Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Colonization resistance tipping points

Karita, Y. et al.

2022

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Summary

This paper, published in PNAS (2022), investigates the concept of tipping points in gut microbiome colonisation resistance — the point at which a microbial community transitions from a state capable of excluding invading organisms to one that cannot. The study likely applies ecological theory (e.g. bistability or regime shifts) to gut microbiome dynamics, identifying conditions such as antibiotic perturbation or dietary shifts that push communities past critical thresholds. The findings carry implications for understanding susceptibility to enteric pathogens and Clostridioides difficile infection in clinical and community settings.

UK applicability

Although the study is not UK-specific, the findings are broadly applicable to UK clinical practice, particularly in the context of antibiotic stewardship, hospital-acquired infections, and gut health policy. UK health bodies such as NICE and UKHSA may find the tipping point framework relevant to infection prevention guidelines.

Key measures

Colonisation resistance indices; microbiome community composition; species abundance thresholds; pathogen establishment rates

Outcomes reported

The study likely examined the conditions under which the gut microbiome loses its ability to resist colonisation by pathogens or invading species, identifying critical thresholds or tipping points beyond which colonisation resistance fails. Key outcomes probably include microbiome compositional shifts, resilience metrics, and the dynamics of pathogen establishment.

Theme
Nutrition & health
Subject
Gut microbiome & infectious disease
Study type
Research
Study design
Computational modelling or experimental microbiome study, likely combining mathematical modelling with empirical microbiome data
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
Catalogue ID
XL0310

Topic tags

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