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Gut microbiota composition refers to the taxonomic and functional makeup of microorganisms within the intestinal tract, which profoundly influences host metabolic pathways by generating signaling metabolites (e.g., short-chain fatty acids, bile acids, amino acid metabolites) that act on host cells, especially via modulation of enteroendocrine function, immune signaling, and metabolic regulation[1][2][3][4][6]. Rather than being a discrete molecular target (like a receptor or enzyme), it is a collective ecological entity whose composition and metabolism can be therapeutically modified to impact host health, notably in metabolic, inflammatory, and neurological diseases[1][2][3][4][5][6]. Because it is not a single molecule, receptor, or enzyme, but a broad community influencing numerous host pathways, "gut microbiota composition and host metabolic pathways" is not considered a canonical drug target; instead, it represents a system-level therapeutic axis.
Modulation of microbial population structure alters production of metabolites (e.g., short-chain fatty acids, bile acids, amino acid derivatives) that influence host receptors and pathways[1][2][3][4][6] Some drugs may directly target metabolic pathways of gut bacteria or indirectly impact composition, thereby influencing host metabolism[3]
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