Stability of the Fecal and Oral Microbiome over 2 Years at-80?C for Multiple Collection Methods

Background: In prospective cohorts, biological samples are generally stored over long periods before an adequate number of cases have accrued. We investigated the impact of sample storage at -80 degrees C for 2 years on the stability of the V4 region of the 16S rRNA gene across seven different collection methods (i.e., no additive, 95% ethanol, RNAlater stabilization solution, fecal occult blood test cards, and fecal immunochemical test tubes for feces; OMNIgene ORAL tubes and Scope mouthwash for saliva) among 51 healthy volunteers. Methods: Intraclass correlation coefficients (ICC) were calcu-lated for the relative abundance of the top three phyla, the 20 most abundant genera, three alpha-diversity metrics, and the first prin-cipal coordinates of three beta-diversity matrices.Results: The subject variability was much higher than the variability introduced by the sample collection type, and storage time. For fecal samples, microbial stability over 2 years was high across collection methods (range, ICCs = 0.70-0.99), except for the samples collected with no additive (range, ICCs = 0.23-0.83). For oral samples, most microbiome diversity measures were stable over time with ICCs above 0.74; however, ICCs for the samples collected with Scope mouthwash were lower for two alpha-diversity mea-sures, Faith's phylogenetic diversity (0.23) and the observed number of operational taxonomic units (0.23).Conclusions: Fecal and oral samples in most used collection methods are stable for microbiome analyses after 2 years at -80 degrees C, except for fecal samples with no additive.Impact: This study provides evidence that samples stored for an extended period from prospective studies are useful for microbiome analyses.