2019
DOI: 10.3389/fcimb.2019.00148
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The Healthy Human Blood Microbiome: Fact or Fiction?

Abstract: The blood that flows perpetually through our veins and arteries performs numerous functions essential to our survival. Besides distributing oxygen, this vast circulatory system facilitates nutrient transport, deters infection and dispenses heat throughout our bodies. Since human blood has traditionally been considered to be an entirely sterile environment, comprising only blood-cells, platelets and plasma, the detection of microbes in blood was consistently interpreted as an indication of infection. However, a… Show more

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Cited by 225 publications
(248 citation statements)
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References 99 publications
(200 reference statements)
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“…We cannot determine whether the identified 16S rRNA gene sequences came from live, senescent or fragmented bacteria. Schierwagen et al were able to cultivate Staphylococcus and Acinetobacter (a group of environmental bacteria) using blood samples, which matched their findings by 16S rRNA gene sequencing and is in line with the numerous studies that identify living bacteria in the blood of healthy individuals by culture methods and microscopy 38 . However, given the chemical and mechanical stress that is inherent to digestion, and the fact that these patients did not display sepsis or any sign of bacterial infection, we speculate that the majority of the 16S rRNA sequences annotated in this study were from fragmented bacteria, which would facilitate translocation past the leaky gut barrier of participants with obesity.…”
Section: Discussionsupporting
confidence: 64%
“…We cannot determine whether the identified 16S rRNA gene sequences came from live, senescent or fragmented bacteria. Schierwagen et al were able to cultivate Staphylococcus and Acinetobacter (a group of environmental bacteria) using blood samples, which matched their findings by 16S rRNA gene sequencing and is in line with the numerous studies that identify living bacteria in the blood of healthy individuals by culture methods and microscopy 38 . However, given the chemical and mechanical stress that is inherent to digestion, and the fact that these patients did not display sepsis or any sign of bacterial infection, we speculate that the majority of the 16S rRNA sequences annotated in this study were from fragmented bacteria, which would facilitate translocation past the leaky gut barrier of participants with obesity.…”
Section: Discussionsupporting
confidence: 64%
“…The penetration of bacteria through the gut wall leads to the increased presence of microorganisms or their components in the bloodstream, resulting in the activation of the immune system [13]. The concept of "healthy human blood microbiome" has been recently proposed, however, when the levels of bacteria or their derivatives in the bloodstream exceeds a certain threshold, this triggers systemic inflammation and sepsis (SIRS), which negatively affects all organs and tissues [14]. Therefore, it is believed that targeted modulation on microbiota or gut barriers can reduce the immune system activation and inflammatory response [15].…”
Section: Introductionmentioning
confidence: 99%
“…At the phylum level, we identified Proteobacteria, Actinobacteria, Firmicutes, and Bacteroidetes. Once believed sterile, studies have shown healthy peripheral blood microbiomes typically include a nucleic acid signature of these phyla (5,32,46). Detection at the genus level produced a larger set of taxa, many of which (12 of 20) had inferred abundance significantly associated (FDR < 5%) with at least one host-related variable.…”
Section: Discussionmentioning
confidence: 99%
“…However, through use of culture-independent methods, evidence has emerged regarding the healthy human blood microbiome (5). The signature of the blood microbiome has provided insight into diseases such as schizophrenia (6), type 2 diabetes (7,8), chronic kidney disease (9) and liver fibrosis (10), and may provide a link to the microbiome in other tissues and diseases.…”
Section: Introductionmentioning
confidence: 99%
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