Gut bacterial aggregates as living gels
Abstract
The spatial organization of gut microbiota influences both microbial abundances and hostmicrobe interactions, but the underlying rules relating bacterial dynamics to largescale structure remain unclear. To this end, we studied experimentally and theoretically the formation of threedimensional bacterial clusters, a key parameter controlling susceptibility to intestinal transport and access to the epithelium. Inspired by models of structure formation in soft materials, we sought to understand how the distribution of gut bacterial cluster sizes emerges from bacterialscale kinetics. Analyzing imagingderived data on cluster sizes for eight different bacterial strains in the larval zebrafish gut, we find a common family of size distributions that decay approximately as power laws with exponents close to −2, becoming shallower for large clusters in a straindependent manner. We show that this type of distribution arises naturally from a YuleSimonstype process in which bacteria grow within clusters and can escape from them, coupled to an aggregation process that tends to condense the system toward a single massive cluster, reminiscent of gel formation. Together, these results point to the existence of general, biophysical principles governing the spatial organization of the gut microbiome that may be useful for inferring fasttimescale dynamics that are experimentally inaccessible.
eLife digest
The human gut is home to vast numbers of bacteria that grow, compete and cooperate in a dynamic, densely packed space. The spatial arrangement of organisms – for example, if they are clumped together or broadly dispersed – plays a major role in all ecosystems; but how bacteria are organized in the human gut remains mysterious and difficult to investigate.
Zebrafish larvae provide a powerful tool for studying microbes in the gut, as they are optically transparent and anatomically similar to other vertebrates, including humans. Furthermore, zebrafish can be easily manipulated so that one species of bacteria can be studied at a time.
To investigate whether individual bacterial species are arranged in similar ways, Scholmann and Parthasarathy exposed zebrafish with no gut bacteria to one of eight different strains. Each species was then monitored using threedimensional microscopy to see how the population shaped itself into clusters (or colonies).
Schlomann and Parthasarathy used this data to build a mathematical model that can predict the size of the clusters formed by different gut bacteria. This revealed that the spatial arrangement of each species depended on the same biological processes: bacterial growth, aggregation and fragmentation of clusters, and expulsion from the gut.
These new details about how bacteria are organized in zebrafish may help scientists learn more about gut health in humans. Although it is not possible to peer into the human gut and watch how bacteria behave, scientists could use the same analysis method to study the size of bacterial colonies in fecal samples. This may provide further clues about how microbes are spatially arranged in the human gut and the biological processes underlying this formation.
Introduction
The bacteria inhabiting the gastrointestinal tracts of humans and other animals make up some of the densest and most diverse microbial ecosystems on Earth (LloydPrice et al., 2017; Sender et al., 2016). In both macroecological contexts and nongut microbial ecosystems, spatial organization is well known to impact both intra and interspecies interactions (McNally et al., 2017; Tilman and Kareiva, 2018; Weiner et al., 2019). This general principle is likely to apply in the intestine as well, and the spatial structure of the gut microbiome is increasingly proposed as an important factor influencing both microbial population dynamics and healthrelevant host processes (Tropini et al., 2017; Donaldson et al., 2016). Moreover, recent work has uncovered strong and specific consequences of spatial organization in the gut, such as proximity of bacteria to the epithelial boundary determining the strength of hostmicrobe interactions (Vaishnava et al., 2011; Wiles et al., 2020), and antibioticinduced changes in aggregation causing large declines in gut bacterial abundance (Schlomann et al., 2019). Despite its importance, the physical organization of bacteria within the intestine remains poorly understood, in terms of both in vivo data that characterize spatial structure and quantitative models that explain the mechanisms by which structure arises.
Recent advances in the ability to image gut microbial communities in model animals have begun to reveal features of bacterial spatial organization common to multiple host species. Bacteria in the gut exist predominantly in the form of threedimensional, multicellular aggregates, likely encased in mucus, whose sizes can span several orders of magnitude. Such aggregates have been observed in mice (Moor et al., 2017), fruit flies (Koyama et al., 2020), and zebrafish (Jemielita et al., 2014; Schlomann et al., 2018; Wiles et al., 2016; Schlomann et al., 2019; Wiles et al., 2020), as well as in human fecal samples (van der Waaij et al., 1996). However, an understanding of the processes that generate these structures is lacking.
The statistical distribution of object sizes can provide powerful insights into underlying generative mechanisms, a perspective that has long been applied to datasets as diverse as galaxy cluster sizes (Hansen et al., 2005), droplet sizes in emulsions (Lifshitz and Slyozov, 1961), allele frequency distributions in population genetics (Neher and Hallatschek, 2013), immune receptor repertoires (Nourmohammad et al., 2019), species abundance distributions in ecology (Hubbell, 1997), protein aggregates within cells (Greenfield et al., 2009), and linear chains of bacteria generated by antibody binding (Bansept et al., 2019). A classic example of the understanding provided by examining size distributions comes from the study of gels. In polymer solutions, random thermal motion opposes the adhesion of molecules, resulting in cluster size distributions dominated by monomers and small clusters. Gels form as adhesion strength increases, and monomers stick to one another strongly enough to overcome thermal motion and form a giant connected cluster that spans the size of the system. This largescale connectivity gives gels their familiar stiffness as seen, for example, in the wobbling of a set custard. Theoretical tools from statistical mechanics and the study of phase transitions relate the cluster size distribution to the intermonomer attraction strength and the temperature (Krapivsky et al., 2010). In addition to providing an example of the utility of analyzing size distributions, gels in particular are a ubiquitous state of matter in living systems whose physical properties influence a wide range of activities such as protection at intestinal mucosal barriers (Datta et al., 2016) and transport of molecules through amyloid plaques (Woodard et al., 2014).
Motivated by these analogies, we sought to understand the distribution of threedimensional bacterial cluster sizes in the living vertebrate gut, aiming especially to construct a quantitative theory that connects bacterialscale dynamics to global size distributions. Such a model could be used to infer dynamical information in systems that are not amenable to direct observation, such as the human gut. Identifying key processes that are conserved across animal hosts would further our ability to translate findings in model organisms to human healthrelated problems. At a finer level, validated mathematical models could be used to infer model parameters of specific bacterial species of interest, for example pathogenic invaders or deliberately introduced probiotic species, by measuring their cluster size distribution.
We analyzed bacterial cluster sizes obtained from recent imagingbased studies of the larval zebrafish intestine (Schlomann et al., 2018; Schlomann et al., 2019; Wiles et al., 2020). As detailed below, we find a common family of cluster size distributions with bacterial speciesspecific features. We show that these distributions arise naturally in a minimal model of bacterial dynamics that is supported by direct observation. The core mechanism of this model involves growth together with a fragmentation process in which single cells leave larger aggregates. Strikingly, this process can be mapped exactly onto population genetics models of mutation, with cluster size analogous to allele frequency and singlecell fragmentation analogous to mutation. The combination of growth and fragmentation generates size distributions with power law tails, consistent with the data. This process also maps onto classic network models of preferential attachment (Barabasi and Albert, 1999). Further, we show that cluster aggregation can generate an overabundance of large clusters through a process analogous to the solgel transition in polymer and colloidal systems, leading to plateaus in the size distribution that are observed in the data. These features of the size distribution are robust to the inclusion of a finite carrying capacity that limits growth and cluster loss due to expulsion from the intestine. In summary, we find that gut microbiota can be described mathematically as 'living gels', combining the statistical features of evolutionary dynamics with those of soft materials. Based on the generality of our model and our observations across several different bacterial species, we predict that this family of size distributions is universal across animal hosts, and we provide suggestions for testing this prediction in various systems.
Results
Different bacterial species share a common family of broad cluster size distributions in the larval zebrafish intestine
We combined and analyzed previously generated datasets of gut bacterial cluster sizes in larval zebrafish (Schlomann et al., 2018; Wiles et al., 2020). In these experiments, zebrafish were reared devoid of any microbes, that is ‘germfree’, and then monoassociated with a single, fluorescently labeled bacterial strain (Figure 1A). After a 24 hr colonization period the complete intestines of live hosts were imaged with light sheet fluorescence microscopy (Keller et al., 2008; Parthasarathy, 2018; Figure 1B). Bacteria were identified in the images (Figure 1C) using a previously described image analysis pipeline (Jemielita et al., 2014; Schlomann et al., 2018). Single bacterial cells and multicellular aggregates were identified separately, and then the number of cells per multicellular aggregate was estimated by dividing the total fluorescence intensity of the aggregate by the mean intensity of single cells (Materials and methods).
In total, we characterized eight different bacterial strains, summarized in Table 1. Six of the strains were isolated from healthy zebrafish (Stephens et al., 2016) and then engineered to express fluorescent proteins (Wiles et al., 2018), and two are genetically engineered knockout mutants of Vibrio ZWU0020, defective in motility (specifically, knockout of the twogene operon encoding the polar flagellar motor, pomAB, referred to as ‘Δmot’) and chemotaxis (specifically, knockout of the histidine kinase cheA2, referred to as ‘Δche’), as described in reference (Wiles et al., 2020). The parent strain of these mutants, Vibrio ZWU0020, scarcely forms aggregates at all, existing primarily as single, highly motile cells (Wiles et al., 2016; Schlomann et al., 2019; Wiles et al., 2020), and so was excluded from this analysis. All strains are of the phylum Proteobacteria (Wiles et al., 2018). A table of all cluster sizes by sample is included in Figure 2—source data 1.
We calculated for each bacterial strain the reverse cumulative distribution of cluster sizes, $P(\text{size}>n)$ , denoting the probability that an intestinal aggregate will contain more than $n$ bacterial cells. We computed $P(\text{size}>n)$ separately for each animal (Figure 2, small circles) and also pooled the sizes from different animals colonized by the same bacterial strain (Figure 2, large circles). There is substantial variation across fish, but the pooled distributions exhibit a welldefined average of the individual distributions. We also computed binned probability densities (Figure 2—figure supplement 1), which show similar patterns, but focus our discussion on the cumulative distribution to circumvent technical issues related to bin sizes.
We find broad distributions of $P(\text{size}>n)$ across all strains (Figure 2, bottom right panel). For comparison, for each strain we overlay a dashed line representing the power law distribution $P(\text{size}>n)\sim {n}^{1}$. This $P(\text{size}>n)$ is equivalent to a probability density of $p(n)\sim {n}^{2}$ since the latter is proportional to the derivative of the former. Each strain's cumulative distribution follows a similar powerlawlike decay at low $n$, with an apparent exponent in the vicinity of 1, and then becomes shallower in a straindependent manner. For example, Aeromonas ZOR0002 has a quite straight distribution on a loglog plot (Figure 2, top row, middle column), while the distribution of Enterobacter ZOR0014 exhibits a plateaulike feature at large sizes (Figure 2, top row, right column). The mutant strains Vibrio ZWU0020 Δche and Δmot follow qualitatively similar distributions to the native strains (Figure 2, bottom row, left and middle columns).
We performed a sensitivity analysis and found that these two key features of the measured distributions—an initial power lawlike decay with cumulative distribution exponent close to 1 and a straindependent plateau at large sizes—are robust to measurement error in enumeration of cluster sizes. For the initial decay of the distribution, the largest source of error is the misidentification of autofluorescent background as single cells. To assess the impact of our singlecell count uncertainty on the distribution, we fit a power law model to clusters sizes up to 100 cells two times: once including single cells and once considering only cells of size in the range 2–100 (Supplementary file 1, Materials and methods). In both fits we find cumulative distribution exponents consistent with −1 for most strains. The average exponent tended to decrease mildly when single cells were excluded from the fit (the distribution decayed more slowly), consistent with an overestimation of the number of single cells, but the shifts were all within uncertainties. Estimates of distribution exponents from small sizes can easily be biased (Clauset et al., 2009), so we performed our sensitivity analysis with two different methods: a linear fit to $\mathrm{log}P(\text{size}>n)$ vs. $\mathrm{log}n$, and maximum likelihood estimation (Materials and methods). The maximum likelihood estimate gave higher values than linefitting, but the shifts upon removing single cells were within uncertainties for both methods.
For the largesize plateau, the existence of dim cells in the center of the aggregate, perhaps due to a state of low metabolic activity, would lead to an underestimate of total cluster size. Underestimating the size of large clusters would then result in a less extreme plateau; the plateaus we observe are therefore a lower bound. In crosssections of large aggregates, we observe mostly homogeneous fluorescence, suggesting that this effect is mild, although small dark regions do occur (Figure 2—figure supplement 2). Whether these dark regions correspond to dead or inactive bacteria, mucus, or empty space, is not clear, although we note that small clumps of dead bacteria have been observed in expelled clusters via live/dead staining (Schlomann et al., 2019). Regardless of their origin, we conclude that these mild heterogeneities are unlikely to significantly alter the behavior of the size distributions, which span 4 orders of magnitude.
In summary, we find that different bacterial strains, which exhibit a variety of swimming and sticking behaviors (Wiles et al., 2018; Schlomann et al., 2018), abundances (Schlomann et al., 2018; Wiles et al., 2020), and population dynamics (Wiles et al., 2016; Schlomann et al., 2019; Wiles et al., 2020), share a common family of cluster size distributions. This observation suggests that generic processes, rather than strainspecific ones, determine gut bacterial cluster sizes. Notably, these distributions are extremely broad, inconsistent with the exponentialtailed distributions found for linear chains of bacteria (Bansept et al., 2019). We next sought to understand the kinetics that give rise to our measured cluster size distributions.
A growthfragmentation process generates powerlaw distributions
Previous timelapse imaging of bacteria in the zebrafish intestine revealed four core processes that can alter bacterial cluster sizes: (1) clusters can increase in size due to cell division, a process we refer to as ‘growth’; (2) clusters can decrease in size as single bacteria escape from them, a process we refer to as ‘fragmentation’ and believe to be linked to cell division at the surface; (3) clusters can increase in size by joining with another cluster during intestinal mixing, a process we refer to as ‘aggregation’; and (4) clusters can be removed from the system by transiting along and out of the intestine, a process we refer to as ‘expulsion’. The breakup of large clusters into medium ones appears to be rare in our system, so we ignore this process. The single cell fragmentation process we describe conserves cell number and is analogous to the ‘chipping’ kernel that has been used to describe the breaking off of monomers from the ends of linear polymers (Krapivsky and Redner, 1996).
To understand how each of these process affect the distribution of cluster sizes, we used mathematical modeling. We attempted to construct a simple model that encoded these processes and retained salient biological and physical features. In our model, the relevant variable is a list of all cluster sizes, or equivalently, a list of the number of clusters of each size. Clusters can change size according to four reactions that correspond to each of the four processes listed above. There is no explicit spatial dependence in this model, but aspects of spatial structure, such as the fact that some cells in a cluster are confined to the center while others are on the surface, can be modeled by choosing how the rates of reactions depend on cluster size, as discussed below. We assume, however, that growth rates are the same for all cells within a cluster. Growth rates have been measured for seven strains to date and fall in the range of 0.3 to 0.8 hr^{1} (Jemielita et al., 2014; Wiles et al., 2016; Schlomann et al., 2019; Wiles et al., 2020); we use an intermediate value of 0.5 hr^{1} in all simulations below. In large systems, it is often valid to ignore fluctuations, in which case the model can be summarized by a single, deterministic equation for the likelihood of clusters of each size, for which analytic results are possible in some cases. In contrast, for small systems, which includes our experiments, random fluctuations will likely be relevant, and so we turn to computer simulations that capture stochastic dynamics.
We previously showed that a version of this model with all parameters measured (i.e., no remaining free parameters) generates a size distribution consistent with that of Enterobacter ZOR0014 (Schlomann et al., 2019). However, it was not clear which processes generated which features of the distribution, or how generalizable the model was. Therefore, we studied this model in more detail, starting from a simplified version and iteratively adding complexity.
The observation that all distributions appeared to be organized around $P(\text{size}>n)\sim {n}^{1}$ inspired us to consider connections to a classic populations genetics model that has this form for the distribution of allele frequencies, known as the YuleSimons process (Yule, 1925; Simon, 1955; AltanBonnet et al., 2020; Neher and Hallatschek, 2013). An exponentially growing population subject to random neutral mutations that occur with probability $\u03f5$ will amass an allele frequency distribution that follows $P(\text{frequency}>x)\sim {x}^{\frac{1}{1\u03f5}}$ for large sizes, with the limit to $P(\text{frequency}>x)\sim {x}^{1}$ for rare mutation. This heavytailed distribution reflects ‘jackpot’ events in which mutants that appear early rise to large frequencies through exponential growth. As long as mutation is rare compared to replication, this process robustly generates distributions $P(\text{size}>n)\sim {n}^{1}$, without the need for fine tuning of the microscopic details. We therefore saw it as an attractive hypothesis for generating similar size distributions across diverse bacterial species.
Analogously, the size of mutant clones maps onto the size of a bacterial cluster, and the mutation process that generates new clones maps onto the fragmentation process that generates new clusters (Figure 3A). In situations where all cells in a cluster have the same probability of fragmenting, this analogy is exact and the same distribution emerges (Appendix). However, gut bacterial clusters are threedimensional and likely encased in mucus (van der Waaij et al., 1996), so spatial structure likely influences fragmentation rates. We hypothesized that this spatial structure could be a mechanism for generating distributions shallower than $P(\text{size}>n)\sim {n}^{1}$ that we observe in the data for large sizes (Figure 2) but that cannot be produced by the standard YuleSimons mechanism. Therefore, we modified the YuleSimons process by decoupling the growth and fragmentation processes and invoking a fragmentation rate, ${F}_{n}$, that scales as a power of the cluster size, ${F}_{n}\sim \beta {n}^{{\nu}_{F}}$ (Figure 3B). A value of ${\nu}_{F}=1$ corresponds to the wellmixed limit of the YuleSimons process. A value of ${\nu}_{F}=2/3$ corresponds to only bacteria on the surface of clusters being able to fragment. An extreme value of ${\nu}_{F}=0$ means that all clusters have the same rate of fragmenting, regardless of their size, and can be thought of as representing a chain of cells where only the cells at ends of the chain can break off.
In stochastic simulations of this model (Materials and methods) we find broad, powerlawlike distributions for each value of ${\nu}_{F}$ (Figure 3C), but no signature of a shallow plateau at larger sizes. We define μ as the exponent of the probability distribution, $p(n)\sim {n}^{\mu}$, such that the cumulative distribution function has the form $P(\text{size}>n)\sim {n}^{\mu +1}$ (the latter is proportional to the integral of the former). Following established methods, we fit a power law, $P(\text{size}>n)\sim {n}^{\mu +1}$ for $n>{n}_{\text{min}}$ to simulation outputs using maximum likelihood estimation (Clauset et al., 2009) and examined the dependence on fragmentation rate. Faster fragmentation results in larger values of μ, reflecting steeper distributions, with the dependence being superlinear for ${\nu}_{F}=1$, approximately linear for ${\nu}_{F}=2/3$, and sublinear for ${\nu}_{F}=0$ (Figure 3D, circles). Increasing values of ${\nu}_{F}$ also appeared to have increasing minimum values of μ, corresponding to rare fragmentation.
The minimum value of the distribution exponent can be computed by considering, for example, the total rate of fragmentation events. Denoting the total number of clusters by $M$ and the number of clusters of size $n$ by c_{n}, the rate of cluster production follows $\dot{M}\approx \beta {\sum}_{n}{n}^{{\nu}_{F}}{c}_{n}$ (Appendix). Assuming a powerlaw solution ${c}_{n}\sim {n}^{\mu}$ and approximating the sum by an integral, we see that the rate of cluster production is finite only if
consistent with simulations. Therefore, spatial structure—modeled by decreasing ${\nu}_{F}$—is indeed a mechanism to generate distributions shallower than $P(\text{size}>n)\sim {n}^{1}$. A heuristic argument for the rate dependence of the exponents in the long time, large size limit is provided in the Appendix, with the results summarized in Table 2 and plotted as solid lines in Figure 3D. The analytic results agree reasonably well with simulations, with deviations becoming prominent as $\beta /r\approx 1$.
In summary, we identified a minimal growthfragmentation process that generates powerlaw distributions with tuneable exponents in the experimentally observed range. However, this model does not include other features known to occur in the experimental system, including a finite carrying capacity that limits growth, cluster aggregation, and cluster expulsion, which may alter the asymptotic distributions. Moreover, this model fails to capture the largesize behavior of many of the experimental distributions, which exhibit a plateau (Figure 2). Therefore, we investigated extensions of the model.
Sizedependent aggregation enhances the abundance of large clusters
We explored a number of potential mechanisms for generating plateaus in the size distribution at large cluster sizes. As shown below, several plausible models fail to produce this feature. It emerges, however, from the incorporation of sizedependent aggregation rates.
First we tested whether finite time effects could introduce plateaus to the distributions of the minimal growthfragmentation model, since our powerlaw solutions are only valid asymptotically. Indeed, stochastic simulations with ${\nu}_{F}=1$ and rare fragmentation ($r=0.5$ hr^{1}, $\beta =0.05$ hr^{1}) showed that for systems initialized with 10 single cells (a reasonable comparison with initial colonization in the experiments Wiles et al., 2016), slight curvature appears in the distribution that weakens with time but is still detectable at 24 hr (Figure 4—figure supplement 1, circles). We confirmed that this effect was solely due to dynamics and not to any finite system effect by numerically integrating the master equation for this model, which describes the deterministic dynamics of an infinite system yet agrees with the stochastic simulation results (Figure 4—figure supplement 1, lines; Materials and methods). However, the curvature observed at finite times is substantially smaller than what occurs for some of the strains, such as Enterobacter ZOR0014 and Vibrio ZOR0036, so we believe it is not the dominant effect.
We next asked whether including additional processes to the model could produce the plateau effect, focusing on stationary distributions. As discussed above, populations in the larval zebrafish gut are known to reach carrying capacities that halt growth (Jemielita et al., 2014). Since we believe fragmentation is tied to growth, we modeled this as the fragmentation rate being slowed as the total number of cells, $N$, approaches carrying capacity, K, in the same way as the growth rate: $r\to r(1N/K)$ and $\beta \to \beta (1N/K)$. Carrying capacities have been estimated to range from 10^{3}10^{6} cells, depending on the bacterial strain (Jemielita et al., 2014; Wiles et al., 2016; Schlomann et al., 2018; Wiles et al., 2020).
With this addition to the model, fragmentation halts in the steady state. However, in the larval zebrafish gut it has been welldocumented that large bacterial aggregates are quasistochastically expelled out the intestine, after which exponential growth by the remaining cells is restarted (Wiles et al., 2016). We modeled expulsion by having clusters removed from the system altogether at a sizedependent rate ${E}_{n}=\lambda {n}^{{\nu}_{E}}$. It is unclear what value of the exponent ${\nu}_{E}$ best describes the experimental system, but previous studies measured expulsion rates for the largest clusters, typically of order $K\sim {10}^{3}$ cells, in the range of 0.07 to 0.11 hr^{1} (Wiles et al., 2016; Schlomann et al., 2019). Therefore, we covaried ${\nu}_{E}$ and $\lambda $ such that $\lambda {K}^{{\nu}_{E}}\sim {10}^{1}$ hr^{1}. Combining finite carrying capacity and expulsion leads to a nontrivial stationary distribution of the model that lacks a plateau for ${\nu}_{E}=$ 0, 1/3, or 2/3 (Figure 4—figure supplement 2).
Finally, we considered the effect of cluster aggregation, which has been directly observed in live imaging experiments (Schlomann et al., 2019). We model aggregation with pairwise interactions where clusters come together and form a single cluster with size equal to the sum of the individual sizes. The aggregation rate is allowed to be sizedependent with the homogenous kernel ${A}_{nm}=\alpha {(nm)}^{{\nu}_{A}}$. As with expulsion, it is not clear which exponent value is the most realistic. Accurate measurements of aggregation rates are lacking, but we estimate bounds to be between 1 and 100 total aggregation events per hour for a typical population (Materials and methods), so we consider only pairs of $\alpha $ and ${\nu}_{A}$ that match these bounds. Further, an important theoretical distinction is that in purely aggregating systems, models with ${\nu}_{A}\ge 1/2$ exhibit a finitetime singularity corresponding to a gelation transition, at which point the distribution acquires a powerlaw tail, while distributions have exponential tails when ${\nu}_{A}<1/2$ (Krapivsky et al., 2010). We considered both regimes.
We added aggregation to our growthdriven process and arrived at the general model described in Figure 4A. Parameters are also summarized in Table 3. Strikingly, we found that increasing aggregation rate produces the largesize plateau seen in our data, but only when aggregation rate scales sufficiently quickly with cluster size (Figure 4B, right, ${\nu}_{A}$ = 2/3) and not when aggregation is sizeindependent (Figure 4B, left, ${\nu}_{A}=0$). A mild effect is observed for ${\nu}_{A}=1/3$ (Figure 4B, middle). The largest plateau (Figure 4B, ${\nu}_{A}=2/3$, highest curve) corresponds to 15 ± 3 (mean ± std. dev) total aggregation events per hour. This value is consistent with our rough experimental bounds of 1–100 hr^{1}.
We further found that this plateau effect is intrinsic to finite systems (Figure 4C). For the most aggregated cases in Figure 4B, we numerically solved the corresponding master equation, representing the deterministic dynamics of an infinite system, and found that the plateau did not occur. Master equation and stochastic simulation solutions agree for ${\nu}_{A}=0$, but for larger values of ${\nu}_{A}$, the two solutions only agree in the small size regime. At large sizes, stochastic simulations produce an overabundance of large clusters compared to the master equation solution. This result indicates that in a finite system, strong aggregation can deplete small clusters, condensing them into a small number of large clusters on the order of the systemsize.
This overall process is reminiscent of the gelation transition in soft materials. Stochastic dynamics of finite systems of purely aggregating particles at the gelation transition also produces distributions with plateaus, but with an initial decay given approximately by a power law with $\mu =5/2$ (Figure 4—figure supplement 3, see also Matsoukas, 2015). Combined with a growth/fragmentation/expulsion process, we found that sizedependent aggregation produces a distribution that initially decays in a powerlawlike manner with tunable exponents and then exhibits a tuneable plateau, as we observe in the experimental data.
Discussion
We analyzed imagederived measurements of bacterial cluster sizes from larval zebrafish intestines and discovered a common family of size distributions shared across bacterial species. These distributions are extremely broad, exhibiting a powerlawlike decay at small sizes that becomes shallower at large sizes in a strainspecific manner. We then demonstrated how these distributions emerge naturally from realistic kinetics: growth and singlecell fragmentation together generate powerlaw distributions, analogous to the distribution of neutral alleles in expanding populations, while sizedependent aggregation leads to a plateau representing the depletion of midsized clusters in favor for a single large one. In summary, we found that gut bacterial clusters are welldescribed by a model that combines the features of evolutionary dynamics in growing populations with those of inanimate systems of aggregating particles; intestinal bacteria form a ‘living gel’.
Gels are characterized by the emergence of a massive connected cluster that is on the order of the system size. In the larval zebrafish intestine, we often find for some bacterial species that the majority of the cells in the gut are contained within a single cluster, similar to a gellike state. While growth by cell division generates large clusters, it is the aggregation process that leads to systemsized clusters being overrepresented. This enhancement of massive clusters manifests as a plateau in the size distribution and is reminiscent of a true gelation phase transition. In our model, the prominence of this plateau appears to follow the same trend as in nonliving, purely aggregating systems: the plateau depends strongly on the aggregation exponent that dictates the sizedependence of aggregation, with exponents larger than $1/2$ leading to strong plateaus and exponents less than $1/2$ leading to weak or no plateaus.
How this strong sizedependence in aggregation emerges in the intestine is unclear, although we hypothesize that active mixing by intestinal contractions, which can in fact merge multiple clusters at once (Schlomann et al., 2019), is an important driver. We envision that the exponents for aggregation and also for fragmentation are likely generic, set by physical aspects of the intestine and the geometry of clusters, while the rates of these processes are bacterialspecies dependent. In our system, we predict that differences in aggregation and/or fragmentation rates between strains underly the differences in measured size distributions. Further, it is possible that individual bacteria can tune these rates by altering their behavior, for example, modulating swimming motility (Wiles et al., 2020), in response to environmental cues. Quantitatively understanding how the combination of intestinal fluid mechanics and bacterial behaviors determine aggregation and fragmentation rates would be a fruitful avenue of future research. More abstractly, active growth combined with different aggregation processes, for example the fractal structures of diffusionlimited aggregation, may lead to different families of size distributions that would be interesting to explore.
On the experimental front, direct measurements of aggregation and fragmentation rates from timelapse imaging would be an extremely useful next step. However, these measurements are technically challenging. Even by eye, unambiguously identifying that a single bacterium fragmented out of a larger aggregate, and did not simply float into the field of view, requires faster imaging speeds than we can currently obtain. Sparse, twocolor labeling may improve reliability of detection, but would decrease the frequency of observing an event. Automatic identification of fragmentation events in timelapse movies is a daunting task, but recent computational advances, for example using convolutional neural networks to automatically identify cell division events in mouse embryos (McDole et al., 2018), may provide a good starting point. Aggregation is easier to observe by eye, but its automatic identification presents similar challenges in analysis.
Given the general and minimal nature of the model's assumptions, we predict that the form of the cluster size distributions we described here is common to the intestines of animals, including humans. This prediction of generality could be tested in a variety of systems using existing methods. In fruit flies, live imaging protocols have been developed that have revealed the presence of threedimensional gut bacterial clusters highly reminiscent of what we observe in zebrafish, particularly in the midgut (Koyama et al., 2020). Quantifying the sizes of these clusters would allow further tests of our model.
In mice, substantial progress has been made in imaging histological slices of the intestine with the luminal contents preserved (Tropini et al., 2017). Intestinal contents are very dense in the distal mouse colon, however, and it is not clear how one should define cluster size. Other intestinal regions are likely more amenable to cluster analysis. Moreover, with speciesspecific labeling, it is possible to measure the distribution of clonal regions in these dense areas (Mark Welch et al., 2017). One could imagine then comparing these data to a spatiallyexplicit, multispecies extension of the model we studied here.
Our model could also be tested indirectly for humans and other animals incompatible with direct imaging by way of fecal samples. Two decades ago, bacterial clusters spanning three orders of magnitude in volume were observed in gently dissociated fecal samples stained for mucus, but precise quantification of size statistics was not reported (van der Waaij et al., 1996). Repeating these measurements with quantification, from for example imaging or flow cytometry, would also provide a test of our model, albeit on the microbiome as a whole rather than a single species at a time. The interpretation therefore would be of an effective species with kinetic rates representing average rates of different species.
To close, we emphasize that the degree of bacterial clustering in the gut is an important parameter for both microbial population dynamics and hostbacteria interactions. More aggregation leads to larger fluctuations in abundance due to the expulsion of big clusters, and also thereby increase the likelihood of extinction (Schlomann et al., 2019; Schlomann and moments, 2018). Further, aggregation within the intestinal lumen can reduce access to the epithelium and reduce proinflammatory signaling (Wiles et al., 2020). Therefore, measurements of cluster sizes may be an important biomarker for microbiotarelated health issues, and inference of dynamics from size statistics using models like this one could aid the development of therapeutics.
Materials and methods
Data
We assembled data on gut bacterial cluster sizes from three different studies on larval zebrafish (Schlomann et al., 2018; Wiles et al., 2020). Size data from Schlomann et al., 2018 and Schlomann et al., 2019 were taken directly from the supplementary data files associated with those publications. The raw size data from Wiles et al., 2020 was not included in its associated supplementary data file, but summary statistics such as planktonic fraction were. All sizes were rounded up to the nearest integer.
Details of experimental procedures can be found in the original papers. In brief, as described in Figure 1, animals were reared germfree, monoassociated with a single bacterial strain, each carrying a chromosomal GFP tag, and then imaged 24 hr later using a custombuilt light sheet fluorescence microscope (Jemielita et al., 2014). The gut is imaged in four tiled subregions that are registered via crosscorrelation and manual adjustment. Imaging a full gut volume (≈1200 μm × 300 μm × 150 μm) with 1 μm slices takes approximately 45 s. Laser power (5 mW) and exposure time (30 ms) were identical for all experiments.
The image analysis pipeline used to enumerate bacterial cluster sizes is also described in detail in the original publications and in reference (Jemielita et al., 2014). In brief, single cells (small objects) and multicellular aggregates (large objects) are identified separately. The number of cells per aggregate is then estimated as the total fluorescence intensity of the aggregate divided by the mean fluorescence intensity of a single cell. Small objects are identified in three dimensions with a combination of differenceofgaussians and wavelet filters (OlivoMarin, 2002) and then culled using a support vector machine classifier and manual curation. Large objects are segmented in maximum intensity projections using a graphcut algorithm (Boykov and Kolmogorov, 2004) seeded by either an intensity or gradientthresholded mask. The total intensity of an aggregate is computed by extending the twodimensional mask in the $z$direction and summing fluorescence intensities above a threshold calculated from the boundary of the mask, with pixels detected as part of single cells removed. The boundary of the gut is manually outlined prior to image analysis and used to exclude extraintestinal fluorescence.
Size distribution
Request a detailed protocolFor the experimental data, reverse cumulative distributions were computed as
In combining data from different samples colonized with the same strain, we pooled together all sizes and computed the distribution in the same way. For simulations with large numbers clusters, we computed this distribution iteratively, looping through each simulation replicate and independently updating (number clusters with size $>n$) and (total number of clusters), and normalizing at the end.
For the binned probability densities in Figure 2—figure supplement 1, data were similarly pooled across samples and then sorted into logarithmically spaced bins of log_{10} width = 0.4.
Estimates on bounds of agg rates
Request a detailed protocolWe estimated approximate bounds on the rate of total aggregation events as follows. For the maximum rate, we note that a typical population contains approximately 200 clusters (mean ± std. dev of 244 ± 182). In the absence of other processes, condensing this system into one cluster would require 100 aggregation events. Populations consisting of almost entirely one large cluster are rare but have been documented (Schlomann et al., 2018). Therefore, we estimate that this complete condensation can occur no more than once an hour, leading to an upper bound on the total rate of aggregation events of 100 per hour.
For the minimum rate, we start with the observation that aggregation has been directly observed between small clusters and also between small clusters and a single large cluster during a large expulsion event (Schlomann et al., 2019). Considering just the latter process, we know that large expulsion events happen roughly once every 10 hr. If approximately 10 small clusters are grouped into the large cluster during transit out of the gut, that would correspond 10 total aggregation events in 10 hr, or, 1 per hour, which we take as a lower bound.
Simulations
Request a detailed protocolWe used three different numerical approaches for studying the models discussed here. The minimal growthfragmentation process in Figure 3 was simulated with a Poisson tauleaping algorithm Gillespie, 2001 with a simple fixed tau value of $\tau =0.1$ hr. At each time step, the number of growth and fragmentation events was drawn from a Poisson distribution with the rates given in Figure 3B along with the constraint that clusters must be of size two or larger to fragment.
For the full model including aggregation and expulsion, we used Gillespie's algorithm Gillespie, 1977 for fragmentation, aggregation, and expulsion events, while growth was updated deterministically according to a continuous logistic growth law approximated by an Euler step with $dt=\text{min}(\tau ,0.1\text{hr})$, where $\tau $ here refers to the time to next reaction. For the Gillespie steps, if the time to next reaction exceeded the doubling time, $(\mathrm{ln}2)/r$, the growth steps were performed and then the propensity functions were recalculated.
Finally, we compared these stochastic simulations to a model in the thermodynamic limit where individual clusters are replaced with cluster densities that evolve deterministically, which is referred to as a master equation (Krapivsky et al., 2010). The master equation for the general model reads
This set of equations was solved numerically on a bounded size grid using an Euler method with step size $dt=0.0001$ hr. Models that include a carrying capacity, $K$, are already defined on a finite domain of integers ranging from one to $K$ and the master equation is naturally represented by a set of $K$ ordinary differential equations. For models without a carrying capacity, we introduced a maximum size given by the average population size at the last time point, ${n}_{\text{max}}=\text{exp}(r{t}_{\text{max}})$ (rounded up to the nearest integer), and used reflecting boundary conditions at ${n}_{\text{max}}$.
A distribution was deemed stationary if it was visibly unchanged after an additional 50% of simulation time.
MATLAB code for simulating these models and plotting data can be found at https://github.com/rplab/cluster_kinetics (copy archived at swh:1:rev:f55a54a9c88e4fb8376dfc91e25ac4383c4240ae, Schlomann, 2021).
Estimating distribution exponents
Request a detailed protocolFor the simulated distributions in Figure 3 we estimated a power law exponent using the maximum likelihoodbased method described in Clauset et al., 2009 and the plfit.m code supplied therein. This model includes a minimum size as a free parameter that dictates when the powerlaw tail begins. The minimum size is chosen to minimize the KolmogorovSmirnov distance between the data and model distributions for sizes greater than the minimum size. Best fit values of the exponent and minimum size are included in Figure 3—source data 1.
For the experimentally measured distributions, we used both maximum likelihood estimation and linear fitting to the logtransformed cumulative distribution to calculate exponents.
Appendix 1
Analytic calculations for growthfragmentation processes
We consider a model with only growth and fragmentation processes and make heuristic arguments for the form of the asymptotic size distribution. In particular, we are interested in how the exponent of the resulting power law tails depends on the growth and fragmentation rates. We derive here the results listed in Table 2 of the main text.
Model summary
Clusters grow according to
and they fragment according to
The cell lost during fragmentation becomes its own cluster of size one.
We now consider the deterministic dynamics of a large system. Putting these reactions together, we can write the master equation for the density of cells of size $n$, c_{n}:
In what follows we will use the terms ‘‘density’’ and ‘‘total number’’ interchangeably, measuring volume in units of our system size (i.e., number of cells per gut). The first moment of this equation gives the total number of cells,
The zeroth moment gives the total number of clusters,
Here, the c_{1} term reflects the fact that in this model, cells must have size 2 or greater to fragment.
Finally, in a continuum picture, the size of a particular cluster is described by
A wellknown heuristic derivation of the stationary distribution of this type of process is based on the relationship between the number of clusters, $M={\sum}_{n}{c}_{n}$, and the total number of cells, $N={\sum}_{n}n{c}_{n}$. The key to this derivation is to recognize that $M(t)$ acts as a proxy for the rank of the cluster that arises at time $t$: for the ${j}^{\text{\mathit{t}\u210e}}$ cluster to arise, there are $j1$ clusters that have a larger size, since the relative ordering of cluster sizes is preserved during exponential growth. For large sizes, when cluster rank is expressed as a function of cluster size it becomes proportional to the reverse cumulative distribution function, from which we obtain the density.
It turns out that the differences in behaviors of exponents measured in simulations for different values of ${\nu}_{F}$ can be understood by considering the importance of two terms in particular: the c_{1} term in the equation for $M$, and the $\beta {n}^{{\nu}_{F}}$ term in the equation for $n$.
Case 1: ${\nu}_{F}=1$
The total number of cells follows simple exponential growth, $N(t)\sim \text{exp}(rt)$. For ${\nu}_{F}=1$, the total number of clusters is governed by the equation
where the c_{1} term arises in our model because clusters can only fragment if they have size $\ge 2$. At long times, however, we expect ${c}_{1}\ll N$ and we therefore ignore this term, leading to $M(t)\sim (\beta /r)\text{exp}(rt)\sim N(t)$. A cluster that arises at time ${t}^{\prime}$ will at a later time $t$ have a size
Ignoring overall $t$ dependence, we can express this size as a function of the rank of this cluster,
Inverting this relationship, and invoking the proportionality between $M$ and the reverse cumulative distribution, $P(\text{size}>n)$, results in
and differentiating produces the expected result
where c_{n} is normalized by $\sum {c}_{n}=M$. This result matches the traditional YuleSimons process, where each organism divides at rate $r$ and then mutates with probability $\u03f5$, with $\u03f5=\beta /r$.
Case 2: $0<{\nu}_{F}<1$
In this case, when considering the equation for the size of a particular cluster,
for ${\nu}_{F}<1$ we ignore the second term on the right hand side. This term represents loss due to fragmentation, can be ignored for large sizes. Specifically, we consider sizes greater than a critical size, ${n}_{c}={(\beta /r)}^{1/(1{\nu}_{F})}$, below which clusters will shrink. Ignoring this term, the size of a particular clusters that arose at time ${t}^{\prime}$ is given by
The total number of clusters follows
Like above with ${\nu}_{F}=1$, we ignore the c_{1} term. Unlike for ${\nu}_{F}=1$, we don’t have a closed equation for the fractional moment ${\sum}_{n=1}^{\mathrm{\infty}}{n}^{{\nu}_{F}}{c}_{n}$. Therefore, we take the approach of making a power law ansatz
with normalization
and then solve for the exponent μ selfconsitently First, we approximate the sums by integrals and arrive at an equation for $M$
Then we follow the same logic as for the ${\nu}_{F}=1$ case. Solving for $M(t)$, we get
Combining terms into
we then relate the size of a cluster that arose at time ${t}^{\prime}$ to the rank of that cluster,$M({t}^{\prime})$,
from which we compute the scaling behavior of c_{n},
Equating this expression with the original ansatz, we arrive at a selfconsistency equation for μ
which we solve to obtain an exponent linear in the rates,
This result is plotted in Figure 3D of the main text with ${\nu}_{F}=2/3$ and agrees reasonably well with simulations.
Case 3: ${\nu}_{F}=0$
For ${\nu}_{F}=0$, the equation for $M$ simplifies to
The simulation results in Figure 3D indicate that the relationship between μ and $\beta /r$ is no longer linear, which we expect to be due to the c_{1} term reducing the propensity for fragmentation. That this singlecell effect is relevant for ${\nu}_{F}=0$ makes sense because we expect most clusters to be of order 1, which would make c_{1} of order $M$ . To account for this term explicitly, we make the same power law ansatz as before,
and then extrapolate down to $n=1$ to estimate c_{1},
This extrapolation is purely a convenient approximation, as the distribution is likely not a true power law down to sizes of $\mathcal{O}(1)$. With this ansatz, the equation for $M$ reads
Combining terms we can define
and write
Then, following the same protocol as above, we can relate the frequency of a cluster to its rank,
from which we compute the scaling behavior of c_{n},
Equating this result with the original ansatz, we get the selfconsistency equation
Solving this equation we get
This result is plotted in Figure 3D of the main text and agrees reasonably well with simulations, with notable deviations occurring once $\beta /r\approx 1$.
Discussion
In this model growth and fragmentation are treated as separate processes. This choice is convenient in the context of the full model including aggregation because classic reversible aggregation models (Krapivsky et al., 2010) are contained within this general framework when growth and expulsion rates are set to zero, and also because fragmentation conserves total cell number. As a consequence of this choice, single cells are forbidden from fragmenting and don’t contribute to the total rate of fragmentation events. This feature differs from common evolutionary variants of this model for asexual populations, where growth and mutation are linked. In those models, all organisms divide and in each division have a probability of mutating (analogous to fragmenting in our model), so the rate of mutant production scales with the total population, including singletons. This is mostly a minor difference, but, as we showed, it does lead to different behaviors of the resulting distribution exponents in the limit of fast fragmentation.
We showed that we can account for this effect when it is important (in the case ${\nu}_{F}=0$), but we cannot say when it will be important. That is because this effect depends on the number of single cells, which lies outside the regime of our largesize asymptotics that underly the continuum approximation. Ultimately the effect depends on how large the the number of single cells, c_{1}, is compared to the fractional moment ${\sum}_{n}{n}^{{\nu}_{F}}{c}_{n}$. If the distribution has a significant shoulder, than c_{1} may be smaller than the extrapolation of the powerlaw form down to $n=1$. In that case, the singlecell effect may be less important than this extrapolation would predict it to be.
Data availability
A table of all bacterial cluster sizes analysed in this study is included in the Source Data Files. MATLAB code for simulating the models described in the study is available at https://github.com/rplab/cluster_kinetics (copy archived at https://archive.softwareheritage.org/swh:1:rev:f55a54a9c88e4fb8376dfc91e25ac4383c4240ae).
References

Quantitative immunology for physicistsPhysics Reports 849:1–83.https://doi.org/10.1016/j.physrep.2020.01.001

Enchained growth and cluster dislocation: a possible mechanism for Microbiota homeostasisPLOS Computational Biology 15:e1006986.https://doi.org/10.1371/journal.pcbi.1006986

An experimental comparison of mincut/maxflow algorithms for energy minimization in visionIEEE Transactions on Pattern Analysis and Machine Intelligence 26:1124–1137.https://doi.org/10.1109/TPAMI.2004.60

Gut biogeography of the bacterial MicrobiotaNature Reviews Microbiology 14:20–32.https://doi.org/10.1038/nrmicro3552

Exact stochastic simulation of coupled chemical reactionsThe Journal of Physical Chemistry 81:2340–2361.https://doi.org/10.1021/j100540a008

Approximate accelerated stochastic simulation of chemically reacting systemsThe Journal of Chemical Physics 115:1716–1733.https://doi.org/10.1063/1.1378322

Measurement of Galaxy Cluster Sizes, Radial Profiles, and Luminosity Functions from SDSS Photometric DataThe Astrophysical Journal 633:122–137.https://doi.org/10.1086/444554

Transitional aggregation kinetics in dry and damp environmentsPhysical Review E 54:3553–3561.https://doi.org/10.1103/PhysRevE.54.3553

The kinetics of precipitation from supersaturated solid solutionsJournal of Physics and Chemistry of Solids 19:35–50.https://doi.org/10.1016/00223697(61)900543

Statistical thermodynamics of irreversible aggregation: the SolGel transitionScientific Reports 5:srep08855.https://doi.org/10.1038/srep08855

Fierce selection and interference in BCell repertoire response to chronic HIV1Molecular Biology and Evolution 36:2184–2194.https://doi.org/10.1093/molbev/msz143

Extraction of spots in biological images using multiscale productsPattern Recognition 35:1989–1996.https://doi.org/10.1016/S00313203(01)001273

Monitoring microbial communities using light sheet fluorescence microscopyCurrent Opinion in Microbiology 43:31–37.https://doi.org/10.1016/j.mib.2017.11.008

Bacterial cohesion predicts spatial distribution in the larval zebrafish intestineBiophysical Journal 115:2271–2277.https://doi.org/10.1016/j.bpj.2018.10.017

Softwarecluster_kinetics, version swh:1:rev:f55a54a9c88e4fb8376dfc91e25ac4383c4240aeSoftware Heritage.

Stationary moments, diffusion limits, and extinction times for logistic growth with random catastrophesJournal of Theoretical Biology 454:154–163.https://doi.org/10.1016/j.jtbi.2018.06.007

BookSpatial Ecology: The Role of Space in Population Dynamics and Interspecific Interactions (MPB30Princeton University Press.

The gut microbiome: connecting spatial organization to functionCell Host & Microbe 21:433–442.https://doi.org/10.1016/j.chom.2017.03.010

II.—A mathematical theory of evolution, based on the conclusions of Dr. JC Willis, FRSPhilosophical Transactions of the Royal Society of London. Series B, Containing Papers of a Biological Character 213:21–87.https://doi.org/10.1098/rstb.1925.0002
Article and author information
Author details
Funding
National Institutes of Health (P50GM09891)
 Brandon H Schlomann
 Raghuveer Parthasarathy
National Institutes of Health (P01GM125576)
 Brandon H Schlomann
 Raghuveer Parthasarathy
National Institutes of Health (F32AI112094)
 Brandon H Schlomann
 Raghuveer Parthasarathy
National Institutes of Health (T32GM007759)
 Raghuveer Parthasarathy
National Science Foundation (1427957)
 Brandon H Schlomann
 Raghuveer Parthasarathy
James S. McDonnell Foundation
 Brandon H Schlomann
Kavli Foundation (Kavli Microbiome Ideas Challenge)
 Brandon H Schlomann
 Raghuveer Parthasarathy
National Institutes of Health (P01HD22486)
 Brandon H Schlomann
 Raghuveer Parthasarathy
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Acknowledgements
We thank Jayson Paulose for helpful discussions. Research was supported by the National Institutes of Health (http://www.nih.gov/), under Awards P50GM09891, P01GM125576, F32AI112094, and T32GM007759. Work was also supported by the National Science Foundation under Award 1427957, and an award from the Kavli Microbiome Ideas Challenge, a project led by the American Society for Microbiology in partnership with the American Chemical Society and the American Physical Society and supported by The Kavli Foundation. The University of Oregon Zebrafish Facility is supported by a grant from the National Institute of Child Health and Human Development (P01HD22486). BHS was supported by the James S McDonnell Foundation postdoctoral fellowship. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Ethics
Animal experimentation: The studies that generated the data analyzed in this paper (see cited references) were done in strict accordance with protocols approved by the University of Oregon Institutional Animal Care and Use Committee and following standard protocols.
Copyright
© 2021, Schlomann and Parthasarathy
This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.
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