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Antibiotic resistance (AR) presents a global health challenge, necessitating an improved understanding of the ecology, evolution, and dissemination of antibiotic resistance genes (ARGs). Several tools, databases, and algorithms are now available to facilitate the identification of ARGs in metagenomic sequencing data; however, direct annotation of short-read data provides limited contextual information. Knowledge of whether an ARG is carried in the chromosome or on a specific mobile genetic element (MGE) is critical to understanding mobility, persistence, and potential for co-selection. Here we developed ARGContextProfiler, a pipeline designed to extract and visualize ARG genomic contexts. By leveraging the assembly graph for genomic neighborhood extraction and validating contexts through read mapping, ARGContextProfiler minimizes chimeric errors that are a common artifact of assembly outputs. Testing on real, synthetic, and semi-synthetic data, including long-read sequencing data from environmental samples, demonstrated that ARGContextProfiler offers superior accuracy, precision, and sensitivity compared to conventional assembly-based methods. ARGContextProfiler thus provides a powerful tool for uncovering the genomic context of ARGs in metagenomic sequencing data, which can be of value to both fundamental and applied research aimed at understanding and stemming the spread of AR. The source code of ARGContextProfiler is publicly available atGitHub. 

Abstract With growing calls for increased surveillance of antibiotic resistance as an escalating global health threat, improved bioinformatic tools are needed for tracking antibiotic resistance genes (ARGs) across One Health domains. Most studies to date profile ARGs using sequence homology, but such approaches provide limited information about the broader context or function of the ARG in bacterial genomes. Here we introduce a new pipeline for identifying ARGs in genomic data that employs machine learning analysis of Protein-Protein Interaction Networks (PPINs) as a means to improve predictions of ARGs while also providing vital information about the context, such as gene mobility. A random forest model was trained to effectively differentiate between ARGs and nonARGs and was validated using the PPINs of ESKAPE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, andEnterobacter cloacae), which represent urgent threats to human health because they tend to be multi-antibiotic resistant. The pipeline exhibited robustness in discriminating ARGs from nonARGs, achieving an average area under the precision-recall curve of 88%. We further identified that the neighbors of ARGs, i.e., genes connected to ARGs by only one edge, were disproportionately associated with mobile genetic elements, which is consistent with the understanding that ARGs tend to be mobile compared to randomly sampled genes in the PPINs. This pipeline showcases the utility of PPINs in discerning distinctive characteristics of ARGs within a broader genomic context and in differentiating ARGs from nonARGs through network-based attributes and interaction patterns. The code for running the pipeline is publicly available athttps://github.com/NazifaMoumi/PPI-ARG-ESKAPE 

Antibiotic resistance is a continually rising threat to global health. A primary driver of the evolution of new strains of resistant pathogens is the horizontal gene transfer (HGT) of antibiotic resistance genes (ARGs). However, identifying and quantifying ARGs subject to HGT remains a significant challenge. Here, we introduce HT-ARGfinder (horizontally transferred ARG finder), a pipeline that detects and enumerates horizontally transferred ARGs in metagenomic data while also estimating the directionality of transfer. To demonstrate the pipeline, we applied it to an array of publicly-available wastewater metagenomes, including hospital sewage. We compare the horizontally transferred ARGs detected across various sample types and estimate their directionality of transfer among donors and recipients. This study introduces a comprehensive tool to track mobile ARGs in wastewater and other aquatic environments.