Frontiers in Pharmacology (Jan 2023)

Integrating metabolomics, bionics, and culturomics to study probiotics-driven drug metabolism

  • Bohai Li,
  • Bohai Li,
  • Bohai Li,
  • Lai-Yu Kwok,
  • Lai-Yu Kwok,
  • Lai-Yu Kwok,
  • Dandan Wang,
  • Dandan Wang,
  • Dandan Wang,
  • Lu Li,
  • Lu Li,
  • Lu Li,
  • Shuai Guo,
  • Shuai Guo,
  • Shuai Guo,
  • Yongfu Chen,
  • Yongfu Chen,
  • Yongfu Chen

DOI
https://doi.org/10.3389/fphar.2023.1047863
Journal volume & issue
Vol. 14

Abstract

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Many drugs have been shown to be metabolized by the human gut microbiome, but probiotic-driven drug-metabolizing capacity is rarely explored. Here, we developed an integrated metabolomics, culturomics, and bionics framework for systematically studying probiotics-driven drug metabolism. We discovered that 75% (27/36 of the assayed drugs) were metabolized by five selected probiotics, and drugs containing nitro or azo groups were more readily metabolized. As proof-of-principle experiments, we showed that Lacticaseibacillus casei Zhang (LCZ) could metabolize racecadotril to its active products, S-acetylthiorphan and thiorphan, in monoculture, in a near-real simulated human digestion system, and in an ex vivo fecal co-culture system. However, a personalized effect was observed in the racecadotril-metabolizing activity of L. casei Zhang, depending on the individual’s host gut microbiome composition. Based on data generated by our workflow, we proposed a possible mechanism of interactions among L. casei Zhang, racecadotril, and host gut microbiome, providing practical guidance for probiotic-drug co-treatment and novel insights into precision probiotics.

Keywords