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The gastrointestinal tract and its resident intestinal microbiota represent a complex symbiotic ecosystem essential for human health, comprising trillions of microorganisms including bacteria, fungi, viruses, and archaea (Thursby & Juge, 2017, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433529/). This system performs critical biological functions such as the fermentation of non-digestible carbohydrates, synthesis of essential vitamins like K and B12, and the regulation of the mucosal immune system (Fan & Pedersen, 2021, https://www.nature.com/articles/s41579-020-0430-5). Dysbiosis, or the disruption of this microbial balance, is strongly associated with various pathologies including inflammatory bowel disease (IBD), obesity, type 2 diabetes, and Clostridioides difficile infections (Gupta et al., 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353084/). While not a single molecular target, the microbiota is a major focus of therapeutic intervention through the use of antibiotics, probiotics, prebiotics, and fecal microbiota transplantation (FMT) to restore eubiosis (Mayo Clinic, 2023, https://www.mayoclinic.org/tests-procedures/fecal-transplant/about/pac-20384710). Modern drug development also explores the gut-brain axis, targeting microbial metabolites to influence neurodegenerative and psychiatric conditions.
Modulation of microbial composition, restoration of eubiosis, competitive exclusion of pathogens, and production of bioactive metabolites such as short-chain fatty acids.
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