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PRJNA1099775 SRP502906

Doxy-PEP trial gut resistome in MSM/trans women, San Francisco

Doxycycline post-exposure prophylaxis for sexually transmitted infections impacts the gut antimicrobial resistome

127 rectal swab metagenomic samples from men who have sex with men and transgender women in San Francisco, USA, comparing doxycycline post-exposure prophylaxis to standard of care in a randomized clinical trial of gut antimicrobial resistance genes. machine-written summary

127 samples · 127 runs · US · Adult · 2025 · 0.76 Gbp / sample

Sources
✓Sequence archive 762○Abstract / description✓Full text 254○Supplementary tables–External resources–User contribution–Human verified

Checked this project's papers and archive records yourself? Mark it human-verified.

what each source gave
✓ Sequence archive762 sample values (collection date, country, latitude, location locality, location region, longitude)
○ Abstract / descriptionread; no usable statement
✓ Full text254 sample values (location site, sex) · PMC11750720
○ Supplementary tablesfiles read; no table could be matched to the samples
– External resourcesnot covered by the external resources we ingest
– User contributionnothing uploaded yet · share metadata
– Human verifiednot yet checked by a person · I checked this project — verify it
Interventions

intervention — arms not resolved

Antibiotic given as the study intervention (incl. eradication therapy design randomized_controlled_trial · population other_infection · Doxycycline 200mg post-exposure prophylaxis vs standard of care

“randomized clinical trial comparing doxy-PEP use” — abstract:39363100 (study level; per-sample arms are in the intervention column below)

Samples at a glance
1 sampling locations · 1 country
Age
adult127
Sex
male127
Country
US127
Body site
primary127
Sequencing depth per sample · this project all projects
all projects, 0–0.03 Gbp: 25,080 samples (4 %)this project, 0–0.03 Gbp: 1 samplesall projects, 0.03–0.1 Gbp: 17,066 samples (3 %)this project, 0.03–0.1 Gbp: 6 samplesall projects, 0.1–0.3 Gbp: 29,179 samples (5 %)this project, 0.1–0.3 Gbp: 8 samplesall projects, 0.3–1 Gbp: 47,044 samples (8 %)this project, 0.3–1 Gbp: 80 samplesall projects, 1–3 Gbp: 124,983 samples (22 %)this project, 1–3 Gbp: 32 samplesall projects, 3–10 Gbp: 253,728 samples (44 %)all projects, 10–30 Gbp: 72,533 samples (13 %)all projects, 30–100 Gbp: 3,024 samples (1 %)all projects, 100–300 Gbp: 106 samples (0 %)all projects, ≥ 300 Gbp: 9 samples (0 %)project median 0.76 Gbp per sample0130Gbp
Sampling design and relatedness

longitudinal — not resolved

Schedule stated by the source: “Rectal swabs self-collected at enrollment (day-0) and at a 6-month visit (month-6)” (time origin: enrolment); stated follow-up 6 mo.

How longitudinal and relatedness information is derived

Community composition
Prevotella 23.6%Finegoldia 4.6%Roseburia 2.2%Streptococcus 2.0%Blautia_A 1.8%Peptoniphilus_A 1.7%Faecalibacterium 1.6%Anaerococcus 1.6%Alloprevotella 1.5%Sneathia 1.3%Catenibacterium 1.3%Corynebacterium 0.8%not assigned to a genus 33.0%other genera 22.9%

Genera, mean relative abundance over 120 profiled gut samples of this project (Sandpiper SingleM profiles, GTDB R232; low-depth and non-metagenome profiles left out).

Field coverage
fieldsamplescoverageR1R2R3R4
age_category127 100%
country127 100%127
health_condition0 0%
subject_id0 0%
collection_date127 100%127
detailed_location127 100%
latitude127 100%127
location_locality127 100%127
location_region127 100%127
location_site127 100%127
longitude127 100%127
sex127 100%127
Papers (1)
  • Impact of doxycycline post-exposure prophylaxis for sexually transmitted infections on the gut microbiome and antimicrobial resistome. 2025 PMID 39363100 PMC11750720 own_data
Details
Archive description

Doxycycline post-exposure prophylaxis (doxy-PEP) reduces bacterial sexually transmitted infections (STIs) among men who have sex with men and transgender women. While poised for widespread clinical implementation, the impact of doxy-PEP on antimicrobial resistance remains a primary concern as its effects on the gut microbiome and resistome, or the antimicrobial resistance genes (ARGs) present in the gut microbiome, are unknown. To investigate these effects, we studied participants from a randomized clinical trial who either received doxy-PEP as a one-time doxycycline 200 mg taken after condomless sex (DP arm, n = 100) or standard of care treatment (SOC arm, n = 50). From self-collected rectal swabs at enrollment (day-0) and after 6 months (month-6), we performed metagenomic DNA sequencing (DNA-seq) or metatranscriptomic RNA sequencing (RNA-seq). DNA-seq data was analyzable from 127 samples derived from 89 participants, and RNA-seq data from 86 samples derived from 70 participants. We compared the bacterial microbiome and resistome between the two study arms and over time.

How this project entered the registry

Classified as human gut / stool mixed assays of adult by sonnet_x2 with confidence 0.70. Assay mixed.

  • host run.host_tax_id · “9606”
  • body site study.description · “self-collected rectal swabs”
  • life stage study.description · “men who have sex with men”
Evidence examples (one per field × route)
samplefieldvaluerouteconf.sourcequote
SAMN48325089collection_date2020-03-01R10.90biosample.attribute:collection_date2020-03-01
SAMN48325089countryUSR10.90sample.attr.geo_loc_nameUSA: San Francisco
SAMN48325089latitude37.7700R10.90biosample.attribute:lat_lon37.77 N 122.42 W
SAMN48325089location_localitySan FranciscoR10.85biosample.attribute:geo_loc_nameUSA: San Francisco
SAMN48325089location_regionCaliforniaR10.60biosample.attribute:lat_lon37.77 N 122.42 W
SAMN48325089location_sitetwo HIV clinics and two sexual health clinicsR30.70paper.fulltext.methodsconducted at two HIV clinics and two sexual health clinics
SAMN48325089longitude-122.4200R10.90biosample.attribute:lat_lon37.77 N 122.42 W
SAMN48325089sexmaleR30.70paper.fulltext.methodshad male sex assigned at birth
Sequencing

127 runs over 127 samples · mean 0.83 Gbp per run (median 0.76 Gbp, total 105.31 Gbp; 127 runs with a base count) · layout PAIRED 127 · platform ILLUMINA 127 · models Illumina NovaSeq 6000 (127) · 94% of runs with a Sandpiper profile · first public 2025-05-08 – 2025-05-11

Authors (15)

Chu VT first · Glascock A · Donnell D · Grabow C · Brown CE · Ward R · Love C · Kalantar KL · Cohen SE · Cannon C · Woodworth MH · Kelley CF · Celum C · Luetkemeyer AF · Langelier CR last

Help complete this project

2 of the 4 core fields are below 50% coverage: health_condition, subject_id. Share metadata

Downloads

PRJNA1099775.csv.gz (3.8 KB) · parquet (75.2 KB) — all 127 samples, every field with route and confidence · PRJNA1099775_determinations.csv.gz (6.1 KB) — 1,016 evidence rows

Samples (127 · every field this project has values for · hover a cell for its source)
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