1. Research Background
In modern intensive pig production systems, piglet intestinal health is closely associated with post-weaning survival, growth performance, feed efficiency, and disease prevention and thus represents a key determinant of production stability during the nursery stage. Post-weaning diarrhea, reduced feed intake, growth retardation, and secondary infections decrease production efficiency and increase the use of antimicrobials and treatment costs. In previous production systems, antibiotics and high-dose zinc oxide were commonly used to reduce weaning-related risks. However, with the progressive implementation of antibiotic-reduction policies and the increasing demand for antibiotic-alternative strategies, intestinal health management in piglets should move beyond conventional antibacterial and antidiarrheal approaches. Instead, greater emphasis should be placed on the coordinated regulation of the gut microbiota, barrier function, mucosal immunity, and nutritional metabolism during the critical weaning window [
1,
2,
3,
4].
1.1. Production Relevance of Piglet Intestinal Health
The weaning period is one of the most vulnerable stages in pig production, characterized by pronounced fluctuations in intestinal health and growth performance. After weaning, piglets commonly exhibit reduced feed intake, increased diarrhea incidence, impaired growth performance, and decreased within-batch body-weight uniformity. These problems compromise nursery survival and feed efficiency, thereby increasing treatment costs and management pressure [
2].
After separation from the sow, piglets experience an abrupt interruption of milk supply, and their diet shifts from milk-derived nutrients to solid feed mainly composed of cereals and plant proteins. At the same time, changes in the rearing environment, mixing with unfamiliar piglets, and increased pathogen exposure often occur simultaneously. During this period, the intestinal barrier structure, digestive enzyme secretion, mucus layer defense, and mucosal immune system of piglets are not yet fully mature [
1,
3]. As a result, their capacity to adapt to nutritional and environmental changes remains limited, making the weaning period a high-risk stage for intestinal injury and diarrhea.
In the context of antibiotic reduction, intestinal health management in weaned piglets faces increasing pressure. For many years, post-weaning diarrhea has been controlled mainly with antimicrobial agents and pharmacological doses of zinc oxide. However, stricter restrictions on antibiotic and zinc oxide use have limited the sustainability of this conventional approach. Several emerging strategies, including phage therapy, engineered probiotics, postbiotics with defined dose-response relationships, fecal microbiota transplantation (FMT), and CRISPR-mediated microbiota editing, are now being explored as potential alternatives. Although most of these approaches remain experimental or at an early translational stage in pig production, they provide useful directions for developing more precise and mechanism-based strategies to maintain intestinal homeostasis in weaned piglets.
However, with the more standardized use of antimicrobials and increasingly strict restrictions on zinc oxide application, this conventional approach can no longer fully meet the current requirements for safety and sustainability in pig production. More importantly, intervention strategies centered solely on pathogen suppression have inherent limitations. On the one hand, a reduction in pathogen load does not necessarily indicate recovery of the disrupted intestinal ecosystem after weaning. Even when pathogen numbers are temporarily controlled, dysbiosis of the gut microbiota, reduced production of beneficial microbial metabolites, insufficient epithelial barrier repair, and sustained mucosal immune activation may still persist. These unresolved disturbances may partly explain the recurrence of diarrhea and the unstable recovery of growth performance after the withdrawal of antimicrobial or antidiarrheal treatments. On the other hand, broad-spectrum antimicrobial pressure may further disturb commensal microbial communities, weaken colonization resistance and beneficial fermentation functions, and impose selective pressure on antimicrobial resistance-associated genes or resistant strains.
Therefore, current regulation of piglet intestinal health should shift from the simple suppression of pathogenic bacteria toward maintaining gut microbial stability, promoting intestinal barrier repair, and improving host adaptive capacity [
4].
1.2. Fundamental Role of the Early Gut Microbiota
During early development, the gut microbiota provides an important biological foundation that links nutrient utilization, barrier development, and immune maturation in piglets. The gut microbiota can degrade milk- or plant-derived nutritional substrates and participates in the production of short-chain fatty acids (SCFAs), bile acid transformation, and vitamin synthesis. It can also restrict the colonization of potential pathogens through niche competition. In addition, microbiota-derived metabolites and microbial-associated molecules can act on intestinal epithelial cells, the mucosal immune system, and neuroendocrine pathways, thereby influencing the functional development of the piglet intestine [
5]. After birth, the gut microbiota gradually shifts from an early-colonized, low-complexity community toward a mature microecological system. This process spans key stages including birth, suckling, creep feeding, and the transition at weaning. Early microbial colonization is strongly shaped by maternal and perinatal factors. Delivery mode determines the first microbial exposures of newborn piglets, including contact with the sow reproductive tract, feces, skin, and the farrowing environment. After birth, colostrum and milk further provide both microbial and non-microbial signals that influence intestinal colonization. In particular, milk-derived secretory immunoglobulin A (sIgA) can bind selected microorganisms and microbial antigens, thereby helping regulate bacterial adhesion, immune exclusion, and the establishment of mucosal tolerance. Milk oligosaccharides, especially porcine milk oligosaccharides (PMOs), may also act as selective substrates for beneficial bacteria and as decoy receptors that limit pathogen attachment. Therefore, stable early colonization should not be viewed only as passive microbial acquisition, but as a coordinated process shaped by delivery-associated seeding, colostrum intake, milk immune factors, milk glycans, and the immature intestinal niche [
6,
7,
8].
Whether early microbial colonization is stable and orderly affects not only the development of intestinal epithelial barrier structure and function but also the establishment of mucosal immune tolerance, the formation of nutrient-metabolic capacity, and the subsequent resistance of piglets to pathogen infection and weaning stress. This process is particularly sensitive to the quality and timing of colostrum intake because colostrum supplies maternal immunoglobulins, growth factors, bioactive proteins, microbial components, and milk glycans that jointly influence epithelial maturation and early microbiota assembly.
The intestine is not only responsible for nutrient digestion and absorption but also serves as an important ecological interface through which the gut microbiota continuously exchanges signals with the host immune, nervous, and endocrine systems. The gut microbiota interacts with epithelial barrier function, mucosal immunity, and metabolic regulatory pathways through microbe-derived signaling molecules such as SCFAs, tryptophan metabolites, bile acid derivatives, and amino acid-derived metabolites [
9,
10]. Conversely, the host regulates microbial composition, spatial distribution, and functional status by secreting mucins, antimicrobial peptides, sIgA, bile acids, and intestinal alkaline phosphatase [
11]. Within this interaction network, the mucosal immune system performs signal recognition and response regulation, discriminating commensal-associated signals from potential danger signals and determining whether intestinal responses tend toward immune tolerance or inflammatory activation. At the same time, the gut–brain axis transmits local intestinal microecological disturbances to feeding regulation, stress responses, and systemic metabolic processes through neuroendocrine and immune-mediated pathways. Studies indicate that the microbial interaction network is particularly vulnerable during weaning. After weaning stress occurs, piglets often first show a transient decrease in feed intake, which may subsequently be accompanied by loose feces, reduced vitality, slower growth, and decreased feed conversion efficiency [
6,
12].
1.3. Pigs as a Model for Host–Microbiota Interactions
Pigs are important production animals in modern animal husbandry and also represent a valuable large-animal model for studies of host–microbiota interactions. Compared with rodents, pigs share greater similarities with humans in gastrointestinal anatomy, omnivorous feeding behavior, intestinal development, immune characteristics, and nutrient metabolism [
13]. In addition, compared with single-factor experimental models, the piglet weaning model more closely reflects the dynamic disruption of host–microbiota interaction networks under complex physiological stress and therefore has greater production relevance and physiological complexity [
5].
Metagenomic studies further support the value of pigs as a model for host–microbiota interaction research from the perspective of microbial functional capacity [
14]. Xiao (2016) established a pig gut microbial gene catalog and found that it covered approximately 96% of the functional pathways present in the human gut microbiome [
13]. This indicates a high degree of similarity between the porcine and human gut microbiomes at the level of functional potential, although this similarity does not imply identical species composition or strain-level correspondence [
15].
Based on these physiological and substantial similarities to humans in gastrointestinal structure and function, the pig model has both practical production significance and translational biomedical value. The weaning period in piglets involves concurrent dietary transition, environmental stress, microbial community restructuring, and host physiological adaptation, making it a critical window for investigating host–microbiota interactions and the mechanisms underlying intestinal homeostasis [
16,
17].
This review focuses on weaned piglets and summarizes current knowledge regarding the establishment and succession of the intestinal microbiota, the bidirectional regulation mediated by microbial metabolites and host signaling networks, the disruption of host–microbiota interaction networks under weaning stress, and recent advances in the application of multi-omics approaches and nutritional interventions for mechanistic studies [
18,
19]. To facilitate accurate interpretation of the available evidence, studies derived from other animal models, human populations, or in vitro systems are clearly distinguished throughout the review, and their scope of applicability is discussed where relevant, thereby avoiding the direct extrapolation of non-piglet findings to weaned piglets.
2. Materials and Methods
This narrative review summarizes current evidence on host–microbiota interactions involved in the regulation of intestinal health in weaned piglets. The review focuses on microbial colonization and succession, epithelial barrier development, mucosal immune regulation, microbial metabolites, neuroendocrine communication, weaning-associated dysbiosis, omics-based approaches, and microbiota-targeted nutritional strategies.
A structured literature search was performed using PubMed, Web of Science, Scopus, and Google Scholar [
20]. The final search was completed on 31 May 2026. The search mainly covered publications from 2010 to 2026, as this period includes most studies applying high-throughput sequencing, metagenomics, metabolomics, and other omics-based methods in piglet gut microbiota research. Earlier studies were also considered when they provided foundational information on intestinal barrier development, mucosal immunity, microbial colonization, or host–microbiota communication.
The search strategy combined terms related to the target animal, intestinal microbiota, weaning stress, host responses, microbial metabolites, omics technologies, and nutritional interventions. Boolean operators were used to construct the search strings. The main terms included: “piglets”, “weaned piglets”, “weaning piglets”, “weaning stress”, “post-weaning diarrhea”, “gut microbiota”, “intestinal microbiota”, “microbiome”, “host-microbiota interaction”, “host-microbe interaction”, “microbial colonization”, “microbiota succession”, “early-life microbiota”, “intestinal barrier”, “tight junction”, “mucosal immunity”, “sIgA”, “SCFAs”, “tryptophan metabolites”, “bile acids”, “amino acid metabolism”, “gut-brain axis”, “neuroendocrine”, “HPA axis”, “metagenomics”, “metabolomics”, “single-cell transcriptomics”, “multi-omics”, “probiotics”, “prebiotics”, “synbiotics”, “postbiotics”, “fecal microbiota transplantation”, “functional amino acids”, “crude protein reduction”, “low-protein diet” and “reduced-protein diet”. The detailed search strings and the number of records retrieved from each database are shown in
Table 1.
All retrieved records were exported and checked for duplication. After removing duplicates, the remaining records were screened by title and abstract. Articles clearly unrelated to piglet intestinal health, gut microbiota, host–microbiota interactions, or nutritional regulation were excluded. Potentially eligible studies were then assessed by full-text review. In addition, the reference lists of key articles and recent reviews were manually examined to identify relevant studies not captured by the initial database search.
Studies were included if they investigated gut microbial colonization, succession, or dysbiosis in piglets; examined associations between the gut microbiota and epithelial barrier function, mucosal immunity, microbial metabolites, or neuroendocrine signaling; evaluated the effects of weaning stress on intestinal health, diarrhea, inflammation, metabolism, or growth performance; applied omics or multi-omics approaches to host–microbiota interactions; or assessed microbiota-targeted interventions relevant to piglet intestinal health.
Studies were excluded if they were not directly related to intestinal health, host–microbiota interactions, or piglet production. Articles focusing only on non-intestinal traits without mechanistic relevance to gut function, lacking sufficient methodological information, or without accessible full text were also excluded. Non-peer-reviewed sources were generally excluded, except for authoritative guidelines, consensus papers, or book chapters used to clarify definitions or background concepts. Studies based on rodents, humans, cell models, or in vitro systems were included only when they provided mechanistic evidence relevant to piglet intestinal physiology or host–microbiota interactions, and such evidence was interpreted cautiously rather than treated as a direct substitute for piglet-based data.
The study selection process followed a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-style workflow, including record identification, duplicate removal, title and abstract screening, full-text assessment, and final inclusion. Because this article was designed as a narrative review rather than a formal systematic review or meta-analysis, no protocol registration was performed and no quantitative evidence synthesis was conducted. Nevertheless, the search and screening procedures were structured to improve transparency and reproducibility. To further strengthen the critical evaluation of the available evidence, the included studies were interpreted according to the source of experimental evidence. Findings obtained directly from piglets or porcine intestinal models were considered the primary evidence base for this review. Evidence derived from rodent, human, cell, or in vitro studies was used only to support mechanistic interpretation when piglet-specific evidence was limited. In these cases, the evidence was described as indirect or extrapolated, and conclusions were presented with appropriate caution.
5. Imbalance of the Interaction Network Under Weaning Stress
Weaning is a critical window during which the piglet host–microbiota interaction network is particularly susceptible to destabilization. At this time, intestinal structure and function are not yet fully mature. Digestive enzyme secretion, villus and crypt architecture, tight junctions, the mucus layer, and mucosal immunity remain in developmental and adaptive stages. A marked mismatch therefore develops between rapid changes in external stimuli and insufficient host regulatory capacity, making weaning a typical perturbation model for studying host–microbiota interaction imbalance. When the weaning transition, referring to the combined shift from sow milk-based suckling to independent solid-feed intake together with maternal separation and environmental change, is gradual and well managed, piglets can progressively complete microbial functional remodeling and host adaptation. In contrast, when weaning is abrupt or accompanied by additional stressors, such as ETEC infection, low feed intake, temperature stress, and high stocking density, the host–microbiota interaction network is more likely to become imbalanced, driving adverse outcomes such as diarrhea, inflammation, and impaired growth (
Figure 2).
After weaning, the intestinal microbial ecology of piglets undergoes rapid remodeling, commonly characterized by decreases in protective lactic acid bacteria and expansion of facultative anaerobes and potential pathogens. Importantly, this post-weaning remodeling is not limited to taxonomic changes but also involves functional reorganization in substrate utilization, fermentation capacity, redox balance, and inflammatory potential. Under diarrheal or stress conditions, the abundance of beneficial bacteria such as
Limosilactobacillus mucosae,
Limosilactobacillus reuteri, and
Lactobacillus amylovorus decreases, whereas opportunistic pathogens such as
E. coli and functions related to LPS biosynthesis increase. Reduced feed intake further decreases the availability of fermentable substrates, while dietary transition from milk-derived nutrients to plant-based solid feed reshapes the luminal nutrient environment (
Figure 2). As a result, microbial dysbiosis during weaning should be understood not only as a compositional disturbance but also as a reduction in beneficial metabolic outputs and an increase in pro-inflammatory microbial pressure [
39].
ETEC infection is an important amplifier of post-weaning host–microbiota interaction imbalance. ETEC F4 or F18 can exploit ecological niches created by microbial dysbiosis during weaning and adhere to and colonize the small intestinal epithelium through fimbrial binding to epithelial receptors. Its heat-labile enterotoxin promotes chloride secretion and inhibits sodium absorption through the cyclic adenosine monophosphate (cAMP) pathway, whereas heat-stable enterotoxins disrupt ion transport and paracellular permeability through cyclic guanosine monophosphate or calcium signaling pathways. Among them, heat-stable enterotoxin b (STb) may also downregulate tight-junction proteins such as Claudin-1, ZO-1, and Occludin. At the same time, ETEC infection further aggravates microbial dysbiosis, weakens protective fermentation functions, and reduces volatile fatty acid production, thereby promoting progression of diarrhea and barrier injury. Thus, ETEC converts microbial ecological imbalance into epithelial secretory dysfunction, barrier disruption, and inflammatory amplification. Importantly, ETEC infection does not act independently of the resident microbiota. Instead, it may create a self-reinforcing cycle in which microbial dysbiosis facilitates pathogen expansion, pathogen-derived toxins and microbe-associated molecular patterns damage the epithelial barrier, barrier injury increases microbial translocation and immune activation, and inflammation further reshapes the intestinal microbial ecosystem [
77,
83].
6. Omics Technologies for Deciphering Host–Microbiota Interactions
Host–microbiota interactions exhibit marked multilayered and cross-scale regulation, involving microbial structure, metabolic function, the epithelial barrier, mucosal immunity, neuroendocrine signaling, and other processes. Single indicators are no longer sufficient to explain the mechanisms underlying post-weaning diarrhea and barrier injury. It is therefore necessary to integrate analyses across multiple levels, including microbial composition, functional genes, metabolite profiles, host cellular responses, and the activation status of key signaling pathways. Multi-omics technologies have consequently become important tools for deciphering host–microbiota interaction networks in piglets. Recent pig studies using integrated omics approaches provide more concrete examples of how microbial changes are linked with host molecular responses during weaning. These studies show that multi-omics integration can move beyond the description of microbial community shifts and identify candidate microbe–metabolite–host gene axes related to barrier dysfunction, immune activation, metabolic adaptation, and inflammatory regulation [
84]. However, most of these studies remain association-based. Therefore, the regulatory axes identified by multi-omics should be interpreted as mechanistic clues or putative causal pathways that require further validation through targeted intervention, metabolite rescue, receptor blockade, or functional experiments in piglet models.
6.1. Microbiome Sequencing: From Taxonomic Composition to Functional Potential
16S rRNA sequencing and metagenomic sequencing are mainly used to analyze intestinal microbial structure and functional changes during weaning. 16S rRNA sequencing is suitable for assessing microbial composition, changes in dominant taxa, and alpha and beta diversity. It is relatively low cost and suitable for large-sample screening. However, because 16S rRNA sequencing is primarily taxonomic and has limited resolution for functional inference, it cannot fully explain how microbial changes are translated into metabolic or host-response alterations. Metagenomic sequencing provides higher resolution and can identify not only microbial composition but also functional genes, metabolic pathways, and potential virulence factors. For studies of intestinal imbalance during weaning, describing changes in genus abundance alone is insufficient. Greater attention should be given not only to taxonomic composition but also to microbial functional potential. Key microbial functions, including carbohydrate degradation, amino acid metabolism, LPS synthesis, bile acid transformation, and short-chain fatty acid production, should be evaluated to better understand how microbial communities contribute to intestinal homeostasis or dysbiosis in weaned piglets [
15,
22].
6.2. Metabolomics: Linking Microbial Remodeling with Functional Outputs
Metabolomics can be used to analyze changes in intestinal metabolite profiles and is an important means of determining whether changes in microbial structure are translated into functional metabolic outputs and host physiological effects. SCFAs, bile acids, amino acid metabolites, lipid metabolites, and vitamin-related metabolites can all serve as mediators linking microbial changes with host barrier, immune, and metabolic phenotypes. Studies in weaned piglets have shown that weaning not only alters gut microbial composition but also remodels amino acid metabolism, lipid metabolism, energy metabolism, and bile acid-related pathways. Compared with microbial analysis alone, metabolomics is better able to reveal the functional connections among microbial changes, barrier gene expression, and systemic metabolic responses [
39,
80]. A representative integrated-omics study in commercial piglets combined cecal microbiota profiling, jejunal host gene-expression analysis, and serum metabolomics around weaning. This study showed that weaning was accompanied by rapid microbial remodeling; downregulation of genes related to tight junctions, mucin production, and nutrient transport; and marked systemic metabolic changes, including altered lipid, amino acid, and ketone-body metabolism. The integrated analysis suggested that microbiota shifts after weaning are coordinated with impaired epithelial barrier and digestive functions as well as systemic metabolic stress. This case supports the concept that microbial dysbiosis during weaning should not be interpreted only as a taxonomic disturbance, but as part of a broader host–microbiota–metabolite response network.
6.3. Host-Side Omics: Transcriptomics, Proteomics, and Single-Cell Resolution
Single-cell transcriptomics can resolve host responses induced by weaning stress at cellular resolution. Compared with conventional bulk tissue transcriptomics, which reflects only overall gene-expression changes, single-cell RNA sequencing can further distinguish cell-type composition, functional states, and intercellular communication among epithelial cells, goblet cells, immune cells, stromal cells, and other cell populations. Single-cell atlases of the ileal mucosa in weaned piglets indicate that T-cell subsets, T helper 17 cells (Th17) functional states, and cytotoxic T-cell features are remodeled after weaning, allowing inflammatory responses to be localized to specific cell types and molecular states. This technology is therefore more suitable than measurement of individual inflammatory factors for revealing cellular mechanisms of mucosal immune imbalance during weaning [
3].
Transcriptomics, proteomics, and pathway analysis can reveal key host-side response mechanisms under weaning stress. Metagenomics and metabolomics mainly reflect changes in the microbiota and its metabolic outputs, whereas whether the host mounts corresponding functional responses must be further verified through gene expression, protein abundance, and signaling pathway activation. After weaning, processes such as intestinal barrier function, nutrient transport, inflammatory responses, oxidative stress, mitochondrial function, and cell death may all be remodeled. Integrating these host responses with microbial functions and metabolite changes can provide clearer evidence for elucidating the mechanistic links between microbial metabolites and host signaling pathways. Although multi-omics approaches have improved our understanding of host–microbiota interaction networks, their main strength still lies in identifying potential associations. Metagenomics, metabolomics, transcriptomics, proteomics, and single-cell transcriptomics can help screen microbial taxa, functional genes, metabolites, host cellular responses, and signaling pathways associated with intestinal barrier injury, immune activation, metabolic changes, and diarrhea-related phenotypes. However, these findings usually reflect coordinated changes across different biological layers. They do not, on their own, prove that a specific strain, metabolite, or pathway directly causes a given host phenotype. Therefore, multi-omics results should be regarded as a basis for further mechanistic studies rather than as definitive evidence of causality. To clarify the functional roles of these candidate factors, key strains need to be isolated through culturomics and further evaluated using microbial or metabolite interventions, organoid or organ-on-a-chip co-culture models, and targeted animal experiments. In this context, culturomics and organ-on-a-chip technologies serve as important bridging tools that link omics-based discovery with the development of mechanism-based nutritional intervention strategies.
6.4. Organ-on-a-Chip Platforms for Functional Validation of Host–Microbiota Interactions
Organ-on-a-chip and multi-organ-on-a-chip platforms should not be viewed only as advanced in vitro models. They can also be used to validate candidate mechanisms identified by multi-omics studies and to support the design of mechanism-based nutritional intervention strategies. In studies of piglet intestinal health, multi-omics analyses can identify candidate strains, microbial metabolites, host receptors, inflammatory pathways, and barrier-related targets associated with post-weaning dysbiosis, barrier injury, and intestinal dysfunction [
39,
85]. These candidate factors can then be further tested in organ-on-a-chip systems to determine whether they exert direct biological effects under conditions that partially resemble the intestinal microenvironment. Compared with conventional two-dimensional cell culture systems or relatively static organoid models, microphysiological chip systems can better reproduce fluid shear stress, epithelial barrier interfaces, oxygen gradients, mechanical stimulation, and the dynamic exchange of nutrients and microbial metabolites. This is particularly relevant to studies of host–microbiota interactions. The production of microbial metabolites, changes in epithelial permeability, activation of immune signaling, and communication between the gut and the liver or brain are continuous biological processes. They cannot be fully captured by measurements taken at a single time point. Previous reviews have suggested that organoids and organ-on-a-chip technologies can help reconstruct key aspects of host–microbe interactions in vitro. This may reduce the uncertainty associated with mechanistic inferences based only on animal experiments or metagenomic association data [
84,
86]. In addition, recent advances in multi-organ-on-a-chip systems have shown further potential, especially through fluidically coupled organ modules, integrated sensors, automated perfusion, and real-time monitoring. These features make such systems useful for studying inter-organ communication and biological responses induced by drugs or metabolites [
87].
In piglet intestinal health research, these platforms are better viewed as tools for mechanistic validation rather than as replacements for live piglet models. Candidate strains, microbial metabolites, and host signaling pathways identified through metagenomics, metabolomics, transcriptomics, or single-cell analyses can first be functionally tested in porcine intestinal epithelial organoids or gut-on-a-chip systems. Readouts such as transepithelial electrical resistance, tight junction protein expression, mucus secretion, inflammatory cytokine release, epithelial renewal, and metabolite transport can help determine whether a specific microbiota–metabolite–host pathway has a direct biological effect. Looking further ahead, gut-on-a-chip–liver axis, gut–immune axis, or gut–brain axis models may provide more controllable platforms for evaluating the systemic effects of microbial metabolites, including bile acid derivatives, SCFAs, tryptophan metabolites, and amino acid-derived signals [
86]. However, the application of these technologies in piglet research still faces several technical limitations. Stable co-culture of intestinal epithelial cells, anaerobic microorganisms, immune cells, and organ-specific cellular components requires precise control of oxygen tension, medium composition, flow rate, and microbial overgrowth. Therefore, organ-on-a-chip models should be regarded as complementary mechanistic validation systems that connect multi-omics analysis with animal experiments, rather than as independent evidence sufficient to explain post-weaning diarrhea symptoms or changes in production performance.
More importantly, these platforms can serve as a mechanistic screening step before nutritional strategies are tested in large-scale piglet trials. For example, potential probiotics isolated from the piglet intestine, postbiotic components, SCFAs, tryptophan metabolites, bile acid derivatives, amino acid-derived signaling molecules, and plant-derived bioactive compounds identified through multi-omics approaches can first be evaluated in gut-on-a-chip systems. These models allow researchers to examine whether such factors affect key processes such as epithelial permeability, mucus secretion, inflammatory signaling, metabolite transport, and epithelial repair. This validation step can help determine whether a nutritional intervention directly targets biologically relevant host–microbiota pathways. It may also reduce the uncertainty associated with advancing intervention strategies based only on correlative omics evidence.
6.5. Culturomics for Functional Validation of Candidate Bacteria
Culturomics is an important step in moving microbiota association studies toward functional validation. Sequencing technologies can identify potential functional bacteria, but without culturable live strains, it is difficult to conduct colonization validation, host–microbe or microbe-microbe co-culture assays, metabolite detection, or safety evaluation. By optimizing culture media, oxygen conditions, temperature, incubation time, and screening strategies, culturomics can improve the efficiency of isolating intestinal bacteria from piglets and provide an experimental basis for verifying whether candidate bacteria possess functions such as SCFA production, ETEC antagonism, tight-junction protection, and immune-tolerance regulation [
3,
29].
At present, porcine gut culturomics is still less mature than human gut microbiome research in terms of strain library size, standardized culture conditions, genome-level annotation, and the public availability of well-characterized isolates. Nevertheless, this approach is of particular value for studies of porcine intestinal health. Many gut bacteria are adapted to specific host environments and may show species-specific patterns in colonization ability, substrate utilization, and interactions with the piglet mucosa. Therefore, sequence-based prediction alone is often insufficient to determine whether these bacteria have practical application potential. Compared with metagenomic or metabolomic analyses, the isolation of live porcine intestinal strains allows more direct evaluation of their growth characteristics, metabolite-producing capacity, epithelial adhesion, anti-pathogen activity, antimicrobial resistance risk, and safety-related features. This is particularly important when metagenomic or metabolomic data identify potentially beneficial microbial taxa or functional pathways but cannot determine whether the corresponding live bacteria can be developed into stable probiotic candidates.
Therefore, culturomics can serve as a practical bridge between multi-omics discovery and targeted microbiota-based nutritional interventions. Candidate strains can be isolated from healthy piglets, sows, or piglets with stronger adaptation after weaning. Particular attention should be given to microorganisms that may be associated with higher SCFAs production, stronger barrier-protective effects, reduced inflammatory signaling, or resistance to enterotoxigenic Escherichia coli. These strains can then be systematically evaluated through genome sequencing, metabolite profiling, epithelial cell co-culture assays, and organ-on-a-chip models. Through this workflow, culturomics can help convert microbial features identified by omics analyses from descriptive biomarkers into experimentally testable functional strains, probiotic candidates, postbiotic sources, or defined microbial consortia. This provides a more concrete basis for improving intestinal health in weaned piglets.
6.6. Multi-Omics Integration and Causal Validation
The core value of multi-omics integration lies in linking microbial changes, metabolite outputs, host cellular responses, and signaling pathway activation to construct “microbiota–metabolite–host pathway” interaction networks. Metagenomics addresses how the microbiota and its functional potential change. Metabolomics reveals changes in metabolite profiles and functional metabolic outputs. Single-cell transcriptomics identifies specific responding cell populations and cell-state transitions. Transcriptomics and pathway analyses reflect the activation status of host signaling. It should be noted that multi-omics networks mainly reveal covariation and cannot, by themselves, prove that a specific strain or metabolite directly causes a host response. Relevant causal chains still require further validation through strain isolation, colonization experiments, metabolite interventions, and microbiota reconstruction models [
55,
88].
A more appropriate research strategy is to proceed from multi-omics association screening toward mechanistic validation. Candidate microbial groups and functional genes can first be screened through metagenomics; key metabolites can then be identified by metabolomics; host-responding cells and signaling pathways can be resolved using transcriptomics or single-cell transcriptomics; live strains can subsequently be obtained through culturomics; and causal relationships can finally be validated through strain supplementation, metabolite intervention, receptor blockade, organoid co-culture, or simplified microbiota colonization experiments. This stepwise strategy helps transform descriptive associations into testable mechanistic hypotheses and ultimately into causally supported intervention targets for improving piglet intestinal health.
In summary, multi-omics, culturomics, and organ-on-a-chip platforms can be integrated into a closed-loop research framework for studies of piglet intestinal health. Multi-omics approaches are mainly used for discovery. They help identify key microbial taxa, functional genes, metabolites, host-responsive cell populations, and signaling pathways associated with post-weaning intestinal dysfunction. Culturomics further provides live bacterial resources for strain-level characterization, functional screening, safety assessment, and the development of probiotic candidates or defined microbial consortia. In contrast, organ-on-a-chip platforms and related ex vivo systems are more suitable for mechanistic validation. These models can help determine whether candidate strains, metabolites, or nutritional components directly affect epithelial barrier integrity, mucosal immune responses, microbial metabolite transport, or inter-organ communication. Through this workflow, phenotypic associations, mechanistic hypothesis generation, functional validation, and intervention development can be more closely connected. This provides a more reliable methodological basis for developing microbiota-targeted nutritional strategies for weaned piglets.
7. Microbiota-Based Strategies for Improving Piglet Intestinal Health
In the context of restricted antibiotic use, strategies for improving piglet intestinal health should move beyond a linear “single-additive” model. Greater attention should be given to the multilevel restoration of host–microbiota interaction networks. Post-weaning diarrhea is rarely caused by a single factor. It usually results from several interconnected disturbances, including microbial dysbiosis, reduced production of protective metabolites, impaired epithelial barrier repair, excessive activation of mucosal immune responses, and limited adaptation to dietary transition and environmental stress. Therefore, nutritional interventions should not be evaluated only according to additive type, such as probiotics, prebiotics, postbiotics, organic acids, or plant-derived extracts. A more useful framework is to classify these strategies according to their main site of action and the functional disturbance they are intended to correct.
Based on this rationale, microbiota-targeted nutritional strategies can be broadly divided into four interconnected levels. The first level is microbial community remodeling, which mainly includes probiotics and FMT. These approaches aim to replenish beneficial bacteria, limit pathogen expansion, and help restore a disturbed microbial ecosystem. The second level is modulation of the metabolic microenvironment. This includes prebiotics, postbiotics, SCFAs, medium-chain fatty acids (MCFAs), organic acids, and fermented feed. These interventions mainly improve luminal substrate availability, metabolite composition, and microbial fermentation patterns. The third level is support for host barrier and immune function. This category includes functional amino acids, plant-derived extracts, and traditional Chinese medicine formulations, which are mainly related to epithelial repair, mucus secretion, antioxidant defense, and inflammatory regulation. The fourth level is systemic nutritional management, including low-protein diets and maternal nutritional interventions. These strategies do not target a single bacterium or pathway. Instead, they act by adjusting the overall dietary structure or early-life developmental environment, reducing harmful fermentation pressure, improving adaptation to feed transition, and shaping the early establishment of host–microbiota interactions. These four levels are not separate from one another. Rather, they work together to support the restoration of intestinal homeostasis in weaned piglets (
Figure 3).
7.1. Rationale for Hierarchical Restoration of Network Dysbiosis
Intestinal health in weaned piglets is not determined by a single factor. Instead, it is jointly influenced by microbial community structure, microbial metabolites, epithelial barrier status, mucosal immune responses, and overall nutritional adaptability. These factors are closely connected. Disruption in one component may further amplify dysfunction in others. For example, reduced feed intake or an abrupt change in diet after weaning can directly alter the availability of intestinal substrates. This may change microbial fermentation patterns, reduce the production of protective metabolites, and impair epithelial repair while promoting inflammatory responses.
Therefore, when evaluating nutritional interventions, attention should not be limited to whether a single additive produces a specific effect. It is also important to determine which key processes are mainly improved by the intervention. For example, an intervention may help stabilize the microbial ecosystem, optimize the intestinal metabolic environment, strengthen barrier and immune function, or improve the ability of piglets to adapt during the weaning transition. This analytical approach can reduce the overly simple interpretation of “one factor–one effect”. It also better reflects the multifactorial interactions involved in the regulation of piglet intestinal health.
7.2. Microbial Community Remodeling
The first stage of network restoration focuses mainly on microbial community remodeling. Its core aim is to restore the abundance and niche functions of beneficial bacteria, enhance intestinal colonization resistance, limit the expansion of potential pathogens, and gradually re-establish the microbial ecological balance disrupted by weaning stress.
7.2.1. Probiotics: Strain-Specific Microbial Supplementation
Probiotics are commonly used microecological tools in studies of antibiotic replacement for weaned piglets. Lactobacilli, Bifidobacteria, Bacilli, and
Clostridium butyricum have all received considerable attention. Their mechanisms of action mainly include competitive exclusion of pathogens, production of antimicrobial metabolites, enhancement of tight junctions, promotion of sIgA secretion, suppression of pro-inflammatory responses, and optimization of microbial structure, thereby improving intestinal barrier function and reducing the risk of post-weaning intestinal injury [
89,
90,
91].
Meta-analyses support an overall protective effect of probiotics on the intestinal barrier of weaned piglets, mainly reflected in decreased diarrhea incidence, increased ZO-1 and Occludin expression, and improved jejunal villus height. However, the effects of probiotic interventions are influenced by strain type, dosage, route of administration, trial duration, weaning age, dietary background, and sampled intestinal segment, resulting in heterogeneity among studies. Practical application should therefore emphasize strain specificity and context adaptation and avoid overgeneralizing probiotic effects across different production or experimental settings [
92].
Strain specificity is a central issue in probiotic research and application. Different strains do not have identical effects on immune regulation, barrier repair, and microbial remodeling.
Lactobacillus reuteri derived from Ningxiang pigs can increase IgA, IgG, and sIgA levels; improve ileal villus structure; and upregulate ZO-1 and Claudin-1 expression (
Figure 3).
Lactobacillus rhamnosus GG can improve the mucus layer, tight junctions, and immune indicators under rotavirus challenge.
Bifidobacterium animalis JYBR-190 can improve growth, diarrhea, and some aspects of microbial structure, but its regulation of tight junctions and inflammatory cytokines may not occur synchronously [
82,
93,
94]. These findings indicate that improved production performance, microbial optimization, and repair of barrier molecules do not always occur simultaneously and that probiotic efficacy should be evaluated based on strain specificity and an integrated assessment of growth performance, diarrhea outcomes, microbial ecology, barrier integrity, and immune status [
88].
Bacillus-based preparations have relatively high processing stability and application convenience in the feed industry because of their heat resistance, storage stability, and pelleting stability compared with lactic acid bacteria.
Bacillus subtilis,
Bacillus pumilus, and their combinations have been reported to improve growth performance and reduce diarrhea incidence in weaned piglets, while regulating inflammation- and tight-junction-related indicators. Mechanistic studies of
Bacillus velezensis MZ09 suggest that its protective effects may be associated with increased SCFAs, activation of GPR43/STAT3 signaling, upregulation of IL-10, and inhibition of the NLRP3 inflammasome [
88,
93,
94].
7.2.2. FMT: Ecosystem-Level Microbial Reconstruction
FMT differs from single-probiotic intervention. Its core purpose is not to supplement a limited number of functional strains, but to transfer a relatively complete microbial ecosystem, together with its associated metabolic capacity, from a healthy donor to reconstruct the intestinal microecology of the recipient [
46,
93].
In recent years, FMT studies in weaned piglets have moved beyond phenotypic indicators such as diarrhea incidence and growth performance to focus on how FMT regulates host–microbe interface processes, including microbial reconstruction, barrier repair, mucosal immunity, and restoration of metabolic function. Studies have shown that FMT can reshape microbial structure at the small intestinal level in weaned piglets, accompanied by changes in metabolic function and host gene expression (
Figure 3). FMT can enrich beneficial genera related to Bifidobacteriaceae, regulate carbohydrate, amino acid, nucleotide, and vitamin metabolism and affect expression of genes related to immunity, barrier function, and neuroendocrine regulation [
46,
69]. These results suggest that FMT effects go beyond fecal microbial changes and may participate in maintaining host–microbe interface homeostasis by reshaping local small intestinal ecology, regulating host transcriptional responses, and enhancing resistance to pathogens [
93].
Industrial application of FMT still faces many practical limitations, including donor screening, exclusion of pathogenic microorganisms and antimicrobial resistance genes, batch stability, standardization of dosing, and optimization of intervention timing. Oral gavage provides stronger controllability but is more costly and labor-intensive. Feed inclusion is more convenient for production applications, but it is difficult to ensure microbial viability and colonization after feed processing and gastrointestinal passage. Therefore, FMT is currently more suitable as a tool for mechanistic analysis and functional-bacterium screening than as a routine large-scale production strategy. In research, FMT can first be used to verify the protective effects of healthy microbial networks. Culturomics and multi-omics technologies can then be combined to screen key strains or metabolites, ultimately transforming them into probiotic, postbiotic, or metabolite preparations with defined components, lower safety risks, and controllable quality.
7.3. Metabolic Microenvironment Modulation
The second level of network restoration mainly focuses on the regulation of the metabolic microenvironment. During weaning, reduced feed intake, abrupt changes in diet composition, and gut microbial imbalance may all weaken the production of beneficial fermentation products. They may also promote the conversion of undigested nutrients into harmful metabolites. The main goal of interventions at this level is to optimize luminal substrate availability, promote the production of protective microbial metabolites such as SCFAs, limit proteolytic fermentation and other unfavorable metabolic processes, and provide a more suitable local environment for epithelial repair and mucosal immune homeostasis.
7.3.1. Prebiotics: Substrate-Based Regulation of Microbial Metabolism
Prebiotics are substrate-based microecological interventions. They are selectively utilized by beneficial bacteria in the host intestine, thereby promoting a more favorable microbial structure, enhancing the production of beneficial metabolites, and improving host intestinal health. Common prebiotics include Fructo-oligosaccharides (FOS), Galacto-oligosaccharides (GOS), Xylo-oligosaccharides (XOS), Mannan-oligosaccharides (MOS), and inulin. Prebiotics can selectively promote the proliferation of protective bacteria such as lactobacilli and bifidobacteria; suppress the expansion of potential pathogens such as
Escherichia coli and
Escherichia Shigella; and increase SCFA levels, including acetate, propionate, and butyrate [
81]. These effects collectively contribute to improvements in the intestinal microecology, barrier function, and mucosal immune homeostasis of piglets (
Figure 3).
Studies have shown that inulin supplementation can improve small intestinal villus morphology and ZO-1 distribution, reduce serum Diamine oxidase (DAO) and intestinal mucosal TNF-
levels, and increase cecal acetate and butyrate concentrations, suggesting that it may exert prebiotic effects by enhancing beneficial bacterial fermentation, promoting SCFA production, and repairing the epithelial barrier. In ETEC challenge models, MOS also show substantial intestinal protective potential. MOS can increase IgA and IgM levels; reduce pro-inflammatory cytokine expression; improve villus morphology and digestive enzyme activity; and upregulate ZO-1, Claudin-1, and nutrient-transport-related molecules. Its protective effects may involve multiple mechanisms, including competition with pathogen adhesion, immune enhancement, inflammation alleviation, improved digestion and absorption, and strengthening of tight junctions [
95,
96,
97].
Prebiotic application should not be simply equated with increasing dietary fiber levels. Because digestive function in piglets is not fully mature, excessive or unsuitable fermentable substrates may increase the flow of undigested nutrients into the hindgut and promote expansion of potentially unfavorable microbial groups. Prebiotic effects are influenced by substrate type, fermentability, particle size, compatibility with exogenous enzymes, and dietary background. Therefore, prebiotics should be regarded as precision substrate-regulation tools rather than simply as fiber additives [
4].
7.3.2. Postbiotics: Stable Microbe-Derived Bioactive Preparations
Postbiotics are microecological interventions based on inactivated microbial cells and their structural components, including inactivated cells, cell-wall components, fermentation products, and microbe-derived active substances. The ISAPP consensus emphasizes that postbiotics should have defined health effects and well-characterized components (
Figure 3). Therefore, not all dead bacteria, bacterial fragments, or simple metabolites should be generalized as postbiotics [
91,
98].
The advantages of postbiotics lie in their stability and safety. Postbiotics do not require live-cell colonization to exert effects and can reduce potential risks associated with live microbial preparations, including carriage of antimicrobial resistance genes, abnormal proliferation, and ecological safety concerns. Extracellular vesicles derived from lactic acid bacteria provide new evidence for postbiotic development [
99]. Studies have found that extracellular vesicles from
Limosilactobacillus mucosae can alleviate diarrhea-like symptoms induced by ETEC K88 and participate in inflammation control by regulating macrophage phenotypes, suggesting that nonviable microbial structures or secreted components can also mediate some probiotic protective effects [
100,
101,
102].
The development and application of postbiotics still face challenges. Because microbial sources, preparation processes, and component compositions differ substantially among products, the key active material basis, mechanisms of action, batch stability, immunogenicity, and dosing standards require further clarification and standardization. For piglet production, postbiotics should be developed as microbe-derived active preparations with defined components, verifiable effects, and controllable quality, rather than being broadly generalized as all fermentation products or inactivated bacterial preparations.
7.3.3. SCFAs, MCFAs, Organic Acids, and Fermented Feed: Direct Modulation of the Luminal Metabolic Environment
SCFAs, mainly including acetate, propionate, and butyrate, are important functional metabolites produced by microbial carbohydrate fermentation. In weaned piglets, SCFAs are closely associated with intestinal energy supply, epithelial barrier integrity, immune regulation, and microbial homeostasis. Among them, butyrate is particularly important. It serves as a major energy source for intestinal epithelial cells and also helps regulate tight junction maintenance and inflammatory signaling. Experimental studies have shown that intragastric infusion of SCFAs in piglets can increase SCFA concentrations in serum and intestinal digesta. It can also enhance the expression of SCFA receptors, such as GPR41 and GPR43, and upregulate tight junction-related genes, including Occludin and Claudin-1. In addition, SCFA infusion has been reported to increase the abundance of lactobacilli while reducing intestinal Escherichia coli abundance and inflammatory marker levels. These findings suggest that SCFAs may alleviate weaning-related intestinal injury through several mechanisms. These include energy provision, barrier repair, microbial regulation, and maintenance of immune homeostasis. However, the efficacy of exogenous SCFA supplementation is influenced by dose, release site, palatability, absorption rate, and the fermentability of the basal diet. Therefore, coated butyrate products, SCFA salts, fermentable fibers, and prebiotic substrates should be considered as part of an integrated strategy rather than being evaluated as isolated interventions.
MCFAs, mainly including caproic, caprylic, capric, and lauric acids, have different functional characteristics from SCFAs. Compared with SCFAs, MCFAs are more closely related to antimicrobial activity and the regulation of energy metabolism. Their antimicrobial effects are generally linked to disruption of bacterial lipid membranes, altered membrane permeability, and reduced pathogen survival. Monoglyceride forms, such as glycerol monolaurate, may show stronger biological activity than free fatty acids because of their greater membrane-targeting ability and favorable physicochemical stability. Studies in weaned piglets have shown that dietary MCFA supplementation can reduce diarrhea incidence, improve antioxidant status, decrease the production of inflammatory cytokines, and modulate gut microbiota composition. Recent evidence also suggests that combined supplementation with MCFAs and SCFAs may serve as a partial alternative to high-dose zinc oxide. This strategy may improve growth performance; alleviate oxidative stress and inflammatory responses; and increase the abundance of beneficial bacteria, such as lactobacilli and Roseburia. These findings indicate that functional fatty acids have potential in zinc oxide reduction and antibiotic-alternative strategies. However, their practical efficacy still depends on fatty acid chain length, esterified or coated forms, inclusion level, and the dietary matrix.
Organic acids are important nutritional components for regulating the luminal environment in weaned piglets. Commonly used organic acids include formic acid, fumaric acid, lactic acid, citric acid, propionic acid, benzoic acid, and butyric acid. One of their main functions is to reduce the acid-binding capacity of feed and regulate gastrointestinal pH. This can promote pepsin activation, protein hydrolysis, and digestive adaptation during the early post-weaning period. Some organic acids can also enter bacterial cells in their undissociated form. They may disrupt intracellular pH homeostasis and thereby exert bacteriostatic or bactericidal effects.
In weaned piglets, supplementation with blended organic acids has been reported to improve average daily gain and feed conversion efficiency. It may also increase immunoglobulin levels; improve the villus height-to-crypt depth ratio; and upregulate the expression of tight junction-related genes, such as Claudin-1 and ZO-1. In addition, organic acids may increase the concentrations of volatile fatty acids in the cecum and colon. These findings suggest that the effects of organic acids are not limited to acidification alone. They may also involve improved nutrient digestion, modulation of microbial fermentation, and enhancement of epithelial barrier function. However, their efficacy is closely related to acid type, dose, combination, and release site. Excessive acidification or inappropriate acid combinations may reduce feed palatability or limit delivery to the target intestinal segment. Therefore, dose–response relationships, coated or sustained-release forms, and administration methods should be carefully optimized in practical applications.
Functional oligosaccharides can also be included in the regulation of the metabolic microenvironment, mainly as substrate-oriented modulators. XOS, arabinoxylan, and MOS do not act primarily through direct acidification. However, they can influence microbial fermentation, pathogen adhesion, oxidative stress, and immune responses. In weaned piglets, supplementation with XOS or arabinoxylan has been reported to reduce diarrhea incidence, increase intestinal antioxidant enzyme activity, elevate sIgA and IL-10 levels, promote the growth of lactobacilli and bifidobacteria, and enhance intestinal organic acid production. Selenium-enriched MOS has also been shown to alleviate ETEC-induced diarrhea by reducing oxidative stress and inflammation, improving mucosal barrier function, and modulating the gut microbiota. Therefore, these compounds are better regarded as fermentable substrates or adhesion-blocking functional carbohydrates. They may work together with SCFAs, MCFAs, organic acids, and fermented feed to support the restoration of the luminal metabolic environment.
Overall, SCFAs, MCFAs, organic acids, functional oligosaccharides, and fermented feed should not be viewed simply as stand-alone replacements for antibiotics or zinc oxide. Their greater value lies in their combined ability to improve the unfavorable luminal conditions that occur after weaning, including pathogen expansion, increased inflammation, and disordered fermentation patterns. By regulating substrate supply, acidification status, microbial metabolites, and barrier-supporting functions, these interventions may help shift the intestinal environment toward a more stable state that is more favorable for epithelial repair. Future studies should further examine their efficacy under production conditions, the optimal ratios of functional fatty acids, coating and release characteristics, interactions among dietary additives, and response patterns during different post-weaning windows. Multi-omics approaches may also help determine whether changes in microbial composition are accompanied by functional changes in organic acid production, epithelial energy metabolism, and immune tolerance.
7.4. Host Barrier and Immune Restoration
The third level of network restoration mainly focuses on the recovery of host barrier function and mucosal immunity. When gut microbial dysbiosis and metabolic disturbances persist, epithelial repair capacity, mucus barrier maintenance, antioxidant defense, and the regulation of inflammatory thresholds often become key determinants of whether intestinal homeostasis can be re-established. Therefore, functional amino acids, plant-derived extracts, and traditional Chinese medicine formulations should not be regarded merely as conventional feed additives. Instead, they can be considered host-directed modulators that enhance epithelial barrier resilience, improve antioxidant status, and maintain mucosal immune homeostasis.
7.4.1. Functional Amino Acids: Support for Barrier Repair, Mucus Synthesis, and Immune Homeostasis
Amino acids are not only substrates for protein synthesis but also important functional nutritional factors that regulate the intestinal barrier, mucus synthesis, antioxidant defense, and mucosal immunity. Glutamine, arginine, threonine, methionine, cysteine, and tryptophan can indirectly reduce the risk of pathogen expansion by supporting barrier repair, regulating microbial structure, and altering the microbial metabolic environment. The proposal of amino acid-mediated antibiotic-like effects has extended amino acid research beyond traditional evaluation of nutrient requirements toward functional precision nutritional intervention [
80].
7.4.2. Phytogenic Extracts and Traditional Chinese Medicine Formulas: Multi-Target Regulation of Inflammation and Barrier Integrity
Plant extracts and traditional Chinese medicine compound formulas have multi-component, multi-target, and multi-pathway regulatory characteristics. They can improve piglet intestinal health through antioxidant, anti-inflammatory, barrier-repair, microbial-regulatory, and mucosal immune-enhancing pathways. Existing studies suggest that some plant bioactive compounds and traditional Chinese medicine compound formulas have the potential to alleviate barrier injury, improve microbial metabolism, and reduce diarrhea risk under conditions of mycotoxin exposure, inflammation, or weaning stress [
4,
55,
82]. However, because of their complex composition, further work is needed to strengthen component standardization, identification of active substances, and validation of mechanistic chains.
7.5. Systemic Nutritional Management Strategies
The fourth level of network restoration mainly involves systemic nutritional management rather than the direct supplementation of a single functional additive. Low-protein diets and maternal nutritional regulation can modulate host–microbiota interactions at a broader regulatory level. They do so by altering nutrient supply, microbial substrate availability, early microbial colonization trajectories, and the developmental status of the intestinal barrier and mucosal immune system. The importance of these strategies lies in the fact that they do not only target established microbial imbalance. They also address upstream factors that contribute to dysbiosis, including excessive nitrogen fermentation, insufficient adaptation to feed transition during weaning, and unstable microbial succession in early life.
7.5.1. Low-Protein Diets: Regulation of Nitrogen Flow and Microbial Fermentation Pressure
Crude protein reduction is an important but often underestimated systemic nutritional strategy for improving host–microbiota interactions in weaned piglets. After weaning, digestive function in piglets is not yet fully stable. When dietary crude protein levels are too high, more undigested proteins, peptides, amino acids, and endogenous nitrogen-containing substrates may reach the hindgut. These substrates can promote proteolytic fermentation and increase the production of metabolites such as ammonia, biogenic amines, branched-chain fatty acids, phenolic compounds, and some indole derivatives. When these products accumulate excessively, they may disturb luminal pH, irritate the epithelium, impair barrier function, and promote mucosal inflammation, thereby increasing the risk of diarrhea.
From a microbial ecological perspective, the effect of low-protein diets is not limited to reducing nitrogen intake. More importantly, they reshape microbial substrate availability and fermentation patterns in the hindgut. When less undigested protein enters the distal intestine, the substrate pressure that supports the expansion of proteolytic bacteria is reduced. If an adequate supply of fermentable carbohydrates is also provided, saccharolytic bacteria and short-chain fatty acid-producing microbes may become more functionally important. Previous studies have shown that dietary protein level can alter the relative abundance of fermentation-related taxa, including Prevotella, Coprococcus, Streptococcus, Peptostreptococcaceae-related bacteria, Roseburia, Lachnospiraceae, and Ruminococcaceae. However, these taxa should not be simply classified as “beneficial” or “harmful”. For example, Prevotella is functionally heterogeneous. Some members participate in polysaccharide degradation and carbohydrate fermentation, whereas others may utilize peptides or amino acids under specific dietary conditions. Therefore, when evaluating low-protein diets, greater attention should be paid to the overall balance between proteolytic and saccharolytic fermentation rather than to changes in a single genus.
Low-protein diets may also affect microbial nitrogen metabolism. A reduced flow of protein substrates into the hindgut may suppress bacterial amino acid deamination, decarboxylation, and aromatic amino acid fermentation. This can reduce the production of ammonia, amines, branched-chain fatty acids, phenolic compounds, and some indole metabolites. It should be noted that these metabolites do not all have uniformly negative effects. For instance, some tryptophan-derived indole derivatives can activate aryl hydrocarbon receptor signaling and support epithelial defense. However, excessive or imbalanced aromatic amino acid fermentation may aggravate epithelial stress and disrupt mucosal homeostasis. Therefore, the value of low-protein diets lies in correcting excessive proteolytic fermentation, rather than completely suppressing microbial amino acid metabolism [
39,
84,
85].
With adequate supplementation of limiting amino acids, such as lysine, methionine, threonine, tryptophan, valine, and isoleucine, moderate crude protein reduction can reduce hindgut protein fermentation while maintaining essential amino acid supply and growth performance. From the perspective of host–microbiota interactions, this strategy can optimize the intestinal substrate environment. It may shift microbial metabolism away from excessive proteolytic fermentation toward a more balanced fermentation profile, thereby reducing pro-inflammatory metabolic pressure and supporting epithelial barrier integrity and mucosal immune homeostasis. However, its limitations are clear. If amino acid balance, energy supply, fermentable carbohydrate availability, and ingredient digestibility are not properly controlled, excessive protein reduction may impair digestive enzyme activity, intestinal morphology, microbial fermentation capacity, and growth performance. Therefore, low-protein diets should be implemented as a precision feeding strategy. Their formulation should take into account standardized ileal digestible amino acid supply, the ratio of fermentable carbohydrates to protein, feed ingredient digestibility, and the physiological stage of piglets.
7.5.2. Maternal Nutritional Programming: Early-Life Shaping of Microbiota and Intestinal Development
Maternal nutritional programming emphasizes regulation of the nutritional status of sows during gestation and lactation, thereby shifting the intervention window from the post-weaning period to prenatal and early postnatal stages and indirectly shaping the early microbiota and intestinal development of piglets. Sows can participate in shaping the early gut microbiota, barrier development, and mucosal immune maturation of piglets through vertical microbial transmission during parturition and through active components in milk, including microorganisms, immunoglobulins, milk-derived oligosaccharides, and metabolites [
10,
103]. Maternal diet, maternal microbiota, and milk composition can be regarded as upstream regulatory layers in the establishment of the piglet host–microbiota interaction network (
Figure 3).
Experiments involving compound probiotic supplementation in sows have shown that maternal microecological intervention can reshape the colostrum metabolome, particularly pathways related to tryptophan metabolism and primary bile acid biosynthesis, while improving sow reproductive performance and offspring growth. These findings suggest that maternal interventions may establish transgenerational regulatory links among the maternal microbiota, mammary metabolism, and piglet intestinal development.
The concept of sensory-equivalent diets can be viewed as an extension of maternal nutritional programming during the weaning transition. Reduced feed intake after weaning is one of the important starting points that trigger host–microbiota interaction imbalance. Maintaining a degree of continuity in sensory characteristics, such as odor and taste, among the sow diet, creep feed, and weaning feed can reduce the adaptation barrier during the transition to solid feed and improve acceptance of weaning feed. This may help alleviate microbial disturbance, insufficient barrier repair, and growth restriction caused by low feed intake [
10,
59].
Further work is still needed to clarify the key regulatory windows and persistence of effects in maternal nutritional programming. It remains unclear whether different nutritional components have window-specific effects during gestation and lactation, whether the same additives produce differential effects under different basal dietary backgrounds, and how long their beneficial effects on piglet microbiota and intestinal health persist after weaning. Future studies should combine time-series sampling with sow-piglet paired analyses to clarify the windows of action, transmission pathways, and sustained effects of maternal interventions, thereby providing a more stable mechanistic basis for production application.
7.6. Integrated Evaluation of Network-Oriented Intervention Strategies
Overall, nutritional intervention strategies for weaned piglets should be evaluated within a hierarchical network-restoration framework rather than as isolated additive categories. Microbial community remodeling strategies, such as probiotics and FMT, mainly aim to restore ecological structure and colonization resistance. Metabolic microenvironment modulation strategies, including prebiotics, postbiotics, SCFAs, MCFAs, organic acids, and fermented feed, regulate substrate utilization, microbial fermentation, and metabolite availability. Host-directed strategies, including functional amino acids and phytogenic extracts, support epithelial barrier repair, mucus synthesis, antioxidant defense, and immune homeostasis. Systemic nutritional management strategies, such as low-protein diets and maternal nutritional programming, act on upstream dietary and developmental determinants of host–microbiota stability. Future studies should therefore move beyond evaluating growth performance and diarrhea incidence alone. They should integrate microbial composition, functional genes, metabolite profiles, epithelial barrier markers, mucosal immune indicators, and production outcomes to determine whether an intervention truly restores the disrupted host–microbiota network rather than temporarily improving a single phenotype.
Therefore, future studies should not use growth performance and diarrhea incidence as the only major endpoints. Instead, they should integrate multidimensional data, including microbial composition, functional genes, metabolic profiles, barrier-related markers, mucosal immune indicators, and production performance. This integrated evaluation would help determine whether a nutritional intervention truly promotes the restoration of host–microbiota interaction networks, rather than only improving a single short-term phenotype. A major bottleneck in the practical application of antibiotic-alternative strategies is their variable efficacy under production conditions. Probiotics, postbiotics, prebiotics, and functional nutrients often perform well in controlled trials. However, their effects may differ substantially among farms, herds, and production systems. This variation is not only related to product quality or additive type. It also reflects multiple confounding factors within the host–microbiota–environment network. First, the genetic background of piglets may influence the intestinal epithelial microenvironment, immune response thresholds, microbial colonization patterns, and responsiveness to nutritional or microbial interventions. Therefore, the same probiotic strain or postbiotic preparation may produce different outcomes in piglets of different breeds, genetic lines, or health status. Second, the baseline microbiota also affects intervention efficacy. In piglets with a stable and functionally redundant microbiota, exogenous strains may have difficulty colonizing or expressing their functions. In contrast, in piglets with severe dysbiosis, impaired barrier function, or high pathogen pressure, a single intervention is often insufficient to restore intestinal homeostasis. In such cases, dietary adjustment, environmental improvement, and management optimization may be required.
In addition, weaning age, mixing, transportation, temperature fluctuation, stocking density, hygiene conditions, pathogen exposure, and feed transition stress can all affect microbial succession, feed intake recovery, immune activation, and barrier repair. These production-related stressors may mask or even offset the biological effects of antibiotic alternatives. Therefore, future precision nutrition studies should move beyond the evaluation of average treatment effects. Greater attention should be given to the stratification of responders and non-responders. Intervention trials should also consider host genetic background, baseline microbiota structure, colonization resistance, diet composition, environmental stress load, and clinically relevant outcomes. This would help identify the specific conditions under which different antibiotic-alternative strategies are most likely to succeed.
8. Frontiers and Future Perspectives
Future research on piglet intestinal host–microbiota interactions should be organized according to a clear progression from mechanistic validation to precision intervention and finally to translational application. Although several promising directions have emerged, they do not have the same level of urgency or maturity. The most immediate priority is to move from correlation-based descriptions toward causal and standardized evaluation systems. On this basis, high-priority mechanistic and intervention studies should focus on precision microbiome regulation, gut–brain–microbiota communication, and microbiome-based mitigation of feed-derived stressors. Finally, industrial safety assessment and the translational value of pig models should be developed as application-oriented extensions of these mechanistic advances.
Although substantial progress has been made in describing microbial dysbiosis, barrier injury, inflammatory activation, and nutritional regulation in weaned piglets, several important knowledge gaps remain. First, the temporal and intestinal segment-specific dynamics of host–microbiota interactions are still incompletely understood. Most studies rely on fecal or single-time-point samples, which cannot fully reflect microbial and host responses in different intestinal segments during the rapid transition from suckling to weaning. Second, many reported associations among microbial taxa, metabolites, and host barrier or immune markers still lack causal validation. Third, the responses to probiotics, prebiotics, postbiotics, and functional nutrients are often context-dependent, but the host, microbial, dietary, and environmental factors that determine responder and non-responder phenotypes remain poorly defined. Future research should therefore prioritize longitudinal, multi-site, and mechanism-oriented studies that link microbial changes with functional metabolites; host signaling pathways; and clinically meaningful outcomes such as diarrhea incidence, feed intake recovery, and growth performance.
Future research should pay greater attention to the potential role of the gut microbiome in the detoxification and risk mitigation of feed contaminants. Feed-borne chemical contaminants, including mycotoxins, heavy metals, and other harmful substances, can impair intestinal barrier integrity, promote oxidative stress, and disturb gut microbial balance. Meanwhile, intestinal microorganisms may contribute to detoxification by reducing the bioavailability or toxicity of contaminants such as deoxynivalenol (DON) and aflatoxins through adsorption, biotransformation, or sequestration. Microecological detoxification strategies based on probiotics, postbiotics, and microbial enzyme preparations are expected to expand gut microbiome research from nutritional intervention and disease prevention to broader applications in feed safety, food safety, and sustainable animal production [
49].
The role of the gut–brain axis in regulating animal welfare also deserves attention. Management factors such as the quality of human-pig interaction, weaning method, mixing stress, transport stress, temperature changes, and stocking density can jointly affect stress recovery, intestinal homeostasis, and production performance in piglets through the HPA axis, neuroendocrine signals, and gut microbial networks. This suggests that animal welfare management is not only a behavioral or feeding-management issue but should also be understood within the framework of host–microbiota interactions and microecological regulation. Future studies should therefore integrate behavioral indicators, stress hormones, microbial profiles, and intestinal barrier or immune parameters to clarify how welfare-related stressors reshape the gut–brain–microbiota axis in piglets [
40].
Precision microbiome intervention is an important future direction for regulating intestinal health in piglets. Studies have found that current intervention experiments using probiotics, prebiotics, and plant bioactive compounds often show unstable effects, which are frequently related to differences in herd genetic background, initial microbial structure, weaning age, diet composition, and pathogen pressure. Chinese indigenous pig breeds and commercial pig breeds differ in barrier development, microbial composition, and metabolite profiles. Lactobacilli derived from local breeds such as Ningxiang pigs and Mashen pigs show certain host-adaptation advantages. These observations suggest that microecological intervention should shift from general additive use toward individualized regulation strategies based on host genetic background, microbial composition, and disease-status stratification [
26,
82].
Future studies should further clarify the optimal range and mechanism of crude protein reduction in weaned piglets. More attention should be paid to how different degrees of crude protein reduction, amino acid balance, protein source digestibility, fermentable carbohydrate supply, and weaning age jointly determine microbial composition, protein fermentation, nitrogen metabolism, barrier function, immune responses, and growth performance. Integrated metagenomics, metabolomics, nitrogen-flow analysis, and host transcriptomics may help identify the dietary conditions under which crude protein reduction shifts the microbiota away from harmful proteolytic fermentation without compromising amino acid supply or intestinal development. Such work will be important for developing low-protein, amino acid-balanced diets as precise host–microbiota regulatory tools rather than only environmental nitrogen-reduction strategies.
The translational value of pigs in human intestinal disease research warrants further exploration. Because pigs are more similar to humans than mice in intestinal structure, physiological function, mucosal immunity, and nutritional metabolism and because their gut microbiome shows high similarity to the human gut microbiome at the level of functional pathways, humanized microbiota pig models can be used as physiologically relevant large-animal platforms for studies of inflammatory bowel disease, metabolic syndrome, microbiome-based therapy, and related topics. The piglet weaning stress model also provides an important reference for analyzing relationships among early-life stress, microbial dysbiosis, barrier injury, and disease susceptibility.
From the methodological perspective, future research should move beyond correlation-based descriptions toward validation of causal mechanisms. Most current studies still rely mainly on parallel changes in microbial structure, metabolic profiles, and barrier indicators, and multi-omics analyses often remain at the level of association-network construction. Future work should establish mechanistic loops centered on “key strains–functional metabolites–host receptors/signaling pathways–barrier endpoints” and verify causal chains through germ-free or simplified microbiota models, targeted colonization, intestinal organoid co-culture, metabolite rescue, receptor blockade, and pathway knockdown [
80,
104]. In this context, organ-on-a-chip technology may provide a more controllable experimental system for mechanistic validation of host–microbiota interactions. By incorporating continuous perfusion, mechanical stimulation, epithelial barrier monitoring, and communication between multiple tissue modules, this technology can help overcome the limitations of conventional in vitro models in dynamic simulation. Multi-organ-on-a-chip systems are particularly useful for questions that cannot be fully addressed by isolated intestinal models, such as bile acid signaling between the gut and liver, inflammatory cascade responses between the gut and immune system, and neuroendocrine regulation along the gut–brain axis. Recent methodological advances also indicate that functional coupling between organ modules, sensor-based real-time monitoring, automated perfusion control, and standardized data collection are key directions for improving the physiological relevance and reproducibility of multi-organ-on-a-chip platforms [
105]. These features are closely aligned with the future needs of piglet intestinal health research, in which the focus should gradually shift from single static endpoint measurements to dynamic and mechanism-oriented assessments of intestinal barrier function, microbial metabolic activity, and systemic host responses. However, organ-on-a-chip systems specifically designed for piglets are still at an early stage. Therefore, findings from human-derived or general biomedical chip models should be considered methodological references rather than direct in vivo evidence for weaned piglets.
Industrial application requires early incorporation of safety and standardization assessments. Before candidate strains are commercialized, whole-genome safety evaluation should be completed, with emphasis on screening for antimicrobial resistance genes, virulence genes, and mobile genetic elements. Their viability stability, colonization persistence, dose controllability, and population-level reproducibility should also be verified during pelleting, storage, transport, use in complex diets, and application in actual farm environments [
13,
23,
89]. Safety evaluation should run through the entire process of strain screening, animal-model validation, and mechanistic research, rather than serving only as a final review before product launch.
In addition, endpoints for intestinal barrier evaluation require further standardization. Although current studies widely use indicators such as villus morphology, tight-junction proteins, permeability markers, the mucus layer, sIgA, and inflammatory factors, inconsistencies in sampled intestinal segments, time points, detection methods, and statistical criteria limit comparability among studies [
103]. Future work should build a stratified evaluation framework covering structural barriers, functional barriers, immune barriers, microbial barriers, and production outcomes and should set core endpoints in multi-omics studies to form a more stable and comparable chain of mechanistic evidence.
Overall, future research should follow a staged framework. The first stage should establish causal mechanisms and standardized evaluation systems. The second stage should use this foundation to develop precision microbiome interventions, clarify gut–brain–microbiota regulation, and expand microbiome research to feed-contaminant mitigation. The third stage should focus on industrial safety, farm-scale validation, and translational model development. This logical progression may help transform piglet host–microbiota research from descriptive characterization into mechanism-guided, production-relevant, and translationally valuable strategies for improving intestinal health.
9. Conclusions
Piglet intestinal health is not determined by a single pathogen or a single barrier indicator but reflects the coordinated status of the gut microbiota, epithelial barrier, mucosal immunity, microbial metabolites, and stress-related regulation. During early life, the piglet gut microbiota is gradually established under the influence of maternal microbial transmission, milk-derived nutrients, environmental exposure, dietary transition, and host selection. Stable early colonization supports barrier development, immune maturation, and metabolic adaptation, whereas weaning-associated dietary, environmental, and microbial stressors can disrupt this balance and increase the risk of diarrhea, inflammation, and impaired growth.
Gut microorganisms participate in regulating host barrier repair, immune tolerance, inflammatory thresholds, and metabolic homeostasis through signaling molecules such as SCFAs, tryptophan metabolites, bile acid derivatives, and amino acid-derived metabolites. The host reciprocally shapes microbial composition, spatial distribution, and functional status through factors including mucins, antimicrobial peptides, sIgA, intestinal alkaline phosphatase, and genetic background. Therefore, future research on piglet intestinal health should move beyond describing microbial composition alone and toward mechanistic chain analysis of “microbiota–metabolites–host pathways–barrier phenotypes.” Integrated multi-omics, culturomics, intestinal organoid models, simplified microbiota colonization, and targeted intervention experiments will become important technical routes for clarifying causal relationships and key regulatory nodes.
At the application level, probiotics, prebiotics, postbiotics, fecal microbiota transplantation, sow nutritional regulation, and functional nutrients provide important approaches for improving intestinal health in weaned piglets. However, these strategies should not be viewed as unrelated alternatives. They should be evaluated according to their specific roles in microbial community remodeling, metabolite production, barrier repair, immune regulation, and production performance. It should also be noted that their efficacy may vary under practical conditions. This variation is influenced by multiple factors, including host genetic background, baseline microbiota status, colonization resistance, diet composition, and environmental stress. Future studies should further integrate multi-omics analyses, culturomics, intestinal organoid or organ-on-a-chip models, targeted intervention trials, and responder/non-responder stratification. Such integrated approaches will help clarify key causal mechanisms and support the development of safer, more stable, and more precise antibiotic-alternative strategies for pig production.