Evidence map›Paper›PMID 40195644›Full record

ReviewGut microbes2025

Leveraging strain competition to address antimicrobial resistance with microbiota therapies.

Danielle Barrios Steed, Dylan Koundakjian, Anthony D Harris, Adriana E Rosato, Konstantinos T Konstantinidis, Michael H Woodworth

Abstract readReview
In one paragraph

Review in Gut microbes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

6 authors.

Danielle Barrios SteedDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Dylan KoundakjianDepartment of Medicine, Emory University Hospital, Atlanta, GA, USA.
Anthony D HarrisDepartment of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Adriana E RosatoCenter for Molecular Medicine, MaineHealth Institute for Research, Scarborough, ME, USA.
Konstantinos T KonstantinidisSchool of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA, USA.ORCID 0000-0002-0954-4755
Michael H WoodworthDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-6181-4599

Funding

Emory R38 Research Training ProgramR38AI174306 · NIAID · EMORY UNIVERSITY · PI Nadine Georges Rouphael · 2023 to 2026
$1.4M
Temporal dynamics of MDRO eradication after FMTK23AI144036 · NIAID · EMORY UNIVERSITY · PI WOODWORTH, MICHAEL HOLMES · 2019 to 2023
$957k
NCEZID CDC HHS U54 CK000601NIAID NIH HHS K23 AI144036NIAID NIH HHS R38 AI174306
6 · The paper itself

Abstract

The enteric microbiota is an established reservoir for multidrug-resistant organisms that present urgent clinical and public health threats. Observational data and small interventional studies suggest that microbiome interventions, such as fecal microbiota products and characterized live biotherapeutic bacterial strains, could be an effective antibiotic-sparing prevention approach to address these threats. However, bacterial colonization is a complex ecological phenomenon that remains understudied in the context of the human gut. Antibiotic resistance is one among many adaptative strategies that impact long-term colonization. Here we review and synthesize evidence of how bacterial competition and differential fitness in the context of the gut present opportunities to improve mechanistic understanding of colonization resistance, therapeutic development, patient care, and ultimately public health.

Indexed as

BacteriaDrug Resistance, BacterialGastrointestinal MicrobiomeAnimalsAnti-Bacterial AgentsFecal Microbiota TransplantationHumansProbioticsAnti-Bacterial AgentsAntibiotic resistancebacterial competitionbacteriocinsfecal microbiota transplantationmicrobiomemicrobiotaquorum sensing

Identifiers

PMID40195644
PMCPMC11988218

What OpenQuestion holds

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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.