Abstract:The human gut microbiome is considered an organ in its entirety and has been the subject of extensive research due to its role in physiology, metabolism, digestion, and immune regulation. Disequilibria of the normal microbiome have been associated with the development of several gastrointestinal diseases, but the exact underlying interactions are not well understood. Conventional in vivo and in vitro modelling systems fail to faithfully recapitulate the complexity of the human host-gut microbiome, emphasising … Show more
“…For drug‐secreting bacteria, it is necessary to understand the microenvironment conditions that dictate pharmacokinetic parameters. Recent work has shown that in vitro preclinical models can be used to recreate interactions within and between the microbiota, human host, and the microenvironment to study complex biological interactions . While these systems are in their infancy, both static and dynamic in vitro models can be used identify and evaluate microbe therapeutics, providing valuable information that can inform formulation approaches.…”
Section: Preclinical Approaches To Improve Microbe‐deliverymentioning
Next generation microbe‐based therapeutics, inspired by the success of fecal microbiota transplants, are being actively investigated in clinical trials to displace or eliminate pathogenic microbes to treat various diseases in the gastrointestinal tract, skin, and vagina. Genetically engineered microbes are also being investigated in the clinic as drug producing factories for biologic delivery, which can provide a constant local source of drugs. In either case, microbe‐therapeutics have the opportunity to address unmet clinical needs and open new areas of research by reducing clinical side effects associated with current treatment modalities or by facilitating the delivery of biologics. This review will discuss examples of past and current clinical trials that are investigating microbe‐therapeutics, both microbiome‐modulating and drug‐producing, for the treatment of a range of diseases. We then offer a perspective on how preclinical approaches, both those focused on developing advanced delivery systems and those that use in vitro microbiome model systems to inform formulation design, will lead to the realization of next‐generation microbe‐therapeutics.
“…For drug‐secreting bacteria, it is necessary to understand the microenvironment conditions that dictate pharmacokinetic parameters. Recent work has shown that in vitro preclinical models can be used to recreate interactions within and between the microbiota, human host, and the microenvironment to study complex biological interactions . While these systems are in their infancy, both static and dynamic in vitro models can be used identify and evaluate microbe therapeutics, providing valuable information that can inform formulation approaches.…”
Section: Preclinical Approaches To Improve Microbe‐deliverymentioning
Next generation microbe‐based therapeutics, inspired by the success of fecal microbiota transplants, are being actively investigated in clinical trials to displace or eliminate pathogenic microbes to treat various diseases in the gastrointestinal tract, skin, and vagina. Genetically engineered microbes are also being investigated in the clinic as drug producing factories for biologic delivery, which can provide a constant local source of drugs. In either case, microbe‐therapeutics have the opportunity to address unmet clinical needs and open new areas of research by reducing clinical side effects associated with current treatment modalities or by facilitating the delivery of biologics. This review will discuss examples of past and current clinical trials that are investigating microbe‐therapeutics, both microbiome‐modulating and drug‐producing, for the treatment of a range of diseases. We then offer a perspective on how preclinical approaches, both those focused on developing advanced delivery systems and those that use in vitro microbiome model systems to inform formulation design, will lead to the realization of next‐generation microbe‐therapeutics.
“…In addition to the establishment of several specific disease models, organoids can be used for high-throughput drug screens [75]. A variety of organoid-based high-throughput screen systems have been established, such as organoid-on-chip [76,77]. As there is a strong correlation between gene mutation status and the therapeutic response, known as mutation-based drug sensitivity [78], the adoption of the tumor organoids has been used in precise cancer therapy.…”
Section: Applications In Personalized Therapymentioning
Colorectal cancer (CRC) is one of the most common cancers that have high occurrence and death in both males and females. As various factors have been found to contribute to CRC development, personalized therapies are critical for efficient treatment. To achieve this purpose, the establishment of patient-derived tumor models is critical for diagnosis and drug test. The establishment of three-dimensional (3D) organoid cultures and two-dimensional (2D) monolayer cultures of patient-derived epithelial tissues is a breakthrough for expanding living materials for later use. This review provides an overview of the different types of 2D- and 3D-based intestinal stem cell cultures, their potential benefits, and the drawbacks in personalized medicine in treatment of the intestinal disorders.
“…Skrede & Westgaard 45 Guerineau et al 78 Barbara et al 84 De Kanter et al 99 Toran-Allerand 16 Navratil et al 79 Petrovic et al 83 De Graaf et al 100 O'Rourke et al 52 Alim et al 80 DeNardi et al 87 Li et al 101 Wray et al 50 Schwerdtfeger et al 96 Tobet et al 70…”
Section: Slicesmentioning
confidence: 99%
“…They are known to influence tissue physiology and have been suggested to decrease intestinal motility, 97 as well as regulate certain enteric neuronal subtypes 98. Slicing intestines became a useful approach for metabolic and toxicological studies in the 2000s 99. Precision cut intestinal slices 100 (PCIS) were first used to study gut drug metabolism capabilities101 and subsequently to characterise the intestinal response to toxins 102.…”
The methods used to study neuroendocrinology have been as diverse as the discoveries to come out of the field. Maintaining live neurones outside of a body in vitro was important from the beginning, building on methods that dated back to at least the first decade of the 20th Century. Neurosecretion defines an essential foundation of neuroendocrinology based on work that began in the 1920s and 1930s. Throughout the first half of the 20th Century, many paradigms arose for studying everything from single neurones to whole organs in vitro. Two of these survived as preeminent systems for use throughout the second half of the century: cell cultures and explant systems. Slice cultures and explants that emerged as organotypic technologies included such neuroendocrine organs such as the brain, pituitary, adrenals and intestine. The vast majority of these studies were carried out in static cultures for which media were changed over a time scale of days. Tissues were used for experimental techniques such as electrical recording of neuronal physiology in single cells and observation by live microscopy. When maintained in vitro, many of these systems only partially capture the in vivo physiology of the organ system of interest, often because of a lack of cellular diversity (eg, neuronal cultures lacking glia). Modern microfluidic methodologies show promise for organ systems, ranging from the reproductive to the gastrointestinal to the brain. Moving forward and striving to understand the mechanisms that drive neuroendocrine signalling centrally and peripherally, there will always be a need to consider the heterogeneous cellular compositions of organs in vivo.
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