Evidence map›Paper›PMID 42680742›Full record

ArticleNature communications2026

Microbiome features associated with persistent intestinal carriages of Escherichia coli ST131 in a Southeast Asian cohort study.

Adrian Low, Zhuoya Yang, Kylin Treruangrachada Anantaya, Siyan Zhao, Wei Cong Tan, Rebecca Lynn Perez, Hao Chung The, Shirmin Zhi Yan Lim, Lin Liu, Jean-Sebastien Gounot and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Adrian LowDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-0997-2490
Zhuoya YangDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0009-0005-0296-8271
Kylin Treruangrachada AnantayaDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0009-0008-3514-7869
Siyan ZhaoDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Wei Cong TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Rebecca Lynn PerezSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Hao Chung TheSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Shirmin Zhi Yan LimDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Lin LiuDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jean-Sebastien GounotGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.ORCID 0000-0003-2368-8779
Junmei Samantha KwahGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.
Rick Twee-Hee OngSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Niranjan NagarajanGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.
Jonathan Wei Jie LeeDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. jonathanlee@nus.edu.sg.ORCID 0000-0001-7065-8041
Yin MoSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. mdcmy@nus.edu.sg.ORCID 0000-0002-0216-9550

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Escherichia coli sequence-type 131 (ST131) is the dominant global extraintestinal pathogen capable of asymptomatic intestinal carriage and sustained household transmission, challenging infection control. Despite its clinical significance, the ecological determinants of gut persistence remain poorly understood. We performed shotgun metagenomics on fecal samples to investigate gut microbiome features associated with ST131-positive samples, distinct host carrier statuses (persistent, intermittent and non-carriers) and household risks in a study of a Southeast Asian cohort. Here, we show that ST131 carriage was associated with compositional shifts without reducing species alpha-diversity. Regression analyses identified depletion of commensal taxa and the 1,5-anhydrofructose degradation pathway in ST131-positive samples. Persistent carriers exhibited highly perturbed microbiome enriched with pathobionts, aerobactin- and lipopolysaccharide (LPS)-biosynthesis pathways. Comparing household risk groups to control, revealed that biotin biosynthesis and 1,5-anhydrofructose degradation may influence ST131 co-colonization through both direct and indirect mechanisms. Machine learning analyses identified metabolic pathways as stronger discriminators of persistent carriage than taxonomic features. Genomic-resolved analysis of clinical ST131 isolates revealed conserved genes for iron-acquisition, LPS and antibiotic resistance determinants. Overall, while commensals and metabolism may influence initial ST131 colonization, persistent carriage is associated with specific microbial and metabolic adaptations, providing potential targets to limit intestinal ST131 persistence.

Indexed as

Carrier StateEscherichia coliEscherichia coli InfectionsGastrointestinal MicrobiomeAsia, SoutheasternCohort StudiesFecesHumansIntestinesMetagenomics

Identifiers

PMID42680742
PMCPMC13534727

What OpenQuestion holds

Textmetadata
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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.