1. Introduction
The human microbiome is commonly used to describe the microorganisms (bacteria, archaea, viruses, and fungi) that inhabit multiple anatomical sites, such as the skin, gastrointestinal tract, oral cavity, respiratory tract, and genitourinary system, in conjunction with the broader biological context in which they function. These microbial populations, referred to as the microbiota, are often used interchangeably with the term microbiome; however, a conceptual distinction is warranted. While “microbiota” denotes the living organisms, “microbiome” encompasses their genomes, metabolites, structural components, and environmental context [
1,
2]. Using this vocabulary consistently also supports more transparent reporting and study comparability across the field [
1,
3]. In this review, we use these terms consistently because the distinction becomes critical when moving from “who is there?” to “what can they do?” and “what does this mean for health and disease?”
The human gut harbors one of the most complex and densely populated microbial ecosystems in the body. Large-scale metagenomic sequencing has established extensive catalogs of gut microbial genes, highlighting both the diversity and functional capacity of this ecosystem [
4]. This community contributes to key host processes, including fermentation of indigestible polysaccharides, vitamin biosynthesis, maintenance of epithelial barrier integrity, and immune modulation [
5]. Disruptions of this ecological balance, termed ‘dysbiosis’, have been associated with various chronic conditions, including metabolic syndrome, neurodevelopmental disorders, and inflammatory bowel disease [
5]. Importantly, these associations are often context-dependent and should not be interpreted as simple, direct causality; robust methodology and clinical context are essential for interpretation [
3,
5].
Technological advances have transformed microbiome science from taxonomic surveys to more functional and clinically oriented insights. In particular, genome-resolved metagenomics has enabled reconstruction of metagenome-assembled genomes (MAGs), supporting strain- and genome-level interpretation and accelerating microbiome medicine research [
6]. Beyond genomics alone, multi-omics integration (e.g., combining metagenomics with transcriptomics, metabolomics, and proteomics) is increasingly used to link microbial features to host phenotypes and disease-relevant modules [
7,
8].
Despite substantial advances, microbiome research faces significant methodological challenges that complicate the interpretation, reproducibility, and clinical translation of findings. Technical variability in sample collection protocols, nucleic acid extraction, library preparation, and sequencing can introduce significant bias [
3,
5]. Equally important, analytical choices can significantly impact conclusions: differences in taxonomic classification tools and reference databases can substantially alter results, so pipeline selection and reporting must be transparent and standardized [
3,
6]. This is precisely why reporting and harmonization frameworks (e.g., STORMS and current standardization actions) have become central for improving comparability across studies and enabling clinically meaningful biomarkers [
1,
3].
This review aims to synthesize current microbiome research methodologies by critically examining each analytical step—from sampling and pre-analytics to sequencing and downstream bioinformatics—while providing a comparative overview of available techniques, including their strengths, limitations, and applications. Although microbiome research has expanded rapidly, progress toward clinical translation is still constrained by methodological heterogeneity, incomplete standardization of analytical workflows, and limited reproducibility across studies [
1,
3]. To address these unmet needs, we integrate recent advances in sequencing technologies, genome-resolved metagenomics (including MAG reconstruction), and functional profiling with a practical focus on quality control and transparent reporting [
1,
3,
6]. We also highlight how integrative multi-omics strategies can strengthen biological interpretation, improve robustness of findings, and ultimately support clinical translation [
3,
7,
8].
We first discuss pre-analytical steps and significant sources of bias; then, we compare sequencing options and genome-resolved approaches. Next, we summarize key bioinformatic choices and reporting/standardization requirements. Finally, we outline how multi-omics integration can connect microbial signals to disease-relevant phenotypes and translational applications [
1,
3,
6,
7,
8].
In doing so, this review fills key gaps in the existing literature by offering an end-to-end framework that (i) covers the whole workflow from study design to interpretation, (ii) synthesizes recent technological developments in sequencing and genome reconstruction, and (iii) places technical pitfalls, quality control, and reproducibility at the center of methodological decision making. Through this review, we aim to support both newcomers and experienced researchers while promoting transparency, comparability, and long-term reliability in microbiome research.
2. Sample Collection and Pre-Analytical Variables
In microbiome research, ensuring the standardization of pre-analytical processes is essential for reducing the high variability observed, increasing DNA yield, accurately identifying microbial taxa, and obtaining reliable and comparable results. However, clearly defined pre-analytical guidelines have not yet been established in microbiome studies. Existing research in this area may serve as a valuable reference. Critical steps in the pre-analytical process include the development of an appropriate study design, the proper selection of participants, the determination of sample type and collection methods, and the control of sample transport and storage conditions.
Stool sampling is considered the gold standard for gastrointestinal microbiome analysis; however, in situations where stool samples cannot be obtained—particularly in intensive care unit patients—alternative non-invasive methods, such as rectal swabs and glove-tip sampling, are important due to their accessibility. Rode et al. [
9] investigated whether the gut microbiota differs across samples collected from different regions of the intestine and included rectal swab samples in their analysis. After collection, samples were placed in DNA/RNA Shield and stored frozen. Their results demonstrated that the microbiota composition of all sample types was highly similar in terms of relative abundance, with Bacillota and Bacteroidota identified as the dominant phyla [
10]. In another study, a comparative analysis of stool samples and rectal swab samples collected using E-Swab methods demonstrated that no significant differences in alpha diversity were observed between the two sampling methods. However, samples stored at room temperature exhibited a significant increase in
Escherichia coli abundance, whereas a smaller increase was observed in
Enterococcus spp. In contrast, no differences were detected in samples stored at 4 °C [
11]. Short-chain fatty acids (SCFAs), which play a critical role in maintaining intestinal barrier integrity, are metabolites exclusively produced by resident gut bacteria. These metabolites have been shown to be associated with dysbiosis and a range of inflammatory disorders. Therefore, the investigation of SCFAs is an important component of stool-based microbiome studies [
12,
13].
In microbiome studies, to accurately assess gut microbiota diversity and metabolite production, participant-related factors should be systematically evaluated and documented. These include age (as microbial diversity may decrease in older individuals), sex, genetic variations, immune status (with immunosuppressed individuals potentially exhibiting increased dominance of pathogenic taxa), dietary patterns (fiber-rich diets are associated with increased short-chain fatty acid production, whereas diets high in fat and sugar have been linked to dysbiosis and an increased abundance of antibiotic resistance genes), geographic location, hygiene conditions, drinking water quality, and lifestyle factors [
14,
15].
Sampling time, as an independent variable, can significantly influence microbiome composition. Factors such as circadian rhythms, food intake, and gastrointestinal motility may induce diurnal variations in microbial communities. Significant differences in microbial profiles have been reported in stool samples collected at different times of the day. It is therefore recommended that the first complete bowel movement of the day be collected and that the sample be frozen immediately after collection [
12]. During stool collection, urine contamination may occur due to physiological factors. Although smart toilet systems capable of separating urine from feces are currently available, their accessibility remains limited; therefore, commercial stool collection kits are commonly used. Furthermore, stool consistency (hard, soft, or watery) and intestinal transit time may act as selective forces influencing bacterial growth rates and are strongly associated with all major known microbiome biomarkers [
16,
17]. Vandeputte et al. [
18] demonstrated that liquefied stool samples exhibit markedly reduced species richness. The main sample collection methods used in gastrointestinal microbiota research, along with their respective advantages and limitations, are summarized in
Table 1.
After sample collection, aliquoting is recommended to prevent DNA degradation caused by repeated freeze–thaw cycles. Prior to aliquoting, homogenization should be performed under anaerobic conditions to minimize the loss of obligate anaerobic bacteria. In particular, stool homogenization is critical for metabolomic analyses. During colonic transit, fecal material is exposed to the mucus layer secreted by epithelial cells, leading to an uneven spatial distribution of microbial taxa across the stool surface [
19]. In one study, the inner core of stool samples was shown to harbor significantly higher abundances of Bacillota and
Bifidobacterium compared with the outer layer, whereas fungal taxa (
Saccharomycetes) were reported to be reduced. Additionally, differences in aerobic and anaerobic microbial ratios between the outer and inner regions of stool were identified, likely due to oxygen concentration gradients [
16,
20]. Due to the inherent heterogeneity of stool samples, appropriate homogenization should be performed as the initial step following sample collection. For homogenization, methods such as manual mixing, grinding under liquid nitrogen, or bead-beating techniques may be employed. Carrillo et al. [
21] investigated the effects of solvent addition, bead size, and sample lyophilization prior to homogenization on the total number of detected peaks and overall analyte signal intensity. Their findings demonstrated that the optimal homogenization approach, in terms of metabolite abundance and reproducibility, was achieved by using a combination of large and small beads together with organic solvents in wet-frozen stool samples.
Another critical step in the pre-analytical workflow is the transfer and storage of samples prior to analysis. At this stage, transport duration, ambient temperature, the type of preservatives used, and freezing strategies can substantially alter microbiota composition. To prevent microbial DNA degradation and avoid artificial shifts in the distribution of viable taxa, these procedures must be carefully controlled. A study comparing seven different sample collection and storage methods demonstrated that preservative-containing approaches, including RNAlater, fecal occult blood test (FOBT), and fecal immunochemical test (FIT) tubes, largely preserved microbial profiles even after two years of storage at −80 °C [
22]. However, it has been reported that while buffers such as RNAlater effectively preserve microbial DNA, they may markedly reduce cell viability and thereby limit subsequent culture-based analyses [
16]. Although FOBT and FIT tubes are suitable for clinical screening studies, they are not considered optimal sample collection methods for microbiome research. In contrast, preservatives such as OMNIgene GUT have been shown to exert minimal effects on microbiota composition, whereas ethanol-based collection tubes may compromise microbiota stability [
19]. The impact of cryoprotectant use during sample storage on bacterial viability has not yet been fully elucidated, and no consensus has been reached regarding their routine application. Although cryoprotectants may preserve cellular viability during freezing, they can create a nutrient-rich environment for microorganisms upon thawing, potentially promoting microbial proliferation and thereby altering the original microbiota composition [
16]. Tedjo et al. [
23] reported that no differences in microbial community composition were observed between samples frozen directly at −80 °C without the use of a buffer and those stored at −20 °C for 24 h, or at 4 °C or room temperature for 24 h. If stool samples are to be processed without delay, they should be kept at room temperature for no longer than 4 h or at 4 °C for up to 24 h. For short-term storage of several months, samples should be stored at −20 °C, whereas −80 °C is recommended for long-term storage [
16,
23]. However, during long-term storage at −80 °C, repeated freeze–thaw cycles should be limited to no more than three cycles, or samples should be aliquoted to avoid repeated freezing and thawing [
20]. The major pre-analytical variables that may influence gastrointestinal microbiota composition and data reliability are summarized in
Table 2.
In skin microbiome research, numerous factors influence the preanalytical phase. One of the principal determinants affecting microbiome analysis is the selection of the skin site to be sampled [
24]. Therefore, during the study design stage, the skin regions to be included in the research should be clearly defined and applied in a standardized manner across all participants. The sebaceous, moist, or dry characteristics of the selected skin sites directly influence microbial composition. For instance, lipid-utilizing
Cutibacterium spp. and
Corynebacterium minutissimum are more frequently detected in sebaceous areas, whereas
Corynebacterium spp. and
Staphylococcus spp. associated with body odor are more predominant in moist regions. Dry skin sites, although generally characterized by lower microbial biomass, tend to exhibit higher microbial diversity [
25].
In studies investigating the relationship between the skin microbiome and a specific disease, the disease stage at which sampling is performed should be determined in advance and applied consistently across all participants. Participant-related factors such as age, sex, ethnicity, personal hygiene practices, and underlying conditions, including diabetes mellitus, may also influence the skin microbiome [
26]. Regardless of the anatomical site, it should be taken into account that the relative abundance of
Lactobacillus spp. and
Cutibacterium spp. may decrease with advancing age [
27]. Since the use of soaps, antiseptics, cosmetic products, or topical agents prior to sampling can alter the microbial profile, it is essential that such practices be documented in detail [
24,
26].
In the subsequent stage, the sampling method to be used should be determined. In studies focusing on the superficial skin microbiome, surface swab sampling is the most commonly preferred method. The widespread use of this technique offers several advantages, including the availability of a wide range of commercial kits and a relatively standardized approach. Moreover, its frequent use in the literature ensures high comparability of the generated data with those of other studies [
28]. For the investigation of the deeper epidermal microbiome, including pores and skin appendages, tape stripping or skin scraping methods are considered more appropriate. It should be taken into account that tape stripping may result in the detection of aerobic bacteria at higher proportions. In cases where dermal skin diseases or the dermal microbiome are being investigated, the punch biopsy method can provide more detailed information; however, due to its invasive nature, its applicability is limited, and achieving an adequate sample size may be more challenging. The combined use of multiple sampling methods may contribute to the identification of a broader taxonomic diversity [
24]. The steps to be followed in skin microbiome research are presented in
Table 3.
Sampling methodology is of critical importance in urinary microbiome research, as inappropriate sampling may lead to contamination and misinterpretation of microbial profiles. Midstream urine samples primarily provide information on the urogenital microbiome, as they inevitably come into contact with the vulvovaginal microbiota in women and the urethral microbiota in men, thereby increasing the risk of contamination from adjacent microbial niches. In studies specifically aiming to investigate the bladder microbiota, transurethral catheterization or suprapubic aspiration methods are therefore preferred, as these approaches minimize contamination from the distal urogenital tract [
29].
Current evidence suggests that the microbial profiles obtained using transurethral catheterization and suprapubic aspiration are largely comparable. Given its less invasive nature and greater feasibility in clinical practice, transurethral catheterization is more commonly employed [
30]. Regardless of the sampling technique used, strict adherence to standardized preanalytical protocols and detailed documentation of sampling procedures are essential to ensure data reliability and comparability across studies [
31]. The sampling methods applicable in urinary microbiome research are illustrated in
Figure 1.
Sample storage conditions constitute a critical preanalytical factor that directly influences the outcomes of urinary microbiome analyses. It is recommended that specimens be frozen at −80 °C immediately after collection. When immediate freezing is not feasible, samples may be temporarily stored at +4 °C or −20 °C before transfer to −80 °C; however, in situations where samples must be kept at room temperature, the use of stabilization agents is strongly recommended [
32].
Multiple variables influence the preanalytical phase of vaginal microbiome research. Hormonal fluctuations throughout a woman’s life directly affect the composition of the vaginal microbiota. Factors such as life stages, pregnancy, contraceptive use, and sexual activity may lead to alterations in the vaginal microbiome; therefore, the timing of sampling represents one of the most critical preanalytical factors. Periods characterized by elevated estrogen levels are associated with increased
Lactobacillus dominance, and the vaginal microbiome has been reported to remain relatively more stable during pregnancy. In addition, smoking, hygiene practices, and dietary habits may also influence the vaginal microbiome. These variables should be carefully considered during study design, and inclusion criteria should be clearly defined. Vaginal swab samples are most commonly used in vaginal microbiome analyses, and efforts should be made to minimize the risk of urinary or rectal contamination during sampling [
33].
Respiratory microbiome research is generally classified into studies focusing on the upper and lower respiratory tracts. In investigations of the upper respiratory tract microbiome, swab samples collected from the nasal cavity or nasopharynx using sterile swabs are commonly employed [
17]. Non-invasive methods, such as sputum and tracheal aspirates, can provide microbial information related to both the upper and lower respiratory tracts and offer advantages due to their ease of application and repeatability. Moreover, these sample types typically contain a higher microbial biomass compared to bronchoalveolar lavage samples. However, the anatomical region of the respiratory system represented by data obtained through these methods cannot always be clearly delineated [
34]. A recent study reported no significant differences between bronchoalveolar lavage and tracheal aspirate samples in the assessment of the lung microbiome [
35].
In lung microbiome studies, the generally accepted sampling methods include bronchoalveolar lavage, protected brush sampling, and lung biopsy. Nevertheless, due to their invasive nature, these approaches present limitations in terms of feasibility and repeatability, making it more challenging to achieve adequate sample sizes. Unlike other sampling methods, lung biopsy provides microbial information that is specific to the lung parenchyma [
34]. The sampling methods used in respiratory microbiome research are summarized in
Table 4.
In the majority of non-GIS microbiome studies, the low microbial biomass of sampled sites substantially increases the risk of contamination during both preanalytical and analytical processes. Contamination may arise from the external environment, laboratory reagents, consumables, or host-derived DNA/RNA sources, potentially leading to biased or misleading results. Therefore, strict adherence to aseptic conditions throughout all stages—from sample collection to laboratory processing—is essential. Appropriate hygiene practices should be implemented prior to sampling, and contamination control strategies should be systematically incorporated into the analytical workflow. These strategies include the use of negative controls (e.g., blank sampling and extraction controls) to identify background contamination, as well as positive controls to monitor methodological consistency and analytical performance. The rigorous application of these measures is critical to ensure the reliability, reproducibility, and interpretability of microbiome data derived from low-biomass samples [
17,
36].
5. Bioinformatics and Taxonomic Profiling
Bioinformatics constitutes a pivotal component of microbiome research by enabling the systematic processing, classification, and biological interpretation of complex sequencing datasets derived from high-throughput sequencing [
84]. Among molecular-based strategies, metataxonomics and shotgun metagenomics serve distinct yet complementary roles, and their selection should be guided by the required taxonomic resolution, functional depth, and study objectives. Metataxonomic approaches, based on conserved phylogenetic markers such as the 16S rRNA, 18S rRNA, or ITS regions, offer a cost-effective and scalable solution for profiling microbial community composition; however, their reliance on short marker regions inherently limits species- and strain-level resolution and precludes direct functional inference [
84].
In contrast, shotgun metagenomic sequencing enables comprehensive genome-wide analysis, facilitating species- and strain-level classification, detection of single-nucleotide polymorphisms (SNPs), and reconstruction of MAGs [
85,
86]. The accuracy of such analyses is strongly influenced by the choice of reference database. RefSeq provides broad taxonomic coverage and high-quality curated genomes, making it well-suited for species-level classification in clinical and environmental studies [
85]. The Genome Taxonomy Database (GTDB) further improves phylogenetic consistency by incorporating MAGs and redefining microbial taxonomy based on genome-wide evolutionary relationships, thereby offering clear advantages for genome-resolved metagenomic analyses [
85].
By comparison, Greengenes, while historically important for 16S rRNA-based studies, is now limited by infrequent updates, reducing its applicability for contemporary microbiome research where novel taxa and genome-resolved approaches are increasingly prevalent [
87]. For transcriptomic investigations, RNA sequencing enables quantitative assessment of gene expression dynamics, with tools such as STAR for alignment and DESeq2 for differential expression analysis remaining widely adopted due to their statistical robustness and reproducibility [
88]. In addition to RNA sequencing, metagenomic analyses allow for the quantitative measurement of microbiome profiles in both clinical and environmental samples [
85].
Beyond taxonomic profiling, genomic variation analysis, including SNP detection, provides critical insight into strain-level diversity and evolutionary dynamics within microbial communities [
86]. Phylogenetic reconstruction tools such as IQ-TREE 2, PhyML, and RAxML enable inference of evolutionary relationships, with method selection depending on dataset size, model complexity, and computational constraints [
89,
90,
91]. Collectively, these bioinformatic approaches underscore that pipeline and database selection should be driven by analytical goals rather than convention, as inappropriate methodological choices can substantially bias biological interpretation (
Table 9).
Molecular-based approaches, particularly metagenomics and metatranscriptomics, are central to elucidating both the functional potential and the active metabolic state of microbial communities [
92]. Metagenomics targets the total DNA content of all organisms within a sample, enabling comprehensive identification of community members and characterization of their collective gene repertoire [
93,
94]. In contrast, metatranscriptomics focuses on RNA molecules transcribed from these genes, thereby providing insights into actively expressed functions under specific environmental or physiological conditions [
94]. Although these approaches interrogate different molecular layers, they share similar analytical workflows, including sequence preprocessing, taxonomic classification, and functional annotation, allowing many bioinformatic tools to be adapted across both data types [
95].
Taxonomic classification in metagenomic studies relies on a diverse range of computational strategies, each characterized by distinct trade-offs between accuracy, speed, and computational requirements. Alignment-based methods, such as BLAST and DIAMOND, assign taxonomic labels based on sequence similarity to reference databases and are generally associated with high classification accuracy, particularly for well-characterized taxa [
96]. However, their substantial computational cost limits scalability for large datasets. In contrast, k-mer–based classifiers, including Kraken and Kraken2, offer ultrafast sequence classification by matching short sequence signatures, making them well suited for large-scale or time-sensitive analyses, albeit with increased sensitivity to database completeness and sequencing errors [
97].
Alternative indexing strategies have been developed to mitigate computational constraints. Centrifuge, which employs FM-index–based data structures, significantly reduces memory usage while maintaining competitive classification performance. Kaiju, operating at the protein level, is specifically designed to handle low-complexity and highly divergent sequences, thereby improving taxonomic resolution in metagenomes derived from poorly characterized environments [
98]. More specialized tools, such as CommunBugSplit, align metagenomic assemblies against reference databases and have demonstrated improved performance, achieving up to 33% higher F1 scores compared to several commonly used classifiers [
99]. Meanwhile, Emu addresses species-level profiling challenges by leveraging full-length 16S rRNA Nanopore sequencing data and applying an expectation–maximization algorithm to refine abundance estimates, offering enhanced resolution in complex microbial communities [
100].
Beyond similarity-based approaches, composition-based classification methods exploit intrinsic sequence features such as GC content, oligonucleotide frequencies, and codon usage patterns. These strategies are particularly advantageous in scenarios where reference databases are incomplete or biased. Machine learning–assisted frameworks, including PhyloPythiaS, have demonstrated robust performance under such conditions by integrating compositional features with supervised learning techniques [
101]. Hybrid binning algorithms, such as CONCOCT and MetaBAT, further improve classification accuracy by jointly considering sequence composition and coverage information across samples, making them especially effective for MAG reconstruction [
102,
103]. More recently, deep learning–based approaches, including tools such as Taxometer, have emerged, utilizing tetranucleotide frequency patterns to capture complex sequence signatures and further enhance taxonomic resolution as machine learning methodologies continue to advance [
104].
Hybrid classification approaches aim to integrate the complementary strengths of alignment-based and composition-based strategies by jointly exploiting sequence similarity, statistical features, and coverage information to enhance taxonomic assignment accuracy. For instance, MetaPhlAn employs a clade-specific marker gene framework that enables high-resolution, species-level profiling while minimizing false-positive classifications, making it particularly suitable for well-characterized microbial communities [
105]. Similarly, MaxBin combines sequence coverage, GC content, and marker gene information to generate more reliable genome bins, thereby improving MAG reconstruction in complex samples [
106].
Taxonomic profiling of metagenomic data represents a foundational step in characterizing microbial diversity; however, its accuracy and resolution are strongly contingent upon the quality, completeness, and currency of the underlying reference databases. A diverse range of taxonomic databases has been developed to accommodate different analytical strategies, including genome-based, rRNA-based, protein-based, and marker gene–based frameworks. Consequently, database selection should be guided by both the target organism group (e.g., bacteria, archaea, fungi, or viruses) and the methodological principles of the chosen classification tool. Importantly, the use of up-to-date and well-curated databases substantially reduces misclassification rates and improves the biological interpretability of metagenomic analyses.
Among genome-centric resources, RefSeq, curated and maintained by NCBI, provides high-quality genomic, transcriptomic, and protein sequences with broad taxonomic coverage, making it a robust reference for species-level genomic and clinical metagenomic studies [
107]. In contrast, the Genome Taxonomy Database (GTDB) offers a phylogenetically consistent taxonomy derived from whole-genome data and incorporates a large number of MAGs, thereby addressing limitations of traditional taxonomy based on phenotypic or partial sequence information [
108]. GTDB is commonly used in conjunction with tools such as GTDB-Tk and is increasingly favored in genome-resolved metagenomic workflows where evolutionary consistency is prioritized over historical nomenclature.
For amplicon-based studies, SILVA remains a widely adopted database due to its high-quality aligned rRNA sequences, comprehensive phylogenetic frameworks, and regular updates, supporting reliable taxonomic assignment in 16S and 18S rRNA gene analyses [
109]. By contrast, Greengenes, despite its historical importance, has become less suitable for contemporary microbiome studies owing to infrequent updates and limited incorporation of newly described taxa [
87]. Marker gene–based databases underpinning tools such as MetaPhlAn enable precise species-level identification and have been successfully integrated into functional profiling pipelines such as HUMAnN, facilitating joint taxonomic and functional inference [
110].
Protein-level classification tools, including Kaiju, typically rely on comprehensive protein databases such as RefSeq or the non-redundant (NR) database and are particularly effective for classifying short, divergent, or low-complexity sequences that are challenging for nucleotide-based approaches [
98]. Finally, integrated platforms such as MGnify (EMBL-EBI) provide end-to-end support for both taxonomic and functional analyses of environmentally derived metagenomes, offering standardized pipelines and public data integration to enhance reproducibility and cross-study comparability [
111] (
Figure 2) (
Table 10).
9. Applications in Various Disciplines
Microbiome studies are important not only for human health but also for animal health, agricultural technology, and environmental biotechnology. By generalizing the concepts of the One Health Microbiome and One World–One Health, these studies aim to uncover the full potential of microbial ecosystems, offering new opportunities for innovation and sustainability [
129,
160]. For these applications to transition from research settings to clinical practice, regulatory frameworks, and industrial implementation, reproducibility and standardization are critical. Reproducible microbiome-based findings are essential for regulatory approval, clinical validation, and the scalability of industrial applications, particularly in food systems and therapeutics. Variability in sampling, sequencing platforms, bioinformatic pipelines, and data interpretation continues to pose a major barrier to translation.
Research on the microbiome, like any research field, requires great care. Many steps can affect the accuracy of results in microbiome studies. Careful planning of the study design, sample collection, sample storage conditions, processing, and analysis steps is crucial. During the analysis phase, many factors must be considered, including antibiotic use, age, gender, diet, and geographical factors. Sampling strategy: Microbial distribution in environmental samples can be affected by factors such as spatial and seasonal or intraday variations. The collected sample must be representative of the entire population. Therefore, standardizing the sampling strategy is important. During the sampling phase, there are steps that can affect the results, such as technical and analytical problems, and standardization issues. The microbial biomass within the sample is important. Some samples have low microbial biomass, and this affects the results. Sampling method, temporal and environmental variations, changes related to sample storage, management of environmental contamination, gene region selection and method selection are all factors that influence the results. Therefore, planning of all steps, standardization, and quality control studies are extremely important [
161].
Microbiome studies in veterinary medicine are crucial for animal diseases and livestock research. They offer unique techniques to enhance productivity and reduce antibiotic use. Since soil microbiome affects plant health, crop resilience and productivity, microbiome research is critical for sustainable agriculture. Microbiomes contribute substantially to nutrient cycling, disease and insect pest suppression, stress resilience, phytohormone regulation, and food processing. Agricultural products derived from microbiome research can significantly enhance plant health and agricultural productivity, while simultaneously aiding in the prevention of animal diseases and improving nutrient utilization in humans. Such microbiome-based approaches may be crucial in addressing malnutrition and gut dysbiosis in populations affected by climate-driven displacement [
130,
160].
The microbiome plays a crucial role in environmental applications, including the control of water, air, and soil pollution. Recent decades have highlighted the potential of microorganisms, particularly bacteria, as effective agents for the remediation of soil, water, and air contaminants through their catalytic activities, offering sustainable alternatives to chemical-based approaches. Bacteria can remove a broad range of pollutants, including antibiotics, agrochemicals, radioactive elements, and petroleum-derived compounds. Moreover, biofiltration has emerged as a promising strategy for controlling industrial air pollution, with several bacterial species demonstrating efficacy in biofilter systems. Certain bacteria, such as
Acinetobacter, Bacillus, Pseudomonas, and
Rhodococcus spp., have also shown the ability to degrade microplastic and nanoplastic residues in soil via biodeterioration, biofragmentation, assimilation, and mineralization [
162].
The microbiome has also emerged as a pivotal research theme within food systems due to its capacity to enhance food safety, promote sustainability, optimize production yields, and identify novel microbial strains, probiotics, and mobile genetic elements. A deeper understanding of microbial resources is facilitating precision management of food systems—not only in research but also in industrial applications. Several European initiatives, such as CIRCLES, HoloFood, MASTER, SIMBA, and MicrobiomeSupport, are investigating microbiome dynamics across the food supply chain, highlighting the growing recognition of microbiome-based innovations as essential contributors to the global economy. However, to maximize impact, the field must shift from predominantly observational studies toward more mechanistic explorations in food science, supported by reproducible multi-omics workflows and harmonized analytical frameworks [
53].
Multi-omics approaches in food studies have so far been applied mainly to fermented dairy products, with increasing attention to meat and plant-based foods. In practice, the integration of metagenomics, metatranscriptomics, metabolomics, and proteomics enables pathway-level analysis of microbial functions, allowing researchers to link community composition with metabolic activity, host–microbe interactions, and functional outcomes such as flavor development, spoilage dynamics, or pathogen suppression. Combined datasets are increasingly used to predict microbial responses to environmental stressors, processing conditions, and antimicrobial interventions, as well as to support drug-response modeling and functional risk assessment. These efforts typically aim to map microbial populations throughout the food chain, identify rare or novel taxa and microbial adaptation strategies, correlate microbiome attributes with food quality and safety outcomes, translate microbiome data into practical industrial applications, and support microbial risk assessments [
53].
The global demand for safe, nutritious foods with minimal synthetic additives is rising. The World Health Organization (2019) reports that about 600 million people suffer annually from foodborne diarrheal diseases, resulting in an estimated 420,000 deaths [
163]. Because food undergoes multiple stages of processing before consumption, the role of microbiome—whether in fermentation or spoilage—is crucial. Bioinformatics, which leverages computational models to interpret biological data, has become indispensable in food and nutritional sciences, enabling the identification of functional genes, proteins, and metabolites involved in key biological processes. Importantly, methodological choices—such as DNA extraction protocols, sequencing depth, reference databases, and statistical models—can significantly influence application outcomes. For example, differences in bioinformatic pipelines may lead to contrasting conclusions in clinical diagnostics, environmental monitoring, or industrial microbiome optimization, underscoring the need for transparent and standardized analytical strategies [
163].
Despite advances in multi-omics, amplicon-based sequencing of 16S rRNA remains a cornerstone method for microbial profiling in food systems, especially for pathogen detection and understanding microbial roles during fermentation. Importantly, interactions between microbial communities and their surrounding ecosystems strongly influence fermentation efficiency. Case studies in fermented food production and environmental monitoring have demonstrated that integrating amplicon data with metabolomic or functional genomic analyses improves predictive accuracy and supports more robust industrial decision-making.
9.1. Microbiome Engineering
The Human Microbiome Project (HMP) has contributed to the development of microbiome engineering by providing an understanding of the characteristics of healthy and unhealthy microbiome, particularly in the gut, mouth, skin, and urogenital regions. Microbiome engineering is most widely applied to the human microbiome [
164].
Ecosystem structure and function are largely shaped by their core microbiomes. Microbiome engineering seeks to alter microbial community structures and restore ecological balance. Strategies include modifying microbiome dynamics with probiotics or prebiotics, modulating functionality via DNA conjugation-mediated engineering or enzyme inhibitors, and developing therapeutic applications using natural or synthetic microbial consortia, such as fecal microbiome transplantation (FMT) and fecal virome transplantation [
129,
165,
166].
Gut microbiome imbalance (dysbiosis) is thought to be important in the pathogenesis of intestinal disorders such as inflammatory bowel disease and irritable bowel syndrome, as well as extraintestinal disorders such as allergies, type 1 diabetes, cardiovascular disease, metabolic syndrome, and obesity [
167]. Studies have shown that prebiotic inulin or inulin-type fructans modulate the colonic microbiome and have revealed significant increases in
Faecalibacterium prausnitzii and two
Bifidobacterium spp.,
B. adolescentis and
B. bifidum [
168]. Prebiotics have been shown to reduce allergic reactions and infections in infancy. Formula milk supplemented with a prebiotic blend of galacto-oligosaccharides (GOS) and long-chain inulin has been shown to significantly reduce the incidence of atopic dermatitis in infants with a parental history of atopy [
169,
170].
Emerging approaches also include the design of synthetic microbiomes with defined functional traits, the use of machine-learning models to identify predictive microbial biomarkers, and the development of microbiome-based therapeutics tailored to individual hosts. These microbial networks interact not only with one another but also with their hosts, responding dynamically to the metabolites they generate [
171]. Disruption of this balance can negatively affect host vitality and soil fertility. By engineering microbial communities, researchers can enhance host traits or support ecosystem health. Recent advances integrating artificial intelligence and multi-omics data have enabled the identification of functional signatures associated with disease resistance, nutrient utilization, and metabolic efficiency, paving the way for personalized nutrition and precision microbiome interventions. Although evidence suggests that microbiome engineering holds promise for disease treatment and agricultural improvement, the field remains in its infancy and requires rigorous validation and reproducible methodologies.
9.2. Challenges in Clinical Application
Despite rapid progress, the clinical application of microbiome science faces several challenges. Biologically, establishing causal links with the gut microbiome is difficult because of its heterogeneity and complexity. Methodologically, variability in diet, medications, and environmental factors, along with the lack of standardized protocols, hinders reproducibility. Logistically, personalized microbiome-based interventions remain difficult to implement, while regulatory uncertainty further complicates clinical translation. Culturally, skepticism among many clinicians continues to limit adoption in practice.
Fecal microbiome transplantation (FMT) is one established application, used for recurrent
Clostridium difficile infection. Studies show a significant increase in deficient
Bacteroidetes spp. after treatment [
172]. FMT is typically performed via colonoscopy. To minimize complications, donor stool must be collected from a healthy individual after a full medical history review and blood testing [
173]. However, variations in donor selection, preparation methods, and administration routes have been shown to influence therapeutic outcomes, highlighting how methodological decisions directly affect clinical efficacy and safety. These examples underscore the importance of standardized, reproducible frameworks for broader clinical and industrial adoption of microbiome-based therapies.
10. Future Perspectives and Technological Innovations
While major technological advances have expanded the analytical scope of microbiome research, the field continues to be dominated by exploratory and associative studies. To advance microbiome science toward reproducible, translatable, and clinically actionable outcomes, future research must adopt explicit, stepwise methodological and analytical strategies rather than relying on broad technological trends alone.
A critical next step in microbiome research is the shift from descriptive profiling to validated, application-oriented workflows. This can be achieved by locking down pre-analytical and analytical pipelines through fixed protocols for sampling, nucleic acid extraction, library preparation, and sequencing depth, together with predefined quality-control thresholds, thereby reducing inter-study and inter-laboratory variability [
1,
9,
78]. Second, microbiome-derived biomarkers should be evaluated using independent validation cohorts rather than discovery datasets alone. Performance metrics such as sensitivity, specificity, robustness across sequencing platforms, and temporal stability must be reported systematically [
4,
7]. Third, analytical outputs should be aligned with clinically meaningful endpoints, enabling microbiome features to be assessed within diagnostic or prognostic frameworks. Together, these steps provide a practical pathway for translating microbiome research into clinical-grade applications without requiring immediate regulatory approval [
5,
172,
173].
Future microbiome studies must move beyond general calls for standardization and implement operationally defined benchmarking strategies. This includes the routine use of mock microbial communities, synthetic reference datasets, and negative controls across all stages of analysis to quantify technical bias and analytical accuracy [
44,
45].
Equally important is the use of structured metadata schemas capturing key host, environmental, and technical variables. Harmonized metadata enables cross-cohort comparisons and meta-analyses essential for biomarker validation and clinical translation, whereas the absence of enforceable standards continues to limit reproducibility across studies [
1,
9].
Artificial intelligence and machine learning should be integrated into microbiome research at clearly defined analytical stages, rather than applied as exploratory tools. In the near term, supervised machine learning models such as random forests and gradient boosting should be prioritized for biomarker discovery and outcome prediction, while deep learning architectures are better suited for integrating longitudinal multi-omics data and complex host metadata [
7,
109]. To ensure clinical relevance, AI-derived features must be validated across independent cohorts and implemented in version-controlled analytical pipelines. Model interpretability and transparent performance reporting are essential to prevent overfitting and support biological plausibility, enabling AI-based analyses to progress from exploratory tools to reproducible components of microbiome-based diagnostics [
111].
Emerging sequencing technologies should be evaluated based on their practical contribution to resolution and interpretability, rather than novelty alone. Ultra-long read sequencing and adaptive sampling can be strategically applied to resolve strain-level variation, mobile genetic elements, and antimicrobial resistance determinants that are poorly captured by short-read approaches [
45,
80]. Single-cell metagenomics and Hi-C–based binning should be incorporated selectively to link plasmids, phages, and accessory genes to host genomes, particularly in studies focusing on horizontal gene transfer and microbial ecology [
4,
79]. Future studies should explicitly define which biological questions require these high-resolution methods, thereby optimizing cost-effectiveness and analytical clarity. As microbiome datasets continue to grow in size and complexity, future research must adopt scalable computational infrastructures capable of supporting multi-omics integration and longitudinal analyses. High-performance computing and cloud-based platforms should be combined with automated workflow management systems to enable reproducible and efficient data processing [
68,
111].
The routine use of containerized, version-controlled pipelines will be essential for ensuring analytical transparency, cross-study comparability, and regulatory readiness [
80]. Investment in computational standardization is therefore not ancillary but central to the future viability of microbiome research. Future multi-omics studies should focus on joint modeling strategies that explicitly integrate metagenomic, metatranscriptomic, proteomic, and metabolomic data rather than analyzing each layer independently. Genome-scale metabolic models and network-based approaches provide a practical framework for translating multi-omics data into testable mechanistic hypotheses [
106,
110]. To achieve this, harmonized preprocessing pipelines and batch-correction strategies must be defined a priori. Such structured integration will allow functional validation of taxonomic signals and improve causal inference in host–microbiome interactions [
89,
90].
The expansion of microbiome research into personalized medicine, nutrition, and agriculture should be guided by application-driven study designs. In clinical contexts, microbiome-informed dietary or therapeutic interventions should be evaluated using standardized outcome measures and longitudinal monitoring [
107].
In agricultural systems, microbiome-based strategies should prioritize reproducibility under field conditions and measurable impacts on productivity and sustainability [
53,
129,
160]. Defining application-specific performance criteria will be essential for translating microbiome insights into real-world solutions. Long-term advancement of microbiome research requires explicit integration of ecological and evolutionary frameworks. Microbial competition, cooperation, horizontal gene transfer, and phage–microbe interactions directly influence community stability and functional resilience [
4,
105]. Future studies should incorporate phageomics and evolutionary modeling to predict community responses to environmental or therapeutic perturbations. Such approaches will enhance the interpretability and durability of microbiome-based interventions. As microbiome research approaches clinical and commercial deployment, ethical and regulatory considerations must be addressed proactively. Standardized policies for data governance, privacy protection, and informed consent are essential for responsible data use [
1,
5]. Furthermore, the underrepresentation of diverse populations in microbiome datasets must be corrected through inclusive study designs. Addressing these issues will be critical for ensuring equitable access to microbiome-based technologies and preventing population-specific bias.
Key open questions for the field include the causal attribution of microbial functions to disease phenotypes, the long-term stability of microbiome-derived biomarkers, and the safety of microbiome-targeted interventions [
4,
7]. Addressing these challenges requires coordinated, hypothesis-driven research supported by standardized methodologies.
In low- and middle-income regions, future efforts should prioritize field-adapted sampling strategies, cost-effective sequencing technologies, and region-specific reference databases to ensure global representation in microbiome research [
17,
129]. Moreover, future studies should move beyond descriptive association analyses and be guided by clearly defined, falsifiable hypotheses supported by controlled or longitudinal study designs [
4,
7]. Concrete next steps include defining causal, testable hypotheses linking specific microbial taxa, genes, or metabolic pathways to host phenotypes and evaluating them through perturbation-based or longitudinal approaches, such as dietary interventions or time-resolved sampling [
90,
91]. In parallel, studies should predefine analytical endpoints and success criteria to ensure reproducibility and biological relevance across cohorts [
79]. Such hypothesis-driven frameworks are critical for advancing microbiome research beyond descriptive analyses. In microbiome research, the fact that existing reference catalogs are largely derived from high-income populations limits the generalizability of microbiome-based biomarkers and functional inferences [
17,
105]. Future research should prioritize field-adapted sampling, low-cost portable sequencing, and simplified bioinformatic workflows for resource-limited settings, alongside region-specific reference databases that reflect local diets, environmental exposures, and host genetics. Addressing these gaps will enhance equity and improve the robustness and global applicability of microbiome-based diagnostics and interventions [
17,
80,
105,
129].