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The Extra Pounds You Can't Afford to Lose: An Interview With Microbiologist Margaret McFall-Ngai

Posted: 07/06/2012 10:24 pm

Recent revelations about our microscopic partners and tenants are numerically startling, if not downright existential. Try these for starters: Most of the cells within your body are not human cells, and you are literally teeming with pounds of busy microbes, working to earn their keep while you scan a blog post.

As a physicist, this emerging picture was new to me, but I've had some expert help to digest it now (bacterial pun intended).

Last month, the Human Microbiome Project announced the first comprehensive results of four years of study, revealing details of the trillions of bacteria that coexist on us and within us. To some non-biologists like myself, seeing humans as consortia of many different species is new territory. I had the great fortune of meeting Professor Margaret McFall-Ngai of the University of Wisconsin, as she was in San Francisco several weeks ago to chair a major meeting of the American Society of Microbiology. She agreed to continue my microbiosphere lesson in the blogosphere.

Margaret, you've been thinking about these bacteria for quite a while. But from what you've seen of the Microbiome Project data, what was the biggest surprise?

My biggest surprise from the data is that, much like fingerprints, the microbiota is unique to each person. What is common between people is the set of guilds of microbes -- i.e., while the specific bacteria are not the same species, the species make up groups that have particular conserved functions. A useful analogy might be something like cities: San Francisco and Boston do not have the same people, but to function as a city, they have the same guilds -- bakers, street cleaners, transportation safety folks, gardeners, etc.

OK, let's just hope our microbes don't have a financial services sector.

The Microbiome Project uncovers the bacteria in about 250 healthy human subjects, taken from 15 to 18 body sites apiece. The sites are all technically "outside," or continuations of the body's surface (e.g., face, wrist, inside the mouth, digestive tract, etc.). But you mentioned that these little guests would also influence deep tissues and organs, right? Can they influence, say, a brain?

Even though we don't have tons of bacteria circulating in our bloodstream, the bloodstream does have a profound microbial signature. In analyses of the small molecules (or metabolites) in the bloodstream, about 36 percent of them are bacterial in origin. They are derived from the activity of the bacteria in your gut (principally) and other places on your body. Our microbial partners shed metabolic products that are taken up by the host and find their way into the general circulation. What this means is that every cell in your body serviced by blood (including your brain) does now, and very likely has throughout evolutionary history, interacted with microbial products. They have participated in the shaping of our physiology.

You also mentioned that 90 percent of cells in our bodies are actually bacteria. But even as I started to feel like a walking microbe-loaf, you reminded me that bacteria are much smaller than human cells. Our microbial partners account for "only" about 5 to 10 pounds of our weight. To help us understand the consortium model of a human being, do you have a helpful way of thinking about it?

If the human cells were taken away, and all of the cells of all microbes were left behind (bacteria, fungi, mites, microscopic nematodes), there would be the outline of a human being. They are small, but they are numerous and very active. The human ecosystem is similar to any ecosystem, like a tropical rain forest, coral reef, etc. What the findings suggest is that the biological world exists as a set of ecosystems nested within other ecosystems, each having microbes at their very base.

I've heard the term "medical ecology" for this emerging field. What's your reaction to that label?

This is a great way to think about human biology, but it will be much more. If these things are true in humans, they will apply to all vertebrates. Likely, each time a vertebrate goes extinct, a subset of the microbial world will be lost forever. How the dramatic global ecological changes of today will impact all of these systems remains to be determined. At this point, we need to branch out and learn about the situation outside of humans, as well.

That sounds like a fundamental aspect of Earth's biodiversity, but we don't normally hear microbes included in the calculus of conservation.

To conclude this chat with more standard navel-gazing, what should the average health-conscious human take home for now?

As Jeffrey Gordon (Washington University in St. Louis) said a few years ago, "Honor thy symbionts" -- i.e., people will begin to recognize that, because the microbes are so critical to the conversion of food into the materials that we absorb into our bodies, we should feed them well. The data thus far have demonstrated very convincingly that obesity, for instance, is a disease associated with the imbalance of the microbiota. Also, people should take antibiotics only when they have a bacterial or fungal infection, and they should follow their doctor's advice about taking them. Antibiotics have dramatic, long-lasting effects on the health of your ecosystem.

I assume for obesity that we're left with a chicken and egg issue for now, in terms of which comes first: an off-kilter microbial ecosystem or a steady input of maybe-not-so-good-for-microbe items like gallons of high-fructose corn syrup.

Many thanks to Margaret for taking the time to chat. In closing, I, for one, welcome our new microbial overlords! (Sorry, it's a moldy old meme that I can never resist.)

 
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Recent revelations about our microscopic partners and tenants are numerically startling, if not downright existential. Try these for starters: Most of the cells within your body are not human cells, a...
Recent revelations about our microscopic partners and tenants are numerically startling, if not downright existential. Try these for starters: Most of the cells within your body are not human cells, a...
 
 
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HUFFPOST SUPER USER
ecceme
Be afraid!
11:33 PM on 07/10/2012
Have you heard of the new antimicrobial dish soap that's tough on all those germs but gentle on the hands? It's called "killing me softly"

In one of Stephen j Gould's books he said that if you took all the earths biomass existing above ground; all the trees, animals everything alive above the soil and weighed it against all the bacteria below ground (don't try this at home) the bacteria would vastly out-weigh the flora and fauna biomass.

we're vastly outnumbered. we're going to have to work things out with these microbial creatures.
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HUFFPOST BLOGGER
Brandon Brown
12:43 AM on 07/09/2012
For those interested in philosophical implications, I'm sure you will not be surprised to know that people actively think and work in this area. My thanks to Andrew Peterson of the Rotman Institute of Philosophy at the University of Western Ontario for sending the following suggestion. Alfred Tauber writes a nice overview of the medical "self" in the Stanford Encyclopedia of Philosophy: http://plato.stanford.edu/entries/biology-self/
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HUFFPOST SUPER USER
KingLeer
07:03 AM on 07/08/2012
We are the microbes. We are not unless we are one with the other.
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jf12
Esta vez saldré como las otras y me escaparé.
12:29 AM on 07/08/2012
Most of that mass of bacteria is intestinal flora, most of the weight of feces is bacterial, most of that is E. coli. If you didn't know.
08:04 PM on 07/07/2012
"Try these for starters: Most of the cells within your body are not human cells, and you are literally teeming with pounds of busy microbes, working to earn their keep while you scan a blog post."

The human body is an amazing thing and everytime we study it we find something else that makes it fascinating. I read the article he linked to and I am also fascinated by the idea that we have an entire "ecosystem" living inside of us. What does that mean for our understanding of biology and of self?
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HUFFPOST SUPER USER
PhilosopherJon
Don’t be mΣαη
02:34 PM on 07/07/2012
The relationship we have with symbiotic bacteria is AMAZING! My cells are outnumbered 10 to 1. What a humbling thought; that our livelihood depends upon a complex ecology between tons of bacterial species. It makes you remember, that even though you look out at the world to only readily apparent large things, that we live in a microbial world.

Are the microbes in charge? How lucky are we to have microorganisms that keep the biotic cycles going?! And how much do bacteria contribute in order to make larger organisms successful in their environment? For instance, Humans have 20,000 to 25,000 genes, but between the bacteria that live inside our gut microbiome, there is about 3.3 million genes. These genes provide proteins and enzymes that not only benefit the bacteria inside us, they impact our bodies. The human genome lacks most of the genes necessary to make enzymes that can break down the complex carbohydrates found in plants, as well as many other metabolic functions that bacteria provide. But within our gut, B. Thetaiotaomicron has genes that code for more than 260 enzymes capable of digesting plant matter. Others give us vitamins... Really, there is so much to know about how large the contribution bacteria provide to our existence is, it gets me so excited.
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phal4875
The world is run by cats; we just feed them.
05:18 PM on 07/07/2012
Fanned, PhilosopherJon, for great information. The symbiotic relationship you describe is mostly new information for me. I had not realized the extent and importance of that relationship.
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HUFFPOST SUPER USER
PhilosopherJon
Don’t be mΣαη
08:07 PM on 07/07/2012
Thanks. You'd probably enjoy this: http://www.scientificamerican.com/article.cfm?id=microbiome-graphic-explore-human-microbiome

If you click on the various bacteria there is some information or a link to an abstract. Check out H. Pylori. Our relationship with it has been implicated as a factor in rising levels of obesity, and I'm pretty sure that's what was being referred to in the interview. Martin Blaser, who published work and studied about the bacteria for like 25 years says, "We have a whole generation of children who are growing up without H. pylori to regulate their gastric ghrelin."
08:06 PM on 07/07/2012
Humans are far more complex that we thought. This is a new area biology that we need to look into! We are still learning what it means to be human.