Cited by 85Gut microbiota and healthProbiotics and Fermented FoodsAntibiotic Resistance in Bacteria

Lactobacillus supports Clostridiales to restrict gut colonization by multidrug-resistant Enterobacteriaceae

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Djukovic, Ana, Garzón, María José, Canlet, Cécile, Cabral, Vitor, Lalaoui, Rym, García-Garcerá, Marc, Rechenberger, Julia, Tremblay-Franco, Marie +14 more·2022·Nature Communications

Abstract

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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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)
Venue
Nature Communications
Published
2022-09-24
Volume
13
Issue
1
Pages
5617-5617
ISSN
2041-1723 (ISSN-L)
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
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

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