Dark Matter: The New Science of the Microbiome

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Kinross makes it clear that the composition of the microbiome has been implicated in many conditions, but the truth is that this is really nothing new. The great unknowns are the exact mechanisms by which the composition of the microbiome may (and I stress may) be a factor in these conditions, and the science is so young that there simply isn't the evidence to make any definitive claims; given the extreme number of confounders, it's very unlikely we ever will. Eat more fibre Most of us eat only half the recommended 30g a day. But start slowly – our guts don’t like rapid change I also exercise more and try to keep fit and mobile. Can you tell me about some of Imperial’s research on the gut microbiome? A spellbinding explanation of microbiology that will help you get to the bottom of health and happiness -- John Vincent, Co-Founder of Leon

What I particularly loved about this book is its strong scientific foundation. Kinross, a world-leading microbiome scientist and surgeon, offers a wealth of relevant insights drawn from his personal experience and over two decades in the field. The book serves as a much-needed, up-to-date summary of what is going on in this rapidly developing area of study. The final frontier for gut microbiome exploration is its relationship with our brains, something the new fields of nutritional psychiatry and psychobiotics are digging into. We already know the gut has its own nervous system, the enteric nervous system, and contains 100m neurons. We also know the gut-brain axis, via the vagus nerve, shoots neurotransmitters produced within the gut around the body and to the brain, which is why Cryan’s lab has studied the impact of particular bacteria on sleep and how certain types of fibre can improve complex cognitive processes. A spellbinding explanation of microbiology that will help you get to the bottom of health and happiness John Vincent, Co-Founder of Leon

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And how the biome is affected by your social environment; the brain-gut axis looks to be key to our survival. Books» Non-Fiction» Medicine» Medicine: General Issues» Public health & preventive medicine» Personal & public health

Books» Non-Fiction» Medicine» Pre-clinical medicine: basic sciences» Physiology» Biomechanics, human kinetics An urgent investigation into a brave new world in science - the microbiome - and how it could save our health. I knew the gut microbiome was important to our health and I wanted to focus my future career on understanding how": Meet James Kinross Dr Ben Mullish, a clinical scientist at Imperial College London, was running a trial of FMT in patients with C diff infections. Ray was so unwell that Dr Mullish offered him the treatment. Heather understood that there are good and bad bugs and advised her husband to go ahead with it, but Ray was not having it. The idea of taking another human’s faeces was just too much for him, and he refused. Three days later, however, he had deteriorated so much that there was no other choice. Ray consented to the trial. Spector hopes his tests – which don’t just test for microbes, but also assess blood fat and blood glucose responses to specific foods – will change this. “We’re just starting to get to the point where we can suggest individualised foods. This is not just isolated microbiome testing,” he says. “We have trials in place to quantify this, but the initial results are exciting, with nearly everyone reporting weight loss and improved energy levels without any calorie counting or traditional weight loss methods. Previous microbiome tests have been sub-optimal [but the] ZOE approach is completely different: using state of the art sequencing allows us to detect species and strains and find strong associations between these microbes and both foods and health.”The sense of revulsion we feel when we’re faced with human excrement (or even just the thought of it) is, in part, a response to the way it looks and smells. But that revulsion is also a psychological reflex, ingrained by potty training and social stigma. This aversion is an important safety mechanism: handwashing and sewer systems prevent the spread of diseases that have killed millions.

An urgent investigation into the brave new world of the microbiome and how it shapes our lives and health. Books» Non-Fiction» Medicine» Other branches of medicine» Pathology» Medical microbiology & virology I think Dr Kinross is spot on when it comes to the Microbiome being the next very important area for modern medicine to get to grips with. He gives some excellent examples, and some very in depth explanations. Love the story about how animals, and humans can have a poo transplant, which in some cases can save your life.

NHS safety measures remain in place

I was keen to bring together all the work going on in microbiome science, because it creates such a compelling argument for taking it seriously. It’s not just about the gut: it’s about the human microbiome. In this mindblowing book, scientist and surgeon James Kinross explains how the organisms that live within us have helped us evolve, shaped our biology and defined the success of our species. But just as we have discovered this delicate and complex ecosystem within us, it is being irrevocably destroyed through antibiotic addition, industrial food production, the globalisation of our diets and lifestyles, and the destruction of our environment.

Ideally, we need to nurture our gut microbiome from birth. I think that this is so important, that it should be a given human right. One of the ways to do this is for women to breastfeed if they can and for children to have all their vaccinations – that way, they’re much less likely to need antibiotics. When used correctly, antibiotics save lives, but overuse causes more harm than good. We also need our children to play outside with other children and to have a diverse diet that is high in fibre and low in saturated fats. Have you made changes in your own life because of what you’ve learnt about our gut microbiome? In this ground-breaking book, surgeon and expert on the microbiome, James Kinross, takes us on a guided tour of our extraordinary inner universe, showing how our relationship with microbes may hold the key to why we are increasingly succumbing to diseases and conditions such as cancer, Alzheimer's, autoimmune conditions and allergies. He highlights how hyperglobalization and our addiction to antibiotics has transformed our internal ecosystems and why this matters so much to our future health and happiness. We compared these diets to those in Sub-Saharan Africa where rural communities have very high-fibre, plant-based diets. They eat meat very rarely, and when they do, it is very lean. They exercise a lot and live in social communities, where they farm together, cook together and share plates of food. So, they exchange and share microbes through lots of different routes. As a result, they have a much more diverse and resilient population of gut micro-organisms than we do. This book is really, really interesting ... Nothing more important in your life than your microbiome .... this will change your life Chris EvansRay was readmitted to St Mary’s critically unwell and was soon diagnosed with Clostridium difficile (C diff) infection (officially, this bacteria has now been renamed Clostridiodes). A “hospital-acquired infection”, this disease is a complication of 20th-century medicine and an unintended consequence of Alexander Fleming’s discovery of penicillin, the first effective mass-produced antibiotic, in 1928. It is a global problem that afflicts 500,000 people in the United States each year and it kills 29,000 of them. The “gut microbiome” is the name we have used to describe not only the wildly diverse collection of microbes that live there, but also what happens when they interact with each other and with our bodies. In other words, it’s an ecosystem made up of trillions of microbial life forms going about their business inside us, as we go about ours. Some of these studies are extremely encouraging and offer treatments where few effective medical therapies exist. For example, FMT appears to be a promising treatment for irritable bowel syndrome and a recent study suggests that its benefit can last for many years: 125 patients were randomly assigned to receive either 30g or 60g of faeces from the same donor or a placebo transplant containing their own faeces. Researchers not only found that the FMT improved the symptoms, but there was a lasting benefit three years after it was given.