The functional landscape of the appendix microbiome under conditions of health and disease

Abstract Traditionally regarded as a vestigial organ, the appendix is now being reevaluated for its significant function in health and nutrition of humans. Serving as a “safe house” for beneficial, desired gut bacteria, the appendix is protected by resilient biofilms that create a secure environment...

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Main Authors: Md Shahjalal Sagor, Tarequl Islam, Noshin Tabassum Tamanna, Md. Kamrul Islam Bappy, Danishuddin, Md Azizul Haque, Maximilian Lackner
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Gut Pathogens
Subjects:
Online Access:https://doi.org/10.1186/s13099-025-00696-2
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author Md Shahjalal Sagor
Tarequl Islam
Noshin Tabassum Tamanna
Md. Kamrul Islam Bappy
Danishuddin
Md Azizul Haque
Maximilian Lackner
author_facet Md Shahjalal Sagor
Tarequl Islam
Noshin Tabassum Tamanna
Md. Kamrul Islam Bappy
Danishuddin
Md Azizul Haque
Maximilian Lackner
author_sort Md Shahjalal Sagor
collection DOAJ
description Abstract Traditionally regarded as a vestigial organ, the appendix is now being reevaluated for its significant function in health and nutrition of humans. Serving as a “safe house” for beneficial, desired gut bacteria, the appendix is protected by resilient biofilms that create a secure environment. This makes the appendix a”basin” for gut microbiota (GM), replenishing the microbial population following disruptions from infections, antibiotic use, or inflammatory bowel disease (IBD). Beyond simply hosting bacteria, the appendix has an active role in functions of the immune system. Disruption of the Appendix Microbiome (AM), such as through appendectomy, was found to result in lowered diversity of gut microorganisms and an increased risk of various diseases. The potential therapeutic applications of the AM are a particularly promising area of research. The appendix’s unique microbial environment and its impact on immunity open new avenues for treatments. These include modulating GM to improve cancer treatment outcomes, mitigating IBD, regulating metabolic pathways in obesity and diabetes, influencing neurotransmitter production in neurological disorders, and addressing cardiovascular and autoimmune diseases. This review highlights the appendix’s transformation from a misunderstood organ to a critical component of gut health and immunity. It explores the function of the human appendix as a resilient reservoir for desired microorganisms, and its role in disease progression. Furthermore, it examines the potential therapeutic applications of AM, presenting exciting opportunities for future research and treatment innovations.
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spelling doaj-art-54bcb79622d2408283dc3b2179e4552d2025-08-20T03:26:44ZengBMCGut Pathogens1757-47492025-06-0117112610.1186/s13099-025-00696-2The functional landscape of the appendix microbiome under conditions of health and diseaseMd Shahjalal Sagor0Tarequl Islam1Noshin Tabassum Tamanna2Md. Kamrul Islam Bappy3Danishuddin4Md Azizul Haque5Maximilian Lackner6Department of Microbiology, Jagannath UniversityDepartment of Microbiology, Noakhali Science and Technology UniversityDepartment of Pharmacy, Noakhali Science and Technology UniversityDepartment of Microbiology, Noakhali Science and Technology UniversityDepartment of Biotechnology, Yeungnam UniversityDepartment of Biotechnology, Yeungnam UniversityDepartment of Industrial Engineering, University of Applied Sciences Technikum WienAbstract Traditionally regarded as a vestigial organ, the appendix is now being reevaluated for its significant function in health and nutrition of humans. Serving as a “safe house” for beneficial, desired gut bacteria, the appendix is protected by resilient biofilms that create a secure environment. This makes the appendix a”basin” for gut microbiota (GM), replenishing the microbial population following disruptions from infections, antibiotic use, or inflammatory bowel disease (IBD). Beyond simply hosting bacteria, the appendix has an active role in functions of the immune system. Disruption of the Appendix Microbiome (AM), such as through appendectomy, was found to result in lowered diversity of gut microorganisms and an increased risk of various diseases. The potential therapeutic applications of the AM are a particularly promising area of research. The appendix’s unique microbial environment and its impact on immunity open new avenues for treatments. These include modulating GM to improve cancer treatment outcomes, mitigating IBD, regulating metabolic pathways in obesity and diabetes, influencing neurotransmitter production in neurological disorders, and addressing cardiovascular and autoimmune diseases. This review highlights the appendix’s transformation from a misunderstood organ to a critical component of gut health and immunity. It explores the function of the human appendix as a resilient reservoir for desired microorganisms, and its role in disease progression. Furthermore, it examines the potential therapeutic applications of AM, presenting exciting opportunities for future research and treatment innovations.https://doi.org/10.1186/s13099-025-00696-2Appendix microbiomeGut healthAppendectomyNeurological disordersImmune systemTherapeutic potential
spellingShingle Md Shahjalal Sagor
Tarequl Islam
Noshin Tabassum Tamanna
Md. Kamrul Islam Bappy
Danishuddin
Md Azizul Haque
Maximilian Lackner
The functional landscape of the appendix microbiome under conditions of health and disease
Gut Pathogens
Appendix microbiome
Gut health
Appendectomy
Neurological disorders
Immune system
Therapeutic potential
title The functional landscape of the appendix microbiome under conditions of health and disease
title_full The functional landscape of the appendix microbiome under conditions of health and disease
title_fullStr The functional landscape of the appendix microbiome under conditions of health and disease
title_full_unstemmed The functional landscape of the appendix microbiome under conditions of health and disease
title_short The functional landscape of the appendix microbiome under conditions of health and disease
title_sort functional landscape of the appendix microbiome under conditions of health and disease
topic Appendix microbiome
Gut health
Appendectomy
Neurological disorders
Immune system
Therapeutic potential
url https://doi.org/10.1186/s13099-025-00696-2
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