogs and an increasing number of metagenome-assembled genomes, there have been few pan-metagenomic association studies and in-depth functional analyses across different geographies and diseases. Here, we explored 6014 human gut metagenome samples across 19 countries and 23 diseases by performing compositional, functional cluster, and integrative analyses. Using interpreted machine learning classification models and statistical methods, we identified Fusobacterium nucleatum and Anaerostipes hadrus with the highest frequencies, enriched and depleted, respectively, across different disease cohorts. Distinct functional distributions were observed in the gut microbiomes of both westernized and nonwesternized populations. These compositional and functional analyses are presented in the open-access Human Gut Microbiome Atlas, allowing for the exploration of the richness, disease, and regional signatures of the gut microbiota across different cohorts.