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Gut microbiota-host immune-inflammatory axis (Gut-Immune Axis)

Target
Gut-Immune Axis
Molecular classification
Other (Biological System/Microbiome)
01

Overview

The gut microbiota-host immune-inflammatory axis is a complex bidirectional communication network between the intestinal microbial community and the host's immune system [1]. This axis plays a critical role in maintaining physiological homeostasis by training the immune system to distinguish between commensal organisms and pathogens, largely through the production of microbial metabolites like short-chain fatty acids (SCFAs) [2][3]. Dysbiosis, or an imbalance in this microbial ecosystem, is linked to various inflammatory and autoimmune conditions, including inflammatory bowel disease (IBD), metabolic syndrome, and neuroinflammation [4]. Microbial therapies, such as fecal microbiota transplantation (FMT), probiotics, and defined bacterial consortia, aim to indirectly modulate host inflammatory pathways by restoring microbial diversity and promoting anti-inflammatory signaling [5]. These interventions work by outcompeting pathogens, strengthening the intestinal epithelial barrier, and inducing the differentiation of regulatory T cells (Tregs) [6]. As a therapeutic strategy, targeting this axis offers a novel approach to treating systemic inflammation by addressing the microbial triggers of immune dysregulation.

Other names
Gut-immune axisMicrobiota-host immune crosstalkGut microbiome-inflammatory pathwayIntestinal microbiota-immune system axis
02

Mechanism of action

Indirect modulation of host immune signaling via microbial metabolites (e.g., SCFAs acting on GPR41/43), competitive inhibition of pathogens, restoration of epithelial barrier integrity, and activation of pattern recognition receptors (PRRs) to promote immune tolerance.

03

Biological functions

Immune responseMetabolic regulationSignal transductionHomeostasisInflammation regulationIntestinal barrier maintenance
04

Disease associations

Inflammatory bowel disease (IBD)Clostridioides difficile infection (CDI)Autoimmune diseaseMetabolic syndromeNeurodegenerative diseaseAllergyCancer
05

Safety considerations

Risk of bacteremia or sepsis in immunocompromised patientsTransfer of antibiotic resistance genesUnintended metabolic shiftsLack of standardization in FMT productsLong-term ecological impact on host microbiome
06

Interacting drugs

SER-109 (Vowst)

6 more in the full profile.

07

Biomarkers

Microbial alpha-diversity (Shannon index)Short-chain fatty acid (SCFA) levels (Butyrate, Acetate, Propionate)Fecal calprotectinC-reactive protein (CRP)Regulatory T cell (Treg) frequencyCytokine profiles (IL-10, TNF-alpha)

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