The Human Gut Microbiome: From Association to Modulation
Open accessAbstract
Our understanding of the human gut microbiome continues to evolve at a rapid pace, but practical application of thisknowledge is still in its infancy. This review discusses the type of studies that will be essential for translating microbiome research into targeted modulations with dedicated benefits for the human host.
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The microbiome co-regulates many physiological functions involving the immune, neuroendocrine and metabolic systems via complex reciprocal feedback mechanisms that operate between the microbial ecosystem and the host.
“The microbiome is known to co-regulate many physiological functions involving the immune, neuroendocrine and metabolic systems via complex reciprocal feedback mechanisms that operate between the microbial ecosystem and the host [116,117].”
From Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment (2022) · cites this paper as [117]
The “Intrinsic host factors such as genetics” section describes reciprocal links between the microbiome and the immune system, and increasing evidence for a reciprocal brain–gut–microbiota axis. Box 3 discusses microbial effects on drug metabolism and dietary responses. These passages support host–microbiome interactions, but do not establish the claim’s broader account of co-regulation across immune, neuroendocrine, and metabolic systems through reciprocal feedback mechanisms. (LLM, conf=0.82)
Experimental — accuracy not yet measuredExisting pharmacological treatments for PD could be improved through an appreciation of the gut microbiome.
“Existing pharmacological treatments for PD could be improved through an appreciation of the gut microbiome [151, 152].”
From The gut–brain axis in early Parkinson’s disease: from prodrome to prevention (2025) · cites this paper as [152]
Box 3 (page unavailable) reports that gut-microbiome features can affect responses to some drugs, supporting the general possibility of improving treatment through microbiome knowledge. It does not address pharmacological treatments for Parkinson’s disease specifically; its mention of anti-PD1 concerns cancer immunotherapy, not PD treatment. (LLM, conf=0.82)
Experimental — accuracy not yet measuredMicrobiome-targeted interventions may impact psychological health in a manner strongly shaped by individual lifestyle patterns.
“Consequently, it has been proposed that microbiome-targeted interventions may impact psychological health in a manner that is strongly shaped by individual lifestyle patterns (Schmidt et al., 2018; Morales-Torres et al., 2023).”
From Psychobiotics in mental health: insights from human clinical trials via the gut-brain axis (2026) · cites this paper as Schmidt et al., 2018
The “Prebiotics and dietary intervention” section (page not provided) describes microbiome-mediated therapy options and says responses to dietary intervention may be individual. Box 3 (page not provided) reports that models incorporating lifestyle factors predicted dietary responses. The paper does not establish psychological-health effects or say that such effects are strongly shaped by individual lifestyle patterns. (LLM, conf=0.85)
Experimental — accuracy not yet measuredInter-individual differences in enterotype composition are increasingly thought to explain the variation in response to a dietary intervention or perturbation.
“Inter-individual differences in enterotype composition are increasingly thought to explain the variation in response to a dietary intervention or perturbation [86].”
From Effect of Diet on the Gut Microbiota: Rethinking Intervention Duration (2019) · cites this paper as [86]
The microbiota composition is deeply influenced by environmental factors, including diet, lifestyle, and medication use.
“The microbiota composition is in fact deeply influenced by environmental factors, including diet, lifestyle, and medication use [43,44].”
From Gut Microbiota, Muscle Mass and Function in Aging: A Focus on Physical Frailty and Sarcopenia (2019) · cites this paper as [43]
The gut microbiota may produce or transform molecules affecting host metabolism, gut barrier integrity, xenobiotics and drug metabolism, protection against gastro-intestinal pathogens, and host immune system modulation.
“In fact, it has been widely studied that the gut microbiota may produce or transform molecules affecting several aspects of human health, including: host’s metabolism modulation, gut barrier integrity maintenance, xenobiotics and drug metabolism, protection against gastro-intestinal pathogens and host’s immune system modulation [31,32,33,34].”
From Gut Microbiota and Cancer: From Pathogenesis to Therapy (2019) · cites this paper as [32]
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“The microbiome is known to co-regulate many physiological functions involving the immune, neuroendocrine and metabolic systems via complex reciprocal feedback mechanisms that operate between the microbial ecosystem and the host (116,117).”
BackgroundMetagenomic assessment of the global diversity and distribution of bacteria and fungi
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Metabolic independence drives gut microbial colonization and resilience in health and disease
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- Authors
- Schmidt, T. S. B., Raes, J., & Bork, P.
- Affiliations
- European Molecular Biology Laboratory (DE)
- VIB-KU Leuven Center for Microbiology (BE)
- Corresponding author
- Raes, Jeroen
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 172
- Issue
- 6
- Pages
- 1198-1215
- ISSN
- 0092-8674 (ISSN-L)
- OpenAlex
- W2790856964
- Cited by
- 845
- References
- 213
- Citations by year
- 2026: 61 · 2025: 89 · 2024: 122 · 2023: 116 · 2022: 99 · 2021: 126 · 2020: 111 · 2019: 90 · 2018: 30
- FWCI
- 8.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- MDC Repository (Max-Delbrueck-Center for Molecular Medicine) (acceptedVersion)
- Lirias (KU Leuven) (submittedVersion)
- Funders
- EMBL
- European Research Council MicrobioS (ERC-AdG-669830)
- Luxembourg National Research Fund (FNR) CORE microCancer
- KU Leuven/Rega
- VIB
- FWO EOS programme (G0G4118N)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- human gut microbiome, microbiota composition, microbiota modulation, longitudinal cohort, perturbation experiments, absolute quantification, taxonomic resolution, in vitro and in vivo models
- MeSH terms
- Gastrointestinal Microbiome, Host Microbial Interactions, Disease, Health Status, Humans, Research, Gastrointestinal Tract, Metabolomics
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