Recent studies based
on molecular approaches (independent of "in vitro" culture of
bacteria) confirms that the great majority of bacterial diversity in
the microflora of the human digestive tract is totally unknown (Suau
et al., 1999; Bonnet et al., 2001).
Each individual has his/her own profile of dominant microbial species,
which is unique and stable over time (Zoetendahl, 1998; Sutren et al.,
2000). More than 80% of these bacterial species in healthy adults
(more than 90% in the elderly) have no identifiable representative in
international strain collections (unpublished work).
Constraints linked to the nature of the digestive ecosystem itself,
problems in accessibility, and its limited size, as well as the
physiologic specificities of the intestinal microflora and notably the
obligate anaerobes, make this biologic reservoir difficult to
study.
However, the intestinal microflora is implicated in the nutrition and
health of the host, and for several years already, has been suspected
to be involved in triggering and maintaining degenerative and
inflammatory digestive pathologies, which are presently on the rise in
industrialized countries (Efson 1995; Sartor 1997, 1998; Duchman
1999). Molecular studies have recently confirmed that primary
alterations of the composition of the human fecal microflora are
associated with Crohn's disease, an incurable chronic inflammatory
disease of the intestine (Seksik et al., 2003; Mangin et al.,
soumis). Furthermore, functional alterations of the flora have been
demonstrated in this disease (Favier 1997).
Using existing metagenome extraction technologies, and by creating and
exploiting DNA libraries, the project aims to access the ensemble of
functionalities of the dominant intestinal microflora in order to be
able to totally interface the two human genomes (our eukaryotic genome
and the metagenome of our flora) for which the intimate
interrelationships are an essential factor in the maintenance of good
health.
A unique access to a global functional analysis of the intestinal
ecosystem will make it possible to determine :
- The functional homogeneity of the fecal microbial community
in humans (between individuals) and its stability over time.
- The key components in the interaction between microflora and
epithelial and/or immune cells of the digestive system.
- The functional specificity of fecal microbial communities
asociated with selected digestive pathologies (inflammation,
cancer).
Decisions and recommendations in the field of human
nutrition or public health (in which the digestive flora often plays a
decisive role) are greatly limited by our biased and fragmented
knowledge of the dominant flora based on anaerobic culture :
- In preventive nutrition: whereas the marketing of functional
nutrients is increasing, their health benefits are often poorly
supported scientifically.
- In the medical domain, when a role of the digestive
microflora is suspected in certain diseases such as inflammatory
disorders of the digestibe tube or certain cancers, we do not have
the tools to test these hypotheses.
The functional understanding of the intestinal
ecosystem and its dynamic surveillance is a present-day challenge. It
is therefore of fundamental importance to be able to measure
effectively the functional diversity of dominant species of the
digestive flora of humans, to determine its regulatory modes and to
develop tools for its dynamic surveillance (in space and in time).
The economic effects as well as the public health consequences of such
a program will be extremely pertinent. The information obtained will
serve as databases for the creation of DNA networks which will make it
possible to improve our understanding of the function of the human
intestinal ecosystem, and will also lead to the development of
multiple diagnostic applications in nutrition and in human health.
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