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Volume 24 Issue 10, October 2018

Defining healthy microbiomes

Clinical studies have demonstrated that the composition of the gut microbiome often links to patient health. However, recent work has also revealed extensive variation in the composition of the gut microbiome, even among seemingly healthy patients. In this issue of Nature Medicine, two large-scale clinical microbiome studies provide transformative insight into two factors contributing to this variation: ethnicity and geography. The cover art is a conceptual representation of the work by Hong-wei Zhou and colleagues identifying host location as having the strongest association with microbiota variation in a cohort of 7,009 individuals from 14 districts within a single province in China.

See Zhou and colleagues, Deschasaux et al. and News & Views by Sharpton and Gaulke

Image credit: Tianxing Shi. Cover design: Erin Dewalt

Editorial

  • Thanks to improvements in data collection and analysis, some polygenic risk scores that predict disease risk are approaching the same predictive accuracy offered by tests for monogenic mutations. The time to think about how best to incorporate polygenic tests in the clinic is now.

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News Feature

  • Virologists say sewage systems are flush with opportunity.

    • Colin Barras
    News Feature
  • Will the rise of patient navigators help avert health disparities?

    • Shraddha Chakradhar
    News Feature
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Research Highlights

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News & Views

  • Acquired resistance to CD19-targeted CAR T cell therapy can occur through mutations in the CD19 gene or after insertion of a chimeric antigen receptor (CAR) into leukemia cells, resulting in the adjacent receptor being masked by the CAR.

    • Sarwish Rafiq
    • Renier J. Brentjens
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  • Base editors function in mouse fetuses and in the livers of adult mice to treat a genetic disorder.

    • Huiyun Seo
    • Jin-Soo Kim
    News & Views
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