Genome editing and precision engineering of probiotic strains: A narrative review

Rachana Nagarkar,  Elena Kovaleva,  Samadhan Dahikar,  Sarita Bhutada   

Open Access   

Published:  Oct 06, 2026

DOI: 10.7324/jabb.2026.321621
Abstract

Probiotics contribute to gut homeostasis, immune regulation, metabolic balance, and host–microbiome signaling, but the clinical performance of conventional strains remains inconsistent because of limited gastrointestinal survival, strain-specific functionality, host-dependent variability, and incompletely understood mechanisms of action. This narrative review examines how genome editing and synthetic biology are being applied to address these constraints in probiotic engineering. We compare six genome-engineering technologies used in probiotic strain development— CRISPR-Cas systems, genome shuffling, zinc-finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs), base editing, and prime editing — against six criteria: editing precision, capacity for multitrait optimization, scalability, regulatory readiness, clinical maturity and best-suited application. The comparison reflects a literature-based, expert-synthesized assessment rather than a validated quantitative or clinically derived scoring system, and technology maturity is found to vary widely: CRISPR-Cas systems are the most extensively characterized in probiotic hosts, genome shuffling remains a recombination-based strain-improvement approach rather than precision editing, and base and prime editing are still largely at an early, species-dependent stage of development in bacteria. The review also considers translational barriers, including biosafety concerns such as off-target editing and horizontal gene transfer, heterogeneous regulatory classification of engineered strains across jurisdictions, manufacturing and strain-stability constraints, and the current scarcity of controlled human clinical data for genome-edited probiotics as distinct from conventional probiotic supplementation. We conclude that no single technology is sufficient on its own, and that combining complementary editing approaches with multi-omics and computational tools, alongside standardized safety testing and clearer regulatory pathways, will be necessary before precision-engineered probiotics can move from preclinical and early-stage research into validated live biotherapeutics.


Keywords:     Programmable probiotics CRISPR-Cas9 GRAS genome shuffling personalized gut


Citation:

Nagarkar R, Kovaleva E, Dahikar S, and Bhutada S. Genome editing and precision engineering of probiotic strains: A narrative review. J Appl Biol Biotech 2026. Article in Press. http://doi.org/10.7324/jabb.2026.321621

Copyright: Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license.

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Reference

1. Wang X, Zhang P, Zhang X. Probiotics regulate gut microbiota: an effective method to improve immunity. Molecules 2021;26(19):6076; doi: https://doi.org/10.3390/molecules26196076

2. Meher AK, Acharya B, Sahu PK. 2024. Probiotics: bridging the interplay of a healthy gut and psychoneurological well-being. Food Bioengineering 2024;3:126–147; doi: https://doi.org/10.1002/fbe2.12081

3. Maftei NM, Raileanu CR, Balta AA, Ambrose L, Boev M, Marin DB, et al. The potential impact of probiotics on human health: an update on their health-promoting properties. Microorganisms 2024;12(2):234; doi: https://doi.org/10.3390/microorganisms12020234

4. Afzaal M, Saeed F, Shah YA, Hussain M, Rabail R, Socol CT, et al. Human gut microbiota in health and disease: unveiling the relationship. Front Microbiol 2022;13:999001. doi: https://doi.org/10.3389/fmicb.2022.999001

5. Chandrasekaran P, Weiskirchen S, Weiskirchen R. Effects of probiotics on gut Microbiota: an overview. Int J Mol Sci 2024;25(11):6022; doi: https://doi.org/10.3390/ijms25116022

6. Victoria Obayomi O, Folakemi Olaniran A, Olugbemiga Owa S. Unveiling the role of functional foods with emphasis on prebiotics and probiotics in human health: a review. J Funct Foods 2024;119:106337; doi: https://doi.org/10.1016/j.jff.2024.106337

7. Distrutti E, Monaldi L, Ricci P, Fiorucci S. Gut microbiota role in irritable bowel syndrome: new therapeutic strategies. World J Gastroenterol 2016;22(7):2219–41; doi: https://doi.org/10.3748/wjg. v22.i7.2219

8. Ma T, Shen X, Shi X, Sakandar HA, Quan K, Li Y, et al. Targeting gut microbiota and metabolism as the major probiotic mechanism— an evidence-based review. Trends Food Sci Technol 2023;138:178– 98; doi: https://doi.org/10.1016/j.tifs.2023.06.013

9. Mazziotta C, Tognon M, Martini F, Torreggiani E, Rotondo JC. Probiotics mechanism of action on immune cells and beneficial effects on human health. Cells 2023;12(1):184; doi: https://doi.org/10.3390/cells12010184

10. Hashemi B, Abdollahi M, Abbaspour-Aghdam S, Hazrati A, Malekpour K, Meshgi S, et al. The effect of probiotics on immune responses and their therapeutic application: a new treatment option for multiple sclerosis. Biomed Pharmacotherapy 2023;159:114195; doi: https://doi.org/10.1016/j.biopha.2022.114195

11. Cristofori F, Dargenio VN, Dargenio C, Miniello VL, Barone M, Francavilla R. Anti-inflammatory and immunomodulatory effects of probiotics in gut inflammation: a door to the body. Front Immunol 2021;12:578386. doi: https://doi.org/10.3389/fimmu.2021.578386

12. Guo N, Lv LL. Mechanistic insights into the role of probiotics in modulating immune cells in ulcerative colitis. Immunity Inflammation Dis 2023;11(10):11; doi: https://doi.org/10.1002/iid3.1045

13. Zhu X, Han Y, Du J, Liu R, Jin K, Yi W. Microbiota-gut-brain axis and the central nervous system. Oncotarget 2017;8(32):53829–38. doi: https://doi.org/10.18632/oncotarget.17754

14. Zhou P, Chen C, Patil S, Dong S. Unveiling the therapeutic symphony of probiotics, prebiotics, and postbiotics in gut-immune harmony. Front Nutr 2024;11:1355542 doi: https://doi.org/10.3389/fnut.2024.1355542

15. Del Toro-barbosa M, Hurtado-Romero A, Garcia-Amezquita LE, García-Cayuela T. Psychobiotics: mechanisms of action, evaluation methods and effectiveness in applications with food products. Nutrients 2020;12(12):3896; doi: https://doi.org/10.3390/nu12123896

16. Naomi R, Embong H, Othman F, Ghazi HF, Maruthey N, Bahari H. Probiotics for Alzheimer’s disease: a systematic review. Nutrients 2021;14(1):20; doi: https://doi.org/10.3390/nu14010020

17. Mazloom Z, Yousefinejad A, Dabbaghmanesh MH. Effect of probiotics on lipid profile, glycemic control, insulin action, oxidative stress, and inflammatory markers in patients with Type 2 Diabetes: a Clinical Trial. Iranian J Med Sci 2013;38(1):38. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3642943/

18. Cerdó T, García-Santos J,G. Bermúdez M, Campoy C. The role of probiotics and prebiotics in the prevention and treatment of obesity. Nutrients 2019;11(3):635; doi: https://doi.org/10.3390/nu11030635

19. Das TK, Pradhan S, Chakrabarti S, Mondal KC, Ghosh K. Current status of probiotic and related health benefits. Appl Food Res 2022;2(2):100185; doi: https://doi.org/10.1016/j.afres.2022.100185

20. Sarita B, Samadhan D, Hassan MZ, Kovaleva EG. A comprehensive review of probiotics and human health-current prospective and applications. Front Microbiol 2025;15:1487641 doi: https://doi.org/10.3389/fmicb.2024.1487641

21. Min U, Jin YJ, Jang YJ, Lim J, Kim BY. Personalized probiotic strategy considering bowel habits: impacts on gut microbiota composition and alleviation of gastrointestinal symptoms via Consti-Biome and Sensi-Biome. Front Nutr 2024;11:1302093; doi: https://doi.org/10.3389/fnut.2024.1302093

22. Jackson SA, Schoeni JL, Vegge C, Pane M, Stahl B, Bradley M, et al. Improving End-User Trust in the Quality of Commercial Probiotic Products. Front Microbiol 2019;10:739 doi: https://doi.org/10.3389/fmicb.2019.00739

23. Boyle RJ, Robins-Browne RM, Tang ML. Probiotic use in clinical practice: what are the risks?. Am J Clin Nutr 2006;83(6):1256–64; doi: https://doi.org/10.1093/ajcn/83.6.1256

24. Hidalgo-Cantabrana C, Goh YJ, Pan M, Sanozky-Dawes R, Barrangou R. Genome editing using the endogenous type I CRISPR-Cas system in Lactobacillus crispatus. Proc Nat Acad Sci United States Amer 2019;116(32):15774–83; doi: https://doi.org/10.1073/pnas.1905421116

25. Tiwari A, Ika Krisnawati D, Susilowati E, Mutalik C, Kuo TR. Next-generation probiotics and chronic diseases: a review of current research and future directions. J Agricult Food Chem 2024; 72(50):27679–700. doi: https://doi.org/10.1021/acs.jafc.4c08702

26. Ansori AN, Antonius Y, Susilo RJ, Hayaza S, Kharisma VD, Parikesit AA, et al. Application of CRISPR-Cas9 genome editing technology in various fields: a review. Narra J 2023;3(2):e184; doi: https://doi.org/10.52225/narra.v3i2.184

27. Chen X, Song C, Zhao J, Xiong Z, Peng L, Zou L, et al. Application of strain selection technology in alcoholic beverages: a review. Foods 2024;13(9):1396; doi: https://doi.org/10.3390/foods13091396

28. Dhaarani R, Reddy MK. Progressing microbial genomics: artificial intelligence and deep learning driven advances in genome analysis and therapeutics. Intelligence-Based Med 2025;11:100251; doi: https://doi.org/10.1016/j.ibmed.2025.100251

29. Hemarajata P, Versalovic J.Effects of probiotics on gut microbiota: mechanisms of intestinal immunomodulation and neuromodulation. Therapeutic Adv Gastroenterol 2012;6(1):39–51; doi: https://doi.org/10.1177/1756283x12459294

30. Lebeer S, Vanderleyden J, De Keersmaecker SCJ.Genes and molecules of Lactobacilli supporting probiotic action. MicroBiol Mol Biol Rev 2008;72(4):728–64; doi: https://doi.org/10.1128/mmbr.00017-08

31. Yang J, Ruff AJ, Arlt M, Schwaneberg U. Casting epPCR (cepPCR): a simple random mutagenesis method to generate high quality mutant libraries. Biotechnol Bioengineering 2017;114(9):1921–7; doi: https://doi.org/10.1002/bit.26327

32. Seyyedi Z, Haddad Kashani H, Parchebafi A, Ghayoumi R, Haghighat Lari MM, Hosseini ES. Integrating probiotics and microbiome-derived metabolites into cancer therapy: mechanistic insights, multi-omics strategies, and clinical potential. Curr Res Biotechnol 2025;10:100340; doi: https://doi.org/10.1016/j.crbiot.2025.100340

33. Zhang Y, Li S, Li R, Qiu X, Fan T, Wang B, et al. Advances in application of CRISPR-Cas13a system. Front Cellular InfectMicrobiol 2024;14:1291557. doi: https://doi.org/10.3389/fcimb.2024.1291557

34. Zhang R, Xu W, Shao S, Wang Q. Gene Silencing Through CRISPR Interference in Bacteria: current Advances and Future Prospects. Front Microbiol 2021;12:635227. doi: https://doi.org/10.3389/fmicb.2021.635227

35. Liang A, Wang J, Ding L, Zou L, Wang D, Zhu C, et al. Probiotic properties, whole-genome sequence analysis, and safety assessment of BreviBacillus borstelensis S8. LWT 2024;210:116800; doi: https://doi.org/10.1016/j.lwt.2024.116800

36. Zhang YX, Perry K, Vinci VA, Powell K, Stemmer WPC, Del Cardayré SB. Genome shuffling leads to rapid phenotypic improvement in bacteria. Nature 2002;415(6872):644–6; doi: https://doi.org/10.1038/415644a

37. Ferguson RMW, Merrifield DL, Harper GM, Rawling MD, Mustafa S, Picchietti S, et al. The effect of Pediococcus acidilactici on the gut microbiota and immune status of on-growing red tilapia (Oreochromis niloticus). J Appl Microbiol 2010;109(3):851–62; doi: https://doi.org/10.1111/j.1365-2672.2010.04713.x

38. Zhao L, Niu M, Ma Z, He F, Liu X, Gong X, et al. Modified probiotics and the related combinatorial therapeutics. Acta Pharmaceutica Sinica B 2025; 15(5):2431–53. doi: https://doi.org/10.1016/j.apsb.2025.03.021

39. Abd Allah FM, Elhosiny AM, Mohamed HF, Farrag AA, Elmeleigy MA. Enhanced antimicrobial activity of lactic acid bacteria through genome shuffling and genetic variability among shuffled strains. World J Microbiol Biotechnol 2023;39(5):114; doi: https://doi.org/10.1007/s11274-023-03556-w

40. Sibanda T, Marole TA, Thomashoff UL, Thantsha MS, Buys EM. Bifidobacterium species viability in dairy-based probiotic foods: challenges and innovative approaches for accurate viability determination and monitoring of probiotic functionality. Front Microbiol 2024;15:1327010. doi: https://doi.org/10.3389/fmicb.2024.1327010

41. Durai S. Zinc finger nucleases: custom-designed molecular scissors for genome engineering of plant and mammalian cells. Nucleic Acids Res 2005;33(18):5978–90; doi: https://doi.org/10.1093/nar/gki912

42. Rinaldi FC, Doyle LA, Stoddard BL, Bogdanove AJ.The effect of increasing numbers of repeats on TAL effector DNA binding specificity. Nucleic Acids Res 2017;45(11):6960–70; doi: https://doi.org/10.1093/nar/gkx342

43. Tan J, Forner J, Karcher D, Bock R. DNA base editing in nuclear and organellar genomes. Trends Genet 2022; 38(11):1147–69. doi: https://doi.org/10.1016/j.tig.2022.06.015

44. Mention K, Santos L, Harrison PT. Gene and Base Editing as a Therapeutic Option for Cystic Fibrosis—Learning from Other Diseases. Genes 2019;10(5):387; doi: https://doi.org/10.3390/genes10050387

45. Baek KR, Singh S, Hwang HS, Seo SO. Using gut microbiota modulation as a precision strategy against obesity. Int J Mol Sci 2025;26(13):6282; doi: https://doi.org/10.3390/ijms26136282

46. Xu W, Zhang S, Qin H, Yao K. From bench to bedside: cutting-edge applications of base editing and prime editing in precision medicine. J Translational Med 2024;22(1):1133. doi: https://doi.org/10.1186/s12967-024-05957-3

47. Arratia-Quijada J, Nuño K, Ruíz-Santoyo V, Andrade-Espinoza BA. Nano-encapsulation of probiotics: need and critical considerations to design new non-dairy probiotic products. J Funct Foods 2024;116:106192; doi: https://doi.org/10.1016/j.jff.2024.106192

48. Mahdizade Ari M, Dadgar L, Elahi Z, Ghanavati R, Taheri B. Genetically Engineered Microorganisms and Their Impact on Human Health. Int J Clin Pract 2024;2024:1–38; doi: https://doi.org/10.1155/2024/6638269

49. Kolanu ND. CRISPR-Cas9 Gene Editing: curing Genetic Diseases by Inherited Epigenetic Modifications. Global Med Genet 2024;11(1):113–22; doi: https://doi.org/10.1055/s-0044-1785234

50. Wang L, Hu J, Li K, Zhao Y, Zhu M. Advancements in Gene Editing Technologies for Probiotic-Enabled Disease Therapy. IScience 2024;27(9):110791; doi: https://doi.org/10.1016/j.isci.2024.110791

51. Dang Z, Gao M, Wang L, Wu J, Guo Y, Zhu Z, et al. Synthetic bacterial therapies for intestinal diseases based on quorum-sensing circuits. Biotechnol Adv 2023;65:108142; doi: https://doi.org/10.1016/j.biotechadv.2023.108142

52. Kiousi DE, Rathosi M, Tsifintaris M, Chondrou P, Galanis A. Pro-biomics: omics Technologies To Unravel the Role of Probiotics in Health and Disease. Adv Nutr 2021;12(5):1802–20; doi: https://doi.org/10.1093/advances/nmab014

53. Pan I, Umapathy S. Probiotics An Emerging Therapeutic Approach Towards Gut-Brain-Axis Oriented Chronic Health Issues Induced By Microplastics: a Comprehensive Review. Heliyon 2024;10(11):e32004; doi: https://doi.org/10.1016/j.heliyon.2024. e32004

54. Yadav R, Kumar V, Baweja M, Shukla P. Gene editing and genetic engineering approaches for advanced probiotics: a review. 2019. PacBio. Available via https://www.pacb.com/publications/gene-editing-and-genetic-engineering-approaches-for-advanced-probiotics-a-review/

55. Nazir A, Hussain FHN, Raza A. Advancing microbiota therapeutics: the role of synthetic biology in engineering microbial communities for precision medicine. Front Bioengineering Biotechnol 2024;12:1511149. doi: https://doi.org/10.3389/fbioe.2024.1511149

56. Yadav R, Kumar V, Baweja M, Shukla P. Gene editing and genetic engineering approaches for advanced probiotics: a review. Crit Rev Food Sci Nutr 2017;58(10):1735–46; doi: https://doi.org/10.1080/10 408398.2016.1274877

57. Hirasawa T, Maeda T. Adaptive Laboratory Evolution of Microorganisms: methodology and Application for Bioproduction. Microorganisms 2022;11(1):92; doi: https://doi.org/10.3390/microorganisms11010092

58. Duan S, Wang Y, Zhan S, Ye Z, Luo T, Zhou Y, et al. Engineered probiotics: a new era in treating inflammatory bowel disease. J Transl Med 2025;23(1); doi: https://doi.org/10.1186/s12967-025-07271-y

59. Choi KR, Shin JH, Cho JS, Yang D, Lee SY. Systems Metabolic Engineering of Escherichia coli. EcoSal Plus 2016;7(1):10.1128/ecosalplus.ESP-0010-2015. doi: https://doi.org/10.1128/ecosalplus.esp-0010-2015

60. Hemmati MA, Monemi M, Asli S, Mohammadi S, Foroozanmehr B, Haghmorad D, et al. Using New Technologies to Analyze Gut Microbiota and Predict Cancer Risk. Cells 2024;13(23):1987; doi: https://doi.org/10.3390/cells13231987

61. Stincone P, Brandelli A, De Angelis M. High-throughput technologies in probiotics science. Academic Press, pp 77–101, 2022; doi: https://doi.org/10.1016/B978-0-323-85170-1.00010-5

62. Rottinghaus AG, Ferreiro A, Fishbein SRS, Dantas G, Moon TS. Genetically stable CRISPR-based kill switches for engineered microbes. Nat Commun 2022;13(1):672; doi: https://doi.org/10.1038/s41467-022-28163-5

63. Varma S, Gulati KA, Sriramakrishnan J, Ganla RK, Raval R. Environment signal dependent biocontainment systems for engineered organisms: leveraging triggered responses and combinatorial systems. Synth Syst Biotechnol 2024;10(2):356–64; doi: https://doi.org/10.1016/j.synbio.2024.12.005

64. Fang M, Zhang R, Wang C, Liu Z, Fei M, Tang B, et al. Engineering probiotic Escherichia coli Nissle 1917 to block transfer of multiple antibiotic resistance genes by exploiting a type I CRISPR-Cas system. Appl Environ Microbiol 2024;90(10):e00811-24; doi: https://doi.org/10.1128/aem.00811-24

65. Mu Y, Zhang C, Li T, Jin FJ, Sung YJ, Oh HM, et al. Development and Applications of CRISPR/Cas9-Based Genome Editing in Lactobacillus. Int J Mol Sci 2022;23(21):12852; doi: https://doi.org/10.3390/ijms232112852

66. Sang G, Wang B, Xie Y, Chen Y, Yang F. Engineered Probiotic-Based Biomaterials for Inflammatory Bowel Disease Treatment. Theranostics 2025;15(8):3289–315; doi: https://doi.org/10.7150/thno.103983

67. Luo Z, Qi Z, Luo J, Chen T. Potential applications of engineered bacteria in disease diagnosis and treatment. Microbiome Res Rep 2024;4(1):10. doi: https://doi.org/10.20517/mrr.2024.57

68. Liu L, Shimaa Elsayed Helal, Peng N. CRISPR-Cas-based engineering of probiotics. Biodesign Res 2023;5; doi: https://doi.org/10.34133/bdr.0017

69. Huang Z, Zhu J, Bu X, Lu S, Luo Y, Liu T, et al. Probiotics and prebiotics: new treatment strategies for oral potentially malignant disorders and gastrointestinal precancerous lesions. Npj Biofilms Microbiomes 2025;11(1):55. doi: https://doi.org/10.1038/s41522-025-00688-9

70. Wei J, Li Y. CRISPR-based Gene Editing Technology and Its Application in Microbial Engineering. Eng Microbiol 2023;3(4):100101; doi: https://doi.org/10.1016/j.engmic.2023.100101

71. Saraswat P, Chaturvedi A, Ranjan R. Zinc finger nuclease (ZFNs) and transcription activator-like effector nucleases (TALENs) based genome editing in enhancement of anticancer activity of plants. In: Pandita D, Pandita A (eds.). Plant-Derived Anticancer Drugs in the OMICS Era: Biosynthesis, Functions, and Applications. Apple Academic Press, Palm Bay, FL, pp. 281–293, 2023.

72. Asmamaw M, Zawdie B. Mechanism and Applications of CRISPR/Cas-9-Mediated Genome Editing. Biologics Targets & Therapy 2021;15(1):353–61; doi: https://doi.org/10.2147/BTT.S326422

73. Gaj T, Gersbach CA, Barbas CF. ZFN, TALEN, and CRISPR/Cas-based methods for genome engineering. Trends Biotechnol 2013;31(7):397–405; doi: https://doi.org/10.1016/j.tibtech.2013.04.004

74. Komor AC, Kim YB, Packer MS, Zuris JA, Liu DR. Programmable editing of a target base in genomic DNA without double-stranded DNA cleavage. Nature 2016;533(7603):420–424; doi: https://doi.org/10.1038/nature17946

75. Anzalone AV, Randolph PB, Davis JR, Sousa AA, Koblan LW, Levy JM, et al. Search-and-replace genome editing without double-strand breaks or donor DNA. Nature 2019;576(7785):149–157; doi: https://doi.org/10.1038/s41586-019-1711-4

76. Molla KA, Sretenovic S, Bansal KC, Qi Y. Precise plant genome editing using base editors and prime editors. Nature Plants 2021;7(9):1166–87; doi: https://doi.org/10.1038/s41477-021-00991-1

77. Chen PR, Wei Y, Li X, Yu HY, Wang SG, Yuan XZ, et al. Precision engineering of the probiotic Escherichia coli Nissle 1917 with prime editing. Appl Environ Microbiol 2025;91(2):e00031-25. doi: https://doi.org/10.1128/aem.00031-25

78. Liao H, Wu J, Vandusen NJ, Li Y, Zheng Y. CRISPR/Cas9-Mediated Homology-Directed Repair for Precise Gene Editing. Mol Therapy — Nucleic Acids 2024;35(4):102344; doi: https://doi.org/10.1016/j.omtn.2024.102344

79. Wu X, Yang J, Zhang J, Song Y. Gene editing therapy for cardiovascular diseases. MedComm 2024;5(7):639; doi: https://doi.org/10.1002/mco2.639

80. Sen D, Sarkar S, Mukhopadhyay P. Prime Editing: an Emerging Tool in Cancer Treatment. Mol Biotechnol 2023;65(4):509–20; doi: https://doi.org/10.1007/s12033-022-00580-3

81. Chen PJ, Liu DR. Prime editing for precise and highly versatile genome manipulation. Nature Rev Genet 2023;24(3):161–177; doi: https://doi.org/10.1038/s41576-022-00541-1

82. Kuang Y, Yu H, Qi F, Zhou X, Li X, Zhou H. Developing herbicide-resistant crops through genome editing technologies: a review. Crop Prot 2024;183:106745; doi: https://doi.org/10.1016/j.cropro.2024.106745

83. Mackenzie DA, Jeffers F, Parker ML, Vibert-Vallet A, Bongaerts RJ, Roos S, et al. Strain-specific diversity of mucus-binding proteins in the adhesion and aggregation properties of Lactobacillus reuteri. Microbiology 2010;156(11):3368–78; doi: https://doi.org/10.1099/mic.0.043265-0

84. Xiao Y, Zhai Q, Zhang H, Chen W, Hill C. Gut colonization mechanisms of Lactobacillus and Bifidobacterium: an argument for personalized designs. Ann Rev Food Sci Technol 2021;12:213–33; doi: https://doi.org/10.1146/annurev-food-061120-014739

85. Juszczuk-Kubiak E. Molecular Aspects of the Functioning of Pathogenic Bacteria Biofilm Based on Quorum Sensing (QS) Signal-Response System and Innovative Non-Antibiotic Strategies for Their Elimination. Int J Mol Sci 2024;25(5):2655; doi: https://doi.org/10.3390/ijms25052655

86. O’Flaherty S, Briner Crawley A, Theriot CM, Barrangou R. The Lactobacillus Bile Salt Hydrolase Repertoire Reveals Niche-Specific Adaptation. MSphere 2018;3(3):e00140-18 doi: https://doi.org/10.1128/msphere.00140-18

87. Fusco W, Lorenzo MB, Cintoni M, Porcari S, Rinninella E, Kaitsas F, et al. Short-Chain Fatty-Acid-Producing Bacteria: key Components of the Human Gut Microbiota. Nutrients 2023;15(9):2211; doi: https://doi.org/10.3390/nu15092211

88. Hung JJ-C, Tsai TP-J, Lan EI. Escherichia coli Nissle 1917 as a probiotic microbial cell factory: from genetic engineering to fermentation. Fermentation 2026;12(6):265; doi: https://doi.org/10.3390/fermentation12060265

89. Flint HJ, Scott KP, Duncan SH, Louis P, Forano E. Microbial degradation of complex carbohydrates in the gut. Gut Microbes 2012;3(4):289–306.

90. Hsu CY, Mustafa MA, Moath Omar T, Taher SG, Ubaid M, Gilmanova NS, et al. Gut instinct: harnessing the power of probiotics to tame pathogenic signaling pathways in ulcerative colitis. Front Med 2024;11:1396789. doi: https://doi.org/10.3389/fmed.2024.1396789

91. Wang X, Cheng Y, Huang J, Xu F, Jiang J, Nalinratana N, et al. Engineered probiotics for inflammatory bowel disease therapy: mechanisms, delivery strategies, and precision medicine. Front Microbiol 2026;16; doi: https://doi.org/10.3389/fmicb.2025.1696524

92. Anjana, Tiwari SK. Bacteriocin-Producing Probiotic Lactic Acid Bacteria in Controlling Dysbiosis of the Gut Microbiota. Front Cellular InfectMicrobiol 2022;12:851140. doi: https://doi.org/10.3389/fcimb.2022.851140

93. Selle K, Goh YJ, O’Flaherty S, Klaenhammer TR. Development of an integration mutagenesis system in Lactobacillus gasseri. Gut Microbes 2014;5(3):326–332; doi: https://doi.org/10.4161/gmic.29101

94. Salles BIM, Cioffi D, Ferreira SRG. Probiotics supplementation and insulin resistance: a systematic review. Diabetology & Metabolic Syndrome 2020;12(1):98; doi: https://doi.org/10.1186/s13098-020-00603-6

95. Markowiak-Kope? P, ?li?ewska K. The Effect of Probiotics on the Production of Short-Chain Fatty Acids by Human Intestinal Microbiome. Nutrients 2020;12(4):1107; doi: https://doi.org/10.3390/nu12041107

96. Ezzamouri B, Shoaie S, Ledesma-Amaro R. Synergies of Systems Biology and Synthetic Biology in Human Microbiome Studies. Front Microbiol 2021;12:681982. doi: https://doi.org/10.3389/fmicb.2021.681982

97. Mimee M, Nadeau P, Hayward A, Carim S, Flanagan S, Jerger L, et al. An ingestible bacterial-electronic system to monitor gastrointestinal health. Science 2018;360(6391):915–8; doi: https://doi.org/10.1126/science.aas9315

98. Mukherjee S, Kumar D, Guha D. Insights of probiotics as an alternative medicine for cancer therapy, mechanism, and applications. Med Microecology 2024;22:100111; doi: https://doi.org/10.1016/j.medmic.2024.100111

99. Yun S, Choi K-S, Min H, Jo YK, Jang S. Development strategies for engineered live biotherapeutic products for metabolic diseases. Crit Rev Biotechnol 2026;46(5):721–41; doi: https://doi.org/10.1080/07388551.2026.2653692

100. Shen Y, Fan N, Ma SX, Cheng X, Yang X, Wang G. Gut Microbiota Dysbiosis: pathogenesis, Diseases, Prevention, and Therapy. MedComm 2025;6(5):e70168. doi: https://doi.org/10.1002/mco2.70168

101. Cunningham M, Azcarate-Peril MA, Barnard A, Benoit V, Grimaldi R, Guyonnet D, et al. Shaping the Future of Probiotics and Prebiotics. Trends Microbiol 2021;29(8):667–85. doi: https://doi.org/10.1016/j.tim.2021.01.003

102. Yarahmadi A, Zare M, Aghayari M, Afkhami H, Jafari GA. Therapeutic bacteria and viruses to combat cancer: double-edged sword in cancer therapy: new insights for future. Cell Communication Signaling 2024;22(1):239. doi: https://doi.org/10.1186/s12964-024-01622-w

103. Mehmood MS, Abid M, Hajj F. Engineered Lactobacillus expressing tumor-killing cytokines: a novel biotherapeutic. Ann Med Surg 2012;88(1):1040–1; doi: https://doi.org/10.1097/MS9.0000000000004400

104. Spacova I, Binda S, Ter Haar JA, Henoud S, Legrain-Raspaud S, Dekker J, et al. Comparing technology and regulatory landscape of probiotics as food, dietary supplements and live biotherapeutics. Front Microbiol 2023;14:1272754. doi: https://doi.org/10.3389/fmicb.2023.1272754

105. Huemer M, Mairpady Shambat S, Brugger SD, Zinkernagel AS. Antibiotic resistance and persistence—Implications for human health and treatment perspectives. EMBO Rep 2020;21(12):e51034. doi: https://doi.org/10.15252/embr.202051034

106. Rottinghaus AG, Ferreiro A, Fishbein SRS, Dantas G, Moon TS. Genetically stable CRISPR-based kill switches for engineered microbes. Nature Commun 2022;13(1):672;14:1225282; doi: https://doi.org/10.1038/s41467-022-28163-5

107. Sundararaman A, Halami PM. Genome editing of probiotic bacteria: present status and future prospects. Biologia 2022; doi: https://doi.org/10.1007/s11756-022-01049-z

108. Zommiti M, Feuilloley MGJ, Connil N. Update of Probiotics in Human World: a Nonstop Source of Benefactions till the End of Time. Microorganisms 2020;8(12):1907; doi: https://doi.org/10.3390/microorganisms8121907

109. Wunderlich S, Gatto KA. Consumer Perception of Genetically Modified Organisms and Sources of Information. Adv Nutr 2015;6(6):842–51; doi: https://doi.org/10.3945/an.115.008870

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