Regional antimicrobial resistance gene flow among the One Health sectors in China.

IF 13.8 1区 生物学 Q1 MICROBIOLOGY
Yuqing Feng, Xin Lu, Jiayong Zhao, Hongmin Li, Jialiang Xu, Zhenpeng Li, Mengyu Wang, Yao Peng, Tian Tian, Gailing Yuan, Yuan Zhang, Jiaqi Liu, Meihong Zhang, A La Teng Zhu La, Geruo Qu, Yujiao Mu, Wanshen Guo, Yongning Wu, Yuyu Zhang, Dexiang Wang, Yongfei Hu, Biao Kan
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引用次数: 0

Abstract

Background: Antimicrobial resistance poses a significant threat to global health, with its spread intricately linked across human, animal, and environmental sectors. Revealing the antimicrobial resistance gene (ARG) flow among the One Health sectors is essential for better control of antimicrobial resistance.

Results: In this study, we investigated regional ARG transmission among humans, food, and the environment in Dengfeng, Henan Province, China by combining large-scale metagenomic sequencing with culturing of resistant bacterial isolates in 592 samples. A total of 40 ARG types and 743 ARG subtypes were identified, with a predominance of multidrug resistance genes. Compared with microbes from human fecal samples, those from food and environmental samples showed a significantly higher load of ARGs. We revealed that dietary habits and occupational exposure significantly affect ARG abundance. Pseudomonadota, particularly Enterobacteriaceae, were identified as the main ARG carriers shaping the resistome. The resistome in food samples was found more affected by mobile genetic elements (MGEs), whereas in environmental samples, it was more associated with the microbial composition. We evidenced that horizontal gene transfer (HGT) mediated by plasmids and phages, together with strain transmission, particularly those associated with the Enterobacteriaceae members, drive regional ARG flow. Lifestyle, dietary habits, and occupational exposure are all correlated with ARG dissemination and flies and food are important potential sources of ARGs to humans. The widespread mobile carbapenemase gene, OXA-347, carried by non-Enterobacteriaceae bacteria in the human gut microbiota, requires particular attention. Finally, we showed that machine learning models based on microbiome profiles were effective in predicting the presence of carbapenem-resistant strains, suggesting a valuable approach for AMR surveillance.

Conclusions: Our study provides a full picture of regional ARG transmission among the One Health sectors in a county-level city in China, which facilitates a better understanding of the complex routes of ARG transmission and highlights new points of focus for AMR surveillance and control. Video Abstract.

中国同一卫生部门间的区域抗微生物药物耐药性基因流动
背景:抗菌素耐药性对全球健康构成重大威胁,其传播在人类、动物和环境部门之间有着错综复杂的联系。揭示同一卫生部门之间的抗微生物药物耐药性基因(ARG)流动对于更好地控制抗微生物药物耐药性至关重要。结果:本研究采用大规模宏基因组测序和耐药菌株培养相结合的方法,调查了河南省登封市592份样品中ARG在人、食物和环境中的区域传播情况。共鉴定出40种ARG型和743种ARG亚型,以多药耐药基因为主。与来自人类粪便样本的微生物相比,来自食物和环境样本的微生物显示出明显更高的ARGs负荷。我们发现饮食习惯和职业暴露显著影响ARG丰度。假单胞菌,特别是肠杆菌科,被认为是形成抗性组的主要ARG携带者。食品样品中的抵抗组受移动遗传因子(MGEs)的影响更大,而环境样品中的抵抗组受微生物组成的影响更大。我们证明了由质粒和噬菌体介导的水平基因转移(HGT)以及菌株传播,特别是与肠杆菌科成员相关的菌株传播,驱动区域ARG流动。生活方式、饮食习惯和职业暴露均与ARG传播有关,苍蝇和食物是人类ARGs的重要潜在来源。人类肠道菌群中广泛存在的可移动碳青霉烯酶基因OXA-347需要特别注意。最后,我们发现基于微生物组谱的机器学习模型在预测碳青霉烯耐药菌株的存在方面是有效的,这为AMR监测提供了一种有价值的方法。结论:我们的研究提供了中国一个县级城市同一卫生部门ARG区域传播的全貌,有助于更好地了解ARG传播的复杂途径,并突出了AMR监测和控制的新重点。视频摘要。
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来源期刊
Microbiome
Microbiome MICROBIOLOGY-
CiteScore
21.90
自引率
2.60%
发文量
198
审稿时长
4 weeks
期刊介绍: Microbiome is a journal that focuses on studies of microbiomes in humans, animals, plants, and the environment. It covers both natural and manipulated microbiomes, such as those in agriculture. The journal is interested in research that uses meta-omics approaches or novel bioinformatics tools and emphasizes the community/host interaction and structure-function relationship within the microbiome. Studies that go beyond descriptive omics surveys and include experimental or theoretical approaches will be considered for publication. The journal also encourages research that establishes cause and effect relationships and supports proposed microbiome functions. However, studies of individual microbial isolates/species without exploring their impact on the host or the complex microbiome structures and functions will not be considered for publication. Microbiome is indexed in BIOSIS, Current Contents, DOAJ, Embase, MEDLINE, PubMed, PubMed Central, and Science Citations Index Expanded.
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