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2015 ; 69
(ä): 445-61
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Interactions Between the Gastrointestinal Microbiome and Clostridium difficile
#MMPMID26488281
Theriot CM
; Young VB
Annu Rev Microbiol
2015[]; 69
(ä): 445-61
PMID26488281
show ga
Antibiotics have significant and long-lasting effects on the intestinal
microbiota and consequently reduce colonization resistance against pathogens,
including Clostridium difficile. By altering the community structure of the gut
microbiome, antibiotics alter the intestinal metabolome, which includes both
host- and microbe-derived metabolites. The mechanisms by which antibiotics reduce
colonization resistance against C. difficile are unknown yet important for
development of preventative and therapeutic approaches against this pathogen.
This review focuses on how antibiotics alter the structure of the gut microbiota
and how this alters microbial metabolism in the intestine. Interactions between
gut microbial products and C. difficile spore germination, growth, and toxin
production are discussed. New bacterial therapies to restore changes in
bacteria-driven intestinal metabolism following antibiotics will have important
applications for treatment and prevention of C. difficile infection.