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Therapeutic & Molecular Ontology

Drug, Gene & Biomarker Index

Navigate peer-reviewed breakthroughs by pharmacological class, genetic target, circulating biomarker, or diagnostic modality. Select any clinical entity to inspect all linked studies.

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Indexed Entities (24)

Biomarker / Assay16 Peer-Reviewed Briefings

Gut Microbiome & Mucosal Metabolites

Intestinal microbial diversity, short-chain fatty acids, and host-microbiome metabolic signatures.

Active Specialties:GastroenterologyOncologyImmunologyEndocrinologyInfectious Disease
Gastroenterology editorial photograph for New Fiber Supplement Shows Promise for Irritable Bowel Syndrome
GASTROENTEROLOGY · CLINICAL PRACTICE

New Fiber Supplement Shows Promise for Irritable Bowel Syndrome

A novel fiber supplement may effectively manage IBS symptoms and gut-related anxiety without causing common digestive distress. This discovery offers a promising new non-pharmacological option for millions suffering from Irritable Bowel Syndrome, potentially alleviating symptoms without common digestive side effects.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readScienceDaily
ONCOLOGY · PRECLINICAL

Surprising Diet-Gut Link Boosts Cancer Immunotherapy in Mice

Specific dietary interventions, unexpectedly including some 'unhealthy' diets, may enhance cancer immunotherapy efficacy (real-world effectiveness in the trial) through gut microbiome modulation. This challenges traditional assumptions about diet's role in cancer treatment, suggesting that certain dietary patterns could potentially be leveraged to optimize immunotherapy outcomes.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readScienceDaily
ONCOLOGY · CLINICAL PRACTICE

Gut Bacterium's Toxin Directly Triggers Colon Cancer

A toxin produced by *Bacteroides fragilis* directly damages the colon and fuels inflammation, acting as a key driver in colorectal cancer development. This breakthrough provides a crucial missing link in our understanding of how gut microbiota can influence cancer development.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readScienceDaily
ONCOLOGY · CLINICAL PRACTICE

Gut Bacterium's Toxin Directly Drives Colon Cancer

The toxin produced by the common gut bacterium *Bacteroides fragilis* directly damages the colon and drives colorectal cancer development through inflammation. This discovery resolves a long-standing mystery regarding the link between gut bacteria and colorectal cancer, providing crucial mechanistic insight.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readScienceDaily
IMMUNOLOGY · PRECLINICAL

Growth factor VEGF-B sustains intestinal Tfh cell stemness to restrict Taurinivorans outgrowth and microbiota-driven obesity

Tfh cell senescence impairs IgA production, disrupting gut microbial homeostasis, with consequences to host metabolic disease. This Tfh-microbiota-obesity pathway was also observed in diet-induced obese mice and in humans.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readImmunity
ENDOCRINOLOGY · REAL-WORLD COHORT

Opposing microbiome-mediated axes link modifiable lifestyles to health and chronic diseases

We identify the gut microbiome as a key mediator linking lifestyle to health and disease, providing a framework for microbiome-based assessment to guide lifestyle interventions for health promotion and disease prevention. Microbiome-defined health- and disease-oriented mediator axes were supported by fecal short-chain fatty acids and plasma cytokines from >1,700 individuals, revealing butyrate-associated anti-inflammatory and pro-inflammatory host profiles, respectively.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readNature Medicine
ENDOCRINOLOGY · REAL-WORLD COHORT

Metformin-supportive nutrition: When gut microbes eat drugs

Zhao et al. identify microbial AdhE as a metformin-degrading enzyme in metformin low-responders and propose enzyme-based microbiome intervention as a strategy to rescue therapy. Published in Cell metabolism, these peer-reviewed endocrinology findings provide quantitative evidence to inform clinical risk stratification, therapeutic decision-making, and follow-up trial design.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readCell Metabolism
INFECTIOUS DISEASE · RANDOMIZED CLINICAL TRIAL

A live biotherapeutic product for adult allogeneic hematopoietic cell transplantation recipients: a partially randomized, placebo-controlled phase 1b trial

The secondary pharmacodynamic endpoint of GI domination by Enterococcus and Enterobacteriaceae spp. was not achieved. . The key secondary efficacy (real-world effectiveness in the trial) endpoint revealed a significantly lower incidence of BSI with SER-155 versus placebo (10.0% versus 43%; OR 0.15; 95% CI 0.01-1.13; P = 0.0423; 77% relative risk reduction).

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readNature Medicine
ENDOCRINOLOGY · REAL-WORLD COHORT

Heterogeneity of microbiome responses to menopausal hormone therapy among perimenopausal women

These findings support a precision MHT framework integrating gut and vaginocervical community typing for personalized care. Baseline vaginocervical community types determined differential outcomes: G. vaginalis-dominated individuals shifted most toward healthier communities, whereas diversified individuals improved least.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readNature Medicine
INFECTIOUS DISEASE · REAL-WORLD COHORT

Cryptosporidium Infection Is Associated with Gut Microbiome Alterations in Bangladeshi Children and Families

Cryptosporidium infection is associated with dynamic and persistent alterations in the gut microbiome, even in the absence of diarrhea, which may be related to impaired child growth, and deserve deeper analysis as promising potential targets for microbiota-mediated interventions. Cryptosporidium spp. are enteric protozoa associated with moderate-to-severe diarrhea and impaired growth in children worldwide.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readThe Journal of Infectious Diseases
ENDOCRINOLOGY · PRECLINICAL

Fungus Rhizopus arrhizus promotes MASLD-associated hepatocellular carcinoma through generating kynurenic acid

Blocking this host-fungi interaction is a potential therapeutic strategy to suppress MASLD-HCC. Mechanistically, KYNA directly bound to IQ motif containing GTPase activating protein 1 (IQGAP1) in tumor cells and activated the oncogenic mitogen-activated protein kinase (MAPK) signaling pathway, thereby facilitating MASLD-HCC development.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readCell Metabolism
IMMUNOLOGY · PHASE I/II

Neoadjuvant botensilimab with or without balstilimab in pMMR and dMMR colon cancer: the phase 2 UNICORN trial

Preoperative BOT + BAL elicits pathological responses in patients with pMMR or dMMR CC, supporting the combination as a promising strategy to expand ICI benefits to the early-stage setting. . Eight (29%) and 15 (54%) patients treated with BOT and BOT + BAL, respectively, experienced immune-related side effects, most commonly flu-like syndrome and diarrhea.

4/5 Strong Trial
Evidence Meter · 4/5

Strong Clinical Evidence

Tested directly in patients through a prospective clinical trial or large multicenter human cohort.

1 min readNature Medicine
IMMUNOLOGY · PRECLINICAL

Autophagy in macrophages curtails IL-1α-mediated immune priming against lung infections

Similar to genetic inactivation of autophagy, overexpression of IL-1α in AMs conferred broad spectrum protection against S. aureus and IAV, suggesting a possible strategy to fine-tune immune responses to combat important respiratory infections. As a result, autophagy-deficient mice showed more efficient clearance of S. aureus along with reduced lung damage and inflammation.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readNature Immunology
GASTROENTEROLOGY · RANDOMIZED CLINICAL TRIAL

Microbiota-Taurine Pathway Links Dietary Fiber to Mucosal Healing

Alginate engages a fiber-microbiota-taurine-epithelial signaling pathway that promotes recovery in preclinical models. The clinical trial did not meet its primary endpoint; however, the biological changes warrant further investigation of alginate as a microbiota-targeted intervention.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readGastroenterology
INFECTIOUS DISEASE · CLINICAL PRACTICE

Evaluation of gut microbiota composition in elite controllers and antiretroviral-treated people with HIV after aspirin versus atorvastatin administration

These findings suggest that ECs have gut microbiota resembling virally-suppressed PWH, and aspirin but not atorvastatin may impact gut microbiota diversity in PWH. There was a significant change in beta diversity after aspirin administration, but no difference in microbiota after atorvastatin.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readThe Journal of Infectious Diseases
GASTROENTEROLOGY · REAL-WORLD COHORT

Hospitalisation in cirrhosis is linked to distinct gut microbiome structural and functional profiles: a multinational metagenomic study

Hospitalisation, regardless of country, is characterised by loss of short-chain fatty acid-producing taxa, functional shifts, ARG and pathway changes. Gut microbiome composition and function are associated with short-term hospitalisation risk and provide additional prognostic information beyond clinical variables in a multicountry cohort.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readGut

Patient & Student Companion

Everyday Lab & Drug Translator

Instant plain-English guides for common blood tests and prescriptions—what normal ranges mean, what high/low values signal, and what to ask your clinician.

Lab Marker3-Month Blood Sugar

HbA1c

Measures the percentage of red blood cell hemoglobin coated with glucose over roughly 90 days.

Normal: below 5.7% · Prediabetes: 5.7%–6.4%

6.5% or higher on two tests diagnoses diabetes; very low values can occur alongside hypoglycemia or hemolytic anemia.

Ask your doctor: “Does my HbA1c match my daily fasting/post-meal glucose trends?”

Lab MarkerArtery Plaque Carrier

LDL Cholesterol

Low-density lipoprotein particles that carry cholesterol into blood vessel walls when circulating in excess.

General optimal: < 100 mg/dL (< 70 or < 55 mg/dL in high-risk hearts)

Sustained elevated LDL accelerates arterial plaque buildup; alongside ApoB, lowering LDL consistently cuts heart attack risk.

Ask your doctor: “Should we also check ApoB or Lipoprotein(a) to gauge my true plaque risk?”

Lab MarkerBone & Immune Hormone

Vitamin D (25-OH)

Blood storage marker reflecting sun-made and dietary vitamin D essential for calcium absorption and bone remodeling.

Sufficient: 20–50 ng/mL (50–125 nmol/L)

Levels under 12–20 ng/mL risk bone softening and secondary hyperparathyroidism; mega-dosing rarely beats correcting true deficiency.

Ask your doctor: “Do my labs actually show deficiency, or is a standard maintenance dose enough?”

Lab MarkerThyroid Thermostat

TSH

Pituitary hormone that signals your thyroid gland to speed up or slow down metabolism.

Typical adult range: ~0.4–4.5 mIU/L

Paradoxically, HIGH TSH usually signals an underactive thyroid (hypothyroidism), while LOW TSH points toward an overactive thyroid.

Ask your doctor: “If my TSH is borderline, should we re-test Free T4 before adjusting anything?”

Lab MarkerKidney Filter Rate

eGFR

Estimated glomerular filtration rate—how many milliliters of blood your kidneys filter every minute.

Healthy adult filter rate: 90+ mL/min/1.73m²

Values persistently below 60 for 3+ months (or elevated urine albumin) mark chronic kidney disease; single dips can simply reflect dehydration or NSAID use.

Ask your doctor: “Should we pair eGFR with a urine albumin-to-creatinine test (uACR)?”

Lab MarkerInflammation Signal

hs-CRP

High-sensitivity C-reactive protein released by the liver in response to infection, tissue stress, or vascular inflammation.

Low cardiovascular risk: < 1.0 mg/L · Elevated: > 3.0 mg/L

Mild chronic elevations flag vascular inflammation; readings above 10 mg/L usually reflect an acute cold, injury, or autoimmune flare.

Ask your doctor: “Was my CRP elevated because of a recent infection, or is it worth repeating when healthy?”

MedicationIncretin Agonists

GLP-1s

Medications (e.g., semaglutide, tirzepatide) mimicking gut satiety hormones to lower blood sugar, slow stomach emptying, and quiet brain appetite signals.

Major RCTs show 12%–22% average weight loss & 20% fewer CV events in high-risk adults

Common early effects include nausea or reflux; maintaining protein intake and resistance exercise helps preserve lean muscle mass.

Ask your doctor: “If I start a GLP-1, how do we protect lean muscle and plan long-term dosing?”

MedicationHMG-CoA Reductase Inhibitors

Statins

First-line daily medications that curb liver cholesterol synthesis and boost LDL plaque particle clearance.

Lowers LDL 30%–55% depending on dose intensity

Decades of randomized trials confirm durable reductions in heart attack, stroke, and cardiovascular death; true severe muscle injury is rare.

Ask your doctor: “What is my 10-year cardiovascular risk score, and what LDL target fits me?”

MedicationFirst-Line Metabolic Therapy

Metformin

Oldest, safest first-line type 2 diabetes drug that reduces excess liver glucose output and improves insulin sensitivity.

Lowers HbA1c by ~1.0%–1.5% without causing low blood sugar alone

Extended-release tablets cut stomach upset dramatically; long-term users should periodically monitor Vitamin B12 and kidney function (eGFR).

Ask your doctor: “Should we check my Vitamin B12 level if I have been on metformin for several years?”

MedicationSerotonin Reuptake Inhibitors

SSRIs

Medications that increase synaptic serotonin availability over 2–6 weeks to treat major depression, OCD, and anxiety disorders.

Full clinical response typically emerges at weeks 4–8

Stopping abruptly can trigger temporary brain-zap withdrawal symptoms; tapering slowly with a clinician avoids discontinuation discomfort.

Ask your doctor: “How long should we evaluate a dose before deciding whether to adjust or combine with CBT?”

SupplementCofactor Mineral

Magnesium

Essential mineral powering 300+ enzymes across nerve firing, muscle relaxation, blood pressure, and ATP energy metabolism.

Adult daily target: 310–420 mg/day from food + supplements

Standard blood serum tests miss mild tissue depletion; glycinate/citrate absorb better than oxide, while high supplemental doses can loosen stools.

Ask your doctor: “Are any of my prescription medicines lowering my magnesium stores?”