Enterotype shifting describes a sustained, clinically significant change in the dominant, stable community structure of the gut microbiota, moving from one distinct enterotype to another. An enterotype is a classification of the gut microbiome based on the relative abundance of a few key bacterial genera, such as Bacteroides, Prevotella, or Ruminococcus. This shift is often a therapeutic goal, aiming to replace a less favorable microbial profile with one associated with greater metabolic health and reduced inflammatory potential.
Origin
The term originates from microbial ecology and metagenomics, combining “enterotype,” a concept introduced in 2011 to categorize human gut microbial communities, with “shifting,” denoting a fundamental change in composition. It reflects the dynamic, yet resilient, nature of the gut ecosystem. This principle underpins advanced microbiome-targeted interventions.
Mechanism
Shifting an enterotype requires prolonged and substantial changes in substrate availability, typically achieved through targeted diet modulation, prebiotic supplementation, or specific probiotic administration. The intervention aims to selectively foster the growth of beneficial, keystone species while suppressing the expansion of pathobionts. A successful shift results in altered metabolic outputs, such as increased short-chain fatty acid production, which subsequently improves insulin sensitivity and reduces the burden of systemic inflammation on the endocrine system.
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