The Next Frontier of Medicine


Following your gut takes on a whole new meaning as scientists find relationships between the brain and gut bacteria.

The next frontier of medicine isn’t in the depths of an Amazon jungle or in an air-conditioned lab; it’s in the rich and mysterious bacterial swamp of your gut. Long viewed as an enemy within, bacteria in the body have been subjected to a century-long war in which antibiotics have been the medical weapon of choice. But today, the scientific consensus about our body’s relationship with the trillions of microbes that call it home—collectively known as the microbiome—is changing dramatically. From potentially shaping our personalities to fighting obesity, the bacteria in our bellies play a much stronger role in our overall health than we once thought.

Developments in sequencing technology in the last decade have allowed scientists to better understand gut bacteria, and recent studies have shed light on how our digestive systems may mold brain structure when we’re young and influence our moods, feelings, and behavior when we’re adults. Scientists experimenting on mice have found links between gut bacteria and conditions similar to autism and anxiety in humans.

While it’s still early, the implications of better understanding how gut bacteria impacts our minds and bodies could change the way doctors treat myriad conditions, says Michael A. Fischbach, a microbiologist at UC San Francisco (UCSF). “If we use history as a guide, a lot of ideas probably won’t work out,” Fischbach says. “But even if one of them does, it’s a huge deal.”

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