Table S1. List of reported dominant microbes in sputum samples for individual patients from available literature using culture independent approaches. Number of Patients With Most Abundant Bacterium Study Blainey et al. n= 16 Pseudomonas 3 Stenotrophomonas 0 Achromobacter 0 Rothia 0 Staphylococcus 1 Streptococcus 11 Other 0 Method 16S pyrosequencing Cuthbertson et al. * 8 3 0 2 0 0 1 2 16S pyrosequencing Delhaes et al. 4 3 0 0 0 0 0 25 16S pyrosequencing Filkins et al. 35 22 1 0 0 0 7 5 16S pyrosequencing Goddard et al. 9 8 0 1 0 0 0 0 16S pyrosequencing Guss et al. 3 2 0 0 0 0 0 1 16S pyrosequencing Lim et al. 2013 3 2 0 0 1 0 0 0 Metagenomics Lim et al. 2014 3 0 1 0 1 0 0 1 Metagenomics Maughan et al. ** 24 15 1 0 0 0 5 3 16S pyrosequencing Price et al. *** 13 9 0 1 0 0 0 3 16S pyrosequencing Quinn et al. 5 1 1 0 3 0 0 0 Metagenomics Rogers et al. 71 43 2 0 0 4 0 22 16S TRFLP Salipante et al. 66 23 1 1 0 8 6 27 Smith et al. 18 17 0 0 0 0 0 1 16S Ion Torrent sequencing 16S pyrosequencing Twomey et al. ** 75 68 0 0 0 0 0 7 16S pyrosequencing Willger et al. 6 3 0 0 0 0 1 1 16S Illumina sequencing Zemanick et al. 21 9 0 0 0 1 0 11 16S pyrosequencing Zhao et al. **** 6 4 0 0 0 0 0 2 16S pyrosequencing This study 7 2 0 0 0 0 4 1 16S Illumina sequencing Average for All Patients 393 60.3% 1.8% 1.3% 1.3% 3.6% 8.9% 28.7 % *Samples only at time=0h considered, **Order level phylogeny reported, ***Only baseline/stable samples considered, ****Most recent sample of longitudinal data set Footnote: If possible, the most abundant bacterium was determined for each patient from their sputum microbiome profiles either by visual interpretation of graphs or mining supplemental information. Only studies on adult patients were considered, and if longitudinal data sets were reported, only stable samples were analyzed. Table S2. Richness and Shannon-Weiner indices of microbiome and metabolomes for each CF sample. The Pearson’s Rho correlation coefficient of the trend of the CF microbiome and metabolome diversity is also included. Microbiome Richness Metabolome Richness Microbiome Diversity Metabolome Diversity Pearson’s r of Diversity 37 Microbiome Evenness 0.54 1148 1.97 4.35 -0.12 31 0.28 1441 0.96 4.14 CF9 47 0.32 1359 1.25 4.31 CF10 39 0.37 1685 1.37 4.63 60 0.55 854 2.23 4.50 22 0.45 781 1.37 5.25 26 0.33 982 1.08 4.96 H1 137 0.66 765 3.26 3.96 H2 85 0.59 589 2.63 3.67 H3 116 0.56 889 2.68 3.99 66 127 142 0.63 738 669 827 2.65 3.47 3.12 3.79 3.87 4.03 CF1 CF6 CF11 CF12 CF13 H4 H5 H6 0.55 0.63 0.43 Table S3. Clinical culture, disease status and treatment information for CF patients in this study. Patient disease severity is an overall assessment based on clinical parameters by the attending physicians at the UCSD clinic. Patient 1 Sputum Volume (mL) 29.5 Cultures Disease State Antibiotic Therapy 6 12.0 P. aeruginosa, S. maltophilia E. coli (ESBL*) Stable Unknown Stable Amphotericin B 9 8.4 P. aeruginosa Stable Azithromicin, recently inhaled aztreonam 10 14.0 Achromobacter xylosoxidans Post treatment Chronically inhaled tobramycin, alternating aztreonam, inhaled aztreonam at time of sampling 11 7 Stable 12 3.5 P. aeruginosa, S. maltophilia MRSA, P. aeruginosa 13 1 MRSA On treatment *Extended beta-lactam resistant strain. On treatment Alternates inhaled toby/aztreonam, Just completed 4 weeks of intravenous tobramycin and aztreonam Azithromycin Table S4. Chemical characteristics of molecules identified using the VIP from supervised random forest of CF vs. non-CF. Molecular features are listed according to their variable importance values. Annotations are listed where possible and correspond to fragmentation patterns in figure S4. Retention Time (s) MS1 Detected In Most Abundant Putative Annotation 525 701.55 CF CF Sphingomyelin (d18:1/16:1) 585 184.07 CF, non-CF CF Phosphocholine 585 765 264.26 760.20 CF non-CF CF non-CF 585 703.58 CF, non-CF CF 585 685.65 CF CF 375 339.28 CF, non-CF CF 525 366.13 CF CF 525 645 525 675.54 724.52 1107.75 CF, non-CF CF CF CF CF CF 405 595.38 CF, non-CF CF 765 758.21 non-CF non-CF 555 705 884.60 612.18 CF CF, non-CF CF non-CF 585 725.55 CF, non-CF CF 375 480.30 CF, non-CF CF 525 1195.65 CF CF 555 585 689.55 502.49 CF CF CF CF 315 288.28 CF CF 765 150.12 CF, non-CF non-CF 345 315.32 CF CF 465 304.26 CF CF Fragment of Ceramide M=2H+ of 758 Sphingomyelin (d18:1/16:0) Sphingomyelin (d16:1/16:0) M=2H+ of 610.18 Na+ adduct of 703.5 Sphingomyelin (d18:1/15:0) Fragment of ceramide Na+ adduct of 282.2 645 746.51 CF CF Na+ adduct of 724.5 645 369.3505 CF CF Fatty Acid 375 475.21 CF CF 525 1227.76 CF CF 345 478.29 CF CF 555 862.62 CF, non-CF CF tetra-glyco-ceramide - d18:1/16:0 lactosylceramide (d18:-16:0)