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Page 10 of 15              Geerlings et al. Microbiome Res Rep 2024;3:36  https://dx.doi.org/10.20517/mrr.2024.06

               Table 1. Differential expression of genes involved in cell division comparing high-GlcNAc to the mucin condition
                                                                      High-GlcNAc vs. mucin
                Genes   Description
                                                                      Fold change P value
                Amuc_1176  Cell division inhibitor                    2.62      6.57E-48
                Amuc_0348 Cell division protein FtsH                  1.50      4.32E-36  Upregulated in
                                                                                          high GlcNAc
                Amuc_1052 Cell division trigger factor                1.43      7.41E-31
                Amuc_1558 RIP metalloprotease RseP                    0.22      1.63E-06
                Amuc_0662 Polypeptide-transport-associated domain-containing protein FtsQ-type 0.31  4.58E-08
                                                *
                Amuc_0540 Cell shape-determining protein MreB         0.45      6.6E-11
                Amuc_0652 Peptidoglycan glycosyltransferase           0.59      4.79E-19
                Amuc_0649 Transcriptional regulator MraZ              0.62      3.34E-17
                Amuc_0153 Cell division protein FtsA                  0.64      1.97E-18
                                                                                          Upregulated
                Amuc_0152 Tubulin/FtsZ GTPase                         0.88      1.24E-26  in mucin
                Amuc_2076 Cell division FtsK                          1.16      3.66E-34
                Amuc_0658 Cell cycle protein                          1.50      3.38E-41
                Amuc_0514 Peptidoglycan glycosyltransferase           1.67      1.26E-41
                Amuc_1317  Integral membrane protein CcmA involved in cell shape determination  2.03  2.88E-46
               *
                Genes  that  were  also  upregulated  in  the  preliminary  transcriptome  data  comparing  soy  medium  to  mucin  medium.  GlcNAc:  N-
               acetylglucosamine; RIP: regulated intramembrane proteolysis.

               Amuc_2096), and an additional significantly upregulated glycosyltransferase cluster (Amuc_1139-1142), a
               gene cluster containing multiple aldo/keto reductases (Amuc_1796-1809), and the gene for anaerobic
               ribonucleoside-triphosphate reductase activating protein (Amuc_0860). Moreover, additional complete
               gene clusters related to stress responses were found to be significantly upregulated in both high-GlcNAc
               and low-GlcNAc conditions, as compared to mucin, including a gene cluster encoding ribosomal proteins
               (Amuc_0294-0308), an iron transport cluster (Amuc_1930 until Amuc_1934), and a potential flavin
               biosynthesis gene cluster (Amuc_0421-0426) [Supplementary File 1]. Other genes that may be involved in
               stress response but not part of a gene cluster were also identified to be upregulated in both GlcNAc
               conditions.  This  includes  genes  for  rubrerythrin  (Amuc_2055-2056),  catalase  (Amuc_2070),
               oxidoreductases (Amuc_0116, Amuc_0777, Amuc_1072, Amuc_1176 and Amuc_1389), ribonucleoside-
               triphosphate reductase (Amuc_0862), and glutamate decarboxylase (Amuc_0372).

               Next to the transcriptomic stress response, elongated cells were observed in the bioreactors containing
               glucose and GlcNAc in comparison to the small oval-shaped cells visible when A. muciniphila was
               cultivated on mucin [Supplementary Figure 3]. Elongated cells were also observed in the previously
               mentioned soy medium cultures [Supplementary Figure 1], together with an increased expression of
               Amuc_0540 encoding cell shape-determining protein MreB in mucin as compared to soy medium.
               Following this observation, we performed a more in-depth analysis of the expression of genes involved in
               cell elongation and division [Table 1 and Supplementary File 1]. Overall, the transcriptomic stress response
               and elongated cells observed in the cultures grown in synthetic medium without mucin indicate that a stress
               response is triggered in the absence of mucin in this medium.



               DISCUSSION
               In this study, we assessed the cultivation of A. muciniphila food-grade pea-peptone medium with different
               concentrations of carbon sources to produce cells suitable for therapeutic applications. The use of food-
               grade synthetic and non-allergenic medium supplemented with glucose and GlcNAc resulted in high cell
               yields and fast growth of A. muciniphila. Furthermore, we gained detailed insight into physiology by a
               combination of biochemical analysis as well as transcriptional and proteomic analysis. In addition, we
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