Metagenomics approach to predict antibiotic resistance genes in sputum samples of adult people with cystic fibrosis: a pilot study
Damage induced by lung infections in people with cystic fibrosis (CF) is the leading factor to the mortality and morbidity of CF. To treat bacterial infections, people with CF are prescribed antibiotics. Routine antibiotic susceptibility (ABS) testing relies on culture-dependent, phenotypic techniques. These take several days up to more than a week, while timely intervention is key. To bridge this time gap, physicians in CF care use patient history of ABS data to start antibiotics, with risk of resistance to it. This pilot study explores a time saving alternative: the possibility to predict antibiotic resistance genes using shotgun metagenomics and artificial intelligence. By quicker prediction of ABS, people with CF can receive more adequate care, which results in the possible prevention of chronic infections and contributes to antibiotic stewardship.
Authors
- Jacqueline E. van Muijlwijk‐Koezen (ORCID: https://orcid.org/0000-0003-3877-0425)
- Mahmoud I. Abdel‐Aziz (ORCID: https://orcid.org/0000-0001-9263-7137)
- Anke H. Maitland‐van der Zee (ORCID: https://orcid.org/0000-0002-0414-3442)
- Anne H. Neerincx (ORCID: https://orcid.org/0000-0002-4533-486X)
- Josje Altenburg (ORCID: https://orcid.org/0000-0002-7248-963X)
- Christof J. Majoor (ORCID: https://orcid.org/0000-0003-2677-9684)
- Els J.M. Weersink (ORCID: https://orcid.org/0000-0001-7146-1398)
- Sonja van Scheijen (ORCID: https://orcid.org/0009-0002-8966-6185)
Institutions
- Netherlands Center for Occupational Diseases (NL)
- Emma Kinderziekenhuis (NL)
- Center for Personalized Cancer Treatment (NL)
- Amsterdam Neuroscience (NL)
- Office of Infectious Diseases (US)
- Infectious Diseases Institute (UG)
- GGD Amsterdam (NL)
- Amsterdam University Medical Centers (NL)
- Amsterdam University of Applied Sciences (NL)
- Vrije Universiteit Amsterdam (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- Microbiology Spectrum
- Published
- 2025-11-05
- DOI
- https://doi.org/10.1128/spectrum.02299-24
- Primary Topic
- Cystic Fibrosis Research Advances
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Health~Holland
- ZonMw
- Stichting Astma Bestrijding
- Eurostars