Targeting the microbiome to improve human health with the approach of personalized medicine: Latest aspects and current updates

IF 2.9 Q3 NUTRITION & DIETETICS Clinical nutrition ESPEN Pub Date : 2024-08-22 DOI:10.1016/j.clnesp.2024.08.005
Vani Shukla , Shikha Singh , Shrikant Verma , Sushma Verma , Aliya Abbas Rizvi , Mohammad Abbas
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Abstract

The intricate ecosystem of microorganisms residing within and on the human body, collectively known as the microbiome, significantly influences human health. Imbalances in this microbiome, referred to as dysbiosis, have been associated with various diseases, prompting the exploration of novel therapeutic approaches. Personalized medicine, Tailors treatments to individual patient characteristics, offers a promising avenue for addressing microbiome-related health issues. This review highlights recent developments in utilizing personalized medicine to target the microbiome, aiming to enhance health outcomes. Noteworthy strategies include fecal microbiota transplantation (FMT), where healthy donor microbes are transferred to patients, showing promise in treating conditions such as recurrent Clostridium difficile infection. Additionally, probiotics, which are live microorganisms similar to beneficial gut inhabitants, and prebiotics, non-digestible compounds promoting microbial growth, are emerging as tools to restore microbiome balance. The integration of these approaches, known as synbiotics, enhances microbial colonization and therapeutic effects. Advances in metagenomics and sequencing technologies provide the means to understand individual microbiome profiles, enabling tailored interventions. This paper aims to present the latest insights in leveraging personalized medicine to address microbiome-related health concerns, envisioning a future where microbiome-based therapies reshape disease management and promote human health.

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以微生物组为目标,用个性化医学方法改善人类健康:最新方面和当前更新。
居住在人体内部和人体上的微生物生态系统错综复杂,统称为微生物组,对人体健康有重大影响。微生物组的失衡(称为菌群失调)与各种疾病有关,促使人们探索新的治疗方法。个性化医疗(根据患者个体特征量身定制治疗方法)为解决与微生物相关的健康问题提供了一条前景广阔的途径。这篇综述重点介绍了利用个性化医学针对微生物组的最新进展,旨在提高健康效果。值得注意的策略包括粪便微生物群移植(FMT),将健康的供体微生物移植给患者,显示出治疗艰难梭菌反复感染等疾病的前景。此外,益生菌(一种类似于有益肠道居民的活微生物)和益生元(一种促进微生物生长的非消化性化合物)正在成为恢复微生物群平衡的工具。这些方法的整合被称为 "合生素"(synbiotics),可提高微生物定植率和治疗效果。元基因组学和测序技术的进步为了解个体微生物组概况提供了手段,从而可以采取有针对性的干预措施。本文旨在介绍利用个性化医学解决微生物相关健康问题的最新见解,展望基于微生物的疗法重塑疾病管理和促进人类健康的未来。
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来源期刊
Clinical nutrition ESPEN
Clinical nutrition ESPEN NUTRITION & DIETETICS-
CiteScore
4.90
自引率
3.30%
发文量
512
期刊介绍: Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.
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