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**Dead B. subtilis** (inactivated *Bacillus subtilis*) is an inactivated probiotic preparation being investigated for the treatment of irritable bowel syndrome with diarrhea (IBS-D). Developed by Jinling Hospital in China, this postbiotic therapy is being evaluated in a clinical trial (NCT06612411) to determine its efficacy in improving clinical symptoms and its impact on host-microbiota maladaptation, specifically focusing on purine metabolism and hypoxanthine biosynthesis. Unlike live probiotics, dead or inactivated *B. subtilis* offers a stable alternative that may modulate the gut microbiome and metabolic pathways without the risks associated with live bacterial colonization.
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