Gut Microbiome

🧬 The Gut Microbiome: A Central Player in Human Health

The gut microbiome refers to the dense and diverse microbial ecosystem residing primarily in the colon, comprising trillions of bacteria, archaea, fungi, viruses, and protozoa. This microbiota is estimated to encode over 150 times more genes than the human genome, with functions essential to digestion, immune modulation, metabolic regulation, and mucosal integrity.

In clinical practice, disruption of the gut microbiome—termed dysbiosis—has been implicated in a wide range of conditions, from gastrointestinal disorders like IBD and IBS to systemic diseases such as metabolic syndrome, neuropsychiatric disorders, and autoimmune diseases. Reseach is still ongoing in this field.

If a whole genome sequence (WGS) is taken from a gut-sample, it is possible to list most of the organisms that are present in the gut microbiome. You can upload your DNA file in this tool for a list.


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đź§« Key Bacterial Taxa of the Gut Microbiome

Below is a table summarizing the most common and clinically relevant bacterial genera and species found in the adult human gut microbiota, along with their estimated prevalence and known roles.

Usually there will be a lot of virusses present as well. Most of these will be bacteriophages: virusses that infect bacteria. These too help in keeping the bacteria in the microbiome under control.

TaxonPrevalence in Adult Gut MicrobiotaFunction / Clinical Relevance
Bacteroides spp.~100%Dominant genus; involved in polysaccharide digestion and immune tolerance
Firmicutes spp. (e.g. Faecalibacterium prausnitzii)~90–100%SCFA producers; anti-inflammatory; associated with gut health
Akkermansia muciniphila~70–90%Mucin-degrading; associated with metabolic health and barrier integrity
Bifidobacterium spp.~80–90% (decreases with age)Beneficial early colonizers; immunomodulatory and protective roles
Escherichia coli (commensal strains)~60–90%Facultative anaerobe; important in early colonization and nitrogen metabolism
Ruminococcus spp.~70–85%Fiber fermentation; linked to butyrate production
Clostridium clusters IV/XIVa (e.g. Roseburia, Eubacterium)~60–80%Butyrate producers; regulate Tregs; maintain colonic health
Prevotella spp.~20–60% (more common in plant-based diets)Carbohydrate fermenters; part of enterotype variation
Lactobacillus spp.~30–50%Probiotic species; transient colonizers in adults
Methanobrevibacter smithii~30–50%Archaea involved in hydrogen metabolism; modulates fermentation efficiency
Enterococcus spp.~10–30%Opportunistic in hospitals; part of normal flora
Proteobacteria (e.g. Klebsiella, Citrobacter)Variable; ↑ in dysbiosisIncreased in IBD, infections; marker of inflammation

⚠️ Note for clinicians: Shifts in relative abundance (e.g., ↑ Proteobacteria, ↓ F. prausnitzii) are emerging biomarkers for conditions such as IBD, obesity, and post-antibiotic syndromes.


🔬 Clinical Implications

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