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Microbiome and Immunity: The Hidden Connection

Article ID 04-MB-LI-00023

Woman meditating on a mossy log in an old-growth forest, with a glowing illustration of the digestive system over her abdomen

A large part of the immune system is closely connected to the gut.

This is one reason why scientists are paying so much attention to the relationship between the gut microbiome and immunity.

The gut microbiome helps educate and regulate immune responses. It supports the intestinal barrier, interacts with immune cells, and produces metabolites that may influence inflammation throughout the body.

With age, both the immune system and the microbiome can change.

The immune system may become less efficient, while chronic low-grade inflammation may increase. At the same time, the gut microbiome may become less diverse or more unstable in some individuals.

This interaction may be one of the reasons why gut health is increasingly discussed in the context of healthy aging.

A balanced microbiome may help support immune resilience. However, the relationship is complex and varies between individuals. An imbalanced microbiome, often called dysbiosis, may contribute to inflammatory signals and reduced immune regulation.

However, this field is still evolving.

Microbiome testing and microbiome-targeted interventions should be interpreted carefully and in context. No single bacteria or supplement can guarantee better immunity.

What appears more important is the overall ecosystem: diet quality, fibre intake, metabolic health, medication use, stress, sleep, physical activity, and general health status.

In longevity medicine, the microbiome is valuable because it connects several systems at once: gut, immunity, metabolism, inflammation, and long-term disease risk.

Author

Monika Mikulicz-Pasler, MD, PhD

Monika Mikulicz-Pasler, MD, PhD

Specialist in Cardiology

Specialist in Internal Medicine

KCM Longevity Clinic

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