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Jul 29, 2026

Microbiota-epigenome axis: microbial metabolites as modulators of host gene expression

A narrative review maps how gut microbiota-derived metabolites — SCFAs, urolithins, and phenolic acids — modulate host epigenetics via DNA methylation, histone modifications, and non-coding RNA regulation.

Evidence levelDNarrative / animal / in vitro / mechanistic
Study typenarrative_review
Sample
Effect directionInsufficient
CertaintyVery low
Clinical applicabilityVery low
Overinterpretation risk1/5 · Low
PICO
Population
Intervention
Comparator
Outcome

What the study showed

The abstract reports molecular and microbiome evidence indicating that metabolites such as butyrate influence metabolic and inflammatory pathways, including lipid absorption via CD36, SIRT1 activation, and one-carbon metabolism. The authors propose a 'butyrate-polyphenol synergy' model for optimizing host epigenetic programming. Agri-food by-products from pomegranate, berries, tea, cocoa, and grapes are positioned as microbiome modulators with potential epigenetic effects.

How it was done

Narrative review integrating molecular and microbiome studies. No original clinical trial or systematic meta-analysis with registered inclusion criteria was conducted.

Risk of bias

Narrative review without a registered systematic search protocol — high risk of publication selection bias. Described mechanisms derive predominantly from in vitro and animal model studies, with limited direct extrapolation to humans.

Interpretation limit

What this study does NOT prove

The study does not demonstrate that dietary interventions with polyphenols or fibers produce clinically relevant epigenetic modifications in humans.

In clinical practice

No clinical recommendation can be directly derived from this review. Inter-individual variability in microbial metabotypes prevents therapeutic generalization.

Limitations

Narrative review without a registered systematic search protocol — high risk of publication selection bias. Described mechanisms derive predominantly from in vitro and animal model studies, with limited direct extrapolation to humans.

Technical appendix

Version history

  • 1.0 · 2026-07-29 — Auto-generated under Evidence Standard v1.0

Paid access: structured summary from public metadata; consult the original study at the source.

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