Living medicine

Microbial therapy (also known as microbial therapeutics) is the use of beneficial microorganisms to prevent, manage, or treat disease. These microorganisms can include bacteria, viruses, bacteriophages (viruses that infect bacteria), and fungi. Because they are alive, microbial therapeutics are sometimes referred to as living medicines.

Microbial therapeutics may consist of naturally occurring microorganisms or genetically engineered ones designed to perform specific medical functions. They can be administered directly to patients or used as delivery systems to release therapeutic substances inside the body.

Examples of microbial therapeutics include probiotics, live biotherapeutic products (LBPs), microbiome-based therapies, and phage therapy, which uses bacteriophages to target harmful bacteria. In addition, some microorganisms are engineered to produce medicines such as hormones or enzymes within the body. Microbes and viruses can also be used as carriers for drug delivery, diagnostics, or medical imaging.

Microbial therapeutics can act through several mechanisms. Some work by changing the composition or activity of the body’s microbiome, especially in the gut, which can influence digestion, metabolism, and immune function. Others interact directly with the immune system, either enhancing immune responses (for example, against cancer) or reducing harmful inflammation. Certain microbes can kill disease-causing organisms or compete with them for space and nutrients. Engineered microorganisms may also be designed to sense disease-related signals and release therapeutic molecules—such as enzymes, signaling proteins, or drugs—directly at the site where they are needed.