Antibiotic resistance genes in treated wastewater and in the receiving water bodies: A pan-European survey of urban settings

There is increasing public concern regarding the fate of antibiotic resistance genes (ARGs) during wastewater treatment, their persistence during the treatment process and their potential impacts on the receiving water bodies. In this study, we used quantitative PCR (qPCR) to determine the abundance of nine ARGs and a class 1 integron associated integrase gene in 16 wastewater treatment plant (WWTP) effluents from ten different European countries. In order to assess the impact on the receiving water bodies, gene abundances in the latter were also analysed.Six out of the nine ARGs analysed were detected in all effluent and river water samples. Among the quantified genes, intI1 and sul1 were the most abundant. Our results demonstrate that European WWTP contribute to the enrichment of the resistome in the receiving water bodies with the particular impact being dependent on the effluent load and local hydrological conditions. The ARGs concentrations in WWTP effluents were found to be inversely correlated to the number of implemented biological treatment steps, indicating a possible option for WWTP management.Furthermore, this study has identified blaOXA-58 as a possible resistance gene for future studies investigating the impact of WWTPs on their receiving water.COST ActionTekirdag Namık Kemal University-Corlu Faculty of Engineering3203301

Antimicrobial resistance in human impacted environments

Antibiotics have been one of the greatest scientific discoveries for humanity. Their great success has been hindered by the increasing of antibiotic resistance events. Conventional wisdom considers antibiotic resistance as a strictly clinical issue. In reality, more and more studies have proven that non-clinical environments, especially aquatic environments, are critical factors for the spread of antibiotic resistance. Antibiotic resistance genes (ARGs) are usually located on mobile genetic elements, which can disseminate among taxonomically unconnected species. Therefore, environmental bacteria can serve as hotspots for the development and dissemination of antibiotic resistance. The aim of this thesis is to determine how human originated pollution affects the antibiotic resistance abundance in the surrounding water environments. The case studies were three example environments, wastewater treatment plants (WWTPs), receiving river bodies and combined sewer overflows (CSOs). Molecular microbiology methods have been applied to analyse the resistance levels of bacterial communities from WWTP, CSOs and wastewater affected environments at different European geographical locations. Additionally, a novel approach consisting in an amplicon sequencing is described, in order to be able to investigate and asses the composition of a significant amount of integron gene cassettes. Findings consistently indicate that effluents originated from WWTPs and CSOs have a significant impact on the levels of ARGs of the receiving water bodies. Moreover, this thesis suggests that gene blaOXA-58, could be utilized as a proxy to investigate the spread of ARGs. Its occurrence has been reported to show, consistently throughout the chapters, lower concentrations upstream, but at higher concentrations in the WWTP effluent, CSOs and downstream of the effluent. In conclusion, although antibiotic resistance genes and integrons are part of the environmental resistome, water environments that are affected by anthropogenic wastewater display high levels of the above-mentioned genetic elements. These findings clearly suggest the need to limit pollution levels, as well as the need to establish a more responsible policy in antibiotic prescriptions. This must take place in order to be able to perform efficient risk assessments and to establish acceptable levels of antibiotic and ARGs pollution.:List of Figures VII List of Tables IX List of Abbreviations X 1. Introduction 11 1.1 Antibiotic resistance: an increasing problem 11 1.2 Intrinsic antibiotic resistance and horizontal gene transfer 13 1.2.1 Transformation 13 1.2.2 Transduction 13 1.2.3 Conjugation 14 1.3 Gene transfer elements 14 1.4 Antibiotic resistance and anthropogenic impact on surrounding environments 16 1.5 Study goals 17 2. Genetic variations of the resistome of wastewater treatment plants driven by the seasonality of antibiotic prescription 18 2.1 Introduction 18 2.2 Materials and methods 19 2.3 Results and discussion 20 3. Assessment of inter-laboratory variations of quantitative analyses of antibiotic resistance genes 27 3.1 Introduction 27 3.2 Materials and methods 27 3.3 Results and discussion 30 3.4 Conclusions 36 4. Antibiotic resistance genes in treated wastewater and in the receiving water bodies: A pan-European survey of urban settings 37 4.1 Introduction 37 4.2 Materials and methods 38 4.3 Results 44 4.4 Discussion 49 4.5 Conclusions 53 5. Analysis of integron gene cassettes composition in treated wastewater 55 5.1 Introduction 55 5.2 Materials and methods 55 VI 5.3 Results 56 5.4 Discussion 57 6. Role of combined sewer overflows in the dissemination of antibiotic resistance in surrounding environments 59 6.1 Introduction 59 6.2 Materials and methods 60 6.3 Results 61 6.4 Discussion 66 7. Closing Conclusions 68 References 70 List of publications 88 Note on the commencement of the doctoral procedure 89 Acknowledgments 9

Antimicrobial resistance in human impacted environments

Antibiotics have been one of the greatest scientific discoveries for humanity. Their great success has been hindered by the increasing of antibiotic resistance events. Conventional wisdom considers antibiotic resistance as a strictly clinical issue. In reality, more and more studies have proven that non-clinical environments, especially aquatic environments, are critical factors for the spread of antibiotic resistance. Antibiotic resistance genes (ARGs) are usually located on mobile genetic elements, which can disseminate among taxonomically unconnected species. Therefore, environmental bacteria can serve as hotspots for the development and dissemination of antibiotic resistance. The aim of this thesis is to determine how human originated pollution affects the antibiotic resistance abundance in the surrounding water environments. The case studies were three example environments, wastewater treatment plants (WWTPs), receiving river bodies and combined sewer overflows (CSOs). Molecular microbiology methods have been applied to analyse the resistance levels of bacterial communities from WWTP, CSOs and wastewater affected environments at different European geographical locations. Additionally, a novel approach consisting in an amplicon sequencing is described, in order to be able to investigate and asses the composition of a significant amount of integron gene cassettes. Findings consistently indicate that effluents originated from WWTPs and CSOs have a significant impact on the levels of ARGs of the receiving water bodies. Moreover, this thesis suggests that gene blaOXA-58, could be utilized as a proxy to investigate the spread of ARGs. Its occurrence has been reported to show, consistently throughout the chapters, lower concentrations upstream, but at higher concentrations in the WWTP effluent, CSOs and downstream of the effluent. In conclusion, although antibiotic resistance genes and integrons are part of the environmental resistome, water environments that are affected by anthropogenic wastewater display high levels of the above-mentioned genetic elements. These findings clearly suggest the need to limit pollution levels, as well as the need to establish a more responsible policy in antibiotic prescriptions. This must take place in order to be able to perform efficient risk assessments and to establish acceptable levels of antibiotic and ARGs pollution.:List of Figures VII List of Tables IX List of Abbreviations X 1. Introduction 11 1.1 Antibiotic resistance: an increasing problem 11 1.2 Intrinsic antibiotic resistance and horizontal gene transfer 13 1.2.1 Transformation 13 1.2.2 Transduction 13 1.2.3 Conjugation 14 1.3 Gene transfer elements 14 1.4 Antibiotic resistance and anthropogenic impact on surrounding environments 16 1.5 Study goals 17 2. Genetic variations of the resistome of wastewater treatment plants driven by the seasonality of antibiotic prescription 18 2.1 Introduction 18 2.2 Materials and methods 19 2.3 Results and discussion 20 3. Assessment of inter-laboratory variations of quantitative analyses of antibiotic resistance genes 27 3.1 Introduction 27 3.2 Materials and methods 27 3.3 Results and discussion 30 3.4 Conclusions 36 4. Antibiotic resistance genes in treated wastewater and in the receiving water bodies: A pan-European survey of urban settings 37 4.1 Introduction 37 4.2 Materials and methods 38 4.3 Results 44 4.4 Discussion 49 4.5 Conclusions 53 5. Analysis of integron gene cassettes composition in treated wastewater 55 5.1 Introduction 55 5.2 Materials and methods 55 VI 5.3 Results 56 5.4 Discussion 57 6. Role of combined sewer overflows in the dissemination of antibiotic resistance in surrounding environments 59 6.1 Introduction 59 6.2 Materials and methods 60 6.3 Results 61 6.4 Discussion 66 7. Closing Conclusions 68 References 70 List of publications 88 Note on the commencement of the doctoral procedure 89 Acknowledgments 9

Visual control through narrow passages for an omnidirectional wheeled robot

Ponencia presentada en: 30th Mediterranean Conference on Control and Automation (MED 2022), June 28 – July 1, 2022.Robotic systems are gradually replacing human intervention in dangerous facilities to improve human safety and prevent risky situations. In this domain, our work addresses the problem of autonomous crossing narrow passages in a semistructured (i.e., partially-known) environment. In particular, we focus on the CERN’s Super Proton Synchrotron particle accelerator, where a mobile robot platform is equipped with a lightweight arm to perform measurements, inspection, and maintenance operations. The proposed approach leverages an image-based visual servoing strategy that exploits computer vision to detect and track known geometries defining narrow passage gates. The effectiveness of the proposed approach has been demonstrated in a realistic mock-up

Antibiotic resistance genes in treated wastewater and in the receiving water bodies: A pan-European survey of urban settings

There is increasing public concern regarding the fate of antibiotic resistance genes (ARGs) during wastewater treatment, their persistence during the treatment process and their potential impacts on the receiving water bodies. In this study, we used quantitative PCR (qPCR) to determine the abundance of nine ARGs and a class 1 integron associated integrase gene in 16 wastewater treatment plant (WWTP) effluents from ten different European countries. In order to assess the impact on the receiving water bodies, gene abundances in the latter were also analysed. Six out of the nine ARGs analysed were detected in all effluent and river water samples. Among the quantified genes, intI1 and sul1 were the most abundant. Our results demonstrate that European WWTP contribute to the enrichment of the resistome in the receiving water bodies with the particular impact being dependent on the effluent load and local hydrological conditions. The ARGs concentrations in WWTP effluents were found to be inversely correlated to the number of implemented biological treatment steps, indicating a possible option for WWTP management. Furthermore, this study has identified bla(OXA-58) as a possible resistance gene for future studies investigating the impact of WWTPs on their receiving water. (C) 2019 The Authors. Published by Elsevier Ltd.German Federal Ministry of Education and ResearchFederal Ministry of Education & Research (BMBF) [02WU1351A]; project STARE -Stopping Antibiotic Resistance Evolution [WaterJPI/0001/2013]; project HYREKA (BMBF)Federal Ministry of Education & Research (BMBF); Working Group 5: Wastewater Reuse and Contaminants of Emerging Concern from Norman activities; NIVA's Strategic Research Initiative on Emerging Environmental Contaminants (Research Council of Norway) [208430]The study has been funded by the German Federal Ministry of Education and Research [02WU1351A]. CMM, TB, TS, DFK acknowledge the national funding agencies through the project WaterJPI/0001/2013 STARE -Stopping Antibiotic Resistance Evolution and the project HYREKA (BMBF). This work was supported by Working Group 5: Wastewater Reuse and Contaminants of Emerging Concern from Norman activities (http://www.norman-network.net/?q=node/106).CS acknowledges the financial support from NIVA's Strategic Research Initiative on Emerging Environmental Contaminants (Research Council of Norway; contract no. 208430)

Elevated levels of antibiotic resistance in groundwater during treated wastewater irrigation associated with infiltration and accumulation of antibiotic residues

Treated wastewater irrigation (TWW) releases antibiotics and antibiotic resistance genes (ARGs) into the environment and might thus promote the dissemination of antibiotic resistance in groundwater (GW). We hypothesized that TWW irrigation increases ARG abundance in GW through two potential mechanisms: the contamination of GW with resistant bacteria and the accumulation of antibiotics in GW. To test this, the GW below a real-scale TWW-irrigated field was sampled for six months. Sampling took place before, during and after high-intensity TWW irrigation. Samples were analysed with 16S rRNA amplicon sequencing, qPCR of six ARGs and the class 1 integron-integrase gene intI1, while liquid chromatography tandem mass spectrometry was performed to detect antibiotic and pharmaceutical residues. Absolute abundance of 16S rRNA in GW decreased rather than increased during long-term irrigation. Also, the relative abundance of TWW-related bacteria did not increase in GW during long-term irrigation. In contrast, long-term TWW irrigation increased the relative abundance of sul1 and intI1 in the GW microbiome. Furthermore, GW contained elevated concentrations of sulfonamide antibiotics, especially sulfamethoxazole, to which sul1 confers resistance. Total sulfonamide concentrations in GW correlated with sul1 relative abundance. Consequently, TWW irrigation promoted sul1 and intI1 dissemination in the GW microbiome, most likely due to the accumulation of drug residues