- Wastyk, Hannah;
- Perelman, Dalia;
- Dahan, Dylan;
- Merrill, Bryan;
- Yu, Feiqiao;
- Topf, Madeline;
- Gonzalez, Carlos;
- Van Treuren, William;
- Han, Shuo;
- Robinson, Jennifer;
- Elias, Joshua;
- Sonnenburg, Erica;
- Gardner, Christopher;
- Sonnenburg, Justin;
- Fragiadakis, Gabriela
Diet modulates the gut microbiome, which in turn can impact the immune system. Here, we determined how two microbiota-targeted dietary interventions, plant-based fiber and fermented foods, influence the human microbiome and immune system in healthy adults. Using a 17-week randomized, prospective study (n = 18/arm) combined with -omics measurements of microbiome and host, including extensive immune profiling, we found diet-specific effects. The high-fiber diet increased microbiome-encoded glycan-degrading carbohydrate active enzymes (CAZymes) despite stable microbial community diversity. Although cytokine response score (primary outcome) was unchanged, three distinct immunological trajectories in high-fiber consumers corresponded to baseline microbiota diversity. Alternatively, the high-fermented-food diet steadily increased microbiota diversity and decreased inflammatory markers. The data highlight how coupling dietary interventions to deep and longitudinal immune and microbiome profiling can provide individualized and population-wide insight. Fermented foods may be valuable in countering the decreased microbiome diversity and increased inflammation pervasive in industrialized society.