Rethinking Blastocystis: ubiquity and cyclical abundance in the human gut

Trends Parasitol. 2025 Nov;41(11):954-958. doi: 10.1016/j.pt.2025.08.009. Epub 2025 Aug 29.

Abstract

Blastocystis, a prevalent eukaryote in human stool, may represent a core but cyclically abundant gut resident rather than a sporadic microorganism. Its fluctuating detectability might reflect host-microbe-environment dynamics and diagnostic limitations. Longitudinal sampling and advanced detection methods are essential to elucidate its ecological role and clinical significance.

Keywords: Blastocystis; cyclical abundance; gut microbiome; host–microbiome interactions; longitudinal study.

Publication types

  • Review

MeSH terms

  • Blastocystis Infections* / parasitology
  • Blastocystis* / isolation & purification
  • Blastocystis* / physiology
  • Feces / parasitology
  • Gastrointestinal Microbiome
  • Gastrointestinal Tract* / microbiology
  • Gastrointestinal Tract* / parasitology
  • Humans