Pharmacomicrobiomics in precision pharmacotherapy: bidirectional microbial-drug interactions as a key determinant of therapeutic response
 
Yazarlar (3)
Prof. Dr. Serap YALÇIN AZARKAN Kırşehir Ahi Evran Üniversitesi, Türkiye
Habibe Sema Arslan Unal
Dr. Öğr. Üyesi Sevinç AKÇAY Kırşehir Ahi Evran Üniversitesi, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı DRUG METABOLISM REVIEWS (Q1)
Dergi ISSN 0360-2532 Dergi Bilgileri (2026)
Makale Dili İngilizce Basım Tarihi 05-2026
Cilt / Sayı / Sayfa 0 / 0 / 1–21 DOI 10.1080/03602532.2026.2671428
Makale Linki https://www.tandfonline.com/doi/abs/10.1080/03602532.2026.2671428
UAK Araştırma Alanları
Özet
Interindividual variability in drug efficacy and toxicity remains a major challenge in clinical pharmacotherapy. Although pharmacogenomics has substantially advanced personalized medicine, host genetic variation alone cannot fully explain differences in drug disposition, response, and adverse effects. Increasing evidence identifies the human gut microbiota as an additional, functionally relevant metabolic layer that complements host drug-metabolizing enzymes, giving rise to the field of pharmacomicrobiomics. This discipline examines bidirectional interactions between drugs and microbial communities that influence absorption, metabolism, enterohepatic circulation, and pharmacodynamic outcomes. The gut microbiota can directly biotransform or sequester drugs through diverse enzymatic reactions, including deconjugation, reduction, and decarboxylation, thereby modifying systemic drug exposure and toxicity. In …
Anahtar Kelimeler
Pharmacomicrobiomics | drug metabolism | gut microbiota | xenobiotic biotransformation | pharmacokinetics | precision pharmacotherapy