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Gut microbiome restoration via engraftment of commensal bacteria (None commonly used for the therapeutic process; for bacteria, common genera like *Lactobacillus* or *Bacteroides* are abbreviated, but no universal abbreviation applies to the entire concept)

Target
None commonly used for the therapeutic process; for bacteria, common genera like *Lactobacillus* or *Bacteroides* are abbreviated, but no universal abbreviation applies to the entire concept
Molecular classification
Other (Commensal bacteria are living microorganisms, not molecular entities such as receptors or enzymes)
01

Overview

Restoration of the gut microbiome via engraftment of commensal bacteria involves reintroducing beneficial microorganisms into a dysbiotic (imbalanced) gut environment to reestablish ecological balance, immune regulation, and metabolic function. This is typically accomplished through interventions such as fecal microbiota transplantation (FMT) or administration of specific probiotic strains. The therapeutic aim is to replenish depleted microbiota after disturbance by antibiotics, illness, or diet and thereby restore host functions including vitamin synthesis, protection against pathogens, metabolic homeostasis, and modulation of immune responses. Success depends on factors such as microbial diversity, compatibility with host diet, and avoidance of pathogenic or opportunistic species. Restoration of the microbiome is increasingly recognized as necessary for the efficacy of therapies in cancer, infection, and metabolic disease, but comes with risks such as infection, immune reactions, and resistance transfer. The provided target is a process and therapeutic strategy, not a molecular entity like a receptor or enzyme. For purposes of molecular classification, *commensal bacteria* are living organisms, not molecular targets. If you are seeking a specific commensal species as the target, each would need to be named specifically (e.g., *Bacteroides thetaiotaomicron*, *Akkermansia muciniphila*) and categorized accordingly.

Other names
Microbiota restorationFecal microbiota transplantation (FMT)Probiotic engraftmentGut microbial reconstitution
02

Mechanism of action

Colonization and restoration of ecological balance, which reinstates metabolic, immunomodulatory, and barrier functions; Enhancement or modulation of therapeutic drug efficacy (e.g., immunotherapy depends on specific bacterial species); Reduction of pathogenic bacteria via competitive exclusion and production of antimicrobial substances

03

Biological functions

Maintenance of gut homeostasisModulation of immunitySynthesis of vitamins and nutrientsMetabolism of xenobiotics and drugsResistance to infectionMaintenance of the mucosal barrier
04

Disease associations

Infection (especially antibiotic-associated)Inflammatory bowel diseaseCancer, including aiding in cancer immunotherapyMetabolic diseases (MASLD, obesity, diabetes)Other (modulation of response to drugs, e.g., chemotherapy)
05

Safety considerations

Risk of infection, particularly opportunistic infection with transplanted bacteriaTransmission of antibiotic resistance genesImmune dysregulation or unwanted immune responsesPoor engraftment (failure to establish beneficial microbiota, especially in patients on non-supportive diets)Release of microbial or biofilm toxins
06

Interacting drugs

Probiotics (e.g., *Lactobacillus* spp., *Bifidobacterium* spp.)

3 more in the full profile.

07

Biomarkers

Microbial diversity indices (e.g., Shannon diversity)Specific bacterial taxa abundance (e.g., *Bacteroides*, *Akkermansia*, *Kineothrix alysoides*)Levels of short-chain fatty acids (SCFAs)Fecal microbial composition via 16S rRNA sequencing

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