Abstract

The human gut is a complex environment that contains a multitude of microorganisms that are collectively termed the microbiome. Multiple factors have a role to play in driving the composition of human gut bacterial communities either toward homeostasis or the instability that is associated with many disease states. One of the most important forces are likely to be bacteriophages, bacteria-infecting viruses that constitute by far the largest portion of the human gut virome. Despite this, bacteriophages (phages) are the one of the least studied residents of the gut. This is largely due to the challenges associated with studying these difficult to culture entities. Modern high throughput sequencing technologies have played an important role in improving our understanding of the human gut phageome but much of the generated sequencing data remains uncharacterised. Overcoming this requires database-independent bioinformatic pipelines and even those phages that are successfully characterized only provide limited insight into their associated biological properties, and thus most viral sequences have been characterized as “viral dark matter.” Fundamental to understanding the role of phages in shaping the human gut microbiome, and in turn perhaps influencing human health, is how they interact with their bacterial hosts. An essential aspect is the isolation of novel phage-bacteria host pairs by direct isolation through various screening methods, which can transform in silico phages into a biological reality. However, this is also beset with multiple challenges including culturing difficulties and the use of traditional methods, such as plaquing, which may bias which phage-host pairs that can be successfully isolated. Phage-bacteria interactions may be influenced by many aspects of complex human gut biology which can be difficult to reproduce under laboratory conditions. Here we discuss some of the main findings associated with the human gut phageome to date including composition, our understanding of phage-host interactions, particularly the observed persistence of virulent phages and their hosts, as well as factors that may influence these highly intricate relationships. We also discuss current methodologies and bottlenecks hindering progression in this field and identify potential steps that may be useful in overcoming these hurdles.

Highlights

  • The human microbiome is collectively comprised of trillions of microbial cells originating from all domains of cellular life (Bacteria, Archaea, Eukarya) as well as viruses (Ursell et al, 2012)

  • Phages have been detected in cerebrospinal fluid, possibly due to blood-brain barrier permeability, and have been shown to increase intestinal permeability (Tetz and Tetz, 2018). This can impair gut barrier function leading to leaky gut and components such as bacterial extracellular DNA entering circulation which is associated with inflammation and diseases including cancer (Tetz and Tetz, 2019) Taken together, these findings suggest that certain phages could have potential roles as human pathogens or contribute to disease development

  • It is possible to directly isolate single uncultured viruses from environmental samples using flow cytometry. This allows for single viral genomics (SVGs) which involves sequencing isolated viruses individually which overcomes certain assembly limitations associated with metagenomics and provides insights into strain variation and genetic diversity (Allen et al, 2011; Martinez-Hernandez et al, 2017)

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Summary

Introduction

The human microbiome is collectively comprised of trillions of microbial cells originating from all domains of cellular life (Bacteria, Archaea, Eukarya) as well as viruses (Ursell et al, 2012). In addition to phage-bacteria interactions, phages may interact directly or indirectly with the mammalian host, adding another level of complexity when studying the human gut phageome.

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