Advertisement
No access
Perspective
Microbiome

Community Health Care: Therapeutic Opportunities in the Human Microbiome

The human microbiome harbors tremendous untapped therapeutic potential.
Science Translational Medicine
13 Apr 2011
Vol 3, Issue 78
p. 78ps12

Abstract

We are never alone. Humans coexist with diverse microbial species that live within and upon us—our so-called microbiota. It is now clear that this microbial community is essentially another organ that plays a fundamental role in human physiology and disease. Basic and translational research efforts have begun to focus on deciphering mechanisms of microbiome function—and learning how to manipulate it to benefit human health. In this Perspective, we discuss therapeutic opportunities in the human microbiome.

Get full access to this article

View all available purchase options and get full access to this article.

References and Notes

1
Turnbaugh P. J., Ley R. E., Mahowald M. A., Magrini V., Mardis E. R., Gordon J. I., An obesity-associated gut microbiome with increased capacity for energy harvest. Nature 444, 1027–1031 (2006).
2
Turnbaugh P. J., Hamady M., Yatsunenko T., Cantarel B. L., Duncan A., Ley R. E., Sogin M. L., Jones W. J., Roe B. A., Affourtit J. P., Egholm M., Henrissat B., Heath A. C., Knight R., Gordon J. I., A core gut microbiome in obese and lean twins. Nature 457, 480–484 (2009).
3
Ley R. E., Turnbaugh P. J., Klein S., Gordon J. I., Microbial ecology: Human gut microbes associated with obesity. Nature 444, 1022–1023 (2006).
4
Wen L., Ley R. E., Volchkov P. Y., Stranges P. B., Avanesyan L., Stonebraker A. C., Hu C., Wong F. S., Szot G. L., Bluestone J. A., Gordon J. I., Chervonsky A. V., Innate immunity and intestinal microbiota in the development of Type 1 diabetes. Nature 455, 1109–1113 (2008).
5
Penders J., Thijs C., van den Brandt P. A., Kummeling I., Snijders B., Stelma F., Adams H., van Ree R., Stobberingh E. E., Gut microbiota composition and development of atopic manifestations in infancy: The KOALA Birth Cohort Study. Gut 56, 661–667 (2007).
6
Frank D. N., St Amand A. L., Feldman R. A., Boedeker E. C., Harpaz N., Pace N. R., Molecular-phylogenetic characterization of microbial community imbalances in human inflammatory bowel diseases. Proc. Natl. Acad. Sci. U.S.A. 104, 13780–13785 (2007).
7
Dethlefsen L., McFall-Ngai M., Relman D. A., An ecological and evolutionary perspective on human-microbe mutualism and disease. Nature 449, 811–818 (2007).
8
Garrett W. S., Lord G. M., Punit S., Lugo-Villarino G., Mazmanian S. K., Ito S., Glickman J. N., Glimcher L. H., Communicable ulcerative colitis induced by T-bet deficiency in the innate immune system. Cell 131, 33–45 (2007).
9
Vijay-Kumar M., Aitken J. D., Carvalho F. A., Cullender T. C., Mwangi S., Srinivasan S., Sitaraman S. V., Knight R., Ley R. E., Gewirtz A. T., Metabolic syndrome and altered gut microbiota in mice lacking Toll-like receptor 5. Science 328, 228–231 (2010).
10
Allen S. J., Martinez E. G., Gregorio G. V., Dans L. F., Probiotics for treating acute infectious diarrhoea. Cochrane Database Syst. Rev. 11, CD003048 (2010).
11
Bernaola Aponte G., Bada Mancilla C. A., Carreazo Pariasca N. Y., Rojas Galarza R. A., Probiotics for treating persistent diarrhoea in children. Cochrane Database Syst. Rev. 11, CD007401 (2010).
12
Corr S. C., Li Y., Riedel C. U., O’Toole P. W., Hill C., Gahan C. G., Bacteriocin production as a mechanism for the antiinfective activity of Lactobacillus salivarius UCC118. Proc. Natl. Acad. Sci. U.S.A. 104, 7617–7621 (2007).
13
Fukuda S., Toh H., Hase K., Oshima K., Nakanishi Y., Yoshimura K., Tobe T., Clarke J. M., Topping D. L., Suzuki T., Taylor T. D., Itoh K., Kikuchi J., Morita H., Hattori M., Ohno H., Bifidobacteria can protect from enteropathogenic infection through production of acetate. Nature 469, 543–547 (2011).
14
Kaufman D. W., Kelly J. P., Curhan G. C., Anderson T. E., Dretler S. P., Preminger G. M., Cave D. R., Oxalobacter formigenes may reduce the risk of calcium oxalate kidney stones. J. Am. Soc. Nephrol. 19, 1197–1203 (2008).
15
Krutmann J., Pre- and probiotics for human skin. J. Dermatol. Sci. 54, 1–5 (2009).
16
Hillman J. D., Genetically modified Streptococcus mutans for the prevention of dental caries. Antonie van Leeuwenhoek 82, 361–366 (2002).
17
Lipinski C. A., Lombardo F., Dominy B. W., Feeney P. J., Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings. Adv. Drug Deliv. Rev. 46, 3–26 (2001).
18
Goldin B. R., Intestinal microflora: Metabolism of drugs and carcinogens. Ann. Med. 22, 43–48 (1990).
19
Lindenbaum J., Rund D. G., Butler V. P., Tse-Eng D., Saha J. R., Inactivation of digoxin by the gut flora: Reversal by antibiotic therapy. N. Engl. J. Med. 305, 789–794 (1981).
20
Wallace B. D., Wang H., Lane K. T., Scott J. E., Orans J., Koo J. S., Venkatesh M., Jobin C., Yeh L. A., Mani S., Redinbo M. R., Alleviating cancer drug toxicity by inhibiting a bacterial enzyme. Science 330, 831–835 (2010).
21
Clatworthy A. E., Pierson E., Hung D. T., Targeting virulence: A new paradigm for antimicrobial therapy. Nat. Chem. Biol. 3, 541–548 (2007).
22
Bartlett J. G., Narrative review: The new epidemic of Clostridium difficile-associated enteric disease. Ann. Intern. Med. 145, 758–764 (2006).
23
König R., Stertz S., Zhou Y., Inoue A., Hoffmann H. H., Bhattacharyya S., Alamares J. G., Tscherne D. M., Ortigoza M. B., Liang Y., Gao Q., Andrews S. E., Bandyopadhyay S., De Jesus P., Tu B. P., Pache L., Shih C., Orth A., Bonamy G., Miraglia L., Ideker T., García-Sastre A., Young J. A., Palese P., Shaw M. L., Chanda S. K., Human host factors required for influenza virus replication. Nature 463, 813–817 (2010).
24
Allison S. D., Martiny J. B., Colloquium paper: Resistance, resilience, and redundancy in microbial communities. Proc. Natl. Acad. Sci. U.S.A. 105 (suppl. 1), 11512–11519 (2008).
25
L. Dethlefsen, D. A. Relman, Incomplete recovery and individualized responses of the human distal gut microbiota to repeated antibiotic perturbation. Proc. Natl. Acad. Sci. U.S.A. 108 (suppl. 1), 4554–4561 (2011).
26
Camilli A., Bassler B. L., Bacterial small-molecule signaling pathways. Science 311, 1113–1116 (2006).
27
Khoruts A., Dicksved J., Jansson J. K., Sadowsky M. J., Changes in the composition of the human fecal microbiome after bacteriotherapy for recurrent Clostridium difficile-associated diarrhea. J. Clin. Gastroenterol. 44, 354–360 (2010).
28
Dethlefsen L., Huse S., Sogin M. L., Relman D. A., The pervasive effects of an antibiotic on the human gut microbiota, as revealed by deep 16S rRNA sequencing. PLoS Biol. 6, e280 (2008).
29
Steidler L., Hans W., Schotte L., Neirynck S., Obermeier F., Falk W., Fiers W., Remaut E., Treatment of murine colitis by Lactococcus lactis secreting interleukin-10. Science 289, 1352–1355 (2000).
30
Clayton T. A., Baker D., Lindon J. C., Everett J. R., Nicholson J. K., Pharmacometabonomic identification of a significant host-microbiome metabolic interaction affecting human drug metabolism. Proc. Natl. Acad. Sci. U.S.A. 106, 14728–14733 (2009).
31
Blaser M. J., Falkow S., What are the consequences of the disappearing human microbiota? Nat. Rev. Microbiol. 7, 887–894 (2009).
32
Regev-Yochay G., Dagan R., Raz M., Carmeli Y., Shainberg B., Derazne E., Rahav G., Rubinstein E., Association between carriage of Streptococcus pneumoniae and Staphylococcus aureus in children. JAMA 292, 716–720 (2004).
33
Bogaert D., van Belkum A., Sluijter M., Luijendijk A., de Groot R., Rümke H. C., Verbrugh H. A., Hermans P. W., Colonisation by Streptococcus pneumoniae and Staphylococcus aureus in healthy children. Lancet 363, 1871–1872 (2004).
34
Croucher N. J., Harris S. R., Fraser C., Quail M. A., Burton J., van der Linden M., McGee L., von Gottberg A., Song J. H., Ko K. S., Pichon B., Baker S., Parry C. M., Lambertsen L. M., Shahinas D., Pillai D. R., Mitchell T. J., Dougan G., Tomasz A., Klugman K. P., Parkhill J., Hanage W. P., Bentley S. D., Rapid pneumococcal evolution in response to clinical interventions. Science 331, 430–434 (2011).
35
De Filippo C., Cavalieri D., Di Paola M., Ramazzotti M., Poullet J. B., Massart S., Collini S., Pieraccini G., Lionetti P., Impact of diet in shaping gut microbiota revealed by a comparative study in children from Europe and rural Africa. Proc. Natl. Acad. Sci. U.S.A. 107, 14691–14696 (2010).

(0)eLetters

eLetters is a forum for ongoing peer review. eLetters are not edited, proofread, or indexed, but they are screened. eLetters should provide substantive and scholarly commentary on the article. Embedded figures cannot be submitted, and we discourage the use of figures within eLetters in general. If a figure is essential, please include a link to the figure within the text of the eLetter. Please read our Terms of Service before submitting an eLetter.

Log In to Submit a Response

No eLetters have been published for this article yet.

Information & Authors

Information

Published In

Science Translational Medicine
Volume 3 | Issue 78
April 2011

Permissions

Request permissions for this article.

Acknowledgments

Acknowledgments: We thank Chris Voigt, Ramnik Xavier, and members of the Sonnenburg and Fischbach laboratories for helpful discussions and comments on the manuscript. Funding: Research in the authors’ laboratories is supported by grants from the NIH (DP2 OD006515 to J.L.S. and DP2 OD007290 to M.A.F.); NIDDK (R01 DK085025 to J.L.S.); the Program for Breakthrough Biomedical Research (M.A.F.); and a Young Investigator Grant from the Global Probiotics Council (M.A.F.). Competing interests: M.A.F. is an advisor for PureTech Ventures/Enlight Biosciences; J.L.S. is on the scientific advisory board of Ganeden Biotech and Metametrix.

Authors

Affiliations

Justin L. Sonnenburg* [email protected]
Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Michael A. Fischbach* [email protected]
Department of Bioengineering and Therapeutic Sciences and California Institute for Quantitative Biosciences, University of California, San Francisco, San Francisco, CA 94158, USA.

Notes

*
Corresponding authors. E-mail: [email protected] (J.L.S.); [email protected] (M.A.F.)

Metrics & Citations

Metrics

Article Usage

Altmetrics

Citations

Cite as

Export citation

Select the format you want to export the citation of this publication.

Cited by

  1. Characterization of dysbiosis of the conjunctival microbiome and nasal microbiome associated with allergic rhinoconjunctivitis and allergic rhinitis, Frontiers in Immunology, 14, (2023).https://doi.org/10.3389/fimmu.2023.1079154
    Crossref
  2. Helicobacter pylori, Principles and Practice of Pediatric Infectious Diseases, (954-959.e5), (2023).https://doi.org/10.1016/B978-0-323-75608-2.00174-9
    Crossref
  3. A Cross-Talk between Diet and the Oral Microbiome: Balance of Nutrition on Inflammation and Immune System’s Response during Periodontitis, Nutrients, 14, 12, (2426), (2022).https://doi.org/10.3390/nu14122426
    Crossref
  4. Oral Microbiome: Getting to Know and Befriend Neighbors, a Biological Approach, Biomedicines, 10, 3, (671), (2022).https://doi.org/10.3390/biomedicines10030671
    Crossref
  5. Hydrogels as promising platforms for engineered living bacteria-mediated therapeutic systems, Materials Today Bio, 16, (100435), (2022).https://doi.org/10.1016/j.mtbio.2022.100435
    Crossref
  6. Comparative meta-analysis of host transcriptional response during Streptococcus pneumoniae carriage or infection, Microbial Pathogenesis, 173, (105816), (2022).https://doi.org/10.1016/j.micpath.2022.105816
    Crossref
  7. Oral Microbiome: An Opening to Healthy Possibilities, Human Microbiome, (27-54), (2022).https://doi.org/10.1007/978-981-16-7672-7_2
    Crossref
  8. Impact of Probiotics in Modulation of Gut Microbiome, Microbiome-Gut-Brain Axis, (401-409), (2022).https://doi.org/10.1007/978-981-16-1626-6_20
    Crossref
  9. The Gluten-Free Diet for Celiac Disease and Beyond, Nutrients, 13, 11, (3993), (2021).https://doi.org/10.3390/nu13113993
    Crossref
  10. Potential Role of Probiotics for Inflammaging: A Narrative Review, Nutrients, 13, 9, (2919), (2021).https://doi.org/10.3390/nu13092919
    Crossref
  11. See more
Loading...

View Options

Check Access

Log in to view the full text

AAAS ID LOGIN

AAAS login provides access to Science for AAAS Members, and access to other journals in the Science family to users who have purchased individual subscriptions.

Log in via OpenAthens.
Log in via Shibboleth.

More options

Purchase access to this article

Download and print this article within 24 hours for your personal scholarly, research, and educational use.

View options

PDF format

Download this article as a PDF file

Download PDF

Full Text

FULL TEXT

Media

Figures

Multimedia

Tables

Share

Share

Share article link

Share on social media