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      Links between Nutrition, Infectious Diseases, and Microbiota: Emerging Technologies and Opportunities for Human-Focused Research

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          Abstract

          The interaction between nutrition and human infectious diseases has always been recognized. With the emergence of molecular tools and post-genomics, high-resolution sequencing technologies, the gut microbiota has been emerging as a key moderator in the complex interplay between nutrients, human body, and infections. Much of the host–microbial and nutrition research is currently based on animals or simplistic in vitro models. Although traditional in vivo and in vitro models have helped to develop mechanistic hypotheses and assess the causality of the host–microbiota interactions, they often fail to faithfully recapitulate the complexity of the human nutrient–microbiome axis in gastrointestinal homeostasis and infections. Over the last decade, remarkable progress in tissue engineering, stem cell biology, microfluidics, sequencing technologies, and computing power has taken place, which has produced a new generation of human-focused, relevant, and predictive tools. These tools, which include patient-derived organoids, organs-on-a-chip, computational analyses, and models, together with multi-omics readouts, represent novel and exciting equipment to advance the research into microbiota, infectious diseases, and nutrition from a human-biology-based perspective. After considering some limitations of the conventional in vivo and in vitro approaches, in this review, we present the main novel available and emerging tools that are suitable for designing human-oriented research.

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          Most cited references179

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          SARS-CoV-2 productively infects human gut enterocytes

          The virus severe acute respiratory syndrome–coronavirus 2 (SARS-CoV-2) can cause coronavirus disease 2019 (COVID-19), an influenza-like disease that is primarily thought to infect the lungs with transmission via the respiratory route. However, clinical evidence suggests that the intestine may present another viral target organ. Indeed, the SARS-CoV-2 receptor angiotensin converting enzyme 2 (ACE2) is highly expressed on differentiated enterocytes. In human small intestinal organoids (hSIOs), enterocytes were readily infected by SARS-CoV and SARS-CoV-2 as demonstrated by confocal- and electron-microscopy. Consequently, significant titers of infectious viral particles were detected. mRNA expression analysis revealed strong induction of a generic viral response program. Hence, intestinal epithelium supports SARS-CoV-2 replication, and hSIOs serve as an experimental model for coronavirus infection and biology
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            The gut microbiome in health and in disease

            Recent technological advancements and expanded efforts have led to a tremendous growth in the collective knowledge of the human microbiome. This review will highlight some of the important recent findings in this area of research.
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              Organoids as an in vitro model of human development and disease.

              The in vitro organoid model is a major technological breakthrough that has already been established as an essential tool in many basic biology and clinical applications. This near-physiological 3D model facilitates an accurate study of a range of in vivo biological processes including tissue renewal, stem cell/niche functions and tissue responses to drugs, mutation or damage. In this Review, we discuss the current achievements, challenges and potential applications of this technique.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                19 June 2020
                June 2020
                : 12
                : 6
                : 1827
                Affiliations
                [1 ]Centre for Nutrition and Health, Universidad Europea del Atlántico (UEA), 39001 Santander, Spain; manucassotta@ 123456gmail.com (M.C.); ruben.calderon@ 123456uneatlantico.es (R.C.I.); roberto.ruiz@ 123456uneatlentico.es (R.R.)
                [2 ]Department of Analytical and Food Chemistry, Nutrition and Food Science Group, CITACA, CACTI, University of Vigo, 36310 Vigo, Spain; tforbes@ 123456uvigo.es
                [3 ]Dipartimento di Scienze Cliniche e Molecolari, Facoltà di Medicina, Università Politecnica delle Marche, 60131 Ancona, Italy; mariaelexpuru@ 123456gmail.com
                [4 ]Department of Clinical Sciences, Faculty of Medicine, Polytechnic University of Marche, 60131 Ancona, Italy
                [5 ]College of Food Science and Technology, Northwest University, Xi’an 710069, China
                [6 ]International Research Center for Food Nutrition and Safety, Jiangsu University, Zhenjiang 212013, China
                Author notes
                [* ]Correspondence: f.giampieri@ 123456univpm.it (F.G.); m.a.battino@ 123456univpm.it (M.B.); Tel.: +39-071-2204646 (M.B.)
                [†]

                These authors have contributed equally to this work.

                Author information
                https://orcid.org/0000-0003-2997-1049
                https://orcid.org/0000-0002-8151-9132
                https://orcid.org/0000-0002-7250-1782
                Article
                nutrients-12-01827
                10.3390/nu12061827
                7353391
                32575399
                3469c8a3-c749-481f-8f5f-4fa7adf69632
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 20 May 2020
                : 15 June 2020
                Categories
                Review

                Nutrition & Dietetics
                microbiota,infectious diseases,nutrition,human-based methods,gut-on-a-chip,gut-organoids,third-generation sequencing

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