Background: Although several large cohort studies have focused on the human gut microbiome, large cohort study of the Japanese gut microbiome is scarce, especially that of healthy or nondiseased individuals. The purpose of this study was to establish a reference range for gut microbial indices by collecting Japanese real-world microbiome data from the web-based cohort.Methods: We collected stool samples and original survey on lifestyle from 5,843 Japanese people through web-based services. From the obtained 16S rRNA sequence data derived from the stool sample, the ratio and distribution of each taxa were analyzed. The relationship between different epidemiological attributes and gut microbial indicators were statistically tested.Results: In total, 100 taxa (genus level) of gut microbiota were shared by more than 10% of Japanese people, and 20 taxa (genus level) by 90% or more. Bacteroides-dominant type was the most popular entero-type. The qualitative and quantitative indicators of these common gut microbiota were confirmed to be strongly correlated with age, constipation / diarrhea, and a history of lifestyle-related diseases. Therefore, we set up the healthy sub-cohort that controlled for these attribute factors, and defined a reference range from the distribution of gut microbial index in that population.Conclusions: The gut microbiota of Japanese people had high beta diversity, and there was no single "typical" gut microbiota type. We believe that the reference range of the gut microbial index obtained in this study can be a new reference value for determining the balance and health of the gut microbiota of an individual. In the future, it is necessary to clarify the clinical validity of this reference value by comparing with the clinical disease cohort.
Word count: 272 wordsKeywords: Gut microbiota, 16S rRNA, Japanese, reference range, microbial index Title of the project Draft No. Outline Confidential Page 4 of 29 Recently, several studies have revealed gender differences in gut microbiota [14][15][16][17]. Min et al [18] conducted an association study to identify bacterial compositions associated with men and women and showed similar microbiota characteristics, including overall abundance and diversity, between men and women. However, they also showed gender differences at the species level between microbial taxa related to fat distribution, suggesting the existence of a gender-specific microbiome signature corresponding to gender-specific fat distribution, which may also contribute to the observed sex-specific immunity differences [19]. Thus, several immune pathophysiology may be involved in gender differences in gut bacterial composition. Title of the project Draft No. Outline Confidential Page 5 of 29 5 Age is also an important factor affecting the gut microbiota [8][20][21][22]. Recent reports have described differences in gut microbiota between children and adults, and an adult-like composition of bacterial communities is established around 3-4 years old or more [7] [8][23][24][25]. In addition, intes...