BiomeFx Report Glossary of Terms
Notes:
   ▪ For additional information and definitions, see the Interpretation Guide and Sample Report at
       BiomeFx.com (under the “Education” tab).
   ▪ Coming soon: An encyclopedia of the microbes found in the phyla and family level composition
       sections and their known functions.
   ▪ To search within this document, push control + F and enter your search term in the search bar.
 TERM                               DEFINITION
 1° (Primary) bile acids            Bile acids synthesized by the liver.
 2° (Secondary) bile acids          Bile acids resulting from bacterial actions in the colon.
 Absolute values                    The distance from zero that a number is on the number line,
                                    without considering direction (to remove any negative sign in
                                    front of a number).
 Acetate                            A short-chain fatty acid produced by gut bacteria through the
                                    fermentation of prebiotic fibers like inulin.
 Alpha Diversity                    The number of different species of bacteria in the patient’s gut
                                    compared to the number of species in the US Healthy
                                    Population. This is a quantitative measure.
 Amines                             Derivatives of ammonia. Involved in the creation of amino acids,
                                    the building blocks of proteins. Amines participate in important
                                    metabolic and physiological functions.
 Amino acid                         Building blocks of proteins. Function to build muscles, cause
                                    chemical reactions, transport nutrients, prevent illness, and
                                    carry out other functions.
 Ammonia                            A gas produced by gut bacteria.
 AMR                                Acronym for Antimicrobial Resistance. Occurs when bacteria,
                                    viruses, fungi, and parasites change over time and no longer
                                    respond to antimicrobials produced by microorganisms or
                                    antibiotic medicines.
 AMR Richness or Index              AMR stands for Antimicrobial Resistance. Microbes within the
                                    same ecosystem compete through production of natural
                                    antimicrobials and genes. This competition creates resilience.
                                    The AMR Index indicates the distance between the patient’s
                                    sample and the average healthy microbiome.
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 Antibiotic Resistance Genes   Genes produced my microbes so that they are no longer
                               affected by antimicrobials produced by microorganisms or
                               antibiotic medicines.
 Arabinoxylan                  A type of dietary fiber found in cereal grains including rye,
                               wheat, barley, oats, rice, maize, millet, as well as psyllium, flax
                               seed, bamboo shoots, and rye grass.
 Arginine                      An amino acid used in the biosynthesis of proteins. Found in red
                               meat, poultry, fish, and dairy products.
 B-glucuronidase               An enzyme produced by the intestinal epithelium and certain
                               intestinal bacteria. B-glucuronidase breaks bonds between
                               glucuronic acid and toxins in the intestines. The binding of toxins
                               in the gut is protective because it blocks their absorption and
                               facilitates excretion. Higher levels of B-glucuronidase may be
                               associated with higher circulating estrogens and lower fecal
                               excretion of estrogen in premenopausal women.
 Beta Diversity                How the specific species of bacteria in a patient’s gut compares
                               to the specific species of bacteria in the US Healthy Population.
                               This is a qualitative measure.
 Cell surface carbohydrates    Surface carbohydrates on a cell. Serve as points of attachment
                               for other cells, including infectious bacteria and viruses, toxins,
                               and hormones.
 Cell surface proteins         Proteins that are embedded in or span the layer of cell
                               membranes and influence the way in which a cell interacts with
                               the environment, including other cells.
 Cell turnover                 When dead cells are replaced with younger cells.
 Deconjugate                   To disrupt a system of conjugated double bonds leading to loss
                               of conjugation (to break apart).
 Dendritic Cells               Specialized immune cells that act as messengers between the
                               innate and adaptive immune system.
 Dietary Fiber                 Carbohydrates that are edible but not digestible by humans.
                               Fiber is passed through the digestive system but not absorbed
                               and metabolized.
 Diversity                     The variety of species of bacteria in the microbiome.
 Dopamine                      A neurotransmitter that plays a role in how we feel pleasure.
 Dysbiotic Gut                 Disruption in the normal, healthy balance of microbes in the
                               microbiome, resulting in changes in the functions and metabolic
                               activities being performed.
 Endocrine gland               Glands that make up the endocrine system and produce
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                                hormones. Endocrine glands include pituitary, thyroid, thymus,
                                and adrenal glands.
 Endogenously                   Originating from within the body.
 Enterocytes                    Cells of the intestinal lining.
 Environmental Toxins           Toxins in the environment (air, drinking water, and food) that
                                often have a cumulative and delayed effect. These can include
                                heavy metals like lead, mercury, and arsenic, insecticides and
                                pesticides, chemicals found in plastic, and more.
 Enzyme                         A substance that acts as a catalyst in living organisms,
                                accelerating chemical reactions.
 Estrogen dominance             A type of hormonal imbalance in which the body produces too
                                much estrogen.
 Fat-soluble vitamin            Vitamins that are absorbed along with fats in the diet and stored
                                in the body’s fatty tissue and liver. Vitamins A, D, E, and K are
                                fat-soluble.
 FOS (Fructooligosaccharides)   Non-digestible carbohydrates considered a prebiotic. Found
                                naturally in kiwi fruit, chicory, onions, asparagus, and more.
 Functional Analysis            Assessment of the metabolic functions being carried out by
                                microbes in the gut. For example, production of short-chain fatty
                                acids, ammonia, hydrogen sulfide, methane, and
                                neurotransmitters, estrogen recycling, and vitamin biosynthesis
                                are included in the Functional Analysis.
 Genome                         All genetic information of an organism.
 Gluconeogenesis                The process by which non-carbohydrate precursors produce
                                glucose for energy.
 Glutamine                      The most abundant naturally occurring, nonessential amino acid
                                in the human body, and one of the few amino acids that can
                                directly cross the blood-brain barrier. Glutamine plays a role in
                                protein synthesis, lipid synthesis, cellular energy, regulation of
                                acid-base balance in the kidneys, the integrity of the intestinal
                                mucosa, and more. Humans obtain glutamine through
                                catabolism of proteins in foods they eat chicken, beef, and eggs.
                                L-glutamine is a popular nutrition supplement.
 GOS                            Non-digestible carbohydrates considered a prebiotic. Found
 (Galactooligosaccharides)      naturally in cow’s milk, yogurt, artichoke, lentils, lentils, and
                                more.
 Gram-negative bacteria         Bacteria that have a thin peptidoglycan layer and an outer lipid
                                membrane. Contain LPS (lipopolysaccharide).
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 Gram-positive bacteria    Bacteria that have a thick peptidoglycan layer and no outer lipid
                           membrane.
 Gut Associated Lymphoid   Tissue in the gut consisting of immune cells.
 Tissues (GALT)
 Gut Microbiome Index      Overall score of gut microbiome health. The Gut Microbiome
                           Index considers the following scores: Alpha Diversity, Beta
                           Diversity, Pathogen Occurrence and Resistome Occurrence.
 Gut motility              Stretching and contracting of the muscles in the gastrointestinal
                           system (peristalsis) that enable food to move through the
                           digestive tract.
 Histamine                 A chemical found in some of the body’s cells that causes many
                           of the symptoms of allergies. Histamine also helps regulate
                           physiological function in the gut and acts as a neurotransmitter
                           for the brain, spinal cord, and uterus.
 Histone deacetylases      Enzymes that remove acetyl groups from lysine residues,
 (HDACs)                   resulting in repression of gene expression.
 Hormone                   Chemical messengers that are secreted directly into the blood,
                           which carries them to organs and tissues of the body to exert
                           their functions.
 Hydrogen sulfide / H2S    A toxic compound produced by sulfate-reducing bacteria from
                           dietary sulfur and taurine. Hydrogen sulfide can impair intestinal
                           detoxification pathways.
 Hydrolytic enzymes        As it pertains to virulence, enzymes that contribute to host tissue
                           invasion by digesting or destroying cell membranes and by
                           degrading host surface molecules.
 Immunomodulation          Modification of the immune system.
 Inflammatory disease      Disease or disorder characterized by inflammation occurring
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                               when the immune system attacks the body’s own tissues.
                               Examples include allergies, asthma, autoimmune diseases,
                               Celiac disease, and inflammatory bowel disease.
 Insulin sensitivity           Insulin sensitivity is how sensitive the body's cells are to insulin.
                               High insulin sensitivity allows the cells of the body to use blood
                               glucose more effectively, reducing blood sugar.
 Intestinal Barrier Function   The intestinal barrier functions as a structure that allows for the
                               uptake of essential nutrients and immune homeostasis, while
                               restricting pathogenic organisms, toxins, and undigested food
                               particles from passing into the bloodstream.
 Intestinal detoxification     Intestinal epithelial cells have a detoxification system, which
                               serves as a chemical barrier in the gut. Toxic xenobiotics are
                               metabolized by detoxification enzymes, and the resultant less-
                               harmful compounds are efficiently excreted from the cells to the
                               intestinal lumen.
 Intestinal pH                 PH is a scale of acidity from 0 to 14. It tells how acidic or
                               alkaline a substance is. Optimal pH in the digestive system
                               helps to digest food and minimize pathogens.
 Intestinal transit            Time it takes for food to travel from your mouth through your
                               digestive tract to your anus.
 Inulin                        A type of dietary fiber found in Jerusalem artichoke, leeks,
                               bananas, jicama, and more.
 Keystone Species              Beneficial bacteria that have a disproportionately large effect on
                               both their habitat and the status of other microbial communities
                               of the gut. These species create an environment that is
                               unfriendly to pathogens yet allows good gut microbes to thrive.
                               Low levels are associated with obesity, diabetes, liver disease,
                               cardiometabolic disease, low-grade inflammation, IBS, Crohn’s,
                               Celiac Disease, chronic constipation, allergies and asthma,
                               chronic fatigue, and more.
 Latent infection              The presence of a pathogen without symptoms. This may occur
                               during incubation periods, or when viruses lie dormant within
                               cells as part of their life cycle.
 Lipogenesis                   Formation of fat in the body for storage.
 Macrophages                   Immune cells that are highly specialized in removal of dying or
                               dead cells and cellular debris.
 Metabolic imbalances          Metabolism is the chemical processes that occur within a living
                               organism in order to maintain life. Imbalances in these
                               processes are termed metabolic imbalances. Examples include
                               dysregulated blood sugar, electrolyte imbalances, and acid-base
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                               imbalances.
 Metabolism                    The chemical processes that occur within a living organism in
                               order to maintain life, including the conversion of food to energy,
                               the conversion of food to building blocks (for proteins, lipids, and
                               some carbohydrates), and the elimination of metabolic wastes.
 Metabolite                    An intermediate or end product of metabolism.
 Microbes                      Bacteria, fungi, protozoa, and viruses.
 Microbial genes               The genetic information possessed by microbes.
 Microbiome (gut microbiome)   The collection of microbes that reside within the human gut.
                               Microbes include bacteria, fungi, parasites, and viruses.
 My Sample Relative            Relative species abundance is a component of biodiversity and
 Abundance (%)                 refers to how common or rare a species is relative to other
                               species in a defined location or community. Relative abundance
                               is the percent composition of an organism of a particular kind
                               relative to the total number of organisms in the area.
 Neurotransmitters             Chemical messengers that transmit a signal from a neuron
                               (nerve cells) across a synapse (neuronal junction) to a target
                               cell, which may be another neuron, a muscle cell, or a gland
                               cell.
 Oxidative stress              Free radicals are by-products of metabolic processes including
                               ATP or energy production. Antioxidants neutralize or remove
                               free radicals. Oxidative stress occurs when there is an
                               imbalance of free radicals and antioxidants. Oxidative stress can
                               cause cell and tissue damage and plays a role in the aging
                               process.
 P-cresol                      A by-product of tyrosine metabolism by gut bacteria that can be
                               toxic to intestinal cells and impair intestinal barrier function.
                               Tyrosine is an amino acid the body makes from the amino acid
                               phenylalanine. It is needed to produce neurotransmitters
                               including epinephrine, norepinephrine, and dopamine.
 Pathogen Control Index        Low levels of pathogens can be normal and characteristic of a
                               healthy, diverse gut microbiome. Increased levels of pathogens
                               could indicate that a pathogen is playing a role in
                               symptomatology. The Pathogen Control Index is a measure of
                               the number of pathogens in the patient’s microbiome compared
                               to the number of pathogens in the US Healthy Population’s
                               microbiome. The more pathogens that are present, the more the
                               score drops.
 Pathogenicity                 The property of causing disease.
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 Pathogens    Viruses, bacteria, fungi, protozoa, and worms that can cause
              disease. It’s often normal for low levels of pathogens to inhabit
              the microbiome, but in greater quantities can lead to illness.
 PCo          Principal Coordinate Analysis at the 1st axis. A way to visualize
              dis-similarity data. We are plotting the dissimilarity matrix of the
              Bray-Curtis beta diversity. The PCoA produces orthogonal axes
              to summarize the variability in the data set.
 PCoA2        Principal Coordinate Analysis at the 2nd axis. A way to visualize
              dis-similarity data. We are plotting the dissimilarity matrix of the
              Bray-Curtis beta diversity. The PCoA produces orthogonal axes
              to summarize the variability in the data set.
 Peptides     Short chains of amino acids (the body’s basic building blocks)
              held together by peptide bonds. Peptides act as transporters,
              enzymes, hormones, structural elements (part of the muscle, for
              example), and link together to form protein.
 Percentile   A score below which a given percentage of scores in its
              frequency distribution falls or a score at or below which a given
              percentage falls. For example, the 50th percentile is the score
              below which or at or below which 50% of the scores in the
              distribution may be found.
 Phenol       Compounds resulting from the fermentation of amino acids such
              as tryptophan and tyrosine by bacteria like E. coli. Phenols are
              cytotoxic and may cause damage to the gut, skin, vascular
              system, kidney, and more.
 Phylum       The third broadest taxonomic rank of organisms in biology.
              Taxonomy names and classifies groups of organisms based on
              shared characteristics.
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 Polyamines                   A type of amine that possesses more than one amine
                              functionality.
 Polysaccharides              A large molecule made of many smaller monosaccharides, or
                              simple sugars like glucose. Examples of polysaccharides
                              include cellulose found in legumes and resistant starch found in
                              plantains.
 Postbiotic                   By-products secreted by live bacteria after they ferment dietary
                              components from the human diet. Examples include enzymes,
                              short-chain fatty acids.
 Prebiotic Fibers             Dietary fibers that are resistant to digestion and feed bacteria in
                              the gut. Food sources of prebiotic fiber include chicory root,
                              oatmeal, asparagus, and Jerusalem Artichoke.
 Prefrontal cortex            A part of the brain located at the front of the frontal
                              lobe. Implicated in a variety of complex behaviors,
                              including planning, and greatly contributes to
                              personality development.
 Presynaptic nerve terminal   A specialized area
                              within the axon
                              (nerve fiber) of the
                              presynaptic cell
                              (cell that releases
                              neurotransmitters
                              to stimulate the
                              postsynaptic cell)
                              that contains
                              neurotransmitters
                              enclosed in small membrane-bound spheres.
 Proteolytic fermentation     Fermentation of protein by gut bacteria. Bacteria utilize protein
                              in the human diet to ferment and produce by-products like
                              ammonia and hydrogen sulfide that are generally viewed as
                              more toxic, especially in high amounts.
 Protists                     Microscopic, one-celled organisms. A type of parasite (organism
                              that lives on or in a host organism and obtains its food from or at
                              the expense of its host).
 Psychobiome                  Elements of the gut microbiome that influence mood, cognition,
                              and mental health.
 Pyruvate                     Chemical compound used for energy as a result of glucose
                              being broken down.
 Regulatory T cell            The process by which cells become specialized T cells. T cells
 differentiation              secrete anti-inflammatory substances to regulate immune
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                                  function.
 Relative Abundance (RA)          The percent composition of an organism of a particular kind
                                  relative to the total number of organisms in the area.
 Relative Abundance IQR           When using the cohort of healthy samples, rather than looking
 Range (%) / Healthy RA IQR%      at the mean or median abundance for a particular microbe,
                                  which often does not represent the range that most samples fall
                                  into for that given organism, the interquartile range (IQR),
                                  represents the middle 50% of the abundance. It incorporates the
                                  abundance range for most of the healthy samples and ignores
                                  those more likely to be outliers.
 Resistant starch                 Starch that is resistant to digestion and functions like soluble
                                  fiber, passing through the stomach and small intestine
                                  undigested, eventually reaching the colon and feeding friendly
                                  gut bacteria, and producing helpful by-products. Found in foods
                                  like raw potatoes, cooked and then cooled potatoes, green
                                  bananas, various legumes, cashews, and raw oats.
 Saccharolytic Fermentation       Fermentation of carbohydrate fibers by gut bacteria. Bacteria
                                  utilize non-digestible carbohydrates in the human diet to ferment
                                  and produce by-products like short-chain fatty acids.
 Serotonin                        Neurotransmitter that enables brain cells and other nervous
                                  system cells to communicate with each other. Modulates mood,
                                  cognition, reward, learning, memory and plays a role in
                                  sleeping, eating, and digestion.
 Short-chain fatty acids (SCFA)   Fatty acids produced by gut bacteria during the fermentation of
                                  non-digestible carbohydrates (fiber). SCFA are beneficial to our
                                  health, acting as the preferred fuel for epithelial cells of the
                                  colon. Three short-chain fatty acids are acetate, propionate, and
                                  butyrate. SCFA help to reduce inflammation and oxidative
                                  stress, and improve insulin sensitivity, energy expenditure,
                                  intestinal motility, and immune regulation. Butyrate also
                                  increases mucin production by up regulating the muc2 gene.
 Synapse                          The site of transmission of electric nerve impulses between two
                                  nerve cells (neurons).
 Synaptic cleft                   A space that separates two neurons (cells within then nervous
                                  system), allowing nerve impulses pass from one neuron to the
                                  other.
 Taurine                          An amino acid found in meat, fish, dairy products, and human
                                  milk.
 Trimethylamine (TMA)             An amine with a fishy odor. It is synthesized from choline (found
                                  in eggs, beans, peanuts, soy products, and more), L-carnitine,
                                  betaine, and lecithin by microbial enzymes.
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 Tryptophan                   An essential amino acid, meaning your body cannot produce it
                              and it must be obtained from diet. Found in foods like milk,
                              turkey and chicken, oats, cheese, nuts, and seeds.
 Tyrosine                     Nonessential amino acid the body makes from another amino
                              acid called phenylalanine. It is an essential component for the
                              production of several important brain chemicals called
                              neurotransmitters, including epinephrine, norepinephrine, and
                              dopamine.
 Virulence Factors            Virulence is the measure of the pathogenicity of an organism, or
                              its ability cause disease. Factors that increase an organism’s
                              virulence include toxins, enzymes, adherence factors, and
                              protective capsules, among others. BiomeFx measures toxin
                              virulence factors.
 Vitamin Biosynthesis         The process by which vitamins are synthesized by bacteria.
 Water-soluble vitamins       Vitamins that dissolve in water and are readily absorbed into
                              tissues for immediate use. Water-soluble vitamins are not stored
                              in the body and include B vitamins and vitamin C.
 Xenobiotic-metabolizing      Xenobiotic is a chemical substance found within an organism
 enzymes like cytochrome      that is not naturally produced or expected to be present within
 P450                         an organism. Metabolizing means to be processed. Enzymes
                              are proteins that accelerate chemical reactions. Cytochrome
                              P450 is a hemeprotein that plays a key role in the metabolism of
                              drugs and other xenobiotics.
 XOS (xylooligosaccharides)   Non-digestible carbohydrates considered a prebiotic and found
                              in corn cob, milk, honey, bamboo shoots, and more.
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