Abstract
The discovery of antibiotics became a breakthrough in modern medicine as a treatment for what used to be fatal diseases. Nevertheless, years after its development, overuse and misuse of antibiotics have caused long- and short-term effects on individuals. Mainly, the results of antibiotics occur through interactions with the gut microbiome, a central organ with crucial functions involved in an organism’s well-being through biochemical mechanisms. As microorganisms in the gut microbiome undergo exposure to antibiotics, disbalance occurs and gives rise to infections and gastrointestinal issues. A dangerous yet common consequence of gastrointestinal problems is obesity, which has become an epidemic in the United States of America. Obesity affects the homeostasis of the gut microbiota by both diet and antibiotic-induced microbial disbalance. Due to the adverse effects of the incorrect practice of antibiotic therapy, alternatives have been proposed. These include probiotics, phage therapy, fecal transplants, which reduce the impact of aggressive antimicrobials towards the microbes in the gut. It is imperative to find alternative ways and apply them to medical practices to restrict antibiotic associated dysbiosis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adedeji, W. A. (2016). The treasure called antibiotics. Annals of Ibadan Postgraduate Medicine, 14(2), 56.
Allen, N. E., & Nicas, T. I. (2003). Mechanism of action of oritavancin and related glycopeptide antibiotics. FEMS Microbiology Reviews, 26(5), 511–532. https://doi.org/10.1111/j.1574-6976.2003.tb00628.x.
Andrade, M. J., Jayaprakash, C., Bhat, S., Evangelatos, N., Brand, A., & Satyamoorthy, K. (2017). Antibiotics-induced obesity: A mitochondrial perspective. Public Health Genomics, 20(5), 257–273. https://doi.org/10.1159/000485095.
Arslan, E., Atılgan, H., & Yavaşoğlu, İ. (2009). The prevalence of Helicobacter pylori in obese subjects. European Journal of Internal Medicine, 20(7), 695–697.
Azad, M. B., Bridgman, S. L., Becker, A. B., & Kozyrskyj, A. L. (2014). Infant antibiotic exposure and the development of childhood overweight and central adiposity. International Journal of Obesity, 38(10), 1290.
Azuma, T., Suto, H., Ito, Y., Ohtani, M., Dojo, M., Kuriyama, M., & Kato, T. (2001). Gastric leptin and Helicobacter pyloriinfection. Gut, 49(3), 324–329.
Bäckhed, F., Ding, H., Wang, T., Hooper, L. V., Koh, G. Y., Nagy, A., et al. (2004). The gut microbiota as an environmental factor that regulates fat storage. Proceedings of the National Academy of Sciences, 101(44), 15718–15723. https://doi.org/10.1073/pnas.0407076101.
Bäckhed, F., Ley, R. E., Sonnenburg, J. L., Peterson, D. A., & Gordon, J. I. (2005). Host bacterial mutualism in the human intestine. Science, 307(5717), 1915–1920. https://doi.org/10.1126/science.1104816.
Belizário, J. E., & Faintuch, J. (2018). Microbiome and gut dysbiosis. Experientia Supplementum Metabolic Interaction in Infection, 459–476. https://doi.org/10.1007/978-3-319-74932-7_13.
Belkaid, Y., & Hand, T. W. (2014). Role of the microbiota in immunity and inflammation. Cell, 157(1), 121–141.
Blair, J. M., Richmond, G. E., & Piddock, L. J. (2014). Multidrug efflux pumps in Gram-negative bacteria and their role in antibiotic resistance. Future Microbiology, 9(10), 1165–1117. https://doi.org/10.2217/fmb.14.66.
Blaser, M. J. (1997). Ecology of Helicobacter pylori in the human stomach. The Journal of Clinical Investigation, 100(4), 759–762.
Block, J. P., Bailey, L. C., Gillman, M. W., Lunsford, D., Daley, M. F., Eneli, I., et al. (2018). Early antibiotic exposure and weight outcomes in young children. Pediatrics, 142(6). Retrieved from: http://pediatrics.aappublications.org/content/142/6/e20180290.long#ref-3.
Bodinham, C. L., Smith, L., Wright, J., Frost, G. S., & Robertson, M. D. (2012). Dietary fibre improves first-phase insulin secretion in overweight individuals. PLoS One, 7(7), e40834. https://doi.org/10.1371/journal.pone.0040834.
Bonder, M. J., Kurilshikov, A., Tigchelaar, E. F., Mujagic, Z., Imhann, F., Vila, A. V., et al. (2016). The effect of host genetics on the gut microbiome. Nature Genetics, 48(11), 1407–1412.
Bozdogan, B., & Appelbaum, P. C. (2004). Oxazolidinones: activity, mode of action, and mechanism of resistance. International Journal of Antimicrobial Agents, 23(2), 113–119. https://doi.org/10.1016/j.ijantimicag.2003.11.003.
Champney, W. S., & Miller, M. (2002). Linezolid is a specific inhibitor of 50S ribosomal subunit formation in Staphylococcus aureus cells. Current Microbiology, 44, 350–356. https://doi.org/10.1007/s00284-001-0023-7.
Cherayil, B. J. (2011). The role of iron in the immune response to bacterial infection. Immunologic Research, 50(1), 1–9. https://doi.org/10.1007/s12026-010-8199-1.
Chopra, I., Hawkey, P. M., & Hinton, M. (1992). Tetracyclines, molecular and clinical aspects. Journal of Antimicrobial Chemotherapy, 29(3), 245–277. https://doi.org/10.1093/jac/29.3.245.
Conlon, M. A., & Bird, A. R. (2015). The impact of diet and lifestyle on gut microbiota and human health. Nutrients, 7, 17–44.
Centers for Disease Control and Prevention and Centers for Disease Control and Prevention (2017). Outpatient antibiotic prescriptions—United States, 2014. Dentistry, 24, p. 203.
Davies, J., & Davies, D. (2010). Origins and evolution of antibiotic resistance. American Society for Microbiology Journals, 74(3), 417–433. https://doi.org/10.1128/MMBR.00016-10.
Dinos, G. P., Athanassopoulos, C. M., Missiri, D. A., Giannopoulou, P. C., Vlachogiannis, I. A., Papadopoulos, G. E., & Papaioannou, D. (2016). Chloramphenicol derivatives as antibacterial and anticancer agents: Historic problems and current solutions. Antibiotics, 5(2), 20. https://doi.org/10.3390/antibiotics5020020.
Durkin, M. J., Jafarzadeh, S. R., Hsueh, K., Sallah, Y. H., Munshi, K. D., Henderson, R. R., & Fraser, V. J. (2018). Outpatient antibiotic prescription trends in the United States: A national cohort study. Infection Control & Hospital Epidemiology, 39(5), 584–589.
Fabrega, A., Madurga, S., Giralt, E., & Vila, J. (2008). Mechanism of action of and resistance to quinolones. Microbial Technology, 2(1), 40–61. https://doi.org/10.1111/j.1751-7915.2008.00063.x.
Foti, J. J., Devadoss, B., Winkler, J. A., Collins, J. J., & Walker, G. C. (2012). Oxidation of the guanine nucleotide pool underlies cell death by bactericidal antibiotics. Science, 336(6079), 315–319. https://doi.org/10.1126/science.1219192.
Francino, M. P. (2016). Antibiotics and the human gut microbiome: Dysbioses and accumulation of resistances. Frontiers Microbiology. https://doi.org/10.3389/fmicb.2015.01543.
Fyfe, C., Grossman, T. H., Kerstein, K., & Sutcliffe, J. (2016). Resistance to macrolide antibiotics in public health pathogens. Cold Spring Harbor Perspective in Medicine, 6(10). https://doi.org/10.1101/cshperspect.a025395.
Gad El-Hak, H. N., Moustafa, A. A., & Mansour, S. R. (2018). The gut microbiome - implications for human disease. Advanced Research in Gastroenterology and Hepatology, 10(3). https://doi.org/10.5772/61423.
Gagliardi, A., Totino, V., Cacciotti, F., Iebba, V., Neroni, B., Bonfiglio, G., et al. (2018). Rebuilding the gut microbiota ecosystem. International Journal of Environmental Research and Public Health, 15(8), 1679.
Garneau-Tsodikova, S., & Labby, K. (2015). Mechanisms of resistance to aminoglycoside antibiotics: Overview and perspectives. Medchemcomm, 7(1), 11–27. https://doi.org/10.1039/C5MD00344J.
Hancock, R. E. (2005). Mechanisms of action of newer antibiotics for Gram-positive pathogens. The Lancet Infectious Diseases, 5(4), 209–218. https://doi.org/10.1016/S1473-3099(05)70051-7.
Hayashi, M., Bizerra, F., & Da Silva, P. (2013). Antimicrobial compounds from natural sources. Frontiers in Microbiology, 4, 195. https://doi.org/10.3389/fmicb.2013.00195.
Heesemann, J. (1993). Mechanisms of resistance to beta-lactam antibiotics. Infection, 21(1), 4–9. https://doi.org/10.1007/BF01710336.
Henson, M. A., & Phalak, P. (2017). Microbiota dysbiosis in inflammatory bowel diseases: in silico investigation of the oxygen hypothesis. BMC Systems Biology, 11(1), 145. https://doi.org/10.1186/s12918-017-0522-1.
Iwu, M. M., Duncan, A. R., Okunji, C. O. (1999). New antimicrobials of plant origin. Perspectives on new crops and new uses. 457–462. https://hort.purdue.edu/newcrop/proceedings1999/pdf/v4-457.pdf.
Jacoby, G. A. (2005). Mechanisms of resistance to quinolones. Clinical Infectious Diseases, 41(2), S120–S126. https://doi.org/10.1086/428052.
Jakobsson, H. E., Jernberg, C., Andersson, A. F., Sjölund-Karlsson, M., Jansson, J. K., & Engstrand, L. (2010). Short-term antibiotic treatment has differing long-term impacts on the human throat and gut microbiome. PLoS One, 5(3), e9836.
Jenkinson, H. F., & Douglas, L. J. (2002). Interactions between Candida species and bacteria in mixed infections. https://www.ncbi.nlm.nih.gov/books/NBK2486/.
Jernberg, C., Lofmark, S., Edlund, C., & Jansson, J. K. (2007). Long-term ecological impacts of antibiotic administration on the human intestinal microbiota. The ISME Journal, 1(1), 56–66. https://doi.org/10.1038/ismej.2007.3.
Kanoh, S., & Rubin, B. (2010a). The mechanism of action of aminoglycosides. Clinical Microbial Reviews, 23(3), 590–615. https://doi.org/10.1128/CMR.00078-09.
Kanoh, S., & Rubin, B. K. (2010b). Mechanisms of action and clinical application of macrolides as immunomodulatory medications. Clinical Microbiology Reviews, 23(3), 590–615. https://doi.org/10.1128/CMR.00078-09.
Kappelman, M. D., Moore, K. R., Allen, J. K., & Cook, S. F. (2012). Recent trends in the prevalence of Crohn’s disease and ulcerative colitis in a commercially insured US population. Digestive Diseases and Sciences, 58(2), 519–525. https://doi.org/10.1007/s10620-012-2371-5.
Kohanski, M. A., Dawyer, D. J., Hayete, B., Lawrence, C. A., & Collins, J. J. (2007). A common mechanism of cellular death induced by bactericidal antibiotics. Cell, 130(5), 797–810. https://doi.org/10.1016/j.cell.2007.06.049.
Kohanski, M. A., Dawyer, D. J., & Collins, J. J. (2010a). How antibiotics kill bacteria: from targets to networks. Nature Reviews Microbiology, 8(6), 423–435. https://doi.org/10.1038/nrmicro2333.
Kohanski, M. A., DePristo, M. A., & Collins, J. J. (2010b). Sublethal antibiotic treatment leads to multidrug resistance via radical-induced mutagenesis. Molecular Cell, 37(2), 311–320. https://doi.org/10.1016/j.molcel.2010.01.003.
Koskinen, K., Pausan, M. R., Perras, A. K., Beck, M., Bang, C., Mora, M., et al. (2017). First insights into the diverse human archaeome: specific detection of archaea in the gastrointestinal tract, lung, and nose and on skin. MBio, 8(6), e00824–e00817.
Kotra, L., Haddad, J., & Mobashery, S. (2000). Aminoglycosides: Perspectives on mechanisms of action and resistance and strategies to counter resistance. Antimicrobial Agents and Chemotherapy, 44(12), 3249–3256. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC90188/.
Kourkouta, L., Kotsiftopoulos, C. H., Papageorgiou, M., Iliadis, C. D., & Monios, A. (2017). The rational use of antibiotic medicine. Journal of Healthcare Communications. https://doi.org/10.4172/2472-1654.100076.
Krulwich, T. A., Sachs, G., & Padan, E. (2011). Molecular aspects of bacterial pH sensing and homeostasis. Nature Reviews. Microbiology, 9(5), 330–343. https://doi.org/10.1038/nrmicro2549.
Kümmerer, K. (2009). Antibiotics in the aquatic environment – A review – Part I. Chemosphere, 75(4), 417–434. https://doi.org/10.1016/j.chemosphere.2008.11.086.
Langdon, A., Crook, N., & Dantas, G. (2016). The effects of antibiotics on the microbiome throughout development and alternative approaches for therapeutic modulation. Genome Medicine, 8(1), 39. Retrieved from: https://genomemedicine.biomedcentral.com/articles/10.1186/s13073-016-0294-z.
Lange, K., Buerger, M., Stallmach, A., & Bruns, T. (2016). Effects of antibiotics on gut microbiota. Digestive Diseases, 34(3), 260–268.
Leclercq, R., & Courvalin, P. (1998). Streptogramins: An answer to antibiotic resistance in gram-positive bacteria. The Lancet, 352(9128), 591–592. https://doi.org/10.1016/S0140-6736(05)79570-2.
Leekha, S., Terrell, C. L., & Edson, R. S. (2011). General principles of antimicrobial therapy. Mayo Clinic Proceedings, 86(2), 156–167. https://doi.org/10.4065/mcp.2010.0639.
Ley, R. E., Bäckhard, F., Lozupone, C. A., Knight, R. D., & Gordon, J. I. (2005). Obesity alters gut microbial ecology. PNAS, 102(31), 11070–11075. https://doi.org/10.1073/pnas.0504978102.
Locke, G. R., III, Yawn, B. P., Wollan, P. C., Melton, L. J., III, Lydick, E., & Talley, N. J. (2004). Incidence of a clinical diagnosis of the irritable bowel syndrome in a United States population. Alimentary Pharmacology & Therapeutics, 19(9), 1025–1031.
Manichanh, C., Rigottier-Gois, L., Bonnaud, E., Gloux, K., Pelletier, E., Frangeul, L., et al. (2006). Reduced diversity of faecal microbiota in Crohn’s disease revealed by a metagenomic approach. Gut, 55(2), 205–211. https://gut.bmj.com/content/55/2/205.short.
Marnila, P., & Korhonen, H. (2009). Lactoferrin for human health. Dairy-derived ingredients. Food and Nutraceutical Uses, 290–307. https://doi.org/10.1533/9781845697198.2.290.
Martin, A. M., Sun, E. W., Rogers, G. B., & Keating, D. J. (2019). The influence of the gut microbiome on host metabolism through the regulation of gut hormone release. Frontiers in Physiology, 10, 428.
Masson, P. L., Heremans, J. F., & Schonne, E. (1969). Lactoferrin, an iron-binding protein Ni neutrophilic leukocyte. Journal of Experimental Medicine, 130(3), 643–658. https://doi.org/10.1084/jem.130.3.643.
McGowan, J. E., Jr. (1983). Antimicrobial resistance in hospital organisms and its relation to antibiotic use. Reviews of Infectious Diseases, 5(6), 1033–1048.
Mishra, S. (2013). Is Helicobacter pylori good or bad? European Journal of Clinical Microbiology & Infectious Diseases, 32(3), 301–304. https://doi.org/10.1007/s10096-012-1773-9.
Monteagudo-chu, M. O., & Shaeshaa, N. (2017). Duration of antibiotic therapy: General principles. https://www.pharmacytimes.com/publications/health-system-edition/2017/july2017/duration-of-antibiotic-therapy-general-principles
Munita, J. M., & Arias, C. A. (2016). Mechanisms of antibiotic resistance. Microbiology Spectrum, 4(2). https://doi.org/10.1128/microbiolspec.VMBF-0016-2015.
Ni Lochlainn, M., Bowyer, R. C., & Steves, C. J. (2018). Dietary protein and muscle in aging people: the potential role of the gut microbiome. Nutrients, 10(7), 929.
Panda, S., El khader, I., Casellas, F., López Vivancos, J., García Cors, M., Santiago, A., et al. (2014). Short-term effect of antibiotics on human gut microbiota. PLoS One, 9, e95476.
Pankey, G. A., & Sabath, L. D. (2004). Clinical relevance of bacteriostatic versus bactericidal mechanisms of action in the treatment of gram-positive bacterial infections. Clinical Infectious Diseases, 38(6), 870–864. https://doi.org/10.1086/381972.
Parrow, N. L., Fleming, R. E., & Minnick, M. F. (2013). Sequestration and scavenging of iron in infection. Infection and Immunity, 81(10), 3503–3514. https://doi.org/10.1128/IAI.00602-13.
Pecheré, J. C. (2001). Patients’ interviews and misuse of antibiotics. Clinical Infectious Diseases, 33(3), 5170–5173.
Petersen, C., & Round, J. L. (2014). Defining dysbiosis and its influence on host immunity and disease. Cellular Microbiology, 16(7), 1024–1033. https://doi.org/10.1111/cmi.12308.
Pew. (2019). Tracking the global pipeline of antibiotics in development. The Pew Charitable Trust.
Pichichero, M. E. (1999). Understanding antibiotic overuse for respiratory tract infections in children. Pediatrics, 104(6), 1384–1388.
Rigottier-Gois, L. (2013). Dysbiosis in inflammatory bowel diseases: the oxygen hypothesis. The ISME Journal, 7(7), 1256–1261. https://doi.org/10.1038/ismej.2013.80.
Rosa, L., Cutone, A., Lepanto, M. S., Paesano, R., & Valenti, P. (2017). Lactoferrin: A natural glycoprotein involved in iron and inflammatory homeostasis. International Journal of Molecular Sciences, 18(9), 1985. https://doi.org/10.3390/ijms18091985.
Shao, X., Ding, X., Wang, B., Li, L., An, X., Yao, Q., Song, R., & Zhang, J. (2018). Antibiotic exposure in early life increases risk of childhood obesity: A systematic review and meta-analysis. In Yearbook of pediatric endocrinology. https://doi.org/10.1530/ey.15.15.4.
Speer, B. S., Shoemaker, N. B., & Salyers, A. A. (1992). Bacterial resistance to tetracycline: mechanisms, transfer, and clinical significance. Clinical Microbiology Reviews, 5(4), 387–399. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC358256/?page=1.
Steenbergen, J. N., Alder, J., Thorne, G. M., & Tally, F. P. (2005). Daptomycin: a lipopeptide antibiotic for the treatment of serious Gram-positive infections. Journal of Antimicrobial Chemotherapy, 55(3), 283–288. https://doi.org/10.1093/jac/dkh546.
Tačić, A., Nikolić, V., Nikolić, L., & Savić, I. (2017). Antimicrobial sulfonamides drugs. Advanced Technologies, 6(1), 58–71. Retrieved from http://www.tf.ni.ac.rs/casopis-arhiva/sveska6vol1/c8.pdf.
Theriot, C. M., Koenigsknecht, M. J., Carlson, P. E., Jr., Hatton, G. E., Nelson, A. M., Li, B., et al. (2014). Antibiotic-induced shifts in the mouse gut microbiome and metabolome increase susceptibility to Clostridium difficile infection. Nature Communications, 5, 3114.
Thorne, G. M., & Alder, J. (2002). Daptomycin: A novel lipopeptide antibiotic. Clinical Microbiology Newsletter, 24(5), 33–40. https://doi.org/10.1016/S0196-4399(02)80007-1.
Turnbaugh, P. J., Ley, R., Mahowald, M. A., Magrini, V., Mardis, E. R., & Gordon, J. I. (2006). An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 444, 1027–1031. https://www.nature.com/articles/nature05414.
Turnbaugh, P. J., Hamady, M., Yatsunenko, T., Cantarel, B. L., Duncan, A., Ley, R. E., et al. (2009). A core gut microbiome in obese and lean twins. Nature, 457(7228), 480.
Turta, O., & Rautava, S. (2016). Antibiotics, obesity and the link to microbes - what are we doing to our children? BMC Medicine, 14, 57. https://doi.org/10.1186/s12916-016-0605-7.
Vael, C., Verhulst, S. L., Nelen, V., Goossens, H., & Desager, K. N. (2011). Intestinal microflora and body mass index during the first three years of life: an observational study. Gut Pathogens, 3(1), 8.
Valenti, P., & Antonini, G. (2005). Lactoferrin. Cellular and Molecular Life Sciences, 62(22), 2576. https://doi.org/10.1007/s00018-005-5372-0.
Van Boeckel, T. P., Gandra, S., Ashok, A., Caudron, Q., Grenfell, B. T., Levin, S. A., & Laxminarayan, R. (2014). Global antibiotic consumption 2000 to 2010: An analysis of national pharmaceutical sales data. The Lancet Infectious Diseases, 14(8), 742–750. https://doi.org/10.1016/S1473-3099(14)70780-7.
Vangay, P., Ward, T., Gerber, J. S., & Knights, D. (2015). Antibiotics, pediatric dysbiosis, and disease. Cell Host & Microbe, 17(5), 553–564.
Wehril, W. (1983). Rifampin: mechanisms of action and resistance. Reviews of Infectious Diseases, 5(3), 407–411. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/6356275.
Williamson, R., Collatz, E., & Gutmann, L. (1986). Mechanisms of action of beta-lactam antibiotics and mechanisms of non-enzymatic resistance. Presse Médicale, 15(46). Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/2949269.
Windey, K., De Preter, V., & Verbeke, K. (2012). Relevance of protein fermentation to gut health. Molecular Nutrition & Food Research, 56(1), 184–196. https://doi.org/10.1002/mnfr.201100542.
Xiong, W., Abraham, P. E., Li, Z., Pan, C., & Hettich, R. L. (2015). Microbial metaproteomics for characterizing the range of metabolic functions and activities of human gut microbiota. Proteomics, 15(20), 3424–3438.
Yeung, E., Yong, E., & Wong, F. (2004). Renal dysfunction in cirrhosis: Diagnosis, treatment, and prevention. Medscape General Medicine, 6(4), 9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480573/.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Bonilla-Carrero, P.I., Mader, H., Meier, N., Olivas, I., Boyle, B., Bonilla-Carrero, P. (2020). Antibiotic Therapy and Its Effect on Gut Microbiome in Obesity and Weight Loss. In: Biswas, D., Rahaman, S.O. (eds) Gut Microbiome and Its Impact on Health and Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-47384-6_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-47384-6_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-47383-9
Online ISBN: 978-3-030-47384-6
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)