Lactobacillus supports Clostridiales to restrict gut colonization by multidrug-resistant Enterobacteriaceae
Open accessAbstract
Infections by multidrug-resistant Enterobacteriaceae(MRE) are life-threatening to patients. The intestinal microbiome protects against MRE colonization, but antibiotics cause collateral damage to commensals and open the way to colonization and subsequent infection. Despite the significance of this problem, the specific commensals and mechanisms that restrict MRE colonization remain largely unknown. Here, by performing a multi-omic prospective study of hospitalized patients combined with mice experiments, we find that Lactobacillus is key, though not sufficient, to restrict MRE gut colonization.Lactobacillus rhamnosus and murinus increase the levels of Clostridiales bacteria, which induces a hostile environment for MRE growth through increased butyrate levels and reduced nutrient sources. This mechanism of colonization resistance, an interaction between Lactobacillus spp. and Clostridiales involving cooperation between microbiota members, is conserved in mice and patients. These results stress the importance of exploiting microbiome interactions for developing effective probiotics that prevent infections in hospitalized patients.
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Administration of Lactobacillus to antibiotic-treated mice increased faecal butyrate levels and decreased intestinal colonization by Klebsiella pneumoniae.
“Administration of Lactobacillus to antibiotic-treated mice increased faecal butyrate levels and decreased intestinal colonization by Klebsiella pneumoniae [38].”
From Role of the gut microbiota in nutrient competition and protection against intestinal pathogen colonization (2023) · cites this paper as [38]
Lactobacillus species promote an overall increase in microbiota density following antibiotic treatment in mice.
“Another study, by Djukovic and colleagues, established that Lactobacillus species promoted the recovery of Eubacteriales and an overall increase in microbiota density following antibiotic treatment in mice [38].”
From Role of the gut microbiota in nutrient competition and protection against intestinal pathogen colonization (2023) · cites this paper as [38]
Butyrate is inhibitory to multidrug-resistant Enterobacteriaceae.
“The increase in Eubacteriales was associated with an increase of SCFA, notably butyrate, which was inhibitory to multidrug-resistant Enterobacteriaceae.”
From Role of the gut microbiota in nutrient competition and protection against intestinal pathogen colonization (2023) · cites this paper as [38]
The increase in Eubacteriales following antibiotic treatment is associated with an increase of SCFA, notably butyrate.
“The increase in Eubacteriales was associated with an increase of SCFA, notably butyrate, which was inhibitory to multidrug-resistant Enterobacteriaceae.”
From Role of the gut microbiota in nutrient competition and protection against intestinal pathogen colonization (2023) · cites this paper as [38]
Lactobacillus species promote recovery of Eubacteriales following antibiotic treatment in mice.
“Another study, by Djukovic and colleagues, established that Lactobacillus species promoted the recovery of Eubacteriales and an overall increase in microbiota density following antibiotic treatment in mice [38].”
From Role of the gut microbiota in nutrient competition and protection against intestinal pathogen colonization (2023) · cites this paper as [38]
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- Authors
- Djukovic, A., Garzón, M. J., Canlet, C., Cabral, V., Lalaoui, R., García-Garcerá, M., Rechenberger, J., Tremblay-Franco, M., Peñaranda, I., Puchades-Carrasco, L., Pineda-Lucena, A., González-Barberá, E. M., Salavert, M., López-Hontangas, J. L., Sanz, M. Á., Sanz, J., Kuster, B., Rolain, J.-M., Debrauwer, L., Xavier, K. B., Xavier, J. B., & Ubeda, C.
- Affiliations
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (ES)
- Université Toulouse III - Paul Sabatier (FR)
- Instituto Gulbenkian de Ciência (PT)
- Aix-Marseille Université (FR)
- Technical University of Munich (DE)
- Hospital Universitari i Politècnic La Fe (ES)
- Instituto de Investigación Sanitaria Aragón (ES)
- Instituto de Salud Carlos III (ES)
- ORCID
- Venue
- Nature Communications
- Published
- 2022-09-24
- Volume
- 13
- Issue
- 1
- Pages
- 5617-5617
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC9509339
- OpenAlex
- W4296977295
- Cited by
- 85
- References
- 76
- Citations by year
- 2026: 15 · 2025: 27 · 2024: 25 · 2023: 17 · 2022: 1
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (publishedVersion, cc-by)
- HAL (submittedVersion, cc-by)
- IRIS (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Hispana (submittedVersion, cc-by)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion, other-oa)
- Funders
- European Commission (843183)
- Boehringer Ingelheim Fonds
- Agence Nationale de la Recherche (PCIN-2015-094, 11-INBS-010, ANR-10-LABX-0069, ANR-11-INBS-010, ANR-11-INBS, ANR-15-IFEC-0007, ANR-11-INBS-0010)
- Bundesministerium für Bildung und Forschung (031L0089, MSCA-IF-2018)
- Ministerio de Economía y Competitividad (PCIN-2015-094, PID2020)
- Ministerio de Ciencia e Innovación (PID2020, PID2020-120292RB-I00)
- National Institutes of Health
- Fundação para a Ciência e a Tecnologia
- Conselleria de Innovación, Universidades, Ciencia y Sociedad Digital, Generalitat Valenciana
- National Cancer Institute (P30CA008748)
- National Institute of Allergy and Infectious Diseases (R01AI137269)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Keywords
- Lactobacillus, Clostridiales, multidrug-resistant Enterobacteriaceae, colonization resistance, gut microbiota, butyrate, Lactobacillus rhamnosus, Lactobacillus murinus, probiotics, antibiotic-induced dysbiosis, hospitalized patients
- MeSH terms
- Clostridiales, Eubacteriales, Animals, Anti-Bacterial Agents, Butyrates, Enterobacteriaceae, Lactobacillus, Prospective Studies, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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