Ten oval or short-coccoid Blautia bodies appear in four groupings: two touching pairs and two gently curved three-cell chains.
Morphology reconstruction Editorially reviewed

Selected Blautia ovoid and short-coccoid forms, shown as ten bodies in four paired or short-chain groupings. This genus-level reconstruction is non-diagnostic and is not a micrograph.

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Blautiataxon · genus
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A genus of Gram-positive, obligate anaerobic bacteria within the Lachnospiraceae family that produces Short-Chain Fatty Acids (SCFAs) and plays a significant role in bile acid metabolism. Key species include B. obeum, B. wexlerae, B. hydrogenotrophica, and B. producta.

While primarily a beneficial commensal, Blautia shows context-dependent behavior with some species enriched in specific disease states.

Evidence map3 cited passagesInspect provenance +
01
Depleted in Disease

Carotid atherosclerosis: part of the depleted SCFA-producing network in subclinical CVD.

02
Enriched in Disease (Context-Dependent)

Multiple sclerosis: some Blautia species are paradoxically increased in MS patients, potentially reflecting a compensatory shift or pro-inflammatory capacity in the neuroinflammatory context.

03
Enriched in Disease (Context-Dependent)

Endometriosis: Blautia abundance altered by hormonal treatment in endometriosis patients, suggesting sensitivity to estrogen-modulating therapies.

Contents1. SCFA Production and Bile Acid Metabolism2. Disease Associations3. Role in Gut Ecosystem4. Metal Sensitivity5. Key Metabolites6. Connections

SCFA Production and Bile Acid Metabolism#

Produces acetate as its primary fermentation end-product, with some species also generating Butyrate and propionate.

B. hydrogenotrophica is a unique acetogen that converts H2 and CO2 into acetate via the Wood-Ljungdahl pathway, providing a critical hydrogen sink in the gut ecosystem.

Active in bile acid transformation: deconjugation via bile salt hydrolase (BSH) activity and downstream secondary bile acid modifications. This places Blautia at the intersection of lipid metabolism and gut-liver axis signaling.

Bile acid metabolism by Blautia affects FXR and TGR5 receptor signaling, influencing cholesterol homeostasis, glucose metabolism, and Metal-Driven Inflammation.

Disease Associations#

Depleted in Disease#

IBD: B. obeum depleted in Crohn's disease and ulcerative colitis; its loss reduces SCFA-mediated mucosal protection. Colorectal cancer: reduced in CRC patients alongside other Lachnospiraceae members. Carotid atherosclerosis: part of the depleted SCFA-producing network in subclinical CVD.[1]Network of Interactions Between Gut Microbiome, Host Biomarkers, and Urine Metabolome in Carotid AtherosclerosisRui-Jun Li, Zhu-Ye Jie, Qiang Feng et al. · 2021Open reference 1

Enriched in Disease (Context-Dependent)#

Multiple sclerosis: some Blautia species are paradoxically increased in MS patients, potentially reflecting a compensatory shift or pro-inflammatory capacity in the neuroinflammatory context.[2]Feeding the gut microbiome: impact on multiple sclerosisMatteo Bronzini, Alessandro Maglione, Rachele Rosso et al. · 2023Open reference 2

Endometriosis: Blautia abundance altered by hormonal treatment in endometriosis patients, suggesting sensitivity to estrogen-modulating therapies.[3]Associations Between Endometriosis and Gut MicrobiotaSvensson A, Brunkwall L, Roth B et al. · 2021Open reference 3

Role in Gut Ecosystem#

Functions as a metabolic hub connecting fiber fermentation, bile acid cycling, and gas metabolism. Hydrogen consumption by B. hydrogenotrophica prevents H2 accumulation that would thermodynamically inhibit fiber fermentation by other bacteria.

Cross-feeds with butyrate producers: acetate from Blautia serves as a substrate for butyryl-CoA:acetate CoA-transferase in Roseburia and Faecalibacterium prausnitzii, enabling butyrate production. The genus occupies a middle trophic level in the colonic food web, connecting primary fiber degraders (Ruminococcus R. bromii) to terminal butyrate producers.

Metal Sensitivity#

As a Lachnospiraceae member, Blautia shares the family-wide sensitivity to heavy metal stress. Iron-sulfur cluster enzymes in the Wood-Ljungdahl pathway of acetogenic species are particularly vulnerable to metal disruption. Cadmium and Lead exposure depletes Blautia alongside other SCFA producers in the Gut-Metal-Microbiome Interactions framework.

Key Metabolites#

Acetate—primary fermentation product; substrate for butyrate producers. Bile acid derivatives—BSH-mediated deconjugation and secondary bile acid production. Hydrogen consumption—acetogenic species convert H2/CO2 to acetate, regulating gut gas homeostasis.

Connections#

  • Lachnospiraceae—parent family; Blautia is a core member genus
  • Roseburia—metabolic cross-feeding: Blautia acetate feeds Roseburia butyrate production
  • Faecalibacterium prausnitzii—complementary SCFA producer; co-depleted in disease
  • Multiple Sclerosis—paradoxically enriched in some MS studies; context-dependent effects
  • Endometriosis—altered by hormonal treatment in endometriosis
  • Cardiovascular Disease—depleted in subclinical atherosclerosis; bile acid metabolism relevant to CVD
  • Colorectal Cancer—depleted alongside other Lachnospiraceae in CRC
  • Iron—iron (Fe)-S clusters in acetogenic pathway vulnerable to metal competition
  • Dysbiosis—depletion accompanies loss of other SCFA producers
  • inflammation—bile acid metabolism modulates FXR/NF-kB inflammatory signaling
  • Gut-Metal-Microbiome Interactions—sensitive to heavy metal perturbation as Lachnospiraceae member
Generated evidence record

References 5

Numbered by first appearance in the article, then reconciled with its declared source list.

  1. 1

    Rui-Jun Li, Zhu-Ye Jie, Qiang Feng et al. (2021). Network of Interactions Between Gut Microbiome, Host Biomarkers, and Urine Metabolome in Carotid Atherosclerosis. Frontiers in Cellular and Infection Microbiology.

  2. 2

    Matteo Bronzini, Alessandro Maglione, Rachele Rosso et al. (2023). Feeding the gut microbiome: impact on multiple sclerosis. Frontiers in Immunology.

  3. 3

    Svensson A, Brunkwall L, Roth B et al. (2021). Associations Between Endometriosis and Gut Microbiota. Reproductive Sciences.

  4. 4

    Ziyu Huang, Ailing Wei, Hai Yuan et al. (2025). Huang 2025 -- Gut Microbiota and Urine Metabolomics Signature in Autism Spectrum Disorder Children from Southern China. BMC Pediatrics.

  5. 5

    Junwen Zhu, Jin Lyu, Ruochi Zhao et al. (2023). Gut macrobiotic and its metabolic pathways modulate cardiovascular disease. Frontiers in Microbiology.

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