2017
DOI: 10.1073/pnas.1713372114
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Interaction networks, ecological stability, and collective antibiotic tolerance in polymicrobial infections

Abstract: Polymicrobial infections constitute small ecosystems that accommodate several bacterial species. Commonly, these bacteria are investigated in isolation. However, it is unknown to what extent the isolates interact and whether their interactions alter bacterial growth and ecosystem resilience in the presence and absence of antibiotics. We quantified the complete ecological interaction network for 72 bacterial isolates collected from 23 individuals diagnosed with polymicrobial urinary tract infections and found t… Show more

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Cited by 158 publications
(236 citation statements)
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“…Furthermore, there are increasing reports of isolates producing extended-spectrum β-lactamases (ESBL) and carbapenemases (25–29), which threatens the utility of last-resort antibiotics and increases the mortality rate for P. mirabilis infection (3032). P. mirabilis also acts as a “hub” species in catheterized nursing home residents, promoting colonization by additional multidrug resistance organisms (33) and providing protection from antibiotic treatment (34). Furthermore, P. mirabilis produces a potent urease enzyme that hydrolyzes the urea in urine to carbon dioxide and ammonia, thereby increasing urine pH and facilitating the precipitation of polyvalent ions and resulting in struvite crystals, catheter encrustation, blockage, and formation of urinary stones (urolithiasis) (3537).…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, there are increasing reports of isolates producing extended-spectrum β-lactamases (ESBL) and carbapenemases (25–29), which threatens the utility of last-resort antibiotics and increases the mortality rate for P. mirabilis infection (3032). P. mirabilis also acts as a “hub” species in catheterized nursing home residents, promoting colonization by additional multidrug resistance organisms (33) and providing protection from antibiotic treatment (34). Furthermore, P. mirabilis produces a potent urease enzyme that hydrolyzes the urea in urine to carbon dioxide and ammonia, thereby increasing urine pH and facilitating the precipitation of polyvalent ions and resulting in struvite crystals, catheter encrustation, blockage, and formation of urinary stones (urolithiasis) (3537).…”
Section: Introductionmentioning
confidence: 99%
“…Mono-and bi-cultures are increasingly carried out in batch in a high-throughput fashion to determine ecological interactions and to quantify their strengths (de Vos et al, 2017, Sher, Thompson et al, 2011. Such systematic quantification is an important step forward, but there are challenges to tackle.…”
Section: Discussionmentioning
confidence: 99%
“…Since Gause's early work on competition between yeast and Paramecium species (Gause, 1932, Gause, 1934, growth rates in mono-and bi-culture experiments have been compared to determine ecological interactions (e.g. (de Vos, Zagorski et al, 2017, Freilich, Zarecki et al, 2011, Wang, Wei et al, 2017). The rationale is that growth rates in bi-culture should increase for mutualistic organisms as compared to mono-culture growth rates, whereas bi-culture growth rates should decrease for competitors.…”
Section: Comparison Of Mono-and Co-culture Data Suggests Ecological Imentioning
confidence: 99%
“…In particular for microbial ecosystems, recent advances in automatising experiments have made it feasible to determine interaction parameters for richer ecosystems [15, 17–19], to quantify the interaction between two populations with more than one parameter [15], or to measure higher-order interactions [14, 20]. These new experimental scenarios often demand new models that can incorporate the respective data, in particular as there is no single answer as to how multiparameter or higher-order interactions should be measured [2, 6, 15, 18, 21].…”
Section: Introductionmentioning
confidence: 99%
“…This difference cannot be explained by numerical noise and sensitivity to initial conditions, as demonstrated by simulations with perturbed initial conditions (dotted lines) exhibiting a much smaller difference. This model was taken from a study [15] that featured communities containing two strains of the same species; therefore the case of populations with very similar properties is relevant here.…”
Section: Introductionmentioning
confidence: 99%