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Endocrine, Metabolic & Immune Disorders - Drug Targets, 2014, 14, 290-299
Digestive System Research Unit, Vall dHebron Research Institute, Barcelona, Spain; 2Centro de Investigacin
Biomdica en Red en el rea temtica de Enfermedades Hepticas y Digestivas (CIBERehd), Instituto de Salud Carlos
III, Madrid, Spain
Abstract: Over the last decade our understanding of human gut microbiology underwent a tremendous transformation.
The limitations of culture-based methods have given way to Next Generation Sequencing techniques, allowing us to
understand the microbial gut community in greater depth. The human GI-tract harbours one of the most complex and
abundant ecosystems colonized by more than 100 trillion microorganisms, among which Firmicutes and Bacteroidetes are
the major phyla. Although stable over long periods, the composition and functions of the microbiome may be influenced
by a number of factors including genetics, mode of delivery, age, diet, geographic location and medical treatments.
Dysbiosis, changes in microbiome structure, has been linked to inflammatory, functional and metabolic disorders such as
IBD, IBS and obesity. However, it is still not clear whether these changes are a contributing factor or a result of the
disease. This synopsis provides a chronological overview of the techniques used to study the gut microbiota and the
current knowledge with respect to the stability and variability of microbiome composition and functions.
Keywords: 16S rRNA, composition, diversity, gastrointestinal tract, human gut microbiota, metagenomics, microbiome,
sequencing.
INTRODUCTION
METHODS EMPLOYED TO STUDY THE GUT
MICROBIOTA
Classical Approaches
A complex assemblage of microorganisms, including
eukaryotes, archaea, bacteria, and viruses, colonizes the
human gastrointestinal tract (GI-tract) [1, 2]. Together, these
microorganisms are known as the gut microbiota, and they
outnumber human eukaryotic cells. Traditionally, studies
addressing microbiota were done using culture methods [3,
4]. These techniques rely on the biochemical and physical
capacity of the organism of interest to grow and multiply in
either liquid or solid medium infused with nutrients. Given
that various microorganisms show exceptional growth under
the nutrient, temperature and humidity conditions provided,
this culture procedure has remained a standard method for
microbial studies. However, in the 1990s, new techniques
demonstrated that culture was not able to detect most of the
microorganisms present in the GI-tract [5-10]. To overcome
this limitation, culture-independent approaches were developed,
including dot-blot hybridization, quantitative PCR amplification
(qPCR), Temperature Gradient Gel Electrophoresis (TGGE)
and Denaturing Gradient Gel Electrophoresis (DGGE),
Fluorescence In-Situ Hybridization (FISH) techniques, and
microarrays.
In dot-blot hybridization, the nucleic acids are blotted
onto a membrane, where the hybridization is performed with
*Address correspondence to this author at the Digestive System Research
Unit, Vall dHebron Institut de Recerca, Ciberehd, 08035 Barcelona, Spain;
Tel: +34 934894036; Fax: +34 934894032; E-mail: cmanicha@gmail.com
2212-3873/14 $58.00+.00
and
Next-
Endocrine, Metabolic & Immune Disorders - Drug Targets, 2014, Vol. 14, No. 4
291
Developed in 2008, Illumina (Solexa) is another highthroughput sequencing technology [46]. This technique is
based on reversible dye-terminator technology and engineered
polymerases, and it uses massive parallel sequencing
technology generating "DNA Clusters". This technology
currently allows 4000 million simultaneous sequence reads
of 300600 bp (Illumina HiSeq 2500).
Structure
292 Endocrine, Metabolic & Immune Disorders - Drug Targets, 2014, Vol. 14, No. 4
Table 1.
Panda et al.
Method
Material Used
Experimental Design
Type of Result
References
Culture
Tissue/
environmental sample
[3,4]
Dot-Blot hybridisation
[11-13]
qPCR
[14-16]
DGGE
Total environmental
DNA extracted from
sample
[17-19, 21]
TGGE
Total environmental
DNA extracted from
sample
[7, 20-22]
FISH
DNA in tissues
Microarray
Total environmental
DNA extracted from
sample
[16, 27-41]
Metagenomics
Total environmental
DNA extracted from
sample
[54-60, 62,
79, 91, 101,
106, 123]
Total environmental
DNA extracted from
sample
Metatranscriptomics
Total environmental
RNA / mRNA
extracted from
sample
Metaproteomics
Total environmental
proteins isolated from
sample
[62, 63]
Total environmental
metabolites extracted
from sample
Metabolomics
[62, 64]
Endocrine, Metabolic & Immune Disorders - Drug Targets, 2014, Vol. 14, No. 4
bacteria upon natural birth and dominance of skinharbouring bacteria upon C-section delivery [70]. Apart from
the delivery mode, feeding methods and even country of
birth influence the faecal microbiome of infants [69, 71, 72].
Firmicutes is dominant in the neonate gut microbiome after
birth but is replaced by Bacteroidetes upon the intake of
formula food. By the age of 3, the gut microbial diversity is
comparable to that of an adult [73]. The microbiome of
children becomes more complex with age [74].
The human gut microbiome comprises four dominant phyla:
Firmicutes, Bacteroidetes, Proteobacteria and Actinobacteria.
In addition, Fusobacteria, and Verrucomicrobia could also be
detected [67]. The most dominant phyla are Firmicutes and
Bacteroidetes, which make up more than 90% of the total
bacterial population [58, 67, 75-77]. The composition of the
intestinal microbes (as provided by 16S rRNA gene survey)
varies between intestinal sites in the same individual and also
among individuals [8, 67]. While the microbiome is shared
among family members, each persons gut microbial
community varies, through time and diet [59, 78, 79]. Deep
metagenomic sequencing allowed the MetaHIT consortium
to explore the possibility of the presence of a common set of
microorganisms called the core microbiome. Using shotgun
sequencing and a 90% identity threshold, 13 species were
found to be common in more than 90% of individuals and 35
species in more than 50% [58]. From another perspective, the
HMP consortium estimated that the total human microbiome
contained between 3,500 and 35,000 Operational Taxonomic
Units (OTUs). Several signatures at the genus level were
observed across nearly all individuals, but specific taxa were
highly variable and almost never universal [59].
Modulation of the Microbial Composition
The composition of the gut microbiota is influenced by
several known factors, such as genetics, mode of delivery
[70], age [73, 74, 80, 81], geographical location [71, 82, 83],
lifestyle (diet or smoking) [83-88] and medical treatments
[89], and a number of as yet unknown ones.
Western or rural diet has been shown to affect the
structure of the gut microbiota [90, 91]. In this regard, diets
containing mostly protein and animal fat lead to the
dominance of Bacteroidetes, while long-term diets rich in
carbohydrates favor mainly Firmicutes [85]. Studies
performed on adult human gut microbiomes of lean and
obese mono- and dizygotic twins showed that despite having
common microbial species, they presented different
phenotypes, suggesting that host genetics might not be the
only cause of obesity [79]. These results were also confirmed
in animal models [62, 78, 92].
The microbiota of elderly people displays greater interindividual variation than that of younger adults [81]. Also,
there is greater similarity of faecal microbiota among family
members than with non-members [82, 83].
Recently, many diseasesdigestive and non-digestive
have been associated with dysbiosis or alterations in
microbial communities. Whether the diseases themselves
alter the community or vice versa is still speculative, but an
association between dysbiosis and certain conditions has
293
294 Endocrine, Metabolic & Immune Disorders - Drug Targets, 2014, Vol. 14, No. 4
Panda et al.
complementary DNA
ddNTPs
DGGE
FISH
IBD
IBS
NGS
OTUs
Endocrine, Metabolic & Immune Disorders - Drug Targets, 2014, Vol. 14, No. 4
qPCR
TGGE
Temperature
phoresis
Gradient
Gel
[19]
Electro[20]
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