Evidence map›Paper›PMID 36864029›Full record

ArticleNature communications2023

Population-level impacts of antibiotic usage on the human gut microbiome.

Kihyun Lee, Sebastien Raguideau, Kimmo Sirén, Francesco Asnicar, Fabio Cumbo, Falk Hildebrand, Nicola Segata, Chang-Jun Cha, Christopher Quince

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
17.4field-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

71 citing papers in PubMed, 113 citations in OpenAlex.

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  17. The gut as a central hub for multi-organ crosstalk in aging.Cellular and molecular life sciences : CMLS · 2026
    Review
  18. Article
  19. Article
  20. Article

11 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

9 authors at 5 institutions in 4 countries.

Kihyun LeeDepartment of Systems Biotechnology and Center for Antibiotic Resistome, Chung-Ang University, Anseong, 17546, Republic of Korea.ORCID 0000-0001-5175-0029
Sebastien RaguideauOrganisms and Ecosystems, Earlham Institute, Norwich, NR4 7UZ, UK.
Kimmo SirénSection for Evolutionary Genomics, The GLOBE Institute, University of Copenhagen, Copenhagen, Denmark.
Francesco AsnicarDepartment of Cellular, Computational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0003-3732-1468
Fabio CumboDepartment of Cellular, Computational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0003-2920-5838
Falk HildebrandOrganisms and Ecosystems, Earlham Institute, Norwich, NR4 7UZ, UK.
Nicola SegataDepartment of Cellular, Computational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0002-1583-5794
Chang-Jun Cha *Department of Systems Biotechnology and Center for Antibiotic Resistome, Chung-Ang University, Anseong, 17546, Republic of Korea. cjcha@cau.ac.kr.ORCID 0000-0002-2210-2898
Christopher Quince *Organisms and Ecosystems, Earlham Institute, Norwich, NR4 7UZ, UK. christopher.quince@earlham.ac.uk.ORCID 0000-0003-1884-8440
University of Trento · ITChung-Ang University · KRQuadram Institute · GBEarlham Institute · GBUniversity of Copenhagen · DK

Funding

Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10355Biotechnology and Biological Sciences Research Council BBS/E/T/000PR9817
6 · The paper itself

Abstract

The widespread usage of antimicrobials has driven the evolution of resistance in pathogenic microbes, both increased prevalence of antimicrobial resistance genes (ARGs) and their spread across species by horizontal gene transfer (HGT). However, the impact on the wider community of commensal microbes associated with the human body, the microbiome, is less well understood. Small-scale studies have determined the transient impacts of antibiotic consumption but we conduct an extensive survey of ARGs in 8972 metagenomes to determine the population-level impacts. Focusing on 3096 gut microbiomes from healthy individuals not taking antibiotics we demonstrate highly significant correlations between both the total ARG abundance and diversity and per capita antibiotic usage rates across ten countries spanning three continents. Samples from China were notable outliers. We use a collection of 154,723 human-associated metagenome assembled genomes (MAGs) to link these ARGs to taxa and detect HGT. This reveals that the correlations in ARG abundance are driven by multi-species mobile ARGs shared between pathogens and commensals, within a highly connected central component of the network of MAGs and ARGs. We also observe that individual human gut ARG profiles cluster into two types or resistotypes. The less frequent resistotype has higher overall ARG abundance, is associated with certain classes of resistance, and is linked to species-specific genes in the Proteobacteria on the periphery of the ARG network.

Indexed as

Gastrointestinal MicrobiomeMicrobiotaAnti-Bacterial AgentsGenome, HumanHumansMetagenomeAnti-Bacterial Agents

Identifiers

PMID36864029
PMCPMC9981903
OpenAlexW4322768617

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.