BACKGROUND &
IMPORTANCE
BACKGROUND &
IMPORTANCE
Thehuman gut hosts trillions of microorganisms forming the gut
microbiota, which is increasingly considered like an “organ” with
systemic impacts.
• This microbial community influences digestion, metabolism,
immunity, neural and endocrine pathways.
• Imbalance (dysbiosis) in gut microbiota is linked to many diseases.
• Motivation: to summarise current understanding and mechanisms
of how gut microbiota contributes to health vs disease.
3.
DEFINITIONS & CONCEPTS
Gutmicrobiota: the community of microbes residing in
the gastrointestinal tract.
• Eubiosis: a balanced healthy microbiota composition.
• Dysbiosis: disruption of the normal microbiota (reduced
diversity, altered composition) leading to pathogenic
consequences.
• Connections: gut microbiota–host interactions via
metabolic, immune, neural networks.
4.
KEY GUT MICROBIOTA
FUNCTIONSIN HEALTH
Breakdown of dietary fibres → production of short-chain fatty acids (SCFAs) which
support colon health, epithelial integrity, immune regulation.
• Barrier function: microbes help maintain gut epithelial barrier, prevent pathogen
colonisation.
• Immune modulation: Microbiota influence maturation and functioning of host immune
system.
• Metabolic roles: Microbes help in nutrient production (vitamins, amino acids) and
metabolism of host-derived compounds.
5.
MECHANISMS
LINKING GUT
MICROBIOTA TO
DISEASE
•Dysbiosis leads to increased intestinal permeability (“leaky gut”) → microbial products
enter circulation → systemic inflammation.
• Altered production of microbial metabolites (eg: SCFAs decrease, TMAO increase)
which affect metabolic and cardiovascular health.
• Immune dysregulation: imbalance in immune-microbe signalling may promote chronic
inflammatory states and disease.
• Cross-talk to other organs (gut-brain axis, gut-liver axis, gut-heart axis) via endocrine /
neural pathways.
6.
GUT MICROBIOTA DYSBIOSIS
&ASSOCIATED DISEASES
• The review identifies a wide array of diseases associated with gut dysbiosis:
– Metabolic disorders: obesity, type 2 diabetes.
– Cardiovascular diseases & hypertension.
– Inflammatory bowel disease, other GI disorders.
– Neuropsychiatric diseases: anxiety, depression.
– Cancer (emerging evidence).
• Emphasis: many associations are established, but causal mechanisms remain less
clear.
7.
MICROBIAL METABOLITES AS
MEDIATORS
•Specific metabolites produced by gut microbiota play key roles:
– Short‐chain fatty acids (SCFAs: acetate, propionate, butyrate) beneficial in health.
– Trimethylamine N-oxide (TMAO) linked to adverse cardiovascular outcomes.
– Other metabolites: tryptophan and tyrosine derivatives, bile acids modifications.
• These metabolites serve as signalling molecules connecting gut microbes to host
physiology.
8.
THERAPEUTIC & MODULATION
STRATEGIES
•The review highlights opportunities to modulate gut microbiota for health:
– Dietary interventions (prebiotics, fibers, fermented foods) to promote beneficial
microbes. Frontiers
– Probiotics and synbiotics to restore eubiosis.
– Fecal microbiota transplantation (FMT) in selected situations. PMC
– Precision microbiome‐based therapies: personalisation by microbiota profiling.
Frontiers
• Challenges: safety, mechanistic understanding, individual variability.
9.
RESEARCH GAPS &
FUTUREDIRECTIONS
• More work needed to establish causal links (not just associations) between microbiota
changes and disease outcomes.
• Better understanding of “microbial dark matter” (uncharted microbial
species/functions).
• Integration of multi‐omics (metagenomics, metabolomics, transcriptomics) to map
mechanisms.
• Longitudinal human studies, standardisation of sampling/analysis methods.
• Translation into clinical practice – biomarker development, personalised interventions.
10.
SUMMARY
• Gut microbiotais integral to human health: digestion, immunity, metabolism, neural
signalling.
• Dysbiosis is linked to a wide spectrum of diseases via altered microbial composition
and metabolites.
• Microbial metabolites (SCFAs, TMAO, etc) are key mediators of host-microbe
interactions.
• Therapeutic modulation of gut microbiota presents promise, but challenges remain.
• Future research must focus on mechanism, causality, personalised interventions and
clinical translation.