5Cystic fibrosis (CF) is a fatal genetic disease characterized by chronic lung infections due to aberrant 1 6 mucus production and the inability to clear invading pathogens. The traditional view that CF infections 1 7 are caused by a single pathogen has been replaced by the realization that the CF lung usually is colonized 1 8 by a complex community of bacteria, fungi and viruses. To help unravel the complex interplay between 1 9 the CF lung environment and the infecting microbial community, we developed a community metabolic 2 0 CF lung metabolomics and 16S sequencing could provide important insights into disease progression and 3 2 treatment efficacy. 3 3 Importance 3 4Cystic fibrosis (CF) is a genetic disease in which chronic airway infections and lung inflammation result 3 5 in respiratory failure. CF airway infections are usually caused by bacterial communities that are difficult 3 6 to eradicate with available antibiotics. Using species abundance data for clinically stable adult CF patients 3 7 assimilated from three published studies, we developed a metabolic model of CF airway communities to 3 8 better understand the interactions between bacterial species and between the bacterial community and the 3 9 lung environment. Our model predicted that clinically-observed CF pathogens could establish dominance 4 0 over other community members across a range of lung nutrient conditions. Heterogeneity of species 4 1 abundances across 75 patient samples could be predicted by assuming that sample-to-sample 4 2 heterogeneity was attributable to random variations in the CF nutrient environment. Our model 4 3 predictions provide new insights into the metabolic determinants of pathogen dominance in the CF lung 4 4 and could facilitate the development of improved treatment strategies. 4 5 4 6shaping community composition and behavior, and the impact of community composition on the efficacy 7 1 of antibiotic treatment regimens. 7 2In silico metabolic modeling has emerged as a powerful approach for analyzing complex microbial 7 3 communities by integrating genome-scale reconstructions of single-species metabolism within 7 4 mathematical descriptions of metabolically interacting communities (11, 12). Modeled species 7 5 interactions typically include competition for host-derived nutrients and cross-feeding of secreted 7 6 byproducts such as organic acids, alcohols and amino acids between species (13, 14). Due to challenges 7 7 in developing manually curated reconstructions of poorly studied species, including those present in the 7 8 CF lung, most in silico community models have been restricted to ~5 microbial species (15-17) and fail to 7 9adequately cover the diversity of in vivo communities. This limitation can be overcome in bacterial 8 0 communities by using semi-curated reconstructions developed through computational pipelines such as 8 1 the ModelSeed (18), AGORA (19) and other methods (20). Given the availability of suitable single-strain 8 2 metabolic reconstructions, a number of alternative methods have been develo...