Batch culture models are among the simplest GI simulation models. They involve growing a microbial community or digesting a substrate in a single bioreactor vessel, often adjusted to a desired pH and kept under anaerobic conditions to mimic the gut environment. Typically, runs of these models are short-term, lasting 24 to 48 hours, and study the impact of substrates on the physiology and biodiversity of intestinal microorganisms. Batch culture models are relatively simple both in terms of their physical assembly and experimental design, and are inexpensive and reproducible, however their simplicity comes at a cost. Batch culture models are disadvantaged by substrate depletion and accumulation of end products of metabolism, as well as lacking simulation of more complex GI features like peristalsis, making them unviable for longer term simulations (Roupar et al., 2021).
Single-stage continuous culture models simulate the conditions of a single section of the GI tract by maintaining a constant influx of media and efflux of waste products, allowing for the establishment of a microbial community and increasing relevance to the human gut. The continuous addition and removal of media gives this type of model more flexibility for experimental design, offering much longer runs of experiments (from days to months) and the ability to more effectively control parameters such as retention time and the amount of media added and removed. However, as this model only simulates a single stage of the GI tract, its applicability in more holistic studies of the gut is limited (Roupar et al., 2021). An example of this type of model is the Proximal - Environmental Control System for Intestinal Microbiota (P-ECSIM), which is a single-state continuous culture model designed to mimic the conditions of the proximal colon (Feria-Gervasio et al., 2011). Like some other GI models, the P-ECSIM is fed a defined media formulated to mimic the traditional western diet and inoculated with a fresh fecal sample from a healthy donor (Feria-Gervasio et al., 2011). Single-stage continuous culture models are generally used for investigating the stability and resiliency of microbial communities or the impact of specific dietary components or drugs on microbial activity and composition (Roupar et al., 2021).
Multi-stage continuous culture models simulate the conditions of multiple sections of the GI tract, allowing for an even more relevant simulation of the gut. These models allow for the study of microbial composition and activity across different gut regions, offering a higher degree of complexity and realism to gut simulations, while retaining the strengths of single-stage models. Nevertheless, replicating a larger portion of the digestive tract, in some cases the entire thing, increases the difficulty of parameter setting, along with the assembly and operation of the model. While it is difficult to find exact figures of the initial and operational costs of these models, the high-tech specialized equipment and need for continuous creation of culture media and strict maintenance means that these models can exceed $100,000 in terms of physical components, equipment, and operational costs. This is a massive disadvantage compared to more cost-accessible models (Lorenzo et al., 2020). Many of these simulators are based on a three-part colon model published in 1988 (Gibson et al., 1988). This model comprises a smaller acidic, nutrient-rich environment in the ascending/proximal colon, which increases in volume, and gets more neutral and nutrient-sparse through the transverse/middle colon into the descending/distal colon, which flows defined media through the system via gravity (Gibson et al., 1988). Its representativeness to the human colon has been validated by comparing chemical short-chain fatty acids from the in vitro model to human intestinal samples (McFarlane et al., 1998). Due to its wide applicability and relevance, it has become a standard for all multi-stage continuous culture models of the colon (Roupar et al., 2021). Like the single-stage continuous culture models, the multi-stage models also allow for control over the retention time, pH, temperature, and other parameters, as well as expansion beyond the colon, into simulations of the full digestive tract. One of the most well-known GI models, the Simulator of the Human Intestinal Microbial Ecosystem (SHIME) is one such model that encompasses the entire GI tract, incorporating a stomach and small intestine compartment along with the three-stage colon model (Van de Wiele et al., 2015). The five double-jacketed glass vessels are connected with peristaltic pumps, which pump the defined media, consisting of nutritional feed and pancreatic juice, through the system via peristalsis, more closely resembling the movement of fluid through the GI tract. The pumps flowing in and out of the stomach and small intestine operate semi continuously, creating a fill-and-draw system for the first two vessels (Van de Wiele et al., 2015). The stomach vessel is fed three times a day with the defined nutritional feed, formulated to mimic the western diet, and pumped into the small intestine along with a synthetic pancreatic juice mix consisting of bile salts, pancreatin, and sodium bicarbonate. The colon vessel pumps operate continuously, maintaining a constant volume and controlled pH. The SHIME offers increased flexibility in its physical design, as compartments can be added or removed depending on the experimental design, and many parameters are left up to the operators control; the retention time of each of the vessels, choice of inoculum, pH profiles, feed composition, and more can be altered to fit the profiles of different populations and species (Van de Wiele et al., 2015). The incorporation of mucin-covered microcosms to the vessels adds another dimension to the SHIME, replicating the mucosal layer of the gut, and the mucosal microbiome that colonizes it (Van den Abbeele et al., 2011).
Finally, microbiome-host interaction models utilize microfluidic technology to model the dynamic and spatially structured environment of the GI tract. These models typically co-culture human host cells and microbial cells on a microfluidic chip designed with a microchannel for precise control of fluid flow, nutrient supply, and peristalsis, along with a barrier for compounds of interest to permeate (Roupar et al., 2021.) Its technical complexity lets it provide a highly relevant simulation of many key physiological, biochemical, and physical characteristics of the gut, along with interactions between microbial and host cells, but also can inhibit its reproducibility and create challenges with the fabrication of these models (Bhatia, 2014). Due to its small size, it is harder to conduct larger-scale experiments with the model, and struggles to replicate the highly diverse microbiome present in the gut (Valiei et al., 2023). Nonetheless, microbiome-host models are an incredibly powerful tool to study disease, drug absorption and permeability, host-microbe interactions, and much more.