Evidence map›Paper›PMID 35972133›Full record

ArticlemSphere2022

Antibiotics Drive Expansion of Rare Pathogens in a Chronic Infection Microbiome Model.

John J Varga, Conan Y Zhao, Jacob D Davis, Yiqi Hao, Jennifer M Farrell, James R Gurney, Eberhard Voit, Sam P Brown

Open access · goldAbstract read
In one paragraph

Article in mSphere, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Beyond the Usual Suspects:Tropical medicine and infectious disease · 2025
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Antibiotic perturbations to the gut microbiome.Nature reviews. Microbiology · 2023
    Review
  13. Host tracheal and intestinal microbiomes inhibitbioRxiv : the preprint server for biology · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Review
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 1 institution in 1 country.

John J Varga *School of Biological Sciences, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.ORCID 0000-0002-4868-1971
Conan Y Zhao *School of Biological Sciences, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.
Jacob D Davis *Center for Microbial Dynamics and Infection, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.
Yiqi HaoSchool of Biological Sciences, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.
Jennifer M FarrellSchool of Biological Sciences, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.
James R GurneySchool of Biological Sciences, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.
Eberhard VoitDepartment of Biomedical Engineering, Georgia Institute of Technologygrid.213917.f and Emory University, Atlanta, Georgia, USA.
Sam P BrownSchool of Biological Sciences, Georgia Institute of Technologygrid.213917.f, Atlanta, Georgia, USA.ORCID 0000-0003-1892-9275
Georgia Institute of Technology · US

Funding

Phages as drivers of pathogenicity: selective impacts and molecular targets of clinical Pseudomonas aeruginosa phagesR21AI143296 · NIAID · GEORGIA INSTITUTE OF TECHNOLOGY · PI BROWN, SAMUEL PAUL, WHITELEY, MARVIN · 2019 to 2020
$434k
Building re-usable phage and antibiotic treatments via exploitation of bacteria-phage co-evolutionary dynamicsR21AI156817 · NIAID · GEORGIA INSTITUTE OF TECHNOLOGY · PI BROWN, SAMUEL PAUL · 2021 to 2022
$434k
NIAID NIH HHS R21 AI143296NIAID NIH HHS R21 AI156817
6 · The paper itself

Abstract

Chronic (long-lasting) infections are globally a major and rising cause of morbidity and mortality. Unlike typical acute infections, chronic infections are ecologically diverse, characterized by the presence of a polymicrobial mix of opportunistic pathogens and human-associated commensals. To address the challenge of chronic infection microbiomes, we focus on a particularly well-characterized disease, cystic fibrosis (CF), where polymicrobial lung infections persist for decades despite frequent exposure to antibiotics. Epidemiological analyses point to conflicting results on the benefits of antibiotic treatment yet are confounded by the dependency of antibiotic exposures on prior pathogen presence, limiting their ability to draw causal inferences on the relationships between antibiotic exposure and pathogen dynamics. To address this limitation, we develop a synthetic infection microbiome model representing CF metacommunity diversity and benchmark on clinical data. We show that in the absence of antibiotics, replicate microbiome structures in a synthetic sputum medium are highly repeatable and dominated by oral commensals. In contrast, challenge with physiologically relevant antibiotic doses leads to substantial community perturbation characterized by multiple alternate pathogen-dominant states and enrichment of drug-resistant species. These results provide evidence that antibiotics can drive the expansion (via competitive release) of previously rare opportunistic pathogens and offer a path toward microbiome-informed conditional treatment strategies.

Indexed as

Cystic FibrosisMicrobiotaAnti-Bacterial AgentsHumansPersistent InfectionSputumAnti-Bacterial Agentsantibiotic resistancechronic infectioncystic fibrosisexperimental microbiomeinfection microbiome

Identifiers

PMID35972133
PMCPMC9599657
OpenAlexW4292185214

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.