Human microbiome restoration and safety

Int J Med Microbiol. 2018 Jul;308(5):487-497. doi: 10.1016/j.ijmm.2018.05.002. Epub 2018 May 9.

Abstract

The human gut microbiome consists of many bacteria which are in symbiotic relationship with human beings. The gut microbial metabolism, as well as the microbial-host co-metabolism, has been found to greatly influence health and disease. Factors such as diet, antibiotic use and lifestyle have been associated with alterations in the gut microbial community and may result in several pathological conditions. For this reason, several strategies including fecal microbiota transplant and probiotic administration have been applied and proven to be feasible and effective in restoring the gut microbiota in humans. Yet, safety concerns such as potential health risks that may arise from such interventions and how these strategies are regulated need to be addressed. Also, it will be important to know if these microbiome restoration strategies can have a profound impact on health. This review provides an overview of our current knowledge of the microbiome restoration strategies and safety issues on how these strategies are regulated.

Keywords: Antibiotic resistance; Dysbiosis; Fecal microbiota transplant; Metagenomics.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents
  • Bacteria / classification
  • Bacteria / isolation & purification
  • Diet
  • Dysbiosis / therapy*
  • Fecal Microbiota Transplantation / adverse effects*
  • Fecal Microbiota Transplantation / methods
  • Gastrointestinal Microbiome / physiology*
  • Humans
  • Probiotics / administration & dosage*

Substances

  • Anti-Bacterial Agents