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REVIEWS
The role of the gut microbiota in nutrition
and health
Harry J. Flint, Karen P. Scott, Petra Louis and Sylvia H. Duncan
Abstract | The microbial communities that colonize different regions of the human gut influence many
aspects of health. In the healthy state, they contribute nutrients and energy to the host via the fermentation
of nondigestible dietary components in the large intestine, and a balance is maintained with the host’s
metabolism and immune system. Negative consequences, however, can include acting as sources of
inflammation and infection, involvement in gastrointestinal diseases, and possible contributions to
diabetes mellitus and obesity. Major progress has been made in defining some of the dominant members
of the microbial community in the healthy large intestine, and in identifying their roles in gut metabolism.
Furthermore, it has become clear that diet can have a major influence on microbial community composition
both in the short and long term, which should open up new possibilities for health manipulation via
diet. Achieving better definition of those dominant commensal bacteria, community profiles and system
characteristics that produce stable gut communities beneficial to health is important. The extent of
interindividual variation in microbiota composition within the population has also become apparent, and
probably influences individual responses to drug administration and dietary manipulation. This Review
considers the complex interplay between the gut microbiota, diet and health.
Flint, H. J. et al. Nat. Rev. Gastroenterol. Hepatol. advance online publication 4 September 2012; doi:10.1038/nrgastro.2012.156
Introduction
The relationship between the mammalian host and Review, we focus mainly on the interplay between diet,
microorganisms that colonize the intestinal tract is the species composition of the microbial community and
the outcome of a lengthy and complex coevolu
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