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首页> 外文期刊>Environmental Science & Technology: ES&T >Using Culture-Enriched Phenotypic Metagenomics for Targeted High-Throughput Monitoring of the Clinically Important Fraction of the β-Lactam Resistome
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Using Culture-Enriched Phenotypic Metagenomics for Targeted High-Throughput Monitoring of the Clinically Important Fraction of the β-Lactam Resistome

机译:Using Culture-Enriched Phenotypic Metagenomics for Targeted High-Throughput Monitoring of the Clinically Important Fraction of the β-Lactam Resistome

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摘要

High bacterial community diversity and complexity greatly challenge the cost-efficient monitoring of clinically prevalent antibiotic-resistant bacteria,which are usually present as rare and important populations involved in the environmental dissemination of clinical resistance.Here,we introduce culture-enriched phenotypic metagenomics that integrates culture enrichment,phenotypic screening,and metagenomic analyses as an emerging standardized methodology for targeted resistome monitoring and apply it to decipher the extended-spectrum β-lactam resistome in a municipal wastewater treatment plant e(WWTP)and its receiving river.The results showed that clinically prevalent carbapenemase genes(e.g.,the NDM and KPC families)and extended-spectrum β-lactamase genes(e.g.,the CTX-M,TEM,and OXA families)were prevalent in the WWTP and showed prominent potential in horizontal dissemination.Strikingly,carbapenem and polymyxin resistance genes co-occurred in the highly virulent nosocomial pathogens Enterobacter kobei and Citrobacter freundii.Overall,this study exemplifies phenotypic metagenomics for high-throughput surveillance of a targeted clinically important fraction of antibiotic resistomes and substantially expands current knowledge on extended-spectrum β-lactam resistance in WWTPs.

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