“…Not surprisingly, changes in the composition of the intestinal microbiota have been linked to diverse, complex diseases including IBD (encompassing Crohn’s disease and ulcerative colitis), metabolic disease, type 1 diabetes mellitus, allergy, asthma, and neurologic and cardiovascular disease (28, 29). Some have hypothesized that environmental “flatteners” derived from the forces of globalization, such as extensive antibiotic use, changes in the food supply, and the increased intermixing of humans across international borders, may result in major ecological disruptions in the commensal microbiota that contribute to the development of such diseases (30). Despite the growing number of reports linking alterations in the microbiota to inflammatory disease, it remains to be established whether these are primary or secondary events.…”