2014 · Proceedings of the National Academy of Sciences of the United States of America · paywalled
Relating the metatranscriptome and metagenome of the human gut
Franzosa et al.
The finding, in our words
This study validated self-collected stool and saliva for microbiome profiling, finding that microbial species and gene abundances were highly concordant across different preservation methods including freezing, ethanol, and RNAlater. These results support the feasibility of decentralised sampling for functional gut microbiota research.
A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.
A study found that fecal samples on FOBT cards and RNAlater, and oral samples in Scope mouthwash, remained stable for four days at room temperature, with fecal comparability ICCs ranging from 0.63 to 0.93. These methods support decentralised sampling, though consistent method choice is required as each may introduce modest differences.
Comparison of six stool collection methods in healthy volunteers found OMNIgene Gut, FOBT cards, RNAlater and Microlution were reliable for metagenomics, whereas 95% ethanol best preserved metabolite profiles; the authors recommend using separate collection methods for different analytical aims in large population studies.
Saliva samples collected using the OMNIgene ORAL device and oral wash samples remain stable for microbiome diversity and relative abundance analyses for up to five years when stored at -80°C. This supports the use of these self-collection methods for long-term prospective biobanking and decentralised clinical studies.
This review establishes that microsampling across blood, saliva, urine and stool matrices offers validated workflows and regulatory recognition for human biomonitoring comparable to conventional methods. It finds that these decentralised approaches enhance participant acceptability and enable screening in remote or low-resource settings.
In a one-week virtual home clinic with 134 participants, 86 per cent returned saliva and 84 per cent returned stool, and most components were feasible and acceptable despite device and logistical challenges. This supports decentralised, patient-centric self-collection of non-blood biospecimens for research.