Models of antimicrobial pressure on intestinal bacteria of the treated host populations

V V Volkova1, C L Cazer2, Y T Gröhn2

  • 1Department of Diagnostic Medicine/Pathobiology, Institute of Computational Comparative Medicine, College of Veterinary Medicine, Kansas State University, Mosier Hall, KS 66506, USA.

Insights

Understanding antimicrobial drug concentrations in animal intestines is crucial for predicting their impact on gut bacteria. This study models key factors influencing drug levels, aiding in managing selective pressures from treatments.

Area of Science:

  • Pharmacokinetics and Environmental Microbiology
  • Veterinary Pharmacology and Toxicology

Background:

  • Antimicrobial drugs are vital for treating bacterial infections in humans and animals.
  • Enteric bacteria in hosts can be exposed to antimicrobials or their active metabolites in the intestine.
  • Predicting antimicrobial concentrations in the host intestine is essential for understanding their effects on commensal bacteria.

Purpose of the Study:

  • To identify and model key processes and variables influencing antimicrobial concentrations within the host intestine.
  • To develop a framework for projecting antimicrobial levels and their selective pressures on enteric bacteria.
  • To illustrate the modeling framework with examples of chlortetracycline and ceftiofur treatments in cattle.

Main Methods:

  • Compilation of variables affecting antimicrobial concentrations: biliary excretion, other excretion routes, absorption/re-absorption rates and segments, degradation rates and segments, digesta passage time, sorption dynamics, and luminal volume.
  • Consideration of factors influencing antimicrobial activity, such as intestinal aeration and chemical conditions.
  • Development of model forms accounting for inter-individual variation in relevant variables.
  • Illustrative simulations using oral chlortetracycline and injectable ceftiofur for bovine respiratory disease in beef steers, considering two diet compositions.

Main Results:

  • The study outlines a comprehensive set of variables critical for modeling intestinal antimicrobial concentrations.
  • The proposed framework allows for projections of antimicrobial concentrations and potential selective pressures on enteric bacteria.
  • Illustrative examples demonstrate the application of the model and highlight data gaps regarding diet influences on antimicrobial fate and effects.

Conclusions:

  • Accurate projection of intestinal antimicrobial concentrations requires accounting for numerous drug- and host-specific variables.
  • The developed modeling framework provides a basis for assessing antimicrobial selective pressures on the host's enteric microbiome.
  • Further empirical data is needed to refine models and understand the complex interactions between antimicrobials, host factors, and the intestinal environment.

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