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Veterinary Microbiology
journal homepage: www.elsevier.com/locate/vetmic
A R T I C L E I N F O A B S T R A C T
Keywords: The environment harbours a signicant diversity of uncultured bacteria and a potential
Functional metagenomics source of novel and extant resistance genes which may recombine with clinically
Antibiotic resistance important bacteria disseminated into environmental reservoirs. There is evidence that
Waste water pollution can select for resistance due to the aggregation of adaptive genes on mobile
Environmental resistance elements. The aim of this study was to establish the impact of waste water treatment plant
Sewage
(WWTP) efuent disposal to a river by using culture independent methods to study
diversity of resistance genes downstream of the WWTP in comparison to upstream.
Metagenomic libraries were constructed in Escherichia coli and screened for phenotypic
resistance to amikacin, gentamicin, neomycin, ampicillin and ciprooxacin. Resistance
genes were identied by using transposon mutagenesis. A signicant increase down-
stream of the WWTP was observed in the number of phenotypic resistant clones recovered
in metagenomic libraries. Common b-lactamases such as blaTEM were recovered as well as
a diverse range of acetyltransferases and unusual transporter genes, with evidence for
newly emerging resistance mechanisms. The similarities of the predicted proteins to
known sequences suggested origins of genes from a very diverse range of bacteria. The
study suggests that waste water disposal increases the reservoir of resistance mechanisms
in the environment either by addition of resistance genes or by input of agents selective for
resistant phenotypes.
2014 The Authors. Published by Elsevier B.V. This is an open access article under the CC
BY license (http://creativecommons.org/licenses/by/3.0/).
http://dx.doi.org/10.1016/j.vetmic.2014.02.017
0378-1135/ 2014 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/
3.0/).
442 G.C.A. Amos et al. / Veterinary Microbiology 171 (2014) 441447
example via the application of sludge to land as fertilizer DNA ligase with an extended 16 8C incubation overnight.
(Gaze et al., 2011) and efuent to rivers which could act as The ligation was desalted via drop dialysis using V series
a reservoir of resistance genes (Korzeniewska et al., 2013). membranes (Millipore, UK), and electroporated into
The overall impact of WWTPs on environmental resistome Transformax Epi300 Escherichia coli (Epicentre, USA).
is poorly studied and has potentially far reaching impacts Libraries were titred using a dilution series.
of escalating resistance gene dissemination.
The application of metagenomics has revealed anti- 2.2. Metagenomic library analysis
biotic resistance gene diversity in the uncultured bacterial
fraction of environmental samples is much higher than Both libraries were amplied in LB broth amended with
observed in cultured isolates and resistance genes chloramphenicol (12 mg l1) by incubating overnight at
associated with pathogens can be found in soil metagen- room temperature. Chloramphenicol was used to maintain
omes (Forsberg et al., 2012; Pehrsson et al., 2013). The the pCC1 vector. Resulting amplied libraries were stored
mobilisation of blaCTX-M from Kluyvera sp. and qnr genes at 4 8C for analysis. Ten clones were selected from each
from Shewanella sp. provide evidence of resistance gene library and plasmid extractions were performed using a
ow from non-clinical populations to clinical environ- Miniprep kit (Qiagen, UK). Plasmids were cut with BamHI
ments where they have had a signicant role in conferring (New England Biolabs, USA) to excise inserts with resulting
antibiotic resistance to animal and human pathogens digests analysed using gel electrophoresis. Banding
(Nordmann and Poirel, 2005; Olson et al., 2005). Func- patterns were analysed to calculate the mean insert size
tional metagenomics has been used to investigate for each library.
antibiotic resistance in a variety of environments includ-
ing Alaskan soil (Allen et al., 2009), apple orchards 2.3. Quantication of total bacterial numbers
(Donato et al., 2010), seabirds (Martiny et al., 2011),
and sludge (Parsley et al., 2010). Research is needed to The total quantity of bacteria in the DS and US samples
quantify the impacts of anthropogenic activities on the was analysed using qPCR for the 16S rRNA gene as
environmental resistome. previously described (Gaze et al., 2011).
In this study we aimed to investigate the impact of
WWTP efuent on the resistome of a river, with the 2.4. Metagenomic library screening for antibiotic resistance
hypothesis that antibiotic resistance gene abundance and phenotype
diversity would be signicantly impacted by the efuent
outow. River sediment samples were taken from down- Both entire libraries were screened on the aminoglyco-
stream and upstream of an efuent pipe and functional side antibiotics amikacin, gentamicin, neomycin, the
metagenomics was used to investigate resistance gene uoroquinolone ciprooxacin and the b-lactam ampicillin.
abundance and diversity. Concentrations for screening were selected by testing the
minimum inhibitory concentrations (MICs) in E. coli
2. Materials and methods Epi300 strain with an empty pCC1 vector, and choosing
a concentration a tenth higher than this MIC to ensure a
Sediment core samples were taken on January 23rd minimal amount of false positives. The Epi300 strain with
2011 in triplicate from a river 300 m, 600 m and 900 m an empty pCC1 vector was subsequently used as a negative
upstream and downstream of a large WWTP in the UK control. Positive clones were selected and plasmid extrac-
Midlands. The WWTP served a large urban catchment of tions were performed (Qiagen, UK). Restriction fragment
approximately 500,000 people. length polymorphism (RFLP) utilising restriction enzymes
BamH1, EcoRI and EcoRV was used for analysis of clones to
2.1. Construction of metagenomic libraries determine the positive number of clones resistant to each
antibiotic.
DNA was extracted from samples using FASTDNA Spin
kit for soil (MP biomedicals, UK) as per the manufacturers 2.5. Characterisation of resistant clones
instructions. DNA concentration was measured using
spectrophotometry and standardised to the same con- A selection of unique clones were chosen for further
centration across all samples. Downstream samples (DS) characterisation. Unique positive clones were tested for
were pooled into 1 ml nal volume to create the library. resistance at the clinical breakpoints of each selected
Upstream samples (US) were also pooled into 1 ml nal antibiotic using published methods (Andrews, 2001).
volume to create the library. DS and US DNA was initially Resistance genes were elucidated using transposon muta-
puried using gel fractionation; 1% agarose (Helena genesis with the EZ-Tn5 kit (Epicentre, USA) which
Laboratories, UK) was prepared, samples were loaded inactivated the resistance gene allowing for selection of
and gel electrophoresis was performed at 40 V for 18 h. clones by loss of phenotype. Clones were then sequenced
DNA was selected from the size range 5 kb20 kb and using the Kan-3 Fp-2 primer forward primer and Kan-3 RP
recovered via electroelution. Gel puried DNA was blunt- reverse primer. Sequence data was analysed with NCBI
ended and phosphorylated using an End-Repair kit blast (Camacho et al., 2009) and NCBI ORF nder (Available
(Epicentre, USA), then puried and concentrated using at: http://www.ncbi.nlm.nih.gov/gorf/.html [last accessed
Microcon centrifugal lters (Millipore, UK). Blunt DNA was 31/01/14]) to identify the resistance gene and anking
ligated into vector pCC1 (Epicentre, USA) using Fast-link regions.
G.C.A. Amos et al. / Veterinary Microbiology 171 (2014) 441447 443
Table 2
Analysis of resistant clones in DS and US libraries.
Antibiotic MIC of Number of Number of Proportion of bacteria Proportion of bacteria MIC tested for
Epi300 strain resistant resistant carrying resistant gene carrying resistant gene resistant clones
(mg L1) clones DS clones US downsteam (%) upstream (%) (mg L1)
The estimated proportion of bacteria in the sediment resistant to each antibiotic was calculated by dividing the number of resistant unique clones by the
average number of genomes in the library, this was then expressed as a percentage.
444 G.C.A. Amos et al. / Veterinary Microbiology 171 (2014) 441447
Fig. 1. Phylogenetic relationships of acetyltransferases recovered US and DS. (A) Gentamicin clone 3 US. (B) Gentamicin clone 5 DS and (C) Amikacin clone
1 DS. Bootstraps inferred from 1000 replications. Branches < 50% bootstraps were collapsed. The evolutionary distances were computed using the p-
distance method (Tamura et al., 2011) and are in the units of the number of amino acid differences per site.
G.C.A. Amos et al. / Veterinary Microbiology 171 (2014) 441447 445
Fig. 1. (Continued ).
analysis revealed the three genes encoded for proteins resistance genes in the upstream sediment which indicates
related to aminoglycoside 30 -N-acetyltransferases (Genta- the widespread resistance to this antibiotic. This is not
micin clone 3 US), aminoglycoside 20 -N-acetyltransferases unexpected as a number of studies have illustrated the
(Gentamicin clone 5 DS) and aminoglycoside 60 -N-acetyl- abundance of resistance to semisynthetic b-lactams (Allen
transferases (Amikacin clone 1 DS) (Fig. 1). Gentamicin et al., 2009). The amikacin resistance population showed
clone US3 was not recovered in the aminoglycoside 30 -N- the largest amplication in numbers for downstream
acetyltransferase clade and formed an outlier with the samples, with an estimated sevenfold increase of resis-
root. The two other clones were similar to genes present in tance genes at 2 104 DS and 3 103 US. This level of
environmental bacteria such as actinobacteria and cyano- amplication was closely followed by ciprooxacin and
bacteria. neomycin. Prevalence data here suggests an input of
resistance determinants or selective agents through the
4. Discussion WWTP efuent.
Aminoglycoside resistance genes recovered were extre-
This study revealed that WWTP efuent increased the mely diverse, however some encoded for acetyltrans-
abundance of bacterial resistance to clinically important ferases, the same family of genes conferring resistance in
antibiotics in river sediments. The presence of clinically clinical bacteria (Chevereau et al., 1974). All these genes
relevant resistance genes in the environment has pre- recovered when expressed in the current study gave
viously been reported (Forsberg et al., 2012), however this clinically relevant MICs to at least one aminoglycoside
study illustrates a potential dissemination route via antibiotic. A number of environmental studies concerned
WWTPs. Although sequence based studies have suggested with reservoirs of resistance genes have recovered
that areas impacted by WWTP efuent contain elevated similarly diverse genes (McGarvey et al., 2012) however
numbers of sequences of resistance genes (Port et al., none have done estimates of prevalence or investigated
2012), this is the rst comparative study of the functional potential routes of dissemination. In addition our study
river resistome before and after the addition of efuent. revealed a novel gentamicin resistance gene which
The number of unique resistance clones in DS libraries appeared to have an independent phylogeny to other
and US libraries were recorded, and the most prevalent acetyltransferases. This study supports previous research
phenotype was ampicillin resistance. We can estimate a which indicated resistance gene diversity in uncultured
prevalence of 2 105 ampicillin resistance genes in environmental bacteria is much higher than that studied
the downstream sediment and 1.65 105 ampicillin in clinically relevant bacteria (Forsberg et al., 2012).
446 G.C.A. Amos et al. / Veterinary Microbiology 171 (2014) 441447
Table 3
Identities of resistance genes and predicted proteins from clones analysed by transposon mutagenesis.
Antibiotic resistance conferred Predicted size Predicted domains Nearest sequence identity (bacteria identity)
(library) of protein
(amino acids)
Gentamicin clone 1 (US library) 420 Potassium transporter superfamily 77% Potassium transport protein
(Janthinobacterium sp.)
Gentamicin clone 2 (US library) 58 None 75% Hypothetical protein
(Escherichia coli)
Gentamicin clone 3 (US library) 264 Aminoglycoside 3-N-acetyltransferase 59% Aminoglycoside-(3)-N-acetyltransferase
(Escherichia coli)
Gentamicin clone 4 (US library) 329 Thiamine pyrophosphate family 88% Pyruvate dehydrogenase subunit E1
(Janthinobacterium sp.)
Gentamicin clone 5 (DS library) 178 Aminoglycoside 3-N-acetyltransferase 36% Acetyltransferase (GNAT) family protein
(Providencia rettgeri)
Gentamicin clone 6 (DS library 77 DUF4111 90% Aminoglycoside 30 -adenylytransferase
(Yersinia pestis)
Gentamicin clone 7 (DS library) 88 Aminoglycoside 30 -phosphotransferase (APH) 100% Aminoglycoside 30 -phosphotransferase
(Pseudomonas putida)
Amikacin clone 1 (DS library 185 Aminoglycoside 3-N-acetyltransferase 58% Aminoglycoside N(60 )-acetyltransferase
(Gloeocapsa sp.)
Amikacin 2 (DS library) 119 Nucleotidyl transferase superfamily 62% Methionyl-tRNA synthetase
(Haliscomenobacter hydrossis)
Ampicillin clone 1 (US library 289 Beta-lactamase2 superfamily 99% Beta-lactamase TEM
(Bacillus subtilis)
Ampicillin clone 2 (DS library) 289 Beta-lactamase2 superfamily 99% Beta-lactamase TEM
(Bacillus subtilis)
Ampicillin clone 3 (DS library) 289 Beta-lactamase2 superfamily 99% Beta-lactamase TEM
(Bacillus subtilis)
Neomycin clone 1 (DS library) 107 TroA like superfamily 48% Hypothetical protein
FepB BC-type Fe3+ -hydroxamate transport (Streptomyces sp.)
system, periplasmic component
Neomycin clone 2 (DS library) 162 Glycosyltransferase family 25 36% Glycosyltransferase 25 family member 1
(Agrobacterium sp.)
Ciprooxacin clone 1 (DS library) 145 RecX (recombination regulator) 33% Regulatory protein RecX
154 RecA (bacterial DNA recombination protein) (Listeria seeligeri)
74% Recombinase A
(Geobacter lovleyi)
Identities of resistance genes and predicted proteins from clones analysed by transposon mutagenesis. Predicted size of proteins were generated using ORF
nder by NCBI. Translated nucleotide identities were used to generate protein sequence from which predicted domains and sequence identity were
obtained using NCBI BLASTP.
Signicant increases in the number of aminoglycoside The impact of efuent discharge on the number of
resistant clones observed DS compared to US combined clones conferring resistance to clinically important anti-
with the sequence data is the rst evidence that biotics such as ciprooxacin and amikacin is a cause for
anthropogenic pollution such as WWTP efuent increases concern. Rivers are a vital part of the ecosystem
the abundance of environmentally diverse resistance and provide an essential source of drinking water for wild
genes. animals as well as being used for crop irrigation and
Sequence analysis of some resistance genes showed recreational activities. High levels of antibiotic resistance
similarity to genes assigned to housekeeping functions. in rivers resulting from WWTP pollution may explain why
This may be evidence for evolutionary origins of resistance an increasing number of studies are reporting resistance
genes (Aminov and Mackie, 2007). One mechanism for genes in both wild and domestic animals. Several studies
ciprooxacin resistance involved the recombination sys- have demonstrated resistance genes in livestock such as
tem RecA and RecX, RecX facilitates recombination repair the clinical blaCTX-M-15 in UK cattle (Watson et al., 2012),
by modulating RecA, thus could be a possible mechanism chickens, turkeys (Randall et al., 2011) and dogs (Timofte
to repair the damage done by ciprooxacin inhibition of et al., 2011). Increasing levels of antibiotic resistant genes
the DNA gyrase (Cardenas et al., 2012). Amongst the other in wild animals such as wolves (Goncalves et al., 2013) and
genes recovered, transporters were evident, but more birds (Dolejska et al., 2011; Ewers et al., 2010) could be
obscure mechanisms of resistance attributed to enzymes through drinking contaminated water, particularly for
such as glycosyltransferase and pyruvate dehydrogenase seagulls which often feed and drink near sewage treatment
were also recovered, for both of which the resistance plants (Fricker, 1984).
function is unknown. Our data demonstrates the diversity In conclusion, functional metagenomics provides a
of genes recovered by expression analysis which can confer valuable resource when analysing resistance mechanisms
antibiotic resistance and indicates that there is a sig- in bacteria often revealing genes which sequenced-based
nicant environmental reservoir of diverse mechanisms analysis would not detect. WWTPs create a large reservoir of
encoding protection against antibiotics (Martiny et al., resistance genes which potentially can contribute to clinical
2011). cases of resistant bacteria in animals and humans through
G.C.A. Amos et al. / Veterinary Microbiology 171 (2014) 441447 447
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Monteiro, R., Guerra, A., Petrucci-Fonseca, F., Brito, F., Torres, C., Poeta,
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This work was supported by Natural Environment resistance proteins identied by functional metagenomic screening
Research Council (grant NE/E004482/1), G.C.A.A was of a soil DNA library. Appl. Environ. Microbiol. 78, 17081714.
Nordmann, P., Poirel, L., 2005. Emergence of plasmid-mediated resistance
supported by a BBSRC studentship. W.H.G has been
to quinolones in Enterobacteriaceae. J. Antimicrob. Chemother. 56,
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