相对抗微生物耐药性调解了微生物组对抗生素破坏的弹性
Shakti K Bhattarai1,2, Muxue Du3,4, Abigail L Zeamer1,2
1Department of Microbiology and Physiological Systems, UMass Chan Medical School, Worcester, MA 01605, USA.
Science translational medicine
|January 17, 2024
概括
结核病的抗生素治疗严重破坏了肠道微生物群. 然而,具有耐药性突变的有益细菌可以恢复,促进微生物群的弹性并帮助疾病解决.
科学领域:
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
背景情况:
- 抗生素虽然对治疗结核病 (TB) 等感染至关重要,但可以损害肠道微生物群并促进抗菌素耐药性.
- 了解微生物组在长时间接触抗生素后如何恢复,特别是结核病治疗期间,至关重要.
研究的目的:
- 在长期抗生素治疗多药耐药结核病 (TB) 和药物敏感结核病期间调查肠道微生物组动态.
- 为了确定预测结核病驱动的炎症解决的因素.
主要方法:
- 在接受结核病治疗的人类患者肠道微生物组组成和功能的纵向分析.
- 对细菌菌株抗微生物药物耐药性突变的评估.
- 在小鼠模型中移植便微生物群.
主要成果:
- 长期结核病治疗导致了显著的肠道微生物组破坏,病原生物扩张和抗生素耐药性的增加.
- 具有抗微生物药物耐药性突变的共生细菌最终恢复并重新建立了主导地位.
- 微生物组的恢复和结核病的清除与炎症的解决有关.
- 对抗生素耐药的开始性微生物组的移植在小鼠中赋予了弹性.
结论:
- 开始性细菌中的抗菌素耐药性突变可以悖论地增强微生物群对抗生素的耐药性.
- 肠道微生物组动态作为慢性感染抗生素治疗期间疾病解决的预测标记.
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