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Le choléra est une infection diarrhéique aiguë qui représente encore aujourd’hui un grave problème de santé publique dans les pays où l’accès à l’eau potable et un système d’assainissement adéquat ne peut pas être garanti. Vibrio cholerae, le pathogène bactérien responsable de cette maladie, peut provoquer toute une série de symptômes chez les individus infectés, allant d’une diarrhée intense conduisant à une déshydratation sévère, au portage asymptomatique de la bactérie. Bien que notre compréhension du choléra à une échelle macro-épidémiologique a considérablement été améliorée par le développement des techniques de séquençage à haut débit et par les avancées dans le domaine de la génomique bactérienne, aucune étude n’a encore été menée pour caractériser son évolution à l’échelle des individus infectés. De plus, le rôle des porteurs asymptomatiques au sein d’une épidémie et la raison derrière l’absence de symptômes chez ces individus infectés sont encore méconnus. L’objectif principal de cette thèse est donc de (1) caractériser la diversité génomique de V. cholerae au niveau des individus et des cercles familiaux, mais aussi (2) d’évaluer le rôle potentiel du microbiome intestinal dans la susceptibilité de contracter cette maladie entérique aiguë et de présenter des symptômes sévères. Dans un premier temps, nous caractérisons la diversité génomique de colonies isolées à partir de patients symptomatiques. Le séquençage de génomes entiers de souches provenant de patients du Bangladesh et d’Haïti révèle que cette diversité sous la forme de mutations ponctuelles reste limitée, mais détectable au sein des hôtes. Une grande partie de la variation du contenu génétique semble être surtout due au gain et à la perte de phages et de plasmides au sein de la population de V. cholerae, avec des échanges occasionnels entre le pathogène et d’autres membres commensaux du microbiote intestinal. Cela contredit l’hypothèse couramment acceptée que les infections par V. cholerae sont majoritairement clonales, et confirme que le transfert horizontal de gènes est un facteur important dans l’évolution de V. cholerae. De plus, nos résultats montrent que certains de ces variants peuvent avoir un effet phénotypique, impactant par exemple la formation de biofilms, et peuvent être sélectionnés au sein des individus infectés. Par la suite, nous appliquons une association de méthodes de séquençage de génomes entiers et de méthodes métagénomiques afin d’améliorer la détection des variants intra-hôte, à la fois chez des patients symptomatiques, mais aussi chez des porteurs asymptomatiques. Notre étude montre que l’approche métagénomique offre une meilleure résolution dans la détection de la diversité dans la population microbienne, mais reste difficile à appliquer chez des patients asymptomatiques, en raison du faible nombre de cellules de V. cholerae chez ces patients. Dans l’ensemble, nous constatons que le niveau de diversité au sein de la population bactérienne intra-hôte est similaire entre les patients symptomatiques et asymptomatiques. Nous détectons aussi la présence de souches hypermutantes chez certains patients. De plus, alors que les mutations chez les patients porteurs de phénotypes d’hypermutations ne semblent pas sous l’effet de la sélection, des signes d'évolution parallèle sont détectés chez les patients présentant un plus faible nombre de mutations, suggérant des mécanismes d’adaptation au sein de l’hôte. Nos résultats soulignent la puissance de la métagénomique combinée au séquençage de génomes entiers pour caractériser la diversité intra-hôte dans le cas d’une infection aiguë du choléra, mais aussi dans le cas de portage asymptomatique, tout en identifiant pour la première fois le phénotype d’hypermutation chez des patients infectés. Finalement, nous nous intéressons aux facteurs liés à la susceptibilité à la maladie et à la sévérité des symptômes. Basée sur une étude récente utilisant le séquençage 16S pour montrer le lien potentiel entre le microbiome intestinal et la susceptibilité à l’infection par V. cholerae, nos analyses utilisent les méthodes de séquençage métagénomique sur les mêmes échantillons de cette précédente étude afin de caractériser les profils taxonomiques et fonctionnels du microbiome intestinal de contacts familiaux exposés à V. cholerae. Les échantillons sont prélevés avant l’infection de ces contacts familiaux et l’apparition ou non de symptômes, et sont analysés pour identifier des prédicteurs à la maladie symptomatique. Grâce à un algorithme d’apprentissage machine, nous pouvons identifier des espèces, des familles de gènes et des voies métaboliques du microbiome au moment de l'exposition à V. cholerae pour détecter des biomarqueurs potentiels corrélés avec les risques d'infection et la gravité des symptômes. Nos résultats montrent que l’utilisation du séquençage métagénomique améliore la précision et l’exactitude des prévisions par rapport au séquençage 16S. Nos analyses permettent aussi de prédire la gravité de la maladie, bien qu’avec une plus grande incertitude que la prédiction de l’infection. Des taxons bactériens des genres Prevotella et Bifidobacterium ont été identifiées comme des marqueurs potentiels de protection contre l’infection, tout comme gènes impliqués dans le métabolisme du fer. Nos résultats soulignent le pouvoir de la métagénomique pour prédire l’évolution des maladies et identifient des espèces et des gènes spécifiques pouvant être impliqués dans des tests expérimentaux afin d’étudier les mécanismes liés au microbiome intestinal expliquant la potentielle protection contre le choléra. / Cholera is an acute diarrhoeal disease that remains a global threat to public health in countries where access to safe water and adequate sanitation cannot be guaranteed. Vibrio cholerae, the bacterial pathogen responsible for this disease, can cause a range of symptoms in infected individuals, from intense diarrhea leading to severe dehydration, to asymptomatic carriage of the bacteria. Although our understanding of cholera on a macro-epidemiological scale has been considerably improved by the development of high-throughput sequencing techniques and by advances in bacterial genomics, no studies have yet been conducted to characterize its evolution at the scale of infected individuals. Furthermore, the role of asymptomatic carriers in an epidemic and the reason behind the absence of symptoms in these infected individuals remains unknown. The main objective of this thesis is therefore to characterize the genomic diversity of V. cholerae at the level of individuals and households, but also to evaluate the potential role of the gut microbiome in the susceptibility to contract this acute enteric disease and to present severe symptoms. First, we characterize the genomic diversity of colonies isolated from symptomatic patients. The whole genome sequencing of strains from patients in Bangladesh and Haiti reveals that this diversity is detectable in the form of point mutations within hosts, but remains limited. Much of the variation detected within patients appears to be due to the gain and loss of phages and plasmids within the V. cholerae population, with occasional exchanges between the pathogen and other commensal members of the gut microbiota. These results challenge the commonly accepted assumption that V. cholerae infections are predominantly clonal, and confirm that horizontal gene transfer is an important factor in the evolution of V. cholerae. In addition, our results show that some of these variants may also have a phenotypic effect, for example by impacting biofilm formation, and can be selected within infected individuals. Next, we apply a combination of whole genome sequencing and metagenomic approaches to improve the detection of intra-host variants, both in symptomatic patients and in asymptomatic carriers. Our study shows that the metagenomic approach offers a better resolution in the detection of the diversity in the microbial population, but remains difficult to apply in asymptomatic patients, due to the low number of V. cholerae cells in these individuals. Overall, we find that the level of diversity within the intra-host bacterial population is similar between symptomatic and asymptomatic patients. We also detect the presence of hypermutator strains in some patients. In addition, while mutations in patients with hypermutator phenotypes did not appear to be driven by selection, signs of parallel evolution are detected in patients with fewer mutations, suggesting adaptive mechanisms within the host. Our results underline the power of metagenomics combined with whole genome sequencing to characterize intra-host diversity in acute cholera infection, but also in asymptomatic carriers, while identifying for the first time an hypermutator phenotype in infected patients. Finally, we are interested in factors related to susceptibility to the disease and related to the severity of symptoms. Based on a recent study using 16S rRNA amplicon sequencing to show the potential link between the intestinal microbiome and susceptibility to V. cholerae infection, our study uses metagenomic sequencing methods on the same samples from this previous study to characterize the taxonomic and functional profiles of the gut microbiome of household contacts exposed to V. cholerae. Samples are collected prior to infection of these household contacts, and used to identify predictors of symptomatic disease. Using a machine learning algorithm, we can identify species, gene families and metabolic pathways in the microbiome at the time of exposure to V. cholerae to detect potential biomarkers correlated with risk of infection and symptom severity. Our results show that the use of metagenomic sequencing improves the precision and accuracy of predictions compared to 16S rRNA amplicon sequencing. Our analyses also predict disease severity, although with greater uncertainty than the prediction of infection. Bacterial taxa from the genera Prevotella and Bifidobacterium have been identified as potential markers of protection against infection, as well as genes involved in iron metabolism. Our results highlight the power of metagenomics to predict disease progression and identify specific species and genes that could be involved in experimental tests to study the mechanisms related to the microbiome explaining potential protection against cholera.

The primary objective of this thesis is to differentiate between the risk factors for pre-and post-monsoon cholera epidemics in rural Bangladesh by analyzing the complex interaction between select environmental, cultural/behavioral, and socioeconomic variables over space and time. In rural Bangladesh, cholera epidemics correspond with the annual monsoon: the first, and smallest, occurs between March and June, while the larger cholera peak occurs between September and December. The differences between the spatial and temporal patterns of seasonal cholera are analyzed, and the risk factors are calculated for pre-and post-monsoon cholera epidemics. The theoretical approach that underlies this medical geographical study is disease ecology, which espouses that risk of disease is caused by an interaction between people and their environment. This thesis is structured around a holistic understanding that human-environment interactions are inseparable. In Bangladesh, the monsoon season typically starts between May and June. The 1992 and 1993 cholera peaks occurred just before the monsoon in April and March respectively, while the 1994 cholera peak occurred between April and June. In 1992 and 1993 cholera incidence increased in the post-monsoon period, and peaked in October. The 1994 post-monsoon cholera peak occurred in November. There is a regular temporal pattern to cholera, as the peaks followed a seasonal pattern with the smaller epidemic occurring in the pre-monsoon period and the larger epidemic occurring in the post-monsoon period. This study shows that there are different risks associated with pre-monsoon cholera epidemics and post-monsoon cholera epidemics. The two main risk factors associated with cholera incidence pre-monsoon were bari population (i.e., crowding) and a house located within the flood controlled area. These two variables were even more strongly associated with post-monsoon cholera incidence to a greater degree, along with a number of other variables including water use, sanitation practices, and socioeconomic status.

La mutagenèse dirigée est un outil indispensable à toute étude microbiologique, car elle permet d’identifier le rôle de certains locus génétiques identifiés comme acteurs potentiels dans des contextes précis. Cependant, les protocoles de mutagenèse dirigée sont longs et laborieux, et leur mise en œuvre est l’un des points limitants en recherche. L’émergence de CRISPR-Cas9 (clustered regularly interspaced short palindromic repeats) comme outil moléculaire a permis d’accélérer et de faciliter ces procédures de mutagenèse par contre-sélection. La limite de ces protocoles se situe dans la régénération de l’espaceur effectuant la contre-sélection. Notre plateforme CRISPR, dénommée Horus, offre une solution à cette limitation. Elle utilise du clonage in vivo afin de raccourcir autant la durée que la charge de travail du protocole, pour aboutir à l'obtention de mutants en une seule étape. Pour se faire nous avons conçu in silico un ARN guide synthétique capable d’agir comme un interrupteur génétique (porte logique ET) et de performer une contre sélection (discriminant les bactéries de types sauvages des mutants) via le système CRISPR-Cas9. / Site-directed mutagenesis is an essential tool for any microbiological study because it makes it possible to identify the role of certain loci identified as potential actors in specific contexts. However, site-directed mutagenesis protocols are long and laborious, and their implementation is one of the limiting points of research. The emergence of CRISPR-Cas9 (clustered regularly interspaced short palindromic repeats) as a molecular tool has accelerated the facilitation of these counter-selection mutagenesis protocols. The limitation of these protocols lies in the regeneration of the protospacer mediating the counter selection. Our CRISPR platform, called Horus (HOmologuous Recombination Using SsDNA), offers a solution to this limitation. It uses in vivo cloning to shorten both the duration and the workload of the protocol, allowing to obtain mutants strains in just one step. To do so, we designed in silico a synthetic guide RNA capable of acting as a genetic switch (AND Gate) and performing counter-selection (discriminating WT bacteria from mutants) via the CRISPR-Cas9 system.

Vibrio cholerae is the cholera causing agent, divided into two biotypes, including the classical biotype and ElTor biotype. Both of these biotypes caused cholera epidemics in the world. The classical biotype caused 6th cholera pandemic (from 1921 to 1961), and ElTor biotype caused 7th cholera pandemic (from 1961 to the 70s). Haemolysin A, a hemolytic protein of V. cholerae ElTor biotype, is encoded by the hlyA gene. This gene is often used for analyzing genetic relationship between strains in the same species or between species in the same Vibrio genus. Results of analyzing nucleotide and amino acid sequences of hlyA gene of V. cholerae strain causing cholera in Vietnam (named hlyA.VN) showed that: the hlyA.VN gene sequence was similar to the hlyA gene sequences of V. cholerae strains of the 6thand 7thcholera epidemics. The hlyA gene of the 6th cholera epidemic strain was deficient in 11 nuleotides (this deficiency leading to the loss of 4 amino acids in the haemolysin A protein) comparing to hlyA.VN gene and hlyA gene of the 7th cholera epidemic strain. The results of genetic distance analysis as well as phylogenetic tree construction also confirmed V. cholerae causing cholera in Vietnam was closely relationship to the strains causing cholera pandemics in the world. It is great significance for the surveillance of molecular epidemiology to prevent cholera effectively. / Vibrio cholerae là tác nhân gây bệnh tả, được chia thành hai typ sinh học, đó là typ sinh học cổ điển và typ sinh học ElTor. Cả hai typ này đã từng gây ra các đại dịch tả trên thế giới. Typ sinh học cổ điển đã từng gây ra đại dịch tả lần thứ 6 (từ năm 1921 đến 1961), còn typ sinh học ElTor đã từng gây ra đại dịch tả lần thứ 7 (từ 1961 đến những năm 70). Haemolysin A, một protein có chức năng làm tan máu của V. cholerae typ sinh học ElTor, được mã hóa bởi gen hlyA. Gene này thường được sử dụng cho các phân tích quan hệ di truyền giữa các chủng trong cùng một loài V. cholerae hay giữa các loài trong cùng một chi Vibrio. Kết quả phân tích trình tự nucleotide và axit amin gen hlyA của chủng V. cholerae gâybệnh ở Việt Nam (hlyA.VN) cho thấy: trình tự gen hlyA.VN có sự tương đồng lớn với trình tự gen hlyA của chủng gây đại dịch tả 6 và 7. Gen hlyA của chủng gây đại dịch tả 6 bị thiếu hụt 11 nuleotide (sự thiếu hụt này dẫn tới sự mất đi 4 axit amin trong phân tử haemolysin A) so với gen hlyA.VN và gene hlyA của chủng gây đại dịch tả 7. Kết quả phân tích khoảng cách di truyền cũng như xây dựng cây phát sinh chủng loại cũng đã khẳng định: chủng gây bệnh ở Việt Nam có quan hệ rất gần với các chủng gây đại dịch tả trên thế giới. Nhận định này có ý nghĩa rất lớn đối với công tác giám sát dịch tễ học phân tử để ngăn chặn bệnh tả hiệu quả.

Submitted by Cleide Dantas (cleidedantas@ufpa.br) on 2014-02-10T14:29:20Z No. of bitstreams: 2 license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Dissertacao_CaracterizacaoMolecularVibrio.pdf: 3174345 bytes, checksum: 206791fda17f07e3185ab94a45a6791f (MD5) / Approved for entry into archive by Ana Rosa Silva (arosa@ufpa.br) on 2014-04-16T15:10:09Z (GMT) No. of bitstreams: 2 Dissertacao_CaracterizacaoMolecularVibrio.pdf: 3174345 bytes, checksum: 206791fda17f07e3185ab94a45a6791f (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2014-04-16T15:10:09Z (GMT). No. of bitstreams: 2 Dissertacao_CaracterizacaoMolecularVibrio.pdf: 3174345 bytes, checksum: 206791fda17f07e3185ab94a45a6791f (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2011 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O V.cholerae é um microorganismo autóctone do ambiente aquático e os sorogrupos O1 e O 139 estão ligados a pandemia e epidemia de cólera. Os V.cholerae não O1 e não O139 ou vibrios não aglutinantes (NAGs) estão envolvidos em casos isolados e surtos de diarréia semelhantes à cólera. No decorrer da sétima pandemia houve o surgimento de diversos isolados “El Tor atípicos”. Entre estes se encontra a variante bioquímica do V.cholerae O1 que não fermenta a sacarose no TCBS em 18 a 24 horas que é o tempo de incubação convencional. Neste trabalho foram estudados 138 isolados de V.cholerae O1 e não O1 não fermentador da sacarose no TCBS de procedência clínica e ambiental, obtidos entre 1994 e 1995 na Amazônia Brasileira (Estados do Pará, Amapá e Amazonas). Avaliou-se a fermentação da sacarose no TCBS e em caldo; o perfil de suscetibilidade a oito diferentes antimicrobianos em ágar difusão; a relação clonal entre os V.cholerae O1 e NAG clínicos e ambientais pelo PFGE e a presença de genes de virulência ctxAB e tcpA pela reação em cadeia da polimerase. Observou-se que as amostras de V.cholerae não fermentaram a sacarose em 24 de incubação no ágar TCBS e em caldo, 43% utilizaram a sacarose em 24 horas e 57% a fermentavam tardiamente (tempo superior a 24 horas). Os isolados apresentaram baixo percentual de resistência a antimicrobianos (8,7%) e nenhum caso de multiresistência. Em relação aos genes de virulência, de um modo geral, os isolados de V.cholerae O1 apresentavam o tcpA e o ctxAB. Nos não O1 estes estavam ausentes, com exceção de um isolado clínico não O1 (gene tcpA+). A análise do PFGE revelou pulsotipos distintos entre os O1 e NAGs, embora dois destes últimos tenham apresentado relação clonal com os O1 clínicos. Todos os O1 clínicos apresentaram relação clonal com isolados de referência da sétima pandemia. / The V. cholerae is an autochthonous organism of the aquatic environment and serogroups O1 and 139 are associated to the pandemic and epidemic cholera. The V. cholerae non-O1 and non O139 or non-binders vibrios (NAGS) are involved in isolated cases and outbreaks of cholera-like diarrhea. During the seventh pandemic there was the emergence of several isolated “El Tor atypical”. Among these there is a biochemical variant of V. cholerae O1 that does not ferment sucrose in TCBS in 18 to 24 hours which is the conventional incubation time. In this work, we studied 138 isolates of V. cholerae O1 and non O1 non-fermenter of sucrose on TCBS from clinical and environmental origin, obtained between 1994 and 1995 in the Brazilian Amazon (states of Pará, Amapá and Amazonas). We evaluated the fermentation of sucrose in TCBS and broth; the susceptibility to eight different antimicrobials in agar diffusion, the clonal relationship between V. cholerae O1 and NAG from clinical and environmental origin by PFGE and the presence of virulence genes tcpA and ctxAB by the polymerase chain reaction. It was observed that the samples of V. cholerae did not ferment sucrose in 24 hours of incubation in TCBS agar and broth, 43% used sucrose in 24 hours and 57% fermented it lately (more than 24 hours). The isolates had a low percentage of antimicrobial resistance (8.7%) and no cases of multidrug resistance. Regarding the virulence genes, in general, the isolates of V. cholerae O1 showed the ctxAB and tcpA. In the non-O1, these were absent, except for one clinical isolate non-O1 (gene tcpA +). The PFGE analysis revealed pulsotypes distinguished between O1 and nags, although two of the latter had presented the clonal relationship to clinical O1. All O1 clinical isolates were clonally related to the reference isolates from the seventh pandemic.

Corynebacterium diphtheriae, Pseudomonas aeruginosa, Ricinus communis, Shigella dysentariae, and Vibrio cholerae produce AB toxins which share the same basic structural characteristics: a catalytic A subunit attached to a cell-binding B subunit. All AB toxins have cytosolic targets despite an initial extracellular location. AB toxins use different methods to reach the cytosol and have different effects on the target cell. Broad-spectrum inhibitors against these toxins are therefore hard to develop because they use different surface receptors, entry mechanisms, enzyme activities, and cytosolic targets. We have found that grape seed extract provides resistance to five different AB toxins: diphtheria toxin (DT), P. aeruginosa exotoxin A (ETA), ricin, Shiga toxin, and cholera toxin (CT). To identify individual compounds in grape seed extract that are capable of inhibiting the activities of these AB toxins, we screened twenty common phenolic compounds of grape seed extract for anti-toxin properties. Three compounds inhibited DT, four inhibited ETA, one inhibited ricin, and twelve inhibited CT. Additional studies were performed to determine the mechanism of inhibition against CT. Two compounds inhibited CT binding to the cell surface and even stripped bound CT off the plasma membrane of a target cell. Two other compounds inhibited the enzymatic activity of CT. We have thus identified individual toxin inhibitors from grape seed extract and some of their mechanisms of inhibition against CT. This work will help to formulate a defined mixture of phenolic compounds that could potentially be used as a therapeutic against a broad range of AB toxins.

Les communautés bactériennes sont constituées d’un grand éventail d’espèces pouvant interagir entre elles dans des environnements spatialement hétérogènes tels que le sol, les plantes ou l'intestin humain. À quel point ces interactions stimulent ou entravent la diversité du microbiome demeure inconnu. Historiquement, deux hypothèses ont été proposées pour expliquer comment les interactions interespèces pourraient influencer la diversité. L’hypothèse ‘l’écologie contrôle’ (EC) prédit une relation négative, dans laquelle l'évolution ou la migration de nouvelles espèces est freinée à mesure que les niches se saturent. En revanche, l’hypothèse ‘la diversité engendre la diversité’ (DBD) prédit une relation positive, où la diversité existante favorise l'accumulation d'une plus grande diversité à travers des interactions telles que la construction de niche. De nombreuses études ont investigué ces modèles chez les vertébrés ou les plantes, et certaines les ont testés sur des bactéries en culture ; mais le modèle qui régit les communautés bactériennes naturelles demeure inconnu. En utilisant les données du gène ARN ribosomique 16S provenant d’un large éventail de microbiomes, j'ai montré une relation positive générale entre la diversité des taxons et la diversité des communautés de niveaux taxonomiques plus élevés. Cette observation est conforme à l’hypothèse du DBD, mais cette tendance positive plafonne à des niveaux élevés de diversité en raison des limites physiques de la niche. Ensuite, j'ai observé que le modèle DBD restait valide à une résolution plus fine, en analysant la variation génétique intra espèce dans les métagénomes des microbiomes intestinaux humains. Conformément au DBD, j'ai observé que le polymorphisme génétique ainsi que le nombre de souches intra espèces étaient positivement corrélés avec la diversité Shannon de la communauté. Dans le chapitre 3, j'ai examiné les interactions antagonistes entre V. cholerae et ses phages virulents et la manière dont ces interactions affectaient le cours de l’infection et la diversité génétique de V. cholerae chez les patients infectés. J'ai quantifié les abondances relatives de V. cholerae et des phages virulents associés dans plus de 300 métagénomes provenant de selles de patients atteints de choléra, tout en tenant compte de leur exposition aux antibiotiques. Les phages et les antibiotiques ont supprimé V. cholerae et ont été associés à une déshydratation légère chez les patients. J'ai également investigué les mécanismes de défense contre les phages dans V. cholerae et découvert que les éléments connus de résistance aux phages (integrative conjugative elements, ICEs) étaient associés à de faibles rapports phage: V. cholerae. J’ai pu montrer aussi que lorsque les ICEs ne sont pas détectés, la résistance aux phages semble être acquise par l’accumulation de mutations ponctuelles non synonymes. Mes résultats valident que les phages virulents sont un facteur qui protège contre le choléra tout en sélectionnant la résistance dans le génome de V. cholerae. / Bacterial communities harbor a broad range of species interacting within spatially heterogeneous environments such as soil, plants or the human gut. The extent to which these interactions drive or impede microbiome diversity is not well understood. Historically, two hypotheses have been suggested to explain how species interactions could influence diversity. The ‘Ecological Controls’ (EC) hypothesis predicts a negative relationship, where the evolution or migration of novel species is constrained as niches become filled. In contrast, the ‘Diversity Begets Diversity’ (DBD) hypothesis predicts a positive relationship, with existing diversity promoting the accumulation of further diversity via niche construction and other interactions. Many studies investigated these models in vertebrates or plants, some focused on cultured bacteria, but we still lack insights into how natural communities are assembled in the context of these two hypotheses. Using 16S RNA gene amplicon data across a broad range of microbiomes, I showed a general positive relationship between taxa diversity and community diversity at higher taxonomic levels, consistent with DBD. Due to niche’ limits, this positive trend plateaus at high levels of community diversity. Then, I found that DBD holds at a finer resolution by analyzing intra-species strain and nucleotide variation in sampled metagenomes from human gut microbiomes. Consistent with DBD, I observed that both intra-species polymorphism and strain number were positively correlated with community Shannon diversity. In Chapter 3, I investigated the antagonistic interactions between V. cholerae and its virulent phages and how these interactions affect the course of the infection and the within V. cholerae genetic diversity in natural infections. I quantified relative abundances of Vibrio cholerae (Vc) and associated phages in 300 metagenomes from cholera patients stool, while accounting for antibiotic exposure. Both phages and antibiotics suppressed V. cholerae and were inversely associated with severe dehydration. I also looked at V. cholerae phage-defense mechanisms and found that known phage-resistance elements (integrative conjugative elements, ICEs) were associated with lower phage:V. cholerae ratios. In the absence of detectable ICEs, phages selected for nonsynonymous point mutations in the V. cholerae genome. My findings validate that phages may protect against severe cholera while also selecting for resistance in the V. cholerae genome within infected patients.