Genetics in the Gut: Intestinal Microbes Could Drive Obesity and Other Health Issues

The diversity of germs in the human gut suggests microbiota play a greater role in health than previously thought, even driving obesity and other metabolic conditions















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GUT REACTION: The genetic profiles of microbes from the human gut are helping scientists better understand what flora communities are normal and what might be the signs (or causes) of illness. Many microbes, such as these C. difficile can be harmful in big numbers, but a balance of bacteria in the gut can actually keep people healthy--and maybe even slim. Image: WIKIMEDIA COMMONS/CDC

Outnumbering our human cells by about 10 to one, the many minuscule microbes that live in and on our bodies are a big part of crucial everyday functions. The lion's share live in the intestinal tract, where they help fend off bad bacteria and aid in digesting our dinners. But as scientists use genetics to uncover what microbes are actually present and what they're doing in there, they are discovering that the bugs play an even larger role in human health than previously suspected—and perhaps at times exerting more influence than human genes themselves.

One team of researchers recently completed a catalogue of some 3.3 million human gut microbe genes. Their work, led by Junjie Qin of BGI–Shenzhen (formerly the Beijing Genomics Institute) and published in the March 4 edition of Nature, adds to the expanding—but nowhere near complete—census of species that reside in the intestinal tract. (Scientific American is part of Nature Publishing Group.)

Another group turned its attention to a particular host gene that seems to impact these inhabitants of the intestines. They found that in mice, a loss of one key gene led to a shift in microbiota communities and an increase in insulin resistance, obesity and other symptoms of metabolic syndrome (a cluster of these conditions). Their results were published online March 4 in Science.

The field of gut microbe study has bloomed in the past few years after decades in the shadows. As the authors of the Science report noted, "The inability to culture most gut bacteria makes assessment of their causal role in health and disease technically challenging." But the advance of genetic sequencing has enabled researchers to make steady progress in getting to the bottom of these beasties and their role in health. And in addition to being a quick way to assess these microbial populations, genomics can also help to elucidate how the two systems—human and microbe—interact.

Stomach survey
The number of microbes in the human gut was known to be vast, but the 3.3 million microbial genes located in it were a good deal "more than what we originally expected," says Jun Wang, of BGI and co-author of the Nature study. The number was especially surprising given that the microbiota tended to be very similar across the 124 individuals they sampled in Denmark and Spain.

Previous work had scanned for these microbial genes in the past. The largest had created about three gigabases (billion base pairs) of microbial sequences that was trumped by Wang's team, which assembled more than 576 gigabases.

The hefty catalogue is a "big advance" in the field, says Andrew Gewirtz of the Department of Pathology and Laboratory Medicine at Emory University who was not involved in this study. "It really sets in place a framework for defining—in detail—the microbiome," he says. And as Wang and his colleagues noted in their study, "To understand and exploit the impact of the gut microbes on human health and well-being it is necessary to decipher the content, diversity and functioning of the microbial gut community."

More than 99 percent of the genes the group found were from bacteria. "These bacteria have functions, which are essential to our health: They synthesize vitamins, break down certain compounds—which cannot be assimilated by our body—[and] play an important role in our immune system," Wang points out.

Wang's group, which is part of the European Commission–funded MetaHIT (Metagenomics of the Human Intestinal Tract) consortium, relied on fecal samples from the 124 individuals. Despite the presumed vastness of gut-microbe diversity, the researchers found that about 70 percent of the genetic material in their European sample overlapped with that from previous studies that examined U.S. and Japanese subjects, suggesting that, in fact, "the prevalent human microbiome is of a finite and not overly large size," the researchers concluded.

It is "a very important paper for paving the way for future studies," Gewirtz says. "Once you define the baseline you can start looking in detail at disease."

Wang and his colleagues already had this next step in mind. The samples for the genetic catalogue came from two groups of obese individuals: those with inflammatory bowel disease, and a healthy group. The genetic analysis of the microbial inhabitants of the respective guts "clearly separates patients from healthy individuals," the researchers concluded in their paper, suggesting new possibilities for diagnosis and eventually treatment.

Inflammatory mutations
As the prevalence of metabolic diseases continues to increase across the U.S. and many other countries, a growing body of research has suggested that some of these physiological changes might have their roots deep in the gut—not in the human cells but some of the many microbes there.

Emory's Gewirtz and his team tracked the gut microbiota in mice as the rodents experienced different kinds of metabolic disorders, such as obesity and insulin resistance. They bred mice with a genetic deficiency (specifically, the absence of Toll-like receptor 5, or TLR5, which has a hand in immune response) to see how it might change their microbial gut communities and metabolic health—and try to understand the order in which the changes were happening. "It's very much appreciated that obesity is associated with insulin resistance and type 2 diabetes," Gewirtz says. But "which comes first is not entirely clear."



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  1. 1. Henrique A.L.A. 08:48 PM 3/6/10

    I do think this kind of research may be profitable in terms of theraphy and also in that vitality�s stuffs.There is no way out of this issue:We�d better not take for granted the microorganisms,just because they are harmful to us,but these is the principle of science:We use all the ways in order to rest just one,which is likely the suitable one.

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  2. 2. hysherwood 08:59 AM 3/7/10

    Just out of curiousity, have their been any studys linking this to auto immune disorders?(fibromyalgia or dercums)

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  3. 3. pmartins 02:15 PM 3/7/10

    It is important to quote that we, as human beings, do not live alone in the earth surface and maybe, cannot exist and live without the microorganisms. They are here million of year before us. We need to recognize them and learn how to take advantage of this rich symbiosis. Unfortunately a big part of the health professionals face them as pure enemies and try to avoid any type of closer contact with them. The current exaggerate domestic cleanness and disinfection, use and abuse of antibiotics and anti-inflammatory medicines, turns our children and adults extremely reactive for simple infections that should be solved by the own organism in the childhood.

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  4. 4. pmartins 02:21 PM 3/7/10

    It is important to quote that we, as human beings, do not live alone in the earth surface and maybe, cannot even exist or live without the microorganisms. They are here million of year before us. We need to identify them and learn how to take advantage of this rich symbiosis. Unfortunately a big part of the health professionals face them as pure enemies and try to avoid any type of closer contact with them. The current exaggerate domestic cleanness and disinfection, use and abuse of antibiotics and anti-inflammatory medicines, turns our children and adults extremely susceptible and reactive for simple infections that should be “solved” or cured naturally by the own organism in the childhood.

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  5. 5. mhr 12:10 AM 3/8/10

    I believe we are the first full generation to use antibiotics. What role has this had in destroying our intestinal flora and promoting inflammation? Can probiotics restore some of the gut bacterial populations? Also, with the predominance of c-sections, has this (instead of vaginal delivery) resulted in gut bacterial populations that are deficient? Conversely, is you mother has a gut population that promotes insulin resistance/diabetes/inflammation, could this be passed onto the baby? Very interesting field of study.

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  6. 6. Scottsman 11:36 AM 3/8/10

    I too am very intrigued and excited by this field of study. There are so many factors that could plausibly effect change in the volume and diversity of the different bacterial species that live wilthin us. I would not be surprised in the least to see successful therapies blosom out of these studies. Very cool stuff.

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  7. 7. charlotte.george in reply to mhr 05:15 PM 3/8/10

    Regarding mhr's reply, I also had the thought of the baby's first "meal" and those thereafter from the mother arriving to this sterile environment according to Gerwirtz. So if these are the 1st bacterial of the newborn, then the mother's milk needs to be analyzed for these organisms or else how would these bacteria enter this newborn's intestines if he is born with a sterile field. Or is the bacterial, like vaginal fungus, introduced into the baby's sterile environment when the child comes in contact with the vaginal walls during delivery?
    Wonderful findings in this article. cgeorge

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  8. 8. Autimum 05:41 PM 3/8/10

    Interesting - this isn't too far away from the biomedical research on autism! Maybe this kind of research could start to wake up those who scoff at the gut and metabolic theories contributing to autism?

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  9. 9. Macrocompassion 12:01 PM 3/9/10

    Gives deeper meaning to the expression "you are what you eat".

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  10. 10. ringobabe in reply to charlotte.george 05:52 PM 3/10/10

    Breastfed babies are less likely to be obese. Bottles and bottle nipples are sterilized as standard procedure (and some are now disposable). Would bacteria from the mother's breast skin be enough?

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  11. 11. doctor02 04:17 PM 3/11/10

    This is an excellent development as it demonstrates that all living things on this planet are in one way another 'connected'. The nature of the connections is as diverse as life itself. "We are not alone" is a cute saying but is it is significant when referring to life right here on earth.

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  12. 12. ModernMaven 01:15 PM 9/26/11

    To the authors: Do you know what the relationship is between the number of genes (3.3 million) and the number of species? Also, does anyone know how the type of proportion of microbial species has changed in the last 50 years? Does taking probiotic supplements increase the number of "good" species?
    You've done fascinating research and I look forward to hearing more.

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