The human microbiome includes all microorganisms and their metabolites found in and on the human body. Recent technological advancements have shed light on the gut microbiome's significant role in health and disease, positioning it as a promising target for therapeutic interventions.
Microbiome Therapy and Personalized Medicine
Microbiome therapy offers the potential for personalized treatment by addressing interpersonal variability and maintaining stability across various environments. Engineering the gut microbiome has led to the creation of chemical entities that advance personalized medicine and improve healthcare outcomes.
Strategies for Managing Dysbiosis
Dysbiosis refers to an imbalance or disruption in the composition of the microbiome, particularly the gut microbiome. This imbalance can result from various factors such as antibiotic use, poor diet, or disease, leading to a reduction in beneficial microbes and an increase in harmful ones. Dysbiosis is associated with a variety of health problems, including gastrointestinal disorders, inflammatory diseases, and even mental health issues. Restoring balance to the microbiome is a key goal in many therapeutic strategies aimed at managing dysbiosis-related conditions.
To manage dysbiosis-related disorders, strategies like fecal microbiota transplantation (FMT) and probiotics have been developed. FMT involves transferring healthy microbes from donors to recipients and has been successful in treating recurrent Clostridioides difficile infections, among other conditions. Probiotics, defined as live microorganisms that provide health benefits, are also effective in treating diseases such as inflammatory bowel disease and Crohn's disease. Engineered probiotics are being developed for more targeted disease diagnosis and treatment.
Subtractive Therapy: Targeting Pathogens
Subtractive therapy, which uses bacteriocins and bacteriophages to target harmful pathogens, offers an alternative to antibiotics, particularly in the context of rising antibiotic resistance. Bacteriocins, antimicrobial peptides produced by bacteria are used in therapeutic applications, such as treating peptic ulcers and maintaining oral health.
Challenges in Microbiome Therapeutics
Despite these advancements, the field of microbiome therapeutics faces challenges, including the identification of disease-causing microbial signatures and the need for more extensive clinical trials. Addressing these issues will be essential for realizing the full potential of microbiome-based treatments.