Evidence map›Paper›PMID 42066751›Full record

ArticleCell2026

An anaerobic pathogen rewires host metabolism to fuel oxidative growth in the inflamed gut.

Luisella Spiga, Ryan T Fansler, Yifan Wu, Alexandra Grote, Madison Langford-Butler, Asia K Miller, Maxwell Neal, Owen F Hale, Deepanshu Singla, M Wade Calcutt and 18 more

Abstract read
In one paragraph

Article in Cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Orally available designed miniproteins inhibit enterotoxigenicbioRxiv : the preprint server for biology · 2026
    Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Luisella SpigaDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Ryan T FanslerDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Yifan WuDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Alexandra GroteInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Madison Langford-ButlerDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Asia K MillerDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Maxwell NealDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, USA.
Owen F HaleVanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Biological Sciences, Vanderbilt University, Nashville, TN, USA; Evolutionary Studies Initiative, Vanderbilt University, Nashville, TN, USA.
Deepanshu SinglaDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
M Wade CalcuttMass Spectrometry Research Center, Department of Biochemistry, Vanderbilt University, Nashville, TN, USA.
Abigail E RoseDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Madeline M BressonDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Alexandra C Schrimpe-RutledgeCenter for Innovative Technology and Department of Chemistry, Vanderbilt University, Nashville, TN, USA.
Brittany BerdyInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Simona G CodreanuCenter for Innovative Technology and Department of Chemistry, Vanderbilt University, Nashville, TN, USA.
Mary Kay WashingtonDepartment of Pathology, Vanderbilt University Medical Center, Nashville, TN, USA.
Benjamin P BrattonDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA.
Stacy D SherrodCenter for Innovative Technology and Department of Chemistry, Vanderbilt University, Nashville, TN, USA.
John A McLeanCenter for Innovative Technology and Department of Chemistry, Vanderbilt University, Nashville, TN, USA.
Karsten ZenglerDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, USA; Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA; Center for Microbiome Innovation, University of California, San Diego, La Jolla, CA, USA; Program in Materials Science and Engineering, University of California, San Diego, La Jolla, CA, USA.
Cynthia L SearsDepartment of Microbiology and Molecular Immunology, Bloomberg School of Public Health, Baltimore, MD, USA; Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Megan G BehringerDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Biological Sciences, Vanderbilt University, Nashville, TN, USA; Evolutionary Studies Initiative, Vanderbilt University, Nashville, TN, USA.
Andreas GnirkeInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Lili TaoDivision of Laboratory Medicine, Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Jonathan LivnyInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Danyvid Olivares-VillagómezVanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, USA.
Ashlee M EarlInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA. Electronic address: aearl@broadinstitute.org.
Wenhan ZhuDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: wenhan.zhu@vumc.org.

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Ben Ho Park · 1995 to 2026
$172.8M
Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI PARK, DANIEL JOHN · 2014 to 2024
$66.5M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MARY Kay WASHINGTON · 2002 to 2026
$29.9M
National Metabolomics Data Repository - nextgen Metabolomics WorkbenchU2CDK119886 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUBRAMANIAM, SHANKAR · 2018 to 2021
$12.7M
Biomedical Data Commons Workbench (BDCW)OT2OD030544 · OD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUBRAMANIAM, SHANKAR · 2020 to 2024
$3.2M
Commensal resilience mechanisms in the inflamed intestineR35GM147470 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Wenhan Zhu · 2022 to 2026
$2.2M
Web Portal CoreU2CDK119889 · NIDDK · UNIVERSITY OF FLORIDA · PI CONLON, MICHAEL, GARRETT, TIMOTHY J · 2018 to 2021
$1.9M
Using Experimental Evolution to Evaluate Environmental Effects on Microbial Mutation and AdaptationR35GM150625 · NIGMS · VANDERBILT UNIVERSITY · PI Megan Grace Behringer · 2023 to 2026
$1.8M
Commensal bacteria resilience mechanisms in the inflamed intestineR01DK134692 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Wenhan Zhu · 2023 to 2026
$1.4M
Turicibacter modifies intestinal infection severity by modulating intestinal metabolitesR21AI187749 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Wenhan Zhu · 2025 to 2026
$481k
Iron homeostasis in sustaining commensal resilience in the inflamed gutF31AI178950 · NIAID · VANDERBILT UNIVERSITY · PI Ryan T Fansler · 2024 to 2026
$105k
NCI NIH HHS P30 CA068485NIAID NIH HHS F31 AI178950NIAID NIH HHS R21 AI187749NIAID NIH HHS U19 AI110818NIDDK NIH HHS P30 DK058404NIDDK NIH HHS R01 DK134692NIDDK NIH HHS U2C DK119886NIDDK NIH HHS U2C DK119889NIGMS NIH HHS R35 GM147470NIGMS NIH HHS R35 GM150625NIH HHS OT2 OD030544
6 · The paper itself

Abstract

To colonize their host and cause disease, enteric pathogens must deploy their virulence factors to establish distinct nutrient niches. How anaerobic pathogens construct nutrient niches in the densely populated large intestine remains poorly understood. Enterotoxigenic Bacteroides fragilis (ETBF) is a classically anaerobic bacterium implicated in inflammation-associated diseases, including colitis and colorectal cancer. Here, we show that ETBF uses its virulence factor, Bacteroides fragilis toxin (BFT), to generate and adapt to a localized oxidative niche that supports gut colonization. BFT manipulates colonic epithelial signaling and the bile acid recycling pathway, inducing a metabolic shift in the epithelium from oxidative phosphorylation to glycolysis. This shift increases local concentrations of lactate and oxygen, nutrients that support oxidative metabolism in ETBF. These findings reveal an unexpected strategy by which a classically anaerobic pathogen leverages host metabolic remodeling to generate and exploit an oxidative niche in the inflamed gut.

Indexed as

Bacteroides fragilisAnaerobiosisAnimalsBacterial ToxinsBacteroides InfectionsBile Acids and SaltsColitisColonGlycolysisHost-Pathogen InteractionsHumansInflammationMetalloendopeptidasesMiceMice, Inbred C57BLOxidation-ReductionBacterial ToxinsBacteroides fragilis toxinBile Acids and SaltsMetalloendopeptidasesVirulence Factorsbile acid recyclingcolonocyte metabolismenterotoxigenic Bacteroides fragilisobligate anaerobeoxidative metabolism

Identifiers

PMID42066751
PMCPMC13185528

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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.