Skip to content

Akkermansia Seropositivity

Akkermansia muciniphilais a prominent bacterium residing in the human gut microbiome, often associated with maintaining gut barrier integrity and influencing host metabolism.Akkermansia seropositivity refers to the presence of detectable antibodies against Akkermansia muciniphila in an individual’s bloodstream. Seropositivity, in a broader sense, indicates an immune response to a specific antigen, signifying past exposure or ongoing interaction with a particular agent. [1] The determination of seropositivity typically involves measuring antibody levels and establishing a defined threshold, where levels above this threshold indicate a positive immune status [2]. [3]

The human immune system mounts an antibody-mediated response when encountering foreign antigens. [3] These humoral immune responses are highly variable among individuals, influenced by a complex interplay of environmental and genetic factors. [2]Genetic determinants, including single nucleotide polymorphisms (SNPs), have been shown to impact the variability of antibody levels and the likelihood of seropositivity to various infectious agents[2]. [1] Genome-wide association studies (GWAS) investigate these genetic influences to identify specific loci associated with different aspects of the antibody response. [2]

Seropositivity serves as a valuable indicator in clinical settings, reflecting an individual’s immune history and potential state of immunity. [2] For Akkermansia, its seropositivity may reflect the nature of host-microbe interactions and could potentially be associated with various health outcomes. Identifying genetic factors that influence Akkermansiaseropositivity can help in understanding individual differences in immune responses to gut microbiota and in stratifying individuals for health risks or therapeutic strategies.

Understanding the genetic basis of seropositivity, including for commensal bacteria like Akkermansia, has significant social importance. It contributes to a deeper understanding of human immunity, the complex relationship between host genetics and the microbiome, and population-level immune profiles. [4]Such insights can inform public health initiatives, personalized nutrition, and the development of strategies to modulate the gut microbiome for health benefits.

The genetic variant rs4750402 is located in a region associated with FRMD4A and FRMD4A-AS1, two genes implicated in fundamental cellular processes crucial for immune function. FRMD4A(FERM Domain Containing 4A) is a protein-coding gene that plays a significant role in establishing cell polarity, organizing the actin cytoskeleton, and regulating cell migration. These cellular activities are essential for the proper functioning of various immune cells, including their ability to move to infection sites, interact with other cells, and present antigens.[2] Alongside FRMD4A, FRMD4A-AS1 (FRMD4A Antisense RNA 1) is a long non-coding RNA (lncRNA) that can regulate the expression of its neighboring FRMD4A gene, potentially influencing its activity and downstream cellular pathways. [3]

Variations within or near FRMD4A and FRMD4A-AS1, such as rs4750402 , could subtly alter these core cellular mechanisms, thereby impacting the efficiency and specificity of immune responses. For instance, changes in cell polarity or migration can affect how immune cells like B cells and T cells mature, traffic, and respond to pathogens. Such genetic influences are frequently investigated in genome-wide association studies (GWAS) to uncover the genetic underpinnings of diverse immune-related traits and disease susceptibilities.[5] These studies often analyze quantitative antibody levels or discrete serostatus (presence/absence of antibodies) to identify genetic determinants of immune responses against various agents. [1]

The relevance of rs4750402 to Akkermansia seropositivity stems from the broad impact ofFRMD4A and FRMD4A-AS1 on immune cell function and host-microbe interactions. Akkermansia muciniphilais a prominent gut bacterium, and an individual’s antibody response to it reflects complex immune system engagement with the gut microbiota. A variant affecting genes involved in cell polarity, such asrs4750402 , could influence the integrity of the gut epithelial barrier, the migration of immune cells within the gut-associated lymphoid tissue, or the processing and presentation of microbial antigens. Consequently, such a variant might modulate the propensity or magnitude of an antibody-mediated immune response toAkkermansia, influencing an individual’s seropositivity status. [6]

RS IDGeneRelated Traits
rs4750402 FRMD4A-AS1, FRMD4Aakkermansia seropositivity

Classification, Definition, and Terminology of Akkermansia Seropositivity

Section titled “Classification, Definition, and Terminology of Akkermansia Seropositivity”

Definition and Operationalization of Seropositivity

Section titled “Definition and Operationalization of Seropositivity”

Seropositivity fundamentally refers to the presence of an antibody response to a specific antigen, indicating past or current exposure to a pathogen or other antigen. [1] This condition is often conceptualized as a “discrete serostatus,” meaning an individual is classified as either seropositive (antibody present) or seronegative (antibody absent) [1]. [6] The primary aim in defining seropositivity is to establish a clear binary outcome for analysis, distinguishing between individuals who have mounted a detectable humoral immune response and those who have not. [3]

Operationally, seropositivity is defined by detecting specific antibodies, such as IgG, against target antigens in a biological sample, typically serum [1]. [3] This involves using laboratory assays that measure antibody levels, with a predetermined threshold distinguishing between a positive and negative result [1]. [3] The choice of this threshold is critical and is often validated against reference standards to ensure accuracy and reproducibility across various infectious agents. [2]

Measurement Methodologies and Diagnostic Thresholds

Section titled “Measurement Methodologies and Diagnostic Thresholds”

The primary method for assessing seropositivity involves quantitative measurement of antibody levels, commonly expressed as Mean Fluorescence Intensity (MFI) [2]. [1] This is frequently achieved using fluorescent bead-based multiplex serology technology, such as the Luminex 100 platform, which provides a standardized quantification of the amount of antibody in a sample [2]. [1] For some applications, phage display sequencing can also be used to identify antibody-bound peptides, with their presence or absence determined by specific statistical cut-offs. [7]

Seropositivity is established by applying specific MFI cut-off values or statistical thresholds to the measured antibody levels [1]. [3] For instance, seropositivity for certain pathogens might be defined by IgG MFI values exceeding specific numbers, such as >519 or >165 for different Epstein-Barr virus antigens, or >250 for polyomavirus antibodies [1]. [3] In research, a “strict Bonferroni cut-off at PBonferroni < 0.05” may be used to define seropositivity for antibody-bound peptides, ensuring robust statistical significance. [7] These thresholds are crucial for both clinical diagnosis and research studies, including genome-wide association studies (GWAS) where serostatus is a key phenotype [2]. [5]

Section titled “Classification Systems and Related Terminology”

Serostatus is fundamentally classified through a categorical approach, distinguishing individuals into binary groups: seropositive or seronegative [1]. [6] While the underlying measurement of antibody levels (e.g., MFI) is quantitative, the operational definition of seropositivity transforms this into a discrete variable for classification and analysis. [1] This binary classification is widely used in epidemiological studies and genetic association analyses, allowing for case-control comparisons based on immune exposure [2]. [5]

The term “seropositivity” refers to the state of having detectable antibodies against a specific antigen. Conversely, “seronegativity” denotes the absence of such antibodies. [8] A related concept is “seroprevalence,” which describes the proportion of individuals in a population who are seropositive for a particular agent, a metric often used to gauge population-level exposure or immunity. [2] Researchers may also analyze “quantitative antibody traits” alongside “discrete serostatus,” acknowledging both the continuous nature of antibody levels and the categorical outcome of seropositivity. [1]

Frequently Asked Questions About Akkermansia Seropositivity

Section titled “Frequently Asked Questions About Akkermansia Seropositivity”

These questions address the most important and specific aspects of akkermansia seropositivity based on current genetic research.


1. Why do some people have antibodies to Akkermansia and others don’t?

Section titled “1. Why do some people have antibodies to Akkermansia and others don’t?”

Your body’s immune response to gut bacteria likeAkkermansia varies a lot between individuals. This is influenced by a complex mix of your environment and your unique genetic makeup. Specific genetic differences, like those near genes such as FRMD4A, can affect how your immune cells recognize and react to gut microbes, determining if you develop these antibodies.

2. Does my unique immune response to gut bacteria matter for my health?

Section titled “2. Does my unique immune response to gut bacteria matter for my health?”

Yes, your immune response to gut bacteria likeAkkermansiacan be quite important. It reflects how your immune system interacts with your gut microbiome, which can be associated with various health outcomes. Understanding these individual differences might help in tailoring health strategies for you in the future.

3. Can my family’s gut immunity patterns affect my own?

Section titled “3. Can my family’s gut immunity patterns affect my own?”

Absolutely. Your genetic background, inherited from your family, plays a significant role in shaping your immune responses, including to gut bacteria. Just like other traits, the tendency to develop antibodies againstAkkermansia can be influenced by specific genetic variants passed down through your family, for example, differences near genes like FRMD4A.

A DNA test could offer insights into your genetic predisposition for certain immune responses, including how you react to gut bacteria. By analyzing specific genetic markers, like thers4750402 variant near FRMD4A, we can identify genetic factors that influence your likelihood of having antibodies to Akkermansia. This information helps us understand your unique immune profile and its interaction with your microbiome.

Yes, your diet is a key environmental factor that influences your gut microbiome and, in turn, your immune system’s interaction with it. While your genetics set a baseline for your immune response, what you eat can modulate the abundance of bacteria likeAkkermansiaand potentially influence whether your body produces antibodies against them. It’s a complex interplay between your genes and your lifestyle.

6. Is it better or worse to have antibodies against a “good” gut bug?

Section titled “6. Is it better or worse to have antibodies against a “good” gut bug?”

That’s a great question, and the answer isn’t a simple “good” or “bad” yet. Akkermansia is often considered beneficial, but the presence of antibodies (seropositivity) simply indicates your immune system has interacted with it. It reflects your host-microbe relationship, and researchers are still working to fully understand what different levels of seropositivity mean for overall health. It’s an indicator of immune engagement, not necessarily a negative sign.

7. Does my overall immune strength influence my gut bacteria antibodies?

Section titled “7. Does my overall immune strength influence my gut bacteria antibodies?”

Yes, your overall immune system’s general health and genetic predispositions definitely influence how you develop antibodies to gut bacteria. The ability of your immune cells, like B cells and T cells, to mature, migrate, and present antigens is crucial. Genes such asFRMD4A, which impact cell polarity and migration, play a fundamental role in these processes, affecting your specific antibody responses.

8. Can I change my body’s immune response to gut bacteria?

Section titled “8. Can I change my body’s immune response to gut bacteria?”

While your genetics provide a blueprint for your immune responses, lifestyle factors like diet and potentially other environmental influences can modulate your gut microbiome and, consequently, your immune system’s interaction with it. You can’t change your genes, but you can adopt habits that support a healthy gut environment, which might indirectly influence your immune responses to bacteria likeAkkermansia.

9. Does my ancestry play a role in my gut immune responses?

Section titled “9. Does my ancestry play a role in my gut immune responses?”

Yes, genetic factors that influence immune responses, including those to gut bacteria, can vary across different ancestries. Genome-wide association studies look at diverse populations to identify these differences. Your ancestral background might contribute to variations in genes, like those nearFRMD4A, that affect how your immune system responds to Akkermansia and other microbes.

10. Does daily stress affect my gut’s immune interactions?

Section titled “10. Does daily stress affect my gut’s immune interactions?”

Immune responses are influenced by a complex interplay of environmental and genetic factors. While direct research on stress and Akkermansiaseropositivity isn’t specifically detailed here, it’s well-known that chronic stress can impact overall immune function and gut health. It’s plausible that stress, as an environmental factor, could indirectly influence your immune system’s interaction with gut microbes.


This FAQ was automatically generated based on current genetic research and may be updated as new information becomes available.

Disclaimer: This information is for educational purposes only and should not be used as a substitute for professional medical advice. Always consult with a healthcare provider for personalized medical guidance.

[1] Sallah N et al. “Whole-genome association study of antibody response to Epstein-Barr virus in an African population: a pilot.” Glob Health Epidemiol Genom, 2018.

[2] Butler-Laporte G et al. “Genetic Determinants of Antibody-Mediated Immune Responses to Infectious Diseases Agents: A Genome-Wide and HLA Association Study.” Open Forum Infect Dis, 2020.

[3] Hodel F et al. “Human genomics of the humoral immune response against polyomaviruses.” Virus Evol, 2021.

[4] Ishigaki K et al. “Multi-ancestry genome-wide association analyses identify novel genetic mechanisms in rheumatoid arthritis.” Nat Genet, 2022.

[5] Smatti MK et al. “Genome-wide association study identifies several loci for HEV seropositivity.” iScience, 2023.

[6] Roberts CH et al. “Pathway-Wide Genetic Risks in Chlamydial Infections Overlap between Tissue Tropisms: A Genome-Wide Association Scan.” Mediators Inflamm, 2017.

[7] Andreu-Sanchez, S. et al. “Phage display sequencing reveals that genetic, environmental, and intrinsic factors influence variation of human antibody epitope repertoire.” Immunity, vol. 56, no. 5, 2023, pp. 1178-1193.e8.

[8] Kim, TH. et al. “Identification of novel susceptibility loci associated with hepatitis B surface antigen seroclearance in chronic hepatitis B.”PLoS One, vol. 12, no. 7, 2017, p. e0180410.