Highlights Pharmacomicrobiomics -new frontier in pharmacology Holobiont -the physiological unit of host and microbes as a drug target Drugs and drug targets are re-defined in the context of the holobiont New holistic approach in drug research using holobiont animal models Exciting new prospects for microbiota-based personalised medicine
Glossary:Holobiont -Supra-organism of host and its microbes.Pharmacogenomics -Field of research which combines pharmacology and genomics to study how the genetic make-up of an individual modulates its response to therapeutic drugs [1].Pharmacometabolomics -Field of research which combines pharmacology and metabolomics to study how the metabolome shaped by environment and genetics influence the response of an individual to therapeutic drugs [2].Xenobiotics -An exogenously produced chemical compound found inside an organism. This broad term encompasses therapeutic drugs and dietary metabolites.
AbstractDespite the widely acknowledged fact that the microbiota regulates many aspects of human health, the dynamics and factors that govern these interactions remain mostly unknown. Pharmacomicrobiomics is a new research frontier in pharmacology that studies the interaction between drugs and the microbiota. This discipline, by including the microbiota as a key regulator of host health, calls for a redefinition of what constitutes a drug target and ultimately what is a drug or drug therapy. This is supported by recent evidence showing that host physiology can no longer be studied in separation from its microbial ecology and the environmental factors that shape it, as the combination of these elements forms the physiological unit of study -the holobiont. Here we discuss both the novel challenges and untapped opportunities that this new framework creates. On one hand, a more complete understanding of the physiology of the host imposes the development/adaptation of new animal models to address these interactions. In particular, we focus on the advantages and disadvantages of C. elegans as a host organism. On the other hand -a complete understanding of the effects of the microbiota and xenobiotics (e.g. drugs and dietary metabolites) on host health opens new prospects for personalized therapy. Pharmacology has come a long way since the inception of "magic bullet" drugs at the beginning of the 20th century. Intelligent drug design still holds the promise of devising new compounds that specifically affect a disease target yet are harmless to the functioning of the entire organism. The lack of success in achieving such gold standards, associated with high failure of new drugs in clinical trials has led to an increasing interest for drug repurposing [3,4]. Developments in molecular and cellular biology have revealed a number of new drug targets and factors that may affect efficacy and/or side-effects. As a consequence, new branches of pharmacology emerged, like pharmacogenomics and pharmacometabolomics, which aim at understanding how the genetics and the metabolism of an individual can modu...