Related Experiment Video
Updated: Jan 29, 2026

Visualization of Candida albicans in the Murine Gastrointestinal Tract Using Fluorescent In Situ Hybridization
Published on: November 5, 2019
Extensive transmission of microbes along the gastrointestinal tract
Thomas Sb Schmidt1, Matthew R Hayward1, Luis P Coelho1
1Structural and Computational Biology Unit, European Molecular Biology Laboratory, Heidelberg, Germany.
Abstract:
The gastrointestinal tract is abundantly colonized by microbes, yet the translocation of oral species to the intestine is considered a rare aberrant event, and a hallmark of disease. By studying salivary and fecal microbial strain populations of 310 species in 470 individuals from five countries, we found that transmission to, and subsequent colonization of, the large intestine by oral microbes is common and extensive among healthy individuals. We found evidence for a vast majority of oral species to be transferable, with increased levels of transmission in colorectal cancer and rheumatoid arthritis patients and, more generally, for species described as opportunistic pathogens. This establishes the oral cavity as an endogenous reservoir for gut microbial strains, and oral-fecal transmission as an important process that shapes the gastrointestinal microbiome in health and disease.
Insights
Oral microbes commonly colonize the large intestine in healthy individuals, challenging previous beliefs. This oral-fecal transmission is extensive and significant for gut microbiome composition in health and disease.
Area of Science:
- Microbiology
- Gastroenterology
- Human Health
Background:
- The gastrointestinal tract harbors a dense microbial community.
- Translocation of oral microbes to the intestine is traditionally viewed as rare and pathological.
Purpose of the Study:
- To investigate the prevalence and extent of oral microbial transmission to the large intestine in healthy individuals.
- To determine if oral-fecal transmission is a common process shaping the gut microbiome.
Main Methods:
- Analysis of salivary and fecal microbial strain populations.
- Study included 310 species across 470 individuals from five countries.
Main Results:
- Oral microbial transmission to the large intestine is common and extensive in healthy individuals.
- A majority of oral species are transferable.
- Increased transmission observed in colorectal cancer and rheumatoid arthritis patients, and with opportunistic pathogens.
Conclusions:
- The oral cavity serves as an endogenous reservoir for gut microbial strains.
- Oral-fecal transmission is a significant process influencing the gastrointestinal microbiome in both health and disease.
Related Concept Videos
Histology of the Gastrointestinal (GI) Tract
The mucosa is sometimes called a mucous membrane due to its mucus-secreting features. This membrane is composed of epithelium, which directly interacts with ingested substances, and the lamina propria, a layer...
Anatomy of the Gastrointestinal System
Here's a detailed walkthrough of this complex system:
Gastrointestinal Motility Disorders
Physiology of the Gastrointestinal System I: Ingestion and Propulsion
Physiology of the Gastrointestinal System II: Digestion and Absorption
Digestion begins in the mouth, where food undergoes mechanical breakdown by chewing and combines with saliva. Salivary amylase, an enzyme in saliva, starts the breakdown of starches into maltose. The food then travels down the esophagus to the stomach.
In the stomach, a...
Physiology of the Gastrointestinal System III: Elimination

