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Microbiome Modulation as a Novel Strategy to Treat and Prevent Respiratory Infections
Barbara C Mindt1, Antonio DiGiandomenico1
1Discovery Microbiome, Vaccines and Immune Therapies, Biopharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA.
Abstract:
Acute and chronic lower airway disease still represent a major cause of morbidity and mortality on a global scale. With the steady rise of multidrug-resistant respiratory pathogens, such as Pseudomonas aeruginosa and Klebsiella pneumoniae, we are rapidly approaching the advent of a post-antibiotic era. In addition, potentially detrimental novel variants of respiratory viruses continuously emerge with the most prominent recent example being severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To this end, alternative preventive and therapeutic intervention strategies will be critical to combat airway infections in the future. Chronic respiratory diseases are associated with alterations in the lung and gut microbiome, which is thought to contribute to disease progression and increased susceptibility to infection with respiratory pathogens. In this review we will focus on how modulating and harnessing the microbiome may pose a novel strategy to prevent and treat pulmonary infections as well as chronic respiratory disease.
Insights
Harnessing the lung and gut microbiome offers a novel strategy against rising antibiotic-resistant bacteria and emerging viruses causing lower airway infections. Modulating the microbiome may prevent and treat pulmonary infections and chronic respiratory diseases.
Area of Science:
- Microbiology
- Pulmonology
- Infectious Diseases
Background:
- Acute and chronic lower airway diseases are significant global health burdens.
- Increasing multidrug-resistant pathogens (e.g., Pseudomonas aeruginosa, Klebsiella pneumoniae) and novel respiratory viruses (e.g., SARS-CoV-2) threaten effective treatment.
- Alterations in the lung and gut microbiome are linked to chronic respiratory disease progression and infection susceptibility.
Purpose of the Study:
- To explore the potential of microbiome modulation as a novel strategy for preventing and treating pulmonary infections.
- To review the role of the lung and gut microbiome in chronic respiratory diseases and susceptibility to pathogens.
- To highlight alternative interventions in the face of a potential post-antibiotic era.
Main Methods:
- This is a review article, synthesizing current research on the microbiome and lower airway diseases.
- Focuses on studies investigating the link between microbial dysbiosis and respiratory health.
- Examines therapeutic strategies involving microbiome modulation.
Main Results:
- The lung and gut microbiome play a crucial role in respiratory health and disease.
- Microbiome alterations are associated with increased susceptibility to respiratory pathogens and chronic disease progression.
- Modulating the microbiome presents a promising avenue for novel therapeutic interventions.
Conclusions:
- Modulating the lung and gut microbiome is a critical future strategy for combating airway infections.
- Harnessing the microbiome can offer preventive and therapeutic benefits for pulmonary infections and chronic respiratory conditions.
- This approach is vital given the rise of antibiotic resistance and emerging viral threats.
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