Concepts de base
Gut commensal bacteria suppress colonization by harmful pathogens like Klebsiella pneumoniae through nutrient depletion.
Résumé
The article discusses how the gut microbiota, the community of microbes living in the intestines, plays a crucial role in maintaining colonization resistance against harmful bacterial invaders. When the diversity of the gut microbiota is compromised, often due to antibiotic treatment, it can enable the proliferation of potentially pathogenic species like Klebsiella pneumoniae and other Enterobacteriaceae.
The key insights are:
- Membership in the gut microbiota is highly exclusive, with new arrivals typically rejected through a process called colonization resistance.
- Loss of microbiotal diversity, usually caused by antibiotics, weakens colonization resistance and allows harmful bacteria to invade the gut and reach high densities.
- The study by Furuichi et al. reveals how certain commensal bacteria normally present in the gut can suppress the colonization of K. pneumoniae by depriving it of essential nutrients.
- Re-establishing a diverse and healthy gut microbiome is an important clinical goal to restore colonization resistance and prevent the overgrowth of harmful pathogens.
Stats
Antibiotic treatment can compromise microbiotal diversity and enable potentially harmful species like Klebsiella pneumoniae to invade the gut and reach high densities.
Citations
"Loss of microbiotal diversity, commonly the result of antibiotic treatment, compromises colonization resistance and enables potentially harmful species, such as the bacterial pathogen Klebsiella pneumoniae and other species belonging to the Enterobacteriaceae family, to invade the gut and reach high densities."
"Re-establishing colonization resistance is therefore an important clinical goal."