Valles-Colomer · Nature 2023 · observational metagenomic cohort study · n=>9,700 metagenomes

The person-to-person transmission landscape of the gut and oral microbiomes.

Cited 467 times in the scientific literature.

Level 3 - non-randomized controlled study

Large-scale observational cohort metagenomic analysis across populations (design analogy).

PubMed 36653448 · doi:10.1038/s41586-022-05620-1 · record verified 2026-08-28

What was done

The authors performed computational strain-level profiling on over 9,700 human metagenomes to assess person-to-person bacterial strain sharing across mother-to-infant, intra-household, and population-level contexts for gut and oral microbiomes.

What was found

The authors identified over 10 million instances of bacterial strain sharing. Mother-to-infant gut microbiome strain-sharing rate was around 50% during infancy and persisted at older ages. Horizontal transmission was prominent in the oral microbiome and increased with cohabitation duration. Cohabiting individuals had median strain-sharing rates of 12% for gut and 32% for oral microbiomes, with cohabitation duration having a greater impact on sharing than age or host genetics.

Why it matters

This work demonstrates that horizontal and vertical interpersonal transmission substantially shapes individual microbiome composition, suggesting that microbiome-associated non-communicable conditions could have an overlooked transmissible component.

Limits

The abstract does not specify the exact number of human participants (only reporting >9,700 metagenomes) nor the specific geographic cohorts included. Findings rely on computational metagenomic inference of strain sharing rather than direct experimental observation of live bacterial transfer.

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