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The host gut metabolic milieu refers to the complex and dynamic chemical environment within the gastrointestinal tract, comprising host-derived molecules, dietary components, and microbial metabolites (Nicholson et al., 2012). This milieu plays a critical role in maintaining systemic homeostasis by influencing immune responses, energy metabolism, and signaling pathways across various organs, including the liver and brain (Koh et al., 2016). Alterations in this environment, often characterized by dysbiosis or shifts in metabolite profiles like short-chain fatty acids and bile acids, are linked to numerous pathologies such as inflammatory bowel disease, metabolic syndrome, and even neurodegenerative disorders (Fan & Pedersen, 2021). While not a single molecular target, the gut metabolic milieu is increasingly viewed as a therapeutic landscape where interventions like probiotics, prebiotics, and postbiotics aim to restore a healthy balance. Understanding the interactions within this milieu is essential for developing precision medicine approaches that leverage the gut-microbiome-host axis.
Modulation of the microbial composition and metabolite profile to restore homeostatic signaling and reduce systemic inflammation (Nicholson et al., 2012; Fan & Pedersen, 2021).
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