(A) Outline of sample collection.
(B) Number of subjects and distribution of biological sex by cohort.
(C) Total number of samples per subject collected longitudinally.
(D) Bray Curtis β-diversity ordination of samples from IBS-C, IBS-D, and HC considering all samples from all subjects (n = 474 stool samples, no. of samples per subject 1–7).
(E) Same as (D) considering by-subject averaged data (statistics in inset from PERMANOVA on group membership). IBS-C and IBS-D versus HC, p = < 0.05, IBS-C versus IBS-D, p value = 0.001, dispersion around centroids via pairwise PERMANOVA (n = 22, 29, and 24 averaged gut microbiome profiles for IBS-C, IBS-D, and HC, respectively).
(F) Bray-Curtis dissimilarity (BCD)-based irregularity (BCDI) showing distribution of the three groups linear mixed-effect model correcting for subject HC versus IBS-C p = < 0.011 (n = 142, 170, and 143 stool samples for IBS-C, IBS-D, and HC, respectively).
(G) Community variability determined by the mean within-subject Bray Curtis distance (within-IBS-D versus within-IBS-C, p = < 0.005, ANOVA Tukey, n = 22, 46, 24, 53, and 29, Bray-Curtis distances between stool samples of the same subject for within-IBS-C, Healthy versus IBS-C, within-Healthy, Healthy versus IBS-D, and within-IBS-D, respectively).
(H) Bray Curtis β-diversity ordination of biopsy and stool samples (statistics in inset from PERMANOVA on group membership. n = 72, 12, and 462 stool samples for biopsy, flare, stool, respectively).
(I) Difference in mucosa associated and luminal microbiota composition based on Bray-Curtis distance (HC versus IBS-C, IBS-D versus IBS-C p = < 0.001, ANOVA Tukey HSD; n = 20, 22, and 19 paired mucosal-stool microbiome samples for IBS-C, IBS-D, and HC, respectively).
(J) Community variability within each group based on mean Bray Curtis Distance (HC versus IBS-C, p value = 0.02, ANOVA Tukey HSD, n = 10, 11, and 9 mucosal microbiome samples for IBS-C, IBS-D, and HC, respectively).
Boxplot center represents median and box interquartile range (IQR). Whiskers extend to most extreme data point <1.5 × IQR. C: IBS-C, D: IBS-D, H: HC. Symbols indicate significance (*p = < 0.05).
See also Figures S1 and S2 and Tables S1 and S2.