Gut bacteria play a major role in human health, influencing everything from digestion to immunity and mood. Yet, the microbiome's complexity is staggering. The sheer number of bacterial species and their interactions with human chemistry have made it difficult for scientists to fully understand their effects. In a groundbreaking step, researchers at the University of Tokyo applied a type of artificial intelligence known as a Bayesian neural network to study gut bacteria. Their goal was to uncover connections that traditional data analysis methods often miss.

While the human body contains roughly 30 to 40 trillion human cells, the intestines alone harbor about 100 trillion bacterial cells. In other words, we carry more bacterial cells than our own. These microbes aren't just involved in digestion; they also produce and modify thousands of compounds called metabolites. These small molecules act as chemical messengers, circulating through the body and influencing metabolism, immunity, and even brain function. Understanding how specific bacteria produce particular metabolites could unlock new ways to support overall health.

Mapping the Microbial Puzzle

"The problem is that we're only beginning to understand which bacteria produce which human metabolites and how these relationships change in different diseases," explained Project Researcher Tung Dang from the Tsunoda lab in the Department of Biological Sciences. "By accurately mapping these bacteria-chemical relationships, we could potentially develop personalized treatments. Imagine being able to grow a specific bacterium to produce beneficial human metabolites or designing targeted therapies that modify these metabolites to treat diseases."

The main challenge lies in the sheer scale of the data. With countless bacteria and metabolites interacting in complex ways, identifying meaningful patterns is extremely difficult. To tackle this, Dang and his team turned to advanced artificial intelligence (AI) methods.

Their system, called VBayesMM, uses a Bayesian approach to detect which bacterial groups significantly influence particular metabolites. It also measures uncertainty in its predictions, helping prevent overconfident but incorrect conclusions. "When tested on real data from sleep disorder, obesity and cancer studies, our approach consistently outperformed existing methods and identified specific bacterial families that align with known biological processes," said Dang. "[This gives] confidence that it discovers real biological relationships rather than meaningless statistical patterns."

Understanding the System's Strengths and Limits

Because VBayesMM can recognize and communicate uncertainty, it provides researchers with more trustworthy insights than earlier tools. Although it's optimized for large-scale data, analyzing massive microbiome datasets remains computationally demanding. Over time, however, these costs are expected to decrease as processing power improves. The system also performs best when there is extensive bacterial data compared to metabolite data; otherwise, accuracy can drop. Another limitation is that VBayesMM treats bacteria as independent actors, even though they often interact in complex, interdependent networks.

"We plan to work with more comprehensive chemical datasets that capture the complete range of bacterial products, though this creates new challenges in determining whether chemicals come from bacteria, the human body or external sources like diet," said Dang. "We also aim to make VBayesMM more robust when analyzing diverse patient populations, incorporating bacterial 'family tree' relationships to make better predictions, and further reducing the computational time needed for analysis. For clinical applications, the ultimate goal is identifying specific bacterial targets for treatments or dietary interventions that could actually help patients, moving from basic research toward practical medical applications."

By using AI to navigate the vast and intricate world of gut microbes, researchers are moving closer to unlocking the microbiome's potential to transform personalized medicine.

Read more …AI unravels the hidden communication of gut microbes

A groundbreaking Blood Pressure Treatment Efficacy Calculator, developed using data from nearly 500 randomized clinical trials involving more than 100,000 participants, now enables doctors to estimate how much different medications can lower a patient's blood pressure.

Recently published in The Lancet, the research behind this tool could transform how high blood pressure is managed. It allows doctors to tailor therapy to each patient's needs based on how much they need to reduce their blood pressure.

"This is really important because every 1mmHg reduction in systolic blood pressure lowers your risk of heart attack or stroke by two percent," said Nelson Wang, cardiologist and Research Fellow at The George Institute for Global Health.

"But with dozens of drugs, multiple doses per drug, and most patients needing two or more drugs, there are literally thousands of possible options, and no easy way to work out how effective they are," he said.

Turning Data Into Smarter Treatment Choices

The new calculator addresses this complexity by analyzing average treatment effects across hundreds of studies. It also classifies therapies as low, moderate, or high intensity, depending on how much they reduce blood pressure (BP) -- an approach already used in cholesterol management.

A single blood pressure medication, which is still the standard way most treatments begin, typically lowers systolic BP by only 8-9 mmHg. Many patients, however, need drops of 15-30 mmHg to reach healthy targets.

Dr. Wang explained that although doctors have traditionally adjusted therapy by monitoring each patient's blood pressure readings, those measurements are too variable to depend on alone.

The Problem With "Noisy" Blood Pressure Readings

"Blood pressure changes from moment to moment, day to day and by season -- these random fluctuations can easily be as big or larger than the changes brought about by treatment," he said.

"Also, measurement practices are often not perfect, bringing in an additional source of uncertainty -- this means it's very hard to reliably assess how well a medicine is working just by taking repeated measurements."

Anthony Rodgers, Senior Professorial Fellow at The George Institute for Global Health, noted that while high blood pressure is the most common reason people visit their doctor, there has never been a single, comprehensive source showing how effective different drugs are, particularly when combined or used at different doses.

A New Approach to Managing Hypertension

"Using the calculator challenges the traditional 'start low, go slow, measure and judge' approach to treatment, which comes with the high probability of being misled by BP readings, inertia setting in or the burden on patients being too much," he said.

"With this new method you specify how much you need to lower blood pressure, choose an ideal treatment plan to achieve that based on the evidence, and get the patient started on that ideally sooner rather than later."

The next step will be to test this approach in a clinical trial, where treatments are prescribed according to how much a patient needs to lower their blood pressure, using the calculator as a guide.

A Global Health Challenge

High blood pressure remains one of the world's most serious health threats, affecting an estimated 1.3 billion people and contributing to about ten million deaths every year.1

Often referred to as a "silent killer" because it produces no obvious symptoms, hypertension can go unnoticed until it leads to heart attack, stroke, or kidney disease. Fewer than one in five people with the condition have it adequately controlled.2

"Given the enormous scale of this challenge, even modest improvements will have a large public health impact -- increasing the percentage of people whose hypertension is under control globally to just 50% could save many millions of lives," Professor Rodgers said.

The Blood Pressure Treatment Efficacy Calculator is freely available at www.bpmodel.org[1].

Notes

  1. Global report on hypertension: the race against a silent killer. Geneva: World Health Organization; 2023. Licence: CC BY-NC-SA 3.0 IGO
  2. World Heart Federation. Hypertension. https://world-heart-federation.org/what-we-do/hypertension/[2]
Read more …New online tool can predict how well blood pressure drugs will work

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