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Cookson AL, Marshall JC, Biggs PJ, Rogers LE, Collis RM, Devane M, Stott R, Brightwell G. Impact of land-use and fecal contamination on Escherichia populations in environmental samples. Sci Rep 2024; 14:32099. [PMID: 39738760 PMCID: PMC11685573 DOI: 10.1038/s41598-024-83594-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2024] [Accepted: 12/16/2024] [Indexed: 01/02/2025] Open
Abstract
Understanding the composition of complex Escherichia coli populations from the environment is necessary for identifying strategies to reduce the impacts of fecal contamination and protect public health. Metabarcoding targeting the hypervariable gene gnd was used to reveal the complex population diversity of E. coli and phenotypically indistinct Escherichia species in water, soil, sediment, aquatic biofilm, and fecal samples from native forest and pastoral sites. The resulting amplicons were cross-referenced against a database containing over 700 different partial gnd sequences from E. coli/non-E. coli Escherichia species. Alpha and beta measures of diversity of Escherichia populations were lowest in feces, soil and sediment compared to water and aquatic biofilm samples. Escherichia populations recovered from extensive freshwater catchments dominated by sheep, beef and dairy farming were extremely diverse but well-separated from a wetland dairy site. In contrast, Escherichia populations from the low-impact native forest site with fewer fecal sources were less diverse. Metabarcoding distinguished E. coli populations important to fecal contamination monitoring from non-E. coli Escherichia environmental populations. These data represent in-depth analysis and geographic stability of Escherichia populations from environmental samples with extensive heterogeneity, and reveal links with diverse fecal sources, land-use and the overall burden of fecal contamination at sample sites.
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Affiliation(s)
- Adrian L Cookson
- Food System Integrity, AgResearch Limited, Hopkirk Research Institute, Massey University, Cnr University Avenue and Library Road, Private Bag 11008, Palmerston North, 4442, New Zealand.
- mEpiLab, School of Veterinary Science, Massey University, Palmerston North, New Zealand.
| | - Jonathan C Marshall
- mEpiLab, School of Veterinary Science, Massey University, Palmerston North, New Zealand
- School of Mathematics and Computational Sciences, Massey University, Palmerston North, New Zealand
| | - Patrick J Biggs
- mEpiLab, School of Veterinary Science, Massey University, Palmerston North, New Zealand
- School of Natural Sciences, Massey University, Palmerston North, New Zealand
- New Zealand Food Safety Science and Research Centre, Massey University, Palmerston North, New Zealand
| | - Lynn E Rogers
- Food System Integrity, AgResearch Limited, Hopkirk Research Institute, Massey University, Cnr University Avenue and Library Road, Private Bag 11008, Palmerston North, 4442, New Zealand
| | - Rose M Collis
- Food System Integrity, AgResearch Limited, Hopkirk Research Institute, Massey University, Cnr University Avenue and Library Road, Private Bag 11008, Palmerston North, 4442, New Zealand
| | - Megan Devane
- Environmental Science and Research Limited, Christchurch, New Zealand
| | - Rebecca Stott
- National Institute of Water and Atmospheric Research, Hamilton, New Zealand
| | - Gale Brightwell
- Food System Integrity, AgResearch Limited, Hopkirk Research Institute, Massey University, Cnr University Avenue and Library Road, Private Bag 11008, Palmerston North, 4442, New Zealand
- New Zealand Food Safety Science and Research Centre, Massey University, Palmerston North, New Zealand
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Cookson AL, Devane M, Marshall JC, Moinet M, Gardner A, Collis RM, Rogers L, Biggs PJ, Pita AB, Cornelius AJ, Haysom I, Hayman DTS, Gilpin BJ, Leonard M. Population structure and pathogen interaction of Escherichia coli in freshwater: Implications of land-use for water quality and public health in Aotearoa New Zealand. ENVIRONMENTAL MICROBIOLOGY REPORTS 2024; 16:e13319. [PMID: 39096033 PMCID: PMC11297283 DOI: 10.1111/1758-2229.13319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Accepted: 07/13/2024] [Indexed: 08/04/2024]
Abstract
Freshwater samples (n = 199) were obtained from 41 sites with contrasting land-uses (avian, low impact, dairy, urban, sheep and beef, and mixed sheep, beef and dairy) and the E. coli phylotype of 3980 isolates (20 per water sample enrichment) was determined. Eight phylotypes were identified with B1 (48.04%), B2 (14.87%) and A (14.79%) the most abundant. Escherichia marmotae (n = 22), and Escherichia ruysiae (n = 1), were rare (0.68%) suggesting that these environmental strains are unlikely to confound water quality assessments. Phylotypes A and B1 were overrepresented in dairy and urban sites (p < 0.0001), whilst B2 were overrepresented in low impact sites (p < 0.0001). Pathogens ((Salmonella, Campylobacter, Cryptosporidium or Giardia) and the presence of diarrhoeagenic E. coli-associated genes (stx and eae) were detected in 89.9% (179/199) samples, including 80.5% (33/41) of samples with putative non-recent faecal inputs. Quantitative PCR to detect microbial source tracking targets from human, ruminant and avian contamination were concordant with land-use type and E. coli phylotype abundance. This study demonstrated that a potential recreational health risk remains where pathogens occurred in water samples with low E. coli concentration, potential non-recent faecal sources, low impact sites and where human, ruminant and avian faecal sources were absent.
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Affiliation(s)
- Adrian L. Cookson
- AgResearch LimitedHopkirk Research InstitutePalmerston NorthNew Zealand
- mEpiLab, School of Veterinary SciencesMassey UniversityPalmerston NorthNew Zealand
- Institute of Environmental Science and ResearchKenepuru Science CentrePoriruaNew Zealand
| | - Meg Devane
- Institute of Environmental Science and ResearchChristchurchNew Zealand
| | - Jonathan C. Marshall
- School of Mathematical and Computational SciencesMassey UniversityPalmerston NorthNew Zealand
| | - Marie Moinet
- AgResearch LimitedHopkirk Research InstitutePalmerston NorthNew Zealand
- Institute of Environmental Science and ResearchChristchurchNew Zealand
| | - Amanda Gardner
- AgResearch LimitedHopkirk Research InstitutePalmerston NorthNew Zealand
| | - Rose M. Collis
- AgResearch LimitedHopkirk Research InstitutePalmerston NorthNew Zealand
| | - Lynn Rogers
- AgResearch LimitedHopkirk Research InstitutePalmerston NorthNew Zealand
| | - Patrick J. Biggs
- mEpiLab, School of Veterinary SciencesMassey UniversityPalmerston NorthNew Zealand
- School of Natural SciencesMassey UniversityPalmerston NorthNew Zealand
| | - Anthony B. Pita
- mEpiLab, School of Veterinary SciencesMassey UniversityPalmerston NorthNew Zealand
| | | | - Iain Haysom
- Institute of Environmental Science and ResearchChristchurchNew Zealand
| | - David T. S. Hayman
- mEpiLab, School of Veterinary SciencesMassey UniversityPalmerston NorthNew Zealand
| | - Brent J. Gilpin
- Institute of Environmental Science and ResearchChristchurchNew Zealand
| | - Margaret Leonard
- Institute of Environmental Science and ResearchChristchurchNew Zealand
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Martins JCL, Gonçalves A, Fernandes C, Cabecinha E, Monteiro S, Guedes H, Almeida G, Garcia J, da Silva GJ, Varandas S, Saavedra MJ. Multidrug-Resistant Escherichia coli Accumulated by Freshwater Bivalves: An Underestimated Risk for Public Health? Pathogens 2024; 13:617. [PMID: 39204218 PMCID: PMC11357147 DOI: 10.3390/pathogens13080617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Revised: 07/11/2024] [Accepted: 07/24/2024] [Indexed: 09/03/2024] Open
Abstract
As bioindicators, freshwater bivalves are crucial for the assessment of the contamination impact on different levels of biological integration. Escherichia coli is used as a bioindicator of water fecal contamination, representing a critical global concern, especially with the rise of multidrug-resistant (MDR) strains. Phylogenetic diversity, pathotypic characterization, and antibiotic resistance profiles of E. coli isolated from freshwater bivalves (Anodonta anatina) were assessed. Samples were collected from the Tua River in Northern Portugal, from two different sites, Chelas and Barcel, representing different degrees of contamination. Antimicrobial susceptibility testing was performed by the disk diffusion method, and characterizations of the phylogenetic groups and pathotypes were assessed by PCR-multiplex and real-time PCR-multiplex, respectively. Results showed that 60% of isolates were characterized as MDR, including resistance to carbapenems, considered the last resort against multidrug-resistant bacteria. Within this study, it was also possible to verify the antimicrobial resistance (AMR) profile differences between the two sampling sites, with bivalve isolates from the Chelas site showing a higher percentage of antibiotic resistance. Among the E. coli isolates, the highest prevalence (55%) was observed in group B1, followed by group D or E (15%), group A (10%), and group E or Clade I (10%). None of the isolates were classified as diarrheagenic E. coli (DEC). This work highlights the potential transmission of antimicrobial-resistant bacteria through bivalves in the food chain. The 'One Health' approach is crucial for combating antimicrobial resistance, namely in edible freshwater species, emphasizing active surveillance to protect human, animal, and environmental health against the spread of antibiotic-resistant bacteria in aquatic environments.
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Affiliation(s)
- Joana C. L. Martins
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
- CECAV—Veterinary and Animal Research Centre, Associate Laboratory for Animal and Veterinary Science (AL4AnimalS), University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal
- AquaValor—Centro de Valorização e Transferência de Tecnologia da Água, 5400-342 Chaves, Portugal
| | - Ana Gonçalves
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
- CECAV—Veterinary and Animal Research Centre, Associate Laboratory for Animal and Veterinary Science (AL4AnimalS), University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal
| | - Conceição Fernandes
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CIMO—Centro de Investigação de Montanha, SusTEC-Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha, IPB—Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
| | - Edna Cabecinha
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
- CIBIO—Centro de Investigação em Biodiversidade e Recursos Genéticos, InBIO Laboratório Associado, Universidade do Porto, Campus de Vairão, 4485-661Vairão, Portugal
| | - Sandra Monteiro
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
| | - Hugo Guedes
- National Institute for Agricultural and Veterinary Research I.P. (INIAV), Lugar da Madalena, 4485-655 Vila do Conde, Portugal; (H.G.); (G.A.)
| | - Gonçalo Almeida
- National Institute for Agricultural and Veterinary Research I.P. (INIAV), Lugar da Madalena, 4485-655 Vila do Conde, Portugal; (H.G.); (G.A.)
- Centre for Study in Animal Science (CECA-ICETA), Associate Laboratory for Animal and Veterinary Science (AL4AnimalS), University of Porto, 4099-002 Porto, Portugal
| | - Juliana Garcia
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
- AquaValor—Centro de Valorização e Transferência de Tecnologia da Água, 5400-342 Chaves, Portugal
| | - Gabriela J. da Silva
- Faculty of Pharmacy, Center for Neurosciences and Cell Biology, University of Coimbra, 3000-548 Coimbra, Portugal;
| | - Simone Varandas
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
- CIBIO—Centro de Investigação em Biodiversidade e Recursos Genéticos, InBIO Laboratório Associado, Universidade do Porto, Campus de Vairão, 4485-661Vairão, Portugal
| | - Maria J. Saavedra
- AB2Unit—Antimicrobials, Biocides & Biofilms Unit, Veterinary Sciences Department, University of Trás-os-Montes and Alto Douro (UTAD), 5001-801 Vila Real, Portugal; (J.C.L.M.); (A.G.); (C.F.); (E.C.); (S.M.); (S.V.)
- CITAB—Centre for the Research and Technology of Agro-Environment and Biological Sciences, Institute for Innovation, Capacity Building and Sustainability of Agri-Food Production (Inov4Agro), University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal;
- CECAV—Veterinary and Animal Research Centre, Associate Laboratory for Animal and Veterinary Science (AL4AnimalS), University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal
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Gill SP, Snelling WJ, Dooley JSG, Ternan NG, Banat IM, Arnscheidt J, Hunter WR. Biological and synthetic surfactant exposure increases antimicrobial gene occurrence in a freshwater mixed microbial biofilm environment. Microbiologyopen 2023; 12:e1351. [PMID: 37186226 PMCID: PMC10022493 DOI: 10.1002/mbo3.1351] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 03/08/2023] [Indexed: 03/19/2023] Open
Abstract
Aquatic habitats are particularly susceptible to chemical pollution, such as antimicrobials, from domestic, agricultural, and industrial sources. This has led to the rapid increase of antimicrobial resistance (AMR) gene prevalence. Alternate approaches to counteract pathogenic bacteria are in development including synthetic and biological surfactants such as sodium dodecyl sulfate (SDS) and rhamnolipids. In the aquatic environment, these surfactants may be present as pollutants with the potential to affect biofilm formation and AMR gene occurrence. We tested the effects of rhamnolipid and SDS on aquatic biofilms in a freshwater stream in Northern Ireland. We grew biofilms on contaminant exposure substrates deployed within the stream over 4 weeks. We then extracted DNA and carried out shotgun sequencing using a MinION portable sequencer to determine microbial community composition, with 16S rRNA analyses (64,678 classifiable reads identified), and AMR gene occurrence (81 instances of AMR genes over 9 AMR gene classes) through a metagenomic analysis. There were no significant changes in community composition within all systems; however, biofilm exposed to rhamnolipid had a greater number of unique taxa as compared to SDS treatments and controls. AMR gene prevalence was higher in surfactant-treated biofilms, although not significant, with biofilm exposed to rhamnolipids having the highest presence of AMR genes and classes compared to the control or SDS treatments. Our results suggest that the presence of rhamnolipid encourages an increase in the prevalence of AMR genes in biofilms produced in mixed-use water bodies.
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Affiliation(s)
- Stephanie P. Gill
- Department of Geography and Environmental StudiesUlster University ColeraineLondonderryNorthern Ireland
| | - William J. Snelling
- Nutrition Innovation Centre for Food and Health (NICHE)Ulster University ColeraineLondonderryNorthern Ireland
- School of Biomedical SciencesUlster University ColeraineLondonderryNorthern Ireland
| | - James S. G. Dooley
- Nutrition Innovation Centre for Food and Health (NICHE)Ulster University ColeraineLondonderryNorthern Ireland
- School of Biomedical SciencesUlster University ColeraineLondonderryNorthern Ireland
| | - Nigel G. Ternan
- Nutrition Innovation Centre for Food and Health (NICHE)Ulster University ColeraineLondonderryNorthern Ireland
- School of Biomedical SciencesUlster University ColeraineLondonderryNorthern Ireland
| | - Ibrahim M. Banat
- School of Biomedical SciencesUlster University ColeraineLondonderryNorthern Ireland
| | - Joerg Arnscheidt
- Department of Geography and Environmental StudiesUlster University ColeraineLondonderryNorthern Ireland
| | - William R. Hunter
- Fisheries and Aquatic Ecosystems BranchAgri‐Food and Biosciences InstituteBelfastNorthern Ireland
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Behruznia M, Gordon DM. Molecular and metabolic characteristics of wastewater associated Escherichia coli strains. ENVIRONMENTAL MICROBIOLOGY REPORTS 2022; 14:646-654. [PMID: 35638456 PMCID: PMC9543349 DOI: 10.1111/1758-2229.13076] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 04/18/2022] [Indexed: 06/04/2023]
Abstract
We previously characterized the genetic diversity of Escherichia coli strains isolated from septic tanks in the Canberra region, Australia. In this study, we used repetitive element palindromic (REP) PCR fingerprinting to identify dominant REP-types belonging to phylogroups A and B1 strains across septic tanks. Subsequently, 76 E. coli strains were selected for whole-genome sequencing and phenotype microarrays. Comparative genome analysis was performed to compare septic tank E. coli genomes with a collection of 433 E. coli isolates from different hosts and freshwater. Clonal complexes (CCs) 10 (n = 15) and 399 (n = 10) along with sequence type (ST) 401 (n = 9) were the common lineages in septic tanks. CC10 strains have been detected from animal hosts and freshwater, whereas CC399 and ST401 strains appeared to be associated with septic tanks as they were uncommon in isolates from other sources. Comparative genome analysis revealed that CC399 and ST401 were genetically distinct from other isolates and carried an abundance of niche-specific traits involved in environmental adaptation. These strains also showed distinct metabolic characteristics, such as the ability to utilize pectin, which may provide a fitness advantage under nutrient-limited conditions. The results of this study characterized the adaptive mechanisms allowing E. coli to persist in wastewater.
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Affiliation(s)
- Mahboobeh Behruznia
- Division of Ecology and Evolution, Research School of BiologyThe Australian National UniversityCanberraACT2601Australia
| | - David M. Gordon
- Division of Ecology and Evolution, Research School of BiologyThe Australian National UniversityCanberraACT2601Australia
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Whole-Genome Sequencing and Virulome Analysis of Escherichia coli Isolated from New Zealand Environments of Contrasting Observed Land Use. Appl Environ Microbiol 2022; 88:e0027722. [PMID: 35442082 PMCID: PMC9088250 DOI: 10.1128/aem.00277-22] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Generic Escherichia coli is commonly used as an indicator of fecal contamination to assess water quality and human health risk. Where measured E. coli exceedances occur, the presence of other pathogenic microorganisms, such as Shiga toxin-producing E. coli (STEC), is assumed, but confirmatory data are lacking. Putative E. coli isolates (n = 709) were isolated from water, sediment, soil, periphyton, and feces samples (n = 189) from five sites representing native forest and agricultural environments. Ten E. coli isolates (1.41%) were stx2 positive, 19 (2.7%) were eae positive, and stx1-positive isolates were absent. At the sample level, stx2-positive E. coli (5 of 189, 2.6%) and eae-positive isolates (16 of 189, 8.5%) were rare. Using real-time PCR, these STEC-associated virulence factors were determined to be more prevalent in sample enrichments (stx1, 23.9%; stx2, 31.4%; eae, 53.7%) and positively correlated with generic E. coli isolate numbers (P < 0.05) determined using culture-based methods. Whole-genome sequencing (WGS) was undertaken on a subset of 238 isolates with assemblies representing seven E. coli phylogroups (A, B1, B2, C, D, E, and F), 22 Escherichia marmotae isolates, and 1 Escherichia ruysiae isolate. Virulence factors, including those from extraintestinal pathogenic E. coli, were extremely diverse in isolates from the different locations and were more common in phylogroup B2. Analysis of the virulome from WGS data permitted the identification of gene repertoires that may be involved in environmental fitness and broadly align with phylogroup. Although recovery of STEC isolates was low, our molecular data indicate that they are likely to be widely present in environmental samples containing diverse E. coli phylogroups. IMPORTANCE This study takes a systematic sampling approach to assess the public health risk of Escherichia coli recovered from freshwater sites within forest and farmland. The New Zealand landscape is dominated by livestock farming, and previous work has demonstrated that "recreational exposure to water" is a risk factor for human infection by Shiga toxin-producing Escherichia coli (STEC). Though STEC isolates were rarely isolated from water samples, STEC-associated virulence factors were identified more commonly from water sample culture enrichments and were associated with increased generic E. coli concentrations. Whole-genome sequencing data from both E. coli and newly described Escherichia spp. demonstrated the presence of virulence factors from E. coli pathotypes, including extraintestinal pathogenic E. coli. This has significance for understanding and interpreting the potential health risk from E. coli where water quality is poor and suggests a role of virulence factors in survival and persistence of E. coli and Escherichia spp.
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WHO Critical Priority Escherichia coli as One Health Challenge for a Post-Pandemic Scenario: Genomic Surveillance and Analysis of Current Trends in Brazil. Microbiol Spectr 2022; 10:e0125621. [PMID: 35234515 PMCID: PMC8941879 DOI: 10.1128/spectrum.01256-21] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
The dissemination of carbapenem-resistant and third generation cephalosporin-resistant pathogens is a critical issue that is no longer restricted to hospital settings. The rapid spread of critical priority pathogens in Brazil is notably worrying, considering its continental dimension, the diversity of international trade, livestock production, and human travel. We conducted a nationwide genomic investigation under a One Health perspective that included Escherichia coli strains isolated from humans and nonhuman sources, over 45 years (1974–2019). One hundred sixty-seven genomes were analyzed extracting clinically relevant information (i.e., resistome, virulome, mobilome, sequence types [STs], and phylogenomic). The endemic status of extended-spectrum β-lactamase (ESBL)-positive strains carrying a wide diversity of blaCTX-M variants, and the growing number of colistin-resistant isolates carrying mcr-type genes was associated with the successful expansion of international ST10, ST38, ST115, ST131, ST354, ST410, ST648, ST517, and ST711 clones; phylogenetically related and shared between human and nonhuman hosts, and polluted aquatic environments. Otherwise, carbapenem-resistant ST48, ST90, ST155, ST167, ST224, ST349, ST457, ST648, ST707, ST744, ST774, and ST2509 clones from human host harbored blaKPC-2 and blaNDM-1 genes. A broad resistome to other clinically relevant antibiotics, hazardous heavy metals, disinfectants, and pesticides was further predicted. Wide virulome associated with invasion/adherence, exotoxin and siderophore production was related to phylogroup B2. The convergence of wide resistome and virulome has contributed to the persistence and rapid spread of international high-risk clones of critical priority E. coli at the human-animal-environmental interface, which must be considered a One Health challenge for a post-pandemic scenario. IMPORTANCE A One Health approach for antimicrobial resistance must integrate whole-genome sequencing surveillance data of critical priority pathogens from human, animal and environmental sources to track hot spots and routes of transmission and developing effective prevention and control strategies. As part of the Grand Challenges Explorations: New Approaches to Characterize the Global Burden of Antimicrobial Resistance Program, we present genomic data of WHO critical priority carbapenemase-resistant, ESBL-producing, and/or colistin-resistant Escherichia coli strains isolated from humans and nonhuman sources in Brazil, a country with continental proportions and high levels of antimicrobial resistance. The present study provided evidence of epidemiological and clinical interest, highlighting that the convergence of wide virulome and resistome has contributed to the persistence and rapid spread of international high-risk clones of E. coli at the human-animal-environmental interface, which must be considered a One Health threat that requires coordinated actions to reduce its incidence in humans and nonhuman hosts.
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