Associations between sensitivity to antibiotics, disinfectants and heavy metals in natural, clinical and laboratory isolates of Escherichia coli

Summary Bacteria in nature often encounter non‐antibiotic antibacterials (NAAs), such as disinfectants and heavy metals, and they can evolve resistance via mechanisms that are also involved in antibiotic resistance. Understanding whether susceptibility to different types of antibacterials is non‐ran...

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Veröffentlicht in:Environmental microbiology 2020-07, Vol.22 (7), p.2664-2679
Hauptverfasser: Bischofberger, Anna M., Baumgartner, Michael, Pfrunder‐Cardozo, Katia R., Allen, Richard C., Hall, Alex R.
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container_end_page 2679
container_issue 7
container_start_page 2664
container_title Environmental microbiology
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creator Bischofberger, Anna M.
Baumgartner, Michael
Pfrunder‐Cardozo, Katia R.
Allen, Richard C.
Hall, Alex R.
description Summary Bacteria in nature often encounter non‐antibiotic antibacterials (NAAs), such as disinfectants and heavy metals, and they can evolve resistance via mechanisms that are also involved in antibiotic resistance. Understanding whether susceptibility to different types of antibacterials is non‐randomly associated across natural and clinical bacteria is therefore important for predicting the spread of resistance, yet there is no consensus about the extent of such associations or underlying mechanisms. We tested for associations between susceptibility phenotypes of 93 natural and clinical Escherichia coli isolates to various NAAs and antibiotics. Across all compound combinations, we detected a small number of non‐random associations, including a trio of positive associations among chloramphenicol, triclosan and benzalkonium chloride. We investigated genetic mechanisms that can explain such associations using genomic information, genetic knockouts and experimental evolution. This revealed some mutations that are selected for by experimental exposure to one compound and confer cross‐resistance to other compounds. Surprisingly, these interactions were asymmetric: selection for chloramphenicol resistance conferred cross‐resistance to triclosan and benzalkonium chloride, but selection for triclosan resistance did not confer cross‐resistance to other compounds. These results identify genetic changes involved in variable cross‐resistance across antibiotics and NAAs, potentially contributing to associations in natural and clinical bacteria.
doi_str_mv 10.1111/1462-2920.14986
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Understanding whether susceptibility to different types of antibacterials is non‐randomly associated across natural and clinical bacteria is therefore important for predicting the spread of resistance, yet there is no consensus about the extent of such associations or underlying mechanisms. We tested for associations between susceptibility phenotypes of 93 natural and clinical Escherichia coli isolates to various NAAs and antibiotics. Across all compound combinations, we detected a small number of non‐random associations, including a trio of positive associations among chloramphenicol, triclosan and benzalkonium chloride. We investigated genetic mechanisms that can explain such associations using genomic information, genetic knockouts and experimental evolution. This revealed some mutations that are selected for by experimental exposure to one compound and confer cross‐resistance to other compounds. Surprisingly, these interactions were asymmetric: selection for chloramphenicol resistance conferred cross‐resistance to triclosan and benzalkonium chloride, but selection for triclosan resistance did not confer cross‐resistance to other compounds. 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subjects Anti-Bacterial Agents - pharmacology
Antibiotic resistance
Antibiotics
Antiseptics
Bacteria
Benzalkonium chloride
Benzalkonium Compounds - pharmacology
Chloramphenicol
Chloramphenicol - pharmacology
Chloromycetin
Coliforms
Disease resistance
Disinfectants
Disinfectants - pharmacology
Drug resistance
Drug Resistance, Bacterial - genetics
E coli
Escherichia coli
Escherichia coli - drug effects
Escherichia coli - genetics
Escherichia coli - isolation & purification
Escherichia coli Infections - drug therapy
Heavy metals
Humans
Metals
Metals, Heavy - pharmacology
Microbial Sensitivity Tests
Mutation
Phenotypes
Triclosan
Triclosan - pharmacology
title Associations between sensitivity to antibiotics, disinfectants and heavy metals in natural, clinical and laboratory isolates of Escherichia coli
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