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    Fecal Yogurt And Other Microbiome Musings
    By Paul Knoepfler | June 20th 2012 06:19 PM | 7 comments | Print | E-mail | Track Comments
    About Paul

    Associate Professor of Cell Biology and Human Anatomy at UC Davis School of Medicine. Long-time stem cell and cancer scientist. Cancer survivor...

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    I'm a stem and cancer cell biologist so what the heck do I know about a bunch of bacteria?

    Apparently enough to cause a lot of trouble as I've done with a blog post where I've said that I believe that these big microbiome studies that found their way into the NY Times and much of the international media were "fatally flawed". 

    Perhaps I overstated my case more than a bit and I regret the word "fatal", but there are some serious issues as well as super interesting implications.

    What is going on?

    First off, just to be on the same page, a microbiome is simply the collection of all the bacteria in a given system (e.g. a human body).

    I have a weakness for big projects that tackle cool topics such as the objective of these microbiome studies that cost more than $100 million. 

    Their goal was to determine the normal or wild type human microbiome....hmm. 

    This begs the following question: 

    what is a normal or WT human being? 

    The leaders of the microbiome studies, in my opinion, took a wrong turn when answering this question. 

    They tried to get "perfectly healthy" people and in so doing ended up with some 200+ final subjects whose microbiomes they analyzed. But I think these subjects do not represent human beings very well and to make matters worse the scientists had 80% of the subjects get dental work BEFORE their microbiomes were analyzed. Yikes. In others to put it simply, these scientists manipulated their research subjects before studying them. 

    Either I was trained wrong over all these years or that is not the way you are supposed to do science.

    Nonetheless, I would guess that much of what the microbiomers concluded was accurate. I hope so. 

    The studies also raise a dizzying array of neat questions and future endeavors related to, well, germs. Maybe...in fact probably a lot of germs are our friends!

    One possibility of this way of thinking is so-called "fecal transplants".

    Now I'm not that squeamish, but I was always of the feeling that the mouth and feces should be kept separate. Very far apart in fact, right?

    Even so, scientists are already doing fecal transplants and studying the results based on the notion that the microbiomes of some people might colonize the gut of other people, making them healthier....perhaps less prone to GI diseases and maybe even skinnier!

    Most of us have probably seen the commercials nowadays for yogurts that have all kinds of beneficial bacteria in them and that's now extended to supplements whereby consumers swallow pills intended quite literally to "infect" or to use a friendlier word "colonize" their guts with specific germs that are supposed to provide healthful outcomes.

    A logical future prediction is feces "flavored" yogurt. In others words, yogurt with fecal transplants in it.

    This may not be as far fetched as it may sound to some.

    I also find it fascinating to think that human beings actually consist of a combination of human cells and equal or even greater #s of bacteria living inside and on us. I believe this is a true case of symbiosis, but we know relatively little how these bacteria that are our own symbiots. 

    A related, equally interesting area is the "virome" of the human body consisting of actual viral particles in our bodies, but also massive amounts of viral DNA in our genomes. What's the scoop there? 

    Stayed tuned and pass the yogurt! No feces for now please though. 

    Comments

    Is it fatally or fecally flawed? Yeah... a little MoBo humor.

    Here,here Paul.
    I applaud you for being the voice of reason. Back in the 1940's fecal transplant was more common than you would imagine. I took an interest in the subject 30 years ago and had the oportunity of inteviewing an OB nurse stationed at New Port News VA in the 1940's. She told me how saline enemas were given to woman ready to give birth. The discharged luquid containing fecal matter was collected and sent to the lab for processing and storage. It was banked and used to treat severe bouts of diarrhea see in soldiers returning from the tropical war zones. They only source of this fecal transplant material was from the OB, I cannot offer an explination why.

    Gerhard Adam
    I also find it fascinating to think that human beings actually consist of a combination of human cells and equal or even greater #s of bacteria living inside and on us.
    I agree.  This is one of the problems I tried to discuss in considering the future of space travel and colonization, since even the trip into space can already alter the behavior of commensal bacteria  by potentially increasing virulence.
    pknoepfler
    Great point!
    Paul S. Knoepfler, Ph.D. Associate Professor UC Davis School of Medicine http://www.ipscell.com
    Tony Fleming
    So we have the genome, the microbiome, and the virome?? As far as the microbiome goes, what would the volume be of the total microbiome in the human body? Too much information I guess. Maybe I don't want to know.  
    Tony Fleming Biophotonics Research Institute tfleming@unifiedphysics.com
    Gerhard Adam
    I don't think anyone knows.  With microbes outnumbering cells 10 to 1 and yet potentially being only about 0.001 times the size of cells, one can offer a guess.  However, almost 99.9% of the microbes have never been cultured and are simply unknown, in terms of what they do, and even what they are [especially in how they might interact].

    So ... at present, I don't think there's anything more specific to know.
    Tony Fleming
    Thanks Gerhard, maybe the precise answer to this will be the basis of the best weight-loss diet ever, better than GI. Just think where that microbiome could be within your body, that fat head, the thick neck, those man boobs, that big bum, those love handles, yuck. And there I was thinking SETI was the search for an alien alien.
    Tony Fleming Biophotonics Research Institute tfleming@unifiedphysics.com