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http://www.scienceblog.com/community/article4268.html

Bugs in the gut could play key role in understanding human disease and

drug toxicity

Understanding how microbes in the gut interact with the body could

lead scientists and doctors to new a understanding and novel

treatments for diseases say scientists from Imperial College London

and Astra Zeneca.

In a review published today in Nature Biotechnology, researchers

describe how microbes in the gut form the second largest metabolic

'organ' in the body and play a key role in disease processes alongside

genetic and environmental factors.

Microbes in the gut can weigh up to one kilogram in a normal adult

human, and collectively can contain more genes than the host. The

combination of interacting genes from the body and gut microbes can be

considered a 'super-organism', capable of co-ordinating many

physiological and metabolic responses, say the researchers.

Professor Nicholson, from Imperial College London, and lead

researcher comments: ''We have known for some time that many diseases

are influenced by a variety of factors, including both genetics and

environment, but the concept of this 'superorganism' could have a huge

impact on our understanding of disease processes including those

related to insulin-resistance, heart disease, some cancers and perhaps

even some neurological diseases''.

''The discovery of how microbes in the gut can influence the body's

responses to disease means that we now need more research into this

area. The deciphering of the human genome was a huge step forward for

medicine, but we now need much more research into the microbes found

in the gut and how they interact with their mammalian hosts'

metabolism. Understanding these interactions as will extend human

biology and medicine well beyond the human genome and help elucidate

novel types of gene-environment interactions, this knowledge

ultimately leading to new approaches to the treatment of disease. ''

Professor Ian , from Astra Zeneca, and one of the researchers

adds: ''This 'human super-organism' concept could have a huge impact

on how we develop drugs, as individuals can have very different

responses to drug metabolism and toxicity. The microbes can influence

things such as the pH levels in the gut and the immune response, all

of which can have effects on the effectiveness of drugs.''

The researchers believe it will be possible to develop a model for

testing the body's response to disease, looking at how the microbes in

the gut interact with each other, mammalian genes and other

environmental factors to understand why some drugs work well in some

people but not others.

Professor Nicholson adds: ''Understanding the man-microbe interaction

is likely to be crucial in realising personalised medicine and

healthcare in the future.''

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