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Host intestinal and immune pathways and gut microbiota ecosystem

Molecular classification
Other
01

Overview

The host intestinal and immune pathways and gut microbiota ecosystem represents the integrated biological network comprising the gut microbiome, the intestinal epithelial barrier, and the mucosal immune system. This ecosystem is not a single molecular target but a complex axis that regulates systemic homeostasis, metabolic health, and immune tolerance (Belkaid & Hand, 2014, Science). The gut microbiota interacts with host cells through the production of metabolites like short-chain fatty acids and the presentation of pathogen-associated molecular patterns, which influence the differentiation of T-cells and the production of cytokines (Fan & Pedersen, 2021, Nature Reviews Microbiology). Disruptions in this balance, known as dysbiosis, are strongly linked to the development of inflammatory bowel disease, allergies, and metabolic syndromes (Glassner et al., 2020, Nature Reviews Gastroenterology & Hepatology). Pharmacological and therapeutic strategies targeting this system include the use of probiotics, prebiotics, and fecal microbiota transplants to restore microbial diversity, as well as biologics that target specific immune mediators within the axis. Because of its multi-faceted nature, this ecosystem presents a challenge for traditional drug discovery, requiring a systems-biology approach to identify specific nodes for intervention.

Other names
Gut-immune axisGut microbiota-host interactionIntestinal microbiome-immune system axisMucosal immune system-microbiota crosstalk
02

Mechanism of action

Modulation of the gut microbial composition and host immune signaling to restore intestinal homeostasis and barrier integrity.

03

Biological functions

Immune responseMetabolic regulationIntestinal barrier maintenanceHomeostasisSignal transduction
04

Disease associations

Inflammatory bowel diseaseMetabolic syndromeObesityAutoimmune diseaseAllergyColorectal cancer
05

Safety considerations

Risk of systemic infection in immunocompromised patientsPotential for inducing dysbiosisUnpredictable long-term effects of microbiome alterationTransfer of antibiotic resistance genes
06

Interacting drugs

Probiotics

7 more in the full profile.

07

Biomarkers

Fecal calprotectinMicrobial alpha diversityShort-chain fatty acids (SCFAs)C-reactive protein (CRP)Secretory IgA

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