Since
the early 1980s, multiple researchers have contributed to
the development of in vitro models of the human gastrointestinal
system for the mechanistic interrogation of the gut microbiome ecology.
Using a bioreactor for simulating all the features and conditions
of the gastrointestinal system is a massive challenge. Some conditions,
such as temperature and pH, are readily controlled, but a more challenging
feature to simulate is that both may vary in different regions of
the gastrointestinal tract. Promising solutions have been developed
for simulating other functionalities, such as dialysis capabilities,
peristaltic movements, and biofilm growth. This research field is
under constant development, and further efforts are needed to drive
these models closer to in vivo conditions, thereby
increasing their usefulness for studying the gut microbiome impact
on human health. Therefore, understanding the influence of key operational
parameters is fundamental for the refinement of the current bioreactors
and for guiding the development of more complex models. In this review,
we performed a systematic search for operational parameters in 229
papers that used continuous bioreactors seeded with human feces. Despite
the reporting of operational parameters for the various bioreactor
models being variable, as a result of a lack of standardization, the
impact of specific operational parameters on gut microbial ecology
is discussed, highlighting the advantages and limitations of the current
bioreactor systems.