“…Antibiotics in general can indirectly impact host metabolism, immunity, the nervous system, and other key aspects of normal physiology through their influence on the diversity and function of microbial communities ( Clemente et al, 2012 ; Cryan et al, 2020 ; Rooks and Garrett, 2016 ; Tang et al, 2019 ). Cefoperazone has been well-studied in C57BL/6 J mice, where it decreases the abundance of bacterial taxa that numerically dominate the gut of untreated animals ( Firmicutes and Bacteroides ) ( Reeves et al, 2011 ); decreases the total bacterial load in the gut by ∼3 orders of magnitude ( Antonopoulos et al, 2009 ); significantly alters bile acid levels and composition ( Sun et al, 2020 ; Theriot et al, 2016 ); and opens niches for opportunistic pathogens like Clostridioides difficile ( Jenior et al, 2018 ) and Candida albicans ( Antonopoulos et al, 2009 ; Gutierrez et al, 2020 ). We hypothesized that the combination of gut microbiome perturbation and arsenic would be detrimental compared to mice treated with either antibiotic or arsenic alone, and while this was certainly the case, we did not necessarily expect to observe such interindividual variability in host response and outcome.…”