Leveraging strain competition to address antimicrobial resistance with microbiota therapies

The enteric microbiota is an established reservoir for multidrug-resistant organisms that present urgent clinical and public health threats. Observational data and small interventional studies suggest that microbiome interventions, such as fecal microbiota products and characterized live biotherapeu...

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Main Authors: Danielle Barrios Steed, Dylan Koundakjian, Anthony D. Harris, Adriana E Rosato, Konstantinos T Konstantinidis, Michael H Woodworth
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Gut Microbes
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19490976.2025.2488046
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author Danielle Barrios Steed
Dylan Koundakjian
Anthony D. Harris
Adriana E Rosato
Konstantinos T Konstantinidis
Michael H Woodworth
author_facet Danielle Barrios Steed
Dylan Koundakjian
Anthony D. Harris
Adriana E Rosato
Konstantinos T Konstantinidis
Michael H Woodworth
author_sort Danielle Barrios Steed
collection DOAJ
description The enteric microbiota is an established reservoir for multidrug-resistant organisms that present urgent clinical and public health threats. Observational data and small interventional studies suggest that microbiome interventions, such as fecal microbiota products and characterized live biotherapeutic bacterial strains, could be an effective antibiotic-sparing prevention approach to address these threats. However, bacterial colonization is a complex ecological phenomenon that remains understudied in the context of the human gut. Antibiotic resistance is one among many adaptative strategies that impact long-term colonization. Here we review and synthesize evidence of how bacterial competition and differential fitness in the context of the gut present opportunities to improve mechanistic understanding of colonization resistance, therapeutic development, patient care, and ultimately public health.
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spelling doaj-art-716d5e91a059409f80f58d3df921d55b2025-08-20T02:08:45ZengTaylor & Francis GroupGut Microbes1949-09761949-09842025-12-0117110.1080/19490976.2025.2488046Leveraging strain competition to address antimicrobial resistance with microbiota therapiesDanielle Barrios Steed0Dylan Koundakjian1Anthony D. Harris2Adriana E Rosato3Konstantinos T Konstantinidis4Michael H Woodworth5Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USADepartment of Medicine, Emory University Hospital, Atlanta, GA, USADepartment of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, MD, USACenter for Molecular Medicine, MaineHealth Institute for Research, Scarborough, ME, USASchool of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA, USADepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USAThe enteric microbiota is an established reservoir for multidrug-resistant organisms that present urgent clinical and public health threats. Observational data and small interventional studies suggest that microbiome interventions, such as fecal microbiota products and characterized live biotherapeutic bacterial strains, could be an effective antibiotic-sparing prevention approach to address these threats. However, bacterial colonization is a complex ecological phenomenon that remains understudied in the context of the human gut. Antibiotic resistance is one among many adaptative strategies that impact long-term colonization. Here we review and synthesize evidence of how bacterial competition and differential fitness in the context of the gut present opportunities to improve mechanistic understanding of colonization resistance, therapeutic development, patient care, and ultimately public health.https://www.tandfonline.com/doi/10.1080/19490976.2025.2488046Antibiotic resistancefecal microbiota transplantationmicrobiotamicrobiomebacterial competitionquorum sensing
spellingShingle Danielle Barrios Steed
Dylan Koundakjian
Anthony D. Harris
Adriana E Rosato
Konstantinos T Konstantinidis
Michael H Woodworth
Leveraging strain competition to address antimicrobial resistance with microbiota therapies
Gut Microbes
Antibiotic resistance
fecal microbiota transplantation
microbiota
microbiome
bacterial competition
quorum sensing
title Leveraging strain competition to address antimicrobial resistance with microbiota therapies
title_full Leveraging strain competition to address antimicrobial resistance with microbiota therapies
title_fullStr Leveraging strain competition to address antimicrobial resistance with microbiota therapies
title_full_unstemmed Leveraging strain competition to address antimicrobial resistance with microbiota therapies
title_short Leveraging strain competition to address antimicrobial resistance with microbiota therapies
title_sort leveraging strain competition to address antimicrobial resistance with microbiota therapies
topic Antibiotic resistance
fecal microbiota transplantation
microbiota
microbiome
bacterial competition
quorum sensing
url https://www.tandfonline.com/doi/10.1080/19490976.2025.2488046
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