Cited by 268Gut microbiota and healthPharmacogenetics and Drug MetabolismDrug Transport and Resistance Mechanisms

Host-microbial interactions in the metabolism of therapeutic and diet-derived xenobiotics

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Carmody, Rachel N., Turnbaugh, Peter J.·2014·Journal of Clinical Investigation

Abstract

Our associated microbial communities play a critical role in human health and predisposition to disease, but the degree to which they also shape therapeutic interventions is not well understood. Here, we integrate results from classic and current studies of the direct and indirect impacts of the gut microbiome on the metabolism of therapeutic drugs and diet-derived bioactive compounds. We pay particular attention to microbial influences on host responses to xenobiotics, adding to the growing consensus that treatment outcomes reflect our intimate partnership with the microbial world, and providing an initial framework from which to consider a more comprehensive view of pharmacology and nutrition.

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  • β-glucuronidases from human-associated gut bacteria influence the biological activity and toxicity of many drugs, dietary components, and endogenous metabolites.

    “β-glucuronidases are another generalist enzyme family expressed by human-associated gut bacteria that influences the biological activity and toxicity of a wide range of drugs, dietary components, and endogenous metabolites47.”
  • Many diet-derived bioactive compounds are metabolized by the gut microbiota, and some require this transformation for activation and/or absorption.

    “Many of these “diet-derived bioactive compounds” are metabolized by the gut microbiota (Fig. 4, Supplementary information S2 (table) and Supplementary information S3 (table)) and some are dependent on this transformation for activation and/or absorption47.”

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Authors
Carmody, R. N., & Turnbaugh, P. J.
Corresponding author
Turnbaugh, Peter J.
Venue
Journal of Clinical Investigation
Published
2014-08-08
Volume
124
Issue
10
Pages
4173-4181
ISSN
0021-9738 (ISSN-L)
OpenAlex
W1964115194
Cited by
268
References
91
Citations by year
2026: 17 · 2025: 16 · 2024: 10 · 2023: 15 · 2022: 23 · 2021: 47 · 2020: 33 · 2019: 26 · 2018: 21 · 2017: 19 · 2016: 23 · 2015: 14 · 2014: 3
FWCI
1.85
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • Harvard University
  • National Institutes of Health
  • FAS Center for Systems Biology, Harvard University
  • National Institute of General Medical Sciences (P50GM068763)
  • National Institute of Diabetes and Digestive and Kidney Diseases (F32DK101154)
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
host-microbe interactions, gut microbiota, xenobiotic metabolism, drug metabolism, therapeutic drugs, personalized medicine
MeSH terms
Animals, Binding Sites, Diet, Humans, Intestines, Mice, Transgenic, Protein Binding, Xenobiotics, Gene Expression Regulation, Bacterial, Probiotics, Gastrointestinal Tract, Mice, Microbial Interactions, Microbiota

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