{
  "abstract": "The gut microbiome undergoes profound changes during aging, including shifts in the microbial antibiotic resistome: the collective repertoire of antibiotic resistance genes (ARGs). We developed a language model-based ARG explorer (LARGE, https://large.lab.westlake.edu.cn ), which uses frozen ESM-2 and FGeneBERT encoders to embed protein sequences and three independent multilayer perceptron classifiers to predict resistance type, mechanism, and gene name. LARGE was trained on 34,008 ARG and 30,309 non-ARG sequences from the NCRD95 and UniProt databases and benchmarked against DeepARG, Resistance Gene Identifier (RGI), PLM-ARG, and ARGNet using F1-scores on multiple independent test sets. We applied LARGE to a longitudinal cohort (Guangzhou Nutrition and Health Study, n = 1078, mean baseline age 64.6 years) and validated key findings in independent cohorts (China Health and Nutrition Survey, n = 356; Zhejiang Metabolic Syndrome Cohort, n = 1361). Linear mixed-effects models were used to assess age-related ARG trajectories, and logistic regression examined associations with 13 chronic diseases. In benchmark testing, LARGE substantially outperformed all four tools, achieving superior F1-scores. In longitudinal cohorts, LARGE revealed declining ARG burdens in dominant resistance drug classes and identified 31 species with significant ARG changes. The ARGs of these 31 species were closely associated with multiple age-related chronic diseases, such as chronic kidney disease and coronary heart disease; a specific chronic kidney disease ARG score was consistently associated with disease risk in both discovery and validation cohorts. These findings highlight the pivotal role of aging in resistome evolution and potentially provide microbiome-targeted interventions to mitigate antibiotic resistance and promote healthy aging.",
  "abstract_shown": true,
  "affiliations": [
    "Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Zhejiang, China",
    "School of Engineering, Westlake University, Zhejiang, China",
    "Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangdong, China",
    "National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China; Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China, Beijing, China",
    "Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Zhejiang, China; Zhejiang Key Laboratory of Multi-Omics in Infection and Immunity, School of Medicine, Westlake University, Zhejiang, China",
    "Research Center for Industries of the Future, School of Life Sciences, Westlake University, Zhejiang, China",
    "School of Automation, Hangzhou Dianzi University, Zhejiang, China",
    "The Second Affiliated Hospital, School of Public Health, Zhejiang University School of Medicine, Zhejiang, China; The Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province, Zhejiang, China",
    "Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangdong, China; Correspondence:",
    "School of Engineering, Westlake University, Zhejiang, China; Correspondence:"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 15,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hang He"
    },
    {
      "affs": [
        1
      ],
      "name": "Chenrui Duan"
    },
    {
      "affs": [
        2
      ],
      "name": "Kui Deng"
    },
    {
      "affs": [
        3
      ],
      "name": "Chang Su"
    },
    {
      "affs": [
        4
      ],
      "name": "Zelei Miao"
    },
    {
      "affs": [
        4
      ],
      "name": "Ke Zhang"
    },
    {
      "affs": [
        5
      ],
      "name": "Yonghe Xia"
    },
    {
      "affs": [
        6
      ],
      "name": "Jiahao Hong"
    },
    {
      "affs": [
        2
      ],
      "name": "Yue Xi"
    },
    {
      "affs": [
        7
      ],
      "name": "Yimin Zhu"
    },
    {
      "affs": [
        7
      ],
      "name": "Dan Zhou"
    },
    {
      "affs": [
        3
      ],
      "name": "Huijun Wang"
    },
    {
      "affs": [
        8
      ],
      "name": "Yu-Ming Chen"
    },
    {
      "affs": [
        9
      ],
      "name": "Stan Z. Li"
    },
    {
      "name": "Ju-Sheng Zheng"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/87wkqfmq5frmx.bib",
  "cited_by": 0,
  "doi": "10.1016/j.hlife.2026.08.002",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S294992832600057X",
  "id": "87wkqfmq5frmx",
  "issns": [
    "2949-9283"
  ],
  "landing_url": "https://doi.org/10.1016/j.hlife.2026.08.002",
  "language": "en",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "1313|Antibiotic Resistance in Bacteria"
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  "openalex": "W7204531287",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-24",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/87wkqfmq5frmx.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:37Z",
      "native_id": "e0cb0d80e5464d0f8adb577c9abfbb7f",
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      "url": "https://doi.org/10.1016/j.hlife.2026.08.002"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:1313|Antibiotic Resistance in Bacteria",
      "subfield": "general"
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  ],
  "title": "LARGE: A large language model-based tool that unveils high-resolution temporal dynamics of the antibiotic resistome during human aging",
  "title_text": "LARGE: A large language model-based tool that unveils high-resolution temporal dynamics of the antibiotic resistome during human aging",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:44:37Z",
  "url": "https://research.draconitic.com/paper/87wkqfmq5frmx",
  "venue": "hLife",
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}