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The intestinal microbiota–host immune system interaction is a complex, dynamic network essential for the health of the host. The gut microbiome trains and tunes both innate and adaptive immunity—regulating local and systemic inflammatory responses and ensuring the integrity of the intestinal barrier. This interplay affects susceptibility to infections, autoimmune disorders, allergies, and even neuroimmune and metabolic diseases. Disruption of the microbial community or immune functions leads to a wide range of pathologies, making this interaction a key area for therapeutic intervention through microbiome modulation, though not a classical drug target itself. Canonical therapeutic targets within this system include specific cytokines, cell surface receptors, and microbial metabolites, rather than the system as a whole.
Modulation of microbial composition to restore or maintain immune homeostasis Enhancement or suppression of immune responses by altering microbiota-derived metabolites, immune cell programming, or cytokine profiles Barrier protection or restoration via tight junction and mucosal integrity
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