Related Experiment Video
Updated: Jun 24, 2026

An Intestinal Gut Organ Culture System for Analyzing Host-Microbiota Interactions
Published on: June 30, 2021
Gut pathogens: invaders and turncoats in a complex cosmos
1Division of Nutritional Sciences, Franklin-Wilkins Building, King's College London, Stamford Street, London SE1 9NH, UK. j.hermon@kcl.ac.uk
Abstract:
Intestinal infections and diarrhoeal diseases of humans are under-reported yet each account worldwide for more deaths than those from Tuberculosis. For external gut pathogens to do this they have to penetrate, survive and prosper in an established and defended ecosystem comprising the human gut with a massive immune system, a structured tight mucosal lining and a lumen densely occupied by a huge community of diverse bacteria adapted to their environment and optimised in a balanced and mutually beneficial relationship with its host.
Insights
Intestinal infections cause more global deaths than Tuberculosis, yet are under-reported. Understanding how gut pathogens overcome the human immune system and microbial defenses is crucial for public health.
Area of Science:
- Microbiology
- Immunology
- Gastroenterology
Background:
- Intestinal infections and diarrhoeal diseases cause more global deaths than Tuberculosis.
- These infections are significantly under-reported worldwide.
- Pathogens must overcome the host's immune system and the gut microbiota to cause disease.
Purpose of the Study:
- To highlight the significant global impact of intestinal infections.
- To emphasize the challenges pathogens face in the human gut ecosystem.
- To underscore the need for further research into host-pathogen interactions in the gut.
Main Methods:
- This study is a review and synthesis of existing literature on gut pathogens and host defenses.
- It analyzes the complex interactions within the human gastrointestinal tract.
- It examines the roles of the immune system, mucosal lining, and gut microbiota.
Main Results:
- External gut pathogens face a formidable, multi-layered defense system in the human gut.
- This defense includes a robust immune system, a tight mucosal barrier, and a dense, established gut microbiota.
- The gut microbiota is adapted and optimized in a symbiotic relationship with the host.
Conclusions:
- Despite the challenges, external gut pathogens can penetrate, survive, and cause disease.
- The under-reporting of intestinal infections masks their true global mortality burden.
- Further investigation into these complex host-microbe-pathogen interactions is warranted.
Related Concept Videos
Colonisation of Pathogens
Functions of the Gut Microbiota
Introduction to the Human Microbiota
Dysbiosis of the Gut Microbiota
Microbiota of the Large Intestine
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...

