Modern sanitation may reduce bacterial diversity in our gastrointestinal tract

While sanitation reduces the spread of pathogens, study suggests it also reduces the transmission of potentially beneficial gut bacteria

Helen Metella - 17 April 2015

Two things that most North Americans feel fortunate to have-good sanitation and treated drinking water-may be reducing the diversity of beneficial bacteria in our gastrointestinal tract.

"That's important because one of the beneficial functions of this 'gut microbiota' is that it contributes in the development of the immune system," said Jens Walter, an ALES researcher in the Department of Agricultural, Food & Nutritional Science.

Walter is the senior scientist on a new study that found adults from the United States lacked approximately 50 bacterial types that were key members of the gut microbiota found in adults of two rural, non-industrialized regions of Papua New Guinea.

The study also found that the ability of bacteria to move from individual to individual appears to be the main reason for the difference in gut bacteria collections in each population.

It is possible that North America's modern sanitation and water practices might be limiting the ability of beneficial bacteria to be transmitted among humans, said Walter. While these practices prevent infections, and are a key feature of a westernized lifestyle that contributed to improvements in overall health and life expectancy, they might make us susceptible to other effects.

"We maintain a symbiosis with complex microbial populations that reside in our digestive tract that are important for our health," he said.

"Scientists like Martin Blaser (a renowned American expert in infectious diseases) have hypothesized for some time now that modern lifestyle might deplete the human gut microbiota, and by doing this, might predispose us to the chronic lifestyle diseases like obesity and type-1 diabetes that are increasing in westernized societies."

In Papua New Guinea it's rare for people to have non-communicable diseases such as MS, rheumatic arthritis, lupus and type 1 diabetes. The implication is that the absences of the key bacteria found in its population might be contributing to increases of non-communicable chronic diseases in industrialized countries.

In fact, several recent studies have consistently shown that non-westernized human populations have more diverse microbiomes.

"There are several aspects of western lifestyle that have been hypothesized to alter the gut microbiome and decrease diversity," said Walter. "These include diet, sanitation, and clinical practices such as antibiotic use and caesarean sections, but we lack a conceptual understanding of how our microbiomes are altered."

However, the researchers say it's important to be cautious about questioning modern lifestyle practices. Non-industrialized societies have a high incidence of infectious diseases, including life-threatening diarrhea. Research is therefore necessary to determine how to prevent the negative impact of westernization on our microbiome while preserving its benefits.

The study was published in Cell Reports.