Urogenit Tract Infect.  2025 Apr;20(1):4-16. 10.14777/uti.2448034017.

Emerging Insights Into Microbiome Therapeutics for Urinary Tract Infections: A Narrative Review

• Seo H
• Rahim MA
• Barman I
• Hossain MS
• Tajdozian H
• Ghorbanian F
• Shuvo MSH
• Choi J
• Kim S
• Yang H
• Song HY

• KMID: 2567658
• DOI: http://doi.org/10.14777/uti.2448034017

Abstract

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.

Keyword

Urinary tract infections; Microbiome therapeutics; Urobiome; Urinary microbiome dynamics; Host-microbiota interaction