Deciphering Scientific Collaboration in Biomedical LLM Research: Dynamics, Institutional Participation, and Resource Disparities

Large language models (LLMs) are increasingly transforming biomedical discovery and clinical innovation, yet their impact extends far beyond algorithmic revolution-LLMs are restructuring how scientific collaboration occurs, who participates, and how resources shape innovation. Despite this profound transformation, how this rapid technological shift is reshaping the structure and equity of scientific collaboration in biomedical LLM research remains largely unknown. By analyzing 5,674 LLM-related biomedical publications from PubMed, we examine how collaboration diversity evolves over time, identify institutions and disciplines that anchor and bridge collaboration networks, and assess how resource disparities underpin research performance. We find that collaboration diversity has grown steadily, with a decreasing share of Computer Science and Artificial Intelligence authors, suggesting that LLMs are lowering technical barriers for biomedical investigators. Network analysis reveals central institutions, including Stanford University and Harvard Medical School, and bridging disciplines such as Medicine and Computer Science that anchor collaborations in this field. Furthermore, biomedical research resources are strongly linked to research performance, with high-performing resource-constrained institutions exhibiting larger collaboration volume with the top 1% most connected institutions in the network. Together, these findings reveal a complex landscape, where democratizing trends coexist with a persistent, resource-driven hierarchy, highlighting the critical role of strategic collaboration in this evolving field.