2602003065
  • Open Access
  • Hypothesis

Malfunction of a Hypothetical Evolved Microeukaryote Microbiome: Birth-Initiated Dysregulation of Immune System, Brain, and Gut

  • David Smith

Received: 30 Dec 2025 | Revised: 10 Feb 2026 | Accepted: 12 Feb 2026 | Published: 27 Feb 2026

Abstract

Although autoimmune conditions are normally recognised by their physical symptoms, on further investigation signs of neuropsychiatric disease may become apparent. While it is possible that the one actually causes the other, it is noteworthy that a similar correspondence can also be traced to the so-called gut-brain axis, perhaps indicating a deeper relationship between the three nominally independent variables of immune system, brain, and gut. Increasingly, as this “triple plague” of related conditions (autoimmunity, poor mental health, and weight gain) has begun to resemble an avalanche, intense speculation has focused on the so-called microbiome: that collection of unicellular pro- and eukaryotes, viruses and mobile genetic elements present, to a greater or lesser extent, at many sites around and inside the body. Primarily for reasons of accessibility and ease of analysis, most effort has focused on the bacteria, i.e., the bacteriome, but unfortunately with little rationale. By contrast, our work was based on the premiss that the microbiome, “our microbes” has evolved to be an intergenerational part of animal immune systems, helping to protect successive generations of multicellular entities against external microbes. Analysis further suggested that key microbes should be the more flexible microeukaryotes, while the concomitant, diverse, bacteriome is able to express mobile genetic elements. In summary, the evolved nature of these key microbes means that they should be transferred at birth, i.e., as a maternal microbial inheritance working alongside the parental genetic inheritance of the individual. As antigenic information is carried within the body by sentinel cells, the most succinct suggestion would be that intergenerational information is carried by means of a microbial version of such cells, perhaps taken up by the neonate gut as a form of inoculation to become what could be classed as an “immune-gut-brain triangle”. If so, it would be their failure in microbe-hostile environments that accounts for the often early-onset epidemiology of what has been termed “dysbiosis”: potentially eczema in the infant; autism in toddlers; and type 2 diabetes in primary school children. Significantly, however, in this hypothesis disease is not a problem of the organs themselves, but of their communication with the brain. Accordingly, the so-called placebo effect could be due to a temporary improvement in brain-centred communication.

References 

  • 1.

    Bostock, J. Case of a periodical affection of the eyes and chest. Med. Chir. Trans. 1819, 10, 161–165.

  • 2.

    Bostock, J. Of the catarrhus aestivus or summer catarrh. Med. Chir. Trans. 1828, 14, 437–446.

  • 3.

    Walker, S.; Khan-Wasti, S.; Fletcher, M.; et al. Prevalence of hayfever symptoms and diagnosis in UK teenagers. Prim. Care Respir. J. 2005, 14, 270.

  • 4.

    Strachan, D.P. Hay fever, hygiene and household size. BMJ 1989, 299, 1259–1260.

  • 5.

    Rook, G.A.W. The old friends hypothesis: Evolution, immunoregulation and essential microbial inputs. Front. Allergy 2023, 4, 1220481.

  • 6.

    Burkitt, D. A sarcoma involving the jaws in African children. Br. J. Surg. 1958, 46, 218–223.

  • 7.

    Burkitt, D.P. Some diseases characteristic of modern western civilization. Br. Med. J. 1973, 1, 274–278.

  • 8.

    Borch-Jacobsen, M.; Shamdasani, S. The Freud Files: An Inquiry into the History of Psychoanalysis; Cambridge University Press: Cambridge, UK, 2012.

  • 9.

    Barker, D.J. The fetal and infant origins of adult disease. BMJ 1990, 301, 1111.

  • 10.

    Eriksson, J.G. The fetal origins hypothesis–10 years on. BMJ 2005, 330, 1096–1097.

  • 11.

    Almond, D.; Currie, J. Killing me softly: The fetal origins hypothesis. J. Econ. Perspect. 2011, 25, 153–172.

  • 12.

    Kobal, I.M.; Plavec, D.; Lončarić, Ž.V.; et al. Atopic march or atopic multimorbidity–overview of current research. Medicina 2024, 60, 21.

  • 13.

    Ziegler, R.S.; Schatz, M.; Zhou, B.; et al. Impact of food allergy on the atopic march progression from atopic dermatitis in early childhood to other atopic disorders at school age. J. Allergy Clin. Immunol. Pract. 2025, 13, 1991–2003.

  • 14.

    Santoso, C.; Wei, Y.; Ahlqvist, E.; et al. Autoimmune diseases and the risk and prognosis of latent autoimmune diabetes in adults. Diabetologia 2025, 68, 331–341.

  • 15.

    Berg, A.K.; Svensson, J.; Thyssen, J.P.; et al. No associations between type 1 diabetes and atopic dermatitis, allergic rhinitis, or asthma in childhood: A nationwide Danish case-cohort study. Sci. Rep. 2023, 13, 19933.

  • 16.

    Stambler, I. Elie Metchnikov-The founder of longevity science and a founder of modern medicine: In honour of the 170th anniversary. Adv. Gerontol. 2015, 5, 201–208.

  • 17.

    Sarita, B.; Samadhan, D.; Hassan, M.Z.; et al. A comprehensive review of probiotics and human health-current prospective and applications. Front. Microbiol. 2025, 15, 1487641.

  • 18.

    Blaser, M.J.; Falkow, S. What are the consequences of the disappearing human microbiota? Nat. Rev. Microbiol. 2009, 7, 887–894.

  • 19.

    Brüssow, H. Problems with the concept of gut microbiota dysbiosis. Microb. Biotechnol. 2019, 13, 423–434.

  • 20.

    Asnicar, F.; Manghi, P.; Fackelmann, G.; et al. Gut micro-organisms associated with health, nutrition and dietary interventions. Nature 2026, 650, 450–458. https://doi.org/10.1038/s41586-025-09854-7.

  • 21.

    Fonseca, D.C.; da Rocha Fernandes, G.; Waitsberg, D.L. Artificial intelligence and human microbiome: A brief narrative review. Clin. Nutr. Open Sci. 2025, 59, 134–142.

  • 22.

    Limon, J.J.; Skalski, J.H.; Underhill, D.M. Commensal fungi in health and disease. Cell Host Microbe 2017, 22, 156–165.

  • 23.

    Hill, J.H.; Bell, R.; Barrios, L.; et al. Neonatal fungi promote lifelong metabolic health through macrophage-dependent cell development. Science 2025, 387, eadn0953.

  • 24.

    Pawelec-Pęciak, O.; Łanocha-Arendarczyk, N.; Grzeszczak, K.; et al. The role of Blastocystis spp. in the etiology of gastrointestinal and autoimmune diseases. Pathogens 2025, 14, 313.

  • 25.

    Strathdee, S.A.; Hatfull, G.F.; Mutalik, V.V.; et al. Phage therapy: From biologic mechanisms to future directions. Cell 2023, 186, 17–31.

  • 26.

    Wilhelm, S.W.; Suttle, C.A. Viruses and nutrient cycles in the sea. BioScience 1999, 49, 781–788.

  • 27.

    Kuzyakov, Y.; Mason-Jones, K. Viruses in soil: Nano-scale undead drivers of microbial life, biogeochemical turnover and ecosystem functions. Soil Biol. Biochem. 2018, 127, 305–317.

  • 28.

    Lang, A.S.; Buchan, A.; Burrus, V. Interactions and evolutionary relationships among bacterial mobile genetic elements. Nat. Rev. Microbiol. 2025, 23, 423–438.

  • 29.

    Larsson, D.G.J.; Flach, C.-F. Antibiotic resistance in the environment. Nat. Rev. Microbiol. 2022, 20, 257–269.

  • 30.

    Sudo, N. Biogenic amines: Signals between commensal microbiota and gut physiology. Front. Endocrinol. 2019, 10, 504.

  • 31.

    Matta, S.K.; Rinkenberger, N.; Dunay, I.R.; et al. Toxoplasma gondii infection and its implications within the nervous system. Nat. Rev. Microbiol. 2021, 19, 467–480.

  • 32.

    Smith, D. Dysbiosis of the Evolved Intestinal Microbiome: Lessons for Health in Future Generations; MDPI: Basel, Switzerland, 2025.

  • 33.

    Mercer, E.M.; Arrieta, M.-C. Probiotics to improve the gut microbiome in premature infants: Are we there yet? Gut Microbes 2023, 15, 2201160.

  • 34.

    Druvefors, E.; Myrelid, P.; Andersson, R.E.; et al. Female and male fertility after colectomy and reconstructive surgery in inflammatory bowel disease: A national cohort study from Sweden. J. Crohn’s Colitis 2023, 17, 1631–1638.

  • 35.

    Baggio, S.; Pomini, P.; Zecchin, A.; et al. Delivery and pregnancy outcome in women with bowel resection for deep endometriosis: A retrospective cohort study. Gynecol. Surg. 2015, 12, 279–285.

  • 36.

    Gopalakrishnan, V.; Kumar, C.; Robertsen, I.; et al. A multi-omics microbiome signature is associated with the benefits of gastric bypass surgery and is differentiated from diet induced weight loss through two years of follow-up. Mucosal Immunol. 2025, 18, 825–835.

  • 37.

    Mozaffarian, D. Perspective: Obesity-an unexplained epidemic. Am. J. Clin. Nutr. 2022, 115, 1445–1450.

  • 38.

    Burberry, A.; Wells, M.F.; Limone, F.; et al. C9orf72 suppresses systemic and neural inflammation induced by gut bacteria. Nature 2020, 582, 89–94.

  • 39.

    Inchingolo, F.; Inchingolo, A.D.; Palumbo, I. The impact of cesarean section delivery on intestinal microbiota: Mechanisms, consequences, and perspectives–a systematic review. Int. J. Mol. Sci. 2024, 25, 1055.

  • 40.

    De la Paz, E.; Maganti, H.; Trifonov, A.; et al. A self-powered ingestible wireless biosensing system for real-time in situ monitoring of gastrointestinal tract metabolites. Nat. Commun. 2022, 13, 7405.

  • 41.

    Smith, D.; Jheeta, S. Measuring microbiome effectiveness: A role for ingestible sensors. Gastrointest. Disord. 2020, 2, 3–11.

  • 42.

    Banchereau, J.; Briere, F.; Caux, C.; et al. Immunobiology of dendritic cells. Annu. Rev. Immunol. 2000, 18, 767–811.

  • 43.

    Sagan, L. On the origin of mitosing cells. J. Theor. Biol. 1967, 14, 255–274.

  • 44.

    Margulis, L. Symbiogenesis and symbionticism. In Symbiosis as a Source of Evolutionary Innovation: Speciation and Morphogenesis; Margulis, L., Fester, R., Eds.; MIT Press: Cambridge, MA, USA, 1991; pp. 49–92.

  • 45.

    Woese, C.R. On the evolution of cells. Proc. Natl. Acad. Sci. USA 2002, 99, 8742–8747.

  • 46.

    Marsella, R. Atopic dermatitis in domestic animals: What our current understanding is and how this applies to clinical practise. Vet. Sci. 2021, 8, 124.

  • 47.

    Gaskins, H.R.; Collier, C.T.; Anderson, D.B. Antibiotics as growth promotants: Mode of action. Anim. Biotechnol. 2002, 13, 29–42.

  • 48.

    Low, C.X.; Tan, L.T.-H.; Ab Mutalib, N.-S.; et al. Unveiling the impact of antibiotics and alternative methods for animal husbandry: A review. Antibiotics 2021, 10, 578.

  • 49.

    Krahn, G.L.; Robinson, A.; Murray, A.J.; et al. It’s time to reconsider how we define health: Perspective from disability and chronic condition. Disabil. Health J. 2021, 14, 101129.

  • 50.

    Carter, M.M.; Olm, M.R.; Merrill, B.D. et al. Ultra-deep sequencing of Hadza hunter-gatherers recovers vanishing gut microbes. Cell 2023, 186, 3111–3124.

  • 51.

    Kaplan, H.; Thompson, R.C.; Trumble, B.C.; et al. Coronary atherosclerosis in indigenous South American Tsimane: A cross sectional cohort study. Lancet 2017, 389, 1730–1739.

  • 52.

    Irimia, A.; Chaudhari, N.N.; Robles, D.J.; et al. The indigenous South American Tsimane exhibit relatively modest decrease in brain volume with age despite high systemic inflammation. J. Gerontol. A. Biol. Sci. Med. Sci. 2021, 76, 2147–2155.

  • 53.

    Cao, T.; Cortez, E.C.; Miyamoto, M.I.; et al. Minimal and delayed age-related increase of arterial stiffness among Tsimane forager-horticulturalists. Circulation 2023, 148, A13719.

  • 54.

    Sprockett, D.D.; Martin, M.; Costello, E.L.; et al. Microbiota assembly, structure, and dynamics among Tsimane horticulturalists of the Bolivian Amazon. Nat. Commun. 2020, 11, 3772.

  • 55.

    Schaan, A.P.; Sarquis, D.; Cavalcante, G.C.; et al. The structure of Brazilian Amazonian gut microbiomes in the process of urbanisation. NPJ Biofilms Microbiomes 2021, 7, 65.

  • 56.

    Doyle, J.B.; Silvester, J.; Ludvigsson, J.F.; et al. Advances in the pathophysiology, diagnosis, and management of celiac disease. BMJ 2025, 391, e081353.

  • 57.

    Reunala, T.; Salmi, T.T.; Hervonen, K.; et al. Dermatitis herpetiformis: A common extraintestinal manifestation of coeliac disease. Nutrients 2018, 10, 602.

  • 58.

    Alkhiari, R. Psychiatric and neurological manifestations of celiac disease in adults. Cureus 2023, 15, e35712.

  • 59.

    Danieli, M.G.; Bartolucci, M.; Costanzo, S.; et al. Neuropsychiatric manifestations in systemic autoimmune diseases. J. Mosaic Autoimmun. 2025, 1, 10.

  • 60.

    Gasbarrini, G.; Rickards, O.; Martinez-Labarga, C.; et al. Origin of celiac disease: How old are predisposing haplotypes? World J. Gastroenterol. 2012, 18, 5300–5304.

  • 61.

    McMullen, R.L.; Dell’Acqua, G. History of natural ingredients in cosmetics. Cosmetics 2023, 10, 71.

  • 62.

    Hull, C. Pewter; Bloomsbury: New York City, NY, USA, 2008.

  • 63.

    Dixson, A.F.; Dixson, B.J. Venus figurines of the early paleolithic: Symbols of fertility or attractiveness? J. Anthropol. 2011, 2011, 569120.

  • 64.

    Kramberger, B.; Berthold, C.; Spiteri, C. Fifth millennium BC miniature ceramic bottles from the south-eastern Prealps and Central Balkans: A multi-disciplinary approach to study their content and function. J. Archaeol. Sci. Rep. 2021, 38, 102993.

  • 65.

    Zamani, N.; Hosseini, A.; Farnaghi, F.; et al. Blood lead level evaluation in children presenting with chronic constipation in Tehran-Iran: A cross-sectional study. Sci. Rep. 2023, 13, 2301.

  • 66.

    Rose, C.; Parker, A.; Jefferson, B.; et al. The characterisation of feces and urine: A review of the literature to inform advanced treatment technology. Crit. Rev. Environ. Sci. Technol. 2015, 45, 1827–1879.

  • 67.

    Needleman, H. The removal of lead from gasoline: Historical and personal reflections. Environ. Res. 2000, 84, 20–35.

  • 68.

    Dallere, S.; Rasà, D.M.; Pavarino, G.; et al. The exposome from neurodevelopment to neurodegeneration: A narrative review. Neurosci. Biobehav. Rev. 2025, 176, 106247.

  • 69.

    Décarie-Spain, L.; Hayes, A.M.R.; Lauer, L.T.; et al. The gut-brain axis and cognitive control: A role for the vagus nerve. Semin Cell Dev. Biol. 2024, 156, 201–209.

  • 70.

    Zengeler, K.E.; Lukens, J.R. Innate immunity at the crossroads of healthy brain maturation and neurodevelopmental disorders. Nat. Rev. Immunol. 2021, 21, 454–468.

  • 71.

    Abarca-Merlin, D.M.; Martinez-Durán, J.A.; Medina-Pérez, J.D.; et al. From immunity to neurogenesis: Toll-like receptors as versatile regulators in the nervous system. Int. J. Mol. Sci. 2024, 25, 5711.

  • 72.

    O’Riordan, K.J.; Moloney, G.M.; Keane, L.; et al. The gut microbiota-immune-brain axis: Therapeutic implications. Cell Rep. Med. 2025, 6, 101982.

  • 73.

    Azidane, S.; Eizaguerri, S.; Gallego, X. et al. Assessment of brain morphological abnormalities and neurodevelopment risk copy number variants in individuals from the UK biobank. Int. J. Mol. Sci. 2025, 26, 7062.

  • 74.

    Yin, E.T.M. Savant syndrome and autism spectrum disorder: A literature review. Asia Pac. J. Dev. Differ. 2025, 12, 332–347.

  • 75.

    Mousley, A.; Bethlehem, R.A.I.; Yeh, F.C.; et al. Topological turning points across the human lifespan. Nat. Commun. 2025, 16, 10055.

  • 76.

    Tzigkounakis, G.; Simati, K.; Georgiadis, K. The placebo effect in medicine and clinical practise: A narrative review. Cureus 2025, 17, e91893.

  • 77.

    Ortega, A.; Salazar, J.; Galban, N.; et al. Psycho-neuro-endocrine-immunological basis of the placebo effect: Potential applications beyond pain therapy. Int. J. Mol. Sci. 2022, 23, 4196.

  • 78.

    Charlesworth, J.E.; Petkovic, G.; Kelley, J.M.; et al. Effects of placebos without deception compared with no treatment: A systematic review and meta-analysis. J. Evid. Based Med. 2017, 10, 97–107.

  • 79.

    Frey, J.; Cagle, J.; Johnson, K.A.; et al. Past, present, and future of deep brain stimulation: Hardware, software, imaging, physiology and novel approaches. Front. Neurol. 2022, 13, 825178.

  • 80.

    Vetkas, A.; Yang, A.; Botet, A.; et al. One side or two? A systematic review of deep brain stimulation approaches in movement disorders. Mov. Disord. Clin. Pract. 2025, 12, 2080–2091.

  • 81.

    Tariq, R.; Pardi, D.S.; Bartlett, M.G.; et al. Low cure rates in controlled trials of fecal microbiota transplantation for recurrent Clostridium difficile infection: A systematic review and meta-analysis. Clin. Infect. Dis. 2019, 68, 1351–1358.

  • 82.

    LaPoint, P.; Banks, K.; Bacorn, M.; et al. Can vaginal seeding at birth improve health outcomes of cesarean section-delivered infants? A scoping review. Microorganisms 2025, 13, 1236.

  • 83.

    Alberts, S.C.; Altmann, J. The Amboseli Baboon research project: 40 years of continuity and change. In Long-Term Field Studies of Primates; Kappeler, P., Watts, D.P., Eds.; Springer: Berlin/Heidelberg, Germany, 2012; pp. 261–287.

  • 84.

    Ding, J.; Liao, N.; Zheng, Y.; et al. The composition and function of pigeon milk microbiota transmitted from parent pigeons to squabs. Front. Microbiol. 2020, 11, 1789.

  • 85.

    Kim, S.Y.; Yi, D.Y. Analysis of the human breast milk microbiome and bacterial extracellular vesicles in healthy mothers. Exp. Mol. Med. 2020, 52, 1288–1297.

  • 86.

    Ryan, C.R. Towards an ethics of reciprocity: Ethnobotanical knowledge and medicinal plants as cancer therapies. Humanities 2014, 3, 624–644.

  • 87.

    Asimakidou, E.; Sidiropoulos, C. Immunomodulatory effects of invasive and non-invasive brain stimulation in Parkinson’s disease. Parkinsonism Relat. Disord. 2025, 133, 107314.

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Smith, D. Malfunction of a Hypothetical Evolved Microeukaryote Microbiome: Birth-Initiated Dysregulation of Immune System, Brain, and Gut. Journal of Mosaic of Autoimmunity 2026, 2 (1), 2. https://doi.org/10.53941/jmai.2026.100002.
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