Multivariable association discovery in population-scale meta-omics studies

It is challenging to associate features such as human health outcomes, diet, environmental conditions, or other metadata to microbial community measurements, due in part to their quantitative properties. Microbiome multi-omics are typically noisy, sparse (zero-inflated), high-dimensional, extremely non-normal, and often in the form of count or compositional measurements. Here we introduce an optimized combination of novel and established methodology to assess multivariable association of microbial community features with complex metadata in population-scale observational studies. Our approach, MaAsLin 2 (Microbiome Multivariable Associations with Linear Models), uses generalized linear and mixed models to accommodate a wide variety of modern epidemiological studies, including cross-sectional and longitudinal designs, as well as a variety of data types (e.g., counts and relative abundances) with or without covariates and repeated measurements. To construct this method, we conducted a large-scale evaluation of a broad range of scenarios under which straightforward identification of meta-omics associations can be challenging. These simulation studies reveal that MaAsLin 2’s linear model preserves statistical power in the presence of repeated measures and multiple covariates, while accounting for the nuances of meta-omics features and controlling false discovery. We also applied MaAsLin 2 to a microbial multi-omics dataset from the Integrative Human Microbiome (HMP2) project which, in addition to reproducing established results, revealed a unique, integrated landscape of inflammatory bowel diseases (IBD) across multiple time points and omics profiles.Author summary: Recently, several statistical methods have been proposed to identify phenotypic or environmental associations with features (e.g., taxa, genes, pathways, chemicals, etc.) from molecular profiles of microbial communities. Particularly for human microbiome epidemiology, however, most of these are primarily focused on univariable associations that analyze only one or a few environmental covariates. This is a critical gap to address, given the growing commonality of population-scale microbiome research and the complexity of associated study designs, including dietary, pharmaceutical, clinical, and environmental covariates, often with samples from multiple time points or tissues. Surprisingly, there have been no systematic evaluations of statistical analysis methods appropriate for such studies, nor consensus on appropriate methods for scalable microbiome epidemiology. To this end, we developed and validated a statistical model (MaAsLin) that provides both the first unified method and the first large-scale, comprehensive benchmarking of multivariable associations in population-scale microbial community studies. We hope that the MaAsLin 2 implementation, validated through extensive simulations and an application to HMP2 IBD multi-omics, will be helpful for researchers in future analysis of both human-associated and environmental microbial communities.