Evidence map›Paper›PMID 25271726›Full record

ReviewThe Journal of clinical investigation2014

Antibiotics and the gut microbiota.

Sheetal R Modi, James J Collins, David A Relman

Registry-linked trialAbstract readReview
In one paragraph

Review in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02929953 (Prevalence of Premature Birth History Among Type 1 Diabetes Mellitus), which is not on this map. Cited by 340 papers.

0numbers the graph read from it
0cells of the map it votes in
340citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02929953 completednot on this map

Prevalence of Premature Birth History Among Type 1 Diabetes Mellitus (T1D) Patients and Characteristics of Premature Born Children Who Develop T1D Compared With Those Who do Not

TypeobservationalSponsorAssaf Harofeh MCRan2014 to 2019Enrolled3,600ConditionsType 1 Diabetes MellitusArmschart review
3 · Its place in the literature

Who cites it

340 citing papers in PubMed.

  1. Trial
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  5. Review
  6. Article
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  9. Article
  10. Review
  11. Gut-Brain Signaling in Parkinson's Disease: A Narrative Review.International journal of molecular sciences · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  19. Article
  20. A naturally isolated symbioticCurrent research in microbial sciences · 2026
    Article

280 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sheetal R Modi
James J Collins
David A Relman

Funding

Predicting Resilience in the Human MicrobiomeR01AI112401 · NIAID · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI HOLMES, SUSAN P, RELMAN, DAVID A. · 2013 to 2017
$6.2M
Hyposalivation and the Human Oral MicrobiomeR01DE023113 · NIDCR · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI RELMAN, DAVID A. · 2013 to 2017
$3.4M
Antibiotics and Human Microbial Community DynamicsR01GM099534 · NIGMS · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI RELMAN, DAVID A. · 2013 to 2016
$1.1M
Howard Hughes Medical InstituteNIAID NIH HHS AI112401NIAID NIH HHS R01 AI112401NIDCR NIH HHS DE023113NIDCR NIH HHS R01 DE023113NIGMS NIH HHS GM099534NIGMS NIH HHS R01 GM099534
6 · The paper itself

Abstract

Antibiotics have been a cornerstone of innovation in the fields of public health, agriculture, and medicine. However, recent studies have shed new light on the collateral damage they impart on the indigenous host-associated communities. These drugs have been found to alter the taxonomic, genomic, and functional capacity of the human gut microbiota, with effects that are rapid and sometimes persistent. Broad-spectrum antibiotics reduce bacterial diversity while expanding and collapsing membership of specific indigenous taxa. Furthermore, antibiotic treatment selects for resistant bacteria, increases opportunities for horizontal gene transfer, and enables intrusion of pathogenic organisms through depletion of occupied natural niches, with profound implications for the emergence of resistance. Because these pervasive alterations can be viewed as an uncoupling of mutualistic host-microbe relationships, it is valuable to reconsider antimicrobial therapies in the context of an ecological framework. Understanding the biology of competitive exclusion, interspecies protection, and gene flow of adaptive functions in the gut environment may inform the design of new strategies that treat infections while preserving the ecology of our beneficial constituents.

Indexed as

MicrobiotaAnimalsAnti-Bacterial AgentsBacteriaDrug Resistance, MicrobialGastrointestinal TractGene Transfer, HorizontalHumansMiceAnti-Bacterial Agents

Identifiers

PMID25271726
PMCPMC4191029

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.