This episode features two guests from the ISAPP board of directors who led the recently published consensus definition of gut health: Prof. Maria Marco PhD from UC Davis (USA), and Prof. Eamonn Quigley MD from Houston Methodist Hospital (USA). In the paper, the group defines gut health as: “a state of normal gastrointestinal function without active gastrointestinal disease and gut-related symptoms that affect quality of life”. Gut health is a commonly used term that previously had no scientific definition. Initially the group of experts (both scientists and physicians) that met to discuss it had a lot of skepticism, but they became more enthusiastic and engaged as the discussion proceeded and were finally able to reach consensus. The group identified 6 distinct domains that are encompassed under gut health: gut microbiome, gut barrier, gastrointestinal physiology (primarily intestinal secretions and motility), gut-brain axis, immune function, and metabolism. The group hopes it will provide clarity over time about which aspect(s) of gut health are being assessed in a given study (as it’s not realistic to look at all aspects in a single study). One difficulty is that some of the tests available to measure these domains are quite limited and/or invasive. Nor do consistent correlations exist between symptoms and objective measures of the 6 domains. Determinants of gut health are also discussed in the paper, with diet being important among these.

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About Prof. Maria Marco PhD:

Dr. Maria Marco PhD, is President of ISAPP’s board of directors and Professor in the Department of Food Science and Technology at the University of California, Davis. She earned her PhD in microbiology at the University of California, Berkeley. Prof. Marco started her lactic acid bacteria and gut health laboratory at UC Davis in 2008 and has built an internationally-recognized, NIH, USDA, and NSF funded research program on probiotics, fermented foods, and dietary modulation of the gut microbiome. She is currently a fellow in the American Academy of Microbiology.

About Prof. Eamonn Quigley MD:

Dr. Eamonn M M Quigley MD FRCP FACP MACG FRCPI MWGO is David M Underwood Chair of Medicine in Digestive Disorders and Chief of the Division of Gastroenterology and Hepatology at Houston Methodist Hospital. A native of Cork, Ireland, he graduated in medicine from University College Cork. He trained in internal medicine in Glasgow, completed a two-year research fellowship at the Mayo Clinic, and training in gastroenterology in Manchester, UK. He joined the University of Nebraska Medical Center in 1986 where he rose to become Chief of Gastroenterology and Hepatology. Returning to Cork in 1998 he served as Dean of the Medical School and a PI at the Alimentary Pharmabiotic Center. He served as president of the American College of Gastroenterology and the WGO and as editor-in-chief of the American Journal of Gastroenterology.

This special year-end episode, which covers 2025’s highlights in biotic science, features three of the academic scientists who serve on the ISAPP board of directors: Prof. Maria Marco PhD from University of California, Davis (USA), Prof. Sarah Lebeer PhD from University of Antwerp (Belgium), and Dr. Gabriel Vinderola PhD from National University of Litoral (Argentina). After a brief review of ISAPP’s activities, the host, Prof. Colin Hill PhD from University College Cork (Ireland) asks the three guests about the talks that stood out from the ISAPP annual meeting. The guests cited talks by Prof. Howard Bauchner MD on publishing and the scientific communication ecosystem; Dr. Carolina Tropini PhD on factors affecting the gut microbial environment and engineering gut microbes as biosensors; and Dr. Peijun Tian PhD on a microbial metabolite that can signal to the brain to relieve depression through the gut-brain axis. The guests also described some stand-out papers published this year (linked below). Finally, they discussed how science is informing regulatory issues in different parts of the world, and shared some research from their own labs that they’re particularly excited about.

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This episode features Prof. Yvan Vandenplas MD PhD from the University Hospital Brussels and Vrije Universiteit Brussel (Belgium), speaking about the science on probiotics and prebiotics in infant formula. Over the past 20 years in this field, awareness of the importance of the gastrointestinal microbiota has grown, and biotics have been employed to try to shape the gut microbiota of infants formula-fed to resemble that of breastfed infants. In particular, human milk oligosaccharides (HMOs) are prebiotics that are shown to change the microbiota composition, although the clinical benefits of these changes are not yet clear. What clinical benefits are achievable for infants who receive formula with added probiotics or prebiotics? Looking closely at the trials, it’s evident that probiotics and prebiotics are associated with a decrease in infections and antibiotic prescriptions, but researchers need to use these as primary endpoints in their trials to increase the strength of the evidence. In a recent European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) recommendations paper, the probiotic recommendations were challenging because for each specific probiotic intervention the group had difficulty finding two clinical trials with a similar design, limiting their ability to make conclusions. Prof. Vandenplas says more trials need to be done independently to strengthen the evidence. Long-term outcomes from probiotic or prebiotic supplementation in infant formula are possible as well, but much larger longitudinal trials are necessary to establish these outcomes.

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About Prof. Yvan Vandenplas MD PhD:

Yvan Vandenplas did his medical studies at the ”Vrije Universiteit Brussel” (Free University of Brussels) and trained in pediatrics (1981-1986) at the same University. He became Head of the Unit for Pediatric Gastroenterology and Nutrition in 1987 and created the Pediatric Hospital, the KidZ Health Castle, at the University Hospital Brussels (UZ Brussel) of the same university, where he had the Chair of Pediatrics since 1994 up to 2021. He is now Prof. Emeritus and consultant at the same hospital. He is associate editor of Nutrients.

This episode features Dr. Eirini Dimidi PhD RD from King’s College London (UK), speaking about the recently published British Dietetic Association’s guidelines for dietary management of chronic constipation. Constipation can be a major concern for patients, but evidence around some of the most common dietary recommendations for addressing it has remained unclear. After a thorough review of evidence from randomized, controlled trials, Dr. Dimidi and colleagues found evidence for specific foods / beverages improving certain symptoms of constipation. In addition, some supplements such as psyllium, certain probiotics, and magnesium oxide have evidence for efficacy. A high-fiber diet is a commonly recommended dietary strategy for chronic constipation, but the guideline shows that the evidence to date is insufficient to support this recommendation. (However, a high fiber diet has many other benefits.) Probably the effective foods’ key mechanism of action in relieving symptoms of constipation is the fiber they contain, but future studies need to confirm this. Regarding probiotics, so far the evidence is ambiguous around which strains and which durations of treatment are the most effective so the authors were unable to make a confident conclusion. However, for practical reasons they included the expert opinion that patients should be advised to take a probiotic of their choice for at least 4 weeks in addressing chronic constipation.

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About Dr. Eirini Dimidi PhD RD:

Dr Eirini Dimidi is an Associate Professor in Nutritional Sciences at King’s College London. She is a registered dietitian and nutritionist since 2011, after completing a BSc in Nutrition and Dietetics and a MSc in Clinical and Public Health Nutrition. This was followed by the completion of a PhD from King’s College London where she investigated the effectiveness of probiotics in people with chronic constipation.

She is leading research on nutrition-based interventions, including fibre, prebiotics, probiotics, plant foods, and plant-based diets in gut function and dysfunction. She is also investigating the mechanisms through which nutritional interventions may affect immune and mental health via the gut microbiome. Dr Dimidi led the development of the first ever UK national dietary guidelines for the management of chronic constipation, which have been endorsed by the British Dietetic Association.

Dr Dimidi was awarded the 2023 Cuthbertson Medal by the Nutrition Society, and the 2022 ISAPP Glenn Gibson Early Career Research Prize for her research on the effect of diet in gut health. She also received the 2021 Rising Star and 2020 Elizabeth Washington awards by the British Dietetic Association.

This episode features Prof. Kevin Foster PhD from University of Oxford (UK), speaking about his lab’s ecological approach to the gut microbiome and efforts to understand and predict dynamics of different species in the microbiome. They also focus on how these ecological dynamics map onto health outcomes, and how they inform interventions. In a 2023 paper, they explored the concept of colonization resistance in the gut, and why certain bacteria or combinations of bacteria are particularly good at preventing pathogens from thriving. Both diversity and composition are important for determining the extent to which a community resists a pathogen. But a microbiome may equally resist a probiotic that’s introduced because the probiotic microorganism doesn’t have access to a unique nutrient. How bacteria interact with each other can help determine resiliency or stability of the microbiome overall. While it’s true that hundreds of species of bacteria exist in the gut, the scale at which the microbes interact locally is much more limited (on the scale of tens of species).

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About Prof. Kevin Foster PhD:

Professor Kevin Foster FRS is the Chair of Microbiology at the Dunn School of Pathology, University of Oxford. Prior to this, he was Professor of Evolutionary Biology in the departments of Biology and Biochemistry at Oxford. Before Oxford, he had a lab at Harvard as a Bauer Fellow in the FAS Center for Systems Biology. He did his undergrad at Cambridge in Natural Sciences and his Ph.D. at the University of Sheffield in evolutionary biology. Professor Foster’s research integrates the traditional fields of ecology and evolution with the latest methods in computation, microbiology, molecular genetics, and the study of the mammalian microbiome. The lab focuses on how bacteria compete and succeed in their communities and seeks to use this to manipulate gut communities for better health.

This episode features Dr. Joao Xavier PhD, a systems biologist from Memorial Sloan Kettering Cancer Center, speaking about the application of ecological principles and tools to individuals being treated for cancer. His lab combines multi-omics profiling with ecological models to generate insights on how microbes interact with each other, for application to clinical risk prediction and microbiota-focused interventions. He has studied individuals receiving bone marrow transplantation, who take antibiotics to prepare for treatment; the antibiotics cause significant gut microbiota shifts and the risk of bloodstream infections increases, so his lab is looking at whether the gut microbiota could mitigate this risk. Currently microbiome monitoring is not being used clinically in patients receiving cancer treatments, but a path exists for gaining the evidence needed to make this feasible and useful. Potentially, microbiome monitoring could allow physicians to move from reactive treatment with antibiotics to proactive intervention that prevents serious infections. Or the clinician could simulate potential treatment scenarios and figure out which one is the most beneficial. Probiotics could be administered to shape the microbiome – but rather than adding microorganisms that may simply be missing, these probiotics would be developed by thinking about the microbiome outcome and how to pressure the ecosystem in a certain direction.

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About Dr. Joao Xavier PhD:

Joao B. Xavier, PhD, is a faculty member in the Program for Computational and Systems Biology at Memorial Sloan Kettering Cancer Center in New York. His lab combines experiments, computational modeling, and clinical data to study how the human microbiota influences cancer treatment outcomes. Dr. Xavier’s work has uncovered links between gut bacteria, immune recovery, and infection risk in patients undergoing intensive therapies such as allogeneic hematopoietic stem cell transplantation. He recently authored a Nature Reviews Clinical Oncology article (2025) proposing “ecological management” of the microbiota in oncology. This approach applies principles of ecosystem management to preserve beneficial microbes, minimize treatment-related damage, and guide precision interventions. He was awarded the 2026 ASM Microbiome Data Prize by the American Society for Microbiology in recognition of these contributions. His group collaborates broadly across clinical and basic sciences to develop microbiota-informed strategies that could improve responses to chemotherapy, immunotherapy, and infection control.

This episode features Prof. Jens Walter PhD, a microbial ecologist from University College Cork / APC Microbiome Ireland, explaining how he applies ecological and evolutionary frameworks for the purposes of understanding and modulating microbiomes. Although there appears to be a high amount of stochasticity (or randomness) in microbiomes, stochastic and deterministic elements work together to determine outcomes. Priority effects (based on arrival order of a bacterium or other microorganism) are important, with communities likely taking shape through a combination of priority effects and adaptation to the niche. The potential to modulate the microbiome is high in early life, as there are many ecological possibilities. For established microbiomes (for example, in adults), Prof. Walter’s group has found that diet (for example, the “NiMe” diet they developed)  is a possible way to modulate the microbial community, although the effect on the overall ecosystem is small. Nevertheless, dietary modulation may have positive and important effects on host health.

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About Prof. Jens Walter PhD:

Jens Walter serves as the Professor of Ecology, Food, and the Microbiome at University College Cork and the APC Microbiome Ireland. His expertise lies at the interface of evolutionary ecology of the gut microbiome and human nutrition. His research focuses on the evolutionary and ecological processes that have shaped host-microbiome symbiosis and the translation of basic microbiome science into therapeutic and nutritional strategies. Dr. Walter and his collaborators have pioneered the application of ecological theory to elucidate ecological and nutritional factors that shape gut microbiomes and have achieved targeted modulations of microbiomes via dietary strategies and live microbes. Prof. Walter has published >140 peer-reviewed publications (google scholar H-index 69, >23,000 citations) and is a ‘highly cited researcher’ according to the Web of Science group.

This episode features Dr. Marjon de Vos PhD from the University of Groningen (the Netherlands) speaking about microbial ecology and evolution, and in particular how these affect antimicrobial resistance. She studies the urobiome as well as the factors that contribute to urinary tract infections and successful treatment of these infections with antibiotics. Her lab combines molecular biology techniques with phenotypic and growth measurements, as well as computational modeling. She has found evidence of microbial interactions mediating evolutionary potential of microorganisms – for example, in vitro experiments showed that in the presence of Enterococcus, E. coli speeds up its rate of developing antimicrobial resistance. Thus, interactions within the bacterial ecosystem may affect pathogens’ sensitivity to antimicrobials. Prebiotics are a potential intervention: if bacteria that make a pathogen more susceptible to antimicrobials are already present in the urobiome, their numbers could be enhanced. Probiotics are another possibility. From a One Health perspective, such approaches are important to explore because they support antimicrobial stewardship and help maintain control of antimicrobials in the environment overall.

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About Dr. Marjon de Vos PhD:

We investigate ecological and evolutionary processes in microbial communities, with a focus on infectious contexts. Our goal is to unravel the genotype–phenotype–fitness relationships within (evolving) communities and to identify the ecological factors that drive microbial evolution. To achieve this, we combine molecular biology techniques with phenotypic and growth measurements, as well as computational modeling. Our research places special emphasis on the urobiome and urinary tract infections in postmenopausal women, as well as on sepsis. By uncovering the fundamental ecological and evolutionary dynamics of microbial communities in infectious diseases, we aim to contribute to the development of strategies that alleviate infections and help curb the emergence and spread of antibiotic resistance.

In this second special episode about ISAPP’s annual meeting, held in Banff (Canada) in July 2025, Executive Director Marla Cunningham introduces the four highest-scoring posters from the poster session. Four speakers, all members of the ISAPP Students and Fellows association (SFA), join the podcast to describe the work they presented via poster at the meeting:

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In this special episode, ISAPP’s Executive Director Marla Cunningham highlights ISAPP’s annual meeting, held in Banff, Canada in July 2025. Four speakers join the podcast to describe their talks from the meeting:

Episode abbreviations and links:

About our speakers:

Carolina Tropini, University of British Columbia, Canada

Dr. Carolina Tropini is an Assistant Professor at the University of British Columbia in the Department of Microbiology and Immunology and the School of Biomedical Engineering, and a Canada Tier 2 Research Chair in Quantitative Microbiota Biology for Health Applications. In 2020 she was nominated a Paul Allen Distinguished Investigator, and she was the first Canadian to be awarded the Johnson & Johnson Women in STEM2D Scholar, which was granted in the field of Engineering. She is the inaugural Alan Bernstein Canadian Institute for Advanced Research (CIFAR) Fellow in the Humans & the Microbiome Program and a Michael Smith Foundation for Health Research Scholar. In 2019, she was nominated as a CIFAR Azrieli Global Scholar.

The Tropini lab is investigating how a disrupted physical environment due to altered nutrition or concurrent with intestinal diseases affects the microbiota and host at a multi-scale level. They are a cross-disciplinary group that incorporates techniques from microbiology, bioengineering and biophysics to create highly parallel assays and study how bacteria and microbial communities function, with the goal of translating the knowledge gained to improve human health.

Dr. Tropini conducted her Ph.D. in Biophysics at Stanford University. Her studies in the laboratory of Dr. KC Huang combined computational and experimental techniques to investigate bacterial mechanics and morphogenesis. In 2014 she received the James S. McDonnell Foundation Postdoctoral Fellowship Award, and she joined the laboratory of Dr. Justin Sonnenburg at Stanford. During her post-doc, Dr. Tropini applied her background in biophysics to study the impact of physical perturbations on host-associated microbial communities living in the gut.

André Marette, Université Laval, Canada

Dr. André Marette is a Professor of Medicine and researcher at the Heart and Lung Institute Hospital Center (IUCPQ), and at the Institute of Nutrition and Functional Foods (INAF) at Laval University. He holds a Valbiotis Research Chair in plant bioactives and metabolic liver diseases and a Pfizer Research Fund in the pathogenesis of insulin resistance and cardiovascular complications.

Dr. Marette is an international renowned expert on how nutrition and the microbiome modulate immunometabolic pathways involved in obesity and cardiometabolic diseases (CMD). He is investigating the metabolic impact of nutritional interventions and microbiome-based therapeutics (probiotics, prebiotics) using both clinical and pre-clinical studies, and uses various cellular models and molecular tools to discover novel disease biomarkers and mechanistic targets. Dr. Marette’s research work has been published in over 330 papers, reviews and book chapters and also authored two books.

He has received several awards for his work including the prestigious Charles Best Award and Lectureship from the University of Toronto for his overall contribution to the advancement of scientific knowledge in the field of diabetes.

Peijun Tian, Jiangnan University, P. R. China

Peijun Tian is an Associate Professor and Master’s supervisor at the School of Food Science and Technology, Jiangnan University. He earned his Ph.D. in Food Science from Jiangnan University (January 2021) and was a visiting scholar at the APC Microbiome Institute, Ireland (September 2019–October 2020). He completed postdoctoral research at Jiangnan University, supported by the prestigious “National Postdoctoral Program for Innovative Talent” (top 1% in China). His research focuses on elucidating the interactions between gut microbiota and brain function, exploring the application of probiotics to mitigate stress, support neurodevelopment, and address neurodegenerative disorders. He has authored over 30 peer-reviewed articles, including three ESI Highly Cited Papers, with an H-index of 23 (Google Scholar, March 2025). In 2025, he was honored with the Glenn Gibson Early Career Researcher Award by the International Scientific Association for Probiotics and Prebiotics (ISAPP).

Josiane Kenfack, University of Yaounde I, Cameroon

Josiane Kenfack is a PhD student passionate about scientific research aimed at improving women’s health through the advancement of studies of the vaginal microbiome and probiotics. Josiane is co-coordinator of a citizen science project in Cameroon, the LEKE project. This project was inspired by the Isala project (https://isala.be/en/) which aims to better understand the female microbiome while raising awareness about vaginal health and breaking taboos. Through the LEKE project, Josiane and colleagues have conducted field activities to explore vaginal and menstrual health and promote good practices with women and men in rural and urban areas. In her ongoing research, she is investigating beneficial lactobacilli that could serve as biotherapeutics or probiotics development to combat conditions such as bacterial vaginosis, HIV, and sexually transmitted infections which are still prevalent in Africa. while she co-coordinates in Cameroon the IMVAHA project which aims to determine the impact of different menstrual products on the vaginal microbiome.

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