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Published on: March 2, 2020
Dissemination of bacterial fluoroquinolone resistance in two multidrug-resistant enterobacteriaceae
1Environmental Laboratory, US Army Engineer Research and Development Center, Vicksburg, Miss., USA.
Abstract:
Bacterial resistance to antimicrobials has become one of the greatest challenges for clinical microbiologists and healthcare practitioners worldwide. Acquisition of resistance genes has proven to be difficult to characterize and is largely uncontrollable in the environment. Here we sought to characterize conjugal horizontal gene transfer of plasmid-encoded fluoroquinolone resistance genes from two strains of Enterobacteriaceae, one clinical and one from a municipal wastewater treatment plant environment. Conjugation was dissimilar between the two strains. Escherichia coli strain LR09, containing a plasmid with the aac(6')-Ib-cr fluoroquinolone resistance gene, did not conjugate with any of the 15 strains tested, while Enterobacter aerogenes strain YS11 conjugated with two strains of E. coli. The resultant transconjugants were also dissimilar in their stability and potential persistence. The observations presented herein exemplify the difficulties in understanding and controlling the spread of antimicrobial resistance. Thus, it may be prudent to address drug disposal and destruction, incorporating a life-cycle assessment plan 'from cradle to grave', treating antimicrobials as chemical or environmental contaminants.
Insights
Antimicrobial resistance is a global challenge. This study found that plasmid-transferring fluoroquinolone resistance genes spread differently between bacterial strains, highlighting difficulties in controlling antimicrobial resistance.
Area of Science:
- Microbiology
- Environmental Science
- Genetics
Background:
- Antimicrobial resistance (AMR) poses a significant global health threat.
- The spread of resistance genes, particularly through horizontal gene transfer, is difficult to control.
- Understanding gene transfer mechanisms is crucial for managing AMR.
Purpose of the Study:
- To characterize the conjugal horizontal gene transfer of plasmid-encoded fluoroquinolone resistance genes.
- To compare gene transfer efficiency and transconjugant stability between clinical and environmental bacterial strains.
Main Methods:
- Utilized two strains of Enterobacteriaceae: one clinical and one from a wastewater treatment plant.
- Assessed conjugal transfer of fluoroquinolone resistance genes (aac(6')-Ib-cr).
- Evaluated transconjugant stability and persistence.
Main Results:
- Conjugation efficiency varied significantly between the tested strains.
- Escherichia coli strain LR09 showed no conjugation, while Enterobacter aerogenes strain YS11 successfully conjugated with two E. coli strains.
- Transconjugants exhibited differing stability and persistence.
Conclusions:
- The study highlights the complex and variable nature of antimicrobial resistance gene spread.
- Controlling AMR requires a comprehensive approach, including responsible antimicrobial disposal.
- Treating antimicrobials as environmental contaminants is essential for a 'cradle to grave' management plan.
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