Nature is full of examples of symbiotic
relationships. The critical
symbiotic relation between host and mutualistic bacteria is attracting
increasing attention to the degree that the gut microbiome is proposed
by some as a new organ system. The microbiome exerts its systemic
effect through a diverse range of metabolites, which include gaseous
molecules such as H2, CO2, NH3, CH4, NO, H2S, and CO. In turn, the human host can
influence the microbiome through these gaseous molecules as well in
a reciprocal manner. Among these gaseous molecules, NO, H2S, and CO occupy a special place because of their widely known physiological
functions in the host and their overlap and similarity in both targets
and functions. The roles that NO and H2S play have been
extensively examined by others. Herein, the roles of CO in hostâgut
microbiome communication are examined through a discussion of (1)
host production and function of CO, (2) available CO donors as research
tools, (3) CO production from diet and bacterial sources, (4) effect
of CO on bacteria including CO sensing, and (5) gut microbiome production
of CO. There is a large amount of literature suggesting the âmessengerâ
role of CO in hostâgut microbiome communication. However, much
more work is needed to begin achieving a systematic understanding
of this issue.