Commensal Neisseria and Antimicrobial-Resistant Gonorrhea
Crista B Wadsworth1, Maira Goytia2, William M Shafer3,4
1Thomas H. Gosnell School of Life Sciences, Rochester Institute of Technology, Rochester, New York, USA.
Commensal Neisseria bacteria can transfer antimicrobial resistance genes to gonorrhea pathogens. Understanding this gene flow is crucial for predicting future treatment effectiveness against gonorrhea.
Area of Science:
- Microbiology
- Evolutionary Biology
- Genetics
Background:
- Antimicrobial resistance in Neisseria gonorrhoeae poses a significant public health threat.
- Commensal Neisseria species share genetic material with pathogenic Neisseria, influencing resistance evolution.
- Horizontal gene transfer (HGT) mechanisms like transformation and conjugation facilitate resistance spread.
Purpose of the Study:
- To highlight the role of commensal Neisseria in the evolution of antimicrobial resistance.
- To review resistance mechanisms in commensals and their transfer to Neisseria gonorrhoeae.
- To discuss how selective pressures impact the genus Neisseria.
Main Methods:
- Literature review of HGT mechanisms in Neisseria.
- Analysis of resistance gene evolution and transfer pathways.
- Discussion of evolutionary trajectories under selective pressures.
Main Results:
- Commensal Neisseria act as reservoirs for adaptive resistance genes.
- HGT enables the rapid dissemination of resistance alleles (e.g., mosaic penA, mtr).
- Contemporary selective pressures are shaping the genus's future evolution.
Conclusions:
- Commensal Neisseria are critical in the development and spread of gonorrhea antimicrobial resistance.
- Ignoring commensal Neisseria hinders accurate prediction of antimicrobial efficacy for gonorrhea treatment.
- Future strategies must incorporate commensal Neisseria dynamics to combat gonorrhea resistance.
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