Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment

The microbial ecosystem residing in the human gut is believed to play an important role in horizontal exchange of virulence and antibiotic resistance genes that threatens human health. While the diversity of gut-microorganisms and their genetic content has been studied extensively, high-resolution i...

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Main Authors: Heidi Gumpert, Jessica Z. Kubicek-Sutherland, Andreas Porse, Nahid Karami, Christian Munck, Marius Linkevicius, Ingegerd Adlerberth, Agnes E. Wold, Dan I. Andersson, Morten O. A. Sommer
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-09-01
Series:Frontiers in Microbiology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fmicb.2017.01852/full
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author Heidi Gumpert
Heidi Gumpert
Jessica Z. Kubicek-Sutherland
Andreas Porse
Nahid Karami
Christian Munck
Marius Linkevicius
Ingegerd Adlerberth
Agnes E. Wold
Dan I. Andersson
Morten O. A. Sommer
author_facet Heidi Gumpert
Heidi Gumpert
Jessica Z. Kubicek-Sutherland
Andreas Porse
Nahid Karami
Christian Munck
Marius Linkevicius
Ingegerd Adlerberth
Agnes E. Wold
Dan I. Andersson
Morten O. A. Sommer
author_sort Heidi Gumpert
collection DOAJ
description The microbial ecosystem residing in the human gut is believed to play an important role in horizontal exchange of virulence and antibiotic resistance genes that threatens human health. While the diversity of gut-microorganisms and their genetic content has been studied extensively, high-resolution insight into the plasticity, and selective forces shaping individual genomes is scarce. In a longitudinal study, we followed the dynamics of co-existing Escherichia coli lineages in an infant not receiving antibiotics. Using whole genome sequencing, we observed large genomic deletions, bacteriophage infections, as well as the loss and acquisition of plasmids in these lineages during their colonization of the human gut. In particular, we captured the exchange of multidrug resistance genes, and identified a clinically relevant conjugative plasmid mediating the transfer. This resistant transconjugant lineage was maintained for months, demonstrating that antibiotic resistance genes can disseminate and persist in the gut microbiome; even in absence of antibiotic selection. Furthermore, through in vivo competition assays, we suggest that the resistant transconjugant can persist through a fitness advantage in the mouse gut in spite of a fitness cost in vitro. Our findings highlight the dynamic nature of the human gut microbiota and provide the first genomic description of antibiotic resistance gene transfer between bacteria in the unperturbed human gut. These results exemplify that conjugative plasmids, harboring resistance determinants, can transfer and persists in the gut in the absence of antibiotic treatment.
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spelling doaj.art-b7b42f204bf449bd85aa7b8a3b80592a2022-12-21T20:15:54ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2017-09-01810.3389/fmicb.2017.01852298526Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic TreatmentHeidi Gumpert0Heidi Gumpert1Jessica Z. Kubicek-Sutherland2Andreas Porse3Nahid Karami4Christian Munck5Marius Linkevicius6Ingegerd Adlerberth7Agnes E. Wold8Dan I. Andersson9Morten O. A. Sommer10Department of Systems Biology, Technical University of Denmark, Lyngby, DenmarkDepartment of Clinical Microbiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, DenmarkDepartment of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, SwedenThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, DenmarkDepartment of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, DenmarkDepartment of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, SwedenDepartment of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, SwedenThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, DenmarkThe microbial ecosystem residing in the human gut is believed to play an important role in horizontal exchange of virulence and antibiotic resistance genes that threatens human health. While the diversity of gut-microorganisms and their genetic content has been studied extensively, high-resolution insight into the plasticity, and selective forces shaping individual genomes is scarce. In a longitudinal study, we followed the dynamics of co-existing Escherichia coli lineages in an infant not receiving antibiotics. Using whole genome sequencing, we observed large genomic deletions, bacteriophage infections, as well as the loss and acquisition of plasmids in these lineages during their colonization of the human gut. In particular, we captured the exchange of multidrug resistance genes, and identified a clinically relevant conjugative plasmid mediating the transfer. This resistant transconjugant lineage was maintained for months, demonstrating that antibiotic resistance genes can disseminate and persist in the gut microbiome; even in absence of antibiotic selection. Furthermore, through in vivo competition assays, we suggest that the resistant transconjugant can persist through a fitness advantage in the mouse gut in spite of a fitness cost in vitro. Our findings highlight the dynamic nature of the human gut microbiota and provide the first genomic description of antibiotic resistance gene transfer between bacteria in the unperturbed human gut. These results exemplify that conjugative plasmids, harboring resistance determinants, can transfer and persists in the gut in the absence of antibiotic treatment.http://journal.frontiersin.org/article/10.3389/fmicb.2017.01852/fullEscherichia colihorizontal gene transferinfant gutgenome dynamicsplasmid transferin vivo fitness
spellingShingle Heidi Gumpert
Heidi Gumpert
Jessica Z. Kubicek-Sutherland
Andreas Porse
Nahid Karami
Christian Munck
Marius Linkevicius
Ingegerd Adlerberth
Agnes E. Wold
Dan I. Andersson
Morten O. A. Sommer
Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment
Frontiers in Microbiology
Escherichia coli
horizontal gene transfer
infant gut
genome dynamics
plasmid transfer
in vivo fitness
title Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment
title_full Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment
title_fullStr Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment
title_full_unstemmed Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment
title_short Transfer and Persistence of a Multi-Drug Resistance Plasmid in situ of the Infant Gut Microbiota in the Absence of Antibiotic Treatment
title_sort transfer and persistence of a multi drug resistance plasmid in situ of the infant gut microbiota in the absence of antibiotic treatment
topic Escherichia coli
horizontal gene transfer
infant gut
genome dynamics
plasmid transfer
in vivo fitness
url http://journal.frontiersin.org/article/10.3389/fmicb.2017.01852/full
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