# Multi-omics analysis of associations between host demographics and saliva metabolome, sugar profiles, and microbiome profiles

**Authors:** Stefania Noerman, Anders Esberg, Carina I. Mack, Hany Ahmed, Björn Egert, Elise Nordin, Carl Brunius, Kati Hanhineva, Ingegerd Johansson, Rikard Landberg

PMC · DOI: 10.1038/s41598-026-44287-w · 2026-03-25

## TL;DR

This study explores how age, sex, and BMI relate to saliva's molecular and microbial profiles, showing that age is the strongest factor affecting these profiles.

## Contribution

The study provides a comprehensive multi-omics analysis of saliva linking host demographics to metabolome, sugar, and microbiome profiles.

## Key findings

- Age explained up to 30% of variance in metabolite features, 17% in sugars, and 25% in microbial species.
- Older participants had higher levels of caffeine and trigonelline, while younger participants had higher urocanic acid.
- Younger individuals had more saccharolytic bacteria, while older individuals had more anaerobic species.

## Abstract

Omics profiling of saliva is an emerging research area with potential to uncover molecular signatures associated with oral and systemic health. We conducted a comprehensive multi-omics analysis of saliva to investigate associations between host demographics (age, sex, body mass index (BMI)) and molecular profiles. Saliva from 423 participants (16–79-years-old) were analyzed using LC-MS metabolomics (9,380 metabolite features for 416 participants), GC×GC-MS sugar profiling (69 sugars for 200 participants), and full-length 16S rDNA sequencing (500 microbial species for 420 participants). We used random forest modeling, multivariate OPLS analysis, and partial correlation networks for data integration. Age emerged as the strongest demographic factor, explaining up to 30% of variance in metabolite features, 17% in sugars, and 25% in microbial species, while sex showed moderate and BMI minimal associations. Age-associated metabolites included caffeine and trigonelline (higher in older participants) and urocanic acid (higher in younger participants). Younger participants had greater abundance of saccharolytic, facultative anaerobic bacteria while older participants had more anaerobic species. Species in the Streptococcus, Prevotella, and Veillonella genera correlated strongly with salivary sugars. These findings demonstrate that saliva provides a rich source of molecular information related to the individual, and that demographic factors must be considered in saliva-based biomarker-discovery studies.

The online version contains supplementary material available at 10.1038/s41598-026-44287-w.

## Linked entities

- **Chemicals:** caffeine (PubChem CID 2519), trigonelline (PubChem CID 5570), urocanic acid (PubChem CID 736715)
- **Species:** Streptococcus (taxon 1301), Prevotella (taxon 838), Veillonella (taxon 29465)

## Full-text entities

- **Diseases:** gum bleeding (MESH:C537732), periodontitis (MESH:D010518), Sjogren's syndrome (MESH:D012859), inflammation (MESH:D007249), allergy (MESH:D004342), BMI (MESH:C536030), overweight (MESH:D050177), periodontal disease (MESH:D010510), obese (MESH:D009765), RP (MESH:D000210), caries (MESH:D003731), LC-MS (MESH:D009103)
- **Chemicals:** inositol (MESH:D007294), trehalose (MESH:D014199), bicarbonate (MESH:D001639), nicotine (MESH:D009538), xylonic acid (MESH:C000630589), lactones (MESH:D007783), carbohydrate (MESH:D002241), threonic acid (MESH:C011369), fluoride (MESH:D005459), histidine (MESH:D006639), pinitol (MESH:C021730), glyceric acid (MESH:C042971), glucosides (MESH:D005960), Sugar (MESH:D000073893), SCFAs (MESH:D005232), disaccharide (MESH:D004187), lenticin (MESH:C001529), water (MESH:D014867), sugar acid (MESH:D013400), erythronic acid (MESH:C121691), glucosamine (MESH:D005944), isovalerylcarnitine (MESH:C027333), polyols (MESH:C024617), glucose (MESH:D005947), lipids (MESH:D008055), fat (MESH:D005223), galactitol (MESH:D004376), sodium (MESH:D012964), hydrogen sulfide (MESH:D006862), caffeine (MESH:D002110), glucans (MESH:D005936), galacturonic acid (MESH:C007819), acetonitrile (MESH:C032159), melibiose (MESH:D008553), nitric oxide (MESH:D009569), creatinine (MESH:D003404), lactose (MESH:D007785), theophylline (MESH:D013806), paraffin (MESH:D010232), arabonic acid (-), ribose (MESH:D012266), urocanic acid (MESH:D014560), trigonelline (MESH:C009560), galactosamine (MESH:D005688), arabitol (MESH:C014999), methanol (MESH:D000432), maltitol (MESH:C010745), TMAO (MESH:C005855), mannoheptulose (MESH:D008356), fructose (MESH:D005632), scyllo-inositol (MESH:C009217), pantothenol (MESH:C007288)
- **Species:** Gemella (genus) [taxon 1378], Homo sapiens (human, species) [taxon 9606], Streptococcus infantis (species) [taxon 68892], Rothia (genus) [taxon 508215], Porphyromonas (genus) [taxon 836], Aggregatibacter actinomycetemcomitans (species) [taxon 714], Ignavibacterium album (species) [taxon 591197], Nicotiana tabacum (American tobacco, species) [taxon 4097], Stomatobaculum sp. (species) [taxon 1984869], Lachnoanaerobaculum umeaense (species) [taxon 617123], Prevotella melaninogenica (species) [taxon 28132], Streptococcus sp. (species) [taxon 1306], Alloscardovia omnicolens (species) [taxon 419015], Streptococcus mitis (species) [taxon 28037], Streptococcus salivarius (species) [taxon 1304], Rothia mucilaginosa (species) [taxon 43675], Veillonella rogosae (species) [taxon 423477], Actinomycetota (actinobacteria, phylum) [taxon 201174], Fusobacterium (genus) [taxon 848], Riemerella sp. (species) [taxon 2382126], Schaalia (genus) [taxon 2529408], Veillonella denticariosi (species) [taxon 419208], Granulicatella adiacens (species) [taxon 46124], Bacillota (clostridial firmicutes, phylum) [taxon 1239], Caldilinea aerophila (species) [taxon 133453], Abiotrophia defectiva (species) [taxon 46125], Veillonella dispar (species) [taxon 39778], Alloprevotella sp. (species) [taxon 1872471], Haemophilus parainfluenzae (species) [taxon 729], Candidatus Saccharimonadota (candidate division TM7, phylum) [taxon 95818], Leptotrichia (genus) [taxon 32067], Neisseria (genus) [taxon 482]

## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13031898/full.md

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Source: https://tomesphere.com/paper/PMC13031898