The human body plays host to close to 39 trillion bacteria cells which are about a 1:1 ratio of human to bacterial cells.1 Bacteria can play multiple roles in human health, starting before birth and continuing throughout life.
Many of these functions have not been adequately defined or understood. The Human Microbiome Project (HMP) and The Naional Microbiome Initiative (NMI) of The White House have helped to advance the science in this area. HMP is a comprehensive research resource through the National Institute of Health (NIH) whose mission is to research the human microbiome and its effects on health. This research is looking at the gastrointestinal tract and many other areas of the body including the skin, genitals, oral system, and other systems.
The ultimate goal is to determine if specific traits of a microbiome can lead to better understanding of certain conditions and diseases by creating a robust database of bacteria found in the human microbiome. There is not a specific healthy microbiome, but it is individualized to a person based on their exposure to diet, medications, environment, and toxins. The body of literature is growing to support evidence that specific bacteria have particular effects. Professor Rob Knight’s work on the HMP has helped raise this area of science to the next level, and his 2015 TED Talk is an informative introduction to the microbiome.
The bacteria in the gut can be defined by one of three types: commensal, mutualistic, or pathogenic. Commensal bacteria, such as Escherichia coli strains, do not provide either beneficial or adverse effects on the host. Mutualistic bacteria, such as Lactobacillus spp, provide benefit to and from the host. Mutualistic bacteria produce short-chain fatty acids (SCFA) that further convert to butyrate. Butyrate can be stimulated by probiotics and prebiotics which influence gut health, cardiovascular health, and other body systems.2 Pathogenic bacteria, such as Clostridium perfringens, causes harm to the host.3 These types of bacteria and other organisms make up the larger microbiome.
- Microbiome: the whole habitat that includes all microorganisms (bacteria, viruses, and others), their genomes, and the conditions of the environment4
- Microbiota: a term first described by Lederberg and McCray in 2001 as a group of microorganisms that focuses specifically on the effect on human health outcomes5
- Microflora: an older and misused term for microbiota. “Flora” would suggest that the bacteria and viruses in the microbiome are part of the “plant” kingdom