Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance

Antimicrobials (e.g., antibiotics and biocides) are invaluable chemicals used to control microbes in numerous contexts. Because of the simultaneous use of antibiotics and biocides, questions have arisen as to whether environments commonly treated with biocides (e.g., hospitals, food processing, wast...

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Main Authors: Kent Coombs, Cristina Rodriguez-Quijada, Jason O. Clevenger, Alexis F. Sauer-Budge
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/11/8/2000
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author Kent Coombs
Cristina Rodriguez-Quijada
Jason O. Clevenger
Alexis F. Sauer-Budge
author_facet Kent Coombs
Cristina Rodriguez-Quijada
Jason O. Clevenger
Alexis F. Sauer-Budge
author_sort Kent Coombs
collection DOAJ
description Antimicrobials (e.g., antibiotics and biocides) are invaluable chemicals used to control microbes in numerous contexts. Because of the simultaneous use of antibiotics and biocides, questions have arisen as to whether environments commonly treated with biocides (e.g., hospitals, food processing, wastewater, agriculture, etc.) could act as a reservoir for the development of antibiotic cross-resistance. Theoretically, cross-resistance could occur if the mechanism of bacterial tolerance to biocides also resulted in antibiotic resistance. On the other hand, biocides would likely present a higher evolutionary barrier to the development of resistance given the different modes of action between biocides and antibiotics and the broad-based physicochemical effects associated with most biocides. Published studies have shown that the induction of biocide tolerance in a laboratory can result in cross-resistance to some antibiotics, most commonly hypothesized to be due to efflux pump upregulation. However, testing of environmental isolates for biocide tolerance and antibiotic cross-resistance has yielded conflicting results, potentially due to the lack of standardized testing. In this review, we aim to describe the state of the science on the potential linkage between biocide tolerance and antibiotic cross-resistance. Questions still remain about whether the directed evolution of biocide tolerance and the associated antibiotic cross-resistance in a laboratory are or are not representative of real-world settings. Thus, research should continue to generate informative data to guide policies and preserve these tools’ utility and availability.
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spelling doaj.art-7007e42f30a7417f8cb31d1e600d7a442023-11-19T02:17:29ZengMDPI AGMicroorganisms2076-26072023-08-01118200010.3390/microorganisms11082000Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-ResistanceKent Coombs0Cristina Rodriguez-Quijada1Jason O. Clevenger2Alexis F. Sauer-Budge3Exponent, Inc., Biomedical Engineering & Sciences, Natick, MA 01760, USAExponent, Inc., Biomedical Engineering & Sciences, Natick, MA 01760, USAExponent, Inc., Biomedical Engineering & Sciences, Natick, MA 01760, USAExponent, Inc., Biomedical Engineering & Sciences, Natick, MA 01760, USAAntimicrobials (e.g., antibiotics and biocides) are invaluable chemicals used to control microbes in numerous contexts. Because of the simultaneous use of antibiotics and biocides, questions have arisen as to whether environments commonly treated with biocides (e.g., hospitals, food processing, wastewater, agriculture, etc.) could act as a reservoir for the development of antibiotic cross-resistance. Theoretically, cross-resistance could occur if the mechanism of bacterial tolerance to biocides also resulted in antibiotic resistance. On the other hand, biocides would likely present a higher evolutionary barrier to the development of resistance given the different modes of action between biocides and antibiotics and the broad-based physicochemical effects associated with most biocides. Published studies have shown that the induction of biocide tolerance in a laboratory can result in cross-resistance to some antibiotics, most commonly hypothesized to be due to efflux pump upregulation. However, testing of environmental isolates for biocide tolerance and antibiotic cross-resistance has yielded conflicting results, potentially due to the lack of standardized testing. In this review, we aim to describe the state of the science on the potential linkage between biocide tolerance and antibiotic cross-resistance. Questions still remain about whether the directed evolution of biocide tolerance and the associated antibiotic cross-resistance in a laboratory are or are not representative of real-world settings. Thus, research should continue to generate informative data to guide policies and preserve these tools’ utility and availability.https://www.mdpi.com/2076-2607/11/8/2000antimicrobialbiocide toleranceantibiotic cross-resistance
spellingShingle Kent Coombs
Cristina Rodriguez-Quijada
Jason O. Clevenger
Alexis F. Sauer-Budge
Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance
Microorganisms
antimicrobial
biocide tolerance
antibiotic cross-resistance
title Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance
title_full Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance
title_fullStr Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance
title_full_unstemmed Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance
title_short Current Understanding of Potential Linkages between Biocide Tolerance and Antibiotic Cross-Resistance
title_sort current understanding of potential linkages between biocide tolerance and antibiotic cross resistance
topic antimicrobial
biocide tolerance
antibiotic cross-resistance
url https://www.mdpi.com/2076-2607/11/8/2000
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