Shifts in the Lung Microbiota and Antibiotic Resistance Genes Occur With Aging in Patients With Lower Respiratory Tract Infections.

Lower respiratory tract infections (LRTIs) are a leading cause of critical illness and mortality. The lung microbiome represents an important reservoir for the exchange of antibiotic resistance genes (ARGs). The pathogenic microbes remain poorly understood among different age groups, including child...

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Publicado en:BioMed Research International Vol. 2026; pp. 1 - 17
Autores principales: Chen, Xiaoming, Dong, Tingyan, Wu, Dongliang, Pan, Quanguan, Wei, Jinhua, Liang, Guangwen, Lin, Zetai, Gurumallesh Prabu, Poorani
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/6/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/6/2026
      vid: 2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/bmri/9038281
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        atl: Shifts in the Lung Microbiota and Antibiotic Resistance Genes Occur With Aging in Patients With Lower Respiratory Tract Infections.
      aug:
        au:
          Chen, Xiaoming
          Dong, Tingyan
          Wu, Dongliang
          Pan, Quanguan
          Wei, Jinhua
          Liang, Guangwen
          Lin, Zetai
          Gurumallesh Prabu, Poorani
        affil: Department of Pediatrics,, Huangpu People′s Hospital of Zhongshan,, Zhongshan, Guangdong,, China
      sug:
        subj:
          Lung Microbiology
          Microbiota
          Drug Resistance, Microbial
          Genes
          Aging
          Respiratory Tract Infections
          Human
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Young Adult
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Retrospective Design
          Bronchoalveolar Lavage
          Age Factors
          Candida Albicans
          Sequence Analysis
          Molecular Diagnostic Techniques
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Lower respiratory tract infections (LRTIs) are a leading cause of critical illness and mortality. The lung microbiome represents an important reservoir for the exchange of antibiotic resistance genes (ARGs). The pathogenic microbes remain poorly understood among different age groups, including children (0–17 years), youth (18–39 years), middle‐aged adults (40–64 years), and older adults (65–99 years). We conducted a retrospective study of 699 bronchoalveolar lavage fluid (BALF) samples from LRTI patients aged 30 days to 99 years. The differences in the lung microbiome and ARG expression shift with age were evaluated based on targeted next‐generation sequencing (tNGS) results. Correlation analysis revealed that age had a strongly positive correlation effect on the relative abundances of Candida albicans, Candida glabrata, Corynebacterium striatum, and Stenotrophomonas maltophilia. Meanwhile, age had a largely negative correlation effect on Enterococcus faecium and Mycoplasma pneumoniae. We found that ARG expression was significantly higher in adults compared with children. The beta‐lactam ARG TEM was the most abundant, and the primary carrier of ARGs was Streptococcus in the LRTI microbiota. The proportion of adults expressing beta‐lactams, aminoglycosides, and phenicol antibiotic types was higher compared to children. Our results indicated that ARGs in the human LRTI microbiota accumulate and become more complex with age, as older groups tend to harbor the highest abundance of these genes. Collectively, these results presented the respiratory tract core microbiota and ARGs in different age groups, supplying a foundation for microbiome‐targeted interventions and emphasizing the potential of tNGS to improve clinical diagnosis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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