基于生态学的方法来预测无效果抗生素浓度,以最大限度地减少耐药性的环境选择。

David Kneis,Magali de la Cruz Barron,Diala Konyali,Valentin Westphal,Patrick Schröder,Kathi Westphal-Settele,Jens Schönfeld,Dirk Jungmann,Thomas Ulrich Berendonk,Uli Klümper
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引用次数: 0

摘要

抗生素耐药性的选择已被证明是在低的、环境相关的抗生素浓度下进行的。最小选择浓度(MSC)的概念已被环境法规采用,以确定抗生素的最大允许浓度。这种经验确定的MSC值往往不能反映自然群落的复杂性,其中易感性和抗性相关的适应度成本在不同物种之间差异很大。为了解决这一限制,已经开发了计算方法来预测从常规收集的最低抑制浓度(MIC)数据中选择抗生素耐药性(PNECres)的无效应浓度。然而,这些利用评估因素将中等收入国家转化为中等收入国家的方法往往缺乏强有力的生态基础,从而削弱了人们对其预测的信心。在这里,我们提出了一个简单但生物学上一致的框架,通过整合MIC数据和阻力相关适应度成本的概率估计来推导PNECres值。我们通过数学和经验证明,对于典型的高电平电阻,MSC/MIC比率近似等于电阻成本,从而允许基于成本的MSC估计。在26种抗生素组合的实验验证中,66%的计算MSCs与经验值偏差小于2倍。利用这些发现,我们探索了抗性决定因素的适应度成本的一般分布,以建立一个基于成本的概率模型来取代传统的固定评估因素。当应用于当前的MIC数据库时,我们的框架表明,监管环境阈值浓度应至少降低一个数量级,以防止抗生素耐药性的选择。我们的方法为在环境风险评估中获得PNECres值提供了一种可行且生物透明的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ecology-based approach to predict no-effect antibiotic concentrations for minimizing environmental selection of resistance.
Selection for antibiotic resistance has been demonstrated at low, environmentally relevant antibiotic concentrations. The concept of minimum selective concentrations (MSC) has been adopted in environmental regulation to define maximum permissible antibiotic concentrations. Such empirically determined MSC values often fail to reflect the complexity of natural communities, where susceptibility and resistance-associated fitness costs vary widely across species. To address this limitation, computational approaches have been developed to predict no-effect concentrations for selection of antibiotic resistance (PNECres) from routinely collected minimum inhibitory concentration (MIC) data. However, these approaches, using assessment factors to convert MICs to PNECres, often lack a strong ecological basis, undermining confidence in their predictions. Here, we propose a simple but biologically consistent framework to derive PNECres values by integrating MIC data with probabilistic estimates of resistance-related fitness costs. We demonstrate mathematically and empirically that for typical high-level resistances, the MSC/MIC ratio is approximately equal to the resistance cost, allowing for cost-based estimation of MSCs. In experimental validation across 26 strain-antibiotic combinations, 66% of computed MSCs deviated by less than factor two from empirical values. Leveraging these findings, we explored the general distribution of fitness costs of resistance determinants to establish a cost-based probabilistic model for replacing conventional fixed assessment factors. When applied to current MIC databases, our framework suggests that regulatory environmental threshold concentrations should be lowered by at least one order of magnitude to guard against selection for antibiotic resistance. Our approach offers a feasible and biologically transparent alternative for deriving PNECres values in environmental risk assessment.
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