Evidence map›Paper›PMID 33779498›Full record

ArticleGut microbes

Expansion and persistence of antibiotic-specific resistance genes following antibiotic treatment.

Kang Kang, Lejla Imamovic, Maria-Anna Misiakou, Maria Bornakke Sørensen, Yoshitaro Heshiki, Yueqiong Ni, Tingting Zheng, Jun Li, Mostafa M H Ellabaan, Marta Colomer-Lluch and 4 more

Open access · goldAbstract read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.6field-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

24 citing papers in PubMed, 54 citations in OpenAlex.

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  12. Detection assay of polymyxin resistance codingFrontiers in cellular and infection microbiology · 2025
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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

14 authors at 6 institutions in 3 countries.

Kang KangNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.ORCID 0000-0002-7992-282X
Lejla ImamovicNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.ORCID 0000-0003-1662-9447
Maria-Anna MisiakouNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.ORCID 0000-0002-9965-4164
Maria Bornakke SørensenNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.
Yoshitaro HeshikiLeibniz Institute for Natural Product Research and Infection Biology, Systems Biology and Bioinformatics - Hans Knoell Institute, Jena, Germany.
Yueqiong NiLeibniz Institute for Natural Product Research and Infection Biology, Systems Biology and Bioinformatics - Hans Knoell Institute, Jena, Germany.
Tingting ZhengLeibniz Institute for Natural Product Research and Infection Biology, Systems Biology and Bioinformatics - Hans Knoell Institute, Jena, Germany.
Jun LiLeibniz Institute for Natural Product Research and Infection Biology, Systems Biology and Bioinformatics - Hans Knoell Institute, Jena, Germany.
Mostafa M H EllabaanNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.ORCID 0000-0002-9736-0461
Marta Colomer-LluchNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.ORCID 0000-0001-5233-3606
Anne A RodeDepartment of Medicine, Zealand University Hospital - Køge, Køge, Denmark.ORCID 0000-0003-4995-5169
Peter BytzerDepartment of Medicine, Zealand University Hospital - Køge, Køge, Denmark.ORCID 0000-0001-8953-5842
Gianni PanagiotouLeibniz Institute for Natural Product Research and Infection Biology, Systems Biology and Bioinformatics - Hans Knoell Institute, Jena, Germany.ORCID 0000-0001-9393-124X
Morten O A SommerNovo Nordisk Foundation Center for Biosustainability,Technical University of Denmark, Lyngby, Denmark.ORCID 0000-0003-4005-5674
Novo Nordisk Foundation · DKHong Kong University of Science and Technology · HKUniversity of Copenhagen · DKChinese University of Hong Kong · HKCity University of Hong Kong · HKLeibniz-Institut für Naturstoff-Forschung und Infektionsbiologie e. V. - Hans-Knöll-Institut (HKI) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral antibiotics are commonly prescribed to non-hospitalized adults. However, antibiotic-induced changes in the human gut microbiome are often investigated in cohorts with preexisting health conditions and/or concomitant medication, leaving the effects of antibiotics not completely understood. We used a combination of omic approaches to comprehensively assess the effects of antibiotics on the gut microbiota and particularly the gut resistome of a small cohort of healthy adults. We observed that 3 to 19 species per individual proliferated during antibiotic treatment and Gram-negative species expanded significantly in relative abundance. While the overall relative abundance of antibiotic resistance gene homologs did not significantly change, antibiotic-specific gene homologs with presumed resistance toward the administered antibiotics were common in proliferating species and significantly increased in relative abundance. Virome sequencing and plasmid analysis showed an expansion of antibiotic-specific resistance gene homologs even 3 months after antibiotic administration, while paired-end read analysis suggested their dissemination among different species. These results suggest that antibiotic treatment can lead to a persistent expansion of antibiotic resistance genes in the human gut microbiota and provide further data in support of good antibiotic stewardship.

Indexed as

Drug Resistance, MicrobialAdolescentAdultAgedAnti-Bacterial AgentsBacteriaBacteriophagesBiological WarfareCohort StudiesFecesGastrointestinal MicrobiomeGene Transfer, HorizontalHumansMetagenomeMicrobiotaMiddle AgedAnti-Bacterial Agentsantibiotic resistanceantibiotic treatmentGut microbiomemobile elementphagevirome

Identifiers

PMID33779498
PMCPMC8018486
OpenAlexW3117801741

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.