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Page 8 of 15                  Longhi et al. Microbiome Res Rep 2024;3:4  https://dx.doi.org/10.20517/mrr.2023.02

               Table 1. Filtering table of the analyzed DNA samples
                                  Sequenced reads   High-quality   Reads retained after Homo sapiens   % Filtered Homo
                Biological samples
                                  produced          reads        filtering                  sapiens
                Vaginal-NT        154,701           151,193      4,266                      97.18%
                Vaginal-T         222,202           211,864      159,017                    24.94%
                Gastric antrum-NT  101,522          99,529       494                        99.50%
                Gastric antrum-T  59,749            56,936       251                        99.56%
                Gastric body-NT   136,117           133,250      1,214                      99.09%
                Gastric body-T    143,220           139,737      199                        99.86%
                Saliva-NT         134,011           131,338      30,156                     77.04%
                Saliva-T          225,114           218,562      208,893                    4.42%
                Skin-NT           242,037           233,438      128,078                    45.13%
                Skin-T            236,997           227,914      163,985                    28.05%
                Sputum-NT         77,837            52,182       9,776                      81.27%
                Sputum-T          208,337           203,745      200,275                    1.70%
                Nasopharyngeal-Swab-NT  78,150      71,634       3,613                      94.96%
                Nasopharyngeal-Swab-T  4,184        4,017        3,933                      2.09%
               Different biological matrices rich in eukaryotic DNA were processed following the extraction protocol involving 2.5% wt/vol saponin and DNase
               followed by bead-beating and kit extraction steps. The DNA obtained was processed for shallow shotgun sequencing. NT: Untreated; T: treated.


               The percentage of Homo sapiens reads obtained after the in silico filtering step in treated vaginal swab,
               saliva, skin, sputum, and nasopharyngeal swab samples ranged from 1% to a maximum of 28.05% [Table 1],
               with a reduction ranging from 45.1% to 97.2% compared to untreated samples. Thus, it was shown that the
               saponin-based protocol enabled a successful depletion of host DNA.

               Investigating the microbial profiles of the saponin-achieved DNA samples
               Shallow shotgun metagenomic sequencing was also exploited to identify the microorganisms that populate
               biological samples at the species level and to validate their microbial taxonomic composition. Taxonomic
               profiles obtained through METAnnotatorX2 software demonstrated that skin, vaginal and nasopharyngeal
               swab samples processed with 2.5% (wt/vol) saponin retained the microbial profile corresponding to their
               untreated counterpart. To evaluate the divergence of treated and untreated profiles, we employed a
               taxonomic variation index (TVI), consisting of the absolute sum of positive and negative relative abundance
               differences observed for each microbial taxon, thus ranging from 0 for identical profiles to 200 for
               completely different taxonomic profiles. For the vaginal, skin, nasopharyngeal swab, and saliva samples, the
               retrieved TVI were 29.1, 5.05, 23.6, and 1.74, respectively [Supplementary Table 1]. Specifically, this
               taxonomic survey revealed that, amongst the most impacted taxa, Bifidobacterium scardovii was present in
               the untreated vaginal sample at a relative abundance of 49.8 %, compared to the 64.3 % of the treated
               counterpart [Supplementary Table 2 and Supplementary Figure 1]. In contrast, the relative abundance of
               Bifidobacterium spp., Lactobacillus acidophilus, and Lactobacillus gasseri in vaginal swabs mainly remained
               constant even after the depletion protocol [Supplementary Table 2 and Supplementary Figure 1].
               Accordingly, Cutibacterium spp. in the skin sample and Corynebacterium spp. in nasopharyngeal swabs
               were present at the same relative abundance in both saponin-treated and saponin-untreated samples
               [Supplementary Table 2 and Supplementary Figure 1]. In these biological samples, only a few bacterial
               species (5 depending on specimen) present at low abundance (lower than 2%) in controls were absent in the
               saponin-treated samples [Supplementary Table 2]. This observation suggested that saponin treatment
               induces different effects based on the microbial species in the original biological sample.
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