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A history of repeated antibiotic usage leads to microbiota-dependent mucus defects
Estonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia.
Umeå University, Faculty of Medicine, Molecular Infection Medicine Sweden (MIMS). Umeå University, Faculty of Medicine, Umeå Centre for Microbial Research (UCMR). Umeå University, Faculty of Medicine, Department of Molecular Biology (Faculty of Medicine).ORCID iD: 0000-0002-7686-6279
Umeå University, Faculty of Medicine, Molecular Infection Medicine Sweden (MIMS). Umeå University, Faculty of Medicine, Umeå Centre for Microbial Research (UCMR). Umeå University, Faculty of Medicine, Department of Molecular Biology (Faculty of Medicine).ORCID iD: 0000-0003-3766-5391
Estonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia.
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2024 (English)In: Gut microbes, ISSN 1949-0976, E-ISSN 1949-0984, Vol. 16, no 1, article id 2377570Article in journal (Refereed) Published
Abstract [en]

Recent evidence indicates that repeated antibiotic usage lowers microbial diversity and ultimately changes the gut microbiota community. However, the physiological effects of repeated–but not recent–antibiotic usage on microbiota-mediated mucosal barrier function are largely unknown. By selecting human individuals from the deeply phenotyped Estonian Microbiome Cohort (EstMB), we here utilized human-to-mouse fecal microbiota transplantation to explore long-term impacts of repeated antibiotic use on intestinal mucus function. While a healthy mucus layer protects the intestinal epithelium against infection and inflammation, using ex vivo mucus function analyses of viable colonic tissue explants, we show that microbiota from humans with a history of repeated antibiotic use causes reduced mucus growth rate and increased mucus penetrability compared to healthy controls in the transplanted mice. Moreover, shotgun metagenomic sequencing identified a significantly altered microbiota composition in the antibiotic-shaped microbial community, with known mucus-utilizing bacteria, including Akkermansia muciniphila and Bacteroides fragilis, dominating in the gut. The altered microbiota composition was further characterized by a distinct metabolite profile, which may be caused by differential mucus degradation capacity. Consequently, our proof-of-concept study suggests that long-term antibiotic use in humans can result in an altered microbial community that has reduced capacity to maintain proper mucus function in the gut.

Place, publisher, year, edition, pages
Taylor & Francis, 2024. Vol. 16, no 1, article id 2377570
Keywords [en]
Akkermansia, Antibiotics, colonic mucosa, fecal microbiota transplantation, gut microbiome, intestinal barrier, mucus, short-chain fatty acids
National Category
Cell and Molecular Biology
Identifiers
URN: urn:nbn:se:umu:diva-228198DOI: 10.1080/19490976.2024.2377570ISI: 001274077900001PubMedID: 39034613Scopus ID: 2-s2.0-85199183175OAI: oai:DiVA.org:umu-228198DiVA, id: diva2:1886949
Funder
Swedish Research Council, 2018-02095Swedish Research Council, 2021-06602EU, Horizon 2020, 810645European Regional Development Fund (ERDF), MOBEC008Available from: 2024-08-05 Created: 2024-08-05 Last updated: 2026-05-10Bibliographically approved
In thesis
1. Environmental influences on gut microbiota composition and colonic mucus barrier function
Open this publication in new window or tab >>Environmental influences on gut microbiota composition and colonic mucus barrier function
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Miljöfaktorers påverkan på tarmmikrobiotans sammansättning och kolons slembarriärfunktion
Abstract [en]

Environmental factors, such as antibiotics and diet, have a profound influence on the composition and function of the gut microbiota. While antibiotics consistently disrupt microbial communities, dietary influences are more variable, with some nutrient compositions promoting beneficial microbial activity while others drive dysbiosis. Yet, the subsequent microbiota-mediated effects on mucus function remain incompletely characterised. The colonic mucus layer forms a critical barrier between the gut microbiota and the intestinal epithelium, protecting against infection and inflammation. However, changes in the gut environment can shift microbial metabolism toward degradation of mucin O-glycans, compromising this barrier. To investigate how environmentally-shaped microbiota influence mucus function, human-to-mouse faecal microbiota transplantation (FMT) and ex-vivo mucus function analyses were used throughout this thesis. 

Antibiotics are known to markedly disrupt the gut microbiota, with repeated exposure linked to reduced microbial diversity. However, the consequences for mucus barrier function have remained unclear. To address this, microbiota from individuals with a history of repeated antibiotic exposure were transplanted into microbiota-depleted mice. Recipient mice exhibited significantly reduced mucus growth rate and increased mucus penetrability relative to controls. These functional changes were accompanied by enrichment of known mucin utilisers, including Akkermansia muciniphila and Bacteroides fragilis, together with a distinct metabolite profile. These findings demonstrate that long-term repeated antibiotic exposure can substantially shift microbial composition and function, with direct consequences for mucus barrier integrity. 

Dietary fibre availability shapes bacterial metabolism, with fibre fermentation supporting short-chain fatty acid (SCFA)-mediated mucus barrier function and fibre deficiency promoting mucin degradation. While the effects of the Western-style diets (WSDs) are well described, the consequences of low-carbohydrate diets (LCDs), which are also typically low in fibre, remain unclear. To address this, mice were fed a LCD or transplanted with LCD-shaped human microbiota, resulting in reduced mucus growth rate but unchanged mucus penetrability compared to controls. This indicates that LCD-associated microbiota alter mucus dynamics without fully compromising barrier function, illustrating that not all low-fibre diets exert equally detrimental effects.

Finally, to examine the microbiota-mediated benefits of fibre, FMT experiments were performed using microbiota from individuals who increased their fibre intake for three months. Despite consuming a low-fibre diet, mice receiving the high fibre-shaped human microbiota maintained mucus growth rates comparable to chow-fed controls and exhibited reduced pathogen burden in an intestinal infection model. Both human and mouse microbiota showed increased abundance of Blautia associated with fibre supplementation, and Blautia coccoides was identified as a key species promoting mucus growth through secretion of SCFAs. Functional profiling further revealed an enhanced capacity for dietary fibre degradation relative to mucin-glycans, illustrating how fibre shapes a microbiota capable of preserving mucus barrier integrity. Together, these findings demonstrate a microbiota-mediated protective effect against the otherwise harmful effects of a WSD.

Overall, this thesis advances understanding of how environmental pressures shape microbial communities and thereby influence colonic mucus barrier function. These insights provide a foundation for future mechanistic studies of microbiota–mucus interactions and highlight opportunities to leverage diet and microbial therapeutics to strengthen mucus barrier integrity.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2026. p. 85
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 2428
Keywords
mucus layer, microbiota, diet, fibre, antibiotics, FMT
National Category
Molecular Biology
Research subject
Molecular Biology
Identifiers
urn:nbn:se:umu:diva-252999 (URN)978-91-6850-050-8 (ISBN)978-91-6850-051-5 (ISBN)
Public defence
2026-06-03, Hörsal NAT.D.360, Naturvetarhuset, Umeå University, Umeå, 09:00 (English)
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Link to participate via Zoom: https://umu.zoom.us/j/61635829011

Available from: 2026-05-13 Created: 2026-05-10 Last updated: 2026-05-13Bibliographically approved

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Feeney, Rachel H.Wongkuna, SupapitHolmberg, SandraPuértolas Balint, FabiolaSchröder, Björn O.

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Feeney, Rachel H.Wongkuna, SupapitHolmberg, SandraPuértolas Balint, FabiolaSchröder, Björn O.
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Molecular Infection Medicine Sweden (MIMS)Umeå Centre for Microbial Research (UCMR)Department of Molecular Biology (Faculty of Medicine)
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