Evidence map›Paper›PMID 37167201›Full record

ArticlePLoS biology2023

Gut microbiota interspecies interactions shape the response of Clostridioides difficile to clinically relevant antibiotics.

Susan Hromada, Ophelia S Venturelli

Open access · goldAbstract read
In one paragraph

Article in PLoS biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.2field-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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Antimicrobial Susceptibility ofAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Human gut strains ofApplied and environmental microbiology · 2025
    Article
  5. Unravelling three-way interactions betweenJournal of medical microbiology · 2025
    Review
  6. Article
  7. Review
  8. An ecological and stochastic perspective on persisters resuscitation.Computational and structural biotechnology journal · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. 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 1 institution in 1 country.

Susan HromadaDepartment of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.
Ophelia S VenturelliDepartment of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.ORCID 0000-0003-2200-1963
University of Wisconsin–Madison · US

Funding

BIOTECHNOLOGY TRAINING PROGRAMT32GM008349 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI FOX, BRIAN G · 1989 to 2019
$22.5M
Elucidating the molecular and ecological design principles of stability and assembly of the human gut microbiotaR35GM124774 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Ophelia Venturelli · 2017 to 2026
$2.9M
Large-scale profiling of microbial and metabolic interactions between C. difficile and gut microbiota using ultrahigh-throughput droplet microfluidicsR21AI159980 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI VENTURELLI, OPHELIA · 2021 to 2022
$428k
NIAID NIH HHS R21 AI159980NIGMS NIH HHS R35 GM124774NIGMS NIH HHS T32 GM008349
6 · The paper itself

Abstract

In the human gut, the growth of the pathogen Clostridioides difficile is impacted by a complex web of interspecies interactions with members of human gut microbiota. We investigate the contribution of interspecies interactions on the antibiotic response of C. difficile to clinically relevant antibiotics using bottom-up assembly of human gut communities. We identify 2 classes of microbial interactions that alter C. difficile's antibiotic susceptibility: interactions resulting in increased ability of C. difficile to grow at high antibiotic concentrations (rare) and interactions resulting in C. difficile growth enhancement at low antibiotic concentrations (common). Based on genome-wide transcriptional profiling data, we demonstrate that metal sequestration due to hydrogen sulfide production by the prevalent gut species Desulfovibrio piger increases the minimum inhibitory concentration (MIC) of metronidazole for C. difficile. Competition with species that display higher sensitivity to the antibiotic than C. difficile leads to enhanced growth of C. difficile at low antibiotic concentrations due to competitive release. A dynamic computational model identifies the ecological principles driving this effect. Our results provide a deeper understanding of ecological and molecular principles shaping C. difficile's response to antibiotics, which could inform therapeutic interventions.

Indexed as

Clostridioides difficileClostridium InfectionsGastrointestinal MicrobiomeAnti-Bacterial AgentsClostridioidesHumansAnti-Bacterial Agents

Identifiers

PMID37167201
PMCPMC10174544
OpenAlexW4376226372

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.