Antibiotic resistance potential of the healthy preterm infant gut microbiome

Background Few studies have investigated the gut microbiome of infants, fewer still preterm infants. In this study we sought to quantify and interrogate the resistome within a cohort of premature infants using shotgun metagenomic sequencing. We describe the gut microbiomes from preterm but healthy i...

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Main Authors: Graham Rose, Alexander G. Shaw, Kathleen Sim, David J. Wooldridge, Ming-Shi Li, Saheer Gharbia, Raju Misra, John Simon Kroll
Format: Article
Language:English
Published: PeerJ Inc. 2017-01-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/2928.pdf
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author Graham Rose
Alexander G. Shaw
Kathleen Sim
David J. Wooldridge
Ming-Shi Li
Saheer Gharbia
Raju Misra
John Simon Kroll
author_facet Graham Rose
Alexander G. Shaw
Kathleen Sim
David J. Wooldridge
Ming-Shi Li
Saheer Gharbia
Raju Misra
John Simon Kroll
author_sort Graham Rose
collection DOAJ
description Background Few studies have investigated the gut microbiome of infants, fewer still preterm infants. In this study we sought to quantify and interrogate the resistome within a cohort of premature infants using shotgun metagenomic sequencing. We describe the gut microbiomes from preterm but healthy infants, characterising the taxonomic diversity identified and frequency of antibiotic resistance genes detected. Results Dominant clinically important species identified within the microbiomes included C. perfringens, K. pneumoniae and members of the Staphylococci and Enterobacter genera. Screening at the gene level we identified an average of 13 antimicrobial resistance genes per preterm infant, ranging across eight different antibiotic classes, including aminoglycosides and fluoroquinolones. Some antibiotic resistance genes were associated with clinically relevant bacteria, including the identification of mecA and high levels of Staphylococci within some infants. We were able to demonstrate that in a third of the infants the S. aureus identified was unrelated using MLST or metagenome assembly, but low abundance prevented such analysis within the remaining samples. Conclusions We found that the healthy preterm infant gut microbiomes in this study harboured a significant diversity of antibiotic resistance genes. This broad picture of resistances and the wider taxonomic diversity identified raises further caution to the use of antibiotics without consideration of the resident microbial communities.
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spelling doaj.art-182981b5879b476f9ff96078791d6a702023-12-03T10:15:33ZengPeerJ Inc.PeerJ2167-83592017-01-015e292810.7717/peerj.2928Antibiotic resistance potential of the healthy preterm infant gut microbiomeGraham Rose0Alexander G. Shaw1Kathleen Sim2David J. Wooldridge3Ming-Shi Li4Saheer Gharbia5Raju Misra6John Simon Kroll7Genomics Research Unit, Public Health England, London, United KingdomDepartment of Medicine, Imperial College London, London, United KingdomDepartment of Medicine, Imperial College London, London, United KingdomGenomics Research Unit, Public Health England, London, United KingdomDepartment of Medicine, Imperial College London, London, United KingdomGenomics Research Unit, Public Health England, London, United KingdomGenomics Research Unit, Public Health England, London, United KingdomSection of Paediatrics, Department of Medicine, Imperial College London, London, United KingdomBackground Few studies have investigated the gut microbiome of infants, fewer still preterm infants. In this study we sought to quantify and interrogate the resistome within a cohort of premature infants using shotgun metagenomic sequencing. We describe the gut microbiomes from preterm but healthy infants, characterising the taxonomic diversity identified and frequency of antibiotic resistance genes detected. Results Dominant clinically important species identified within the microbiomes included C. perfringens, K. pneumoniae and members of the Staphylococci and Enterobacter genera. Screening at the gene level we identified an average of 13 antimicrobial resistance genes per preterm infant, ranging across eight different antibiotic classes, including aminoglycosides and fluoroquinolones. Some antibiotic resistance genes were associated with clinically relevant bacteria, including the identification of mecA and high levels of Staphylococci within some infants. We were able to demonstrate that in a third of the infants the S. aureus identified was unrelated using MLST or metagenome assembly, but low abundance prevented such analysis within the remaining samples. Conclusions We found that the healthy preterm infant gut microbiomes in this study harboured a significant diversity of antibiotic resistance genes. This broad picture of resistances and the wider taxonomic diversity identified raises further caution to the use of antibiotics without consideration of the resident microbial communities.https://peerj.com/articles/2928.pdfPreterm infantsShotgun metagenomicsAntibiotic resistanceGut microbiome
spellingShingle Graham Rose
Alexander G. Shaw
Kathleen Sim
David J. Wooldridge
Ming-Shi Li
Saheer Gharbia
Raju Misra
John Simon Kroll
Antibiotic resistance potential of the healthy preterm infant gut microbiome
PeerJ
Preterm infants
Shotgun metagenomics
Antibiotic resistance
Gut microbiome
title Antibiotic resistance potential of the healthy preterm infant gut microbiome
title_full Antibiotic resistance potential of the healthy preterm infant gut microbiome
title_fullStr Antibiotic resistance potential of the healthy preterm infant gut microbiome
title_full_unstemmed Antibiotic resistance potential of the healthy preterm infant gut microbiome
title_short Antibiotic resistance potential of the healthy preterm infant gut microbiome
title_sort antibiotic resistance potential of the healthy preterm infant gut microbiome
topic Preterm infants
Shotgun metagenomics
Antibiotic resistance
Gut microbiome
url https://peerj.com/articles/2928.pdf
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