Evidence map›Paper›PMID 31026582›Full record

ArticleGenomics, proteomics & bioinformatics2019

Antibiotic Treatment Drives the Diversification of the Human Gut Resistome.

Jun Li, Elizabeth A Rettedal, Eric van der Helm, Mostafa Ellabaan, Gianni Panagiotou, Morten O A Sommer

Erratum issuedAbstract read
In one paragraph

Article in Genomics, proteomics & bioinformatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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.

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

45 citing papers in PubMed.

  1. Trial
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  5. Article
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  9. Article
  10. Food substances alter gut resistome: Mechanisms, health impacts, and food components.Comprehensive reviews in food science and food safety · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. ProbioticsmSystems · 2023
    Article
  17. Antibiotic perturbations to the gut microbiome.Nature reviews. Microbiology · 2023
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jun LiDepartment of Infectious Diseases and Public Health, Colleague of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong Special Administrative Region, China; School of Data Science, City University of Hong Kong, Hong Kong Special Administrative Region, China.
Elizabeth A RettedalNovo Nordisk Foundation Center for Biosustainability, DK-2900 Hørsholm, Denmark.
Eric van der HelmNovo Nordisk Foundation Center for Biosustainability, DK-2900 Hørsholm, Denmark.
Mostafa EllabaanNovo Nordisk Foundation Center for Biosustainability, DK-2900 Hørsholm, Denmark.
Gianni PanagiotouSystems Biology and Bioinformatics Unit, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knöll Institute, 07745 Jena, Germany; Systems Biology and Bioinformatics Group, School of Biological Sciences, Faculty of Sciences, The University of Hong Kong, Hong Kong Special Administrative Region, China; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China. Electronic address: gianni.panagiotou@leibniz-hki.de.
Morten O A SommerNovo Nordisk Foundation Center for Biosustainability, DK-2900 Hørsholm, Denmark. Electronic address: msom@bio.dtu.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the documented antibiotic-induced disruption of the gut microbiota, the impact of antibiotic intake on strain-level dynamics, evolution of resistance genes, and factors influencing resistance dissemination potential remains poorly understood. To address this gap we analyzed public metagenomic datasets from 24 antibiotic treated subjects and controls, combined with an in-depth prospective functional study with two subjects investigating the bacterial community dynamics based on cultivation-dependent and independent methods. We observed that short-term antibiotic treatment shifted and diversified the resistome composition, increased the average copy number of antibiotic resistance genes, and altered the dominant strain genotypes in an individual-specific manner. More than 30% of the resistance genes underwent strong differentiation at the single nucleotide level during antibiotic treatment. We found that the increased potential for horizontal gene transfer, due to antibiotic administration, was ∼3-fold stronger in the differentiated resistance genes than the non-differentiated ones. This study highlights how antibiotic treatment has individualized impacts on the resistome and strain level composition, and drives the adaptive evolution of the gut microbiota.

Indexed as

AdultAnti-Bacterial AgentsBacteriaDrug Resistance, BacterialFemaleGastrointestinal MicrobiomeHumansMetagenomicsProspective StudiesAnti-Bacterial AgentsAntibioticsEvolutionGut microbiomeHorizontal gene transferResistomeStrain

Identifiers

PMID31026582
PMCPMC6520913

What OpenQuestion holds

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Registered trials

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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.