Evidence map›Paper›PMID 42332064›Full record

ReviewNature microbiology2026

Modelling the role of the microbiome in antimicrobial resistance across scales.

Lisa Pagani, Ricardo León-Sampedro, Massimo Amicone, Burcu Tepekule, Christopher Witzany, Silvio D Brugger, Marjon G J de Vos, Sara Mitri, Erik Bakkeren, Michael J Bottery and 7 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Lisa Pagani *Department of Environmental Systems Sciences, ETH Zurich, Zurich, Switzerland. lisa.pagani@env.ethz.ch.ORCID http://orcid.org/0009-0007-5475-9791
Ricardo León-Sampedro *Department of Environmental Systems Sciences, ETH Zurich, Zurich, Switzerland. ricardoleonsampedro@gmail.com.ORCID http://orcid.org/0000-0001-5317-8310
Massimo AmiconeDepartment of Fundamental Microbiology, University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-2221-606X
Burcu TepekuleDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.
Christopher WitzanyDepartment of Environmental Systems Sciences, ETH Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-7128-6419
Silvio D BruggerDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-9492-9088
Marjon G J de VosGELIFES, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0003-0601-908X
Sara MitriDepartment of Fundamental Microbiology, University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-3930-5357
Erik BakkerenSir William Dunn School of Pathology, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-7970-7890
Michael J BotteryDivision of Evolution, Infection and Genomics, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0001-5790-1756
Lulla OpatowskiInstitut Pasteur, Université Paris Cité, Epidemiology and Modelling of Bacterial Escape to Antimicrobials (EMEA), Paris, France.
Gabriel E LeventhalPharmaBiome AG, Schlieren, Switzerland.ORCID http://orcid.org/0000-0002-4463-166X
Karoline FaustDepartment of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, Laboratory of Molecular Bacteriology, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-7129-2803
Lucas BöttcherDepartment of Computational Science and Philosophy, Frankfurt School of Finance and Management, Frankfurt am Main, Germany.
Sonja LehtinenDepartment of Computational Biology, University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-4236-828X
Roger D KouyosDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-9220-8348
Sebastian BonhoefferDepartment of Environmental Systems Sciences, ETH Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-8052-3925

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 211422Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 51NF40_180575Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) PCEGP3_181272
6 · The paper itself

Abstract

The microbiome actively influences antimicrobial resistance (AMR) dynamics by shaping both ecological and evolutionary processes. However, the extent of its role in resistance emergence, transmission and persistence remains unclear. Traditional AMR research has mainly focused on genetic mechanisms and pathogen-level dynamics. In contrast, the intersection of AMR and the microbiome, including resistance-gene reservoirs, microbial competition and community-mediated selection, remains poorly represented, especially in a modelling context. Here we present a structured framework for incorporating microbiome-AMR interactions into predictive models. We identify key microbiome-mediated processes shaping AMR across different levels of complexity, describe how these can be quantitatively integrated into models, and identify critical data gaps that limit current approaches. By bridging microbiome ecology, AMR biology and mathematical modelling, we set out research priorities and strategies to improve resistance prediction and guide microbiome-targeted interventions.

Indexed as

Anti-Bacterial AgentsBacteriaDrug Resistance, BacterialMicrobiotaAnimalsHumansModels, BiologicalModels, TheoreticalAnti-Bacterial Agents

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.