Peer Bork’s research while affiliated with Yonsei University and other places

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Publications (801)


Benchmark analysis: general overview of the six microbiome testing kits
Examples of results and interpretations provided in the different reports
Microbiome testing in Europe: navigating analytical, ethical and regulatory challenges
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December 2024

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181 Reads

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5 Citations

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Nelly Badalato

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Systematic mapping of antibiotic cross-resistance and collateral sensitivity with chemical genetics

December 2024

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54 Reads

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2 Citations

Nature Microbiology

By acquiring or evolving resistance to one antibiotic, bacteria can become cross-resistant to a second antibiotic, which further limits therapeutic choices. In the opposite scenario, initial resistance leads to collateral sensitivity to a second antibiotic, which can inform cycling or combinatorial treatments. Despite their clinical relevance, our knowledge of both interactions is limited. We used published chemical genetics data of the Escherichia coli single-gene deletion library in 40 antibiotics and devised a metric that discriminates between known cross-resistance and collateral-sensitivity antibiotic interactions. Thereby we inferred 404 cases of cross-resistance and 267 of collateral-sensitivity, expanding the number of known interactions by over threefold. We further validated 64/70 inferred interactions using experimental evolution. By identifying mutants driving these interactions in chemical genetics, we demonstrated that a drug pair can exhibit both interactions depending on the resistance mechanism. Finally, we applied collateral-sensitive drug pairs in combination to reduce antibiotic-resistance development in vitro.


InterPro: the protein sequence classification resource in 2025

November 2024

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47 Reads

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42 Citations

Nucleic Acids Research

InterPro (https://www.ebi.ac.uk/interpro) is a freely accessible resource for the classification of protein sequences into families. It integrates predictive models, known as signatures, from multiple member databases to classify sequences into families and predict the presence of domains and significant sites. The InterPro database provides annotations for over 200 million sequences, ensuring extensive coverage of UniProtKB, the standard repository of protein sequences, and includes mappings to several other major resources, such as Gene Ontology (GO), Protein Data Bank in Europe (PDBe) and the AlphaFold Protein Structure Database. In this publication, we report on the status of InterPro (version 101.0), detailing new developments in the database, associated web interface and software. Notable updates include the increased integration of structures predicted by AlphaFold and the enhanced description of protein families using artificial intelligence. Over the past two years, more than 5000 new InterPro entries have been created. The InterPro website now offers access to 85 000 protein families and domains from its member databases and serves as a long-term archive for retired databases. InterPro data, software and tools are freely available.


The STRING database in 2025: protein networks with directionality of regulation

November 2024

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25 Reads

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16 Citations

Nucleic Acids Research

Proteins cooperate, regulate and bind each other to achieve their functions. Understanding the complex network of their interactions is essential for a systems-level description of cellular processes. The STRING database compiles, scores and integrates protein–protein association information drawn from experimental assays, computational predictions and prior knowledge. Its goal is to create comprehensive and objective global networks that encompass both physical and functional interactions. Additionally, STRING provides supplementary tools such as network clustering and pathway enrichment analysis. The latest version, STRING 12.5, introduces a new ‘regulatory network’, for which it gathers evidence on the type and directionality of interactions using curated pathway databases and a fine-tuned language model parsing the literature. This update enables users to visualize and access three distinct network types—functional, physical and regulatory—separately, each applicable to distinct research needs. In addition, the pathway enrichment detection functionality has been updated, with better false discovery rate corrections, redundancy filtering and improved visual displays. The resource now also offers improved annotations of clustered networks and provides users with downloadable network embeddings, which facilitate the use of STRING networks in machine learning and allow cross-species transfer of protein information. The STRING database is available online at https://string-db.org/.


Fecal microbial load is a major determinant of gut microbiome variation and a confounder for disease associations

November 2024

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155 Reads

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12 Citations

Cell

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Evelina Stankevic

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Maja Thiele


Fig. 2 | Satellite model for microbiome research. The development and maintenance of longitudinal population-scale cohorts represent the optimal strategy for future microbiome research. These baseline longitudinal 'core' cohorts would consist of representative populations with no exclusion criteria and inclusion restricted only by logistic or geographical factors, created either as independent microbiome-specific cohorts or as subsets of existing nonmicrobiome epidemiological studies 95 (as seen with those included in Table 1). These cohorts enable the identification of health determinants (including environmental, genetic and lifestyle factors), and thereby a more inclusive and accurate definition of health, over time by using detailed metadata to capture
Examining the healthy human microbiome concept

October 2024

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1,413 Reads

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17 Citations

Nature Reviews Microbiology

Human microbiomes are essential to health throughout the lifespan and are increasingly recognized and studied for their roles in metabolic, immunological and neurological processes. Although the full complexity of these microbial communities is not fully understood, their clinical and industrial exploitation is well advanced and expanding, needing greater oversight guided by a consensus from the research community. One of the most controversial issues in microbiome research is the definition of a 'healthy' human microbiome. This concept is complicated by the microbial variability over different spatial and temporal scales along with the challenge of applying a unified definition to the spectrum of healthy microbiome configurations. In this Perspective, we examine the progress made and the key gaps that remain to be addressed to fully harness the benefits of the human microbiome. We propose a road map to expand our knowledge of the microbiome-health relationship, incorporating epidemiological approaches informed by the unique ecological characteristics of these communities.



Fig. 2. Enriched functions and sources of various phage SVs in the human gut phageome. (A) the enriched functional categories of phage Svs for each Sv type (onesided Fisher's exact test, FdR < 0.05). Mobile element-associated functions are highlighted in red. tRnA, transfer RnA. (B) Boxplots of the number of Svs per 1 Mb between phages with (+) and without (−) a specific type of recombinase (24). P values of two-sided Mann-Whitney U test are shown. the gene count per recombinase category detected within phage Sv regions is displayed in bracket along the x axis. (C) distributions of the likely sources of the phage genes stratified by their locations in four Sv types (i.e., inS, deL, dUP, and inv) and conserved regions (genomic regions without Svs). Asterisks represent statistical significance of Fisher's exact test (***P < 0.001), and the values of odds ratio relative to the conserved are shown.
Fig. 3. Phage-bacteria genetic exchange as a driving force for the formation of phage SVs. (A) Prevalence of phage Svs that have high homology to bacterial fragments in each Sv category. (B) Genetic divergence between Ge-like phage Sv sequences and bacterial fragments derived from chGB and humGut (27) datasets, respectively. (C) the enrichment of genes related to genetic exchange in regions with noGe-like phage Svs and Ge-like phage Svs, respectively (one-sided Fisher's exact test, **FdR < 0.05, ***FdR < 0.001). (D) the ht gene index of genes in conserved region, regions with noGe-like Svs and Ge-like Svs. P values of two-sided Mann-Whitney U test are shown. (E) comparison of the proportion of B-to-P transferred genes in conserved region, regions with noGe-like Svs and Ge-like Svs (Fisher's exact test, ***FdR < 1 × 10 −05 ). (F) comparison of the proportion of B-to-P transferred genes in conserved region, regions with noGe-like Svs and Ge-like Svs, stratified by different functional categories (Fisher's exact test, *FdR < 0.05, **FdR < 0.01, and ***FdR < 0.001). OR, odds ratio.
Fig. 4. The transmission of GE-like SV sequences between bacteria and phages. (A) comparison of the percentage of Ge-like Sv sequence transmission that occurred within inferred phage-host pairs and random phage-host pairs (non-Ph pairs). Statistical significance of Fisher's exact test is shown (***P < 2.2 × 10 −16 , odds ratio = 212.2). (B) the proportion of the chGv-hQ phages estimated using the Ge-like pSvs (phage Svs) at different interactive ranges. here, the "range" refers to the taxonomic rank of the last common ancestor of bacterial genomes that have BLASt matches to Ge-like Sv sequences. (C) distribution of phage-bacteria correlations across the 91 individuals, stratified by the phage-bacteria pairs with different number of shared Ge-like Svs, where count = 0 means the number of pairs of phage and bacteria without any shared Svs, 0 < count < 10 means the number of pairs of phage and bacteria sharing less than 10 Svs and the same for count >10. the dashed lines show the median correlation in each distribution. (D) Phage-bacteria interaction network with edges indicating that there are shared Ge-like phage Svs between phages and bacteria.
Fig. 5. Effects of different lifestyles on phage SVs. (A) comparison of the Sv density (number of phage Svs per 1 Mb genome) between temperate and virulent phages in the chGv-hQ and iMG/vR viral datasets. P values of two-sided Mann-Whitney U test are shown. (B) enrichment of Ge-like phage Svs in temperate phages across chGvhQ and iMG/vR viral datasets (*P < 0.05, **P < 0.01, and ***P < 0.001; Fisher's exact test). "Background" represents the initial proportion of phages with different lifestyles within the respective viral datasets. (C) environmental preferences of phage recipients in the iMG/vR viral dataset. "Phage recipients" represents the phages containing Ge-like Svs that are capable of aligning onto bacterial genomes from humGut and chGB datasets. Fisher's exact test was carried out using all phage genomes in the iMG/ vR dataset as background (***P < 0.001; Materials and Methods).
Long-read sequencing reveals extensive gut phageome structural variations driven by genetic exchange with bacterial hosts

August 2024

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63 Reads

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2 Citations

Science Advances

Genetic variations are instrumental for unraveling phage evolution and deciphering their functional implications. Here, we explore the underlying fine-scale genetic variations in the gut phageome, especially structural variations (SVs). By using virome-enriched long-read metagenomic sequencing across 91 individuals, we identified a total of 14,438 nonredundant phage SVs and revealed their prevalence within the human gut phageome. These SVs are mainly enriched in genes involved in recombination, DNA methylation, and antibiotic resistance. Notably, a substantial fraction of phage SV sequences share close homology with bacterial fragments, with most SVs enriched for horizontal gene transfer (HGT) mechanism. Further investigations showed that these SV sequences were genetic exchanged between specific phage-bacteria pairs, particularly between phages and their respective bacterial hosts. Temperate phages exhibit a higher frequency of genetic exchange with bacterial chromosomes and then virulent phages. Collectively, our findings provide insights into the genetic landscape of the human gut phageome.


Refined Enterotyping Reveals Dysbiosis in Global Fecal Metagenomes

August 2024

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143 Reads

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2 Citations

Enterotypes describe human fecal microbiomes grouped by similarity into clusters of microbial community composition, often associated with disease, medications, diet, and lifestyle. Numbers and determinants of enterotypes have been derived by diverse frameworks and applied to cohorts that often lack diversity or inter-cohort comparability. To overcome these limitations, we selected 16,772 fecal metagenomes collected from 38 countries to revisit the enterotypes using state-of-the-art fuzzy clustering and found robust clustering regardless of underlying taxonomy, consistent with previous findings. Quantifying the strength of enterotype classifications enriched the enterotype landscape, also reflecting some continuity of microbial compositions. As the classification strength was associated with the patient’s health status, we established an “Enterotype Dysbiosis Score” (EDS) as a latent covariate for various diseases. This global study confirms the enterotypes, reveals a dysbiosis signal within the enterotype landscape, and enables robust classification of metagenomes with an online “Enterotyper” tool, allowing reproducible analysis in future studies. Graphical Abstract


Citations (70)


... This gap is not only critical to the discovery of new candidates and ensuring the safety and efficacy of these products but also represents a major limiting factor in the qualification of microbiome-based biomarkers, a tool for accelerating clinical studies and drug development 37 . The lack of validated analytical methods can also limit the development of IVD microbiome testing and, thus, the integration of microbiome data in clinical practice 38 . Another major challenge is the lack of consensus on key definitions. ...

Reference:

The regulatory framework for microbiome-based therapies: insights into European regulatory developments
Microbiome testing in Europe: navigating analytical, ethical and regulatory challenges

... Unfortunately, studies on the effectiveness, importance and repeatability of CS have produced mixed results [16]. Some experimental evolution studies report repeatable CS interactions [9,10,17], while others show weak reproducibility [17][18][19][20][21]. Reports also suggest that sequential antibiotic therapy can constrain resistance evolution independently of CS [21,22]. ...

Systematic mapping of antibiotic cross-resistance and collateral sensitivity with chemical genetics

Nature Microbiology

... Primers used to amplify the region surrounding the candidate locus were designed with Primer3 (Kõressaar et al., 2018;Kõressaar & Remm, 2007). We used the following primers for PCR amplification: We analyzed gene protein domains using InterPro (Blum et al., 2025). InterPro offers functional analysis of proteins by categorizing them into families and predicting their domains and key functional sites. ...

InterPro: the protein sequence classification resource in 2025
  • Citing Article
  • November 2024

Nucleic Acids Research

... Recent advances in bioinformatics have provided a solid foundation for this integration. Public datasets, such as STRING [143] and PINA [144], have accumulated extensive PPI data that can be mined to extract interaction networks relevant to tumor protein-metal binding functions. Meanwhile, computational methods such as molecular docking and molecular dynamics simulation allow researchers to model protein-protein interactions and complexes, and examine how metal-binding sites are altered in these contexts [145]. ...

The STRING database in 2025: protein networks with directionality of regulation
  • Citing Article
  • November 2024

Nucleic Acids Research

... However, at finer taxonomic levels, the gut microbiome compositions of patients exhibit considerable heterogeneity and contradictory findings across studies, presenting a significant challenge in current microbiota and inflammatory digestive disease research. The underlying reasons for this phenomenon are manifold, encompassing factors such as differences in sequencing platforms and regions, statistical biases, variations in the timing of sample collection [3], and fecal microbial load [4], as detailed in Table 1. Collecting a large multi-center sample cohort will be an effective strategy to address data heterogeneity, and the confounding variables mentioned in Table 1 should also be fully considered in the experimental design. ...

Fecal microbial load is a major determinant of gut microbiome variation and a confounder for disease associations

Cell

... Most of these commensals are bacteria and other organisms such as fungi, viruses, and archaea, which make up the larger microbial community [2]. The bacteria within individuals, whether commensal or pathogenic, are diverse and inhabit various body sites, consisting of unique microenvironments [6,7]. Bacteria continuously cooperate in extensive metabolic processes with various members of the body's homeostasis, which is more complex than previously appreciated. ...

Examining the healthy human microbiome concept

Nature Reviews Microbiology

... While microbial cell culture-based experiments offer rigorous insights into drug-microbiome interactions, these systems are unable to capture the physiology of an organism and its associated microbiome, with studies in freely behaving animals required to advance this research toward understanding effects on emotional behaviours. Recent in vitro findings have also revealed that reductions in drug levels do not necessarily indicate microbial metabolism.20 Abiotic factors, including spontaneous degradation, ion suppression, surface adsorption, and bioaccumulation, can have strong effects on drug activity. ...

Emergence of community behaviors in the gut microbiota upon drug treatment
  • Citing Article
  • September 2024

Cell

... 192 Moreover, although some maternal bacteria fail to colonize the infant, phages can transfer the genes from these bacteria to the infant, thereby further influence the assembly and metabolic potential of infant gut microbiota. 137,193 This evidence indicates the crucial role of virome assembly in regulating bacterial colonization and health in early life and emphasizes the importance of maternal virome in such process. Diet is essential in shaping maternal gut virome, contributing to approximately 8% variation of gut virome. ...

Long-read sequencing reveals extensive gut phageome structural variations driven by genetic exchange with bacterial hosts

Science Advances

... Participants of this qualitative study were recruited through purposeful sampling, based on the cohort of the PRIMAL (Priming Immunity At the beginning of Life) study, a study examining the effects of probiotic interventions on the microbiome of preterm babies. Details of the PRIMAL-cohort have been described previously [18,19]. ...

Bifidobacterium and Lactobacillus Probiotics and Gut Dysbiosis in Preterm Infants: The PRIMAL Randomized Clinical Trial
  • Citing Article
  • August 2024

... is a potent antibiotic with activity against a broad range of Gram negative and positive pathogens 17 by disrupting biofilm formation 18,19 and outer membrane integrity. 20 Mechanistic studies have revealed that nitroxoline chelates divalent metals including manganese (Mn 2+ ), 21 magnesium (Mg 2+ ), 21 iron (Fe 2+ ), 19 and zinc (Zn 2+ ) 19 in an organism specific manner. Previous structure-activity relationship experiments 6 with nitroxoline in B. mandrillaris suggested a similar mechanism of action, but the details of its impact on cellular functions are poorly understood, including which divalent cations may be involved. ...

Uncovering nitroxoline activity spectrum, mode of action and resistance across Gram-negative bacteria