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.

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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