An omics-based framework for assessing the health risk of antimicrobial resistance genes

<jats:title>Abstract</jats:title><jats:p>Antibiotic resistance genes (ARGs) are widespread among bacteria. However, not all ARGs pose serious threats to public health, highlighting the importance of identifying those that are high-risk. Here, we developed an ‘omics-based’ framework...

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Main Authors: Zhang, An-Ni, Gaston, Jeffry M., Dai, Chengzhen L., Zhao, Shijie, Poyet, Mathilde, Groussin, Mathieu, Yin, Xiaole, Li, Li-Guan, van Loosdrecht, Mark C. M., Topp, Edward, Gillings, Michael R., Hanage, William P., Tiedje, James M., Moniz, Katya, Alm, Eric J., Zhang, Tong
Other Authors: Massachusetts Institute of Technology. Department of Biological Engineering
Format: Article
Language:English
Published: Springer Science and Business Media LLC 2022
Online Access:https://hdl.handle.net/1721.1/133506.2
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author Zhang, An-Ni
Gaston, Jeffry M.
Dai, Chengzhen L.
Zhao, Shijie
Poyet, Mathilde
Groussin, Mathieu
Yin, Xiaole
Li, Li-Guan
van Loosdrecht, Mark C. M.
Topp, Edward
Gillings, Michael R.
Hanage, William P.
Tiedje, James M.
Moniz, Katya
Alm, Eric J.
Zhang, Tong
author2 Massachusetts Institute of Technology. Department of Biological Engineering
author_facet Massachusetts Institute of Technology. Department of Biological Engineering
Zhang, An-Ni
Gaston, Jeffry M.
Dai, Chengzhen L.
Zhao, Shijie
Poyet, Mathilde
Groussin, Mathieu
Yin, Xiaole
Li, Li-Guan
van Loosdrecht, Mark C. M.
Topp, Edward
Gillings, Michael R.
Hanage, William P.
Tiedje, James M.
Moniz, Katya
Alm, Eric J.
Zhang, Tong
author_sort Zhang, An-Ni
collection MIT
description <jats:title>Abstract</jats:title><jats:p>Antibiotic resistance genes (ARGs) are widespread among bacteria. However, not all ARGs pose serious threats to public health, highlighting the importance of identifying those that are high-risk. Here, we developed an ‘omics-based’ framework to evaluate ARG risk considering human-associated-enrichment, gene mobility, and host pathogenicity. Our framework classifies human-associated, mobile ARGs (3.6% of all ARGs) as the highest risk, which we further differentiate as ‘current threats’ (Rank I; 3%) - already present among pathogens - and ‘future threats’ (Rank II; 0.6%) - novel resistance emerging from non-pathogens. Our framework identified 73 ‘current threat’ ARG families. Of these, 35 were among the 37 high-risk ARGs proposed by the World Health Organization and other literature; the remaining 38 were significantly enriched in hospital plasmids. By evaluating all pathogen genomes released since framework construction, we confirmed that ARGs that recently transferred into pathogens were significantly enriched in Rank II (‘future threats’). Lastly, we applied the framework to gut microbiome genomes from fecal microbiota transplantation donors. We found that although ARGs were widespread (73% of genomes), only 8.9% of genomes contained high-risk ARGs. Our framework provides an easy-to-implement approach to identify current and future antimicrobial resistance threats, with potential clinical applications including reducing risk of microbiome-based interventions.</jats:p>
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spelling mit-1721.1/133506.22024-03-15T16:10:20Z An omics-based framework for assessing the health risk of antimicrobial resistance genes Zhang, An-Ni Gaston, Jeffry M. Dai, Chengzhen L. Zhao, Shijie Poyet, Mathilde Groussin, Mathieu Yin, Xiaole Li, Li-Guan van Loosdrecht, Mark C. M. Topp, Edward Gillings, Michael R. Hanage, William P. Tiedje, James M. Moniz, Katya Alm, Eric J. Zhang, Tong Massachusetts Institute of Technology. Department of Biological Engineering Massachusetts Institute of Technology. Center for Microbiome Informatics and Therapeutics <jats:title>Abstract</jats:title><jats:p>Antibiotic resistance genes (ARGs) are widespread among bacteria. However, not all ARGs pose serious threats to public health, highlighting the importance of identifying those that are high-risk. Here, we developed an ‘omics-based’ framework to evaluate ARG risk considering human-associated-enrichment, gene mobility, and host pathogenicity. Our framework classifies human-associated, mobile ARGs (3.6% of all ARGs) as the highest risk, which we further differentiate as ‘current threats’ (Rank I; 3%) - already present among pathogens - and ‘future threats’ (Rank II; 0.6%) - novel resistance emerging from non-pathogens. Our framework identified 73 ‘current threat’ ARG families. Of these, 35 were among the 37 high-risk ARGs proposed by the World Health Organization and other literature; the remaining 38 were significantly enriched in hospital plasmids. By evaluating all pathogen genomes released since framework construction, we confirmed that ARGs that recently transferred into pathogens were significantly enriched in Rank II (‘future threats’). Lastly, we applied the framework to gut microbiome genomes from fecal microbiota transplantation donors. We found that although ARGs were widespread (73% of genomes), only 8.9% of genomes contained high-risk ARGs. Our framework provides an easy-to-implement approach to identify current and future antimicrobial resistance threats, with potential clinical applications including reducing risk of microbiome-based interventions.</jats:p> 2022-05-18T15:30:42Z 2021-10-27T19:53:13Z 2022-05-18T15:30:42Z 2021-08 2021-04 2021-08-24T17:57:26Z Article http://purl.org/eprint/type/JournalArticle 2041-1723 https://hdl.handle.net/1721.1/133506.2 en http://dx.doi.org/10.1038/s41467-021-25096-3 Nature Communications Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/ application/octet-stream Springer Science and Business Media LLC Nature
spellingShingle Zhang, An-Ni
Gaston, Jeffry M.
Dai, Chengzhen L.
Zhao, Shijie
Poyet, Mathilde
Groussin, Mathieu
Yin, Xiaole
Li, Li-Guan
van Loosdrecht, Mark C. M.
Topp, Edward
Gillings, Michael R.
Hanage, William P.
Tiedje, James M.
Moniz, Katya
Alm, Eric J.
Zhang, Tong
An omics-based framework for assessing the health risk of antimicrobial resistance genes
title An omics-based framework for assessing the health risk of antimicrobial resistance genes
title_full An omics-based framework for assessing the health risk of antimicrobial resistance genes
title_fullStr An omics-based framework for assessing the health risk of antimicrobial resistance genes
title_full_unstemmed An omics-based framework for assessing the health risk of antimicrobial resistance genes
title_short An omics-based framework for assessing the health risk of antimicrobial resistance genes
title_sort omics based framework for assessing the health risk of antimicrobial resistance genes
url https://hdl.handle.net/1721.1/133506.2
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