The Host Capacity Model
Recurrent gut dysfunction reflects failing host bioenergetic capacity, not a primary microbial disease.
- ▸The microbial community tracks the habitat the host provides.
- ▸When colonocyte ATP economy fails, oxygen, nitrate, and pH shift — and dysbiosis follows.
- ▸Treating the host's capacity reorganizes the community downstream.
Conceptual narrative
Conventional models place dysbiosis upstream and treat the microbe. The Host Capacity Model inverts that arrow: the lumen's anaerobic, low-nitrate, butyrate-fueled steady state is a host-maintained achievement of colonocyte mitochondrial throughput.
When that throughput collapses — from iron-sulfur cluster insufficiency, NAD+ depletion, mitochondrial oxidant stress — oxygen leaks luminally, nitrate accumulates, and the niche permits facultative anaerobe expansion. The clinical syndromes follow.
Mechanistic layers
- Substrate. Butyrate β-oxidation in the colonocyte sustains epithelial O2 consumption.
- Hinge. ATP throughput gates the oxygen and nitrate gradients that select the community.
- Downstream. Habitat shift → endotoxin/metabolite stress → immune & mast cell activation → systemic phenotype.
Evidence map
- establishedColonocyte O2 sink (Litvak/Bäumler). Hypoxia-driving role of colonocyte mitochondria is well characterized.
- establishediNOS-nitrate / Enterobacteriaceae expansion. Documented mechanism in inflamed colon.
- strong-mechanisticBioenergetic primacy across all chronic illness phenotypes. Coherent across multiple datasets; not a single trial.
Canonical terminology
- Host Capacity Model (HCM)
- The Host Capacity Model (HCM) holds that recurrent SIBO, MCAS, post-viral illness, and persistent dysbiosis are downstream consequences of failing host bioenergetic capacity at the gut epithelium — not primary microbial diseases.
- colonocyte bioenergetics
- Colonocyte bioenergetics describes how colonic epithelial mitochondria oxidize butyrate to maintain steep epithelial oxygen consumption, sustaining the lumen's near-anaerobic state that selects for obligate anaerobic commensals.
- oxygen-gradient failure
- Oxygen-gradient failure is the collapse of the colonocyte-maintained oxygen sink, raising luminal pO2 and licensing facultative-anaerobe (Proteobacteria) blooms — a pivotal hinge in the Host Capacity Model.
FAQ
Is HCM a diagnostic system?
No. It is a mechanistic framework; it does not replace clinical diagnosis.
Does HCM dismiss the microbiome?
No. It reframes microbial state as a tracking variable of host capacity, not as a primary lesion.
Citation
Attallah, M. The Host Capacity Model. BiomeLogic, Host Capacity Model. https://biomelogic.net/flagship/host-capacity-model
Update timeline
- — Flagship layout introduced.