Microbiome-driven PKs: redefining drug metabolism beyond host enzymes

We propose that the gut microbiome should be recognized as a 'fifth pillar' of PKs. This shift in perspective is crucial for advancing personalized medicine. In this new model, a 'PK profile card' integrating microbial, genomic, and clinical data will help guide dosing. We anticipate microbiome analysis to become a standard clinical tool to optimize drug efficacy and safety.

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Publication Details

Journal
Expert Opinion on Drug Metabolism & Toxicology
Published
2026-01-02
DOI
https://doi.org/10.1080/17425255.2026.2631415
Primary Topic
Gut microbiota and health
Type
article
Field-Weighted Citation Impact
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article

Microbiome-driven PKs: redefining drug metabolism beyond host enzymes

Amina Džidić-Krivić, Marc Labriffe, Hing Yee Sy, Kristina Pilipović et al.
Expert Opinion on Drug Metabolism & Toxicology
Gut microbiota and health
article

Microbiome-driven PKs: redefining drug metabolism beyond host enzymes

Amina Džidić-Krivić, Marc Labriffe, Hing Yee Sy, Kristina Pilipović, Yun Wah Lam, Lejla Alić, Slobodan Jankovic, Andrej Belančić, Almir Fajkić
article en

Abstract

We propose that the gut microbiome should be recognized as a 'fifth pillar' of PKs. This shift in perspective is crucial for advancing personalized medicine. In this new model, a 'PK profile card' integrating microbial, genomic, and clinical data will help guide dosing. We anticipate microbiome analysis to become a standard clinical tool to optimize drug efficacy and safety.

Expert Opinion on Drug Metabolism & ToxicologyVol. 22(1)
University of Sarajevo (BA), University of Kragujevac (RS), University of Rijeka (HR), City University of Hong Kong (HK), University of Zenica (BA), Centre Hospitalier Universitaire de Limoges (FR), Université de Limoges (FR)
Good health and well-being
Openalex Percentile: Top 54%
Gut microbiota and health
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Microbiome-driven PKs: redefining drug metabolism beyond host enzymes — Amina Džidić-Krivić, Marc Labriffe, et al. · Expert Opinion on Drug Metabolism & Toxicology (2026) | TGRS Research Map | TGRS