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.
Authors
- Amina Džidić-Krivić
- Marc Labriffe (ORCID: https://orcid.org/0000-0001-5840-8904)
- Hing Yee Sy (ORCID: https://orcid.org/0000-0002-0298-1696)
- Kristina Pilipović
- Yun Wah Lam
- Lejla Alić (ORCID: https://orcid.org/0000-0003-0197-0837)
- Slobodan Jankovic
- Andrej Belančić
- Almir Fajkić
Institutions
- 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)
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
- 0.00