학술논문

Gut dysbiosis: Ecological causes and causative effects on human disease
Document Type
article
Source
Proceedings of the National Academy of Sciences of the United States of America. 120(50)
Subject
Microbiology
Biological Sciences
2.1 Biological and endogenous factors
Aetiology
Oral and gastrointestinal
Humans
Dysbiosis
Microbiota
Gastrointestinal Microbiome
microbiota
dysbiosis
colitis
colorectal cancer
Language
Abstract
The gut microbiota plays a role in many human diseases, but high-throughput sequence analysis does not provide a straightforward path for defining healthy microbial communities. Therefore, understanding mechanisms that drive compositional changes during disease (gut dysbiosis) continues to be a central goal in microbiome research. Insights from the microbial pathogenesis field show that an ecological cause for gut dysbiosis is an increased availability of host-derived respiratory electron acceptors, which are dominant drivers of microbial community composition. Similar changes in the host environment also drive gut dysbiosis in several chronic human illnesses, and a better understanding of the underlying mechanisms informs approaches to causatively link compositional changes in the gut microbiota to an exacerbation of symptoms. The emerging picture suggests that homeostasis is maintained by host functions that control the availability of resources governing microbial growth. Defining dysbiosis as a weakening of these host functions directs attention to the underlying cause and identifies potential targets for therapeutic intervention.