Serial isolation of multiple DNA targets from stool

1. A composition comprising a residual supernatant from a human stool homogenate comprising human DNA and DNA from gut-resident bacteria, said residual supernatant produced by a method comprising:

i) preparing a stool supernatant fluid from said human stool homogenate, wherein said stool supernatant fluid is produced by homogenizing a human stool sample with a buffer to produce said human stool homogenate, and treating said human stool homogenate to partition residual solids from a fluid fraction, wherein said fluid fraction is said stool supernatant fluid;

ii) treating the stool supernatant fluid with insoluble polyvinylpolypyrrolidone to adsorb and remove assay inhibitors, and removing said insoluble polyvinylpolypyrrolidone to produce treated stool supernatant fluid,

iii) adding guanidine thiocyanate to said treated stool supernatant fluid to a concentration of 2-3 M guanidine thiocyanate;

iv) exposing treated stool supernatant fluid comprising guanidine thiocyanate to a plurality of different target-specific capture reagents, under conditions wherein each of said plurality of different target-specific capture reagents forms a complex with a different target human DNA, wherein each target-specific capture reagent comprises an oligonucleotide covalently attached to a particle, said oligonucleotide complementary to at least a portion of a target human DNA, and wherein said exposing comprises incubating said treated stool supernatant fluid comprising guanidine thiocyanate with said target-specific capture reagents to produce target-specific capture reagent/target human DNA complexes,

and

v) removing target-specific capture reagent/target human DNA complexes from said treated stool supernatant fluid to produce said residual supernatant,

wherein said residual supernatant is treated stool supernatant fluid from which target-specific capture reagent/target human DNA complexes have been removed, said residual supernatant comprising guanidine thiocyanate, said DNA from gut-resident bacteria, and human DNAs not complementary to the oligonucleotides of the target-specific capture reagents used in step iv).

2. The composition of claim 1 , wherein said particles are magnetic particles.

3. The composition of claim 1 , wherein said stool homogenate comprises at least 4 grams of stool from a human subject.

4. The composition of claim 1 , wherein prior to step iv), said method comprises heating said treated stool supernatant fluid.

5. The composition of claim 4 , wherein said heating comprises heating to 90° C.

6. The composition of claim 1 , wherein said polyvinylpyrrolidone is polyvinylpolypyrrolidone.

7. The composition of claim 1 , wherein said plurality of different target-specific capture reagents comprises at least 3 different target-specific capture reagents.

8. The composition of claim 1 , wherein said plurality of different target-specific capture reagents comprises at least 4 different target-specific capture reagents.

9. The composition of claim 1 , wherein one or more of said target human DNAs are from genes associated with a disease state selected from the group consisting of colorectal cancer and colorectal adenoma.