短时间使用抗生素使人体肠道细菌产生低成本的耐药性
Eitan Yaffe1,2, Les Dethlefsen3, Arati V Patankar4
1Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA. eitan.yaffe@stanford.edu.
Nature
|April 24, 2025
概括
短时间接触抗生素会导致肠道细菌迅速产生抗药性. 这些突变在开始生育的物种中持续了很长一段时间,
科学领域:
- 微生物学
- 进化生物学
- 基因组学
背景情况:
- 抗生素耐药性是一个主要的公共卫生威胁.
- 现有的模型很难复制体内条件来研究耐药性演变.
- 了解体内抗药性机制对于抗生素管理至关重要.
研究的目的:
- 在暴露于抗生素后,研究人类肠道开始性细菌对抗菌素耐药性的演变.
- 在体内确定驱动细菌适应的基因组和生态因素.
主要方法:
- 60名参与者接受了西普罗素治疗.
- 收集了纵向便样本.
- 利用一种新的计算方法来组装细菌基因组.
- 分析了数以百万计的序列变异以确定选择性扫描.
主要成果:
- 鉴定了513种细菌群体进行选择性扫描.
- 观察到聚合进化向DNA旋转酶.
- 发现~10%的易感种群通过陀螺酶突变进化耐药性.
- 证明扫描持续超过10周, 突变没有健康成本.
结论:
- 短时间暴露于西普罗夫洛克萨会导致肠道初生动物的抗药性迅速演变.
- 突变是从新出现的, 长期存在, 并不容易逆转.
- 人类肠道是促进抗菌素耐药性的重要环境.
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