Inflammatory bowel disease (IBD) is a group of chronic intestinal inflammatory disorders, mainly comprising Crohn’s disease (CD) and ulcerative colitis, which together affect 1.4 million people in the United States and 2.2 million people in Europe.1 Many studies have shown the presence of an altered intestinal microbiota composition in IBD patients, as well as in mouse models of chronic intestinal inflammation (such as Toll-like receptor 5-/- and interleukin 10-/- models).2–6 However, as stated by the authors of an exciting article published in the current issue of Cellular and Molecular Gastroenterology and Hepatology, “it remains unclear whether IBD-associated gut dysbiosis contributes to disease pathogenesis or is merely secondary to intestinal inflammation.”7 Although many studies have described alterations of microbiota composition, localization, transcriptome, and/or proinflammatory potential during intestinal inflammation, these observations could be consecutive to the intestinal inflammation instead of being a primary causative hit that contributes to the appearance of inflammation.