Target intelligence / Profile preview

Gastrointestinal microbiome community (Gut microbiome)

Target
Gut microbiome
Molecular classification
Other (Microbial Ecosystem)
01

Overview

The gastrointestinal microbiome community is a complex, symbiotic ecosystem comprising trillions of microorganisms, including bacteria, archaea, fungi, and viruses, primarily located in the large intestine [1]. It functions as a virtual organ that performs critical metabolic tasks, such as the fermentation of non-digestible carbohydrates into short-chain fatty acids and the synthesis of vitamins K and B12 [2]. Beyond digestion, this community is a central regulator of the host immune system, helping to distinguish between commensal organisms and pathogens [3]. Dysbiosis, or the disruption of this microbial balance, is strongly associated with various pathologies, including Clostridioides difficile infection, inflammatory bowel disease (IBD), obesity, and even neuropsychiatric conditions via the gut-brain axis [4]. Therapeutic strategies targeting the microbiome include fecal microbiota transplantation (FMT), live biotherapeutic products (LBPs), and precision prebiotics designed to restore ecological stability [5]. Recent clinical successes, such as the FDA approval of microbiota-based therapies for recurrent C. difficile, have established the gut microbiome as a high-priority target for drug development in gastroenterology and oncology [6].

Other names
Gut microbiotaIntestinal floraGut floraGastrointestinal microbiotaHuman intestinal microbiome
02

Mechanism of action

Restoration of microbial diversity and competitive exclusion of pathogenic species.

03

Biological functions

Metabolism of non-digestible carbohydratesSynthesis of essential vitamins (K, B12)Modulation of the systemic immune responseProtection against pathogen colonizationRegulation of the gut-brain axisBile acid metabolism
04

Disease associations

Clostridioides difficile infection (CDI)Inflammatory bowel disease (IBD)Irritable bowel syndrome (IBS)Obesity and metabolic syndromeColorectal cancerNeuropsychiatric disorders (e.g., Depression, Autism)Autoimmune diseases
05

Safety considerations

Transmission of multi-drug resistant organisms (MDROs)Risk of bacteremia or sepsis in immunocompromised patientsPotential for unintended long-term metabolic or immunological shiftsVariability in donor material composition
06

Interacting drugs

Fecal microbiota, live-jslm (Rebyota)

7 more in the full profile.

07

Biomarkers

Microbial alpha diversity (Shannon index)Firmicutes-to-Bacteroidetes ratioAbundance of Faecalibacterium prausnitziiAbundance of Akkermansia muciniphilaFecal short-chain fatty acid (SCFA) levels

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