Fundamentals of the Gut Microbiome, Fermented Foods, and Biotics

Reading Time: 12 minutes

Key Takeaways:

  • Unique and Dynamic Microbiomes: Each person's gut microbiome is unique and adapts throughout life, influenced by factors like diet, lifestyle, and environment.

  • Role of Biotics: Biotics, including probiotics and prebiotics, can modulate the gut microbiota and support health. However, not all fermented foods contain probiotics or meet the International Scientific Association for Probiotics and Prebiotics (ISAPP) clinical definition.

  • Microbial Diversity: A diverse gut microbiome is associated with better health outcomes, whilst reduced diversity can often be linked to poorer health outcomes.

  • Diet and Lifestyle: A varied diet rich in plant-based foods, fermented foods, regular exercise, good sleep, and stress reduction can be beneficial for good gut health

Intro to the gut

The gut plays a key role in our health and well-being.

Whilst digestion is perhaps its most well-known function, the gut also plays a fundamental role as part of the immune system. In fact, up to 70% of immune cells are found within the gut[1]. Both of these functions are supported, shaped and influenced by the diverse ecosystem of trillions of living microbes that live within us.

Gut Microbiota

Microbiota (historically called ‘flora’)[2] is the term used to describe the trillions of living microorganisms both on us and in us. The gut microbiota refers to the community of microorganisms living specifically within the gut, including bacteria, fungi, yeast and viruses.

Gut microbiome

The microbiome is the combination of the genetic material of the living microorganisms, their genomes, functions, and the metabolites they produce. If the gut microbiome was a factory, the gut microbiota are the people who work there, the machinery they use and the products they make.[3]

Microbiomes are located all along the interfaces between the inside and the outside of our body.[4-6] The body’s richest microbiome community lives along the mucosa in our gut, and most predominantly in the colon[7] – this is the gut microbiome.

No two people have the same gut microbiome,[8] it is unique to each individual, just like fingerprints. It adapts throughout the various stages of life, from gestation to old age and in most people is highly resilient.

What are biotics?

The word ‘biotics’ is derived from the Ancient Greek word ‘biōtikós’ referring to life. Biotics can modulate the gut microbiota (either directly by forming part of the microbiota, or indirectly through other mechanisms) and they can also support human health.

In 2013, the International Scientific Association for Probiotics and Prebiotics (ISAPP) established an expert panel to explore the field of prebiotics and probiotics, including defining various types of biotics[9].

Prebiotics

Food for beneficial bacteria.

Probiotics

Live microorganisms, which when administered in adequate amounts, confer a health benefit to the host.

Synbiotics

A combination of prebiotics and probiotics that work synergistically

Postbiotics

Compounds beneficial for health, which are either produced by live microorganisms ...

What are fermented foods?

Fermented foods – such as, kimchi, kombucha or sauerkraut – typically deliver a wide variety of live cultures but may not always contain probiotics or a consistent level or amount of probiotics. Fermented foods are an important component of a gut-friendly diet, but the live cultures within them may not meet the specific ISAPP definition of a ‘probiotic’. Probiotics work in a strain specific manner, survive to the gut alive and have clinical evidence to show benefits for specific health outcomes. These key criteria are not always met for the live cultures within fermented foods. Learn more about the health benefits of fermented foods in one of our blogs or the importance of strain specificity within Activia

Gut microbiota dysbiosis

There is no set definition of an ‘optimal’ or ‘healthy’ gut microbiota composition since it is different to individuals. But evidence points to microbial diversity, balance and stability being associated with better gut health and overall wellbeing. Sometimes, the gut microbiota and subsequently, the gut microbiome can be disturbed; an imbalanced or disordered gut microbiota is often referred to as “dysbiosis” [1-2].

Dysbiosis is thought to contribute to the pathophysiology of many health conditions, including poor digestion, metabolic functions and decreased immunity.

Diversity in the gut microbiome

One of the most important characteristics of a gut microbiome is its diversity: the number of different microorganisms it holds.[8] It is predicted that the gut microbiome encodes over 3 million genes that can lead to the production of thousands of metabolites. To put into perspective, the human genome consists of approximately 23,000 genes.[12]

Interestingly, researchers have found a possible connection between reduced diversity in the gut microbiome and various diseases, including autoimmune disorders (such as Crohn's disease and Type 1 diabetes), metabolic conditions (like obesity and Type 2 diabetes), and certain cancers. While the exact role of the gut microbiome in these diseases is not fully understood, it seems that a diverse gut microbiome may play a beneficial role.[3-4]

Gut microbiome through the years [12,5,6]

The gut microbiota diversity is ever evolving and gradually changes from gestation right through to old age. Early life is an important stage for shaping the gut microbiome and the composition throughout the first period of life is influenced by factors such as birth gestational date, delivery method, feeding methods and weaning. External factors will also come into play, such as the living environment or presence of pets.

During adulthood, the core native microbiota remains relatively stable but can differ between individuals, dependent on factors like dietary habits, lifestyle, exercise, geographical areas and antibiotic and medication usage. However, certain life events such as bariatric surgery, illness, infection or use of antibiotics can profoundly influence the composition of the microbiota in adulthood.

Various factors affect the gut microbiota including [7]

Key functions of the gut microbiome:

Helps digestion

Non-digestible carbohydrates, like dietary fibre, cannot be digested due to the lack of human enzymes able to break them down

Production of short-chain fatty acids (SCFAs)

SCFAs like butyrate and acetate can: - Provide energy[9] - Promote a thicker protective mucus layer lining in the ...

Synthesis of key vitamins

Contributes to the synthesis of key vitamins like vitamin K, vitamins B5, B8, B9 and B12 [24-31]

Helps with neurotransmitter synthesis

May be involved in some neurotransmitter synthesis, such as gamma-aminobutyric acid (GABA) and serotonin - 95% of the ...

Defends against harmful pathogens

- The gut favours good bacteria, thus limiting pathogens[23] - Production of antimicrobial molecules[24] directly prevent ...

Helps maintain the integrity of the gut epithelial barrier

Helping to prevent a ‘leaky gut’ which prevents harmful substances from entering the bloodstream

How do pre and probiotics influence gut microbiome functions?[26-31]

Supporting gut health through dietary choices

Our food choices play an important role in determining the wellbeing of our digestive system and consequently, our health.

Having a diverse and varied diet rich in plants (aiming for 30 different plant-based foods a week) can help increase the amount and diversity of fibres and other nutrients which are important for achieving an enhanced gut microbiome. In addition, consumption of fermented foods, like yogurts, kefir and kombucha, can also be beneficial for good gut health along with regular exercise, good sleep quality and reducing stress.[32]

Finally, consumption of products containing specific probiotics, which are backed by clinical evidence may help in supporting specific health outcomes. For example, Activia has over 40 years of scientific evidence showing it’s role in supporting digestive comfort in both healthy adults and in IBS-C patients.[33-34].To learn more about the specific evidence behind Activia, visit Activia Research

References

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[2] Rinninella E., Raoul P., Cintoni M., et al. What is the Healthy Gut Microbiota Composition? A Changing Ecosystem across Age, Environment, Diet, and Diseases. Microorganisms, 2019. 7(1), 14. doi: 10.3390/microorganisms7010014

[3] Mosca, A., Leclerc, M., Hugot, J.P. Gut Microbiota Diversity and Human Diseases: Should We Reintroduce Key Predators in Our Ecosystem? Frontiers in Microbioliology, 2016. 7, 455. DOI: 10.3389/fmicb.2016.00455

[4] Bao, L., Zhang, Y., Zhang, G., et al., Abnormal proliferation of gut mycobiota contributes to the aggravation of Type 2 diabetes. Communications Biology, 2023. 6, 226. doi: 10.1038/s42003-023-04591-x

[5] Xu, H., Liu, M., Cao, J.,et al. The Dynamic Interplay between the Gut Microbiota and Autoimmune Diseases. Journal of Immunology Research, 2019. 7546047. doi: 10.1155/2019/7546047.

[6] Vemuri R., Gundamaraju R., Shastri M.D., et al. Gut Microbial Changes, Interactions, and Their Implications on Human Lifecycle: An Ageing Perspective. Biomed Research International, 2018. 4178607. doi: 10.1155/2018/4178607

[7] Maslowski, K.M., Mackay, C.R. Diet, gut microbiota and immune responses. Nature Immunology, 2011. 12(1), 5-9. https://doi.org/10.1038/ni0111-5

[8] Sonnenburg, J.L., Bäckhed, F. Diet-microbiota interactions as moderators of human metabolism. Nature, 2016. 535(7610), 56-64.v

[9] Scheppach, W. Effects of short chain fatty acids on gut morphology and function. Gut, 1994. 35(1 Suppl), S35-38.

DOI: 10.1136/gut.35.1_suppl.s35

[10] Gerritsen, J., et al. Intestinal microbiota in human health and disease: the

impact of probiotics. Genes & Nutrition, 2011. 6(3), 209-40. DOI: 10.1007/s12263-011-0229-7

[11] Macfarlane, G.T., Macfarlane, S. Bacteria, colonic fermentation, and gastrointestinal health. Journal of AOAC International, 2012. 95(1), 50-60. DOI: 10.5740/jaoacint.sge_macfarlane

[12] Koh, A., De Vadder, F., Kovatcheva-Datchary, P., et al. From Dietary Fiber to Host Physiology: Short Chain Fatty Acids as Key Bacterial Metabolites. Cell, 2016. 165(6):1332-1345. doi: 10.1016/j.cell.2016.05.041.

[13] EFSA, Scientific Opinion on the substantiation of health claims related to vitamin K and maintenance of bones (ID 123, 127, 128 and 2879), blood coagulation (ID 124 and 126), and function of the heart and blood vessels (ID 124, 125 and 2880) pursuant to Article 13(1) of Regulation (EC) No 1924/2006 on request from the European Commission. EFSA Journal, 2009. 7(9), 1228. DOI:

[14] EFSA, Scientific Opinion on substantiation of health claims related to pantothenic acid and energy-yielding metabolism (ID 56, 59, 60, 64, 171, 172, 208), mental performance (ID 57), maintenance of bone (ID 61), maintenance of teeth (ID 61), maintenance of hair (ID 61), maintenance of skin (ID 61), maintenance of nails (ID 61) and synthesis and metabolism of steroid hormones, vitamin D and some neurotransmitters (ID 181) pursuant to Article 13 of Regulation (EC) No 1924/2006 on request from the European Commission. EFSA Journal 2009; 7(9):1218.

[15] EFSA, Scientific Opinion on the substantiation of health claims related to pantothenic acid and mental performance (ID 58), reduction of tiredness and fatigue (ID 63), adrenal function (ID 204) and maintenance of normal skin (ID 2878) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal, 2010. 8(10), 1758.

[16] EFSA, Scientific opinion on the substantiation of health claims related to biotin and energy-yielding metabolism (ID 114, 117), macronutrient metabolism (ID 113, 114, 117), maintenance of skin and mucous membranes (ID 115), maintenance of hair (ID 118, 2876) and function of the nervous system (ID 116) pursuant to Article 13(1) of Regulation (EC) No 1924/2006 on request from the European Commission. EFSA Journal, 2009. 7(9),1209.v

[17] EFSA, Scientific Opinion on the substantiation of health claims related to biotin and maintenance of normal skin and mucous membranes (ID 121), maintenance of normal hair (ID 121), maintenance of normal bone (ID 121), maintenance of normal teeth (ID 121), maintenance of normal nails (ID 121, 2877), reduction of tiredness and fatigue (ID 119), contribution to normal psychological functions (ID 120) and contribution to normal macronutrient metabolism (ID 4661) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2010; 8(10):1728.

[18] EFSA, Scientific Opinion on the substantiation of health claims related to folate and contribution to normal psychological functions (ID 81, 85, 86, 88), maintenance of normal vision (ID 83, 87), reduction of tiredness and fatigue (ID 84), cell division (ID 195, 2881) and contribution to normal amino acid synthesis (ID 195, 2881) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal, 2010. 8(10),1760.

[19] EFSA, Scientific opinion on the substantiation of health claims related to vitamin B12 and red blood cell formation (ID 92, 101), cell division (ID 93), energy-yielding metabolism (ID 99, 190) and function of the immune system (ID 107) pursuant to Article 13(1) of Regulation (EC) No 1924/2006 on request from the European Commission. EFSA Journal, 2009. 7(9), 1223.

[20] EFSA, Scientific Opinion on the substantiation of health claims related to vitamin B12 and contribution to normal neurological and psychological functions (ID 95, 97, 98, 100, 102, 109), contribution to normal homocysteine metabolism (ID 96, 103, 106), maintenance of normal bone (ID 104), maintenance of normal teeth (ID 104), maintenance of normal hair (ID 104), maintenance of normal skin (ID 104), maintenance of normal nails (ID 104), reduction of tiredness and fatigue (ID 108), and cell division (ID 212) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal, 2010. 8(10),1756.

[21] Duranti, S., Ruiz, L., Lugli, G.A., et al. Bifidobacterium adolescentis as a key member of the human gut microbiota in the production of GABA. Scientific Reports, 2020. 10, 14112. DOI: 10.1038/s41598-020-70986-z

[22] Strandwitz, P. Neurotransmitter modulation by the gut microbiota. Brain Research, 2018. 1693(Pt B),128-133.

[23] Ubeda, C., Djukovic, A., Isaac, S. Roles of the intestinal microbiota in pathogen protection. Clinical & Translational Immunology, 2017. 6(2), e128.

[24] Petersen, C., Round, J.L. Defining dysbiosis and its influence on host immunity and disease. Cellular Microbiology, 2014. 16(7), 1024-33. DOI: 10.1111/cmi.12308

[25] Ducarmon, Q.R., Zwittink, R.D., Hornung, B.V.H., et al. Gut Microbiota and Colonization Resistance against Bacterial Enteric Infection. Microbiology and Molecular Biology Reviews, 2019. 83(3), e00007-19. DOI: 10.1128/MMBR.00007-19

[26] Gerritsen, J., Smidt, H., Rijkers, G.T., et al. Intestinal microbiota in human health and disease: the impact of probiotics. Genes & Nutrition, 2011. 6(3), 209-40. doi: 10.1007/s12263-011-0229-7

[27] Hill, C., Guarner, F., Reid, G., et al. Expert consensus document. The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nature Reviews Gastroenterology & Hepatology, 2014. 11(8), 506-14. doi: 10.1038/nrgastro.2014.66

[28] Gibson, G.R., Hutkins, R., Sanders, M.E., et al. Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nature Reviews Gastroenterology & Hepatology, 2017. 14(8), 491-502. doi: 10.1038/nrgastro.2017.75

[29] Gibson, G.R., Roberfroid, M.B. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. Journal of Nutrition, 1995. 125(6), 1401-12. doi: 10.1093/jn/125.6.1401

[30] Wopereis, H., Oozeer, R., Knipping, K., et al. The first thousand days - intestinal microbiology of early life: establishing a symbiosis. Pediatric Allergy & Immunology, 2014. 25(5), 428-38. doi: 10.1111/pai.12232

[31] Martin, R., Nauta, A.J., Ben Amor, K., et al. Early life: gut microbiota and immune development in infancy. Beneficial Microbes, 2010. 1(4), 367-82. doi: 10.3920/BM2010.0027

[32] Leeuwendaal NK, Stanton C, O'Toole PW, Beresford TP. Fermented Foods, Health and the Gut Microbiome. Nutrients. 2022 Apr 6;14(7):1527. doi: 10.3390/nu14071527.

[33] Eales J., et al. Systematic review and meta-analysis: the effects of fermented milk with Bifidobacterium lactis CNCM I-2494 and lactic acid bacteria on gastrointestinal discomfort in the general adult population. Therap Adv Gastroenterol. 2016. First published on October 9, 2016.

[34] Agrawal A, et al. Clinical trial: the effects of a fermented milk product containing Bifidobacterium lactis DN-173 010 on abdominal distension and gastrointestinal transit in irritable bowel syndrome with constipation. Alimentary Pharmacology and Therapeutics, 2009; 29(1): 104-114.

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