Originally published in Science Express on 14 April 2005 Science 10 June 2005: Vol. 308. no. 5728, pp. 1635 - 1638 DOI: 10.1126/science.1110591 Prev | Table of Contents | Next REPORTS Diversity of the Human Intestinal Microbial Flora Paul B. Eckburg,1* Elisabeth M. Bik,2 Charles N. Bernstein,3 Elizabeth Purdom,4 Les Dethlefsen,2 Michael Sargent,3 Steven R. Gill,5 Karen E. Nelson,5 David A. Relman1,2,6* The human endogenous intestinal microflora is an essential "organ" in providing nourishment, regulating epithelial development, and instructing innate immunity; yet, surprisingly, basic features remain poorly described. We examined 13,355 prokaryotic ribosomal RNA gene sequences from multiple colonic mucosal sites and feces of healthy subjects to improve our understanding of gut microbial diversity. A majority of the bacterial sequences corresponded to uncultivated species and novel microorganisms. We discovered significant intersubject variability and differences between stool and mucosa community composition. Characterization of this immensely diverse ecosystem is the first step in elucidating its role in health and disease. 1 Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Room S-169, 300 Pasteur Drive, Stanford CA 94305–5107, USA. 2 Department of Microbiology and Immunology, 299 Campus Drive, Room D300, Fairchild Science Building, Stanford CA 94305–5124, USA. 3 Section of Gastroenterology, Department of Medicine, University of Manitoba, MS 779-820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9, Canada. 4 Department of Statistics, Sequoia Hall, 390 Serra Mall, Stanford University, Stanford CA 94305, USA. 5 The Institute for Genomic Research, 9712 Medical Center Drive, Rockville, MD 20850, USA. 6 Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA 94304, USA. * To whom correspondence should be addressed. E-mail: eckburg1@stanford.edu (P.B.E.); relman@stanford.edu (D.A.R.) The endogenous gastrointestinal microbial flora plays a fundamentally important role in health and disease, yet this ecosystem remains incompletely characterized and its diversity poorly defined (1). Critical functions of the commensal flora include protection against epithelial cell injury (2), regulation of host fat storage (3), and stimulation of intestinal angiogenesis (4). Because of the insensitivity of cultivation, investigators have begun to explore this ecosystem using molecular finger-printing methods (5) and sequence analysis of cloned microbial small-subunit ribosomal RNA genes [16S ribosomal DNA (rDNA)] (6–9). However, such studies have been limited by the relative paucity of sequenced gene fragments, the use of fecal biota as a surrogate for the entire gut microflora, and little attention given to potential differences between specific anatomical sites. In addition, variation associated with time, diet, and health status have not been adequately described, nor have the relative importance and contributions of each source (10). Surface-adherent and luminal microbial populations may be distinct and may fulfill different roles within the ecosystem. For example, the biofilm-like architecture of the mucosal microbiota, in close contact with the underlying gut epithelium, facilitates beneficial functions including nutrient exchange and induction of host innate immunity (11). Fecal samples are often used to investigate the intestinal microflora because they are easily collected. However, the degree to which composition and function of the fecal microflora differ from mucosal microflora remains unclear. We undertook a large-scale comparative analysis of 16S rDNA sequences to characterize better the adherent mucosal and fecal microbial communities and to examine how these microbial communities differed between subjects and between mucosal sites. Mucosal tissue and fecal samples were obtained from three healthy adult subjects (A, B, and C) who were part of a larger population-based case-control study (table S1) (12). Mucosal samples were obtained during colonoscopy from healthy-appearing sites within the six major subdivisions of the human colon: cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum. Fecal samples were collected from each subject 1 month following colonoscopy (12). We focused on 16S rDNA given its universal distribution among all prokaryotes, the presence of diverse species-specific domains, and its reliability for inferring phylogenetic relationships (13). The 16S rDNA was amplified from samples with polymerase chain reaction (PCR) and broad-range bacterial and archaeal primers (12). The 7 samples from subject B and the fecal sample from subject C yielded archaeal products; all 21 samples yielded bacterial products. PCR products were cloned and sequenced bidirectionally, and numerical ecology approaches were applied. Initially, a phylotype census was performed on each sample (table S2). A total of 11,831 bacterial and 1524 archaeal near-full-length, nonchimeric 16S rDNA sequences were subjected to phylogenetic analysis. Using 99% minimum similarity as the threshold for any pair of sequences in a phylotype (or operational taxonomic unit) as calculated by dissimilarity matrices and the DOTUR program (12), we identified a total of 395 bacterial phylotypes (Fig. 1). In contrast, all 1524 archaeal sequences belonged to a single phylotype (Methanobrevibacter smithii); these archaeal sequences were excluded from further analyses. This remarkable apparent difference in diversity of the two prokaryotic domains in the gut was reminiscent of results from soil and ocean (14). Fig. 1. Number of sequences per phylotype for each sample. The y axis is a neighbor-joining phylogenetic tree containing one representative of each of the 395 phylotypes from this study; each row is a different phylotype. The phyla (Bacteroidetes, non-Alphaproteobacteria, unclassified near Cyanobacteria, Actinobacteria, Firmicutes, Fusobacteria, and Alphaproteinobacteria, ordered top to bottom) are color coded as in Fig. 3 and fig. S1. Each column is labeled by subject (A, B, C) and anatomical site. For each phylotype, the clone abundance is indicated by a grayscale value. [View Larger Version of this Image (48K GIF file)] Of the 395 bacterial phylotypes, 244 (62%) were novel (table S3), and 80% represented sequences from species that have not been cultivated (12). Most of the inferred organisms were members of the Firmicutes and Bacteroidetes phyla (Fig. 1 and fig. S1), which is concordant with other molecular analyses of the gut flora (6, 7, 9). The Firmicutes phylum consisted of 301 phylotypes, 191 of which were novel; most (95%) of the Firmicutes sequences were members of the Clostridia class. We detected a substantial number of Firmicutes related to known butyrate-producing bacteria (2454 sequences, 42 phylotypes) (15, 16), all of which are members of clostridial clusters IV, XIVa, and XVI. We expected prominent representation of this functional group among our healthy control subjects, given its role in the maintenance and protection of the normal colonic epithelium (16). Large variations among the 65 Bacteroidetes phylotypes were noted between subjects (Fig. 1), as described previously (6, 7). B. thetaiotaomicron was detected in each subject and is known to be involved in beneficial functions, including nutrient absorption and epithelial cell maturation and maintenance (17). Relatively few sequences were associated with the Proteobacteria, Actinobacteria, Fusobacteria, and Verrucomicrobia phyla (fig. S1). The low abundance of Proteobacteria sequences (including Escherichia coli) was not surprising, given that facultative species may represent 0.1% of the bacteria in the strict anaerobic environment of the colon; this is consistent with previous findings (6, 8, 9). Three sequences from two subjects (represented by AY916143 [GenBank] ) clustered with unclassified sequences previously identified from mammalian gut samples. These sequences appear to represent a novel lineage, deeply branching from the Cyanobacteria phylum and chloroplast sequences. No complex microbial community in nature has been sampled to completion. In addition to its biases and inability to distinguish live from dead organisms, the limited sensitivity of broad-range PCR may hinder detection of rare phylotypes. We used several nonparametric methods to explore the diversity and coverage of our clone libraries. Phylotype richness estimations suggested that at least 500 phylotypes would be detected with continued sequencing from our samples ( 130, 300, and 200 phylotypes in subjects A, B, and C) (Fig. 2 and figs. S2 and S3). These estimates must be considered as lower bounds, because both the observed and the estimated richness have increased in parallel with additional sampling effort (Fig. 2 and fig. S3). Coverage was 99.0% over all bacterial clone libraries combined, meaning that one new unique phylotype would be expected for every 100 additional sequenced clones (18). Fig. 2. Collector's curves of observed and estimated phylotype richness of pooled mucosal samples per subject. Each curve reflects the series of observed or estimated richness values obtained as clones are added to the data set in an arbitrary order. The curves rise less steeply as an increasing proportion of phylotypes have been encountered, but novel phylotypes continue to be identified to the end of sampling. The relatively constant estimates of the number of unobserved phylotypes in each subject as observed richness increases (the gap between observed and estimated richness) indicate that estimated richness is likely to increase further with additional sampling. The Chao1 estimator and the abundance-based coverage estimator (ACE) are similar, but the ACE is less volatile because it uses more information from the abundance distribution of observed phylotypes. Individualbased rarefaction curves are depicted in figs. S4 to S6. [View Larger Version of this Image (22K GIF file)] The microbial community appeared more diverse in subject B than in A or C, based on inspection of the richness and evenness of the clone distribution across the phylogenetic tree (Fig. 1). The Rao diversity coefficient (19), which accounts for both phylotype abundance and dissimilarity, was indeed higher for B than for the other subjects (fig. S7). This pattern was not found with traditional, that is, Shannon and Simpson, diversity indices, which assess only relative phylotype abundance (20). Within each subject, the mucosal samples demonstrated similar diversity profiles, regardless of the index used (fig. S7). Previous investigations have not rigorously addressed possible differences in the intestinal microflora between subjects, between anatomical sites, or between stool and mucosal communities. We applied techniques that are based on the relative abundance of sequences within communities and the extent of genetic divergence between sequences. We first compared inter- and intrasubject variability using double principal coordinate analysis (DPCoA) (19). The greatest amount of variability was explained by intersubject differences; stool-mucosa differences explained most of the variability remaining in the data (Fig. 3). The relative lack of variation among mucosal sites was further examined. The FST statistic of population genetics (21) was used to compare genetic diversity within each subject; this revealed that the mucosal populations of subjects A and B were significantly distinct compared with the overall mucosal diversity (table S5). However, in both of these subjects, a single mucosal library had a deviant genetic diversity index; exclusion of this library from the analysis led to an insignificant FST statistic in each case (12). Taken as a whole, these results confirmed little genetic variation among subject-specific mucosal libraries. Fig. 3. DPCoA for (A) colonic mucosa (solid lines) and stool (dashed lines), (C) colonic mucosal sites alone, and (D) mucosal sites excluding Bacteroidetes phylotypes. Phylotypes are represented as open circles, colored according to phylum as in Fig. 1. Phylotype points are positioned in multidimensional space according to the square root of the distances between them. Ellipses indicate the distribution of phylotypes per sample site, except in (A), where all mucosal sites are represented by one ellipse. Percentages shown along the axes represent the proportion of total Rao dissimilarity captured by that axis. (A) is the best possible two-dimensional representation of the Rao dissimilarities between all samples (12). (B) is an enlarged view of (A), depicting the centroids of each site-specific ellipse. Subject ellipse distributions remain distinct after stool phylotypes (C) and Bacteroidetes phylotypes (D) are excluded from the analysis. [View Larger Version of this Image (43K GIF file)] We then asked whether nonrandom distributions of phylogenetic lineages accounted for any variation among all samples. Using a modification of the phylogenetic (P) test (12, 21), we found that stool and pooled mucosal libraries harbored distinct lineages (P < 0.001) (table S5); however, distinct lineages were not found among the individual mucosal libraries. We sought further anatomic precision in explaining library distinctions using the -LIBSHUFF program (22). We found that mucosal clone libraries were similar to the other mucosal libraries from the same subject, with two exceptions (fig. S6). The library from the ascending colon of subject A was a subset of every other mucosal population from that subject (P values < 0.0017), and the descending colon library from subject B was a subset of the ascending colon library in that subject (P = 0.0005). Such inconsistencies among mucosal subpopulations suggested a pattern of patchiness in the distribution of mucosal bacteria rather than a homogenous gradient along the longitudinal axis of the colon. LIBSHUFF also revealed that nearly all mucosal libraries from subjects B and C were significantly distinct from the corresponding stool library, whereas each mucosal library from subject A was a subset of the stool library. We postulate that the fecal microbiota represents a combination of shed mucosal bacteria and a separate nonadherent luminal population; however, these data must be interpreted with caution, given the delay between stool and mucosa sampling. Bacterial diversity within the human colon and feces is greater than previously described, and most of it is novel. Differences between individuals were significantly greater than intrasubject differences, with the exception of variation between stool and adherent mucosal communities. Complicating this picture is our evidence for patchiness and heterogeneity. This patchiness did not display an obvious pattern along the course of the colon but may reflect microanatomic niches. Given that each mucosal sample contained a similar distribution of organisms within higher order taxa (Fig. 1), the variation we observed at the genus or species level may be the result of colonization resistance by the more abundant members within similar functional groups (23). Whether the gut microbiota undergoes such nonrandom assembly remains unclear. Ecological statistical approaches reveal previously unrecognized irregularities in the architecture of complex microbial communities. 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Holmes (Stanford University) for helpful comments on the manuscript. This research was supported by grants from the NIH (no. AI51259) and Ellison Medical Foundation (D.A.R.), Canadian Institutes of Health Research and Crohn's and Colitis Foundation of Canada (C.N.B., M.S.), National Science Foundation (E.P.), and Defense Advanced Research Projects Agency (S.R.G., K.E.N.). Representatives of novel phylotypes (AY916135 to AY916390) and all other sequences (AY974810 to AY986384) were deposited in GenBank. Supporting Online Material www.sciencemag.org/cgi/content/full/1110591/DC1 Materials and Methods SOM Text Figs. S1 to S8 Tables S1 to S6 References Received for publication 2 February 2005. Accepted for publication 5 April 2005. The editors suggest the following Related Resources on Science sites: In Science Magazine LETTERS Timing in Collection of Stool Samples Volker Mai, O. Colin Stine, J. Glenn Morris Jr.;, Paul B. Eckburg, Elisabeth M. Bik, Charles N. 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Gordon (2005) PNAS 102, 11070-11075 Abstract » Full Text » PDF » Science 11 May 2001: Vol. 292. no. 5519, pp. 1115 - 1118 DOI: 10.1126/science.1058709 Prev | Table of Contents | Next VIEWPOINT Commensal Host-Bacterial Relationships in the Gut Lora V. Hooper and Jeffrey I. Gordon* One potential outcome of the adaptive coevolution of humans and bacteria is the development of commensal relationships, where neither partner is harmed, or symbiotic relationships, where unique metabolic traits or other benefits are provided. Our gastrointestinal tract is colonized by a vast community of symbionts and commensals that have important effects on immune function, nutrient processing, and a broad range of other host activities. The current genomic revolution offers an unprecedented opportunity to identify the molecular foundations of these relationships so that we can understand how they contribute to our normal physiology and how they can be exploited to develop new therapeutic strategies. Department of Molecular Biology and Pharmacology, Washington University School of Medicine, St. Louis, MO 63110, USA. * To whom correspondence should be addressed. E-mail: jgordon@molecool.wustl.edu The first draft of our complete DNA sequence represents a historic event in our quest for self-knowledge (1, 2). Knowing our genotype highlights the need to understand how environmental factors interact with our genetic traits to influence health and predispose us to illness. In the midst of the current revolution in comparative and functional genomics, it is therefore appropriate to consider another form of self-knowledge: the contributions of our microbial partners to our biology. From birth to death, we are colonized by a vast, complex, and dynamic consortium of microorganisms that may outnumber our somatic and germ cells (3). The Nobel laureate Joshua Lederberg has suggested using the term "microbiome" to describe the collective genome of our indigenous microbes (microflora), the idea being that a comprehensive genetic view of Homo sapiens as a life-form should include the genes in our microbiome (4). Bacteria have inhabited Earth for at least 2.5 billion years (5). As a result, our predecessors have had to adapt to a biosphere dominated by microbes. However, we have minimal knowledge of how coevolution with indigenous microorganisms has shaped our genome and microbiome, as well as our physiology and postnatal development. For example, the human genome encodes 223 proteins with significant homology to bacterial but not eukaryotic proteins, suggesting that they were acquired through horizontal transfer of bacterial genes (1). Unfortunately, the components of our microbiome remain poorly defined. Like most complex ecosystems, enumerating membership in the various microbial societies that reside on our body surfaces has been hindered by the fact that most societal members cannot be cultured ex vivo. Moreover, most microbial genome-sequencing projects have focused on pathogens. Those that have embraced nonpathogens have turned to Archaea to understand the evolutionary diversification of protocytes and eukaryotes or to extremophiles to examine their adaptations to harsh environments and their potential for performing commercially applicable chemistry (6). Interactions between bacteria and their hosts can be viewed in terms of a continuum between symbiosis, commensalism, and pathogenicity, with symbiosis and commensalism grouped under the general heading of mutualism (Fig. 1). "Symbiosis" refers to a relationship between two different species where at least one partner benefits without harming the other and is typically centered on metabolic capabilities that allow either or both partners to exploit an otherwise unavailable or poorly utilizable nutrient foundation (7, 8). The term "commensal" comes from the medieval Latin "commensalis," meaning "at table together," and generally refers to partners that coexist without detriment but without obvious benefit. A pathogenic relationship results in damage to the host. Symbiosis and commensalism have been viewed as potential outcomes of a dynamic "arms race" (9) initiated when a pathogen encounters a vulnerable host. In this race, a change in one combatant is matched by an adaptive response in the other. In some settings, the arms race evolves toward attenuation of virulence and peaceful coexistence, with or without frank codependence (symbiosis). In other circumstances, the pathogenic relationship is sustained by the development of effective countermeasures that bypass the host's innate or adaptive defenses (Fig. 1). Ewald has coined the term "evolutionary epidemiology" to underscore how a comprehensive analysis of disease prevalence and spread must include the set of adaptive responses of host and pathogen to one another and their outside environment over time (10). He and others have emphasized that the concept of obligate evolution of parasites (pathogens) to benignness should be rejected on the basis of empiric as well as theoretical considerations (11). Fig. 1. Mutualism. Commensalism and symbiosis are presented as part of a continuum, distinguished by the identification of specific benefits derived by one or both members of a host-bacterial partnership. Commensalism or symbiosis is a potential but not inevitable outcome of the dynamic coevolution of hostbacterial relationships. Genetic diversity reflects the balance of factors that promote variation (point mutation, recombination, and gene transfer) versus factors that act to stabilize the genome (DNA repair enzymes, restriction modification systems, and barriers to horizontal transfer of genes) (6). [View Larger Version of this Image (19K GIF file)] THE INTESTINE AS AN ARENA FOR STUDYING MUTUALISTIC RELATIONSHIPS Because most of our bacterial symbionts and commensals reside in our intestine (3), it should be an arena where their interplay with us should have great, if not the greatest, significance to our biology. The species composition of symbionts and commensals varies along the length of the gut, changes as we develop and age, and is influenced by our environment. Molecular approaches, such as broad-range sequencing of 16S ribosomal RNA (rRNA) genes (12), are just now being used to define shifts in the composition of the gut flora during an individual's life or to assess its biodiversity in geographically defined healthy populations and in different disease states (13). The benefits provided by most identified members of this microflora have yet to be deciphered. Therefore, pending further information, we will use commensal as a generic label as we discuss current information, hypotheses, and questions about the foundations of mutualism in the intestine. IMMUNE TOLERANCE TO GUT COMMENSALS Although the mammalian gut must be sufficiently permeable to support efficient absorption of nutrients, it must avoid potentially damaging immune responses to dietary proteins and commensals. Innate defenses, such as epithelial production of -defensins and mucins, help prevent bacteria from crossing the mucosal barrier (14-16). Additional protection is afforded by secretory immunoglobulin A (sIgA). sIgA against commensal antigens is specifically induced in the intestinal mucosa (17). In contrast to the sIgA response to pathogen-derived epitopes, which requires costimulation by antigen-specific T cells, induction of sIgA against commensal antigens is T cell independent in mice (17). Such independence presumably allows the host to respond to shifts in the commensal flora without eliciting a deleterious immune response. This pathway may be part of an evolutionarily primitive form of adaptive immunity (17). Nonpathogenic bacteria may directly influence the intestinal epithelium to limit immune activation. Neish et al. (18) demonstrated that an avirulent Salmonella strain abrogates production of inflammatory cytokines in cultured human intestinal epithelial cells. The mechanism involves I B, which blocks nuclear factor B (NF- B) nuclear localization. The Salmonella strain was able to inhibit ubiquitination and degradation of I B, thus blocking NF- B-directed transactivation of genes encoding inflammatory mediators (18). In addition, commensals can help fortify the epithelial barrier. Bacteroides thetaiotaomicron is a prominent, genetically manipulatable member of the normal mouse and human distal intestinal microflora (19-21). B. thetaiotaomicron colonization of germ-free mouse intestine induces expression of decay-accelerating factor, which inhibits cytotoxic damage from microbial activation of secreted complement components; complement-reactive protein (CRP)-ductin, a putative receptor for intestinal trefoil factors that facilitate repair of damaged epithelium; and Sprr2a, a member of the family of small proline-rich proteins known to participate in cutaneous barrier functions (22). There is mounting evidence that commensals acquired during the early postnatal period are required for the development of tolerance not only to themselves but also to other luminal antigens (23, 24). For example, Sudo et al. reported that T helper 2-mediated immune responses to ovalbumin were not susceptible to oral tolerance induction in germ-free mice, but susceptibility was restored after the introduction of a single component of the preweaning microflora into neonates (23). The increasing prevalence of atopy (tendency to allergy) in Western industrialized societies has led to the hypothesis that an overly hygienic life-style has altered the normal pattern of intestinal colonization during infancy and produced a lack of tolerance to otherwise harmless food proteins and inhaled antigens (25, 26). CONTRIBUTIONS OF THE COMMENSAL FLORA TO PATHOLOGIC STATES The relationship between indigenous gut microbes and their hosts can shift from commensalism toward pathogenicity in certain diseases. Inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, affects 0.1% of the population in Western societies. The pathogenesis of IBD appears to involve an "inappropriate" activation of the mucosal immune system. This activation has been linked to a loss of tolerance to gut commensals (27, 28). Several observations illustrate this point. Both Crohn's disease and ulcerative colitis respond to treatment with broad-spectrum antibiotics (29, 30). The spontaneous colitis that develops in human leukocyte antigen-B27/ 2microgloblin transgenic rats and in knockout mice that lack interleukin-2 or T cell receptors is abrogated when animals are raised under germ-free conditions (3133). Conventionally raised mice deficient in interleukin-10 (IL-10) develop patchy chronic colitis similar to that encountered in humans with Crohn's disease, whereas germ-free mice do not (34, 35). What is not clear is whether the inflammatory responses in IBD, both within the gut and at extraintestinal sites, are elicited in response to a specific subset of intestinal microbes or whether tolerance to commensals is affected generally. An interesting question is whether barrier function is first compromised by "intrinsic" defects in epithelial integrity, by infection with enteropathogens, or by loss of commensal-dependent signals necessary to maintain the physical integrity of the epithelium and hypo-responsiveness of the mucosal immune system. Part of this question may be answered when human IBD susceptibility genes, such as IBD-1 (36), are identified. Other clues are coming from comparisons of conventionally raised and germ-free animals. For example, conventionally raised IL-10-deficient mice exhibit increased ileal and colonic permeability by 2 weeks of age, well before the appearance of histopathologic changes in the gut. This change in permeability, which is accompanied by increased production of interferon- and tumor necrosis factor- , does not occur in germ-free IL-10-/- mice (37). ASSESSING THE IMPACT OF COMMENSALS ON OTHER ASPECTS OF GUT PHYSIOLOGY AND DEVELOPMENT Because the intestinal ecosystem is characterized by dynamic and reciprocal interactions among its microflora, epithelium, and immune system, cultured cells may not accurately portray in vivo responses to commensals. An alternative approach is to use germ-free inbred strains of mice as genetically defined simplified in vivo assay systems for studying the impact of colonization, with single or multiple members of the microflora, on intestinal gene expression. DNA microarrays provide a powerful tool for comprehensively profiling transcriptional responses to colonization in these gnotobiotic systems and thereby defining the breadth of potential functions modulated by commensals. In addition to fortifying barrier functions, DNA microarray analyses have shown that colonization of germ-free mice with B. thetaiotaomicron affects expression of host genes that regulate postnatal maturation, nutrient uptake and metabolism, processing of xenobiotics, and angiogenesis (22). The increased expression of genes involved in absorption of carbohydrates, as well as breakdown and absorption of complex lipids (19), provides a potential molecular explanation for the observation that germ-free rodents must consume ~30% more calories to sustain their body weight than do conventionally raised animals (38). These findings suggest a testable hypothesis: namely, that compositional differences may exist in the microflora of lean and obese individuals and that such differences could affect their nutrient-processing capabilities. ESTABLISHING MICROBIAL COMMUNITIES IN DIFFERENT REGIONS OF THE GASTROINTESTINAL TRACT The host and microbial factors that direct establishment and maintenance of a spatially diversified gut microflora in mice and humans remain largely unknown. Community formation likely proceeds through a complex regulatory network of host-microbial and microbial-microbial interactions predicated on exploiting and developing suitable nutrient foundations and dependent on intra- and interspecies communications systems. Nutrient exchange in the constantly perfused gut could occur through biofilms (39), although biofilm formation in the intestine has not been reported to date. Given the importance of quorum sensing in regulating microbial-microbial communications and biofilm formation, it seems likely that it would be used by some or many components of an emerging bacterial community to establish residence in intestinal habitats. Development of dental plaque provides the one well-studied example of community formation that employs some of these proposed mechanisms. The complex biofilm plaque community is assembled through an orderly process involving initial adhesion of early colonizers (e.g., Streptococcus spp.) to a hostderived structure (an acquired pellicle on the tooth surface), followed by secondary colonization through interbacterial adhesion and intergeneric communications. Ultimately, a structure is created that is predominated by Gram-negative anaerobes (40-42). Studies with germ-free mice have revealed that positioning of B. thetaiotaomicron in the postnatal distal small intestine (ileum) may be achieved, at least in part, through an active collaboration between host and microbe centered on glycan synthesis and utilization. Production of a subset of epithelial fucosylated glycans is normally induced in the ileum at the sucklingweaning transition in conventionally raised but not in germ-free mice (43). This induction occurs at the same time that B. thetaiotaomicron and other commensal anaerobes are first gaining a foothold. Synthesis of these epithelial glycans is elicited by a B. thetaiotaomicron signal whose expression is regulated by a fucose-binding bacterial transcription factor. This factor senses environmental levels of fucose and coordinates the decision to generate a signal for production of host fucosylated glycans when environmental fucose is limited or to induce expression of the bacteria's fucose utilization operon when fucose is abundant (44). These considerations suggest a potential explanation for the striking structural diversity of oligosaccharide outer chain segments in mammalian glycans. This diversity, which arises principally from the nontemplate combinatorial nature of carbohydrate synthesis and modification, has generally not been associated with clearly delineated functions. By matching host carbohydrate structures with the capacity of bacterial species to produce glycosidases and to use the resulting enzymatic products, these glycans may serve as a nutrient foundation that helps organize initial colonization of the developing intestine. An elaborate series of combinatorial bacterial-host and bacterial-bacterial interactions may subsequently shape the metabolic milieu in a manner permissive for establishing a more diversified collection of bacterial species (Fig. 2). Species diversification, in turn, could benefit the developing host by providing new metabolic capabilities at critical times during postnatal development, by supplying microbial factors that influence other aspects of host postnatal development (22), and/or by affording resistance to colonization by potential pathogens that cannot compete with entrenched residents of the microbial community for nutrients. Fig. 2. Establishing a microbial community in the intestine. One postulated component of the nutrient foundation is the diverse collection of outer chain segments in epithelial glycans. Some microorganisms may function as "covert symbionts," whose contribution is to help to create a metabolic milieu that favors incorporation of other species into an emerging community that provides direct benefit to the host. [View Larger Version of this Image (16K GIF file)] There are a number of carefully studied examples of symbionts influencing the development of host tissues, including Vibrio fischeri-induced development of a light organ in the squid Euprymna scolopes (8) or the formation of root or stem nodules in plants by various genera of soil bacteria (7). The idea that a bacterium such as B. thetaiotaomicron can collaborate with its host to regulate postnatal intestinal development is logical, considering their mutual reliance. The impact of commensals on postnatal developmental processes needs to be examined in other colonized mammalian tissues and in other eukaryotes that support a microflora. COMMENSALS AS THERAPEUTIC AGENTS The adaptations of symbionts and commensals to life in nutritionally advantageous host niches provide a rationale for using these organisms as therapeutic agents. In its simplest expression, components of the normal flora are given as live biological supplements (probiotics) that confer some host benefit. For example, giving Lactobacillus spp. to IL-10-deficient mice attenuates their colitis (45). Probiotic preparations containing Bifidobacterium, Lactobacillum, and Streptococcus spp. are beneficial in treating chronic "pouchitis," a complication following surgical intervention for ulcerative colitis (46). In addition, nonpathogenic Escherichia coli provided effective probiotic therapy in a randomized double-blind trial of patients with active ulcerative colitis (30). Unfortunately, molecular tools are not yet available to define the effects of such probiotic interventions on the composition of a host's microflora. The development of microarrays containing rRNA gene sequences from different members of the gut microflora represents a potential starting point for determining whether identifiable changes in species composition can be associated with particular disease states and, subsequently, for designing hypothesis-based therapeutic trials of probiotic supplements (Fig. 3). Fig. 3. Questions and suggested approaches for the future. The term "microbiome" (3) refers to the collective genomes of members of a microflora. The human intestinal microflora is estimated to contain 500 to 1000 species, at least 50% of which cannot be cultivated ex vivo. Assuming an average microbial genome size of 5 million base pairs (bp) and 4000 genes per genome, the 2.5billion- to 5-billion-bp intestinal microbiome may contain 2 million to 4 million genes (i.e., ~50 to 100 times as many as our "own" genome). "Gnotobiotic" comes from the Greek "known life" and refers to animals with defined microbiological status [germ free (having no detectable microorganisms) or colonized with one or more known species]. [View Larger Version of this Image (22K GIF file)] Recent experiments have expanded the definition of probiotics by demonstrating that genetically engineered commensals can be used as platforms for delivering drugs, antimicrobial agents, and vaccines to defined host niches. For example, a strain of Lactococcus lactis programmed to produce IL-10 provided therapeutic benefit in two mouse models of IBD (47). The human commensal Streptococcus gordonii, engineered to produce an antibody fragment with antimicrobial properties, resolved vaginal Candida albicans infections in rats (48). Finally, oral inoculation of Lactobacilli expressing tetanus toxin fragment C induced local and systemic immune responses to the expressed antigen (49). The ultimate therapeutic reduction of the symbiont-host or commensal-host relationship will be the identification of microbial products, produced in host niches, that affect processes disordered in a given disease state. For example, microbial signals that fortify the epithelial barrier or attenuate the activity of the mucosal immune system may be useful in treating IBD. Identifying such microbial signals will be challenging and may require simultaneous monitoring of microbial and host gene expression during the course of colonization of defined gnotobiotic models (Fig. 3). ANTIBIOTICS If probiotics offer benefit to the host, what are the dangers of drugs that significantly disrupt the microflora? Although the development of antibiotics has been one of the great triumphs of modern medicine, indiscriminate use predisposes humans to opportunistic infections and will certainly exacerbate the present crisis of antibiotic resistance (50). For example, the human colon, with a microbial density approaching 1012 organisms per gram, is well suited for horizontal gene transfer of antibiotic resistance genes via conjugal elements (plasmids or conjugative transposons) (51). Shoemaker et al. found such transfer between members of the genus Bacteroides, as well as between Gram- negative Bacteroides spp. and Gram-positive bacteria (51). Once transfer occurs, antibiotic resistance is maintained in the absence of antibiotic selection (51). Given the impact of commensals on immune and other physiologic functions, we also need to consider the possibility that disruption of our commensal relationships by indiscriminate use of antibiotics during or even after completion of postnatal development may be an environmental risk factor that contributes to disease predilection in certain hosts. 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Wong,1 Anders Thelin,2 Lennart Hansson,2 Per G. Falk,12 Jeffrey I. Gordon1* Human beings contain complex societies of indigenous microbes, yet little is known about how resident bacteria shape our physiology. We colonized germfree mice with Bacteroides thetaiotaomicron, a prominent component of the normal mouse and human intestinal microflora. Global intestinal transcriptional responses to colonization were observed with DNA microarrays, and the cellular origins of selected responses were established by laser-capture microdissection. The results reveal that this commensal bacterium modulates expression of genes involved in several important intestinal functions, including nutrient absorption, mucosal barrier fortification, xenobiotic metabolism, angiogenesis, and postnatal intestinal maturation. These findings provide perspectives about the essential nature of the interactions between resident microorganisms and their hosts. 1 Department of Molecular Biology and Pharmacology, Washington University School of Medicine, St. Louis, MO 63110, USA. 2 AstraZeneca R&D Mölndal, SE-431 83 Mölndal, Sweden. * To whom correspondence should be addressed: E-mail: jgordon@molecool.wustl.edu Human beings harbor an incredibly complex and abundant ensemble of microbes. We are in contact with components of this microflora from birth, yet little is known about their influence on normal development and physiology. The human intestine is more densely populated with microorganisms than any other organ and is a site where the microflora may have a pronounced impact on our biology. We tested this idea at a molecular level using a simplified mouse model of the interactions between gut commensals and their host. In this model, adult germ-free animals are colonized with Bacteroides thetaiotaomicron. This anaerobe was chosen because it can be genetically manipulated and is a prominent member of the adult mouse and human gut microflora. Moreover, B. thetaiotaomicron normally colonizes the distal small intestine (ileum) during the suckling-weaning transition, a time of rapid and pronounced functional maturation of the gut (1, 2). We previously used this model to show how B. thetaiotaomicron regulates production of ileal epithelial fucosylated glycans for its own nutritional benefit (3). As so little is known about the range of intestinal functions that are shaped by components of the microflora, we used high-density oligonucleotide arrays for analysis of the host transcriptional responses evoked by B. thetaiotaomicron colonization. In addition, we defined the cellular origins of a subset of these responses using laser-capture microdissection and real-time quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) and examined the specificity of selected B. thetaiotaomicron-elicited responses using other members of the normal flora. Adult male germ-free mice were inoculated with B. thetaiotaomicron and killed 10 days later (4). Ileal RNA was isolated from mice with >107 colony-forming units (CFU) of bacteria per milliliter of ileal contents. Earlier studies had shown that 10 days was sufficient to produce robust colonization of the ileum and that 107 CFU/ml were necessary for full induction of fucosylated glycan expression in the ileal epithelium (3, 5). Affymetrix Mu11K and Mu19K GeneChips, representing ~25,000 mouse genes, were used to compare ileal gene expression in age-matched germ-free and colonized animals. mRNAs represented by 118 probe sets changed twofold with colonization as defined by duplicate microarray hybridizations (6). Transcripts represented by 95 probe sets increased, whereas those represented by 23 probe sets decreased. Seventy-one genes, represented by 84 probe sets, were assigned to functional groups, whereas 34 transcripts were from uncharacterized genes or expressed sequence tag clusters (7). The microarray data reveal the unanticipated breadth of this commensal's impact on expression of genes involved in modulating fundamental intestinal functions. Germ-free rodents require a higher caloric intake to maintain their weight than those with a microflora (8). Microarray analysis provided molecular insights into how B. thetaiotaomicron improves host nutrient absorption and processing. Colonization led to increased ileal levels of Na+/glucose cotransporter (SGLT-1) mRNA (Table 1) (7, 9). Concerted increases were seen in several components of the host's lipid absorption machinery, including pancreatic lipase-related protein-2 (PLRP-2), colipase, a fatty acid-binding protein (L-FABP), and apolipoprotein A-IV (7) (Table 1). The prominent decrease in expression of fasting-induced adipose factor, a PPAR target that is repressed with fat feeding (10), provided further evidence for augmented lipid uptake in colonized mice. Micronutrient absorption also appears to be augmented by colonization, as evidenced by a threefold increase in expression of the high-affinity epithelial copper transporter (CRT1) and five- to sixfold decreases in expression of metallothioneins I and II and ferritin heavy chain, which sequester heavy metals within cells (7) (Table 1). Table 1. Real-time qRT-PCR verification of selected colonization-associated changes in gene expression. Assays were performed with the pooled ileal RNA samples used for the microarray studies. Mean values for triplicate determinations ±1 SD are shown. See (7) for a comprehensive list of 71 genes that change with colonization. Gene Fold (relative to germ-free) Na+/glucose cotransporter (SGLT-1) 2.6 ± 0.9 Colipase 6.6 ± 1.9 Liver fatty acid-binding protein (L-FABP) 4.4 ± 1.4 Metallothionein I (MT-I) 5.4 ± 0.7 Polymeric immunoglobulin receptor (pIgR) 2.6 ± 0.7 Decay-accelerating factor (DAF) 5.7 ± 1.5 Small proline-rich protein 2a (sprr2a) 205 ± 64 Glutathione S-transferase (GST) 2.1 ± 0.1 Multidrug resistance protein (Mdr1a) 3.8 ± 1.0 Lactase-phlorizin hydrolase 4.1 ± 0.6 Adenosine deaminase (ADA) 2.6 ± 0.5 Angiogenin-3 9.1 ± 1.8 The DNA microarray and confirmatory qRT-PCR analyses measure host responses in a complex tissue composed of multiple cell types. An in vivo model will, unlike cell culture-based models, preserve the contributions of other cell lineages and environmental factors in shaping the response. The challenge is to recover the responding cell population, without perturbing its expressed mRNAs, so that its reaction to the microorganism can be characterized quantitatively. To define the cellular responses in our in vivo model, we combined laser-capture microdissection (LCM) with qRT-PCR. LCM was used to recover three cell populations from frozen sections of ileum (11), including epithelium from crypts (containing proliferating undifferentiated cells plus differentiated members of the Paneth cell lineage), epithelium overlying villi (containing postmitotic, differentiated members of the other three intestinal epithelial lineages), and mesenchyme underlying crypt-villus units [see (7) for LCM images]. Specific mRNAs in the LCM populations were quantified by RTPCR. Colipase is produced by pancreatic exocrine acinar cells, but we discovered that colipase is also expressed in ileal crypt epithelium, where it increased 10fold upon B. thetaiotaomicron colonization (Fig. 1 and Table 1). Colipase plays a critical role in lipid metabolism by stimulating the activity of both pancreatic triglyceride lipase and pancreatic lipase-related protein-2 (12). Localization of colipase in the crypt epithelium and its regulation by a gut commensal reveal a previously unappreciated mechanism for lipid processing in the intestinal epithelium. Fig. 1. Real-time qRT-PCR analysis of colonization-associated changes in gene expression in laser-capture microdissected ileal cell populations. Values are expressed relative to levels in germ-free mesenchyme (9). Each mRNA was assayed in triplicate in three to four independent experiments. Representative results (mean ± 1 SD) from pairs of germ-free (gf) and colonized (col) mice are plotted. [View Larger Version of this Image (15K GIF file)] An intact mucosal barrier is critical for constraining resident intestinal microbes. Barrier disruption can provoke immune responses that cause pathology such as inflammatory bowel disease (13). Bacteroides thetaiotaomicron colonization produces no detectable inflammatory response, as judged by histologic surveys (5) and by the absence of a discernible induction or repression of immune response genes represented on the microarrays. An influx of immunoglobulin A (IgA)-producing B cells does occur in the ileal mucosa 10 days after introduction of B. thetaiotaomicron (5), but similar commensal-induced IgA responses have been shown to be T cell-independent and to enforce barrier integrity (14). The influx of IgA-producing B cells was accompanied by increased expression of the polymeric immunoglobulin receptor (pIgR) that transports IgA across the epithelium (Table 1). There was augmented expression of the CRP-ductin gene encoding both a mucus layer component (MUCLIN) and a putative receptor for trefoil peptides (15, 16). Decay-accelerating factor (DAF), an apical epithelial inhibitor of complement-mediated cytolysis, increased sixfold (7) (Table 1). Coincident enhancement of expression of these three genes should help prevent bacteria from crossing the epithelial barrier and avoid mucosal damage from activation of complement components in intestinal secretions. The most pronounced response to B. thetaiotaomicron was an increase in small proline-rich protein-2 (sprr2a) mRNA (Table 1). sprr family members contribute to the barrier functions of squamous epithelia, both as a component of the cornified cell envelope and as cross-bridging proteins linked to desmosomal desmoplakin (17). LCM/qRT-PCR revealed that sprr2a mRNA is present in the epithelium, primarily on the villus rather than crypt, and that B. thetaiotaomicron elicits a 280-fold increase in its villus epithelial expression (Fig. 1). The epithelial sprr2a response suggests that this protein participates in fortifying the intestinal epithelial barrier in response to bacterial colonization. Environmental and dietary constituents, as well as drugs, are detoxified in the intestine by oxidation or conjugation. Colonization produced a twofold decrease in expression of glutathione S-transferase, which conjugates glutathione to a variety of electrophiles, and a fourfold decrease in multidrug resistance protein1a (Mdr1a), which exports glutathione-conjugated compounds from the epithelium (18) (Table 1). Debrisoquine hydroxylase (CYP2D2), which is involved in oxidative drug metabolism in humans (19), also declined threefold. These results indicate that colonization with B. thetaiotaomicron affects the host's capacity to metabolize xenobiotics and endogenous toxins. Previous electrophysiological studies of germ-free and conventionally raised animals indicate that the microflora influences gut motility (20). Colonization led to two- to fivefold increases in mRNAs encoding L-glutamate transporter, Lglutamate decarboxylase (converts glutamate to -aminobutyric acid), vesicleassociated protein-33 (a synaptobrevin-binding protein involved in neurotransmitter release) (21), and enteric -actin and cysteine-rich protein-2 (muscle-specific proteins). These results suggest that B. thetaiotaomicron may affect components of the enteric nervous system (22) and motility. Bacteroides thetaiotaomicron colonizes the mouse (and human) gut during the weaning period (1, 2). This stage in postnatal gut development is marked by several maturational changes, including reductions in ileal epithelial lactase, which hydrolyzes milk sugar (23). Ileal epithelial lactase levels also fall as adult germ-free mice are colonized with B. thetaiotaomicron (Table 1). Adenosine deaminase (ADA) and polyamines are effectors of postnatal intestinal maturation (24, 25). Colonization increased expression of both ADA and ornithine decarboxylase (ODC) antizyme, a regulator of polyamine synthesis (26), suggesting that commensals may perform an instructive role in postnatal intestinal maturation (7) (Table 1). Colonization increased expression of angiogenin-3, a secreted protein with known angiogenic activity (27, 28), and angiogenin-related protein, which does not have any apparent angiogenic activity (29). Angiogenin-3 was originally identified in NIH 3T3 fibroblasts (27), but little is known about its cellular origins in tissues. LCM/qRT-PCR revealed that angiogenin-3 mRNA is largely confined to the crypt epithelium and that colonization results in a sevenfold increase in its crypt expression (Fig. 1). This increase accounts for the change in expression defined by microarray and qRT-PCR analyses of total ileal RNA (Table 1). Localization of a secreted angiogenesis factor in the crypt epithelium puts it in a strategic position to function as an effector of several host responses to microbial colonization (e.g., enhanced absorption and distribution of nutrients). Our findings raise two questions. Are similar host responses elicited by other components of the gut microflora, and do changes in the metabolic capacity of B. thetaiotaomicron affect ileal gene expression? To examine the first question, age-matched adult male mice (n = 4 to 8 mice per group) were colonized for 10 days with B. thetaiotaomicron, Bifidobacterium infantis (a prominent component of the preweaning human and mouse ileal flora and a commonly used probiotic), Escherichia coli K12 (a normal component of human intestinal flora), or a "complete" ileal/cecal microflora harvested from conventionally raised mice (5). qRT-PCR was used to compare mRNA levels in each group (all animals had 107 CFU/ml ileal contents). Ileal expression of colipase and angiogenin-3 was induced after colonization with each of the three organisms and by the complete ileal/cecal flora (Fig. 2). Moreover, the ileal levels of colipase and angiogenin-3 mRNAs in these ex-germ-free mice were comparable to those of age-matched mice conventionally raised since birth (Fig. 2). In contrast, the response of sprr2a to colonization depended on the colonizing species: B. infantis and E. coli produced only small increases (Fig. 2). Mdr1a and glutathione S-transferase also exhibited species-specific responses. Bacteroides thetaiotaomicron suppressed and E. coli and B. infantis stimulated expression of both genes, whereas the multicomponent ileal/cecal flora produced no significant (i.e., twofold) change in levels of either mRNA compared with germ-free controls. The differing Mdr1a/GST responses suggest that variations in xenobiotic metabolism between individuals may arise, in part, from differences in their resident gut flora. Fig. 2. Specificity of host responses to colonization with different members of the microflora. Germ-free mice were inoculated with one of the indicated organisms or with a complete ileal/cecal flora from conventionally raised mice (Conv. µflora) (4). Ileal RNAs, prepared from animals colonized at 107 CFU/ml ileal contents 10 days after inoculation, were pooled, and levels of each mRNA shown were analyzed by real-time qRT-PCR. Mean values (±1 SD) for triplicate determinations are plotted. [View Larger Version of this Image (18K GIF file)] The only B. thetaiotaomicron genes currently known to link changes in bacterial metabolism with host responses are those involved in fucose utilization (3). Transposon-mediated mutagenesis of fucI (encoding fucose isomerase) blocks the organism's ability to use fucose as a carbon source and to signal fucosylated glycan production in the ileal epithelium (3). Microarray analysis of the host response to colonization revealed no appreciable differences between isogenic mutant and wild-type strains. This similarity extends to all genes in Table 1. 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T. S. Stappenbeck and J. I. Gordon (2001) Development 128, 2603-2614 Abstract » Full Text » PDF » Microarrays for microbiologists. S. Lucchini, A. Thompson, and J. C. D. Hinton (2001) Microbiology 147, 1403-1414 Full Text » PDF » Science 2 June 2006: Vol. 312. no. 5778, pp. 1355 - 1359 DOI: 10.1126/science.1124234 Prev | Table of Contents | Next RESEARCH ARTICLES Metagenomic Analysis of the Human Distal Gut Microbiome Steven R. Gill,1* Mihai Pop,1 Robert T. DeBoy,1 Paul B. Eckburg,2,3,4 Peter J. Turnbaugh,5 Buck S. Samuel,5 Jeffrey I. Gordon,5 David A. Relman,2,3,4 Claire M. Fraser-Liggett,1,6 Karen E. Nelson1 The human intestinal microbiota is composed of 1013 to 1014 microorganisms whose collective genome ("microbiome") contains at least 100 times as many genes as our own genome. We analyzed 78 million base pairs of unique DNA sequence and 2062 polymerase chain reaction–amplified 16S ribosomal DNA sequences obtained from the fecal DNAs of two healthy adults. Using metabolic function analyses of identified genes, we compared our human genome with the average content of previously sequenced microbial genomes. Our microbiome has significantly enriched metabolism of glycans, amino acids, and xenobiotics; methanogenesis; and 2-methyl-D-erythritol 4-phosphate pathway–mediated biosynthesis of vitamins and isoprenoids. Thus, humans are superorganisms whose metabolism represents an amalgamation of microbial and human attributes. 1 The Institute for Genomic Research, 9712 Medical Center Drive, Rockville, MD 20850, USA. 2 Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA. 3 Department of Microbiology and Immunology, 299 Campus Drive, Stanford University, Stanford, CA 94305, USA. 4 Veterans Affairs Palo Alto Health Care System, Palo Alto, CA 94304, USA. 5 Center for Genome Sciences, Washington University School of Medicine, St. Louis, MO 63108, USA. 6 Departments of Pharmacology and Physiology and Microbiology and Tropical Diseases, George Washington University School of Medicine, Washington, DC 20037, USA. * Present address: Department of Oral Biology, The State University of New York at Buffalo, Buffalo, NY 14214, USA. Present address: Center for Bioinformatics and Computational Biology, University of Maryland, College Park, MD 20742, USA. To whom correspondence should be addressed. E-mail: srgill@buffalo.edu Our body surfaces are home to microbial communities whose aggregate membership outnumbers our human somatic and germ cells by at least an order of magnitude. The vast majority of these microbes (10 to 100 trillion) inhabit our gastrointestinal tract, with the greatest number residing in the distal gut, where they synthesize essential amino acids and vitamins and process components of otherwise indigestible contributions to our diet such as plant polysaccharides (1). The most comprehensive 16S ribosomal DNA (rDNA) sequence-based enumeration of the distal gut and fecal microbiota published to date underscores its highly selected nature. Among the 70 divisions (deep evolutionary lineages) of Bacteria and 13 divisions of Archaea described to date, the distal gut and fecal microbiota of the three healthy adults surveyed was dominated by just two bacterial divisions, the Bacteroidetes and the Firmicutes, which made up >99% of the identified phylogenetic types (phylotypes), and by one prominent methanogenic archaeon, Methanobrevibacter smithii (2). The human distal gut microbiome is estimated to contain 100 times as many genes as our 2.85– billion base pair (bp) human genome (1). Therefore, a superorganismal view of our genetic landscape should include genes embedded in our human genome and the genes in our affiliated microbiome, whereas a comprehensive view of our metabolome would encompass the metabolic networks based in our microbial communities. Progress made with 16S rDNA-based enumerations has disclosed significant differences in community membership between healthy adults (2, 3), differences that may contribute to variations in normal physiology between individuals or that may predispose to disease. For example, studies of humans and gnotobiotic mouse models indicate that our mutualistic relations with the gut microbiota influence maturation of the immune system (4), modulate responses to epithelial cell injury (5), affect energy balance (6), and support biotransformations that we are ill-equipped to perform on our own, including processing of xenobiotics (7). However, we are limited by our continued inability to cultivate the majority of our indigenous microbial community members, biases introduced by preferential polymerase chain reaction (PCR) amplification of 16S rDNA genes and by our limited ability to infer organismal function from these gene sequences. As with soil (8) and ocean (9), metagenomic analysis of complex communities offers an opportunity to examine in a comprehensive manner how ecosystems respond to environmental perturbations, and in the case of humans, how our microbial ecosystems contribute to health and disease. In the current study, we use a metagenomics approach to reveal microbial genomic and genetic diversity and to identify some of the distinctive functional attributes encoded in our distal gut microbiome. Sequencing the microbiome. Although whole-genome shotgun sequencing and assembly have historically been applied to the study of single organisms, recent reports from Venter et al. (9) and Baker et al. (10) have demonstrated the utility of this approach for studying mixed microbial communities. Variations in the relative abundance of each member of the microbial community and their respective genome sizes determine the final depth of sequence coverage for any organism at a particular level of sequencing. This means that the genome sequences of abundant species will be well represented in a set of random shotgun reads, whereas lower abundance species may be represented by a small number of sequences. In fact, the size and depth of coverage (computed as the ratio between the total length of the reads placed into contigs and the total size of the contigs) of genome assemblies generated from a metagenomics project can provide information on relative species abundance. A total of 65,059 and 74,462 high-quality sequence reads were generated from random DNA libraries created with fecal specimens of two healthy humans (subjects 7 and 8). These two subjects, ages 28 and 37, female and male, respectively, had not used antibiotics or any other medications during the year before specimen collection (11). The combined sequenced distal gut "microbiome" of subjects 7 and 8 consisted of 17,668 contigs that assembled into 14,572 scaffolds, totaling 33,753,108 bp. The scaffolds ranged in size from 1000 to 57,894 bp and the contigs from 92 to 44,747 bp. The average depth of sequence coverage in contigs was 2.13-fold. Forty percent of the reads (56,292 total) could not be assembled into contigs, most likely because of a combination of low depth of coverage and low abundance of some organisms within the specimens. Together, these singletons accounted for an additional 45,078,063 bp of DNA. A total of 50,164 open reading frames (ORFs) were predicted from the data set (25,077 for subject 7 and 25,087 for subject 8). These ORFs correspond to 19,866 unique database matches (13,293 for subject 7; 12,273 for subject 8; 5700 that were present in both). ORF-based alignments against public databases identified 259 contigs in subject 7 and 330 in subject 8 that could be assigned to members of Archaea, plus 5992 contigs from subject 7 and 7138 from subject 8 assignable to members of Bacteria (table S1). The remaining contigs either did not match any known ORFs or were ambiguously assigned. Insight into the diversity within our samples was obtained by comparison of a subset of the shotgun reads to the completed sequence of Bifidobacterium longum, a member of the lactic acid bacteria present in the distal gut of healthy humans (12). A total of 1965 reads from the combined data set from subjects 7 and 8 could be aligned to the genome sequence of B. longum. These reads represented a total of 1,617,706 bp of DNA sequence, which corresponds to 0.7-fold coverage of the B. longum genome. There was a great deal of heterogeneity in nucleotide sequence in the 1965 reads that aligned with the B. longum genome sequence (80 to 100% identity) with 52% of the reads aligned at less than 95% identity (Fig. 1A). These data suggest that these reads are not derived from a single discrete strain of B. longum in subjects 7 and 8, but instead, reflect the presence of multiple strains, as well as other Bifidobacterium phylotypes in the distal gut microbiota. Fig. 1. Comparison of random metagenome reads with completed genome of Bifidobacterium longum and Methanobrevibacter smithii. (A) Percent identity plot (PIP) of alignments of shotgun reads along the genome of B. longum strain NCC2705. The x axis represents the coordinate along the genome, and the y axis represents the percent identity of the match. (B) Percent identity plot (PIP) of the alignment of shotgun reads along the draft genome of M. smithii. The x axis represents the coordinate along a pseudomolecule formed by concatenating all contigs in the M. smithii draft assembly. The y axis represents the percent identity of the match. The variation in the percent identity of the matches between the shotgun reads from subjects 7 and 8 as compared with the genome sequences of B. longum NCC2705 suggests considerable diversity among Bifidobacterium-like organisms within our samples. Alignments of the reads to the draft genome of M. smithii exhibit a much narrower range of percent identity (89% of alignments were at 95% or better identity as compared with 48% for B. longum), consistent with lower levels of diversity among archaeal members of the gastrointestinal tract. [View Larger Version of this Image (23K GIF file)] Previous work (2) has shown that archaeal species, in particular M. smithii, are also major players in the human distal gut ecosystem. M. smithii was represented in our data set at 3.5-fold coverage, as indicated by the 7955 shotgun reads that matched this draft assembly (Fig. 1B). The presence of M. smithii is also supported by the identification of eight partial-length 16S rDNA sequences with 99.65 to 100% identity to M. smithii. Unlike B. longum, the majority (89%) of alignments to M. smithii had 95% or better sequence identity to the draft assembly, indicating low divergence between Methanobrevibacter strains present in our samples. More than half of the archaeal contigs in our data set had significant similarity to M. smithii: 145 of 259 archaeal contigs in subject 7 and 174 of 330 archaeal contigs from subject 8 had matches 100 bases, and 80% identity to a deep draft assembly of this genome (13), consistent with previous reports on the abundance of this species in the human gut. Identifying phylotypes. We explored bacterial diversity in both stool samples with analysis of 16S rDNA sequences from the random shotgun assemblies and from libraries of cloned, PCR-amplified 16S rDNA. Phylogenetic assessments of the local microbial community census provide a benchmark for interpreting the functional predictions from metagenomic data. Of the 237 partial bacterial-length 16S rDNA sequences identified in the shotgun assemblies, we selected 132 bacterial sequences for further analysis (2, 11). Using a 97% minimum pair-wise similarity definition, 72 bacterial phylotypes were identified. Only one archaeal phylotype was identified (i.e., M. smithii). Sixteen bacterial phylotypes (22.2%) were novel, and 60 (83.3%) represented uncultivated species. The bacterial phylotypes were assigned to only two divisions, the Firmicutes (62 phylotypes, 105 sequences) and the Actinobacteria (10 phylotypes, 27 sequences). Sixty of the Firmicute phylotypes belonged to the class Clostridia, including Clostridia cluster XIV and Faecalibacteria. Analysis of 2062 near–full-length PCRamplified 16S rDNA sequences (1024 from subject 7 and 1038 from subject 8) revealed a similar phylogenetic distribution among higher-order taxa, but a more diverse population at the species level. Using a 97% similarity phylotype threshold, 151 phylotypes were identified (23% novel; 150 Firmicutes; 1 Actinobacteria) (fig. S1A). Similar analyses based on a 99% similarity threshold are provided (11). Although there were no Bacteroidetes 16S rDNA sequences identified in the random assemblies and clone libraries, amplification with species-specific 16S rDNA primers yielded sequences from Bacteroides fragilis and Bacteroides uniformis. This relative paucity of Bacteroidetes sequences is in conflict with data from other studies (2, 3). This discrepancy may have been caused by the known biases associated with the fecal lysis and DNA extraction methods used in the current study with respect to Bacteroides spp. (14); although less likely, it is also possible that members of the Bacteroidetes division are less abundant in the feces of subjects 7 and 8. In addition, with respect to the PCR-amplified 16S rDNA sequence data, there may be biases associated with the primers or PCR reaction conditions. Similar arguments may apply to other underrepresented taxa as well, such as the Actinobacteria and Proteobacteria phyla. Estimates of diversity indicated that at least 300 unique bacterial phylotypes would be detected with continued sequencing from these stool samples (fig. S1, B to D). Comparative functional analysis of the distal gut microbiome. To delineate how the human distal gut microbiome endows us with physiological properties that we have not had to evolve on our own, we explored the metabolic potential of the microbiota in subjects 7 and 8 using KEGG (Kyoto Encyclopedia of Genes and Genomes, version 37) pathways and COGs (Clusters of Orthologous Groups) (15, 16). Both annotation schemes contain categories of metabolic functions organized in multiple hierarchical levels: KEGG analysis maps enzymes onto known metabolic pathways; COG analysis uses evolutionary relations (orthologs) to group functionally related genes. Odds ratios were used to rank the relative enrichment or underrepresentation of COG and KEGG categories. An odds ratio of one indicates that the community DNA has the same proportion of hits to a given category as the comparison data set; an odds ratio greater than one indicates enrichment (more hits to a given category than expected), whereas an odds ratio less than one indicates underrepresentation (fewer hits to a given category than expected). Odds ratios for the KEGG pathway involved in biosynthesis of peptidoglycan (table S3), a major component of the bacterial cell wall, are consistent with expectations: The human gut microbiome is highly enriched relative to the human genome (77.88), similar to all sequenced bacteria (1.83), and moderately enriched relative to all sequenced Archaea (7.06). Because we have not obtained saturation (see below), we cannot be confident that a given COG or KEGG pathway component is not present in the human distal gut microbiome. Therefore, we have focused our analysis on identified functional categories that are enriched relative to previously sequenced genomes. BLAST comparisons of all sequences yielded 62,036 hits to the COG database, corresponding to 2407 unique COGs. ACE and Chao1 estimates of community richness were 2558 and 2553 COGs, respectively. This observed degree of community COG diversity is greater than that described for an acid mine drainage (1824 COGs), but less than that described for whale fall (3332), soil (3394), and Sargasso Sea samples (3714) (17). The number of KEGG pathways and COG terms enriched in the human distal gut microbiomes of subjects 7 and 8 is listed in table S2. KEGG maps and COG assignments can be found at (11, 18, 19). The metabolome of the human distal gut microbiota. Both human subjects showed similar patterns of enrichment for each COG (Fig. 2) and KEGG (Fig. 3) category involved in metabolism. However, compared with subject 7, subject 8 was enriched for energy production and conversion; carbohydrate transport and metabolism; amino acid transport and metabolism; coenzyme transport and metabolism; and secondary metabolites biosynthesis, transport, and catabolism (Fig. 2). At this time, it is not clear whether these differences reflect limited coverage of their microbiomes or other factors such as host diet, genotype, and life-style. The analysis presented below combines the genes identified in the fecal microbiotas of both subjects to create an aggregate "human distal gut microbiome." Fig. 2. COG analysis reveals metabolic functions that are enriched or underrepresented in the human distal gut microbiome (relative to all sequenced microbes). Color code: black, subject 7; gray, subject 8. Bars above both dashed lines indicate enrichment, and bars below both lines indicate underrepresentation (P < 0.05). Asterisks indicate categories that are significantly different between the two subjects (P < 0.05). Secondary metabolites biosynthesis includes antibiotics, pigments, and nonribosomal peptides. Inorganic ion transport and metabolism includes phosphate, sulfate, and various cation transporters. [View Larger Version of this Image (24K GIF file)] Fig. 3. KEGG pathway reconstructions reveal metabolic functions that are enriched or underrepresented in the human distal gut microbiome as follows: both samples compared with all sequenced bacterial genomes in KEGG (blue), the human genome (red), and all sequenced archaeal genomes in KEGG (yellow). Asterisks indicate enrichment (odds ratio > 1, P < 0.05) or underrepresentation (odds ratio < 1, P < 0.05). The KEGG category, "metabolism of other amino acids," includes amino acids that are not incorporated into proteins, such as ßalanine, taurine, and glutathione. Odds ratios are a measure of relative gene content based on the number of independent hits to enzymes present in a given KEGG category. [View Larger Version of this Image (21K GIF file)] The plant polysaccharides that we commonly consume are rich in xylan-, pectin, and arabinose-containing carbohydrate structures. The human genome lacks most of the enzymes required for degrading these glycans (20). However, the distal gut microbiome provides us with this capacity (1) (Fig. 3 and tables S3 and S4). The human gut microbiome is enriched for genes involved in starch and sucrose metabolism (fig. S2) plus the metabolism of glucose, galactose, fructose, arabinose, mannose, and xylose (table S4). At least 81 different glycoside hydrolase families are represented in the microbiome, many of which are not present in the human "glycobiome" (table S5). Host mucus provides a consistent reservoir of glycans for the microbiota and thus, in principle, can serve to mitigate the effects of marked changes in the availability of dietary polysaccharides (1). Gnotobiotic mouse models of the human gut microbiota have indicated that -linked terminal fucose in host glycans is an attractive and accessible source of energy for members of the microbiota such as the Bacteroidetes (1, 6). Several COGs responsible for fucose utilization are enriched in the human gut microbiome relative to all microbial genomes (table S4). Fermentation of dietary fiber or host-derived glycans requires cooperation of groups of microorganisms linked in a trophic chain. Primary fermenters process glycans to short-chain fatty acids (SCFAs), mainly acetate, propionate, and butyrate, plus gases (i.e., H2 and CO2). The bulk of SCFAs are absorbed by the host: Together, they account for 10% of calories extracted from a Western diet each day (21). COG analyses demonstrated enrichment of key genes involved in generating acetate, butyrate, lactate, and succinate in the gut microbiome compared with all microbial genomes in the COG database (table S6). The most enriched COG was related to butyrate kinase (odds ratio of 9.30), an enzyme that facilitates formation of butyrylcoenzyme A by phosphorylating butyrate. This enrichment underscores the important commitment of the distal gut microbiota to generating this biologically significant SCFA, which serves as the principal energy source for colonocytes and may fortify the intestinal mucosal barrier by stimulating their growth (22). Accumulation of H2, an end product of bacterial fermentation, reduces the efficiency of processing of dietary polysaccharides (23). Production of methane by mesophilic methanogenic archaeons is a major pathway for removing H2 from the human distal gut (23), although sulfate reduction and homoacetogenesis serve as alternate pathways. Enhancement of bacterial growth rates, fermentation of polysaccharides, and SCFA production have been observed when bacteria (e.g., Fibrobacter succinogenes and Ruminococcus flavefaciens) are cocultured with a Methanobrevibacter species (24). The distal gut microbiome is enriched for many COGs representing key genes in the methanogenic pathway (Fig. 4, C and D), consistent with the importance of H2 removal from the distal gut ecosystem via methanogenesis. Fig. 4. Isoprenoid biosynthesis via the MEP pathway and methanogenesis are highly enriched in the distal gut microbiome. (A) MEP pathway for isoprenoid biosynthesis. (B) Odds ratio for each COG in the MEP pathway. All enzymes necessary to convert DXP to IPP and thiamine are enriched (P < 0.0001 relative to all sequenced microbes). (C) Location and role of key enzymes in methanogenesis. (D) Odds ratio for each COG highlighted in (C). [View Larger Version of this Image (27K GIF file)] The distal gut microbiome is enriched for a variety of COGs involved in synthesis of essential amino acids and vitamins (tables S7 and S8). COGs representing enzymes in the MEP (2-methyl-D-erythritol 4-phosphate) pathway, used for biosynthesis of deoxyxylulose 5-phosphate (DXP) and isopenteryl pyrophosphate (IPP), are notably enriched (P < 0.0001; relative to all sequenced microbes) (Fig. 4, A and B). DXP is a precursor in the biosynthesis of vitamins essential for human health, including B1 (thiamine) and B6 (pyridoxal form) (25). IPP is found in all known prokaryotic and eukaryotic cells and can give rise to at least 25,000 known derivatives, including archaeal membrane lipids (26), carotenoids (27), and cholesterol (28). Together, these results indicate that the MEP pathway is much better represented in the distal human gut microbiome than was previously known. The MEP pathway has been proposed as a target for developing new antibiotics, because some pathogenic bacteria use the MEP pathway instead of the mevanolate pathway for IPP biosynthesis (29). However, our metagenomic study indicates that this approach may be detrimental to the microbiota and, in turn, the host. Detoxification of xenobiotics could impact the host in a variety of ways, ranging from susceptibility to cancer to the efficiency of drug metabolism. Dietary plant– derived phenolics, such as flavonoids and cinnamates, have pronounced effects on mammalian cells (30–32). Hydrolysis of phenolic glycosidic or ester linkages occurs in the distal gut by microbial ß-glucosidases, ß-rhamnosidases, and esterases (33). The human distal gut microbiome is enriched for ß-glucosidase (COG1472, COG2723 in table S4; P < 0.0005; glycosidase families GH3 and GH9 in table S5). Glucuronide conjugates of xenobiotics and bile salts induce microbial ß-glucuronidase activity (34). The microbiome is enriched in this enzyme activity (i.e., COG3250; table S4). KEGG analysis also indicates enrichment for pathways involved in degradation of tetrachloroethene, dichloroethane, caprolactam, and benzoate (table S3). Conclusion. This metagenomics analysis begins to define the gene content and encoded functional attributes of the gut microbiome in healthy humans. Future studies are needed to provide deeper coverage of the microbiome and to assess the effects of age, diet, and pathologic states (e.g., inflammatory bowel diseases, obesity, and cancer) on the distal gut microbiome of humans living in different environments. Periodic sampling of the distal gut microbiome (and of our other microbial communities) may provide insights into the effects of environmental change on our "microevolution." 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Keck Foundation (J.I.G.), the Ellison Medical Foundation (D.A.R., J.I.G.), and NIH grants AI51259 (D.A.R.) and DK70977 (J.I.G.). B.S.S. is a recipient of a graduate research fellowship from the NSF (DGE-0202737). This wholegenome shotgun project has been deposited at the DNA Data Bank of Japan (DDBJ), European Molecular Biology Laboratory (EMBL), and GenBank under the project accession AAQK00000000 (subject 7) and AAQL00000000 (subject 8). The version described in this paper is the first version, AAQK01000000 and AAQL01000000. All near–full-length 16S rDNA sequences were deposited at DDBJ/EMBL/GenBank under the accessions DQ325545 to DQ327606. Supporting Online Material www.sciencemag.org/cgi/content/full/312/5778/1355/DC1 Materials and Methods Figs. S1 and S2 Tables S1 to S8 References Received for publication 22 December 2005. Accepted for publication 5 May 2006. 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