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Tipping Elements in the Human Intestinal Ecosystem

Recent studies show that the microbial communities inhabiting the human intestine can have profound impact on our well-being and health. However, we have limited understanding of the mechanisms that control this complex ecosystem. Based on a deep phylogenetic analysis of the intestinal microbiota in a thousand western adults we identified groups of bacteria that tend to be either nearly absent, or abundant in most individuals. The abundances of these bimodally distributed bacteria vary independently, and their contrasting alternative states are associated with host factors such as ageing and overweight. We propose that such bimodal groups represent independent tipping elements of the intestinal microbiota. These reflect the overall state of the intestinal ecosystem whose critical transitions can have profound health implications and diagnostic potential.