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Gut microbial ecosystem and host gut-immune axis (Gut-immune axis)

Target
Gut-immune axis
Molecular classification
Other (Biological System), Ecosystem
01

Overview

The gut microbial ecosystem and host gut-immune axis is a complex, bidirectional communication network between the trillions of microorganisms in the gastrointestinal tract and the host's immune system [1]. This axis is critical for the development of the gut-associated lymphoid tissue (GALT) and the maintenance of systemic immune homeostasis [2]. The microbiota influences immune cell differentiation, such as the induction of regulatory T cells (Tregs) via the production of short-chain fatty acids (SCFAs) like butyrate [3]. Dysbiosis, or the imbalance of this ecosystem, is strongly associated with inflammatory bowel disease (IBD), allergies, and metabolic syndromes [4]. Furthermore, the composition of the gut microbiome has been shown to modulate the efficacy of immune checkpoint inhibitors in cancer treatment [5]. Therapeutic interventions targeting this axis include probiotics, prebiotics, and fecal microbiota transplantation (FMT), which aim to restore a healthy microbial-immune balance [6]. While not a single molecular target, this system is a major focus of modern drug development and personalized medicine. (Sources: [1] Belkaid Y, et al. Cell 2014; [2] Round JL, et al. Nat Rev Immunol 2009; [3] Furusawa Y, et al. Nature 2013; [4] Lynch SV, et al. N Engl J Med 2016; [5] Gopalakrishnan V, et al. Science 2018; [6] Khoruts A, et al. Nat Rev Gastroenterol Hepatol 2016).

Other names
Gut-microbiota-immune axisMicrobiome-immune axisIntestinal immune system-microbiota interfaceGut-associated lymphoid tissue (GALT) ecosystem
02

Mechanism of action

Modulation of microbial diversity and metabolite production (e.g., short-chain fatty acids) to regulate host immune cell signaling, particularly through the induction of regulatory T cells and activation of pattern recognition receptors.

03

Biological functions

Immune homeostasisPathogen defenseMetabolic regulationTolerance inductionIntestinal barrier maintenance
04

Disease associations

Inflammatory bowel diseaseMetabolic syndromeAutoimmune diseaseCancer (e.g., Colorectal cancer)AllergyObesity
05

Safety considerations

Risk of systemic infection or sepsis in immunocompromised patientsUnintended immune over-activationTransfer of antibiotic resistance genes via FMTHigh variability in individual patient responsePotential for long-term metabolic shifts
06

Interacting drugs

Probiotics (e.g., Lactobacillus, Bifidobacterium)

5 more in the full profile.

07

Biomarkers

Microbial alpha-diversityShort-chain fatty acid (SCFA) levelsFecal calprotectinSecretory IgAAbundance of Akkermansia muciniphila

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