2020
DOI: 10.1146/annurev-publhealth-040119-094423
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Sick Individuals and Sick (Microbial) Populations: Challenges in Epidemiology and the Microbiome

Abstract: The human microbiome represents a new frontier in understanding the biology of human health. While epidemiology in this area is still in its infancy, its scope will likely expand dramatically over the coming years. To rise to the challenge, we argue that epidemiology should capitalize on its population perspective as a critical complement to molecular microbiome research, allowing for the illumination of contextual mechanisms that may vary more across populations rather than among individuals. We first briefly… Show more

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Cited by 21 publications
(22 citation statements)
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References 140 publications
(173 reference statements)
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“…A paradigmatic example is the expected reduction in the diversity of microbiotas in different hosts, facilitating their merging and coalescence . Microbiotas are getting sick (Renson et al, 2020). It is currently difficult to predict whether these effects will accelerate or constraint bacterial diversification and speciation, but a larger number of common or overlapping niches might result in the emergence of highly generalized/transmissible new bacterial organisms, eventually potentially high-risk pathogens for higher plants and animals, including humans.…”
Section: The Consequences Of Anthropogenic Uniformization Of Nichesmentioning
confidence: 99%
“…A paradigmatic example is the expected reduction in the diversity of microbiotas in different hosts, facilitating their merging and coalescence . Microbiotas are getting sick (Renson et al, 2020). It is currently difficult to predict whether these effects will accelerate or constraint bacterial diversification and speciation, but a larger number of common or overlapping niches might result in the emergence of highly generalized/transmissible new bacterial organisms, eventually potentially high-risk pathogens for higher plants and animals, including humans.…”
Section: The Consequences Of Anthropogenic Uniformization Of Nichesmentioning
confidence: 99%
“…However, for rare outcomes such as gestational diabetes or birth defects, only casecontrol data may be available, which makes it much more challenging to resolve the temporal ordering from exposure to metabolite to outcome. One possible solution is using stored biological samples that were collected early enough in pregnancy and prior to the development of the disease in a nested case-control study design [89].…”
Section: Implications For Future Studies and Challengesmentioning
confidence: 99%
“…Taken as a whole, the emerging microbiome science allows scientists to visualize how individual and community disadvantage “gets under the skin” and into the mind–-body interface [ 112 , 113 ]. Thus, from the ARPA-H perspective, it should encourage influential program managers to examine the structural forces that drive “inequities” of the biologically relevant microbiome.…”
Section: New Perspectives On the Ecology Of Social Disadvantagementioning
confidence: 99%