Graphical Abstract Highlights d Carbohydrate availability in the gut drives E. coli Nissle adaptation in vivo d Gut monocolonization selects for glycosyl hydrolases enabling population cross-feeding d Mutations that enhance mucin utilization are enriched in lowdiversity guts d Prior antibiotic exposure in conventional guts can lead to evolved probiotic resistance In Brief E. coli Nissle is a probiotic and chassis for engineered biotherapies, but its adaptive behavior in the gut is unclear. Crook et al. report host-mediated selective pressures modulating carbohydrate utilization and metabolism of E. coli Nissle. This in-host evolution also promotes probiotic survival by enabling effective stress responses during colonization.
SUMMARYProbiotics are living microorganisms that are increasingly used as gastrointestinal therapeutics by virtue of their innate or engineered genetic function. Unlike abiotic therapeutics, probiotics can replicate in their intended site, subjecting their genomes and therapeutic properties to natural selection. We exposed the candidate probiotic E. coli Nissle (EcN) to the mouse gastrointestinal tract over several weeks, systematically altering the diet and background microbiota complexity. In-transit EcN accumulates genetic mutations that modulate carbohydrate utilization, stress response, and adhesion to gain competitive fitness, while previous exposure to antibiotics reveals an acquisition of resistance. We then leveraged these insights to generate an EcN strain that shows therapeutic efficacy in a mouse model of phenylketonuria and found that it was genetically stable over 1 week, thereby validating EcN's utility as a chassis for engineering. Collectively, we demonstrate a generalizable pipeline that can be applied to other probiotics to better understand their safety and engineering potential. ing of GFP-Tagged EcN, B.W.; Engineering of EcN:PAL2 Strains, Z.C.; Creation, Sharing, and Guidance on Pah enu2 -Mouse Model, S.D.