Viruses in the Gut Protect Us and Change with Age and Diet

Little-Known ‘Gut Virome’ Protects Us—And Changes throughout Our Lives

A new review study examines the “gut virome”: the microbiome’s mysterious viral population

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Viruses have an understandably bad reputation. But deep in our digestive system, a lot of them are quietly working to keep us healthy. This “gut virome” is a key part of the overall microbiome—the vast collection of microbes that play a crucial role in our digestion, immunity and overall health.

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Their review, published in Precision Clinical Medicine, particularly focuses on bacteriophages—viruses that infect bacteria and make up more than 90 percent of the virome.* These viruses sometimes benefit us by infecting and killing harmful gut bacteria. But they can also strengthen pathogens—“for example, if a bacteriophage carries a gene that offers resistance to antibiotics,” says virologist Jelle Matthijnssens, who specializes in virome research at Belgium’s Catholic University of Leuven (KU Leuven) and was not involved in the review.

The study’s authors show how an individual’s virome is constantly developing based on genetics and environment. At birth, infants’ bacteriophages often vastly outnumber their microbiome’s bacteria, but this begins to change with exposure to the outside world and as the gut develops. During adolescence, bacterial populations develop further from hormone shifts and accrued exposure to other microbes. By adulthood, healthy individuals host a delicate and mutually beneficial equilibrium of bacteriophages and bacteria.

Certain bacteriophages that help maintain this balance are extremely reactive to environmental factors such as diet and air quality, and they also respond to their host’s inflammation levels, immune signaling, stress hormones, and more. Factors such as exposure to certain drugs and poor diet can trigger an imbalance that reduces virome diversity. This in turn has been associated with disorders such as inflammatory bowel disease. In elderly people, an aging immune system and increased metabolic stress can further throw this system out of whack and increase viral numbers, potentially contributing to age-related diseases.

Understanding these aging and environmental effects may someday contribute to clinical applications such as “phage therapy,” the researchers say—but much more research is needed.

*Editor’s Note (9/9/25): This sentence was edited after posting to correct the description of bacteriophages making up more than 90 percent of the virome.

Kate Graham-Shaw is a journalist based in New York City. She covers international news for Japanese media and also covers health and science topics as a freelancer.

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