Culture-independent techniques have significantly expanded our understanding of the human gut microbiome. However, recent emphasis has highlighted the necessity of complementing genome-based findings with culture-dependent studies and experimental validation [10, 11, 29–31]. High-throughput microbial identification methods, such as MALDI-TOF MS, have notably improved efficiency in culture-based bacterial ecology research [11]. However, the culture-dependent approach remains labor-intensive, posing challenges for gut microbiome research [15]. Hence, efforts are needed to reduce workload and establish streamlined culture conditions tailored to gut-derived samples. Moreover, sharing such efforts among researchers could contribute to lowering the barrier to entry for researchers interested in culture-based studies.
We applied stool preincubation as an effective strategy for isolating diverse microorganisms by distributing workload [11]. The main factors considered for the preincubation medium were as follows. First, the medium should be non-selective to support the growth of a wide range of gut bacteria. Second, utilizing existing commercial media was preferable to enhance convenience and reproducibility. Although BCT was initially designed for microbial cultivation in clinical blood samples, it has been used in previous culturomics studies due to its suitability for a broad range of microbial cultures [15, 21, 32]. In addition, mGAM is a commercial medium initially developed for cultivating anaerobic bacteria and has demonstrated high efficacy in recovering gut microbiota [18, 33, 34]. Despite being a noncommercial medium, we compared GMM to other media as it has been widely used in gut microbiome research [18, 35–37]. Consequently, GMM induced a high dominance of Bacillota, while BCT and mGAM maintained microbial diversity during a 30-day incubation period (Fig. 2). Additionally, the combined use of BCT and mGAM demonstrated a synergistic effect, particularly effective in isolating various species under anaerobic conditions (Fig. 3, Fig. 5b, c). These findings demonstrate the potential of BCT and mGAM in culturomics, focusing on gut-derived samples from healthy individuals where anaerobic bacteria predominate [38].
In our streamlined cultivation conditions, preincubation beyond ten days was not found to be efficient for bacterial isolation (Fig. 5b). During the early stages of preincubation, we were able to isolate most novel species candidates and low-abundance gut bacteria (Supplementary Fig. S2 and S3) [39]. Furthermore, commercial or clinical species of interest, such as next-generation probiotics, were also isolated within ten days of cultivation (Supplementary Fig. S2 and S3). However, the task of colony picking is arbitrary, and there is no standardized method to determine the colonies for picking the specific or various species. Therefore, researchers must rely on their experience, such as visible morphological differences, which is one of the significant limitations of the culture-dependent approach. Our results demonstrated that isolating more colonies does not necessarily result in obtaining more diverse species in individual samples (Fig. 4c). Consistent with previous studies [16], we found a significant positive correlation between the number of samples and overall microbial species diversity (Fig. 5d). Therefore, while applying multiple cultivation conditions may be appropriate if the goal is to isolate a large number of microbial species from a single sample, increasing the number of samples is a more favorable strategy for capturing overall microbial species diversity, as demonstrated in our study with minimal conditions. Additionally, sample-specific characteristics can play a significant role in determining culture conditions for human gut-derived samples. There is variation in results due to individual differences in gut microbiota (Supplementary Fig. S4), which directly affects the outcomes of the culturomics approach.
Culture-dependent and culture-independent approaches can provide complementary perspectives on the human gut microbiota. This study compared culturomics results and culture-independent 16S rRNA amplicon analysis results. The 16S rRNA genomic analysis provides information on species diversity based on sequence-based zOTUs, while culturomics reveals the diversity of cultivable bacterial species under the given culture conditions (Fig. 6a, b). Interestingly, a substantial proportion of genera were found only by either approach (Fig. 6c). This highlights each approach’s unique strengths and limitations. The culture-dependent approach offers information that the culture-independent approach cannot provide, such as not-yet-cultured species, bacterial viability, and low-abundance bacteria [12]. However, the culture-dependent approach is limited to providing information only on culturable bacteria under the applied culture conditions. Bacteria that require specific cultivation conditions or cannot be recovered under cultivation conditions may be missed. Therefore, both approaches are complementary to each other, and their strengths can be leveraged to gain a more comprehensive understanding of the gut microbiome.
We introduced a streamlined culturomics approach with preincubation to investigate the human gut microbiome. This model distributed workload and reduced overall culturing labor by applying preincubation and a minimal base media, resulting in a diverse collection of 263 species from a large number of bacterial isolates. To further broaden species diversity, culture conditions can be modified by adding growth factors, incorporating antibiotics with different spectrums, or applying physical interventions. However, a high number of factors and parameters can be involved in culture conditions, and increasing the number of variables directly decreases work efficiency. Sharing culturomics research and cases with details is essential to overcoming this problem. Streamlining and optimizing culturomics protocols, developing automated cultivation technologies, and integrating machine learning can further broaden culturomics accessibility to a broader range of researchers [16, 17, 40]. Employing these strategies alongside culture-independent methods can yield novel insights into the human gut microbiome and propel microbiome research advancements.