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@ARTICLE{Turjeman:299585,
author = {S. Turjeman and T. Rozera and E. Elinav$^*$ and G. Ianiro
and O. Koren},
title = {{F}rom big data and experimental models to clinical trials:
{I}terative strategies in microbiome research.},
journal = {Cell},
volume = {188},
number = {5},
issn = {0092-8674},
address = {[Cambridge, Mass.]},
publisher = {Cell Press},
reportid = {DKFZ-2025-00526},
pages = {1178 - 1197},
year = {2025},
abstract = {Microbiome research has expanded significantly in the last
two decades, yet translating findings into clinical
applications remains challenging. This perspective discusses
the persistent issue of correlational studies in microbiome
research and proposes an iterative method leveraging in
silico, in vitro, ex vivo, and in vivo studies toward
successful preclinical and clinical trials. The evolution of
research methodologies, including the shift from small
cohort studies to large-scale, multi-cohort, and even
'meta-cohort' analyses, has been facilitated by advancements
in sequencing technologies, providing researchers with tools
to examine multiple health phenotypes within a single study.
The integration of multi-omics approaches-such as
metagenomics, metatranscriptomics, metaproteomics, and
metabolomics-provides a comprehensive understanding of
host-microbe interactions and serves as a robust hypothesis
generator for downstream in vitro and in vivo research.
These hypotheses must then be rigorously tested, first with
proof-of-concept experiments to clarify the causative
effects of the microbiota, and then with the goal of deep
mechanistic understanding. Only following these two phases
can preclinical studies be conducted with the goal of
translation into the clinic. We highlight the importance of
combining traditional microbiological techniques with
big-data approaches, underscoring the necessity of iterative
experiments in diverse model systems to enhance the
translational potential of microbiome research.},
subtyp = {Review Article},
keywords = {Microbiota / Humans / Big Data / Animals / Clinical Trials
as Topic / Metagenomics: methods / Metabolomics: methods /
ex vivo studies (Other) / human clinical trials (Other) /
in vitro studies (Other) / in vivo studies (Other) /
iterative research approaches (Other) / meta-cohorts (Other)
/ microbiome (Other) / preclinical studies (Other)},
cin = {D480},
ddc = {610},
cid = {I:(DE-He78)D480-20160331},
pnm = {314 - Immunologie und Krebs (POF4-314)},
pid = {G:(DE-HGF)POF4-314},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40054445},
doi = {10.1016/j.cell.2025.01.038},
url = {https://inrepo02.dkfz.de/record/299585},
}