Mobilome-driven segregation of the resistome in biological wastewater treatment

Laura de Nies1, Susheel Bhanu Busi1, Benoit Josef Kunath1

  • 1Systems Ecology Group, Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg.

Elife
|September 16, 2022
PubMed

Insights

Biological wastewater treatment plants spread antimicrobial resistance (AMR) via mobile genetic elements like phages and plasmids. This study reveals specific AMR types are predominantly spread by either phages or plasmids, impacting human health.

Area of Science:

  • Environmental microbiology
  • Molecular biology
  • Public health

Background:

  • Biological wastewater treatment plants (BWWTPs) are significant reservoirs for antimicrobial resistance (AMR) evolution and dissemination.
  • Mobile genetic elements (MGEs), including plasmids and bacteriophages (phages), are key drivers of antimicrobial resistance gene (ARG) spread within microbial communities.
  • The differential roles of phages and plasmids in disseminating specific AMR categories remain poorly understood.

Purpose of the Study:

  • To investigate the segregation of AMR categories in relation to MGEs (phages and plasmids) within a BWWTP.
  • To determine if specific AMR types are preferentially disseminated by phages or plasmids.
  • To understand the contribution of MGEs to AMR in dominant bacterial taxa and pathogens.

Main Methods:

  • Systematic analysis of meta-omic data (metagenomics, metatranscriptomics, metaproteomics) collected over 1.5 years from a BWWTP.
  • Identification and quantification of AMR categories and their associated MGEs.
  • Analysis of gene, transcript, and protein abundances to infer ARG expression and dissemination mechanisms.

Main Results:

  • A core set of 15 AMR categories were consistently detected throughout the study period.
  • Specific AMR categories showed distinct dissemination patterns: bacitracin (exclusively plasmids), aminoglycoside, MLS, and sulfonamide (primarily plasmids), and fosfomycin and peptide (primarily phages).
  • Candidatus Microthrix parvicella was a major AMR contributor, with its plasmids mediating aminoglycoside resistance. AMR associated with ESKAPEE pathogens was also observed, with differential MGE contributions.

Conclusions:

  • AMR dissemination in BWWTPs is significantly mediated by MGEs, with distinct preferences for phages or plasmids for specific resistance types.
  • Understanding these MGE-plasmid/phage-AMR associations provides crucial insights into resistome dynamics and public health.
  • This research highlights the need to consider MGE-mediated AMR spread in wastewater treatment for effective public health strategies.