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Microbiome treatments are taking off - The Economist   

In a small laboratory at Guy’s and St Thomas’ hospital in London, Désirée Prossomariti is processing donations. Each is weighed, tested for pathogens, filtered, centrifuged and then freeze-dried, before being turned into a powder to be encapsulated and given to patients. The process takes a strong stomach, for the donations are of fresh faecal matter. “I don’t smell it any more,” says Dr Prossomariti.

The lab workers are not interested in the faeces themselves, but the tiny organisms they carry. Scientists have long known that the guts of animals, including humans, are full of bacteria, viruses and other micro-organisms. But it is only recently that they have come to understand just how important they are. Far from a collection of mere passengers, the microbiome is a vital part of a healthy body. Its members help break down food, produce chemicals that regulate the body within which they live, and repress the growth of other, harmful species of bacteria.

It is one of those harmful bacterial species that Dr Prossomariti’s pills are designed to repress, through a process known as a “faecal microbiota transplantation” (FMT). Five pills (or “crapsules”, as the lab workers like to call them) can overcome a recurrent infection of Clostridium difficile, a bacterium which has evolved resistance to many antibiotics. As its name suggests, the idea is to copy a healthy person’s gut ecosystem and reproduce it in someone whose microbiome is out-of-kilter.

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