Melinda A Engevik, Aaron L Hecht, Jessica R Allegretti, Purna C Kashyap
{"title":"Ecological and dietary strategies to constrain Clostridioides difficile.","authors":"Melinda A Engevik, Aaron L Hecht, Jessica R Allegretti, Purna C Kashyap","doi":"10.1016/j.chom.2026.05.023","DOIUrl":"10.1016/j.chom.2026.05.023","url":null,"abstract":"<p><p>Clostridioides difficile exemplifies a pathogen that leverages its metabolic plasticity to exploit nutrients that become available during community disruption, including host and microbiota-derived metabolites and substrates enriched in modern diets. These ecological dynamics underpin the high and growing burden of C. difficile infection (CDI), including recurrent disease and the rising prevalence of community-associated CDI. Fecal microbiota transplantation and standardized stool-derived products consistently re-establish colonization resistance through convergent functions that include secondary bile acid restoration, nutrient niche exclusion, and suppression of opportunistic pathogens. These principles have provided a valuable roadmap for rational consortia design. In this review, we synthesize current ecological mechanisms governing C. difficile colonization, persistence, and recurrence, highlight missing dimensions in diet intervention studies and mucosal colonization by C. difficile, and propose an ecology-informed, artificial intelligence-enabled precision framework that integrates host susceptibility, exposures, diet, community function, and pathogen features to guide personalized prevention and treatment.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1220-1240"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding ripple effects in the gut microbiome.","authors":"Wenlong Zuo, Yang-Yu Liu, Juntao Shen, Lei Dai","doi":"10.1016/j.chom.2026.06.002","DOIUrl":"10.1016/j.chom.2026.06.002","url":null,"abstract":"<p><p>Targeted perturbations of individual microbial taxa can propagate through complex ecological networks and generate ripple effects that reshape gut microbiota structure and function. Here, we discuss the need for predictive ecological and data-driven frameworks that enable precise and controllable microbiome engineering to minimize or leverage ripple effects.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1162-1166"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Following Ariadne's thread through microbiome-based biomarker discovery in CRC.","authors":"Jason Xing Kang, Sunny Hei Wong","doi":"10.1016/j.chom.2026.06.003","DOIUrl":"https://doi.org/10.1016/j.chom.2026.06.003","url":null,"abstract":"<p><p>Colorectal cancer (CRC) carries a microbial fingerprint, but how does it generalize across age, geography, and sequencing platforms? In this issue of Cell Host & Microbe, Pekel and colleagues stitch together large-scale stool and tumor data to reveal a universal signal while exposing where stool-based biomarkers fall short.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1395-1397"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adjunctive fecal microbiota transplantation for major depressive disorder: A randomized, double-blind, placebo-controlled trial.","authors":"Jing Li, Yaping Wang, Ruinan Li, Huanwei Huang, Xuequan Zhu, Xiaozheng Li, Zuoli Sun, Ling Zhang, Peng Zheng, Yi He, Jing Liu, Xueshan Zhang, Siyu Ren, Mingxia Liu, Haixia Wang, Yanting Luo, Fei Wang, Jingjing Zhou, Jian Yang, Gang Wang","doi":"10.1016/j.chom.2026.05.017","DOIUrl":"10.1016/j.chom.2026.05.017","url":null,"abstract":"<p><p>Gut microbiota may influence antidepressant treatment outcomes, yet whether targeted modulation can enhance efficacy remains unclear. We conducted a randomized, double-blind, placebo-controlled trial in patients with major depressive disorder, administering a 2-week course of fecal microbiota transplantation (FMT) capsules or placebo as an adjunct to escitalopram (ChiCTR2300071421). Remission rates at week 8 did not differ significantly between groups, but FMT produced greater reductions in Hamilton Depression Rating Scale, 17-item version (HAMD-17) scores at weeks 2 and 8. FMT was well-tolerated with a safety profile comparable to placebo. Multi-omics analyses show durable donor microbial engraftment and enrichment of beneficial Lachnospiraceae and Oscillospiraceae taxa. Microbial remodeling is accompanied by an increase in serum bile acids that correlate with the alleviation of depressive symptoms. Mediation analysis supports a bile-acid-mediated suppression of inflammatory pathways linking microbial changes to antidepressant effects. Overall, FMT may provide a safe avenue to enhance escitalopram efficacy through microbiota-directed regulation of bile-acid metabolism and inflammation.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":" ","pages":"1367-1382.e7"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Operationalizing microbiome ecology in cancer care.","authors":"Joao B Xavier","doi":"10.1016/j.chom.2026.05.022","DOIUrl":"10.1016/j.chom.2026.05.022","url":null,"abstract":"<p><p>Cancer treatment can disrupt the microbiome, worsening outcomes for cancer patients. Ecology frames these changes as transitions between measurable states, enabling the prediction of microbiome trajectories to support clinical decision making. Longitudinal monitoring and microbial restoration can translate microbiome ecology into strategies that improve cancer care.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1167-1169"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cell host & microbePub Date : 2026-07-08Epub Date: 2026-05-28DOI: 10.1016/j.chom.2026.04.020
Yilu Zhou, Jinmei Ding, Lijun Ning, Xi Xu, Lingyun Dou, Jing Shen, Baoqin Xuan, Zhenyu Wang, Yi Jiang, Ying Zhao, Yue Zhang, Xiaowen Huang, Muni Hu, Yuqi Shao, Lingxi Li, Changbin Chen, Min Li, Jing-Yuan Fang, Nan Shen, Ning-Ning Liu, Haoyan Chen, Chunquan Sheng, Jie Hong
{"title":"Cross-kingdom metabolic interactions govern Candida albicans overgrowth and colitis progression.","authors":"Yilu Zhou, Jinmei Ding, Lijun Ning, Xi Xu, Lingyun Dou, Jing Shen, Baoqin Xuan, Zhenyu Wang, Yi Jiang, Ying Zhao, Yue Zhang, Xiaowen Huang, Muni Hu, Yuqi Shao, Lingxi Li, Changbin Chen, Min Li, Jing-Yuan Fang, Nan Shen, Ning-Ning Liu, Haoyan Chen, Chunquan Sheng, Jie Hong","doi":"10.1016/j.chom.2026.04.020","DOIUrl":"10.1016/j.chom.2026.04.020","url":null,"abstract":"<p><p>Inflammatory bowel disease is shaped by complex microbial communities, yet the contribution of fungal-bacterial interactions to disease progression remains poorly defined. Here, we identify Cladosporium tenuissimum (C. tenuissimum) as a gut fungus with potent colitis-alleviating activity. Mechanistically, C. tenuissimum restrains Candida albicans (C. albicans) overgrowth through nutrient competition, particularly via the utilization and subsequent limitation of the amino acid ornithine. C. albicans can evade this suppression and potentiate intestinal inflammation through nutrient escape by preferentially exploiting specific amino acids, such as threonine. We further reveal a bacterial-fungal metabolic axis in which threonine-producing Bacteroides fragilis facilitates C. albicans escape from gut microbiome-mediated fungal control, thereby exacerbating colitis. Notably, dietary threonine restriction markedly attenuates C. albicans-driven colitis in mice. Together, our findings uncover a cross-kingdom metabolic network that determines C. albicans homeostasis and, in turn, governs intestinal inflammatory outcomes, offering new conceptual and therapeutic avenues for IBD.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":" ","pages":"1445-1461.e7"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gut microbiota alters drug metabolism and therapeutic outcomes.","authors":"Fusheng Guo, Yingjie Bai, Xiaoguang Lei","doi":"10.1016/j.chom.2026.06.001","DOIUrl":"https://doi.org/10.1016/j.chom.2026.06.001","url":null,"abstract":"<p><p>The human gut microbiota is now established as a vital contributor to drug metabolism and therapeutic efficacy. Nevertheless, the interaction between gut microbes and pharmaceutical agents is inherently complex, posing significant challenges to the use of the microbiota to reduce toxicity and improve efficacy. Gaining a deeper understanding of the complex role of the gut microbiota in regulating drug metabolism and influencing treatment outcomes is essential for enhancing diagnostic accuracy, prognostic stratification, and therapeutic approaches. This review systematically summarizes recent advances in gut microbiota-mediated drug metabolism and effectiveness and assesses the potential of targeting microbial communities to improve drug performance. The insights provided here are set to advance personalized medicine and promote the development of microbiota-targeted therapies.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1262-1272"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiffany Luong, Izabela Rybicka, Patrick Blankenberg, Krystyna Dąbrowska, Paul L Bollyky
{"title":"Breaking down barriers to improve phage therapy delivery.","authors":"Tiffany Luong, Izabela Rybicka, Patrick Blankenberg, Krystyna Dąbrowska, Paul L Bollyky","doi":"10.1016/j.chom.2026.06.013","DOIUrl":"10.1016/j.chom.2026.06.013","url":null,"abstract":"<p><p>There is growing interest in the development of bacteriophages as therapies for antimicrobial-resistant infections, but effective delivery of phages remains a barrier. This review examines the opportunities and challenges involved in the development of phages as drugs, focusing on phage delivery. We first review current practices and success rates for clinical phage therapy and recent advances in phage selection and design. Next, we frame ongoing delivery challenges in the context of what is known about phage biology and phage pharmacokinetics. We then explore barriers to effective phage delivery alongside dosing and administration strategies used to overcome them, followed by an examination of recent innovations in phage formulations and biomaterials technologies. Finally, we highlight outstanding questions and challenges in the field. We conclude that optimizing delivery is a key determinant of the success of phage therapy and that the integration of microbiology, materials science, and pharmacology will enable more consistent success.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1285-1301"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving the vaccine efficacy gap with microbial-derived therapies.","authors":"Jongchan Kim, Godelieve de Bree, Vanessa Harris","doi":"10.1016/j.chom.2026.06.009","DOIUrl":"https://doi.org/10.1016/j.chom.2026.06.009","url":null,"abstract":"<p><p>Oral polio and rotavirus vaccines underperform in low-resource settings, a failing linked to distinct microbiome compositions. This Forum examines why empiric probiotics and broad taxonomic approaches are largely ineffective in boosting mucosal vaccine immunity and proposes mechanism-driven microbial therapies that modulate epithelial barriers, utilize immune-modulating metabolites, or mitigate viral interference.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":"34 7","pages":"1170-1174"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cell host & microbePub Date : 2026-07-08Epub Date: 2026-05-11DOI: 10.1016/j.chom.2026.04.011
Xiaoen Huang, Wenxiu Ma, Wenting Wang, Yu Feng, Jinyun Li, Tirtha Lamichhane, Yuanchun Wang, Jin Xu, Sheo Shankar Pandey, Diann S Achor, Javier L Dalmendray, Zhuyuan Hu, Camila Ribeiro, Ning Zhang, Madhurababu Kunta, Allison K Hansen, Nian Wang
{"title":"Immune activation by a phloem-colonizing plant pathogen drives citrus Huanglongbing disease development.","authors":"Xiaoen Huang, Wenxiu Ma, Wenting Wang, Yu Feng, Jinyun Li, Tirtha Lamichhane, Yuanchun Wang, Jin Xu, Sheo Shankar Pandey, Diann S Achor, Javier L Dalmendray, Zhuyuan Hu, Camila Ribeiro, Ning Zhang, Madhurababu Kunta, Allison K Hansen, Nian Wang","doi":"10.1016/j.chom.2026.04.011","DOIUrl":"10.1016/j.chom.2026.04.011","url":null,"abstract":"<p><p>Citrus Huanglongbing (HLB), caused by Candidatus Liberibacter asiaticus (CLas), was reported to be a pathogen-triggered immune disease. However, genetic evidence and mechanistic understanding for such a disease model are lacking. Here, we showed that mitigation of reactive oxygen species (ROS) accumulation by targeted overexpression of FLAVODOXIN in chloroplasts, but not mutation of respiratory burst oxidase protein D (RBOHD), reduces HLB symptoms. We explored the involvement of phloem callose deposition in HLB via treatment with a callose synthesis inhibitor, gene expression, mutation, and overexpression of CALS7 genes. Using tomato-Ca. L. psyllaurous as a surrogate, we demonstrated that Liberibacter causes immune diseases through the effector-triggered immunity (ETI) pathway mediated by two EDS1 modules (EDS1-NRG1 and EDS1-PAD4-ADR1) but not by NDR1. The eds1a/eds1b or eds1a mutant of citrus showed increased HLB resistance or reduced immune responses compared with the wild type after CLas inoculation. This study provides genetic evidence and mechanistic insights into Ca. Liberibacter-triggered immune-mediated diseases, highlighting parallels between immune dysregulation in humans and plants.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":" ","pages":"1398-1414.e9"},"PeriodicalIF":18.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}