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      Perspective: Leveraging the Gut Microbiota to Predict Personalized Responses to Dietary, Prebiotic, and Probiotic Interventions

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          ABSTRACT

          Humans often show variable responses to dietary, prebiotic, and probiotic interventions. Emerging evidence indicates that the gut microbiota is a key determinant for this population heterogeneity. Here, we provide an overview of some of the major computational and experimental tools being applied to critical questions of microbiota-mediated personalized nutrition and health. First, we discuss the latest advances in in silico modeling of the microbiota-nutrition-health axis, including the application of statistical, mechanistic, and hybrid artificial intelligence models. Second, we address high-throughput in vitro techniques for assessing interindividual heterogeneity, from ex vivo batch culturing of stool and continuous culturing in anaerobic bioreactors, to more sophisticated organ-on-a-chip models that integrate both host and microbial compartments. Third, we explore in vivo approaches for better understanding of personalized, microbiota-mediated responses to diet, prebiotics, and probiotics, from nonhuman animal models and human observational studies, to human feeding trials and crossover interventions. We highlight examples of existing, consumer-facing precision nutrition platforms that are currently leveraging the gut microbiota. Furthermore, we discuss how the integration of a broader set of the tools and techniques described in this piece can generate the data necessary to support a greater diversity of precision nutrition strategies. Finally, we present a vision of a precision nutrition and healthcare future, which leverages the gut microbiota to design effective, individual-specific interventions.

          Abstract

          Statement of Significance: Humans often show variable responses to dietary, prebiotic, and probiotic interventions. Here, we provide an overview of some of the major computational and experimental tools being applied to critical questions of microbiota-mediated personalized nutrition and health.

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          Most cited references100

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          Diet rapidly and reproducibly alters the human gut microbiome

          Long-term diet influences the structure and activity of the trillions of microorganisms residing in the human gut 1–5 , but it remains unclear how rapidly and reproducibly the human gut microbiome responds to short-term macronutrient change. Here, we show that the short-term consumption of diets composed entirely of animal or plant products alters microbial community structure and overwhelms inter-individual differences in microbial gene expression. The animal-based diet increased the abundance of bile-tolerant microorganisms (Alistipes, Bilophila, and Bacteroides) and decreased the levels of Firmicutes that metabolize dietary plant polysaccharides (Roseburia, Eubacterium rectale, and Ruminococcus bromii). Microbial activity mirrored differences between herbivorous and carnivorous mammals 2 , reflecting trade-offs between carbohydrate and protein fermentation. Foodborne microbes from both diets transiently colonized the gut, including bacteria, fungi, and even viruses. Finally, increases in the abundance and activity of Bilophila wadsworthia on the animal-based diet support a link between dietary fat, bile acids, and the outgrowth of microorganisms capable of triggering inflammatory bowel disease 6 . In concert, these results demonstrate that the gut microbiome can rapidly respond to altered diet, potentially facilitating the diversity of human dietary lifestyles.
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            Expert consensus document. The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic.

            An expert panel was convened in October 2013 by the International Scientific Association for Probiotics and Prebiotics (ISAPP) to discuss the field of probiotics. It is now 13 years since the definition of probiotics and 12 years after guidelines were published for regulators, scientists and industry by the Food and Agriculture Organization of the United Nations and the WHO (FAO/WHO). The FAO/WHO definition of a probiotic--"live microorganisms which when administered in adequate amounts confer a health benefit on the host"--was reinforced as relevant and sufficiently accommodating for current and anticipated applications. However, inconsistencies between the FAO/WHO Expert Consultation Report and the FAO/WHO Guidelines were clarified to take into account advances in science and applications. A more precise use of the term 'probiotic' will be useful to guide clinicians and consumers in differentiating the diverse products on the market. This document represents the conclusions of the ISAPP consensus meeting on the appropriate use and scope of the term probiotic.
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              Linking long-term dietary patterns with gut microbial enterotypes.

              Diet strongly affects human health, partly by modulating gut microbiome composition. We used diet inventories and 16S rDNA sequencing to characterize fecal samples from 98 individuals. Fecal communities clustered into enterotypes distinguished primarily by levels of Bacteroides and Prevotella. Enterotypes were strongly associated with long-term diets, particularly protein and animal fat (Bacteroides) versus carbohydrates (Prevotella). A controlled-feeding study of 10 subjects showed that microbiome composition changed detectably within 24 hours of initiating a high-fat/low-fiber or low-fat/high-fiber diet, but that enterotype identity remained stable during the 10-day study. Thus, alternative enterotype states are associated with long-term diet.
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                Author and article information

                Contributors
                Journal
                Adv Nutr
                Adv Nutr
                advances
                Advances in Nutrition
                Oxford University Press
                2161-8313
                2156-5376
                September 2022
                01 July 2022
                01 July 2022
                : 13
                : 5
                : 1450-1461
                Affiliations
                Institute for Systems Biology, Seattle, WA, USA
                Department of Bioengineering, University of Washington , Seattle, WA, USA
                Pharmaceutical Biochemistry group, School of Pharmaceutical Sciences, University of Geneva , Geneva, Switzerland
                Institute of Pharmaceutical Sciences of Western Switzerland (PSI-WS), University of Geneva/University of Lausanne, Geneva, Switzerland
                Public Health Sciences Division, Fred Hutchinson Cancer Research Center , Seattle, WA, USA
                Cargill R&D Center Europe , Vilvoorde, Belgium
                Sensus BV (Royal Cosun) , Roosendaal, The Netherlands
                Metabolism and Nutrition Research Group, Louvain Drug Research Institute, Walloon Excellence in Life Sciences and BIOtechnology (WELBIO) , UCLouvain, Université Catholique de Louvain, Brussels, Belgium
                Department of Food, Nutrition, and Exercise Sciences, University of Surrey , Guildford, United Kingdom
                Medical and Scientific Affairs, Reckitt| Mead Johnson Nutrition Institute , Nijmegen, The Netherlands
                Host Microbe Interactomics Group, Wageningen University & Research , Wageningen, The Netherlands
                Health and Happiness Group , H&H Research, Cork, Ireland
                IFF Health & Biosciences , Kantvik, Finland
                Department of Food Engineering and Technology, São Paulo State University , São José do Rio Preto, Brazil
                Yakult Europe BV , Almere, The Netherlands
                Nottingham NIHR Biomedical Research Centre at the School of Medicine, University of Nottingham , Nottingham, United Kingdom
                Food and Nutritional Sciences, University of Reading , Reading, United Kingdom
                Yili Innovation Center Europe , Wageningen, The Netherlands
                BENEO-Institute/Südzucker Group , Obrigheim/Pfalz, Germany
                International Life Sciences Institute , European Branch, Brussels, Belgium
                International Life Sciences Institute , European Branch, Brussels, Belgium
                Author notes
                Address correspondence to SMG (E-mail: sgibbons@ 123456isbscience.org ).
                Author information
                https://orcid.org/0000-0002-8724-7916
                Article
                nmac075
                10.1093/advances/nmac075
                9526856
                35776947
                5de59d0f-8094-467c-a2c4-f2211ece340d
                © The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@ 123456oup.com

                History
                : 15 March 2022
                : 31 May 2022
                : 28 June 2022
                : 03 September 2022
                Page count
                Pages: 12
                Funding
                Funded by: Washington Research Foundation, DOI 10.13039/100001906;
                Funded by: Fonds De La Recherche Scientifique - FNRS, DOI 10.13039/501100002661;
                Award ID: WELBIO-CR-2019S-03
                Award ID: WELBIO-CR-2019S-03R
                Categories
                Perspective
                AcademicSubjects/MED00060

                prebiotic,probiotic,diet,microbiome,microbiota,personalized nutrition,personalized healthcare,precision nutrition,precision healthcare

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