The human gastrointestinal tract contains a highly complex ecosystem that harbors various microorganisms, which together create a unique environment within each individual. There is growing awareness that dietary habits are one of the essential factors contributing to the microbial diversity and community configuration that ultimately affects human health. From an evolutionary perspective, human dietary history can be viewed as a central factor in the selection of the gut microbial community and stabilization of the mutualistic host−microbial interaction, that together drive host phenotype. Herein, current knowledge concerning the influence of major dietary macrostructure and individual food ingredients is presented. This knowledge will provide perspectives for personalized gut microbiota management and, ultimately, movement toward an era of personalized nutrition and medicine. KEYWORDS: gut microbiome, diet, nutrition, food, colon, dietary fiber
■ INTRODUCTIONWe live in an intimate relationship with microorganisms that are present on the surfaces and cavities of the human body. During birth, or shortly thereafter, microbes from the mother's skin and milk, the air, and inanimate objects enter the virtually germ-free system of the neonate and proliferate to a dramatic extent. The gastrointestinal (GI) tract is the most densely populated microbial ecosystem of the mammalian host. Bacterial cells are most abundant, but other types of microbes are also present in the GI tract, such as archaea, viruses, protozoa, and fungi. The intestinal lumen alone harbors 10 times more bacterial cells than eukaryotic cells in the entire human body, an amount equivalent to approximately 1 kg of human mass.1 This fact leads us to view ourselves as "superorganisms", being composed of our cells as well as microbial cells that are dependent on each another for survival.
2Food is a major source of energy that promotes growth and development, immunity, and tissue repair, as well as homeostatic regulation. It is also an important energy source for gut microbiota.3,4 Although most nutrient absorption occurs in the small intestine, the colon harbors the majority of bacterial colonists. The colon can be viewed as the major site for "co-metabolic" activity, which enhances the efficiency of the energy harvest from foods 5,6 and influences the synthesis, bioavailability, and function of nutrients, 4 vitamins, 7,8 and drugs.9,10 Thus, the functional interaction between microbes and their host explains individual variability of nutrient metabolism and bioavailability.11 Understanding the relationship between the gut microbiome and diet is important for the development of next-generation therapeutic foods that target these microbes in health-promoting ways and will ultimately usher us toward an era of personalized nutrition and medicine.In this paper, current knowledge of the gut microbiome from the perspective of human dietary history and the coevolutionary relationship with the host will be broadly reviewed. The impact of major dietary...