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The gut microbiota community composition refers to the complex and dynamic ecosystem of trillions of microorganisms, including bacteria, archaea, fungi, and viruses, inhabiting the human gastrointestinal tract [1]. This community functions as a virtual organ that is essential for the fermentation of non-digestible dietary fibers, the synthesis of vitamins such as B12 and K, and the maintenance of the intestinal mucosal barrier [2]. It plays a pivotal role in host health by modulating the immune system and protecting against pathogen colonization through competitive exclusion and the production of antimicrobial peptides [3]. Dysbiosis, or the pathological imbalance of this community, is implicated in a broad spectrum of diseases, including Clostridioides difficile infection (CDI), inflammatory bowel disease (IBD), and metabolic disorders like type 2 diabetes [4]. Therapeutic strategies targeting the microbiota include fecal microbiota transplants (FMT), live biotherapeutic products (LBPs), and prebiotics, which aim to restore a healthy microbial balance and diversity [5]. Unlike traditional single-molecule targets, the gut microbiota is targeted as a collective system to alter the host's physiological, metabolic, and immunological landscape [6].
Restoration of microbial diversity and ecological homeostasis to suppress pathogens and modulate host metabolic and immune pathways.
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