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2.
Cell Host Microbe ; 26(5): 650-665.e4, 2019 11 13.
Article in English | MEDLINE | ID: mdl-31726029

ABSTRACT

Antibiotics alter microbiota composition and increase infection susceptibility. However, the generalizable effects of antibiotics on and the contribution of environmental variables to gut commensals remain unclear. To address this, we tracked microbiota dynamics with high temporal and taxonomic resolution during antibiotic treatment in a controlled murine system by isolating variables such as diet, treatment history, and housing co-inhabitants. Human microbiotas were remarkably resilient and recovered during antibiotic treatment, with transient dominance of resistant Bacteroides and taxa-asymmetric diversity reduction. In certain cases, in vitro sensitivities were not predictive of in vivo responses, underscoring the significance of host and community context. A fiber-deficient diet exacerbated microbiota collapse and delayed recovery. Species replacement through cross housing after ciprofloxacin treatment established resilience to a second treatment. Single housing drastically disrupted recovery, highlighting the importance of environmental reservoirs. Our findings highlight deterministic microbiota adaptations to perturbations and the translational potential for modulating diet, sanitation, and microbiota composition during antibiotics.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bacterial Load/drug effects , Bacteroides/growth & development , Gastrointestinal Microbiome/drug effects , Gastrointestinal Tract/microbiology , Animals , Bacteroides/classification , Bacteroides/isolation & purification , Biodiversity , Ciprofloxacin/pharmacology , Diet , Female , Gastrointestinal Tract/drug effects , Germ-Free Life , Humans , Male , Mice , Rifaximin/pharmacology , Streptomycin/pharmacology
3.
Cell ; 173(7): 1742-1754.e17, 2018 06 14.
Article in English | MEDLINE | ID: mdl-29906449

ABSTRACT

Osmotic diarrhea is a prevalent condition in humans caused by food intolerance, malabsorption, and widespread laxative use. Here, we assess the resilience of the gut ecosystem to osmotic perturbation at multiple length and timescales using mice as model hosts. Osmotic stress caused reproducible extinction of highly abundant taxa and expansion of less prevalent members in human and mouse microbiotas. Quantitative imaging revealed decimation of the mucus barrier during osmotic perturbation, followed by recovery. The immune system exhibited temporary changes in cytokine levels and a lasting IgG response against commensal bacteria. Increased osmolality prevented growth of commensal strains in vitro, revealing one mechanism contributing to extinction. Environmental availability of microbiota members mitigated extinction events, demonstrating how species reintroduction can affect community resilience. Our findings (1) demonstrate that even mild osmotic diarrhea can cause lasting changes to the microbiota and host and (2) lay the foundation for interventions that increase system-wide resilience.


Subject(s)
Diarrhea/pathology , Gastrointestinal Microbiome/drug effects , Polyethylene Glycols/pharmacology , Animals , Bacteroidetes/drug effects , Bacteroidetes/genetics , Bacteroidetes/isolation & purification , Cecum/chemistry , Cecum/metabolism , Cecum/microbiology , Cecum/pathology , Colon/chemistry , Colon/microbiology , Colon/pathology , Cytokines/metabolism , Diarrhea/immunology , Diarrhea/microbiology , Diarrhea/veterinary , Feces/microbiology , Glycoside Hydrolases/metabolism , Humans , Immunity, Humoral/drug effects , Immunoglobulin G/metabolism , Intestinal Mucosa/microbiology , Intestinal Mucosa/pathology , Metagenomics , Mice , Osmolar Concentration , Polyethylene Glycols/metabolism , Proteome/analysis , RNA, Ribosomal, 16S/chemistry , RNA, Ribosomal, 16S/genetics , Verrucomicrobia/drug effects , Verrucomicrobia/genetics , Verrucomicrobia/isolation & purification
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