This episode features Dr. Marie-Claire Arrieta PhD from the University of Calgary (Canada), speaking about development of the early life gut microbiome, both in preterm and non-preterm infants. Across the field, it has been established that the early days and months of an infant’s life are very determinant of immune system development as well as chronic disease later in life. In this period, environmental cues are important, with some of these cues coming from the gut microbiome – both bacteria and fungi. Preterm infants show a very different gut microbiome than non-preterm infants. Ample evidence shows probiotics given to preterm infants can bring clinical benefits such as a reduced risk of necrotizing enterocolitis, but this is separate from investigations into the infants’ gut microbiomes. Dr. Arrieta’s work has shown that probiotics can guide the gut ecosystem of preterm infants toward approximating the non-preterm gut microbiome. One gap in the research is to know more about the effects of specific strains; their work found that although bifidobacteria were more effective at colonizing in the gut, lactobacilli drove some aspects of microbiota maturation. Dr. Arrieta speculates that the case for probiotic use for preterm infants will become stronger as trials increasingly focus on health outcomes not just during the neonatal intensive care unit stay, but also later in life. Overall in healthy infants, different patterns of gut microbiome and immune development can lead to the appearance of diseases later in life. The latest insight is that disease is linked not to specific microbes or metabolites, but to the pace of gut microbiome development. Misalignment of gut microbiome development (too early or too late) with stages of immune development is associated with later emergence of allergic disease. Several factors such as C-section birth and antibiotics may contribute to this misalignment, but breastfeeding seems to mitigate it. Dr. Arrieta has an ongoing longitudinal study on the early life microbiota and disease associations in preterm and non-preterm infants that is likely to reveal more details.

Dr. Marie-Claire Arrieta is a Professor and Research Excellence Chair at the Cumming School of Medicine, University of Calgary. Her research examines interactions between the early-life gut microbiome and infant development. Her program integrates clinical and experimental approaches to uncover mechanisms of host–microbiome communication. Her work, published in leading journals, has accumulated over 12,000 citations. She has presented her research internationally through more than 120 invited talks to scientific, medical and public audiences. A dedicated mentor, she has supervised over 45 undergraduate, medical, PhD, and postdoctoral trainees. Her contributions have been recognized with the CIHR-SickKids New Investigator Award, the Killam Emerging Research Leader Award, and election to the College of New Scholars of the Royal Society of Canada. Dr. Arrieta is co-author of the best-selling public book, Let Them Eat Dirt, and is involved in several science communication initiatives.

This episode features Prof. Hariom Yadav PhD, from the University of South Florida (USA), speaking about the skin microbiome and potential interventions for anti-aging and wound healing. Prof. Yadav noted that humans have a stable (core) microbiome on the surface of skin cells, plus a transient microbiome that depends on recent exposures. The skin microbiome constantly changes through the lifespan, and in aging, many skin conditions are correlated with the microbiome. Animal studies show a causal component of the microbiome in some of these conditions. However, because of the large skin microbiome differences from person to person and in narrow age groups, technologies or products may have to be designed in a personalized way. Prof. Yadav’s lab conducted experiments with lactobacilli and found strain-dependent effects of probiotics on anti-aging, and for some strains these effects persisted when the inactivated bacteria (postbiotics) were used. The postbiotics have commercial advantages over probiotics in this area of health. Prof. Yadav described an application in wound healing, building on the idea that microbial stimulation promotes natural skin cell growth and more fibroblasts. A standard treatment for wound healing is effective but may lead to scarring; the postbiotic treatment leaves less scarring. The efficacy of the postbiotic occurs because inactivated bacteria still give growth-promoting signals to the skin cells. Applying metabolites directly may not be as effective because bacterial cells or extracts work on host cells, which changes the skin environment and further supports positive skin microbiome changes.

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About Prof. Hariom Yadav PhD:

Dr. Hariom Yadav is a Professor at the University of South Florida and Director of the USF Center for Microbiome Research, and co-founder of Postbiotics Inc (www.postbioticsinc.com) and MusB Research (www.musbhealth.com). With over 25 years of experience, he specializes in microbiome science, biotics, nutrition, longevity, and natural products for optimal wellness. He has authored 200+ peer-reviewed publications, holds/filed 7 patents, mentored over 80 scientists, and has successfully translated multiple innovations into commercially viable products.

Dr. Yadav works closely with industry partners to accelerate product development—from discovery and mechanistic validation to clinical trials and regulatory readiness. He leads global collaborative efforts, including the MELLOW (Multi-continental Evidence of Longevity and Lifestyle for Optimal Wellness) consortium, a unique platform for scalable, multi-region clinical validation. His integrated approach enables companies to build scientifically robust, market-ready products with strong differentiation and credibility. He is committed to moving science from bench to market, delivering measurable health impact and commercial success.

This episode features Dr. Nathan Archer PhD from Johns Hopkins Medicine (USA), speaking about the skin microbiome and particular microorganisms that cause inflammation. The skin is a dynamic organ with the main functions of keeping moisture in and keeping the environment out. Overall, the skin environment is not very welcoming to microorganisms but some have adapted to thrive in the low pH environment. His research has found that certain bacteria that are normally considered commensals can become pathogenic when they start producing specific proteases that instigate inflammation on the skin. Acute inflammation that removes a bacterial exposure from the skin is beneficial, but chronic inflammation can be a major problem. Staphylococcus aureus is a bacterium that predominates in many inflammatory skin diseases and benefits from an inflammatory environment and disruption in the skin barrier; in turn, S. aureus is proinflammatory and uses proteases to drive skin inflammation. His lab is interested in understanding the connection between skin microorganisms and the ‘atopic march’ (progression of allergic diseases, including atopic dermatitis, through infancy and childhood). They found that S. aureus on the skin can exacerbate allergic reactions in the lungs, driving hard-to-treat neutrophilic asthma. His group is contributing to several strategies for preventing / treating skin and allergic diseases, including a vaccine for S. aureus; so far, vaccines against this bacterium have not succeeded because S. aureus has so many tools for avoiding human immune responses. However, a multivalent vaccine targeting multiple toxins that affect the immune system is currently being developed and is in Phase 1 clinical trials.

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About Dr. Nathan Archer PhD:

Dr. Nathan Archer is an Associate Professor at the Johns Hopkins School of Medicine Department of Dermatology. Dr. Archer’s research involves uncovering how skin microbes, especially the major human pathogen Staphylococcus aureus, exacerbate inflammatory skin diseases such atopic dermatitis as well as how host immunity protects against bacterial skin infections. His work involves the incorporation of immunological and “omic” approaches with preclinical models and clinical samples to reveal mechanistic insights with translational relevance to human disease. His long-term research goals are to develop novel host-directed therapies for the treatment of inflammatory skin disorders and skin infections. Dr. Archer has received funding from the NIH as well as from foundation and industry sources, including the Dermatology Foundation, LEO Foundation, and Pfizer. He has been an invited speaker at numerous international and national conferences with a focus on dermatology, immunology, and microbiology.

This episode features Dr. Maria Teresa García-Romero, MD MPH from the National Institute of Pediatrics in Mexico City, talking about the skin microbiome and how it relates to atopic dermatitis. The skin microbiome varies widely at different sites on the body, but in general, increased diversity is associated with healthy skin. In atopic dermatitis, Staphylococcus aureus becomes abundant and skin microbiome diversity decreases, correlating with inflammatory responses. Treatments have the effect of reducing Staphylococcus aureus. These bacteria are now established to have a role in the pathophysiology of the disease. The caution with antibiotic treatment is that a systematic review and meta-analysis from Dr. García-Romero’s group found Staphylococcus aureus isolates from people with atopic dermatitis had suboptimal susceptibility to commonly used antimicrobials, especially in lower middle-income and upper middle-income countries. Mechanistically, Staphylococcus aureus decrease natural antimicrobial molecules in the skin, stimulate the innate immune response, and likely reduce beneficial bacteria. New treatments are urgently needed because atopic dermatitis is very prevalent (affecting 20-30% of the population), with far-reaching effects in children’s and families’ lives. Two ingested probiotics are commercially available for atopic dermatitis, backed by clinical data, whereas topical probiotic treatments require further research.

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About Dr. Maria Teresa García-Romero:

Dr. Maria Teresa García-Romero is a medical doctor graduated from Tec de Monterrey School of Medicine, magna cum laude. She has a Specialty in Dermatology and Diploma in Medical Mycology from UNAM, Mexico City. Dr. García-Romero completed a Fellowship in Pediatric Dermatology at the University of Toronto, and a Master’s degree in Public Health and Quantitative methods of research at Harvard University Chan School of Public Health. 

She has received meritorious awards including the Mexican Foundation for Health (FUNSALUD), Harvard University Presidential Award, Society for Pediatric Dermatology Fellow Award, among others; and funding for research projects by prestigious international organizations such as MIT (Massachusetts Institute for Technology) seed funds and EB Research Partnership. 

She is currently an attending physician in the Dermatology Department of the National Institute of Pediatrics in Mexico City and a member of the National System of Researchers level II. She has more than 150 articles published in national and international magazines, supervised multiple postgraduate theses and has presented in multiple forums worldwide. Dr. García-Romero is a member of the Editorial Committee of JAMA Dermatology, Pediatric Dermatology and other high impact journals. Her research interests include the skin microbiome, atopic dermatitis, vascular anomalies and autoimmune disease.

This episode features Dr. Aayushi Uberoi PhD from Washington University in St. Louis (USA), speaking about the skin microbiome and various techniques for studying it. The skin is a reactive interface that protects the body, with the skin on various parts of the body looking very different because of stratifications in the epithelial layers and the local nutritional landscape. The skin microbiome in general is nutrient sparse and varies at different body sites. Research has shown that epithelial development, stratification, and differentiation are altered in the absence of the microbiota, showing the active role of the skin microbiota in regulating skin function. Microbes that inhabit the skin are shown to elicit unique immune responses with systemic effects. Communication between skin microbes and human body cells may be happening via metabolites. When conducting skin microbiome experiments, controls are important; the low biomass samples are susceptible to contamination. In the future, knowing more about the nutritional needs of the skin microbes could help guide the development of prebiotics for skin.

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About Dr. Aayushi Uberoi PhD:

Aayushi Uberoi is an Assistant professor of Pathology & Immunology and Medicine (Dermatology) in Washington University School of Medicine in Saint Louis. Her lab studies the host-microbe-environment interactions in regulating skin barrier. She  has studied interactions between microbes and skin since her Ph.D. research on cutaneous papillomaviruses in Dr. Paul Lambert’s lab at the University of Wisconsin-Madison. While traditional studies of infectious skin diseases have typically focused on singular pathogens within the host, skin is colonized by a diverse array of microbes, which likely exert significant influence on epithelial characteristics. Motivated by this question, Aayushi’s postdoctoral research at the University of Pennsylvania in Dr. Elizabeth Grice’s lab explored the role of the commensal microbiome in regulating the function of the cutaneous barrier. In the lab, Aayushi wears several hats such as conducting research, developing protocols and assays, writing, and making sure the lab has fun equipment. 

Aayushi is a recipient of K99/R00 Pathway to Independence award from National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS/NIH), innovator award from Society of Investigative Dermatology, fellowships from Prevent Cancer Foundation and Dermatology Foundation and a Young Investigator Award from the Wound Healing Society. 

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.