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Review

Evolutionary Genomics of Human Gut Bacteria: Ecological Plasticity Across the Mutualism–Pathogenicity Spectrum

by
Yasmin N. Ramadan
1,*,
Salwa Q. Bukhari
2,
Zinab Alatawi
3,
Ghaleb Oriquat
4,
Noura H. Abd Ellah
5,
Eltayib Hassan Ahmad Mohamedosman
6,
Rehab Ahmed
7 and
Helal F. Hetta
7
1
Department of Microbiology and Immunology, Faculty of Pharmacy, Assiut University, Assiut 71515, Egypt
2
Department of Radiology, Faculty of Medicine, University of Tabuk, Tabuk 47512, Saudi Arabia
3
Department of Family and Community Medicine, Faculty of Medicine, University of Tabuk, Tabuk 47512, Saudi Arabia
4
Faculty of Allied Medical Sciences, Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman 19328, Jordan
5
Department of Pharmaceutics, Faculty of Pharmacy, Assiut University, Assiut 71515, Egypt
6
Department of Medical Laboratory Technology, Faculty of Applied Medical Science, University of Tabuk, Tabuk 71491, Saudi Arabia
7
Division of Microbiology, Immunology and Biotechnology, Department of Natural Products and Alternative Medicine, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia
*
Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2026, 27(11), 5009; https://doi.org/10.3390/ijms27115009
Submission received: 24 April 2026 / Revised: 16 May 2026 / Accepted: 17 May 2026 / Published: 1 June 2026

Abstract

The human gut microbiome comprises a diverse community of bacteria whose interactions with the host range from beneficial mutualism to opportunistic pathogenicity. These interactions are shaped by genomic plasticity and ecological pressures that influence whether microbes support host health, remain conditionally harmless, or contribute to disease. Understanding the mechanisms underlying these shifts is essential for clarifying the balance between cooperation and pathogenicity within the gut ecosystem. This review explores the genomic and evolutionary mechanisms that shape microbial adaptation across the mutualism–pathogenicity spectrum in the human gut. Key processes, including horizontal gene transfer (HGT), host-mediated selection, and niche specialization, enable microbes to acquire, regulate, or retain traits that influence colonization, metabolic function, and virulence. These adaptive mechanisms allow gut bacteria to respond dynamically to ecological pressures such as inflammation, antibiotic exposure, and dietary change, resulting in context-dependent microbial behaviors. The review also considers how concepts from insect endosymbiosis may provide insight into gut microbial adaptation. While both systems exhibit host specialization, major differences in transmission mode, ecological flexibility, and genome evolution limit direct comparisons. Rather than following a fixed progression toward parasitism, gut microbes exhibit flexible adaptive strategies shaped by host and environmental conditions. By integrating ecological and evolutionary perspectives, this review presents a balanced framework for understanding how genomic adaptation influences microbial behavior in the gut. This perspective improves our understanding of dysbiosis and microbial pathogenesis and may support the development of microbiome-informed therapeutic strategies for maintaining host health.
Keywords: human gut microbiome; evolutionary genomics; mutualism–pathogenicity spectrum; pathobionts; endosymbionts human gut microbiome; evolutionary genomics; mutualism–pathogenicity spectrum; pathobionts; endosymbionts

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MDPI and ACS Style

Ramadan, Y.N.; Bukhari, S.Q.; Alatawi, Z.; Oriquat, G.; Ellah, N.H.A.; Mohamedosman, E.H.A.; Ahmed, R.; Hetta, H.F. Evolutionary Genomics of Human Gut Bacteria: Ecological Plasticity Across the Mutualism–Pathogenicity Spectrum. Int. J. Mol. Sci. 2026, 27, 5009. https://doi.org/10.3390/ijms27115009

AMA Style

Ramadan YN, Bukhari SQ, Alatawi Z, Oriquat G, Ellah NHA, Mohamedosman EHA, Ahmed R, Hetta HF. Evolutionary Genomics of Human Gut Bacteria: Ecological Plasticity Across the Mutualism–Pathogenicity Spectrum. International Journal of Molecular Sciences. 2026; 27(11):5009. https://doi.org/10.3390/ijms27115009

Chicago/Turabian Style

Ramadan, Yasmin N., Salwa Q. Bukhari, Zinab Alatawi, Ghaleb Oriquat, Noura H. Abd Ellah, Eltayib Hassan Ahmad Mohamedosman, Rehab Ahmed, and Helal F. Hetta. 2026. "Evolutionary Genomics of Human Gut Bacteria: Ecological Plasticity Across the Mutualism–Pathogenicity Spectrum" International Journal of Molecular Sciences 27, no. 11: 5009. https://doi.org/10.3390/ijms27115009

APA Style

Ramadan, Y. N., Bukhari, S. Q., Alatawi, Z., Oriquat, G., Ellah, N. H. A., Mohamedosman, E. H. A., Ahmed, R., & Hetta, H. F. (2026). Evolutionary Genomics of Human Gut Bacteria: Ecological Plasticity Across the Mutualism–Pathogenicity Spectrum. International Journal of Molecular Sciences, 27(11), 5009. https://doi.org/10.3390/ijms27115009

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