# The HUNT study identifies host genetic factors reproducibly associated with human gut microbiota composition

**Authors:** Marta Riise Moksnes, Eivind Coward, Maria Nethander, Koen Dekkers, Louise Grahnemo, Anna E. Törnqvist, Lei Li, Per Lundmark, Kamalita Pertiwi, Gabriel Baldanzi, Robin Mjelle, Janne Marie Moll, Aron Charles Eklund, Henrik Bjørn Nielsen, Johan Svensson, Arnulf Langhammer, Guro F. Giskeødegård, Ben Brumpton, Rebecka Hjort, Eivind Ness-Jensen, Gunnar Engström, Thaher Pelaseyed, Karl Michaëlsson, Marju Orho-Melander, Tove Fall, Kristian Hveem, Claes Ohlsson

PMC · DOI: 10.1038/s41588-026-02502-4 · Nature Genetics · 2026-02-13

## TL;DR

This study finds genetic factors in humans that are linked to gut microbiota composition and suggests a causal link between body mass index and gut microbiome features.

## Contribution

Identifies 12 reproducible SNP–species associations and provides causal evidence for BMI's effect on gut microbiota.

## Key findings

- 12 reproducible SNP–species associations were identified across six genomic loci.
- Mendelian randomization showed a causal effect of body mass index on gut microbiota composition.
- Host–microbiota associations were linked to celiac and hemorrhoidal disease pathogenesis.

## Abstract

The gut microbiota is associated with human health and disease. Here we conducted a genome-wide association study of host genetic factors influencing gut microbiota composition in 12,652 individuals from the Trøndelag Health Study (HUNT), with replication in Nordic cohorts (n = 16,017–21,976). We identified 12 reproducible SNP–species associations across six genomic loci, including known (LCT, ABO) and novel (HLA-DQB1, MUC12, SLC37A2, FUT2) regions. Additionally, we detected genetic signals associated with gut microbiota functional modules at three loci (LCT, ABO, FUT2). Follow-up analyses suggest that these host–microbiota associations are linked to the pathogenesis of celiac disease and hemorrhoidal disease. Mendelian randomization analyses provided evidence supporting a causal effect of body mass index on gut microbiota composition. These findings highlight the interplay between host genetics and gut microbiota for human health and disease.

Genome-wide analyses in the Norwegian HUNT study with replication in Swedish and Finnish cohorts identify host genetic variants associated with gut microbiome features and provide evidence of a causal effect of body mass index on gut microbiota composition.

## Linked entities

- **Genes:** LCT (lactase) [NCBI Gene 3938], ABO (ABO, alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase) [NCBI Gene 28], HLA-DQB1 (major histocompatibility complex, class II, DQ beta 1) [NCBI Gene 3119], MUC12 (mucin 12, cell surface associated) [NCBI Gene 10071], SLC37A2 (solute carrier family 37 member 2) [NCBI Gene 219855], FUT2 (fucosyltransferase 2 (H blood group)) [NCBI Gene 2524]
- **Diseases:** celiac disease (MONDO:0005130)

## Full-text entities

- **Genes:** HLA-DQB1 (major histocompatibility complex, class II, DQ beta 1) [NCBI Gene 3119] {aka CELIAC1, HLA-DQB, IDDM1}, SLC37A2 (solute carrier family 37 member 2) [NCBI Gene 219855] {aka SPX2, pp11662}, FUT2 (fucosyltransferase 2 (H blood group)) [NCBI Gene 2524] {aka B12QTL1, SE, SEC2, Se2, sej}, ABO (ABO, alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase) [NCBI Gene 28] {aka A3GALNT, A3GALT1, GTA, GTB, NAGAT}, MUC12 (mucin 12, cell surface associated) [NCBI Gene 10071] {aka MUC-11, MUC-12, MUC11}, LCT (lactase) [NCBI Gene 3938] {aka LAC, LPH, LPH1}
- **Diseases:** hemorrhoidal disease (MESH:D006484), celiac disease (MESH:D002446)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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Source: https://tomesphere.com/paper/PMC12987729