Thesis Alan JAN (2020 - 2023)

Improving resistance to colonisation of the gut microbiota by vancomycin-resistant enterococci: proof of concept of a preclinical model in the mouse and determination of the underlying mechanisms

The gastrointestinal tract is a reservoir for opportunistic pathogenic agents, or pathobionts, which benefit from an imbalance of the gut microbiota (dysbiosis) to proliferate in predisposed patients. Vancomycin-resistant enterococci (VRE) arise from the gastrointestinal tract where their proliferation precedes their dissemination via the blood and lymphatic circulation and then infection.

Understanding the mechanisms responsible for resistance to intestinal colonisation by VRE is essential to fighting infections and limiting the spread of antibiotic resistance. Recent studies have demonstrated the efficacy of using commensal bacteria as a strategy to enhance resistance to colonisation of the gut microbiota by enterococci. This project aims to elucidate the mechanism(s) for resistance to enterococcal colonisation using commensal bacterial in a preclinical mouse model. To achieve this goal, we shall combine high-throughput sequencing techniques, mathematical modelling and modelling of the microbial ecology of gut microbiota dynamics in a mouse model. The knowledge acquired will enable us to propose commensal bacteria as an alternative or supplement to antibiotics, and as markers for the risk of proliferation of pathobionts induced by antibiotics.

Contact - Coordination :

Funding :

  • 50% INRAE 
  • 50% ED ABIES (AgroParisTech)

See also

Publication

Alan Jan (2023) Accelerate the restoration of the intestinal microbiota to strengthen colonization resistance against vancomycin-resistant enterococciPhD Thesis, Université Paris-Saclay. →  https://theses.fr/2023UPASB087

Download the thesis file