

Despite their low abundance and signature in biofilms, they may generate important markers contributing to dysbiosis, in a sort of ‘butterfly effect’.

This practice may compromise the true diversity and influence of all members of the human microbiota. Indeed, most studies select a cut-off value at <1% for low-abundant organisms to be excluded in their analyses. While most studies were directed towards describing the taxonomy, diversity and abundance of the highly abundant species, low-abundant species have largely been overlooked. Fifteen papers mentioned fungi and/or archaea, and from those only 4 (fungi) and 2 (archaea) produced data regarding the abundance of these domains. Four studies reported microbes at abundance levels between 5 and 20%, 8 studies reported between 1 and 5%, and 18 studies reported below 1%.

A total of 826 manuscripts were retrieved, of which 42 were included in this review and 22 reported low-abundant bacteria (LB) in samples taken from 7 body sites (breast, gut, oral cavity, skin, stomach, upper respiratory tract (URT), and vagina). All of the papers used next-generation sequencing (NGS) techniques in their methodology. We also included studies with secondary data which originated from human biofilm samples. We selected clinical microbiome studies targeting human participants of any age, from any body site. A systematic literature search was performed in 5 electronic databases, as well as grey literature. This scoping review aims to map the literature regarding the management of low-abundant microorganisms in studies investigating human microbiome samples. Their abundance may reflect their capacity to exploit their niche, however, metabolic functions exerted by low-abundant microrganisms can impact the dysbiotic signature of local microbial habitats. Research on the human microbiome has mainly been restricted to the identification of most abundant microbiota associated with health or disease.

