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. 2019 Mar 13;83(2):e00054-18. doi: 10.1128/MMBR.00054-18

TABLE 4.

Advantages and pitfalls of gnotobiotic animal models in comparison with human research, with respect to the factors influencing intestinal microbiota composition or behaviora

Factor Advantage(s) (vs human research) Pitfalls in practice
Inoculum (defined community) Controllable composition (healthy vs diseased microbiota [e.g., missing keystone species], human vs animal derived) Animal microbiome ≠ human microbiome; difficulties in defining a healthy or normal microbiota; host-specific selection of microbiota
Diet Controllable composition, timing, amt (tailored to human diet [region, age, and season, etc.]) Lack of standardization in laboratory animal feeding protocols; not always reportedb
Host genotype Controllable; genetic changes possible (ability to introduce disease) Validation of host-microbe interactions in multiple strains needed before extrapolation to humans; animal genotype ≠ human genotype
Sex Controllable Only one gender investigatedb; not always reportedb
Part of the gut Ability to measure bacterial levels in virtually all intestinal parts; ability to capture transversal heterogeneity Anatomy and physiology different from humans; variations in relative abundances per gut region different per modelb; focus on specific gut regions or feces onlyb
Colonization time Controllable Long-term effects not studiedb ; animals not always colonized starting at birthb; stability over generations not always confirmedb
Immune system Controllable at start/birth Uncontrollable in long-term studies, especially locally; complex, determined by internal and external factors; not quantified or quantifiableb
a

Based on studies listed in Tables 1 to 3 and the literature.