Gut microbiome changes that let harmless bacteria become infections

Project 3: Functional Microbiome and Host Signatures in Transition from Commensal to pathogen

NIH-funded research Methodist Hospital Research Institute · NIH-11159506

Researchers are building microbiome-based tools to find hospitalized patients whose gut bacteria make them more likely to get antibiotic-resistant infections.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionMethodist Hospital Research Institute NIH-funded
Lab location1 site (Houston, United States)
Project IDNIH-11159506 on NIH RePORTER

What this research studies

The team will analyze gut microbiome and host samples from hospitalized infants and adults to look for patterns that let normally harmless bacteria turn into antibiotic-resistant pathogens. They will focus on organisms like C. difficile, VRE, carbapenem-resistant Klebsiella, and ESBL-producing Enterobacteriaceae that often colonize the intestines before causing infection. Using detailed functional profiling and host signatures, they plan to create risk algorithms that flag patients with 'immature' or missing protective gut species. The goal is to identify people who might benefit from preventive measures or tailored antibiotic use.

Who could benefit from this research

Good fit: Hospitalized infants and adults—especially those recently exposed to antibiotics or at risk for hospital-acquired infections—would be the most likely candidates.

Not a fit: People who are healthy and living in the community without recent hospitalization or antibiotic exposure are unlikely to be eligible or directly benefit.

Why it matters

Potential benefit: If successful, this could help clinicians identify and protect patients at high risk for dangerous antibiotic-resistant gut infections.

How similar studies have performed: Prior studies have linked loss of protective gut species to C. difficile and VRE, but combining functional host-microbiome signatures to predict multiple resistant pathogens is largely new.

Where this research is happening

Houston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.