A One Health perspective on bacterial extracellular vesicles as mediators of antimicrobial resistance spread

Haining Huang1, Debjyoti Ghosh1, Anja Worrich1,2

  • 1Department of Applied Microbial Ecology, UFZ - Helmholtz Centre for Environmental Research, Permoserstraße 15, 04318 Leipzig, Saxony, Germany.

ISME Communications
|April 13, 2026
PubMed

Insights

Bacterial extracellular vesicles (BEVs) are key in spreading antimicrobial resistance (AMR) across human, animal, and environmental sectors. Understanding BEVs is crucial for developing effective AMR surveillance and mitigation strategies.

Area of Science:

  • Microbiology
  • Environmental Science
  • Public Health

Background:

  • Antimicrobial resistance (AMR) poses a significant global health challenge.
  • A One Health approach is necessary to address AMR across human, animal, and environmental domains.
  • Bacterial extracellular vesicles (BEVs) are increasingly recognized for their role in AMR.

Purpose of the Study:

  • To synthesize current knowledge on the role of BEVs in AMR transmission.
  • To highlight the cross-sectoral potential of BEVs in AMR.
  • To identify critical research gaps concerning BEVs and AMR.

Main Methods:

  • Literature review of studies investigating BEVs and AMR.
  • Analysis of BEVs' characteristics and functions related to resistance gene transfer.
  • Synthesis of findings across clinical, agricultural, and environmental contexts.

Main Results:

  • BEVs act as vectors for antibiotic resistance genes and mobile genetic elements.
  • BEVs facilitate horizontal gene transfer and protect genetic cargo.
  • BEVs can traverse ecological boundaries, contributing to AMR spread.

Conclusions:

  • BEVs play a significant role in the transmission of antimicrobial resistance.
  • Recognizing BEVs' function is essential for enhancing AMR surveillance.
  • Further research into BEVs is vital for informing future AMR mitigation strategies.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within...
55
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and...
135
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
2.0K
Antibiotic Selection00:57

Antibiotic Selection

Overview
62.2K
Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
3.5K
Defense Against Bacterial Pathogens01:31

Defense Against Bacterial Pathogens

The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
3.6K