How to Design Single-Cell Host–Microbiome Interaction Studies

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Summary

Single-cell host–microbiome interaction study design connects an active microbial population with its genes, molecular outputs, responsive host cells, signaling pathways, and measurable phenotypes. Rather than treating the microbiome or host tissue as one averaged sample, this framework preserves cell-level or spatial context across the evidence chain.

The objective is not to add every available omics assay. It is to select the smallest set of methods that can support the intended biological claim, expose major alternative explanations, and guide a feasible validation experiment.

Key Takeaways

  • Start with the mechanistic claim, not the sequencing platform.
  • Use microbial single-cell genomics to connect genes, plasmids, phages, or variants to individual microbial hosts.
  • Use microbial single-cell transcriptomics when functional states or rare responding subpopulations matter.
  • Add host cell profiling or host–pathogen dual transcriptomics when host response heterogeneity is central.
  • Add spatial methods when physical proximity, tissue niches, or localized interfaces are part of the hypothesis.
  • Treat cell-level association as a prioritization step; causal claims still require perturbation, add-back, rescue, or controlled co-culture experiments.
  • Predefine QC metrics for sample recovery, cell capture, background signal, genome or transcript coverage, batch effects, and replicate consistency.

What Is Single-Cell Host–Microbiome Interaction Study Design?

A single-cell host–microbiome interaction study is an experimental framework that resolves microbial identity or state and host response at cell-level, strain-level, or spatially localized resolution.

The core evidence chain is:

Functional microbial cell or strain → microbial gene or effector → responsive host cell → pathway change → tissue or system phenotype → causal validation

No single assay usually measures every link. A practical design therefore combines discovery, linkage, localization, and validation modules.

For example, microbial single-cell sequencing can resolve individual microbial genomes or transcriptional states. Host-focused cell profiling can identify responsive epithelial, immune, stromal, or model-system subpopulations. Spatial analysis can test whether the candidate microbe and host response occur within the same tissue niche.

Single-cell host–microbiome interaction study design linking microbial cells, effectors, host responses, pathways, and validation. A single-cell host–microbiome interaction study links microbial identity and activity to host cell responses and experimentally testable mechanisms.

Why Bulk Measurements Often Leave Mechanistic Gaps

Bulk metagenomics, metatranscriptomics, and host RNA sequencing remain valuable. They are scalable, support cohort comparisons, and can identify community-level associations.

The limitation appears when the intended claim depends on a minority population or a direct linkage. A gene detected in community DNA is not automatically assigned to the correct microbial strain. A host inflammatory signature does not identify which host cell state initiated or sustained the response.

Bulk averages may obscure:

  • Low-abundance microbes carrying important functional genes
  • Strain-specific plasmids, phages, resistance genes, or metabolic islands
  • Rare microbial stress, tolerance, or virulence-associated states
  • Infected versus bystander host cells
  • Localized host responses at a mucosal or tissue interface
  • Opposing responses from different cell populations within the same specimen

The decision is therefore not "bulk or single-cell" in absolute terms. Bulk methods often provide the community context, while cell-resolved methods test the specific linkage that the bulk dataset cannot establish.

Researchers comparing these routes can use Microbial Single-Cell Genomics vs Metagenomics to determine whether cell-level resolution is likely to change the interpretation.

Define the Claim Before Choosing the Technology

A study becomes easier to design when the main claim is written as a testable sentence.

Weak starting question:

How does the microbiome affect the host?

More useful question:

Does a defined microbial subpopulation expressing a candidate pathway localize near a specific host cell state and induce a reproducible transcriptional response?

This reformulation identifies the evidence needed:

  1. Microbial identity: Which organism, strain, or subpopulation is involved?
  2. Functional state: Which genes, transcripts, or molecular products are active?
  3. Host target: Which host cell type or state responds?
  4. Localization: Do the microbial and host signals occupy the same relevant niche?
  5. Directionality: Does changing the microbial factor alter the host response?
  6. Specificity: Can the response be reduced, reversed, or rescued by a targeted intervention?

The final study may still include exploratory analyses. However, the primary claim should determine sample collection, replicate structure, assay selection, and validation priorities.

A Five-Stage Workflow for Mechanism-Focused Studies

Stage 1: Frame the Biological Contrast

Choose a contrast that can separate the proposed mechanism from background variability.

Examples include:

  • Perturbed versus unperturbed microbial communities
  • Wild-type versus microbial gene knockout strains
  • Exposure versus matched control conditions
  • Early versus late interaction time points
  • Responsive versus nonresponsive host models
  • Defined microbial consortia with or without one candidate strain

Record the expected direction of change before generating data. This reduces post hoc storytelling and clarifies which outputs will be decision-relevant.

Stage 2: Build a Community-Level Baseline

Use community-scale profiling when the study needs taxonomic, genomic, or transcriptional context.

Microbial metagenomics can establish community composition, functional potential, genome bins, and candidate genes. Metatranscriptomics can show which community functions are expressed under the selected condition.

These data help prioritize targets for cell-resolved analysis. They also indicate whether the signal is sufficiently abundant, whether closely related strains may be confounded, and whether a targeted or unbiased single-cell strategy is more appropriate.

Stage 3: Resolve the Microbial Cell or Strain

Choose the microbial single-cell route according to the evidence gap.

Microbial Single-Cell Genome Sequencing

Use microbial single-cell genome sequencing when the project needs to:

  • Recover genomes from low-abundance or uncultured organisms
  • Separate closely related strains
  • Link genes or mobile elements to individual microbial hosts
  • Examine within-species genome variation
  • Compare single amplified genomes with metagenome-assembled genomes
  • Preserve cell-level genomic associations before assembly

Genome-level analysis measures genetic potential. It does not demonstrate that a pathway was active during the interaction.

Microbial Single-Cell Transcriptomics

Use microbial single-cell transcriptomics when the hypothesis depends on functional heterogeneity.

Applications include:

  • Identifying stress-responsive or tolerant subpopulations
  • Resolving different expression states within one strain
  • Comparing microbial states across perturbations
  • Detecting rare cells with elevated pathway or virulence-associated transcripts
  • Separating coexisting microbial programs that bulk RNA analysis averages together

Bacterial single-cell RNA analysis requires methods adapted to low transcript abundance, abundant ribosomal RNA, diverse cell walls, and non-polyadenylated messenger RNA. Probe-based and random-primer strategies represent different solutions to these constraints.

The technology comparison resource LIFT, DoTA-seq, CAP-seq, and Microbe-seq Compared can help distinguish spatial isolation, targeted gene–host linkage, capsule-based genome recovery, and high-throughput strain reconstruction.

Stage 4: Measure the Host Response and Spatial Context

Microbial data alone cannot identify which host cell state responds.

A host cell transcriptomic layer can classify host populations, compare pathway activity, and identify subpopulations associated with the microbial signal. When the model involves intracellular pathogens or attached microbes, host–pathogen single-cell dual transcriptomics can connect host cell states with pathogen-associated transcripts in the same experiment.

A 2024 study applied high-throughput host–microbe single-cell RNA sequencing to an Acinetobacter baumannii infection model and reported host-response heterogeneity associated with ferroptosis-related programs. The study illustrates how paired signals can generate a mechanism candidate that would be difficult to resolve from population averages alone.

Spatial methods become necessary when the hypothesis includes:

  • Mucosal versus luminal niches
  • Tumor-adjacent microbial communities
  • Biofilm layers
  • Immune–epithelial microenvironments
  • Localized metabolite or glycan patterns
  • Physical proximity between a microbial taxon and a host response

Recent spatial work has shown that microbial RNA recovery can be integrated with host spatial transcriptomics. One 2026 study used in situ polyadenylation and spatial RNA sequencing to map host and microbial signals at high resolution, reporting improved bacterial RNA recovery and localized host–microbiome architecture.

A separate 2025 framework integrated spatial microbial detection with host protein, transcript, and glycan measurements in intestinal tissue. It demonstrated how spatial multi-omics can connect bacterial distribution with immune, epithelial, and metabolic remodeling.

Stage 5: Validate Directionality and Causality

Single-cell and spatial data improve resolution, but they do not automatically establish causality.

Mechanistic validation may include:

  • Isolation or enrichment of the candidate microbial strain
  • Addition or removal of a candidate strain from a defined consortium
  • Microbial gene knockout, knockdown, or complementation
  • Purified metabolite or effector exposure
  • Host receptor or pathway perturbation
  • Organoid, co-culture, or microphysiological model testing
  • Time-course analysis to establish event order
  • Add-back or rescue experiments
  • Orthogonal confirmation by targeted PCR, imaging, culture, biochemical measurement, or flow-based assays

A strong validation plan tests both sufficiency and necessity. Adding a candidate factor tests whether it can produce the response. Removing or blocking it tests whether the response depends on that factor.

Discovery-to-validation workflow for single-cell host–microbiome studies using sequencing, spatial analysis, and perturbation. A staged workflow uses community profiling for discovery, cell-resolved methods for linkage, spatial analysis for localization, and perturbation for validation.

Choosing the Right Technology Combination

Research question Primary method Complementary method Main evidence produced
Which strain carries a candidate gene or mobile element? Microbial single-cell genome sequencing Shotgun or long-read metagenomics Cell-to-gene or host-to-element linkage
Which microbial cells activate a pathway under perturbation? Microbial single-cell transcriptomics Metatranscriptomics Cell-state heterogeneity and differential programs
Which host cell type responds? Host cell transcriptomic profiling Bulk host RNA sequencing Host cell-type and state-specific response
Which host cells contain or associate with pathogen signal? Host–pathogen dual transcriptomics Targeted microbial enrichment Paired host state and pathogen-associated signal
Where does the interaction occur? Spatial transcriptomics or microbial imaging Histology, spatial proteomics, metabolite imaging Localized microbial and host-response patterns
Does the microbial factor drive the phenotype? Perturbation and rescue experiment Targeted molecular assays Directional or causal evidence

The most informative design is not necessarily the largest design. It is the design in which every assay closes a defined evidence gap.

Study Route 1: Environmental Functional Microbes

Environmental microbiomes contain extensive genomic and physiological heterogeneity. Soil, sediment, wastewater, biofilms, and engineered microbial communities may include low-abundance organisms with disproportionate functional importance.

A discovery route may include:

  1. Community metagenomics to identify candidate pathways or organisms
  2. Activity labeling or phenotype-based sorting to enrich active cells
  3. Single-cell genome sequencing to connect functional genes with microbial hosts
  4. Single-cell transcriptomics or targeted expression analysis to test activity
  5. Isolation, enrichment, or synthetic-community reconstruction
  6. Functional assays measuring substrate depletion, product formation, or process performance

The output should distinguish presence, activity, and validated function. A degradation gene in a genome supports potential. Expression supports activity under the tested condition. A controlled functional experiment supports contribution to the phenotype.

Example: Activated Sludge and Mobile Genetic Elements

A high-throughput single-cell study of activated sludge analyzed 15,110 individual cells and generated 2,454 single-amplified genome bins. The study identified candidate novel species, antibiotic resistance genes, plasmid fragments, and phage contigs, while using metagenomic data to improve classification of previously unassigned single-cell genome bins.

This example shows why single-cell and metagenomic data can be complementary. Metagenomics provides broader community assembly and abundance context. Single-cell data can preserve host associations that may be ambiguous after bulk assembly.

For broader functional interpretation, microbial functional gene analysis can support targeted evaluation of gene content, expression, and pathway-level changes.

Study Route 2: Gut Microbiome–Host Interactions

Gut studies often begin with a community association, such as a taxon, pathway, metabolite, or resistome feature linked to a host condition or experimental perturbation.

A mechanism-focused route asks more specific questions:

  • Is the signal carried by one strain or multiple strains?
  • Is the microbial function active in every cell or a minority state?
  • Which epithelial, immune, or stromal population responds?
  • Does the response occur near the microbial niche?
  • Is the host response direct, metabolite-mediated, or secondary to tissue remodeling?
  • Does removing the candidate strain or factor reduce the response?

A Practical Gut Study Architecture

Discovery Layer

Use metagenomics, metatranscriptomics, or metabolomics to identify candidate organisms, pathways, and molecular outputs.

Cell-Resolution Layer

Use single-cell microbial genomics for strain and gene linkage. Use microbial single-cell transcriptomics for active-state heterogeneity. Use host cell profiling or dual transcriptomics for responsive host populations.

Spatial Layer

Use spatial RNA analysis, microbial imaging, or spatial multi-omics when tissue organization is part of the mechanism.

Validation Layer

Use isolates, defined communities, organoids, co-culture models, gene perturbation, targeted metabolite exposure, or rescue designs.

The stages do not always need to run simultaneously. A staged design can use broad discovery data to select the most informative samples and targets for cell-resolved follow-up.

QC and Reproducibility Framework

QC should be defined before sequencing. A useful QC plan specifies which metrics will determine whether a sample, cell set, library, or analysis is interpretable.

Sample and Pre-Analytical QC

Evaluate:

  • Sample collection consistency
  • Storage and preservation conditions
  • Freeze–thaw history
  • Microbial biomass and host-to-microbial content
  • Cell integrity, aggregation, and debris
  • Tissue morphology for spatial studies
  • Compatibility of fixation or dissociation with downstream assays

Complex matrices may require sample-specific optimization. Soil particles, extracellular DNA, mucus, host debris, and variable microbial cell walls can affect recovery and background.

Cell Isolation and Compartment QC

Track:

  • Cell concentration and size distribution
  • Capture or sorting event counts
  • Empty partitions and multiplet indicators
  • Negative controls and reagent blanks
  • Cross-sample barcode leakage
  • Recovery consistency across replicates
  • Taxonomic bias introduced by lysis or permeabilization

No single lysis condition is equally efficient for all microorganisms. Pilot testing is particularly important when Gram-positive bacteria, fungi, spores, or poorly characterized environmental organisms are expected.

Single-Cell Genome QC

Relevant metrics may include:

  • Reads assigned per cell or barcode
  • Assembly size and contiguity
  • Genome completeness and contamination
  • Coverage breadth and unevenness
  • Duplicate or redundant cell profiles
  • Taxonomic assignment confidence
  • Mobile element linkage support
  • Concordance with metagenomic abundance or assembly

Whole-genome amplification can generate uneven coverage. Conclusions should therefore match the observed genome breadth rather than assuming every missing gene is biologically absent.

Single-Cell Transcriptome QC

Relevant metrics may include:

  • Reads retained after filtering
  • Mapping and assignment rates
  • Ribosomal RNA fraction
  • Genes or transcripts detected per cell
  • Number of retained cell profiles
  • Background or ambient RNA estimates
  • Cluster stability
  • Differential expression reproducibility
  • Batch and replicate effects

For microbial RNA, low transcript abundance and high ribosomal content require careful interpretation. Targeted probe designs and unbiased transcript capture methods also have different discovery limits.

Host–Microbe Dual and Spatial QC

For dual transcriptomics, monitor the ratio and distribution of host and microbial signals, background microbial RNA, infected-versus-bystander classification criteria, and consistency across host cell states.

For spatial analysis, evaluate tissue morphology, signal localization, background regions, microbial negative controls, alignment across adjacent sections, and reproducibility of spatial neighborhoods.

A 2026 review of microbial single-cell omics emphasizes that in situ approaches add spatial information but also require coordinated optimization of cell identification, molecular capture, and downstream integration.

Data Analysis and Interpretation

A mechanism-focused analysis should move from descriptive outputs to explicit evidence links.

Microbial Analysis

Possible outputs include:

  • Single amplified genome assemblies
  • Strain or subpopulation clusters
  • Taxonomic assignments
  • Functional gene and pathway annotations
  • Plasmid, phage, or resistance-gene linkage
  • Differential microbial states
  • Candidate effector or metabolic programs

Host Analysis

Possible outputs include:

  • Host cell clustering and annotation
  • Differential expression by cell type or state
  • Pathway and gene-set activity
  • Infected versus bystander comparisons
  • Response gradients associated with microbial burden
  • Ligand–receptor or regulatory hypotheses for validation

Cross-Domain Integration

Integration can include:

  • Microbial state–host state association matrices
  • Cross-condition correlation models
  • Spatial co-occurrence and neighborhood analysis
  • Candidate microbe–pathway–host cell networks
  • Time-ordering of microbial and host responses
  • Ranked mechanism candidates with evidence scores

Correlation should be labeled as correlation. A network edge generated from co-abundance, co-expression, or spatial proximity is a hypothesis, not proof of direct molecular interaction.

Typical Deliverables

Deliverables depend on the agreed study scope, but a structured package may include:

  • Raw sequencing files and sample metadata
  • Demultiplexed cell- or barcode-level data
  • Cell-by-gene or feature matrices
  • Single amplified genome assemblies
  • Taxonomic and functional annotations
  • Genome completeness and contamination summaries
  • Cell and cluster QC reports
  • Differential expression or differential-state tables
  • Host cell annotations and pathway results
  • Pathogen-associated signal overlays
  • Spatial maps and neighborhood analyses
  • Candidate gene, strain, effector, or pathway shortlist
  • Publication-ready figures defined in the analysis scope
  • Methods documentation and an integrated interpretation report

The deliverable list should be agreed before data generation. This prevents a mismatch between the biological decision and the final analysis package.

What Recent Studies Show

Cell-Level Microbial Adaptation

A recent gut microbiome single-cell sequencing study tracked bacterial populations and antibiotic resistance features during antimicrobial exposure. It reported ARG distributions, horizontal gene transfer events, and strain-specific patterns that were difficult to resolve from a community average.

The research value is not limited to resistance. The same design logic can be applied to mobile metabolic pathways, phage–host linkage, strain-specific adaptation, and rare functional populations.

Host–Pathogen Response Heterogeneity

Host–microbe single-cell RNA analysis can separate host cells carrying pathogen-associated signal from bystander cells and compare their transcriptional programs. This supports more focused pathway validation than a bulk response signature alone.

Spatial Host–Microbiome Interfaces

Spatial transcriptomic and multi-omic frameworks now support joint interpretation of microbial location, host transcription, immune or epithelial organization, and other molecular layers. These methods are particularly useful when short-range interactions and tissue architecture are part of the proposed mechanism.

Decision tree selecting microbial single-cell genomics, transcriptomics, dual RNA analysis, or spatial omics by research question. Method selection should follow the evidence gap: genomic linkage, functional state, host response, spatial localization, or causal validation.

Common Design Risks

Adding Too Many Assays Without a Primary Claim

A broad multi-omics design can generate disconnected datasets. Define which result would change the next experimental decision.

Using One Sample Type for Incompatible Assays

Genome, RNA, metabolite, imaging, and spatial workflows may require different preservation conditions. Coordinate aliquoting and collection before the experiment begins.

Treating Missing Signal as Biological Absence

Low microbial biomass, uneven lysis, incomplete genome amplification, RNA degradation, or insufficient target capture can create false negatives.

Underpowering Heterogeneous Systems

Cell number alone does not replace biological replication. Replicates are required to distinguish reproducible biology from sample-specific cell composition.

Overinterpreting Proximity

Spatial co-localization supports a local association. It does not prove direct contact, molecular transfer, or directionality.

Planning Validation After Discovery

Validation samples, isolates, perturbations, and model systems should be considered during initial study design. Otherwise, the strongest mechanism candidate may be impossible to test.

When a Simpler Method Is Better

Single-cell and spatial methods are not always necessary.

Choose bulk metagenomics when the main goal is community composition, broad functional potential, or cohort-level comparison.

Choose metatranscriptomics when the main goal is community-wide gene activity and cell-level heterogeneity is not required.

Choose isolate RNA sequencing when a defined strain can be cultured and population-level expression is sufficient.

Choose targeted PCR, imaging, or biochemical assays when the candidate mechanism is already specific and only confirmation is needed.

The resource Metagenomic Shotgun Sequencing vs Metatranscriptomics provides a broader comparison of DNA-level potential and community RNA activity.

Glossary

SAG: A single amplified genome generated from DNA amplified from an individual microbial cell.

MAG: A metagenome-assembled genome reconstructed by binning contigs from mixed-community sequencing.

Microbial single-cell transcriptomics: RNA profiling designed to resolve transcriptional states across individual microbial cells.

Dual transcriptomics: Simultaneous analysis of host and microbial RNA, performed at bulk or cell-resolved scale depending on the method.

Spatial omics: Molecular profiling that retains positional information within a tissue, biofilm, or structured sample.

Bystander cell: A host cell exposed to an infection environment but without sufficient pathogen-associated signal to classify it as directly infected.

Causal validation: An experiment that changes a candidate microbial or host factor and tests whether the predicted phenotype changes accordingly.

Frequently Asked Questions

What samples can be used for single-cell host–microbiome interaction studies?

Potential inputs include microbial cultures, defined communities, fecal or intestinal samples, environmental suspensions, activated sludge, biofilm-derived cells, infected cell models, co-cultures, and tissue sections. Feasibility depends on biomass, cell integrity, debris, preservation, host-to-microbial ratio, and compatibility with the selected genome, RNA, or spatial workflow.

How much input material is required?

There is no universal input threshold across microbial genome, microbial RNA, host–pathogen dual, and spatial workflows. Input planning should consider target abundance, expected cell recovery, sample loss during cleanup, replicate number, microbial cell-wall properties, and the fraction of host material. A feasibility review should define assay-specific acceptance metrics before submission.

Which deliverables are most useful for mechanism research?

Decision-relevant deliverables include cell- or strain-level feature matrices, single amplified genomes, functional annotations, microbial state clusters, host cell-state results, spatial maps, differential analysis tables, integrated candidate networks, and a ranked validation shortlist. Raw data and QC documentation should accompany interpreted outputs.

How should biological replicates be planned?

Replicates should represent independent biological units, not repeated library preparation from the same specimen. The design should balance conditions across collection, processing, library preparation, and sequencing batches. When samples are heterogeneous, replicate planning should account for both between-sample variability and cell-state frequency.

Should I choose microbial single-cell genomics or metagenomics?

Choose metagenomics for community context, abundance, and broad functional potential. Add microbial single-cell genomics when the claim depends on assigning a gene, plasmid, phage, or genome feature to an individual cell or strain. Combined designs are useful when metagenomic context and direct cell-level linkage are both required.

Should I use microbial single-cell transcriptomics or metatranscriptomics?

Use metatranscriptomics for community-level expression. Use microbial single-cell transcriptomics when rare states, within-strain heterogeneity, or different responses among individual microbial cells are central to the question. A pilot may be appropriate when the target organism has unusual cell-wall or RNA characteristics.

How are host and microbial data integrated?

Integration may use shared condition labels, microbial burden, cell-state abundance, differential pathways, spatial neighborhoods, or time points. The analysis should distinguish direct paired measurements from statistical associations. Candidate links should be prioritized by consistency across replicates, methods, and validation assays.

Can these methods establish causality?

They can identify high-resolution associations and narrow the candidate mechanism. Causality usually requires perturbing the microbial strain, gene, metabolite, host receptor, or pathway and testing whether the predicted host phenotype changes. Rescue or add-back experiments provide stronger evidence than association alone.

Are these studies intended for clinical diagnosis?

No. The workflows and interpretations discussed here are intended for research use only. They are not designed for diagnosis, treatment selection, patient management, or individual health assessment.

References

  1. Lan X, Liang Q, He J, et al. Microbial single-cell omics in situ. Cell Genomics. 2026;6(4):101128. doi: 10.1016/j.xgen.2025.101128.
  2. Ntekas I, Takayasu L, McKellar DW, et al. Spatial transcriptomics maps host–gut microbiome biogeography at high resolution. Nature Microbiology. 2026;11(5):1193–1204. doi: 10.1038/s41564-026-02286-7.
  3. Zhu B, Bai Y, Yeo YY, et al. A multi-omics spatial framework for host–microbiome dissection within the intestinal tissue microenvironment. Nature Communications. 2025;16:1230. doi: 10.1038/s41467-025-56237-7.
  4. Meng H, Zhang T, Wang Z, et al. High-Throughput Host-Microbe Single-Cell RNA Sequencing Reveals Ferroptosis-Associated Heterogeneity during Acinetobacter baumannii Infection. Angewandte Chemie International Edition. 2024;63(18). doi: 10.1002/anie.202400538.
  5. Samanta P, Cooke SF, McNulty R, et al. ProBac-seq, a bacterial single-cell RNA sequencing methodology using droplet microfluidics and large oligonucleotide probe sets. Nature Protocols. 2024;19(10):2939–2966. doi: 10.1038/s41596-024-01002-1.
  6. Zhang Y, Xue B, Mao Y, et al. High-throughput single-cell sequencing of activated sludge microbiome. Environmental Science and Ecotechnology. 2025;23:100493. doi: 10.1016/j.ese.2024.100493.
  7. Ye L, Wu Y, Guo J, et al. Elucidation of population-based bacterial adaptation to antimicrobial treatment by single-cell sequencing analysis of the gut microbiome of a hospital patient. mSystems. 2026;11(2). doi: 10.1128/msystems.01631-24.
* For research purposes only, not intended for clinical diagnosis, treatment, or individual health assessments.
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  • For research purposes only, not intended for clinical diagnosis, treatment, or individual health assessments.