Exploring the role of gut microbiota in advancing personalized medicine

Ongoing extensive research in the field of gut microbiota (GM) has highlighted the crucial role of gut-dwelling microbes in human health. These microbes possess 100 times more genes than the human genome and offer significant biochemical advantages to the host in nutrient and drug absorption, metabo...

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Main Authors: Gouxin Huang, Raees Khan, Yilin Zheng, Ping-Chin Lee, Qingnan Li, Imran Khan Yousufzai
Format: Article
Language:English
English
Published: Lausanne : Frontiers Research Foundation 2023
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/38371/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/38371/2/FULL%20TEXT.pdf
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author Gouxin Huang
Raees Khan
Yilin Zheng
Ping-Chin Lee
Qingnan Li
Imran Khan Yousufzai
author_facet Gouxin Huang
Raees Khan
Yilin Zheng
Ping-Chin Lee
Qingnan Li
Imran Khan Yousufzai
author_sort Gouxin Huang
collection UMS
description Ongoing extensive research in the field of gut microbiota (GM) has highlighted the crucial role of gut-dwelling microbes in human health. These microbes possess 100 times more genes than the human genome and offer significant biochemical advantages to the host in nutrient and drug absorption, metabolism, and excretion. It is increasingly clear that GM modulates the efficacy and toxicity of drugs, especially those taken orally. In addition, intra-individual variability of GM has been shown to contribute to drug response biases for certain therapeutics. For instance, the efficacy of cyclophosphamide depends on the presence of Enterococcus hirae and Barnesiella intestinihominis in the host intestine. Conversely, the presence of inappropriate or unwanted gut bacteria can inactivate a drug. For example, dehydroxylase of Enterococcus faecalis and Eggerthella lenta A2 can metabolize L-dopa before it converts into the active form (dopamine) and crosses the blood–brain barrier to treat Parkinson’s disease patients. Moreover, GM is emerging as a new player in personalized medicine, and various methods are being developed to treat diseases by remodeling patients’ GM composition, such as prebiotic and probiotic interventions, microbiota transplants, and the introduction of synthetic GM. This review aims to highlight how the host’s GM can improve drug efficacy and discuss how an unwanted bug can cause the inactivation of medicine.
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spelling ums.eprints-383712024-02-27T01:54:42Z https://eprints.ums.edu.my/id/eprint/38371/ Exploring the role of gut microbiota in advancing personalized medicine Gouxin Huang Raees Khan Yilin Zheng Ping-Chin Lee Qingnan Li Imran Khan Yousufzai QR1-502 Microbiology QR100-130 Microbial ecology Ongoing extensive research in the field of gut microbiota (GM) has highlighted the crucial role of gut-dwelling microbes in human health. These microbes possess 100 times more genes than the human genome and offer significant biochemical advantages to the host in nutrient and drug absorption, metabolism, and excretion. It is increasingly clear that GM modulates the efficacy and toxicity of drugs, especially those taken orally. In addition, intra-individual variability of GM has been shown to contribute to drug response biases for certain therapeutics. For instance, the efficacy of cyclophosphamide depends on the presence of Enterococcus hirae and Barnesiella intestinihominis in the host intestine. Conversely, the presence of inappropriate or unwanted gut bacteria can inactivate a drug. For example, dehydroxylase of Enterococcus faecalis and Eggerthella lenta A2 can metabolize L-dopa before it converts into the active form (dopamine) and crosses the blood–brain barrier to treat Parkinson’s disease patients. Moreover, GM is emerging as a new player in personalized medicine, and various methods are being developed to treat diseases by remodeling patients’ GM composition, such as prebiotic and probiotic interventions, microbiota transplants, and the introduction of synthetic GM. This review aims to highlight how the host’s GM can improve drug efficacy and discuss how an unwanted bug can cause the inactivation of medicine. Lausanne : Frontiers Research Foundation 2023 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/38371/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/38371/2/FULL%20TEXT.pdf Gouxin Huang and Raees Khan and Yilin Zheng and Ping-Chin Lee and Qingnan Li and Imran Khan Yousufzai (2023) Exploring the role of gut microbiota in advancing personalized medicine. Frontiers in Microbiology. pp. 1-17. ISSN 1664-302X https://doi.org/10.3389/fmicb.2023.1274925
spellingShingle QR1-502 Microbiology
QR100-130 Microbial ecology
Gouxin Huang
Raees Khan
Yilin Zheng
Ping-Chin Lee
Qingnan Li
Imran Khan Yousufzai
Exploring the role of gut microbiota in advancing personalized medicine
title Exploring the role of gut microbiota in advancing personalized medicine
title_full Exploring the role of gut microbiota in advancing personalized medicine
title_fullStr Exploring the role of gut microbiota in advancing personalized medicine
title_full_unstemmed Exploring the role of gut microbiota in advancing personalized medicine
title_short Exploring the role of gut microbiota in advancing personalized medicine
title_sort exploring the role of gut microbiota in advancing personalized medicine
topic QR1-502 Microbiology
QR100-130 Microbial ecology
url https://eprints.ums.edu.my/id/eprint/38371/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/38371/2/FULL%20TEXT.pdf
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