Search for: All records

While there is increasing recognition of numerous environmental contributions to the spread of antibiotic resistance, quantifying the relative contributions of various sources remains a fundamental challenge. Similarly, there is a need to differentiate acute human health risks corresponding to exposure to a given environment, versus broader ecological risk of evolution and spread of antibiotic resistance genes (ARGs) across microbial taxa. Recent studies have proposed various methods of harnessing the rich information housed by metagenomic data for achieving such aims. Here, we introduce MetaCompare 2.0, which improves upon the original MetaCompare pipeline by differentiating indicators of human health resistome risk (i.e., potential for human pathogens to acquire ARGs) from ecological resistome risk (i.e., overall mobility of ARGs across a given microbiome).

To demonstrate the sensitivity of the MetaCompare 2.0 pipeline, we analyzed publicly available metagenomes representing a broad array of environments, including wastewater, surface water, soil, sediment, and human gut. We also assessed the effect of sequence assembly methods on the risk scores. We further evaluated the robustness of the pipeline to sequencing depth, contig count, and metagenomic library coverage bias through comparative analysis of a range of subsamples extracted from a set of deeply sequenced wastewater metagenomes. The analysis utilizing samples from different environments demonstrated that MetaCompare 2.0 consistently produces lower risk scores for environments with little human influence and higher risk scores for human contaminated environments affected by pollution or other stressors. We found that the ranks of risk scores were not measurably affected by different assemblers employed. The Meta-Compare 2.0 risk scores were remarkably consistent despite varying sequencing depth, contig count, and coverage.

MetaCompare 2.0 successfully ranked a wide array of environments according to both human health and ecological resistome risks, with both scores being strongly impacted by anthropogenic stress. We packaged the improved pipeline into a publicly-available web service that provides an easy-to-use interface for computing resistome risk scores and visualizing results. The web service is available athttp://metacompare.cs.vt.edu/

As antibiotic-resistant bacteria in water environments are increasingly recognized as contributors to the global antibiotic resistance crisis, the need for a monitoring subject that captures antibiotic resistance trends on a global scale increases. The World Health Organization TriCycle Protocol proposes the use of cefotaxime-resistantEscherichia coliisolated on tryptone bile x-glucuronide agar. The U.S. Environmental Protection Agency (USEPA) criteria for safe recreational waters also useE. colias an indicator but specify the use of mTEC agar at a higher incubation temperature (44.5°C vs 35°C). We assessed the comparability of these methods for isolating total and cefotaxime-resistantE. coli, finding overall good agreement and performance, but significantly higher specificity towardE. coliselection with the use of the USEPA incubation protocol and mTEC agar. This study is the first to directly compare these methods and provides evidence that the methods may be used interchangeably for global surveillance of antibiotic resistance in the environment.

Mounting evidence indicates that habitats such as wastewater and environmental waters are pathways for the spread of antibiotic-resistant bacteria (ARB) and mobile antibiotic resistance genes (ARGs). We identified antibiotic-resistant members of the generaAcinetobacter,Aeromonas, andPseudomonasas key opportunistic pathogens that grow or persist in built (e.g., wastewater) or natural aquatic environments. Effective methods for monitoring these ARB in the environment are needed to understand their influence on dissemination of ARB and ARGs, but standard methods have not been developed. This systematic review considers peer-reviewed papers where the ARB above were cultured from wastewater or surface water, focusing on the accuracy of current methodologies.

Recent studies suggest that many clinically important ARGs were originally acquired from environmental microorganisms.Acinetobacter,Aeromonas,andPseudomonasspecies are of interest because their ability to persist and grow in the environment provides opportunities to engage in horizontal gene transfer with other environmental bacteria. Pathogenic strains of these organisms resistant to multiple, clinically relevant drug classes have been identified as an urgent threat. However, culture methods for these bacteria were generally developed for clinical samples and are not well-vetted for environmental samples.

The search criteria yielded 60 peer-reviewed articles over the past 20 years, which reported a wide variety of methods for isolation, confirmation, and antibiotic resistance assays. Based on a systematic comparison of the reported methods, we suggest a path forward for standardizing methodologies for monitoring antibiotic resistant strains of these bacteria in water environments.