Abstract

Characterizing the response of microbial communities to a range of antibiotic concentrations is one of the strategies used to understand the impact of antibiotic resistance. Many studies have described the occurrence and prevalence of antibiotic resistance in microbial communities from reservoirs such as hospitals, sewage, and farm feedlots, where bacteria are often exposed to high and/or constant concentrations of antibiotics. Outside of these sources, antibiotics generally occur at lower, sub-minimum inhibitory concentrations (sub-MICs). The constant exposure to low concentrations of antibiotics may serve as a chemical “cue” that drives development of antibiotic resistance. Low concentrations of antibiotics have not yet been broadly described in reservoirs outside of the aforementioned environments, nor is the transfer and dissemination of antibiotic resistant bacteria and genes within natural microbial communities fully understood. This review will thus focus on low antibiotic-concentration environmental reservoirs and mechanisms that are important in the dissemination of antibiotic resistance to help identify key knowledge gaps concerning the environmental resistome.

Highlights

  • Antibiotic resistance is a well-recognized major threat to global public health

  • Even though antibiotics from agriculture run-off can be found at sub-inhibitory concentrations in receiving water bodies or downstream systems, constant exposure over long time periods will contribute to selective pressure for antibiotic resistance in environmental microbial communities such as freshwater biofilms (Andersson and Hughes, 2012; Manaia et al, 2020; Sasikaladevi et al, 2020)

  • It is abundantly clear that exposure of microorganisms to veterinary/agricultural antibiotic residues can contribute to the development of antibiotic resistance genes (ARGs) and antibiotic-resistant bacteria (ARB) (Manaia et al, 2020; Wang et al, 2021); little is known about the selective pressure that subminimum inhibitory concentrations (sub-minimum inhibitory concentration (MIC)) concentrations of antibiotics play on initial microbial colonization processes as well as biofilm development in receiving environments along with the environmental resistome (Yang et al, 2020)

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Summary

Introduction

Antibiotic resistance is a well-recognized major threat to global public health. Many studies have surveyed antibiotic resistant bacterial strains or their corresponding genes in hotspots or reservoirs of antimicrobial resistance such as hospitals, waste-water treatment plants (WWTP), sewage systems, and animal feeding operations, where antibiotics are commonly found at high concentrations (Bengtsson-Palme et al, 2018; Burcham et al, 2019; Kraemer et al, 2019; MaestreCarballa et al, 2019; Xiang et al, 2020). Even though antibiotics from agriculture run-off can be found at sub-inhibitory concentrations in receiving water bodies or downstream systems, constant exposure over long time periods will contribute to selective pressure for antibiotic resistance in environmental microbial communities such as freshwater biofilms (Andersson and Hughes, 2012; Manaia et al, 2020; Sasikaladevi et al, 2020).

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