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  • 1

    Large Scale Screening of Publicly Available Metagenomes for Antibiotic Resistance

    Introduction:

    The term antibiotic began as a way to describe a laboratory effect or the action of a

    chemical compound. Antibiotic can now be defined as a molecule that either kills or inhibits a

    microbe. The first known detection of antibiotics was by Alexander Fleming with his discovery

    of penicillin in 1928. Shortly after, in 1944, streptomycin was discovered to be the treatment for

    tuberculosis. Once both of these antibiotics were being used universally, resistance strains began

    to prevail [1]. Now, as the numbers of antibiotics in use increases, so does the prevalence of

    antibiotic resistance.

    Antibiotics, as a whole, are a huge leap in medicine. However, there are many downsides

    to the overuse of antibiotics. If antibiotics are used for an extended amount of time, human gut

    microbiota cannot fully recover, which leads to a change in the microbiota community [2].

    According the cdc.gov, overuse of antibiotics can also lead to death or allergic reactions [3].

    Finally, repeated use of antibiotics can lead to blindness [4], and perhaps worst of all, resistance.

    Antibiotics use many different mechanisms and modes of actions. These can be seen in

    Table 1 below (page 2).

  • 2

    Table 1. Modes of action and resistance mechanisms of commonly used antibiotics [1].

    Antibiotic class Example(s) Target Mode(s) of

    resistance

    -Lactams Penicillins

    (ampicillin),

    cephalosporins

    (cephamycin),

    penems

    (meropenem),

    monobactams

    (aztreonam)

    Peptidoglycan

    biosynthesis

    Hydrolysis, efflux,

    altered target

    Aminoglycosides Gentamicin,

    streptomycin,

    spectinomycin

    Translation Phosphorylation,

    acetylation,

    nucleotidylation,

    efflux, altered target

    Glycopeptides Vancomycin,

    teicoplanin

    Peptidoglycan

    biosynthesis

    Reprogramming

    peptidoglycan

    biosynthesis

    Tetracyclines Minocycline,

    tigecycline

    Translation Monooxygenation,

    efflux, altered target

    Macrolides Erythromycin,

    azithromicin

    Translation Hydrolysis,

    glycosylation,

    phosphorylation,

    efflux, altered target

    Lincosamides Clindamycin Translation Nucleotidylation,

    efflux, altered target

    Streptogramins Synercid Translation C-O lyase (type B

    streptogramins),

    acetylation (type A

    streptogramins),

    efflux, altered target

    Oxazolidinones Linezolid Translation Efflux, altered target

    Phenicols Chloramphenicol Translation Acetylation, efflux,

    altered target

    Quinolones Ciprofloxacin DNA replication Acetylation, efflux,

    altered target

    Pyrimidines Trimethoprim C1 metabolism Efflux, altered target

    Sulfonamides Sulfamethoxazole C1 metabolism Efflux, altered target

    Rifamycins Rifampin Transcription ADP-ribosylation,

    efflux, altered target

    Lipopeptides Daptomycin Cell membrane Altered target

    Cationic peptides Colistin Cell membrane Altered target, efflux

  • 3

    Antibiotic Resistance

    Antibiotic resistance has spread rapidly throughout the years, and there are many factors

    as to why. Antibiotic resistance genes (ARGs) occur naturally in bacteria and fungi across all

    environments [5]. However, in many instances, the use of antibiotics greatly increases the

    presence of these ARGs.

    Agriculture is one of the most prominent sources of antibiotic resistance. Farmers often

    spray antibiotics directly onto crops and/or use the manure from animals treated with antibiotics

    as fertilizer for crops. This can absorb into the plant, which is then consumed by humans or

    animals. The antibiotics can also absorb into the soil, which can then be washed off into rivers,

    lakes, and streams, carrying ARGs to new places and affecting new populations [5]. The push for

    more organic farming to replace inorganic nitrogen and phosphorus fertilizers is leading to an

    increase in this transfer. Nonetheless, it has been found that ARGs are present in manure even if

    the animal had not been treated with antibiotics [6]. In the food industry, antibiotics are used on

    animals in order to increase size, production, and growth rates, as well as fight infection. Again,

    these animals are then consumed, and the ARGs are transferred to humans [5].

    Finally, humans use antibiotics in order to treat infections. The average American makes

    outpatient visits twice a year, and 15.3% of those visits end in them receiving an antibiotic

    prescription. About 100,000-200,000 tons of antibiotics are used annually, with 25,000 tons of

    that total being used in China [7]. Even when a new antibiotic is introduced, its resistance strain

    emerges within a few years [2]. All of the factors stated above lead to the spread of antibiotic

    resistance genes and the rise of superbugs such as tuberculosis and methicillin-resistant

    Staphylococcus aureus (MRSA).

  • 4

    Antibiotic resistance genes work by inhibiting cell wall synthesis, DNA synthesis, RNA

    synthesis, and protein synthesis [8]. They can also inactivate the antibiotic itself. A few more

    pathways include alternating the binding site, modifying the metabolic pathway, and reducing

    the intracellular antibiotic accumulation. Altering the binding site of the antibiotic reduces the

    capacity at which the antibiotic binds. Modification of the metabolic pathway of the antibiotic

    allows the cell to avoid the antibiotic effect. In order to reduce the intracellular antibiotic

    accumulation, the permeability of the cell is decrease and/or the active efflux of the antibiotic is

    increased [2].

    The mechanisms of antibiotic resistance genes include genetic jugglery, intrinsic

    resistance, the resistome, plasmid-mediated transmission, horizontal gene transfer, and cell-cell

    fusion. Genetic jugglery includes random mutations of genes, leading to modified catalysts that

    contain resistance. Intrinsic resistance includes genes in a bacterial genome that have a

    possibility of developing a resistance phenotype. The resistome contains bacteria that produce

    antibiotics as well as the resistance to those certain antibiotics [1]. In plasmid-mediated

    transmission, the resistance genes are carried and spread via plasmids [9]. Horizontal gene

    transfers involve neighboring bacteria swapping genetic information with each other. There are

    three types of horizontal gene transfer: transformation, transduction, and conjugation.

    Transformation occurs when bacteria obtains short fragments of naked DNA. Transduction

    involves bacteriophages transferring DNA from one bacterium to another. Conjugation calls for

    the transfer of DNA via sexual pilus [10]. Finally, cell-cell fusion involves the merging of two or

    more cells in order to combine genomes [11].

  • 5

    Metagenomics

    Metagenomics allows for the characterization of microbial populations using its genetic

    composition. It can also determine the function of microbes, as well as their evolutionary profile.

    This is done by taking a sample, extracting, sequencing and then analyzing the DNA.

    Metagenomics has quickly become the standard tool used by scientists in the microbial ecology

    field, mostly due to its simplicity, along with its accuracy [12].

    MG-RAST

    MG-RAST stands for Metagenomic Rapid Annotation Using Subsystems Technology. It

    is a SEED-based server hosted by Argonne National Laboratory that contains the metagenomic

    information about various microbial populations. Users can upload raw metagenomic data for

    analysis. According to mcs.anl.gov, MG-RAST provides the annotation of sequence fragments,

    their phylogenetic classification, functional classification of samples, and comparison between

    multiple metagenomes. MG-RAST also allows for the configuration of initial metabolic

    reconstruction for the metagenome [13].

    Comprehensive Antibiotic Resistance Database

    The Comprehensive Antibiotic Resistance Database, or CARD, is a database that

    includes data about antibiotics as well as antibiotic resistance genes and their associated proteins.

    The CARD helps to classify antibiotic resistance gene data. It contains tools that help identify

    antibiotic resistance genes from either partial or whole sequence data [14].

  • 6

    rpoB

    rpoB is a gene that encodes the beta subunit of RNA polymerase [15]. It is a single-copy

    protein encoding gene that is used as a marker for pyrosequencing-based assessments of

    bacterial diversity in soil. [16].

    USEARCH & UBLAST

    USEARCH and UBLAST are algorithms that are used to search sequence databases.

    They do this by pursuing high-scoring global and local alignments. UBLAST has been proven to

    be up to 350 times faster than NCBI BLAST (another widely used algorithm) with similar or

    even higher sensitivity [17].

    Objectives

    Because of the lack of consistency in using metagenomics to study antibiotic resistance

    genes, this study researched any correlation there could be with the prevalence antibiotic

    resistance in certain environment types. In order to do this, information from the MG-RAST

    server will be compared to the CARD database.

    The goal of this project is to create a reference between ARGs and MG-RAST available

    datasets that could potentially give rise to a wider understanding of the source of ARGs in the

    environment. This experiment could also create a profile of certain ARGs using environmental

    information, ARG abundance, phylogenetic/taxonomic abundances, and metabolic pathways,

    which could lead to new understandings of the distribution of ARGs in the environment.

  • 7

    Materials and Methods:

    Sampling and Data Sources

    Data sets (1,056) were selected randomly, and downloaded directly from MG-RAST

    using the MG-RAST API. The larger dataset was trimmed to 374 metagenomes based on the

    ability to identify the sample type and quality of data (Table S1). There were 11 total

    environment types: air (n=5), animal (n=50), coral reef (n=13), grassland (n=3), human (n=134),

    mangrove (n=9), marine (n=23), soil (n=98), tundra (n=3), wastewater (n=11), and water (n=25).

    The total amount of base pairs for this dataset was 2.15E11, and the total number of sequences

    was 1.38E9. The largest sample had 7.04E9 base pairs and 6.98E7 sequences and belonged to a

    human environment. The smallest sample had 3.10E6 base pairs and 9433 sequences and

    belonged to a human environment as well.

    Resistance Gene Detection

    Because MG-RAST does not contain information on ARGs, the data sets had to be

    compared against the Comprehensive Antibiotic Resistance Database (CARD). The screen-

    passed data (DNA sequence data of acceptable quality and predicted as gene coding regions by

    MG-RAST) from MG-RAST was searched against CARD in order to detect ARGs as well as

    rpoB gene copies, or gene copy fragments. UBLAST and USEARCH algorithms [17] were used

    to search the CARD database with the following search parameters: the e-value used was 1E-5,

    with minimum 80% similarity using local alignments. Only 374 data sets were used in this

    experiment, as samples were removed if the results were 5 kb or less (as they would only contain

    a few hundred hits), or if there was only one sample from a certain environment type. The

    samples were normalized by dividing the copy number of each ARG category by copy numbers

  • 8

    of rpoB. This was done because it gives a more accurate representation of amount of ARGs in a

    sample with respect to the number of prokaryotes. In the past, other studies [18], [19] divided by

    the amount of 16s rRNA genes, but rpoB has a higher genetic resolution and reports more

    species [16].

    Statistical Analysis

    R was used to analyze the data. The base R libraries, vegan, and gplots were used to

    graph relative abundance heat maps (Figures 1 and 2), relative abundance of ARG categories

    containing all samples (Figure 3), amount of rpoB copies per million base pairs (Figure 4), and

    amount of ARG copies per rpoB copies for specific ARGs (Figures 5-8). Clustering of

    environments by ARG categories was performed using Bray-Curtis dissimilarity with the

    UPGMA algorithm and either median values by environment, or all data (Figures 1 and 2,

    respectively).

    Results and Discussion:

    In Figure 1, the median value of the efflux pump conferring antibiotic resistance gene

    was the most abundant across all environments, with mangroves, air, and wastewater having the

    highest abundance. Animals, marine, and water environments had the lowest abundance. This is

    because efflux pumps are in both Gram-negative and Gram-positive cells, along with eukaryotes.

    In Figure 2, the beta-lactam resistance gene shows the highest abundance, followed by

    the antibiotic inactivation enzyme. The least abundant gene was antibiotic sequestration. Human

    saliva showed the highest amount of antibiotic resistance genes, with the beta-lactam resistance

    gene being the highest, followed by the antibiotic inactivation enzyme.

  • 9

    Figure 3 demonstrates the mean of each antibiotic resistance gene copy per rpoB copy.

    The beta lactam resistance gene had the highest mean, but the antibiotic inactivation enzyme had

    the greatest range. The efflux pump conferring antibiotic resistance contained the highest median

    value. The resistance gene with the lowest amount of ARG copies/rpoB copies was the gene

    involved in antibiotic sequestration.

    The effective genome size is 6.3 million base pairs (mbp) for soil, 4.7 mbp for bacteria,

    and 1.6 mbp for water [20]. The results in Figure 4 are lower due to the exclusion of DNA that

    does not belong to ARGs. Air had the highest amount of rpoB copies per million base pairs,

    while mangroves had the lowest. Soil had the greatest amount of variance amongst the

    environments; however, humans had the highest number of copies per million bases pairs.

    Although humans had the largest range of gene copies in Figures 5-8, humans had a much

    larger ratio in Figure 6 because beta lactam are the most widely used group of antibiotics, which

    gives rise to resistance genes. Mangroves had an unexpected high amount of resistance gene

    copies per rpoB copies. This could be due to the fact that these particular samples were taken

    from mangroves that had been exposed to long term fertilization, which undoubtedly contained a

    massive amount of antibiotics. The resistance gene copies per rpoB copies was expected to be

    high in air, as the source of these samples were pig farms in South Korea. Water had the lowest

    range of gene copies throughout Figures 5-8, except for Figure 6, where animals had the lowest

    ratio.

    For future projects, in order to test the accuracy of the methods, a known sequence could

    be taken, mutated, and then inserted into an MG-RAST sample to see if it can be detected. More

    samples from more diverse environments could also be used in order to get a larger variety.

    Finally, implementing an environmental organizational standard would greatly benefit future

  • 10

    researchers for projects like this one, so that results are more consistent and accurate across the

    board.

  • 11

    Figures and Tables:

    Figure 1: Relative Abundance of ARGs by Environment Type

  • 12

    Figure 2: Relative Abundance of ARGs by Sample ID

  • 13

    Figure 3: Relative Abundance of ARG Categories Containing All Samples

  • 14

    Figure 4: Amount of rpoB Copies per Million Base Pairs

  • 15

    Figure 5: Amount of Macrolide Resistance Gene Copies per rpoB Copies

  • 16

    Figure 6: Amount of Beta Lactam Resistance Gene Copies per rpoB Copies

  • 17

    Figure 7: Amount of Erythromycin Resistance Efflux Pump Gene Copies per rpoB Copies

  • 18

    Figure 8: Amount of Efflux Pump Conferring Antibiotic Resistance Gene Copies per rpoB

    Copies

    Additional File: Table S1

    Table S1

    mgm_IDaminocoumarin.resistance.geneaminoglycoside.resistance.geneantibiotic.inactivation.enzymeantibiotic.resistance.gene.cluster..cassette..or.operonantibiotic.resistant.gene.variant.or.mutantantibiotic.target.modifying.enzymeantibiotic.target.protection.proteinantibiotic.target.replacement.proteinbeta.lactam.resistance.genechloramphenicol.resistance.geneefflux.pump.conferring.antibiotic.resistanceelfamycin.resistance.geneerythromycin.resistance.efflux.pumpethambutol.resistance.genefluoroquinolone.resistance.genefosfomycin.resistance.genefusidic.acid.resistance.genegene.altering.cell.wall.charge.conferring.antibiotic.resistancegene.conferring.antibiotic.resistance.via.molecular.bypassgene.conferring.resistance.via.absencegene.involved.in.antibiotic.sequestrationgene.involved.in.self.resistance.to.antibioticgene.modulating.antibiotic.effluxgene.modulating.beta.lactam.resistancegene.modulating.permeability.to.antibioticglycopeptide.resistance.geneisoniazid.resistance.genelincosamide.resistance.genelinezolid.resistance.genelipopeptide.antibiotic.resistance.genemacrolide.resistance.genemupirocin.resistance.genenitrofuratoin.resistance.genepeptide.antibiotic.resistance.genephenicol.resistance.genepleuromutilin.resistance.genepolyamine.resistance.genepolymyxin.resistance.genepyrazinamide.resistance.generifampin.resistance.genestreptogramin.resistance.genestreptothricin.resistance.genesulfonamide.resistance.genetetracycline.resistance.genetriclosan.resistance.genetrimethoprim.resistance.genetunicamycin.resistance.generpoBrpo_mbpinterestdownloadedidprojectnamebpssequencesEnvironment_combinedbiomefeaturematerialenviroment.nbsp.packagedisease_statussequencing.nbsp.typelocationphcountrytemperaturesequencing.nbsp.methodavg.nbsp.seq.nbsp.lengthNA.

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