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Blautia genus

Molecular classification
Bacteria, Firmicutes (Phylum), Bacillota (Phylum), Clostridia (Class), Lachnospiraceae (Family)
01

Overview

Blautia is a genus of anaerobic, Gram-positive bacteria within the Lachnospiraceae family that represents a core component of the human gut microbiota [1, 3]. It plays a vital role in maintaining metabolic and immune homeostasis by fermenting dietary fibers into beneficial short-chain fatty acids (SCFAs) like acetate and propionate, which stimulate the colonic mucus barrier and reduce systemic inflammation [6, 16]. Research has identified specific strains, such as Blautia producta, that produce unique metabolites like 12-methylmyristic acid (12-MMA), which activate the G protein-coupled receptor GPR120 to improve lipid and glucose metabolism [7, 12]. Conversely, a significantly reduced abundance of Blautia is associated with obesity, type 2 diabetes, inflammatory bowel disease, and various neurodegenerative conditions, positioning the genus as a promising candidate for live biotherapeutic products (LBPs) [2, 4, 13]. Interactions with common pharmacological agents, including metformin and berberine, suggest that some drugs exert their therapeutic effects partially by modulating Blautia levels [12, 14]. However, the therapeutic development of this genus requires careful strain-level characterization to address potential safety concerns, such as the production of secondary bile acids or risk of translocation in severely immunocompromised patients [7, 15].

Other names
Blautia speciesBlautia spp.Lachnospiraceae genusRuminococcus (partially reclassified)Clostridium (partially reclassified)
02

Mechanism of action

Production of short-chain fatty acids (SCFAs) that activate host receptors such as GPR120 and FFAR2; production of 12-methylmyristic acid to regulate lipid homeostasis; and upregulation of regulatory T cells (Tregs) to suppress pro-inflammatory cytokine production [4, 12, 16].

03

Biological functions

Short-chain fatty acid (SCFA) production [1, 7]Fermentation of dietary fiber [6]Immune modulation (Regulatory T cell upregulation) [1, 4]Mucus barrier maintenance [6, 16]Hydrogenotrophy (H2/CO2 metabolism) [9, 11]Biotransformation of bile acids and polyphenols [3, 7]
04

Disease associations

Obesity [1, 8]Type 2 diabetes [1, 11, 12]Inflammatory bowel disease (IBD) [1, 4, 12]Irritable bowel syndrome (IBS) [2, 7]Colorectal cancer [1, 7]Non-alcoholic fatty liver disease (NAFLD) [8]Neurodegenerative disease (Parkinson's, Alzheimer's) [13]
05

Safety considerations

Potential production of harmful secondary bile acids [7]Bacterial translocation and risk of sepsis in patients with severe intestinal mucositis [15]Variability in strain-specific health effects [12]Regulatory complexity associated with Live Biotherapeutic Products (LBPs) [4]
06

Interacting drugs

Metformin [12, 14]

6 more in the full profile.

07

Biomarkers

Fecal Blautia abundance [3, 12]12-methylmyristic acid (12-MMA) levels [12]

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