Evidence map›Paper›PMID 30559176›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2018

Microbiome as a tool and a target in the effort to address antimicrobial resistance.

David A Relman, Marc Lipsitch

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 108 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Impact of carbapenem-resistantMicrobiology spectrum · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Observational
  13. Article
  14. Review
  15. Review
  16. Challenges in Forecasting Antimicrobial Resistance.Emerging infectious diseases · 2023
    Review
  17. Review
  18. Review
  19. Review
  20. Article
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

2 authors at 2 institutions in 1 country.

David A RelmanDepartment of Medicine, Stanford University School of Medicine, Stanford, CA 94305; relman@stanford.edu.ORCID 0000-0001-8331-1354
Marc LipsitchCenter for Communicable Disease Dynamics, Harvard T. H. Chan School of Public Health, Boston, MA 02115.
Center for Disease Dynamics, Economics & Policy · USVA Palo Alto Health Care System · US

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
Antibiotics and Human Microbial Community DynamicsR01GM099534 · NIGMS · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI RELMAN, DAVID A. · 2013 to 2016
$1.1M
NIAID NIH HHS R01 AI112401NIGMS NIH HHS R01 GM099534
6 · The paper itself

Abstract

Reciprocal, intimate relationships between the human microbiome and the host immune system are shaped by past microbial encounters and prepare the host for future ones. Antibiotics and other antimicrobials leave their mark on both the microbiome and host immunity. Antimicrobials alter the structure of the microbiota, expand the host-specific pool of antimicrobial-resistance genes and organisms, degrade the protective effects of the microbiota against invasion by pathogens, and may impair vaccine efficacy. Through these effects on the microbiome they may affect immune responses. Vaccines that exert protective or therapeutic effects against pathogens may reduce the use of antimicrobials, the development and spread of antimicrobial resistance, and the harmful impacts of these drugs on the microbiome. Other strategies involving manipulation of the microbiome to deplete antibiotic-resistant organisms or to enhance immune responses to vaccines may prove valuable in addressing antimicrobial resistance as well. This article describes the intersections of immunity, microbiome and antimicrobial exposure, and the use of vaccines and other alternative strategies for the control and management of antimicrobial resistance.

Indexed as

Anti-Infective AgentsCommunicable Disease ControlCommunicable DiseasesDrug Resistance, MicrobialHost Microbial InteractionsHumansMicrobiotaVaccinesAnti-Infective AgentsVaccinesantibacterial agentsdrug resistancehorizontal gene transferimmune systemmicrobiota

Identifiers

PMID30559176
PMCPMC6304941
OpenAlexW2903654331

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.