Evidence map›Paper›PMID 41330943›Full record

ArticleNature communications2025

Large-scale characterisation of the nasal microbiome redefines Staphylococcus aureus colonisation status.

Dinesh Aggarwal, Katherine L Bellis, Beth Blane, Marcus C de Goffau, Josef Wagner, Duncan Y K Ng, Kathy E Raven, Plamena Naydenova, Stephen Kaptoge, Susan Burton and 29 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Selective statin therapy and nasal staphylococcal colonisation: a retrospective case-control study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
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  3. Observational
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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

39 authors.

Dinesh AggarwalDepartment of Medicine, University of Cambridge, Cambridge, UK. d.aggarwal@imperial.ac.uk.ORCID http://orcid.org/0000-0002-5938-8172
Katherine L BellisDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5368-7027
Beth BlaneDepartment of Medicine, University of Cambridge, Cambridge, UK.
Marcus C de GoffauParasites and Microbes Programme, Wellcome Sanger Institute, Hinxton, Cambridge, UK.
Josef WagnerParasites and Microbes Programme, Wellcome Sanger Institute, Hinxton, Cambridge, UK.
Duncan Y K NgParasites and Microbes Programme, Wellcome Sanger Institute, Hinxton, Cambridge, UK.ORCID http://orcid.org/0000-0003-1561-8244
Kathy E RavenDepartment of Medicine, University of Cambridge, Cambridge, UK.
Plamena NaydenovaDepartment of Medicine, University of Cambridge, Cambridge, UK.
Stephen KaptogeBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Susan BurtonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Rachel HenryBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Catherine PerryBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Matthew R WalkerBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-6334-2732
Carmel MooreBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Carol ChurcherDepartment of Medicine, University of Cambridge, Cambridge, UK.
Sophia T GirgisDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0009-0003-2368-0432
Catarina Ribeiro de SousaDepartment of Medicine, University of Cambridge, Cambridge, UK.
Lauma SarkaneDepartment of Medicine, University of Cambridge, Cambridge, UK.
Joe BrennanDepartment of Medicine, University of Cambridge, Cambridge, UK.
Asha AkramDepartment of Medicine, University of Cambridge, Cambridge, UK.
Shannon DuthieBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Elisha JohnsonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Mercedesz JuhaszBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
David AndersonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Susan IrvineBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Amy McMahonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Liz LayDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Susannah J SalterDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-3898-8504
Claire RaisenDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Xiaoliang BaDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3882-3585
Mark HolmesDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-5454-1625
Andries J van TonderDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Emanuele Di AngelantonioBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-8776-6719
Adam S ButterworthBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-6915-9015
Joan A GeogheganInstitute of Microbiology and Infection, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-3788-0668
John DaneshBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Julian ParkhillDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-7069-5958
Sharon J PeacockDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1718-2782
Ewan M HarrisonDepartment of Medicine, University of Cambridge, Cambridge, UK. eh6@sanger.ac.uk.ORCID http://orcid.org/0000-0003-2720-0507

Funding

British Heart Foundation (BHF) CH/12/2/29428DH | National Institute for Health Research (NIHR) NIHR203312, NIHR203337,Isaac Newton Trust 17.07(1)Wellcome TrustWellcome Trust (Wellcome) 211864/Z/18/ZWellcome Trust (Wellcome) 220540/Z/20/AWellcome Trust (Wellcome) 222903/Z/21/Z
6 · The paper itself

Abstract

Staphylococcus aureus colonises the nose in humans, with individuals defined as persistent, intermittent or non-carriers. Unlike the gut microbiome, the nasal microbiome has not been studied in large numbers of people. Here, we define the nasal microbiome in ~1100 individuals from the CARRIAGE study (ISRCTN: ISRCTN10474633) and combine with S. aureus culture data. We identify seven community state types (CST), including two CSTs more common in females. Approximately 70% of those who are persistently colonised with S. aureus have a CST dominated by S. aureus, while non-carriers are distributed across the other six CSTs. Intermittent carriers are not a unique state but have microbiomes that resemble non- or persistent carriers. Persistent carriage is positively associated with S. aureus abundance, and negatively associated with three Corynebacterium species, Dolosigranulum pigrum, Staphylococcus epidermidis, and Moraxella catarrhalis; the microbiome can be exploited with machine learning to accurately predict the persistence of S. aureus colonisation. Finally, we find that certain S. aureus lineages are better adapted to colonisation than others. Our data provides a comprehensive view of the nasal microbiome with respect to S. aureus colonisation, describing two key states: a S. aureus dominated CST in which S. aureus shapes the microbiome, and CSTs in which S. aureus is rare or absent.

Indexed as

Carrier StateMicrobiotaNoseStaphylococcal InfectionsStaphylococcus aureusAdultFemaleHumansMaleMiddle AgedNasal CavityStaphylococcus epidermidisYoung Adult

Identifiers

PMID41330943
PMCPMC12672568

What OpenQuestion holds

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Registered trials

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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.