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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2024.1371312</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Microbiota, natural products, and human health: exploring interactions for therapeutic insights</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Qadri</surname>
<given-names>Hafsa</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2215043"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Shah</surname>
<given-names>Abdul Haseeb</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/240012"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Almilaibary</surname>
<given-names>Abdullah</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Mir</surname>
<given-names>Manzoor Ahmad</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1458438"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Bioresources, School of Biological Sciences, University of Kashmir</institution>, <addr-line>Srinagar</addr-line>, <country>India</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Family and Community Medicine, Faculty of Medicine, Al Baha University</institution>, <addr-line>Al&#xa0;Bahah</addr-line>, <country>Saudi Arabia</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Ajaz Bhat, Sidra Medicine, Qatar</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Vijay Antharam, Methodist University, United States</p>
<p>Javaid Ahmad Sheikh, Jamia Hamdard University, India</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Manzoor Ahmad Mir, <email xlink:href="mailto:drmanzoor@kashmiruniversity.ac.in">drmanzoor@kashmiruniversity.ac.in</email>; Abdul Haseeb Shah, <email xlink:href="mailto:abdulhaseeb@kashmiruniversity.ac.in">abdulhaseeb@kashmiruniversity.ac.in</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>05</day>
<month>07</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1371312</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>01</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>06</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Qadri, Shah, Almilaibary and Mir</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Qadri, Shah, Almilaibary and Mir</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The symbiotic relationship between the human digestive system and its intricate microbiota is a captivating field of study that continues to unfold. Comprising predominantly anaerobic bacteria, this complex microbial ecosystem, teeming with trillions of organisms, plays a crucial role in various physiological processes. Beyond its primary function in breaking down indigestible dietary components, this microbial community significantly influences immune system modulation, central nervous system function, and disease prevention. Despite the strides made in microbiome research, the precise mechanisms underlying how bacterial effector functions impact mammalian and microbiome physiology remain elusive. Unlike the traditional DNA-RNA-protein paradigm, bacteria often communicate through small molecules, underscoring the imperative to identify compounds produced by human-associated bacteria. The gut microbiome emerges as a linchpin in the transformation of natural products, generating metabolites with distinct physiological functions. Unraveling these microbial transformations holds the key to understanding the pharmacological activities and metabolic mechanisms of natural products. Notably, the potential to leverage gut microorganisms for large-scale synthesis of bioactive compounds remains an underexplored frontier with promising implications. This review serves as a synthesis of current knowledge, shedding light on the dynamic interplay between natural products, bacteria, and human health. In doing so, it contributes to our evolving comprehension of microbiome dynamics, opening avenues for innovative applications in medicine and therapeutics. As we delve deeper into this intricate web of interactions, the prospect of harnessing the power of the gut microbiome for transformative medical interventions becomes increasingly tantalizing.</p>
</abstract>
<abstract abstract-type="graphical">
<title>Graphical Abstract</title>
<p>Depiction of the intricate interplay between gut microbiota and human health, emphasizing the influence of food and drugs on the gut microbiome, microbial transformation of gut compounds, and the exploration of consequential human microbial metabolites (Created with <uri xlink:href="https://Biorender.com">Biorender</uri>).</p>
<p>
<graphic xlink:href="fcimb-14-1371312-g006.tif" position="anchor"/>
</p>
</abstract>
<kwd-group>
<kwd>microbiota</kwd>
<kwd>gut microbiome</kwd>
<kwd>anaerobic bacteria</kwd>
<kwd>microbial transformation</kwd>
<kwd>natural products</kwd>
<kwd>human health</kwd>
</kwd-group>
<contract-sponsor id="cn001">Science and Engineering Research Board<named-content content-type="fundref-id">10.13039/501100001843</named-content>
</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="203"/>
<page-count count="19"/>
<word-count count="8288"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Intestinal Microbiome</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>The human microbiome encompasses the collective genetic material of microorganisms residing within us, including protozoa, archaea, eukaryotes, viruses, and primarily bacteria, which coexist symbiotically on and inside various regions of the human body. These inhabited sites include the mouth, reproductive organs, airways, skin, and digestive system (<xref ref-type="bibr" rid="B113">Lloyd-Price et&#xa0;al., 2016</xref>). Interestingly, the human digestive system harbors a thriving ecosystem of microbes collectively referred to as the microbiota, comprising an astonishing &#x223c;10<sup>13</sup>-10<sup>14</sup>entities. This intricate assembly, primarily composed of anaerobic bacteria, encompasses 500&#x2013;1,000 distinct species with a genetic repertoire estimated to surpass the human genome by a factor of 150 (<xref ref-type="bibr" rid="B88">Kho and Lal, 2018</xref>; <xref ref-type="bibr" rid="B118">Marsh et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B180">Walker and Hoyles, 2023</xref>). Functioning as a metabolic entity finely attuned to human physiology, the microbiota operates as an organ, orchestrating processes that necessitate no evolutionary adaptations on our part. Among its pivotal functions is the processing of dietary components that would otherwise be indigestible like plant polysaccharides (<xref ref-type="bibr" rid="B8">B&#xe4;ckhed et&#xa0;al., 2004</xref>). The human microbiome has emerged as a linchpin in complex physiological processes, influencing a spectrum ranging from immune system modulation to the central nervous system and brain development (<xref ref-type="bibr" rid="B87">Kau et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B163">Smith, 2015</xref>). Insights derived from mouse models underscore the indispensable part of a healthy bacterial environment in maintaining typical physiological processes, in contrast to imbalances, or dysbiosis, linked to an array of diseases including cancer, diabetes, obesity, and colitis (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>) (<xref ref-type="bibr" rid="B54">Garrett et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B152">Ridaura et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B164">Smith et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B21">Bongers et&#xa0;al., 2014</xref>). The burgeoning field of microbiome research is further underscored by a spike in clinical trials and venture capital investments, with over 1,200 clinical trials related to the &#x201c;gut microbiome&#x201d; registered in the National Institutes of Health clinical trials database (<xref ref-type="bibr" rid="B59">Gormley, 2016</xref>; <xref ref-type="bibr" rid="B116">Marchesi et&#xa0;al., 2016</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Illustration depicting the intricate interplay between microbiota and human physiology, impacting different health conditions. By portraying how alterations in the gut microbiota can impact diverse physiological processes, including metabolism, immune function, and neurobiology, it underscores the significance of this interplay in both health and disease. Understanding these interactions is crucial for developing targeted interventions to modulate the microbiota and promote optimal health outcomes across diverse populations. (Created with <uri xlink:href="https://Biorender.com">Biorender</uri>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1371312-g001.tif"/>
</fig>
<p>There is still a significant knowledge vacuum regarding the precise mechanisms by which bacterial functions, also known as effector functions, influence mammalian or microbiome physiology, despite growing evidence linking host-associated bacteria to both healthy development and disease in animal models as well as correlational findings in humans. The traditional framework of molecular biology, which follows the linear flow of genetic information from DNA to RNA to protein, may not fully capture the complexity of biological systems. In many cases, biological functions do not solely result in protein synthesis but also involve the generation and utilization of small molecules. This phenomenon is particularly evident in bacteria, where interactions with the environment heavily rely on low-molecular-weight compounds, including small molecules and natural products. While these small molecules are not directly encoded by DNA, they play crucial roles in mediating microbial functions and their interactions with the host organism. Therefore, to comprehensively understand the molecular mechanisms underlying the role of the human microbiome in both health and disease, it is essential to thoroughly identify and characterize the small compounds produced by human-associated bacteria (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<p>Gut microbes perform a pivotal function in decomposing and transforming natural products, generating a diverse array of metabolites and functional compounds having unique physiological functions that the host organism cannot synthesize on its own (<xref ref-type="bibr" rid="B94">Koppel et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B193">Xie et&#xa0;al., 2020</xref>). The process of microbial transformation in natural products encompasses various chemical reactions, including demethylation, hydrolysis, methylation, etc, which collectively regulate the form of the natural product substrates (<xref ref-type="bibr" rid="B129">Morgan et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B154">Rocchetti et&#xa0;al., 2022</xref>). Importantly, the impact of gut microbiota extends beyond mere structural modifications, significantly influencing the chemical landscape, pharmacological activities, and metabolic mechanisms of natural products. Surprisingly, the ability to harness gut microorganisms for the massive manufacture of active metabolites and compound synthesis remains largely unexplored. Delving into the study of these gut microorganisms, their metabolites, and the intricate reactions engaged in the dynamic interplay between gut microbiota and natural products holds immense importance. Unraveling these interactions is essential to both realizing the promise of natural products in several applications and comprehending the pharmacological processes at work (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>). This exploration opens avenues for further research into the utilization of gut microbes in the synthesis of bioactive compounds on a larger scale, shedding light on innovative approaches for the production and utilization of these compounds. Consequently, studying the multifaceted relationships between natural products and gut microbiota not only enhances our understanding of pharmacological mechanisms but also paves the way for harnessing the therapeutic potential of these interactions.</p>
<p>Our goal in this review study is to explore and synthesize the present state of information in this dynamic field, shedding light on the interactions between natural products, bacteria, and human health. Recent efforts have illuminated a fascinating facet of microbiome dynamics: the generation of natural products. This burgeoning area of research explores metabolites derived from the microbiome and seeks to unravel their part in human health (<xref ref-type="bibr" rid="B186">Wilson and Nicholson, 2017</xref>). In this review, we delve into these recent efforts, describing key approaches used to identify and characterize microbiome-derived natural products. This comprehensive exploration contributes to the evolving understanding of the intricate relationships between the microbiome, natural products, and human health, ultimately paving the way for innovative applications in medicine and therapeutics.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Microbiome</title>
<p>Microbial organisms commonly exist in communal arrangements and often form close associations with intricate beings like humans, forming mutualistic, parasitic, pathogenic, and other associations. The ensemble of these microorganisms is referred to as the microbiome or microbiota. While the term &#x201c;microflora&#x201d; has been used, it is considered a misnomer as &#x201c;flora&#x201d; traditionally represents the plant kingdom (<xref ref-type="bibr" rid="B108">Liang et&#xa0;al., 2018</xref>). Initially, the term &#x201c;microbiome&#x201d; denoted the group of microbes and the contents of their genomes, while &#x201c;microbiota&#x201d; described the microbial community within their hosts. However, the interchangeability of &#x201c;microbiome&#x201d; and &#x201c;microbiota&#x201d; has become prevalent (<xref ref-type="bibr" rid="B177">Ursell et&#xa0;al., 2012</xref>). The human body has a microbiome in every part of it, from the skin to the gut and even in places like the bloodstream that were thought to be sterile in the past (<xref ref-type="bibr" rid="B143">Proal et&#xa0;al., 2014</xref>). Numerous reports suggest the presence of over 10,000 microbial species occupying various human body parts (<xref ref-type="bibr" rid="B17">Blaser, 2006</xref>; <xref ref-type="bibr" rid="B105">Ley et&#xa0;al., 2006</xref>). Although skin and vaginal sites exhibit comparatively minimal diversity of microbes, greater diversity is observed in sites such as the gut (<xref ref-type="bibr" rid="B82">Jiang et&#xa0;al., 2009</xref>). There can be a significant relationship between human diseases and the microbiome and vice versa. For instance, long-term lung conditions may change the lung microbiome&#x2019;s makeup, which may then impact host immunity and defense and worsen the conditions (<xref ref-type="bibr" rid="B137">O&#x2019;Dwyer et&#xa0;al., 2016</xref>). Furthermore, research has revealed that the microbiome present in the blood or lungs is affected by the presence of infection (<xref ref-type="bibr" rid="B82">Jiang et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B84">Jostins et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B97">Kwan et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B102">Leung and Wu, 2015</xref>).</p>
<sec id="s2_1">
<label>2.1</label>
<title>Gut microbiome</title>
<p>The gut microbiome, comprising the genetic material of microorganisms like fungi, protozoa, bacteria, etc, resides in the digestive tracts of humans and other animals (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>), including insects (<xref ref-type="bibr" rid="B108">Liang et&#xa0;al., 2018</xref>). Having evolved alongside its host for millennia, the human gut microbiome plays a crucial role in various essential activities, including nutrient absorption and digestion (<xref ref-type="bibr" rid="B174">Turnbaugh and Gordon, 2009</xref>; <xref ref-type="bibr" rid="B69">Hehemann et&#xa0;al., 2010</xref>), detox and body defense (<xref ref-type="bibr" rid="B149">Relman, 2012</xref>), host immune system development (<xref ref-type="bibr" rid="B174">Turnbaugh and Gordon, 2009</xref>), etc. The mammalian gut hosts a diverse array of microbes, with the majority belonging to the Firmicutes and Bacteroidetes (<xref ref-type="bibr" rid="B104">Ley et&#xa0;al., 2008</xref>). This pattern holds correct across different populations, such as Koreans (<xref ref-type="bibr" rid="B135">Nam et&#xa0;al., 2011</xref>), Africans (<xref ref-type="bibr" rid="B42">De Filippo et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B160">Schnorr et&#xa0;al., 2014</xref>), Europeans and Americans (<xref ref-type="bibr" rid="B144">Qin et&#xa0;al., 2010</xref>), and Danes though not in the case of Chinese (<xref ref-type="bibr" rid="B191">Wu G. et&#xa0;al., 2014</xref>). The diversity of microorganisms can carry distinct consequences for diseases in various populations. For instance, individuals with type 2 diabetes from European and Chinese backgrounds exhibit varying compositions of gut microbiomes, with the Chinese population showing greater species diversity (<xref ref-type="bibr" rid="B145">Qin et&#xa0;al., 2012</xref>). Nonetheless, understanding the significant differences among these populations, considering factors like age, environment, and genetics, requires further investigation (<xref ref-type="bibr" rid="B167">Tai et&#xa0;al., 2015</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Primary categories of gut microbiota in both humans and animal models (<xref ref-type="bibr" rid="B74">Hillman et&#xa0;al., 2017</xref>).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">S. No</th>
<th valign="top" align="left">Category</th>
<th valign="top" align="left">Human</th>
<th valign="top" align="left">Mouse</th>
<th valign="top" align="left">Rat</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>1.</bold>
</td>
<td valign="top" align="left">
<bold>Bacteria</bold>
</td>
<td valign="top" align="left">
<italic>Proteobacteria</italic>
</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Actinobacteria</italic>
</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Bacteroidetes</italic>
</td>
<td valign="top" align="left">
<italic>Bacteroidetes</italic>
</td>
<td valign="top" align="left">
<italic>Bacteroidetes</italic>
</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Firmicutes</italic>
</td>
<td valign="top" align="left">
<italic>Firmicutes</italic>
</td>
<td valign="top" align="left">
<italic>Firmicutes</italic>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>2.</bold>
</td>
<td valign="top" align="left">
<bold>Eukarya</bold>
</td>
<td valign="top" align="left">
<italic>Cladosporium</italic>
</td>
<td valign="top" align="left">
<italic>Zygomycota</italic>
</td>
<td valign="top" align="left">
<italic>Zygomycota</italic>
</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Saccharomyces</italic>
</td>
<td valign="top" align="left">
<italic>Chytridiomycota</italic>
</td>
<td valign="top" align="left">
<italic>Chytridiomycota</italic>
</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Candida</italic>
</td>
<td valign="top" align="left">
<italic>Ascomycota</italic>
</td>
<td valign="top" align="left">
<italic>Ascomycota</italic>
</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Malassezia</italic>
</td>
<td valign="top" align="left">
<italic>Basidiomycota</italic>
</td>
<td valign="top" align="left">
<italic>Basidiomycota</italic>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>3.</bold>
</td>
<td valign="top" align="left">
<bold>Archaea</bold>
</td>
<td valign="top" align="left">
<italic>Nitrososphaera</italic>
</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Methanobrevibacter</italic>
</td>
<td valign="top" align="left">
<italic>Methanobrevibacter</italic>
</td>
<td valign="top" align="left">
<italic>Methanobrevibacter</italic>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>4.</bold>
</td>
<td valign="top" align="left">
<bold>Viruses</bold>
</td>
<td valign="top" align="left">
<italic>Adenoviridae</italic>
</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Polyomaviridae</italic>
</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Papillomaviridae</italic>
</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="left">
<italic>Herpesviridae</italic>
</td>
<td valign="top" align="left">Variable</td>
<td valign="top" align="left">Variable</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The gut microbiome harbors millions of diverse microorganisms, each contributing to its metabolic diversity and adaptability, with some genes potentially acquired from environmental bacteria (<xref ref-type="bibr" rid="B69">Hehemann et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B144">Qin et&#xa0;al., 2010</xref>). Notably, three primary enterotypes [Enterotypes are defined as clusters or patterns of microbial community composition in the gut microbiome that are driven by various factors such as diet, geography, host genetics, and lifestyle. Rather than discrete and stable classifications, enterotypes are now viewed as dynamic and context-dependent configurations of the gut microbiota. These configurations may shift over time in response to environmental changes, host health status, and other factors, reflecting the complexity and flexibility of the gut microbial ecosystem (<xref ref-type="bibr" rid="B39">Costea et&#xa0;al., 2018</xref>)]&#x2014;Bacteroides, Prevotella, and Ruminococcus&#x2014;have been identified in the human gut across diverse populations (<xref ref-type="bibr" rid="B7">Arumugam et&#xa0;al., 2011</xref>). These enterotypes, observed in Europeans, Japanese, and Americans, demonstrate a consistent presence in mice and chimpanzees (<xref ref-type="bibr" rid="B128">Moeller et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B73">Hildebrand et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B182">Wang et&#xa0;al., 2014</xref>). While the composition is mainly shaped by the host&#x2019;s evolution, recent findings suggest that diet has a more significant impact on the metabolome than the microbiome. Discrepancies, especially regarding the prevalence of ecotypes like Ruminococcus, warrant further investigation considering factors such as sample size and variations in sampling methods (<xref ref-type="bibr" rid="B7">Arumugam et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B190">Wu et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B79">Huse et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B202">Zupancic et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B60">Gorvitovskaia et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B109">Liang et&#xa0;al., 2017</xref>). The gut microbiota comprises autochthonous microbes (Autochthonous refers to indigenous or native microbial species that are typically well-adapted to a specific environment, such as the gut) residing on the colonic mucosa epithelium and allochthonous microbes (Allochthonous refers to microbial species that are not native to a particular environment but are introduced from external sources) transiently passing through the lumen with digesta (<xref ref-type="bibr" rid="B159">Schnabl and Brenner, 2014</xref>). Distinguishing between these &#x201c;residents&#x201d; and &#x201c;passengers&#x201d; becomes crucial, as their roles are believed to differ significantly. The ratio of autochthonous to non-autochthonous microbes serves as a valuable indicator for assessing the progression of cirrhosis (<xref ref-type="bibr" rid="B9">Bajaj et&#xa0;al., 2014</xref>).</p>
<p>Diet and phylogeny are major contributors to the modification of the gut microbial community in various species, including mammals (<xref ref-type="bibr" rid="B104">Ley et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B127">Miyake et&#xa0;al., 2015</xref>). Genome-scale metabolic modeling reveals that changes in the host diet significantly alter the makeup of key human gut bacteria (eg. <italic>B. thetaiotaomicron</italic>) (<xref ref-type="bibr" rid="B161">Shoaie et&#xa0;al., 2013</xref>). Examples such as the impact of alcohol on intestinal microbiota emphasize the bidirectional relationship between diet and microbial composition, influencing host metabolism and related diseases (<xref ref-type="bibr" rid="B134">Mutlu et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B33">Chen et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B194">Yan et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B133">Mutlu et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B146">Queipo-Ortu&#xf1;o et&#xa0;al., 2012</xref>). Host genetics also play a crucial role in determining microbiome composition (<xref ref-type="bibr" rid="B54">Garrett et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B119">Maslowski et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B15">Benson et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B25">Brinkman et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B101">Lepage et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B65">Hashimoto et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B121">McKnite et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B58">Goodrich et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B93">Knights et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B14">Benson, 2015</xref>; <xref ref-type="bibr" rid="B95">Kubinak et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B19">Bonder et&#xa0;al., 2016a</xref>; <xref ref-type="bibr" rid="B165">Snijders et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B80">Igartua et&#xa0;al., 2017</xref>). The identification of shared susceptibility loci between inflammatory bowel disease and specific infectious organisms underscores the significance of exploring the interconnections among susceptibility, microbiome composition, and the development of the disease. This emphasizes the need to develop effective protocols for disease prevention by understanding these relationships (<xref ref-type="bibr" rid="B85">Kane et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B70">Henao-Mejia et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B84">Jostins et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B93">Knights et&#xa0;al., 2014</xref>). In the gut, Gram-negative bacteria produce lipopolysaccharide (LPS), a microbial product transported with chylomicrons (<xref ref-type="bibr" rid="B10">Balagopal et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B82">Jiang et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B75">Hofer et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B117">Marchetti et&#xa0;al., 2013</xref>). LPS acts as a potent stimulator of innate immunity, with its levels serving as important indicators for survival in peritoneal dialysis patients (<xref ref-type="bibr" rid="B97">Kwan et&#xa0;al., 2013</xref>). Similarly, trimethylamine (TMA) and its oxidation product, trimethylamine N-oxide (TMAO), impact patient morbidity, highlighting the far-reaching consequences of localized microbiome activity (<xref ref-type="bibr" rid="B171">Tang et&#xa0;al., 2017</xref>). These observations underscore the potential of using plasma levels of LPS and bacterial DNA as markers for both systemic inflammation and prognosis (<xref ref-type="bibr" rid="B4">Alexander and Rietschel, 2001</xref>).</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Gut microbiota and human health</title>
<p>The GI tract of humans houses a vast community of microbes of approximately 100 trillion microorganisms, significantly impacting human health and disease (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). This intricate association between gut microbiota and fundamental biological mechanisms has been extensively studied, revealing its involvement in immune systems, metabolic processes, and nutrient absorption (<xref ref-type="bibr" rid="B105">Ley et&#xa0;al., 2006</xref>). The gut microbiota, comprising bacteria, yeasts, and viruses, plays a crucial role in energy and nutrient extraction through diverse metabolic genes, providing unique enzymes and biochemical pathways. Additionally, it contributes to the manufacture of essential substances like lipids, vitamins, and amino acids (<xref ref-type="bibr" rid="B156">Rowland et&#xa0;al., 2018</xref>). In terms of immunity, the human microbiota acts as a defense mechanism by producing antimicrobial substances and influencing intestinal mucosal growth as well as the immune system&#x2019;s development. When the gut microbiota is in a healthy state, it interacts symbiotically with the host and is stable and resilient. Defining a &#x201c;healthy&#x201d; gut microbiota involves considering factors such as high taxonomic diversity, microbial gene richness, and a stable core microbiota (<xref ref-type="bibr" rid="B48">Fan and Pedersen, 2021</xref>). Nevertheless, individual variations and dynamic changes influenced by aging, and contextual elements, including the use of medications, are noted.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Visual representation delineates the intricate interplay between gut microbiota, nutrition, and the delicate balance between health and disease states. It illustrates how dietary factors can either promote a healthy gut microbiota composition, which contributes to overall well-being, or lead to dysbiosis, predisposing individuals to various diseases. Through highlighting this dynamic relationship, the figure underscores the potential of targeted dietary interventions to restore microbial balance and mitigate disease risk, thereby emphasizing the crucial role of nutrition in maintaining gut health and preventing the onset of illness. (Created with <uri xlink:href="https://Biorender.com">Biorender</uri>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1371312-g002.tif"/>
</fig>
<p>Spatial distribution within the GI tract also contributes to microbial variation, with distinct microbial communities present in the small intestine and colon due to differences in transit time, bile concentration, flow rates, and pH (<xref ref-type="bibr" rid="B51">Flint et&#xa0;al., 2012</xref>). Age-related variations indicate an increase in microbiota diversity from childhood to adulthood, followed by a decrease in older age, where shifts in microbial composition, including decreased Bifidobacterium and increased Clostridium and Proteobacteria, are observed (<xref ref-type="bibr" rid="B153">Rinninella et&#xa0;al., 2019</xref>). The impact of microbiota on human well-being extends beyond compositional studies. Recent advancements in high-throughput sequencing, microbiota interaction modeling, and simulation techniques have shifted focus toward understanding the causality of microbiota functions. This has significant implications for the advancement of microbiome-based diagnostics and customized medicine (<xref ref-type="bibr" rid="B105">Ley et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B22">Bouskra et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B6">Amabebe et&#xa0;al., 2020</xref>).</p>
<p>Therefore, the intricate interplay between gut microbiota and human health involves dynamic mechanisms influenced by age, spatial distribution within the GI tract, and environmental factors. As research progresses, a deeper understanding of microbiota&#x2019;s functions is essential to strengthen the advancement of personalized medicine and microbiome-based diagnostics.</p>
<sec id="s3_1">
<label>3.1</label>
<title>The impact of food and drugs on the composition of the gut microbiota</title>
<p>The quantity of gut bacteria is greatly influenced by particular foods and dietary habits, which in turn affects health. High-intensity sweeteners, widely utilized as sugar substitutes, raise concerns based on animal studies. Despite regulatory agencies deeming them &#x201c;generally recognized as safe,&#x201d; sucralose, aspartame, and saccharin disrupt gut microbiota balance and diversity. Rats exposed to sucralose for twelve weeks displayed elevated amounts of total aerobic bacteria, Bacteroides, and Clostridium, along with a significantly higher fecal pH (<xref ref-type="bibr" rid="B2">Abou-Donia et&#xa0;al., 2008</xref>). Mice exposed to sucralose for six months exhibited increased expression of pro-inflammatory genes and altered fecal metabolites (<xref ref-type="bibr" rid="B16">Bian et&#xa0;al., 2017</xref>). Common food additives that impact gut flora include emulsifiers, which are included in processed meals. Mice given carboxymethylcellulose and polysorbate-80 displayed decreased microbial diversity, decreased Bacteroidales and Verrucomicrobia, and enrichment of inflammation-promoting Proteobacteria (<xref ref-type="bibr" rid="B31">Chassaing et&#xa0;al., 2015</xref>). Concerns extend to certain restrictive diets. Studies on vegan diets revealed variations in the gut microbe-produced serum metabolites, but only slight alterations in the bacterial communities (<xref ref-type="bibr" rid="B191">Wu G. et&#xa0;al., 2014</xref>). Gluten-free diets, recommended for gluten sensitivity or celiac disease, altered gut microbiota profiles in healthy individuals, potentially affecting useful microbial species (<xref ref-type="bibr" rid="B20">Bonder et&#xa0;al., 2016b</xref>). The low FODMAP diet, beneficial for irritable bowel syndrome, led to significant microbiota and metabolome changes (<xref ref-type="bibr" rid="B120">McIntosh et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B56">Gibson, 2017</xref>; <xref ref-type="bibr" rid="B63">Halmos, 2017</xref>; <xref ref-type="bibr" rid="B13">Bennet et&#xa0;al., 2018</xref>). Medications also modulate the composition of gut flora. An important research identified drugs such as progesterone, rupatadine, TNF-&#x3b1; inhibitors, and osmotic laxatives, as major modulators (<xref ref-type="bibr" rid="B47">Falony et&#xa0;al., 2016</xref>). Proton pump inhibitors and antibiotics, extensively used in humans and livestock, influence gut microbes, potentially contributing to obesity (<xref ref-type="bibr" rid="B81">Jackson et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B18">Blaser, 2016</xref>).</p>
<p>While clinical evidence is insufficient for clear recommendations, future studies on food additives, drugs, and dietary modifications should consider their effects on the gut microbiota. In medical contexts like cancer treatment and autoimmune disorders (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>), where microbiota changes impact responses, understanding these dynamics becomes crucial (<xref ref-type="bibr" rid="B5">Alexander et&#xa0;al., 2017</xref>). Animal studies also highlight the role of specific gut microbes in transforming compounds for protective effects, emphasizing the interconnectedness of diet, gut health, and overall well-being (<xref ref-type="bibr" rid="B166">Spanogiannopoulos et&#xa0;al., 2016</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Representation showcasing the symbiotic relationship between the gut microbiota and autoimmune diseases, while emphasizing the crucial role of Immunoglobulin A (IgA) in preserving colonic homeostasis. The dynamic interplay between host immune responses and the gut microbiome, coupled with IgA-mediated regulation, underscores the intricate mechanisms influencing autoimmune processes and maintaining gastrointestinal equilibrium. (Created with <uri xlink:href="https://Biorender.com">Biorender</uri>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1371312-g003.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<label>4</label>
<title>Crucial gut microorganisms involved in the transformation of natural compounds</title>
<p>Oral administration is the preferred mode of drug delivery, as evidenced by the 84% oral composition of the top 50 best-selling pharmaceuticals in the US and Europe (<xref ref-type="bibr" rid="B179">Vinarov et&#xa0;al., 2021</xref>). The impact of gut microbiota on the durability of orally administered natural products has garnered significant interest in recent years. The intestinal tract harbors a plethora of bacteria crucial for normal digestive function, with approximately 98% of gut microorganisms in healthy individuals falling into 4 phyla: <italic>Proteobacteria</italic>, <italic>Actinobacteria</italic>, <italic>Firmicutes</italic>, and <italic>Bacteroidetes</italic> (<xref ref-type="bibr" rid="B115">Manor et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B195">Ye et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B44">de Vos et&#xa0;al., 2022</xref>). Specific gut microorganisms, like <italic>Escherichia coli</italic>, <italic>Streptococcus</italic>, etc. actively take part in the biotransformation of natural products. The resulting metabolites contribute to enhanced intestinal absorption, playing a significant pharmacological role (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
<sec id="s4_1">
<label>4.1</label>
<title>
<italic>Streptococcus</italic>
</title>
<p>The <italic>Streptococcus</italic> species, characterized by gram-positive, circular, or ovoid cells organized in chains or pairs, is commonly found in the nasopharynx and human stool (<xref ref-type="bibr" rid="B99">Lannes-Costa et&#xa0;al., 2021</xref>). Meta-transcriptomic study reveals that <italic>Streptococcus</italic> predominantly expresses the phosphotransferase system, suggesting their primary role in utilizing the carbohydrates that are present in the small intestine (<xref ref-type="bibr" rid="B201">Zoetendal et&#xa0;al., 2012</xref>). <italic>Streptococcus LJ-22</italic> expresses &#x3b2;-glucuronidase activity, converting GL to 18&#x3b2;-glycyrrhetinic acid-3-O-&#x3b2;-D-glucuronic acid (GAMG), known for its anti-allergic properties. This compound has demonstrated anti-allergic potential against LPS-induced <italic>RAW264.7</italic> cells (<xref ref-type="bibr" rid="B62">Guo et&#xa0;al., 2018</xref>). Furthermore, tannic acid degradation by <italic>Streptococcus gallolyticus subsp. Gallolyticus</italic> may contribute to colorectal cancer development by neutralizing its toxicity in the case of tumor cells (<xref ref-type="bibr" rid="B138">Oehmcke-Hecht et&#xa0;al., 2020</xref>). <italic>Streptococcus thermophilus GIM 1.321</italic> demonstrates high &#x3b2;-glucosidase production, facilitating the breakdown of fructus anthocyanins into beneficial compounds like ferulic acid, CAA (caffeic acid), and CHA (chlorogenic acid) (<xref ref-type="bibr" rid="B34">Cheng et&#xa0;al., 2016</xref>). Administering CAA and CHA from these processes has shown the potential to lower blood pressure and provide antioxidant effects (<xref ref-type="bibr" rid="B3">Agunloye et&#xa0;al., 2019</xref>). <italic>Streptococcus</italic> strains, acting as commensals, pathogens, or opportunistic pathogens in the gut, require further exploration regarding their impact on the well-being of humans. Comprehending the way <italic>Streptococcus</italic> metabolizes natural compounds may help regulate the gut microbiota and improve the effectiveness of treatments. In-depth <italic>in vivo</italic> research is crucial to find out if focusing on bacteria that break down tannic acid could help develop more potent treatments for colorectal cancer. Overall, unraveling the intricacies of <italic>Streptococcus</italic> metabolism holds promise for advancing our comprehension of the gut microbiota and optimizing treatment interventions (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>
<italic>Blautia</italic>
</title>
<p>Blautia species, prevalent in the anaerobic environments of mammalian guts and feces, exhibit notable probiotic properties in the biotransformation of natural products. Tremaroli and B&#xe4;ckhed (2012) (<xref ref-type="bibr" rid="B173">Tremaroli and B&#xe4;ckhed, 2012</xref>) highlight <italic>Blautia&#x2019;s</italic> involvement in flavonoid processing, encompassing demethylation, O- and C-deglycosylation, and C-ring cleavage catalyzed by enzymes like O-glycosidase and &#x3b2;-glucosidases (<xref ref-type="bibr" rid="B24">Braune et&#xa0;al., 2016</xref>). Notably, <italic>Blautia</italic> sp. <italic>MRG-PMF1</italic> demonstrates hydrolytic prowess, conver ting compounds like 5,7-dimethoxyflavone into chrysin and 5,7,4-trimethoxyflavone into apigenin. This strain also exhibits deglycosylation activity on various isoflavones, flavones, and flavonols, transforming them into their corresponding aglycones (<xref ref-type="bibr" rid="B91">Kim et&#xa0;al., 2014</xref>). In anaerobic environments, <italic>Blautia</italic> sp. <italic>MRG-PMF1</italic> catalyzes curcumin to generate demethoxycurcumin, which has anti-inflammatory and anti-cancer characteristics and further metabolizes icariin into desmethylicaritin, which has estrogenic properties (<xref ref-type="bibr" rid="B192">Wu H. et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B28">Burapan et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B67">Hatamipour et&#xa0;al., 2019</xref>). Another strain, <italic>Blautia</italic> sp. <italic>AUH-JLD56</italic>, exclusively biotransforms arctiin or arctigenin into demethylated products with enhanced antioxidant potential (<xref ref-type="bibr" rid="B111">Liu et&#xa0;al., 2013</xref>). The creation of novel enzymes and bioactive metabolites is greatly encouraged by the increasing scholarly interest in <italic>Blautia&#x2019;s</italic> involvement in the biotransformation and metabolism of herbal plants and functional foods (<xref ref-type="bibr" rid="B124">Meng et&#xa0;al., 2020</xref>).</p>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>
<italic>E. coli</italic>
</title>
<p>
<italic>Escherichia coli</italic>, a facultative anaerobic, non-sporous, gram-negative bacterium, predominantly resides in vertebrate intestines, playing a crucial role in glycosidase production for the transformation of exogenous substances (<xref ref-type="bibr" rid="B52">Foster-Nyarko and Pallen, 2022</xref>). Notably, <italic>E. coli</italic> strain <italic>HGU-3</italic> synthesizes &#x3b2;-glucuronidase, facilitating the conversion of baicalin to baicalein, which exhibits superior anti-oxidant and anti-inflammatory potential (<xref ref-type="bibr" rid="B64">Han et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B106">Li D. et&#xa0;al., 2019</xref>). Additionally, certain <italic>E. coli</italic> strains, like <italic>DH10B</italic>, demonstrate high curcumin-converting activity through the expression of NADPH-dependent curcumin/dihydrocurcumin reductase (CurA) (<xref ref-type="bibr" rid="B66">Hassaninasab et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B168">Tan et&#xa0;al., 2014</xref>). The resulting dihydrocurcumin (DHC) and tetrahydrocurcumin (THC) show promising therapeutic benefits in hepatic steatosis, surpassing the effects of curcumin (<xref ref-type="bibr" rid="B32">Chen et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B196">Yu et&#xa0;al., 2018</xref>).</p>
<p>Moreover, E. coli strains <italic>Nu</italic>, <italic>MC</italic>, and <italic>WC-1</italic> exhibit cinnamyl esterase properties, releasing hydroxycinnamic acids with <italic>in-vitro</italic> and <italic>in-vivo</italic> anticancer and antioxidant potential (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>). Understanding the genetic and biochemical aspects of <italic>E. coli</italic> opens avenues for synthesizing natural product derivatives with diverse health benefits. This knowledge is pivotal for exploring the potential of <italic>E. coli</italic> in producing compounds such as DHC (dihydrocaffeic acid) and THC (tetrahydrocurcumin), which effectively regulate triglyceride levels and demonstrate novel therapeutic advantages in hepatic steatosis. Overall, comprehending the capabilities of <italic>E. coli</italic> contributes to the development of natural product derivatives with diverse health benefits (<xref ref-type="bibr" rid="B32">Chen et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B196">Yu et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B155">Rodr&#xed;guez-Daza et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B29">Candeliere et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s4_4">
<label>4.4</label>
<title>
<italic>Eubacterium</italic>
</title>
<p>The genus <italic>Eubacterium</italic>, a gram-positive constituent of the human gut microbiota, plays a vital part in metabolizing various substances (<xref ref-type="bibr" rid="B131">Mukherjee et&#xa0;al., 2020</xref>). Notably, <italic>E. ramulus</italic>, a well-studied flavonoid-degrading bacterium in the human intestine, produces enzymes like chalcone isomerase and flavanone-/flavanonol-cleaving reductase (<xref ref-type="bibr" rid="B53">Gall et&#xa0;al., 2014</xref>). These enzymes break down flavonoids into dihydrochalcone and its derivatives, known for their anti-inflammatory and antioxidant effects. <italic>E. ramulus</italic> strain wK1 further degrades flavonol quercetin and flavone luteolin, converting them into specific acids through reduction and ring fission (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
<p>Another strain, <italic>E. cellulosolvens ATCC 43171T</italic>, is implicated in deglycosylating flavonoid O- and C-glucosides, exclusively catalyzing the deglycosylation of C-glucosides (<xref ref-type="bibr" rid="B23">Braune and Blaut, 2012</xref>; <xref ref-type="bibr" rid="B24">Braune et&#xa0;al., 2016</xref>). Additionally, <italic>Eubacterium L-8</italic> exhibits the ability to hydrolyze terpenoid glycyrrhizin into 18&#x3b2;-glycyrrhetinic acid (18&#x3b2;-GA), which, in turn, demonstrates anti-inflammatory effects in preventing airway allergic inflammation (<xref ref-type="bibr" rid="B112">Liu et&#xa0;al., 2022</xref>). While these metabolic transformations highlight the potential health benefits of <italic>Eubacterium</italic> spp., it is emphasized that further <italic>in vivo</italic> studies are imperative to fully comprehend and harness the diverse advantages offered by this genus. This research could unlock opportunities to maximize the positive impact of <italic>Eubacterium</italic> strains on human health (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s4_5">
<label>4.5</label>
<title>
<italic>Lactobacillus</italic>
</title>
<p>The genus <italic>Lactobacillus</italic>, classified within the phylum <italic>Firmicutes</italic>, plays a crucial role in maintaining microbial balance and safeguarding gastrointestinal mucosal integrity (<xref ref-type="bibr" rid="B43">Dempsey and Corr, 2022</xref>). Certain <italic>Lactobacillus</italic> species are equipped with an array of metabolic enzymes, including &#x3b1;-rhamnosidases, tannase, and gallate decarboxylases, enabling them to transform exogenous substances (<xref ref-type="bibr" rid="B151">Rever&#xf3;n et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B107">Li B-C. et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B50">Ferreira-Lazarte et&#xa0;al., 2021</xref>).</p>
<p>
<italic>L. rhamnosus</italic> NCTC 10302, possessing both &#x3b2;-glucosidase and &#x3b1;-rhamnosidase activities, demonstrates the ability to convert hesperetin-7-O-rutinoside and naringenin-7-O-rutinoside into their respective aglycones and 3-(phenyl) propionic acid through hydrolysis, ring fission, and dehydroxylation (<xref ref-type="bibr" rid="B141">Pereira-Caro et&#xa0;al., 2018</xref>). In a similar vein, <italic>L. plantarum</italic> expresses tannase, facilitating the hydrolysis of gallate and protocatechuate esters, ultimately producing gallic acid (<xref ref-type="bibr" rid="B83">Jim&#xe9;nez et&#xa0;al., 2014</xref>). Gallic acid, present in concentrations of 11.5&#x2013;46&#x2009;&#x3bc;g/ml, exhibits a protective part against LPS-induced inflammation and oxidative stress by suppressing the MAPK/NF-&#x3ba;B pathway and activating the Akt/AMPK/Nrf2 pathway (<xref ref-type="bibr" rid="B170">Tanaka et&#xa0;al., 2018</xref>).</p>
<p>Fang et&#xa0;al. witnessed the production of gallic acid and pyrogallol through the breakdown of gallotannins by gallotannin-metabolizing enzymes in <italic>L. plantarum</italic> WCFS1, suggesting potential prebiotic-probiotic assocaitions in preventing diet-induced metabolic diseases (<xref ref-type="bibr" rid="B150">Rever&#xf3;n et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B49">Fang et&#xa0;al., 2019</xref>). Additionally, <italic>Lactobacillus</italic> sp. <italic>Niu-O16</italic> reduces daidzein to dihydrodaidzein with daidzein reductase activity, and dihydrodaidzein, at concentrations of 2.5&#x2013;5&#x2009;&#x3bc;M, supresses NF-&#x3ba;B activation and MAPK phosphorylation, therefore enhancing osteoporosis (<xref ref-type="bibr" rid="B181">Wang et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B71">Heng et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B92">Kim et&#xa0;al., 2019</xref>).</p>
<p>
<italic>L. casei</italic>, <italic>L. plantarum</italic>, and <italic>L. acidophilus</italic> significantly impact the deglycosylation of piceid to resveratrol, enhancing bioavailability and bioactivity (<xref ref-type="bibr" rid="B12">Basholli-Salihu et&#xa0;al., 2016</xref>). Furthermore, feruloyl esterases from <italic>L. reuteri</italic>, <italic>L. helveticus</italic>, and <italic>L. fermentum</italic> hydrolyze chlorogenic acid, releasing caffeic acid (<xref ref-type="bibr" rid="B157">Santos et&#xa0;al., 2018</xref>). These results underscore the potential of <italic>Lactobacillus</italic> in health-improving pharmaceuticals and food products, but more investigation is required to clarify the fundamental transformation mechanisms (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s4_6">
<label>4.6</label>
<title>
<italic>Bifidobacterium</italic>
</title>
<p>
<italic>Bifidobacterium</italic>, a widely distributed genus within the Actinobacteria phylum, serves as one of the initial colonizers in the human gut microbiota (<xref ref-type="bibr" rid="B158">Satti et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B68">He et&#xa0;al., 2023</xref>). Key species include <italic>B. angulatum</italic>, <italic>B. breve</italic>, <italic>B. Catenulatum</italic>, <italic>B. adolescentis</italic>, <italic>B. longum</italic> etc, collectively constituting less than 10% of the adult human microbiome yet playing a crucial role in host health (<xref ref-type="bibr" rid="B176">Turroni et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B175">Turroni et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B72">Hidalgo-Cantabrana et&#xa0;al., 2018</xref>). Some <italic>Bifidobacterium</italic> species express feruloyl esterase, enabling the generation of phenolic acids. For example, B. animalis&#x2019;s feruloyl esterase can hydrolyze chlorogenic acid into caffeic acid (CAA) (<xref ref-type="bibr" rid="B147">Raimondi et&#xa0;al., 2015</xref>). CAA (10&#x2013;30 mg/kg) has demonstrated hepatoprotective effects in mice, preventing acetaminophen-induced acute liver injury by enhancing Nrf2 transcription (<xref ref-type="bibr" rid="B147">Raimondi et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B139">Pang et&#xa0;al., 2016</xref>). <italic>Bifidobacterium&#x2019;s</italic> involvement in the gut facilitates the metabolism of various compounds, including glycosides, saponins, and flavanones (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
<p>Specific strains of <italic>Bifidobacterium</italic>, such as <italic>B. longum R0175</italic> and <italic>B. longum SBT2928</italic>, exhibit distinct metabolic activities. <italic>B. longum R0175</italic> facilitates the production of 3-(3&#x2032;-hydroxyphenyl) propionic acid and 3-(phenyl) propionic acid from hesperidin by ring-cleavage and demethylation (<xref ref-type="bibr" rid="B141">Pereira-Caro et&#xa0;al., 2018</xref>). <italic>B. longum SBT2928</italic> contributes to bile acid metabolism by hydrolyzing main human and animal bile salts, suggesting a potential role in reducing cholesterol levels <italic>in vivo</italic> (<xref ref-type="bibr" rid="B169">Tanaka et&#xa0;al., 2000</xref>). Furthermore, <italic>B. breve ATCC 15700</italic> demonstrates the production of &#x3b2;-glucosidase, which cleaves glycosides in ginsenoside Rd., generating deglycosylated ginsenoside compound K (<xref ref-type="bibr" rid="B200">Zhong et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B198">Zhang et&#xa0;al., 2019</xref>). Such metabolic properties position <italic>Bifidobacterium</italic> as a viable option for symbiotic establishment, utilizing its natural product synthesis capabilities for potential therapeutic applications (<xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
</sec>
</sec>
<sec id="s5">
<label>5</label>
<title>The role of biotransformation in uncovering the active substance</title>
<p>The intricate connection between many natural compounds&#x2019; poor oral availability and significant pharmacological efficacy is being uncovered by studies on gut microbiota. The challenge lies in the complex structures of glycosides, hindering absorption by intestinal cells and limiting tissue-specific bio-accessibility. These substances undergo microbial enzymatic degradation, transforming into small molecule metabolites that exert diverse impacts on the host (<xref ref-type="bibr" rid="B183">Wardman et&#xa0;al., 2022</xref>).</p>
<p>Crucially, the therapeutic effects of natural compounds are significantly influenced by gut microorganisms. This is best illustrated by the conversion of ginsenosides into compound K (CK), which exhibits increased anti-inflammatory, anti-tumor, and lipid-reducing properties (<xref ref-type="bibr" rid="B90">Kim et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B89">Kim, 2018</xref>). Similarly, curcumin metabolites, influenced by the microbiota, exhibit anti-inflammatory properties through pathways such as PPAR&#x3b3; expression and NF-&#x3ba;B inhibition (<xref ref-type="bibr" rid="B172">Tang et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B114">Lu et&#xa0;al., 2022</xref>). Urolithin A (UA), a gut microbe-derived compound, showcases neuroprotective and anti-inflammatory properties (<xref ref-type="bibr" rid="B57">Gong et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B78">Huang et&#xa0;al., 2022</xref>).</p>
<p>Furthermore, the intricate interplay of form, function, composition, etc within the community of gut microbes unveils promising avenues for leveraging natural products. These compounds hold the potential to not only amplify therapeutic efficacy but also mitigate adverse effects, thereby offering a nuanced and refined approach to enhancing health outcomes. Gut microbes can modify the toxicity of certain compounds, such as reducing cardiotoxicity in digoxin metabolism (<xref ref-type="bibr" rid="B96">Kumar et&#xa0;al., 2018</xref>). However, harmful substances can also be synthesized by gut microorganisms, emphasizing the need for small molecule inhibitors to regulate specific transformations. Further research is necessary to determine how different doses of natural products affect gut microorganisms and metabolism because excessive consumption can upset the gut microbiota and cause negative effects (<xref ref-type="bibr" rid="B110">Lindell et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B199">Zhao et&#xa0;al., 2022</xref>).</p>
</sec>
<sec id="s6">
<label>6</label>
<title>Exploring human microbial metabolites</title>
<sec id="s6_1">
<label>6.1</label>
<title>Screening to ecological insights</title>
<p>Diverse organisms, encompassing microorganisms, have long been recognized as prolific producers of secondary metabolites, also known as natural products (<xref ref-type="bibr" rid="B100">Law et&#xa0;al., 2020</xref>). Since the middle of the 20th century, the identification of these bioactive compounds, ranging from polyketides (PKs) to nonribosomal peptides (NRPs) and their hybrids, has been predominantly achieved through activity-based testing of cultivatable microorganisms, particularly <italic>Actinomycetes</italic> soil bacteria (<xref ref-type="bibr" rid="B86">Katz and Baltz, 2016</xref>). Over time, developments in molecular biology, DNA sequencing, and cultivation techniques have ushered in a new era, enabling the exploration of secondary metabolites from previously unculturable microbes (<xref ref-type="bibr" rid="B103">Lewis et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B187">Wilson and Piel, 2013</xref>; <xref ref-type="bibr" rid="B162">Sidebottom and Carlson, 2015</xref>; <xref ref-type="bibr" rid="B27">Browne et&#xa0;al., 2016</xref>). The impact of microbial natural products, as well as their semisynthetic derivatives, on human health, is profound, as they have emerged as vital sources for clinically relevant antibiotics, antifungals, immunosuppressants, anticancer agents, and other pharmaceuticals (<xref ref-type="bibr" rid="B136">Newman and Cragg, 2016</xref>). While the primary focus of natural product exploration has historically been medicinal usage, recent research has unveiled the intriguing ecological parts played by secondary metabolites in the organisms that produce them and their broader ecosystems, extending even to the human body (<xref ref-type="bibr" rid="B41">Crawford and Clardy, 2011</xref>; <xref ref-type="bibr" rid="B30">Cantley and Clardy, 2015</xref>; <xref ref-type="bibr" rid="B188">Wilson et&#xa0;al., 2017</xref>).</p>
</sec>
<sec id="s6_2">
<label>6.2</label>
<title>Secondary metabolites and health implications</title>
<p>The microbiome, consisting of a myriad of microorganisms that inhabit the human body (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>), plays a crucial role in shaping human health and influencing various diseases. These microorganisms collectively harbor a gene pool that surpasses the human genome by a factor of 150 (<xref ref-type="bibr" rid="B125">Meth&#xe9; et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B184">Weinstock, 2012</xref>; <xref ref-type="bibr" rid="B88">Kho and Lal, 2018</xref>; <xref ref-type="bibr" rid="B118">Marsh et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B180">Walker and Hoyles, 2023</xref>). An analysis of data from the Human Microbiome Project (HMP), which includes genomic and metagenomic sequencing, has revealed that bacteria associated with humans possess the genetic machinery necessary to produce an extensive range of secondary metabolites (<xref ref-type="bibr" rid="B45">Donia et&#xa0;al., 2014</xref>). Despite this, the identities of the majority of such natural products remain undiscovered, and their functions are not fully comprehended. Investigating the ways through which these molecules impact interactions between hosts and microbes, as well as among different microbial species, could unveil factors that shape the impact of the microbiome on its host. This exploration holds the potential to yield targeted therapeutic options and may serve as a wellspring of innovative approaches to address human diseases. Few methods for uncovering natural products, and demonstrating their individual or collaborative use in deciphering the intricate metabolic interactions within the human microbiome have been presented (<xref ref-type="bibr" rid="B188">Wilson et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>The intricate relationship between humans and their resident microbes is highlighted in this figure. The vast microbial community, comprising bacteria and other microbial organisms, plays a significant part in shaping human health and homeostasis, challenging traditional perceptions of the self as a singular entity. This depiction underscores the profound influence of the microbiota on human physiology and emphasizes the notion that, in the realm of the body&#x2019;s cellular landscape, we are not alone. Additionally, this depiction underscores the emerging recognition of the gut microbiota as a key orchestrator of systemic health, influencing processes beyond digestion and immunity, including metabolism etc. (Created with <uri xlink:href="https://Biorender.com">Biorender</uri>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1371312-g004.tif"/>
</fig>
<sec id="s6_2_1">
<label>6.2.1</label>
<title>Exploring biological functionality in metagenomic libraries through functional metagenomics</title>
<p>Microbial organisms exist widely in nature, thriving in diverse environmental conditions. Many of them cannot be cultured conventionally. Metagenomics allows the exploration of microbial communities directly from environmental samples, regardless of culturability. This method unveils species diversity and offers insights into their functions in natural settings. By cloning and expressing metagenomic DNA in a different host, function-based screenings can uncover novel proteins with industrial applications from previously inaccessible microorganisms. Functional metagenomics holds promise in industries like food and pharmaceuticals, facilitating the discovery of enzymes suitable for various processing conditions, novel bioactives including antimicrobial agents, and addressing concerns like development of antibiotic resistance (<xref ref-type="bibr" rid="B40">Coughlan et&#xa0;al., 2015</xref>).</p>
<p>Natural products have long played a pivotal role in the development of therapeutics for a variety of diseases. Traditionally, soil and marine environments have provided a rich reservoir from which diverse chemical scaffolds could be discovered. Recently, the human microbiome has been recognized as a promising niche from which secondary metabolites with therapeutic potential have begun to be isolated. The expansive history of identifying bacterial natural products in other environments is informing the approaches being brought to bear on the study of the human microbiota have also been addressed in many studies. These tools can lead to insights about microbe-microbe and host-microbe interactions and help generate biological hypotheses that may lead to developments of new therapeutic modalities (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<p>The functional metagenomic strategy seeks to explore bacterial metabolites through the systematic screening of metagenomic libraries for distinct bioactivities. Upon identifying a bioactive clone through functional screening, isolation of the clone and subsequent sequencing can pinpoint the gene or set of genes involved in producing the active metabolite. This direct association between the metabolite and its biosynthetic components is a key advantage of functional metagenomics. In the realm of the human microbiome, where a substantial portion of bacterial species have undergone full sequencing, this approach facilitates the simultaneous linking of bioactive metabolites with their functions inside the host and their producers within the Microbiome (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<p>Functional metagenomics can be applied in many different ways, but the most successful approaches that involve human microbiome metagenomic libraries have employed testing culture broth filtrates from metagenomic clones that are individually arrayed against assays using human cell reporter assays. In an early endeavor, Lakhdari and colleagues utilized a nuclear factor-kB (NF-kB) activation screen to identify 171 clones from a 2,640-clone human gut microbiome fosmid library, showing modulation of NF-kB reporter activity (<xref ref-type="bibr" rid="B98">Lakhdari et&#xa0;al., 2010</xref>). NF-kB, a rapidly inducible transcription factor with wide involvement in diverse cellular responses, is notably implicated in the immuno-inflammatory response in the gut, rendering it a suitable indicator for detecting various microbe-host interactions (<xref ref-type="bibr" rid="B197">Zhang et&#xa0;al., 2017</xref>).</p>
<p>In groundbreaking research, Cohen et&#xa0;al. (2015) (<xref ref-type="bibr" rid="B38">Cohen et&#xa0;al., 2015</xref>) employed functional metagenomics to identify host-associated bacterial effector genes, leading to the discovery of commendamide, a novel N-acyl amide. Commendamide was found to activate the GPR132/G2A receptor, implicated in immune cell functions. Subsequent research (<xref ref-type="bibr" rid="B37">Cohen et&#xa0;al., 2017</xref>) expanded the repertoire of N-acyl amides from the human microbiome, revealing structural similarities to endogenous GPCR ligands. Notably, certain bacterial GPR119 agonists mirrored the effects of endogenous ligands, regulating metabolic hormones and glucose homeostasis in mouse models. This suggests a potential for microbiome-biosynthetic gene therapy as a novel therapeutic modality. These studies highlight how functional metagenomics unveils microbiome-host interactions, identifies therapeutic targets, and explores microbiota-derived small molecules for innovative therapeutic strategies (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
</sec>
<sec id="s6_2_2">
<label>6.2.2</label>
<title>Methods for extracting natural products through sequence-guided exploration of (Meta) genomes</title>
<p>Genome mining represents a computational approach to small-molecule discovery, relying on algorithmic predictions to determine biosynthetic gene clusters (BGCs) within sequence data. Established algorithms, such as antiSMASH, NP.searcher, MultiGeneBlast, etc predominantly utilize conserved sequences from extensively studied BGC groups to pinpoint novel gene clusters within these families (<xref ref-type="bibr" rid="B123">Medema et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B148">Reddy et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B122">Medema and Fischbach, 2015</xref>). Recent developments, exemplified by ClusterFinder, aim to extend this capability to discover previously unknown BGC groups (<xref ref-type="bibr" rid="B36">Cimermancic et&#xa0;al., 2014</xref>). The detailed examination of the computational complexities associated with sequence-guided natural product identification has been extensively explored in other sources (<xref ref-type="bibr" rid="B122">Medema and Fischbach, 2015</xref>), our focus here centers on the application of sequence-based methods for bacterial metabolite identification within the human microbiome (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<p>Over the last decade, significant initiatives have been undertaken to sequence and annotate human microbiome bacteria, driven by a keen interest in understanding the microbiota&#x2019;s impact on human health. This has resulted in a remarkable wealth of sequence data unique to the human microbiome, encompassing over 3,000 full and partial reference genomes, along with numerous (meta)genomic shotgun sequencing datasets from both healthy and sick individuals (<xref ref-type="bibr" rid="B1">Aagaard et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B45">Donia et&#xa0;al., 2014</xref>). Utilizing this data, researchers are currently employing bioinformatics tools to uncover new secondary metabolite BGCs within the human microbiome. The overarching objective of these bioinformatics-driven discovery endeavors is to elucidate and functionally characterize the metabolites that are encoded by recently identified natural product BGCs (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<p>Utilizing the ClusterFinder algorithm, researchers identified over fourteen thousand biosynthetic gene clusters (BGCs) in the Human Microbiome Project (HMP) data, revealing the prevalence of various small molecule families, including thiopeptides (<xref ref-type="bibr" rid="B36">Cimermancic et&#xa0;al., 2014</xref>). Lactocillin, a novel thiopeptide antibiotic produced by the vaginal isolate <italic>Lactobacillus gasseri JV-V03</italic>, demonstrated potent activity against pathogenic bacteria (<xref ref-type="bibr" rid="B132">Mullane et&#xa0;al., 2015</xref>). Another innovative approach, involving the synthesis of bioinformatically predicted natural product-like structures termed syn-BNPs (<xref ref-type="bibr" rid="B35">Chu et&#xa0;al., 2016</xref>), led to the discovery of humimycins with broad-spectrum antibiotic activity. Genome mining also uncovered a family of 47 nonribosomal peptide synthetase (NRPS) BGCs present in over 90% of HMP stool samples, producing pyrazinones and dihydropyrazinones (<xref ref-type="bibr" rid="B61">Guo et&#xa0;al., 2017</xref>). Additionally, the exploration of mucin-utilizing bacteria and the identification of the fldAIBC cluster shed light on a specific bacterial metabolic pathway involving indoleacrylic acid, linking it to protective effects in a colitis model and proposing a connection between a healthy mucus layer, anti-inflammatory metabolites, and inflammatory bowel disease (IBD) (<xref ref-type="bibr" rid="B189">Wlodarska et&#xa0;al., 2017</xref>). These findings highlight the potential of mining the human microbiome for novel therapeutics and insights into host-microbe interactions (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
</sec>
<sec id="s6_2_3">
<label>6.2.3</label>
<title>Exploring chemistry-centric strategies for uncovering natural products in the human microbiome</title>
<p>Many instances arise where genome-centric approaches are not the primary focus, highlighting the diverse avenues of research that extend beyond the realm of genomics. Essentially, both pathogenic and nonpathogenic bacteria have had their secondary metabolites studied for many years, predominantly through laboratory cultivation and analytical chemistry. The examination of individual bacteria <italic>in vitro</italic> has yielded a considerable array of compounds, with varied degrees of intricacy and biological significance, and these have been thoroughly reviewed in the latest research (<xref ref-type="bibr" rid="B46">Donia and Fischbach, 2015</xref>; <xref ref-type="bibr" rid="B130">Mousa et&#xa0;al., 2017</xref>). With the current intense scientific exploration of the human microbiome, there is a growing interest in delving into deeper biological contexts for <italic>in vitro</italic>-discovered secondary metabolites. This aspect has not always been a forefront consideration in traditional natural product discoveries. Increasingly, robust foundations of chemistry-centric discovery techniques are now employed to formulate intriguing biological hypotheses based on identified natural products. Strong underpinnings of chemistry-focused discovery methods are increasingly being employed to formulate intriguing biological theories rooted in discovered natural compounds (<xref ref-type="bibr" rid="B126">Milshteyn et&#xa0;al., 2018</xref>).</p>
<p>Utilizing sophisticated analytical methods, like liquid chromatography-mass spectrometry (LC-MS), has proven instrumental in dissecting bacterial metabolites and unraveling their functional roles. For instance, research in 2009 demonstrated that Lactobacillus plantarum, a beneficial probiotic, might reduce inflammation both <italic>in vivo</italic> and <italic>in vitro</italic> by regulating NF-kB (<xref ref-type="bibr" rid="B142">Petrof et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B178">Van Baarlen et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B11">Bansal et&#xa0;al., 2010</xref>). Zvanych et&#xa0;al.&#x2019;s (2014) (<xref ref-type="bibr" rid="B203">Zvanych et&#xa0;al., 2014</xref>) study further applied principal component analysis to LC-MS data, identifying dipeptide molecules with pyroglutamic rings, like pyro-phenylalanine and pyro-tryptophan, which, when introduced into mice, resulted into reduced splenic synthesis of IFN-g. Another notable approach involves the functional evaluation of secreted bacterial metabolites, as illustrated by the discovery of lugdunin, a novel antibiotic from nasal bacteria. Metabolomics platforms, especially those employing HRMS (High-Resolution Mass Spectrometry), have performed an essential part in examining the chemical fingerprint of the human microbiota, offering insights into diverse biological activities and potential biomarkers, as seen in studies comparing germ-free and colonized mice, cardiovascular health, and neurological diseases in mouse models (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>) (<xref ref-type="bibr" rid="B185">Wikoff et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B77">Hsiao et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B26">Brown and Hazen, 2017</xref>; <xref ref-type="bibr" rid="B76">Hou et&#xa0;al., 2022</xref>). While challenges persist in identifying unknown secondary metabolites, the evolving strategies for HRMS data collection and analysis provide optimism for unearthing therapeutic leads in the future (<xref ref-type="bibr" rid="B140">Peisl et&#xa0;al., 2018</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Microbiota research: insights from murine models (<xref ref-type="bibr" rid="B76">Hou et&#xa0;al., 2022</xref>).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="left">Murine models</th>
<th valign="top" align="left">Area of Study</th>
<th valign="top" align="left">Importance</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>1.</bold>
</td>
<td valign="top" align="left">Sterile mice populated with human microbial communities</td>
<td valign="top" align="left">Explore the nuanced relationship between host and microbiota in various systems, such as the gastrointestinal tract, cardiology, reproductive biology, lipid metabolism, and bone homeostasis. Investigate the dynamic interplay within each of these physiological contexts.</td>
<td valign="top" align="left">Create an environment devoid of any microorganisms and facilitate the introduction of particular microbiota, while simultaneously modifying the typical physiological parameters of the host.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>2.</bold>
</td>
<td valign="top" align="left">Chemically altered mice</td>
<td valign="top" align="left">Utilizing chemical agents to harm the epithelial cells of the gut or trigger an immune response within the mucosal lining.</td>
<td valign="top" align="left">A frequently employed method to instigate colitis in mice.<break/>May yield inconsistent outcomes due to differences in experimental design and environmental variables.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>3.</bold>
</td>
<td valign="top" align="left">Drug-induced mice</td>
<td valign="top" align="left">Antibiotics have the capacity to selectively reduce certain members of the microbiota, enabling the investigation of the bacteria's involvement in sustaining cellular functionality and signaling pathways post-development.</td>
<td valign="top" align="left">Relevant for any mouse genotype or condition.<break/>Could lead to the emergence of drug-resistant bacteria.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>4.</bold>
</td>
<td valign="top" align="left">Genetically engineered mice</td>
<td valign="top" align="left">Mimic the observable characteristics linked to genetic abnormalities in conditions like Inflammatory Bowel Disease (IBD).</td>
<td valign="top" align="left">Offers a potent tool for investigating the pathological processes of human illnesses.<break/>The presence of genes participating in multiple pathways could potentially impact the outcomes.</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
</sec>
<sec id="s7" sec-type="conclusions">
<label>7</label>
<title>Conclusion</title>
<p>The exploration of the human microbiome and its intricate relationship with natural products has unveiled a captivating realm within the field of biology. The human digestive system, teeming with a diverse microbiota, serves as a dynamic ecosystem comprising an astounding number of microorganisms. This microbial assembly, primarily constituted of anaerobic bacteria, orchestrates processes finely tuned to human physiology, functioning as an organ with a genetic repertoire surpassing the human genome. Among its pivotal roles is the breakdown of indigestible dietary components, highlighting its indispensable contribution to our overall well-being.</p>
<p>The impact of the microbiome extends beyond mere digestion, permeating into complex physiological processes, influencing immune system modulation, and perhaps aiding in the growth of the CNS and brain (<xref ref-type="table" rid="T3">
<bold>Table 3</bold>
</xref>) (<xref ref-type="bibr" rid="B55">Ghosh et&#xa0;al., 2021</xref>). Mouse models have underscored the vital role of a healthy bacterial environment in maintaining normal physiological processes, while dysbiosis has been associated with an array of diseases. Beyond dietary influences, gut microbiota is significantly affected by various factors (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>) and exhibits rapid responses to system alterations due to the interplay between genetic and environmental factors. The burgeoning field of microbiome research is evidenced due to the increase in clinical studies and investments, emphasizing its potential to revolutionize healthcare. There is increasing evidence linking host-associated bacteria to both healthy development and disease, but there is still a significant knowledge vacuum regarding the precise mechanisms by which bacterial activities impact the physiology of mammals or microbiomes. The traditional molecular biology dogma falls short of elucidating the ultimate outcomes of information transfer within a biological system, particularly when it comes to small molecules and natural products.</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Compilation of microbial metabolites, gut microbiota, and their roles (<xref ref-type="bibr" rid="B55">Ghosh et&#xa0;al., 2021</xref>).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="center"/>
<th valign="top" align="center">Microbial-derived metabolites</th>
<th valign="top" align="center">Assocaited Gut Flora/microbiota</th>
<th valign="top" align="center">Role(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">1.</td>
<td valign="top" align="left">Amino acids (like lysine etc)</td>
<td valign="top" align="left">
<italic>S. aureus, E. coli, P. aeruginosa</italic> etc.</td>
<td valign="top" align="left">&#x27a2;&#x2003;SOS response: <break/>&#x2003;&#x2003;Triggering<break/>&#x27a2;&#x2003;Biofilm formation: <break/>&#x2003;&#x2003;Modulation<break/>&#x27a2;&#x2003;Deamination<break/>&#x27a2;&#x2003;Regulating <break/>&#x2003;&#x2003;peptidoglycan <break/>&#x2003;&#x2003;synthesis</td>
</tr>
<tr>
<td valign="top" align="left">2.</td>
<td valign="top" align="left">Derivatives of indole (like indole-3-propionic acid, melatonin etc)</td>
<td valign="top" align="left">
<italic>C. sporogenes, E. coli</italic>
</td>
<td valign="top" align="left">&#x27a2;&#x2003;Regulation of the <break/>&#x2003;&#x2003;intestinal barrier.<break/>&#x27a2;&#x2003;Control of <break/>&#x2003;&#x2003;endothelial <break/>&#x2003;&#x2003;dysfunction etc.</td>
</tr>
<tr>
<td valign="top" align="left">3.</td>
<td valign="top" align="left">Vitamins (like vitamin Kz2, B2 etc)</td>
<td valign="top" align="left">
<italic>Bifidobacterium, S. aureus</italic>, etc.</td>
<td valign="top" align="left">&#x27a2;&#x2003;Involvement in redox <break/>&#x2003;&#x2003;cycling.<break/>&#x27a2;&#x2003;Protection against <break/>&#x2003;&#x2003;pathogens.<break/>&#x27a2;&#x2003;Facilitation of DNA <break/>&#x2003;&#x2003;replication, <break/>&#x2003;&#x2003;methylation, and <break/>&#x2003;&#x2003;repair.<break/>&#x27a2;&#x2003;Synthesis of vitamins, <break/>&#x2003;&#x2003;nucleotides, and <break/>&#x2003;&#x2003;amino acids.</td>
</tr>
<tr>
<td valign="top" align="left">4.</td>
<td valign="top" align="left">Short-chain fatty acids (butyrate, valerate, acetate etc)</td>
<td valign="top" align="left">
<italic>Bifidobacterium</italic> sp.<italic>, Coprococcus, Clostridium, Bacteroidetes</italic> etc</td>
<td valign="top" align="left">&#x27a2;&#x2003;Regulation of host <break/>&#x2003;&#x2003;metabolic pathways <break/>&#x2003;&#x2003;via cell signaling.<break/>&#x27a2;&#x2003;Modulation of the <break/>&#x2003;&#x2003;immune system.<break/>&#x27a2;&#x2003;Sustaining energy <break/>&#x2003;&#x2003;balance.<break/>&#x27a2;&#x2003;Enhanced glucose <break/>&#x2003;&#x2003;tolerance and insulin <break/>&#x2003;&#x2003;sensitivity.<break/>&#x27a2;&#x2003;Regulation of <break/>&#x2003;&#x2003;osmotic balance.</td>
</tr>
<tr>
<td valign="top" align="left">5.</td>
<td valign="top" align="left">Bile acid metabolites (like cholic acid,<break/>deoxycholic acid,<break/>taurocholic acid etc)</td>
<td valign="top" align="left">
<italic>Clostridium, Lactobacillus</italic> etc</td>
<td valign="top" align="left">&#x27a2;&#x2003;Activation of nuclear <break/>&#x2003;&#x2003;receptors and cellular <break/>&#x2003;&#x2003;signaling pathways in <break/>&#x2003;&#x2003;the host.<break/>&#x27a2;&#x2003;Demonstrating <break/>&#x2003;&#x2003;antimicrobial <break/>&#x2003;&#x2003;properties.<break/>&#x27a2;&#x2003;Regulation of <break/>&#x2003;&#x2003;lipid absorption.</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Depicts diverse elements influencing gut microbiota modulation, encompassing lifestyle, age, medication, genetics, geography, and dietary factors. This comprehensive overview highlights the multifaceted nature of gut microbiota dynamics. By highlighting these intricate relationships, this visual representation enhances our understanding of the dynamic interplay between external influences and internal microbial ecosystems, ultimately informing personalized approaches to gut health management.&#x201d; (Created with <uri xlink:href="https://Biorender.com">Biorender</uri>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1371312-g005.tif"/>
</fig>
<p>Gut microorganisms perform a pivotal function in decomposing and transforming natural products, generating a diverse array of metabolites and functional compounds. The chemical transformations involved significantly regulate the form of natural product substrates. Importantly, the impact of gut microbiota extends beyond structural modifications, influencing the chemical landscape, pharmacological activities, and metabolic mechanisms of natural products. Intriguingly, the perspective of harnessing gut microorganisms for extensive manufacturing of active metabolites and compound synthesis remains largely unexplored. The study of gut microorganisms, their metabolites, and the intricate reactions concerned with the dynamic interplay between natural products and gut microbiota holds immense importance. Unraveling these interactions is not only crucial for understanding pharmacological mechanisms but also for unlocking the untapped potential of natural products in various applications.</p>
</sec>
<sec id="s8">
<label>8</label>
<title>Future perspectives</title>
<p>Looking ahead, the field stands at the precipice of unprecedented discoveries and applications. Delving into the study of gut microbes and their role in the synthesis of bioactive compounds on a larger scale presents an exciting avenue for future research. The untapped potential of harnessing the therapeutic benefits of these interactions holds promise for innovative approaches to medicine and therapeutics. The multifaceted relationships between natural products and gut microbiota open new doors for drug discovery, as the microbiome becomes a potential source of novel compounds with therapeutic applications. Future research should focus on elucidating the specific mechanisms by which these microbiome-derived naturally occurring compounds exert their effects on the well-being of humans. This involves a deeper understanding of the metabolic pathways involved, the pharmacological activities of these compounds, and their potential applications in treating various diseases.</p>
<p>Moreover, the development of technologies and methodologies for the systematic characterization of small molecules generated by human-associated microorganisms is crucial. Advancements in analytical techniques and high-throughput screening methods will facilitate the identification and isolation of novel microbiome-derived natural products. Collaborations between microbiologists, pharmacologists, and clinicians will be essential in translating these discoveries into practical applications. The integration of microbiome-based therapies into personalized medicine holds the potential to revolutionize healthcare, offering tailored treatments based on an individual&#x2019;s unique microbiome profile. In a nutshell, the intersection of natural products, bacteria, and human health represents a frontier of scientific exploration with profound implications for medicine and therapeutics. As we navigate this dynamic field, the collaborative efforts of researchers across disciplines will be instrumental in unlocking the full potential of microbiome-derived natural products and ushering in a new era of innovative healthcare solutions.</p>
</sec>
<sec id="s9" sec-type="author-contributions">
<title>Author contributions</title>
<p>HQ: Conceptualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. AHS: Writing &#x2013; review &amp; editing. AA: Funding acquisition, Writing &#x2013; review &amp; editing. MM: Conceptualization, Funding acquisition, Project administration, Supervision, Writing &#x2013; review &amp; editing. </p>
</sec>
</body>
<back>
<sec id="s10" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was financially supported by grants to MM by the Science and Engineering Research Board, Department of Science and Technology (SERB-DST) Govt. of India, New Delhi, vide Project Grant No: TAR/001213/2018.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>HQ acknowledges fellowship from the Indian Council of Medical Research ICMR-SRF (2021&#x2013;9917). The authors are thankful to the SERB-DST Govt. of India for financial support.</p>
</ack>
<sec id="s11" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s12" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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