Abstract
There are thousands of bacteria in your gut that help you digest your food, recover important nutrients, and maintain your health. What happens to those bacteria when you take antibiotics? In this science project you will find out by accessing and analyzing a real data set of the gut microbiome (bacteria and other microbes) from healthy adults before and after they are given antibiotics.Summary

Objective
Analyze if and how the human gut microbiome changes after antibiotics.
Introduction
If you had to guess, how many bacteria would you say are in and on your body? It cannot be that many right? After all, you wash your hands and shower regularly! A couple hundred? A thousand? The answer is trillions. The ratio of human cells to microbes in and on a person is approximately 1:1. This may be surprising as we often think of bacteria as bad and to be avoided. After all, bacteria are responsible for many diseases like strep throat, tuberculosis, sepsis, and various forms of food poisoning. It turns out that the community of microbes, called the microbiome, that live in and on a human is vital to our health.
The human microbiome is distributed across several locations including our skin, mouths, genitals, and guts. The gut microbiome is the largest human microbial community and is largely composed of bacteria. These bacteria help digest the food we eat and extract nutrients from the food that our own cells cannot. The products made from these bacteria also interact with our own cells and do a number of things including influence our immune systems, break down lactic acid that builds up during high-intensity exercise, and even influence our moods.
The gut microbiome and how it interacts with the rest of the human body is a very active area of research with many unanswered questions. Several things have become clear already though:
- The gut microbiome is complex, and every person's microbiome is unique.
- In general, a healthy microbiome is one that has a lot of different types of bacteria.
- When the microbiome shifts away from its normal healthy state and the quantity, locations, and/or types of bacteria are disrupted this is called dysbiosis. Dysbiosis is associated with many different diseases.
Antibiotics are made to kill or stop the growth of bacteria and have revolutionized medicine. In the United States in 1930, before antibiotics were available, bacterial illnesses accounted for 248 deaths for every 100,000 people. Diseases like typhoid, scarlet fever, and diphtheria were common and often killed people. In contrast in 2002, bacterial illnesses accounted for only 38 deaths for every 100,000 people. We no longer associate bacterial infections with life-threatening illnesses except in the context of antibiotic-resistant bacteria. While antibiotics are lifesaving and there are times when taking an antibiotic is necessary, it is interesting to understand better if and how antibiotics may affect all of the bacteria in our bodies, not just the disease-causing bacteria they are prescribed for.
In this science project you will use the data analysis and visualization tools found on a free scientific tool called Microbiome DB to look at the data from a research study conducted on healthy volunteers. The researchers were interested in studying the effects of diet on gut microbiomes (see the Variations to learn more about this). As part of their experimental design researchers gave each volunteer oral antibiotics (vancomycin and neomycin on days 6, 7, and 8) and collected stool samples every day. They used PCR (polymerase chain reaction) to amplify the 16s rRNA gene from bacteria in the stool, then used DNA sequencing to identify which bacteria each amplified piece came from. You can learn more about 16s rRNA sequencing from the video below.

Figure 1. This diagram lays out the experimental design used to collect microbiome data from healthy adults.
You will use analyze the data the researchers collected about the gut microbiome before, during, and after antibiotic treatment to try to answer a number of questions including:
- Does exposure to oral antibiotics change the human gut microbiome?
- Does the gut microbiome have the same level of diversity before and after a course of antibiotics?
- Are the same types of bacteria present in the gut before and after antibiotics?
Get ready to dive into the hidden world of microbiomes!
Terms and Concepts
- Bacteria
- Microbiome
- Dysbiosis
- Antibiotics
- PCR (polymerase chain reaction)
- 16 s rRNA
- DNA sequencing
- Alpha diversity
- Beta diversity
- Genus
Questions
- What is known about how the gut microbiome influences human health?
- How are bacteria identified in microbiome experiments?
- What are some ways bacteria are harmful? How are they helpful?
Bibliography
Historical information about antibiotics, including the mortality statistics used in the introduction:
- Gottfried, Joseph. (2005, April 17). History Repeating? Avoiding a Return to the Pre-Antibiotic Age. Harvard Digital Access to Scholarship. Retrieved September 19, 2023.
General information about microbiomes and how they are studied:
- American Society for Microbiology. (n.d.) Microbiome Resources. Retrieved September 19, 2023
- Knights, Dan. (2016, March 4). Microbiome Discovery 1: Intro to the Microbiome. YouTube. Retrieved September 19, 2023.
The data used in this science project came from this paper:
- Tanes, Ceylan et al. Role of dietary fiber in the recovery of the human gut microbiome and its metabolome. Cell host & microbe vol. 29,3 (2021): 394-407.
Materials and Equipment
- Computer with internet access
- Lab notebook
Experimental Procedure

Accessing the Data
- Navigate to Microbiome DB. This tool houses data from microbiome studies, including the one you will be accessing for this science project, and tools to analyze the data.
- Optional: make an account at Microbiome DB. You can do everything as a guest, but if you are signed in the tool will automatically save your analysis as you work.
- Navigate to the FARMM study in the Study Summaries section. This will open up the View Study Details section where you can see a link to the paper the authors published about a different aspect of this study — the effects of fiber on the gut microbiome and the metabolic products produced by the microbiome.
- In the Browse and Subset section you will choose the participants and samples you want to use in your analysis. The left-hand side has all the ways the data can be filtered. To start, we recommend you choose:
- Participant -> Administrative information -> Case or control participant -> False. This will exclude one participant that did not complete the study. This selection will leave you with 30 of 31 participants.
- Clinical history -> Antibiotic medication related to sample collection -> choose all three options: antibiotics treatment, post antibiotics, and pre antibiotics. These are the three groups you are interested in comparing.

Figure 2. After completing the Browse and Subset section, the flow chart of participants and samples available for your analysis steps should look like this.
Visualizing and Analyzing the Data
- In the Visualize section you will see many options of how to look at the data. We will lead you through some, but you should feel free to explore others. You may also find that as you explore you want to split your data differently. If this is the case, return to the Browse and Subset section to make your choices.
- The first question you will explore is "Does exposure to oral antibiotics change the human gut microbiome?" To answer this question, look at the beta diversity of the samples.
- Beta diversity is a measurement of how similar or dissimilar the diversity is between samples. Watch the video about Jaccard Similarity to learn more about this measure of beta diversity.
- In the Beta Diversity visualization, choose:
- Data: Metagenomic sequencing assay > Genus
- Dissimilarity method: jaccard
- Stratification variables: Overlay -> Participant repeated measure -> Antibiotic medication related to sample collection
- This will give you a graph where each dot represents the diversity of bacteria in a stool sample from a person in the study. The dots are colored according to whether they were taken before antibiotics, after antibiotics, or during antibiotic treatment. The closer the dots cluster, the more similar they are in their diversity. What do you notice about the clustering of the dots?
- Are the samples from after antibiotics more similar to one another or are they mixed in with the pre-antibiotic samples? What about the during antibiotic samples? What can you conclude about whether or not oral antibiotics change the human gut microbiome?
- Beta diversity is a measurement of how similar or dissimilar the diversity is between samples. Watch the video about Jaccard Similarity to learn more about this measure of beta diversity.
- The second question you will explore is, "Does the microbiome have the same level of diversity before and after a course of antibiotics?" To answer this question, look at the alpha diversity of the samples.
- Alpha diversity is a measurement of how much diversity is in each sample. Watch the video about the Simpson's diversity index to learn more about what this measure of alpha diversity means.
- In the Alpha Diversity visualization, choose:
- Data: Metagenomic sequencing assays > Genus
- Method: Simpson
- After generating the alpha diversity results, choose X-axis: Participant repeated measure -> Antibiotic medication related to sample collection
- The resulting graph consists of three box and whisker plots. If you are unfamiliar with this type of graph, read the Understanding and using Box and Whisker Plots overview.
- How does the median diversity for pre-antibiotic samples compare to post-antibiotic samples?
- Alpha diversity is a measurement of how much diversity is in each sample. Watch the video about the Simpson's diversity index to learn more about what this measure of alpha diversity means.
- The last question we will explore together is "Are the same types of bacteria present in the gut before and after antibiotics?". To answer this question, look at the ranked diversity of the samples as the study progressed.
- In the Ranked Abundance settings, choose:
- Data: Metagenomic sequencing assay > Genus
- Method: median
- After generating the ranked abundance results, choose X-axis: Sample -> Observation details -> Study timepoint.
- This will give you a graph with ranked abundance on the Y-axis and Days in the study on the X-axis. Each dot on the graph represents how much of a specific genus of bacteria was found in a sample relative to the other bacteria in the same sample. Only the top 10 most abundant genus of bacteria are shown.
- To simplify the visual, turn on smoothed mean with raw in the plot mode. This will give you a line showing the mean ranked abundance of each genus of bacteria. You can also deselect the individual genus dots using the graph's key.
- Look back at Figure 1 to remind yourself which study days were pre, during, and post-antibiotics. Are the same bacteria the most abundant in the gut pre and post-antibiotics? Make a list of the most abundant genera of bacteria for each part of the study (pre, post, and during antibiotics).
- In the Ranked Abundance settings, choose:
- Feel free to continue to explore the data. There are suggestions in the Variations of how you can extend this analysis. What else can you discover by exploring this microbiome data?
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Global Goals
The United Nations Sustainable Development Goals (UNSDGs) are a blueprint to achieve a better and more sustainable future for all.
Variations
- The volunteers in this study were also exposed to three different diets. The study recruited people who were vegan and people who were omnivores. The vegans continued on their normal diet which was naturally high in fiber. The omnivores were split into two groups, one group continued to eat a typical omnivore diet (medium amount of fiber) and the other was fed a manufactured liquid diet with no fiber. Analyze the data to see if diet has an effect on the makeup of the gut microbiome and how the gut microbiome handles antibiotics.
- The FARMM study looks at the gut microbiomes of healthy adults. Adults have fully formed microbiomes. In comparison, how do antibiotics affect the gut microbiomes of developing babies? You can use the ECAM dataset, also available in Microbiome DB, to answer this question.
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