Journal Club

A core microbiome signature as an indicator of health.

Authors

Wu G, Xu T, Zhao N, Lam YY, Ding X, Wei D, Fan J, Shi Y, Li X, Li M, Ji S, Wang X, Fu H, Zhang F, Shi Y, Zhang C, Peng Y, Zhao L.

publication

Cell. 2024

Highlights include:

  • The authors describe groups of unrelated microbes that interact and carry out similar functions (such as producing beneficial short-chain fatty acids like butyrate), which they call “guilds.” I like this term—it echoes medieval guilds such as bakers or brewers, groups organized around shared functions.
  • The study identified two guilds that responded differently to a high-fiber diet. One was considered “beneficial” and produced butyrate, which supports immune regulation, metabolism, and gut function. The other “detrimental” guild expressed antibiotic resistance and virulence factors that could promote inflammation.
  • The balance between these guilds was strongly influenced by dietary fiber. High fiber intake increased the beneficial guild and suppressed the detrimental one.
  • The authors propose thinking of beneficial microbes as “housekeeping microbes,” analogous to housekeeping genes that keep cells functioning properly. These microbes help regulate inflammation, support gut cells, and maintain overall physiological balance.

Dr. Goehler's thoughts

A key challenge for me, when trying to advise about microbes and gut health, has been making sense of the literature. Most studies investigate only one species, often use subjective outcomes, and show low consistency across findings. For example, a study may report that “microbe X improves symptom Y,” followed by another showing that microbe X worsens symptom Y, and then another showing no effect at all. It’s understandable why I’ve become skeptical of many clinical studies on gut microbes.

Microbial populations in our guts are highly complex, and their health and behavior depend on each other, our diet, and poorly understood genetic factors. The study by Wu et al. (2024) addresses this complexity by using sophisticated genetic analyses of gut microbiota in response to a high-fiber diet in people with type 2 diabetes. It is not an easy read, but the findings are important.