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Zinc-azithromycin is commonly utilized for the prevention and treatment of COVID-19. The effect of zinc-azithromycin on gut microbiota in vitro was explored to provide a theoretical basis for its clinical application. The effects of zinc-azithromycin on gut microbiota community and short chain fatty acids were inspected via in vitro fermentation, metagenomic sequencing, and gas chromatography. The results indicated that Zinc-azithromycin increased the relative abundance of Klebsiella, Rahnella, Pantoea, and significantly decreased the relative abundance of Megamonas and Bifidobacterium. Zinc-azithromycin also significantly altered the metabolism pathway, the abundance of antimicrobial resistance genes, and the content of short chain fatty acids of the gut microbiota, which might potentially have negative effects on human health.

, authors=Chang-hui ZHAO, Hua-hai CHEN, Yun-fei HU, Bai-yuan LI, Lin-yan CAO, Ye-shi YIN^*, authorsList=Chang-hui ZHAO, Hua-hai CHEN, Yun-fei HU, Bai-yuan LI, Lin-yan CAO, Ye-shi YIN, authorCompany=null, correspAuthors=Ye-shi YIN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1315696660240511490, articleId=1315696659359707648, tenantId=1146029695717560320, journalId=1315121759093096577, language=CN, title=锌-阿奇霉素对人体肠道菌群的体外影响, columnId=1315696197449405326, journalTitle=微生物学杂志, columnName=研究报告, runingTitle=null, highlight=null, articleAbstract=

锌-阿奇霉素（Zinc-azithromycin, Zn-AZM）可用于2019冠状病毒病（Corona virus disease 2019, COVID-19）的预防和治疗，研究锌-阿奇霉素对肠道菌群的体外影响为其临床应用提供参考。通过体外发酵、宏基因组测序及气相色谱等方法研究锌-阿奇霉素对肠道菌群及短链脂肪酸的影响。结果表明，锌-阿奇霉素提高克雷伯氏菌属（Klebsiella）、拉恩氏菌属（Rahnella）和泛菌属（Pantoea）等的相对丰度，显著降低巨球菌属（Megamonas）和双歧杆菌属（Bifidobacterium）等的相对丰度。锌-阿奇霉素还显著改变肠道菌群的代谢途径、抗性基因的丰度及短链脂肪酸的含量。锌-阿奇霉素显著改变肠道菌群结构、抗性基因丰度及短链脂肪酸含量，对人体健康存在潜在的负面影响。

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赵昌会　男，讲师，博士。主要从事药物与肠道微生物研究。E-mail: zchui112@163.com

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赵昌会　男，讲师，博士。主要从事药物与肠道微生物研究。E-mail: zchui112@163.com

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