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Probiotic-based therapeutics for a One Health future: redefining antibiotic dependency to combat antimicrobial
Veilumuthu Pattapulavar1, Sanjai Kumar S1, Sathiyabama Ramanujam2
1Department of Biomedical Sciences, School of Biosciences and Technology, Vellore Institute of Technology, Vellore, India.
Antimicrobial resistance (AMR) is a One Health issue. This perspective proposes ecological restoration using probiotics, public awareness, and integrated surveillance (OH-MIF) for sustainable AMR control.
Area of Science:
- Microbiology
- Ecology
- Public Health
Background:
- Antimicrobial resistance (AMR) is a significant global One Health challenge.
- Extensive antibiotic use has disrupted ecological balance and expanded the global resistome.
- Current AMR control strategies are often reactive and dependent on antibiotics.
Purpose of the Study:
- To propose a novel, ecological restoration-based strategy for mitigating AMR.
- To integrate probiotic therapeutics, microbiome literacy, and advanced surveillance into AMR management.
- To shift AMR control towards a resilient, coexistence-based approach.
Main Methods:
- Utilizing probiotic therapeutics for microbial stability and reducing resistance selective pressures.
- Enhancing public awareness and literacy regarding the microbiome and antimicrobial stewardship.
- Implementing the One Health Microbiome Intelligence Framework (OH-MIF) for integrated data analysis.
Main Results:
- Probiotics offer biologically compatible solutions by promoting niche occupation, immune support, and biodegradation.
- Increased microbiome literacy can influence behavior, promoting stewardship and reducing antimicrobial misuse.
- The OH-MIF framework links diverse data sources (genomic, clinical, agricultural, environmental) using AI.
Conclusions:
- A three-part strategy combining probiotics, education, and data intelligence offers a sustainable AMR mitigation approach.
- Ecological interventions and microbiome balance are key to resilient AMR control.
- This approach aligns AMR management with broader planetary health objectives.
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