Abstract

Antibiotics and antibiotic resistant bacteria enter wastewater treatment plants (WWTPs), an environment where resistance genes can potentially spread and exchange between microbes. Several antibiotic resistance genes (ARGs) were quantified using qPCR in three WWTPs of decreasing capacity located in Helsinki, Tallinn, and Tartu, respectively: sulphonamide resistance genes (sul1 and sul2), tetracycline resistance genes (tetM and tetC), and resistance genes for extended spectrum beta-lactams (blaoxa-58, blashv-34, and blactx-m-32). To avoid inconsistencies among qPCR assays we normalised the ARG abundances with 16S rRNA gene abundances while assessing if the respective genes increased or decreased during treatment. ARGs were detected in most samples; sul1, sul2, and tetM were detected in all samples. Statistically significant differences (adjusted p<0.01) between the inflow and effluent were detected in only four cases. Effluent values for blaoxa-58 and tetC decreased in the two larger plants while tetM decreased in the medium-sized plant. Only blashv-34 increased in the effluent from the medium-sized plant. In all other cases the purification process caused no significant change in the relative abundance of resistance genes, while the raw abundances fell by several orders of magnitude. Standard water quality variables (biological oxygen demand, total phosphorus and nitrogen, etc.) were weakly related or unrelated to the relative abundance of resistance genes. Based on our results we conclude that there is neither considerable enrichment nor purification of antibiotic resistance genes in studied conventional WWTPs.

Highlights

  • Antibiotic resistance (AR) has become a worldwide problem, making infectious diseases more resilient making treatment more difficult and costly [1]

  • The presence of antibiotics, antibiotic resistant bacteria (ARB), and antibiotic resistance genes (ARGs) in the same setting creates an environment that selects for AR and provides an opportunity for genetic material housing ARGs to transfer between bacterial species via horizontal gene transfer [13,21,24,25,27,28]

  • Our original hypothesis was that conventional Wastewater treatment plants (WWTPs) increase the relative abundance of ARGs during processing because they do not employ technologies that target the removal of genetic elements

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Summary

Introduction

Antibiotic resistance (AR) has become a worldwide problem, making infectious diseases more resilient making treatment more difficult and costly [1]. The presence of antibiotics, ARB, and ARG in the same setting creates an environment that selects for AR and provides an opportunity for genetic material housing ARGs to transfer between bacterial species via horizontal gene transfer [13,21,24,25,27,28]. We focus on quantitative whole community level measurements on the water-phase of the inflow and effluent of WWTPs which has not been studied using quantitative methods in sufficient detail to assess the impact of WWTPs on the distribution of ARGs. To quantify the number of ARGs we analysed the total DNA from wastewater and effluent samples using quantitative real-time PCR (qPCR). Our original hypothesis was that conventional WWTPs increase the relative abundance of ARGs during processing because they do not employ technologies that target the removal of genetic elements

Materials and Methods
Results and Discussion
Abundance of ARGs and treatment efficiency of wastewater
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