Abstract

Principles of ecology apply at myriad scales, including within the human body and the intertwined macro and microscopic ecosystems that we depend upon for survival. The conceptual principles of dysbiosis (‘life in distress’) also apply to different realms of life—our microbiome, the macro environment and the socioeconomic domain. Viewing the human body as a holobiont—a host plus billions of microbial organisms working symbiotically to form a functioning ecological unit—has the potential to enhance personal and planetary health. We discuss this ecological perspective in our paper. We also discuss the proposals to rewild the microbiome, innovative microbiome-inspired green infrastructure (MIGI) and the basis of prescribing ‘doses of nature’. Particular emphasis is given to MIGI—a collective term for the design and management of innovative living urban features that could potentially enhance public health via health-inducing microbial interactions. This concept builds upon the microbiome rewilding hypothesis. Mounting evidence points to the importance of microbial diversity in maintaining favorable health. Moreover, connecting with nature—both physically and psychologically–has been shown to enhance our health and wellbeing. However, we still need to understand the underlying mechanisms, and optimal types and levels of exposure. This paper adds to other recent calls for the inclusion of the environment-microbiome-health axis in nature–human health research. Recognizing that all forms of life—both the seen and the unseen—are in some way connected (ecologically, socially, evolutionarily), paves the way to valuing reciprocity in the nature–human relationship. It is with a holistic and symbiotic perspective that we can begin to integrate strategies and address connected issues of human and environmental health. The prospective strategies discussed in our paper focus on enhancing our connections with the natural world, and ultimately aim to help address the global challenge of halting and reversing dysbiosis in all its manifestations.

Highlights

  • The HolobiontPlanet Earth’s biosphere supports several biomes, each containing many ecosystems.Each ecosystem supports a diversity of abundant macro-organisms, which in turn harbor a multitude of microscopic life forms—the bacteria, viruses, archaea, and microeukaryotes

  • Taking an ecological and holistic view of the human body could make a significant contribution to both personal and planetary health. This perspective is exemplified by the recent calls for principles of ecology to be included in medical curricula [4]—a recognition of the human body as an ecological unit, openly interacting with the environment via complex microscopic processes

  • We provide an overview of prospective landscape and social interventions that have the potential to enhance our connections with the natural world, through health-inducing microbial interactions and psychosocial pathways

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Summary

Introduction—The Holobiont

Planet Earth’s biosphere supports several biomes, each containing many ecosystems. Each ecosystem supports a diversity of abundant macro-organisms, which in turn harbor a multitude of microscopic life forms—the bacteria, viruses, archaea, and microeukaryotes. Human beings can be considered holobionts, from holo—a Greek derivative for the word ‘whole’, and biont, for ‘life’ and defined as a host plus billions of stable and transient microbial organisms working symbiotically to form a functioning ecological unit [2]. Not surprisingly, this concept can be difficult to embrace; consciousness as a biological phenomenon is steeped in intrinsic complexities, and it is perhaps easier to view ourselves as an individual of a species.

Interconnectedness and Evolutionary Biology
Forty-Three Percent Human
Functional Ecology and Food for Thought
Dysbiosis—‘Life in Distress’
Microbiome Rewilding and Planetary Health
Microbiome-Inspired Green Infrastructure—Foraging
Microbiome-Inspired Green Infrastructure—Green Barriers
Microbiome-Inspired Green Infrastructure—Cultural and Ancestral Microbiomes
Nature Connections and Green Prescriptions
Findings
Conclusions
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