1.Emerging Insights Into Microbiome Therapeutics for Urinary Tract Infections: A Narrative Review
Hoonhee SEO ; Md Abdur RAHIM ; Indrajeet BARMAN ; Mohammed Solayman HOSSAIN ; Hanieh TAJDOZIAN ; Fatemeh GHORBANIAN ; Md Sarower Hossen SHUVO ; Jiho CHOI ; Sukyung KIM ; Heejo YANG ; Ho-Yeon SONG
Urogenital Tract Infection 2025;20(1):4-16
Urinary tract infections (UTIs) are among the most common bacterial infections worldwide, affecting millions annually and posing a significant global health concern. Traditional therapies for UTIs are becoming increasingly ineffective due to rising drug resistance and their tendency to disrupt the host's healthy microbiota, leading to further side effects. Consequently, there is an urgent need to develop alternative therapeutic agents that differ from conventional regimens and have fewer or no side effects. In this context, microbiome therapeutics offer a promising solution, given their demonstrated efficacy against various infectious diseases. Advances in scientific technology, particularly next-generation sequencing, have deepened our understanding of urinary microbiome dynamics, revealing a complex interplay within the urobiome that influences the onset and progression of UTIs. Uropathogenic bacteria do not solely cause UTIs; shifts in the composition of the urinary microbiome and interactions within the microbial community, known as host-microbiota interactions, also play a significant role. Although recent studies underscore the potential of targeting the urinary microbiome to manage UTIs and related complications, this field is still emerging and faces numerous regulatory and technical challenges. Further in-depth and comprehensive research is required to advance this pioneering concept into clinical practice.
2.Emerging Insights Into Microbiome Therapeutics for Urinary Tract Infections: A Narrative Review
Hoonhee SEO ; Md Abdur RAHIM ; Indrajeet BARMAN ; Mohammed Solayman HOSSAIN ; Hanieh TAJDOZIAN ; Fatemeh GHORBANIAN ; Md Sarower Hossen SHUVO ; Jiho CHOI ; Sukyung KIM ; Heejo YANG ; Ho-Yeon SONG
Urogenital Tract Infection 2025;20(1):4-16
Urinary tract infections (UTIs) are among the most common bacterial infections worldwide, affecting millions annually and posing a significant global health concern. Traditional therapies for UTIs are becoming increasingly ineffective due to rising drug resistance and their tendency to disrupt the host's healthy microbiota, leading to further side effects. Consequently, there is an urgent need to develop alternative therapeutic agents that differ from conventional regimens and have fewer or no side effects. In this context, microbiome therapeutics offer a promising solution, given their demonstrated efficacy against various infectious diseases. Advances in scientific technology, particularly next-generation sequencing, have deepened our understanding of urinary microbiome dynamics, revealing a complex interplay within the urobiome that influences the onset and progression of UTIs. Uropathogenic bacteria do not solely cause UTIs; shifts in the composition of the urinary microbiome and interactions within the microbial community, known as host-microbiota interactions, also play a significant role. Although recent studies underscore the potential of targeting the urinary microbiome to manage UTIs and related complications, this field is still emerging and faces numerous regulatory and technical challenges. Further in-depth and comprehensive research is required to advance this pioneering concept into clinical practice.
3.Emerging Insights Into Microbiome Therapeutics for Urinary Tract Infections: A Narrative Review
Hoonhee SEO ; Md Abdur RAHIM ; Indrajeet BARMAN ; Mohammed Solayman HOSSAIN ; Hanieh TAJDOZIAN ; Fatemeh GHORBANIAN ; Md Sarower Hossen SHUVO ; Jiho CHOI ; Sukyung KIM ; Heejo YANG ; Ho-Yeon SONG
Urogenital Tract Infection 2025;20(1):4-16
Urinary tract infections (UTIs) are among the most common bacterial infections worldwide, affecting millions annually and posing a significant global health concern. Traditional therapies for UTIs are becoming increasingly ineffective due to rising drug resistance and their tendency to disrupt the host's healthy microbiota, leading to further side effects. Consequently, there is an urgent need to develop alternative therapeutic agents that differ from conventional regimens and have fewer or no side effects. In this context, microbiome therapeutics offer a promising solution, given their demonstrated efficacy against various infectious diseases. Advances in scientific technology, particularly next-generation sequencing, have deepened our understanding of urinary microbiome dynamics, revealing a complex interplay within the urobiome that influences the onset and progression of UTIs. Uropathogenic bacteria do not solely cause UTIs; shifts in the composition of the urinary microbiome and interactions within the microbial community, known as host-microbiota interactions, also play a significant role. Although recent studies underscore the potential of targeting the urinary microbiome to manage UTIs and related complications, this field is still emerging and faces numerous regulatory and technical challenges. Further in-depth and comprehensive research is required to advance this pioneering concept into clinical practice.
4.Emerging Insights Into Microbiome Therapeutics for Urinary Tract Infections: A Narrative Review
Hoonhee SEO ; Md Abdur RAHIM ; Indrajeet BARMAN ; Mohammed Solayman HOSSAIN ; Hanieh TAJDOZIAN ; Fatemeh GHORBANIAN ; Md Sarower Hossen SHUVO ; Jiho CHOI ; Sukyung KIM ; Heejo YANG ; Ho-Yeon SONG
Urogenital Tract Infection 2025;20(1):4-16
Urinary tract infections (UTIs) are among the most common bacterial infections worldwide, affecting millions annually and posing a significant global health concern. Traditional therapies for UTIs are becoming increasingly ineffective due to rising drug resistance and their tendency to disrupt the host's healthy microbiota, leading to further side effects. Consequently, there is an urgent need to develop alternative therapeutic agents that differ from conventional regimens and have fewer or no side effects. In this context, microbiome therapeutics offer a promising solution, given their demonstrated efficacy against various infectious diseases. Advances in scientific technology, particularly next-generation sequencing, have deepened our understanding of urinary microbiome dynamics, revealing a complex interplay within the urobiome that influences the onset and progression of UTIs. Uropathogenic bacteria do not solely cause UTIs; shifts in the composition of the urinary microbiome and interactions within the microbial community, known as host-microbiota interactions, also play a significant role. Although recent studies underscore the potential of targeting the urinary microbiome to manage UTIs and related complications, this field is still emerging and faces numerous regulatory and technical challenges. Further in-depth and comprehensive research is required to advance this pioneering concept into clinical practice.
5.Emerging Insights Into Microbiome Therapeutics for Urinary Tract Infections: A Narrative Review
Hoonhee SEO ; Md Abdur RAHIM ; Indrajeet BARMAN ; Mohammed Solayman HOSSAIN ; Hanieh TAJDOZIAN ; Fatemeh GHORBANIAN ; Md Sarower Hossen SHUVO ; Jiho CHOI ; Sukyung KIM ; Heejo YANG ; Ho-Yeon SONG
Urogenital Tract Infection 2025;20(1):4-16
Urinary tract infections (UTIs) are among the most common bacterial infections worldwide, affecting millions annually and posing a significant global health concern. Traditional therapies for UTIs are becoming increasingly ineffective due to rising drug resistance and their tendency to disrupt the host's healthy microbiota, leading to further side effects. Consequently, there is an urgent need to develop alternative therapeutic agents that differ from conventional regimens and have fewer or no side effects. In this context, microbiome therapeutics offer a promising solution, given their demonstrated efficacy against various infectious diseases. Advances in scientific technology, particularly next-generation sequencing, have deepened our understanding of urinary microbiome dynamics, revealing a complex interplay within the urobiome that influences the onset and progression of UTIs. Uropathogenic bacteria do not solely cause UTIs; shifts in the composition of the urinary microbiome and interactions within the microbial community, known as host-microbiota interactions, also play a significant role. Although recent studies underscore the potential of targeting the urinary microbiome to manage UTIs and related complications, this field is still emerging and faces numerous regulatory and technical challenges. Further in-depth and comprehensive research is required to advance this pioneering concept into clinical practice.
6.No Variation in the Binding Sequence of W-Chromosome-Specific Primer P0:Reliable Universal Sex Determination of Genetically Distant Birds
Hyo-Min KANG ; Jae-Ik HAN ; Hye-Jin JANG ; Sukyung KIM ; Jong-Min YOON ; Sungryong KIM ; Ki-Jeong NA
Journal of Veterinary Clinics 2025;42(2):79-82
We previously developed a W-chromosome-specific primer (P0) for universal avian sexing, in conjunction with the P2 and P8 primers. In our prior study, 18 bird species across 12 orders were tested to assess the applicability of this approach. However, the reliability of the test needs further confirmation with a larger sample size due to potential sequence polymorphism in the PCR primer binding site. To validate the reliability of P0, we examined the conservation of nucleotide sequences in the Chromodomain-Helicase DNA-binding 1 (CHD1) gene on the W and Z chromosomes, focusing on the P0 binding site in Domestic Chickens (Gallus domesticus), Saunders’s Gulls (Larus saundersi), and White Storks (Ciconia boyciana). We found no variation in the P0 binding site of 90 Domestic Chickens, 37 Saunders’s Gulls, and 39 White Storks. In addition, there was no interspecies polymorphism among the three species except one nucleotide, indicating conservation of the sequence on both chromosomes targeted by P0.
7.Loss of Cutibacterium is responsible for chronic kidney disease-associated pruritus in patients on dialysis
Jeong Geon LEE ; Hoonhee SEO ; Seung Seob SON ; Hee Seul JEONG ; Kyung Mi LEE ; Nam-Jun CHO ; Samel PARK ; Hyo-Wook GIL ; Hyun-A PARK ; Sukyung KIM ; Eun Young LEE
Kidney Research and Clinical Practice 2025;44(1):176-188
Chronic kidney disease (CKD)-associated pruritus is a severe distressing condition that frequently occurs in patients undergoing dialysis. In this study, the profile of the skin microbiome was analyzed to understand the underlying etiology and potential treatments. Methods: Seventy-six end-stage kidney disease (ESKD) patients (hemodialysis, 40; peritoneal dialysis, 36) and 15 healthy controls were enrolled and swabbed at three sites: back, antecubital fossa, and shin. The pruritus severity of the enrolled subjects was validated by the Worst Itch Numeric Rating Scale (WI-NRS), 5-D itch scale, and Uremic Pruritus in Dialysis Patients (UP-Dial). The 16S genebased metagenomics method was applied to skin microbiome analysis. Results: In the comparison of bacterial communities of ESKD patients and the control group, there was a significant difference on back. Specifically, the average composition ratio of the Cutibacterium in the back samples was significantly lower in ESKD patients than in healthy controls (p < 0.01). In further analysis of ESKD patients, Cutibacterium was significantly lower in the high pruritus group than in the low pruritus group (p < 0.05), even though other clinical parameters such as age, calcium-phosphorus product, and intact parathyroid hormone showed no significance difference between the groups. Conclusion: In ESKD patients, the skin microbiome of the back was significantly altered, and the severity of itching was related to the reduction of Cutibacterium. This research reveals the relationship between skin microbiota and CKD-associated pruritus in multiple skin sites for the first time. The results of this study suggest a potential data basis for the diagnosis and treatment of CKD-associated pruritus.
9.Practical issues of oral immunotherapy for egg or milk allergy
Sukyung KIM ; Kangmo AHN ; Jihyun KIM
Clinical and Experimental Pediatrics 2024;67(3):140-148
Oral immunotherapy (OIT) has been recommended to reduce parental burden related to strict allergen avoidance and induce desensitization and immune tolerance for patients with long-lasting allergies to hen’s eggs (HE) or cow’s milk (CM). OIT should be monitored by pediatric allergists specializing in OIT and oral food challenge tests to manage allergic reactions. Although a previous history of anaphylaxis or multiple food allergies is not a contraindication to OIT, it is contraindicated if the patient has uncontrolled asthma, a malignancy, active systemic autoimmune disorders, or diseases requiring treatment with beta-blockers. A variety of OIT protocols have been de veloped to ensure better outcomes and safe up-dosing, including adjunctive therapies with biologics. This review provides insight into the practical issues of various immunotherapy options for children with HE or CM allergies.
10.Practical issues of oral immunotherapy for egg or milk allergy
Sukyung KIM ; Kangmo AHN ; Jihyun KIM
Clinical and Experimental Pediatrics 2024;67(3):140-148
Oral immunotherapy (OIT) has been recommended to reduce parental burden related to strict allergen avoidance and induce desensitization and immune tolerance for patients with long-lasting allergies to hen’s eggs (HE) or cow’s milk (CM). OIT should be monitored by pediatric allergists specializing in OIT and oral food challenge tests to manage allergic reactions. Although a previous history of anaphylaxis or multiple food allergies is not a contraindication to OIT, it is contraindicated if the patient has uncontrolled asthma, a malignancy, active systemic autoimmune disorders, or diseases requiring treatment with beta-blockers. A variety of OIT protocols have been de veloped to ensure better outcomes and safe up-dosing, including adjunctive therapies with biologics. This review provides insight into the practical issues of various immunotherapy options for children with HE or CM allergies.

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