Evidence map›Paper›PMID 40483298›Full record

ReviewNPJ biofilms and microbiomes2025

Evolutionary adaptation of probiotics in the gut: selection pressures, optimization strategies, and regulatory challenges.

Julia Leeflang, Josephine A Wright, Daniel L Worthley, M Omar Din, Susan L Woods

Abstract readReview
In one paragraph

Review in NPJ biofilms and microbiomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Probiotic Development Strategy Centered on Stability and Regulatory Considerations.Comprehensive reviews in food science and food safety · 2026
    Review
  7. Recent advances in the positive role ofFrontiers in immunology · 2026
    Review
  8. Article
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Julia LeeflangAdelaide Medical School, University of Adelaide, Adelaide, SA, 5000, Australia.ORCID http://orcid.org/0000-0003-1807-9143
Josephine A WrightPrecision Cancer Medicine Theme, South Australia Health and Medical Research Institute, Adelaide, SA, 5000, Australia.ORCID http://orcid.org/0000-0003-4588-8827
Daniel L WorthleyColonoscopy Clinic, Brisbane, 4000, QLD, Australia.
M Omar DinDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA.
Susan L WoodsAdelaide Medical School, University of Adelaide, Adelaide, SA, 5000, Australia. susan.woods@adelaide.edu.au.ORCID http://orcid.org/0000-0002-8955-2017

Funding

Department of Health | National Health and Medical Research Council (NHMRC) 2020305Gastroenterological Society of Australia (GESA) Bushell fellowshipU.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01 EB030134-01A1
6 · The paper itself

Abstract

Probiotics and live bacterial therapeutics are garnering increased attention for use in human health and have the potential to revolutionise the treatment of gastrointestinal diseases. However, a pervasive feature of bacteria that must be considered in the design of safe and effective probiotics and live bacterial therapeutics is their capacity for rapid evolution, both at the individual (epi)genetic level and in terms of population dynamics. Here we summarise gastrointestinal-specific evolution of bacteria, focussing on genetic and population levels of adaptation to factors such as carbon source availability, environmental stressors, and interactions with the native microbiome. We also address regulatory and safety considerations for the development of probiotics and live biotherapeutics from an evolutionary perspective, with a discussion of methods that utilise evolution to improve probiotic safety and efficacy via directed evolution, in comparison to another popular approach, genetic engineering.

Indexed as

Adaptation, PhysiologicalBacteriaGastrointestinal MicrobiomeGastrointestinal TractProbioticsBiological EvolutionHumansSelection, Genetic

Identifiers

PMID40483298
PMCPMC12145451

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.