Evidence map›Paper›PMID 26259788›Full record

ArticleAntimicrobial agents and chemotherapy2015

The Human Gut Microbiome as a Transporter of Antibiotic Resistance Genes between Continents.

Johan Bengtsson-Palme, Martin Angelin, Mikael Huss, Sanela Kjellqvist, Erik Kristiansson, Helena Palmgren, D G Joakim Larsson, Anders Johansson

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
9.5field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 226 citations in OpenAlex.

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  10. Restoring low-fiber diets-inducedCurrent research in food science · 2026
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  16. Expanding the β-Lactamase Family in the Human Microbiome.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  17. Review
  18. Article
  19. Observational
  20. Review

22 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

8 authors at 4 institutions in 1 country.

Johan Bengtsson-PalmeDepartment of Infectious Diseases, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Martin AngelinDepartment of Clinical Microbiology, Infectious Diseases, Umeå University, Umeå, Sweden.
Mikael HussScience for Life Laboratory, Department of Biochemistry and Biophysics, Stockholm University, Solna, Sweden.
Sanela KjellqvistScience for Life Laboratory, Department of Biochemistry and Biophysics, Stockholm University, Solna, Sweden.
Erik KristianssonDepartment of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden.
Helena PalmgrenDepartment of Clinical Microbiology, Infectious Diseases, Umeå University, Umeå, Sweden.
D G Joakim LarssonDepartment of Infectious Diseases, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Anders JohanssonLaboratory for Molecular Infection Medicine Sweden, Department of Clinical Microbiology, Bacteriology, Umeå University, Umeå, Sweden anders.f.johansson@umu.se.ORCID http://orcid.org/0000-0003-0548-5943
Umeå University · SEStockholm University · SEUniversity of Gothenburg · SEChalmers University of Technology · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies of antibiotic resistance dissemination by travel have, by targeting only a select number of cultivable bacterial species, omitted most of the human microbiome. Here, we used explorative shotgun metagenomic sequencing to address the abundance of >300 antibiotic resistance genes in fecal specimens from 35 Swedish students taken before and after exchange programs on the Indian peninsula or in Central Africa. All specimens were additionally cultured for extended-spectrum beta-lactamase (ESBL)-producing enterobacteria, and the isolates obtained were genome sequenced. The overall taxonomic diversity and composition of the gut microbiome remained stable before and after travel, but there was an increasing abundance of Proteobacteria in 25/35 students. The relative abundance of antibiotic resistance genes increased, most prominently for genes encoding resistance to sulfonamide (2.6-fold increase), trimethoprim (7.7-fold), and beta-lactams (2.6-fold). Importantly, the increase observed occurred without any antibiotic intake. Of 18 students visiting the Indian peninsula, 12 acquired ESBL-producing Escherichia coli, while none returning from Africa were positive. Despite deep sequencing efforts, the sensitivity of metagenomics was not sufficient to detect acquisition of the low-abundant genes responsible for the observed ESBL phenotype. In conclusion, metagenomic sequencing of the intestinal microbiome of Swedish students returning from exchange programs in Central Africa or the Indian peninsula showed increased abundance of genes encoding resistance to widely used antibiotics.

Indexed as

AdultAnti-Bacterial Agentsbeta-LactamsDrug Resistance, MicrobialEscherichia coliFecesFemaleGastrointestinal MicrobiomeHumansMaleMetagenomicsMicrobial Sensitivity TestsProteobacteriaSulfonamidesTrimethoprimYoung AdultAnti-Bacterial Agentsbeta-LactamsSulfonamidesTrimethoprim

Identifiers

PMID26259788
PMCPMC4576037
OpenAlexW2167016577

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.