Gut microorganisms, mammalian metabolism and personalized health care
Abstract
The mammalian gut microbiota interact extensively with the host through metabolic exchange and co-metabolism of substrates. Such metabolome-metabolome interactions are poorly understood, but might be implicated in the aetiology of many human diseases. In this paper, we assess the importance of the gut microbiota in influencing the disposition, fate and toxicity of drugs in the host, and conclude that appropriate consideration of individual human gut microbial activities will be a necessary part of future personalized health-care paradigms.
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Drug toxicities and efficacies vary greatly between individual patients due to genetic and environmental influences such as nutrients, drug intake, and gut microbiome.
“In addition, drug toxicities and efficacies greatly vary depending on the individual patient, given both genetic81 and environmental influences (eg, nutrients,82, 83 drug intake,83, 84 gut microbiome85, 86).”
From Microfluidic Organ-on-a-Chip Models of Human Intestine (2018) · cites this paper as [86]
Hippurate has been associated with microbiota colonization of the gut.
“hippurate has been associated with microbiota colonization of the gut (170).”
From The food metabolome: a window over dietary exposure (2014) · cites this paper as [170]
Research on the gut microbiota's influence on pharmacology and nutrition has immediate translational potential.
“The emerging appreciation that the gut microbiota influences pharmacology and nutrition has begun to reveal the immediate translational potential of this research28, 30, 142.”
From The microbial pharmacists within us: a metagenomic view of xenobiotic metabolism (2016) · cites this paper as [30]
The gut microbiota influences pharmacology and nutrition.
“The emerging appreciation that the gut microbiota influences pharmacology and nutrition has begun to reveal the immediate translational potential of this research28, 30, 142.”
From The microbial pharmacists within us: a metagenomic view of xenobiotic metabolism (2016) · cites this paper as [30]
The gut harbors over 1 kg of bacterial biomass and upwards of 1000 different species.
“Relative to the oral cavity, the gut harbors over 1kg of bacterial biomass and upwards of 1000 different species[307].”
From Enterosalivary nitrate metabolism and the microbiome: Intersection of microbial metabolism, nitric oxide and diet in cardiac and pulmonary vascular health (2017) · cites this paper as [307]
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- Authors
- Nicholson, J. K., Holmes, E., & Wilson, I. D.
- Affiliations
- Imperial College London (GB)
- AstraZeneca (United Kingdom) (GB)
- Corresponding author
- Nicholson, Jeremy K.
- Venue
- Nature Reviews Microbiology
- Published
- 2005-04-08
- Volume
- 3
- Issue
- 5
- Pages
- 431-438
- ISSN
- 1740-1526 (ISSN-L)
- 1740-1534
- OpenAlex
- W1606088617
- Cited by
- 945
- References
- 87
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 20 · 2023: 65 · 2022: 27 · 2021: 37 · 2020: 39 · 2019: 47 · 2018: 44 · 2017: 37 · 2016: 46 · 2015: 62 · 2014: 53 · 2013: 82 · 2012: 65
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Microbiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- National Institutes of Health
- Biotechnology and Biological Sciences Research Council
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Keywords
- gut microbiota, host-microbe interactions, microbial metabolism, drug metabolism, drug toxicity, personalized medicine, etiology
- MeSH terms
- Animals, Bacterial Infections, Humans, Mammals, Self Care, Gastrointestinal Tract
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