DNA Research Advance Access originally published online on January 15, 2009
DNA Research 2009 16(1):1-12; doi:10.1093/dnares/dsn033
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Invited Review |
The Human Intestinal Microbiome: A New Frontier of Human Biology
1 Graduate School of Frontier Sciences, The University of Tokyo, 5-1-5 Kasiwanoha, Kashiwa, Chiba 277-8561, Japan
2 RIKEN Advanced Science Institute, 1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa 230-0045, Japan
Received 11 November 2008; accepted 3 December 2008.
| Abstract |
|---|
To analyze the vast number and variety of microorganisms inhabiting the human intestine, emerging metagenomic technologies are extremely powerful. The intestinal microbes are taxonomically complex and constitute an ecologically dynamic community (microbiota) that has long been believed to possess a strong impact on human physiology. Furthermore, they are heavily involved in the maturation and proliferation of human intestinal cells, helping to maintain their homeostasis and can be causative of various diseases, such as inflammatory bowel disease and obesity. A simplified animal model system has provided the mechanistic basis for the molecular interactions that occur at the interface between such microbes and host intestinal epithelia. Through metagenomic analysis, it is now possible to comprehensively explore the genetic nature of the intestinal microbiome, the mutually interacting system comprising the host cells and the residing microbial community. The human microbiome project was recently launched as an international collaborative research effort to further promote this newly developing field and to pave the way to a new frontier of human biology, which will provide new strategies for the maintenance of human health.
Key words: microbiome; microbiota; gut; metagenomics
| 1. Introduction |
|---|
An enormous number of microorganisms, the vast majority of which are bacterial species, are known to colonize and form complex communities, or microbiota, at various sites within the human body. It is estimated that the human microbiota is composed of
1014 bacterial cells, which is 10 times more than the total number of human cells. The largest and most complex is the one comprised by intestinal bacteria that includes as many as 1012 cells per 1 g of feces in the average human individual.1
Studies on human intestinal microbiota should include microbial ecology and analysis of the complex metabolism of the microbial community, as well as various host–microbial interactions occurring at the interface between microbes and host intestinal epithelia. Such studies are expected to lead to understanding of the impact of the microbiota on human health and disease.4
–6
Along these lines, it should be noted that an international collaborative project, the human microbiome project (HMP), was launched7
in 2007 with the aim of collecting and integrating the genomic information from many diverse human microbiomes (the word microbiome was first introduced in 2001 to define the collective genomes of microbiota8
). This article is intended as an overview of the recent findings in relevant research fields.
| 2. Microbial diversity of the human gut microbiota |
|---|
Over the past decade, the bacterial 16S ribosomal RNA gene (16S) sequence (
1.5 kb) has been a useful landmark for analyzing the microbial diversity of human intestinal microbiota. A large-scale 16S phylotype analysis (grouping only by 16S rRNA sequence similarity) was carried out for three human adult microbiota.9
80% represented sequences from species yet to be cultivated. This analysis also indicated high interindividual variations in microbial composition among the three samples. Another large-scale 16S analysis estimated 4074 phylotypes at the species level (
97% ID) in 18 348 sequences obtained from 14 subjects including 12 obese adults monitored for over 1 year.10
The analysis of more than 45 000 bacterial 16S data combined with the three large-scale surveys described above estimated at least 1800 genera (
90% ID),
16 000 phylotypes at the species level (
97% ID) and
36 000 phylotypes at the strain level (
99% ID) in the human intestinal microbiota, predicting even greater diversity at the species level.12
This analysis also revealed that the majority (98% of all species) belongs to only four bacterial divisions: Firmicutes (64%), Bacteroidetes (23%), Proteobacteria (8%) and Actinobacteria (3%), whereas other minor taxonomic divisions are quite diverse.
Besides these snapshot analyses of the intestinal microbiota composition, other long-term surveys have been performed to follow both the overall composition and that of limited members over periods ranging from several months up to 2 years.10
,22
–24
These longitudinal studies suggested that the composition of intestinal microbiota do not drastically change in adults within the periods examined.
16S analyzes of infant intestinal microbiota have also been carried out.25
–27
One analysis revealed a dramatic progression in microbial composition until at least 1 year after birth with higher interindividual variations, but less complex than those between adults, converging toward a profile characteristic to the adult type at the end of the first year of life.25
As might be expected, fraternal twins tend to show a significantly high similarity in their temporal microbial composition profiles.25
,28
No clear correlation was found in overall microbial composition due to the mode of delivery (Cesarean section or vaginal birth) and feeding with breast milk or formulated milk. Therefore, the source of these early colonizers is not clear, whereas some specific species are known to be transmitted from mother to baby.26
,29
,30
Infant intestinal microbiota is mostly composed of bacteria such as Staphylococcus, Streptococcus, Bifidobacterium and Enterobacteria. Both adult and infant intestinal microbiota members are restricted to a small subset of species as described above, implying that the intestinal microbiota have evolved to shape overall microbial diversity under strong selective pressures.4
,5
| 3. Sequence-based metagenomics of the human gut microbiome |
|---|
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The 16S analysis disclosed the existence of numbers of unculturable bacteria in the human intestinal microbiota, with only up to 20% of the 16S data able to be assigned to known species that have been successfully cultured in the laboratory during the past four decades.9
To date, metagenomic data of human and mouse intestinal microbiomes have been published from three separate groups.11
,36
,37
Gill et al. obtained
78 megabases (Mb) unique metagenomic sequence data from the intestinal microbiome of two healthy human adults. Comparison of gene sets annotated in the intestinal microbiomes with human genes identified significant numbers of bacterial genes that are not encoded in the human genome. The function of these gene products contributes largely to the metabolism of glycans, amino acids and xenobiotics, and biosynthesis of vitamins and isoprenoids, which are necessary processes in human biology. These findings indicate the symbiotic relationship with humans and support the concept that we are superorganisms, the union of humans with their microbiota.3
Kurokawa et al.37
analyzed 13 human intestinal microbiomes including adults, children and unweaned infants and obtained 479 Mb unique metagenomic sequence data. Unexpectedly, more than half (up to 90%) of total shotgun reads were assembled to form unique contigs in each sample, which is in sharp contrast to soil microbiota in which <1% of total reads were assembled. These results suggest that the amount of sequence data produced in the two metagenomic studies (around 50 Mb of Sanger sequence data for each sample) could substantially uncover the major species with the highest orders of magnitude in quantity in each microbiota, and that these species may be comprised of a very limited number of strain-level species, perhaps accounting for <20 species in each microbiome. The constitution of major species by strain-level species, not by high species-level diversity, could be inferred from base-inconsistency in the generated contigs, with most of those
5 kb displaying high sequence similarity of >99.5% ID between assembled reads. In order to uncover the vast numbers of other species present at lower orders of magnitude, it would be necessary to produce sequence data of several more orders of magnitude.
The analysis by Kurokawa et al. also found 647 novel gene families specific to these intestinal microbiomes when compared with genes present in the metagenomic data of other microbial communities such as sea-surface, deep-sea and soil, and significantly enriched genes in these microbiomes when compared with gene sets in known microbes, except for the gut inhabitants. These gut microbiome-enriched (gut-enriched) genes were assigned to 237 and 136 clusters of orthologous groups (COGs) for the adult/child and the infant microbiomes, respectively, sharing 58 COGs between them for a total of 315 COGs in all. In the 315 enriched COGs, the function related to carbohydrate metabolism was remarkable in both types, but the functional repertories clearly differed between the adult and infant types. The adult type was rich in polysaccharide-degrading enzymes and the infant type was rich in sugar transporters. These data indicate that the functionality of healthy intestinal microbiota relies largely on available nutrients in the diet.38
,39
| 4. Further analysis of metagenomic genes identified in 13 Japanese samples |
|---|
Genome analysis of several Bacteroides strains dominant in adult intestinal microbiota indicated the richness of genes involved in polysaccharide metabolism,40
|
|
In summary, the abundance of specific gene sets (i.e. gut-enriched genes) in commensal bacteria suggests that their genomes have evolved to accumulate functions advantageous for competitive survival and colonization in the gut habitat, a possible consequence of the functional adaptation to the gut ecosystem.5
About 75% of the genes annotated in the metagenomic sequences of the 13 human intestinal microbiomes showed sequence similarity ranging from 40 to 100% ID at the amino acid level with known genes.37
When, for each gene, the best blastp-hit was used to tentatively assign the gene to a species, the distribution of sequence similarity for each species assigned could be depicted as shown in Fig. 2. Fig. 2 shows two distinct distribution patterns; those that peaked at high similarity of over 80% ID and those with low similarity between 50 and 80% ID. Typical species with the first pattern are Escherichia, Klebsiella, Bifidobacterium and Bacteroides, all of which were previously isolated from humans and fully sequenced, so it is reasonable that many of the metagenomic genes showed high sequence similarity with those in these microbes. On the other hand, the metagenomic genes showing low similarity with known genes in tentatively assigned species, such as Bacillus, Clostridium and Streptococcus, probably originate from species that are close to the assigned taxa but have not yet been isolated or sequenced. These data suggest that human intestinal microbes constitute distinct phylogenies from those of other environmental bacteria and have evolved with their own unique histories including co-evolution with the human host and its ancestors.2
,5
|
| 5. Issues to be considered in 16S and metagenomic studies |
|---|
In both cases of 16S rRNA phylotyping and metagenomic analysis, establishment of a reliable method for microbial DNA isolation from any given microbiota is a critical issue. This is because the intestinal microbiota comprise Gram-positive and Gram-negative bacteria and a small fraction of archaea, some of which may be hard-to-lyse species. So far, methods based on mechanical disruption using zirconium/silica beads11
The 16S analysis also has an intrinsic problem in quantitative evaluation of the microbial composition because of the existence of multiple heterogeneous copies of the 16S rRNA genes within a genome along with uneven PCR-amplification of the 16S region. The range in copy number of the 16S rRNA gene varies from 1 to as many as 15 in prokaryotic species.55
In addition, the PCR primer Bact-8F,56
often used for amplification of the nearly full-length 16S sequence, might not be suitable at least for the quantification of Bifidobacteria, of which the 16S sequence has three base mismatches with the primer, underscoring the composition of this species.25
Recently, an improved primer pool was developed.57
Next-generation DNA sequencers guarantee the rapid collection of genomic data but provide less read-length than that of conventional Sanger sequencers.35
The feasibility of pyrosequencing reads of 200–300 bases for the 16S phylotype analysis58
was evaluated by collecting 141 000 reads from rhesus macaque intestinal microbiota.59
The results showed high reproducibility of the phylogenetic assignments and similarity of the major types and relative numbers of taxa to those obtained from Sanger sequences.
| 6. Functions of the gut microbiota |
|---|
Deciphering biological features of a taxonomically complex and ecologically dynamic microbial community is a challenging issue in gut microbiome research. Germ-free and gnotobiotic mice,60
Investigations have been made regarding the functions of commensal bacterial genes on their colonization in the mouse intestine. Flexible transcriptional regulation for adaptation to changes in available nutrients, including those during weaning, was found in Bacteroides thetaiotaomicron.39
,75
Surface glycans expressed by Bacteroides fragilis are essential for its colonization.76
The analysis of certain Lactobacillus strains, which are thought to have health-promoting properties as probiotics, identified genes inducible upon their colonization.77
Expression profiling of both bacterial and host genes in mono-associated mice colonized by either Bifidobacterium longum or B. thetaiotaomicron and di-associated mice colonized by both bacteria were examined.78
The co-existence of B. longum expanded diversification in the carbohydrate substrates accessed by B. thetaiotaomicron in a host-independent manner. On the other hand, the presence of B. longum significantly reduced the expression levels of host genes responsible for antimicrobial activity against Gram-positive bacteria compared with that by B. thetaiotaomicron alone, suggesting the involvement of host responses in competitive colonization between these bacteria.
Commensal bacteria share many indistinguishable features with pathogenic bacteria relating to host immune response.79
–81
For example, lipopolysaccharide (LPS), lipoteichoic acid (LTA) and peptidoglycan, major cell wall components of all bacteria, are well known ligands recognized by membrane-bound toll-like receptor 4 (TLR4) and TLR2 (TLR2), that serve as sensors of bacterial infection and lead to the production of pro-inflammatory cytokines such as TNF
and IL-6.82
Commensal bacteria have the ability to activate pro-inflammatory responses leading to harmful effects on the host via TLR signaling in mice lacking IL-10,83
an anti-inflammatory cytokine.84
Commensal bacteria also have the ability to activate anti-inflammatory responses leading to beneficial effects on the host via TLR signaling when the cascade to pro-inflammatory responses is lacking.85
These results indicate that the impact of intestinal microbiota on the host physiology largely depends on the state of host immunity and that host-commensal bacteria interactions are considered to be placed at the exquisitely equilibrated state between pro-inflammatory and anti-inflammatory responses,81
,86
where the host preserves intestinal microbes while still being able to sense the bacteria that penetrate across intestinal borders.
Mammalian epithelia including Paneth and dendric cells are major sources of endogenous antimicrobial substances, including: lysozymes, phospholipases and various antimicrobial peptides such as
-defensins,87
angiogenin488
and RegIII
.89
Several studies have examined the relationships between these antimicrobial peptides and their effect on various intestinal microbes. RegIII
is a C-type lectin, of which the expression is mediated by TLR signaling90
and down-regulated by a Gram-positive Bifidobacterium strain.78
The expression of mouse cryptdins, a counterpart of human
-defensins, requires Nod2 (nucleotide-binding oligomerization domain containing 2), a cytoplasmic pattern recognition receptor expressed in Paneth cells that senses for bacterial peptidoglycans.91
,92
Mutations in the Nod2 gene are highly correlated with the etiological risk of a subset of Crohns disease (CD).14
,93
The expression of
-defensins at the ileal of patients with CD of the ileal was significantly down-regulated, but not at the ileal of patients with CD of the colon.94
Certain Enterococcus strains have been shown to regulate the phosphorylation of peroxisome proliferators-activated receptor
(PPAR
) to induce the expression of downstream target genes including interleukin-10 (IL-10).95
PPAR
-deficient mice exhibited dysfunction on the maintenance of gut homeostasis.96
Bacteroides thetaiotaomicron induced PPAR
-mediated cytoplasmic re-distribution of the NF-
B subunit RelA in intestinal cells, selectively attenuating the inflammatory response.97
These findings indicate that PPAR
is a nuclear factor associated with anti-inflammatory response. The expression of antimicrobial cathelicidin LL-37 is induced by butyrate, the product of polysaccharide fermentation by intestinal microbes.98
These antimicrobial peptides may suppress microbial overgrowth and excessive contact of bacteria to the epithelia by directly killing them, resulting in minimizing inadequate stimulation of inflammatory responses.80
,99
Some antimicrobial peptides were shown to dramatically increase in expression during the post-natal period.88
,89
,99
,100
And, it has been shown that TLR signaling by LPS is activated in vaginally delivered newborn mice immediately after birth but not in newborns delivered by Cesarean section.101
,102
These findings suggest that exposure of maternal-derived commensals to the intestinal epithelia in neonates is involved in initiating the development of intestinal homeostasis. Secreted (or mucosal) IgA produced by gut-associated lymphoid tissues is largely involved in shaping the intestinal microbiota composition, whereas lack of IgA expression can lead to adaptive immune response.103
–105
Intestinal alkaline phosphatase (IAP) was found to dephospholyrate the phosphate moiety in LPS, resulting in detoxification of LPS and prevention of bacterial penetration across the epithelial barrier, suggesting that IAP plays an important role in maintenance of gut homeostasis.106
,107
Recently, a study on gene expression of the TLR4-mediated signaling cascade in LPS-stimulated macrophages identified two classes of genes: those responding only to initial LPS stimulation and those responding to repeated LPS stimulation. The former class of genes includes pro-inflammatory cytokine genes, whereas the latter includes antimicrobial genes such as cathelicidin-related peptides. Histone modifications are involved in this regulation,108
which could also be linked to disease susceptibility from environmental factors.109
In summary, the host has evolved to establish many processes that sustain unresponsiveness toward the commensal bacteria while at the same time maintaining responsiveness toward pathogens (Fig. 3). These processes include the production of IgA, IAP and various antimicrobial peptides and epigenetic control of pro-inflammatory responses, all of which sever routes leading to excessive inflammatory response. On the other hand, pathogens also have evolved to equip various virulence factors, including effectors, that confer additional abilities for evading the host defense system, eventually inducing pro-inflammatory responses79
,110
via change of the microbiota composition in favor of the pathogens.72
In contrast, commensal bacteria may also have evolved not only to acquire specific functions adaptive to the gut habitat, e.g. carbohydrate metabolism, energy production, cell maturation and proliferation toward intestinal homeostasis,111
but also to eliminate undesired appendages that could result in sensing for pro-inflammatory responses, e.g. profound depletion of genes for cell motility function in the metagenomic data of human intestinal microbiomes37
and attenuation of host immune response by loss of flagellar function.112
|
| 7. HMP and future directions |
|---|
The HMP aims at a better understanding of the roles of human microbes on human biology including their relationship with health and disease.7
A simplified model system using gnotobiotic animals has provided fundamental knowledge of the molecular mechanisms involved in intestinal host–microbe interactions, in which active bacterial components have been identified.118
,119
However, an enormous number and variety of bacterial components and products must participate in these interactions, and most remain unknown. Future studies will include those to explore and identify intestinal bacteria and their gene products (including metabolites) that are involved in host–microbial interactions, to identify human genes that respond to bacterial signals crucial for human physiology and to identify dietary components that influence and shape the intestinal microbiota composition. These scientific challenges will be achieved by using advanced omics technologies coupled with the vast quantities of genomic data that are already being accumulated by the HMP. Thus, the human intestinal microbiome will pave the way leading to a new frontier in human biology, in which the human genome and the intestinal microbiome are tightly linked together as an integral part of the human metagenome (Fig. 4).
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| Funding |
|---|
This research was supported in part by the Grant-in-Aid for Scientific Research on Priority Areas Comprehensive Genomics (17020007) from the Ministry of Education, Culture, Sports, Science and Technology of Japan.
| Acknowledgements |
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The authors thank all members of the Human MetaGenome Consortium Japan (HMGJ) for collaborative research on the human intestinal microbiota and microbiome.
| Footnotes |
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* To whom correspondence should be addressed. E-mail: hattori{at}k.u-tokyo.ac.jp
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1e–8 for 371 bacteria whose genomic sequences were available from public databases. The 371 bacteria were classified into seven groups according to their origin of isolation; commensals, pathogens, plant-related, soil-born, freshwater-born, seawater-born and others, and shown in red, pink, green, brown, light blue, dark blue and black dots, respectively.

