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Evolution of multidrug resistance in Salmonella enterica serovar Typhimurium as a result of biocide exposure.

Reference	BB/G012016/1
Principal Investigator / Supervisor	Professor Mark Webber
Co-Investigators / Co-Supervisors	Professor Mark Pallen, Professor Laura Piddock
Institution	University of Birmingham
Department	Immunity and Infection
Funding type	Research
Value (£)	434,778
Status	Completed
Type	Research Grant
Start date	11/07/2009
End date	10/07/2012
Duration	36 months

Abstract

Antibiotic resistance is a global problem with increasing numbers of bacteria (including Salmonella) being isolated which are multiply drug resistant (MDR). The use of antibiotics in veterinary medicine is one factor driving antibiotic resistance although use of antibiotics as growth promoters has been banned. Concern has been raised about the potential for biocides to select for antibiotic resistant mutants as some mechanisms of resistance (efflux) confer resistance to both biocides and antibiotics. In recent work the applicants have shown that repeated sub-lethal exposure of Salmonella enterica serovar Typhimurium to biocides selects for mutants which are MDR. This repeated exposure did however lead to a fitness cost and mutants were unable to invade Caco-2 cells efficiently in tissue culture. Whether these phenotypes are linked is currently unknown as is the number of biocide exposures needed to select each phenotype (MDR or loss of fitness) and the genetic basis for each phenotype. This proposal aims to determine exactly how many biocide exposures are needed to generate MDR and loss of fitness. The paradigm for detection of mutations on a global scale has changed recently with the development of next-generation sequencing technology. The genetic basis for MDR will be determined by full genome sequencing of selected biocide-selected mutants. The consequences of specific mutations will be investigated by analysing transcriptomic and PhenoArray data for specific mutants to determine their effect on global gene expression and ability to grow in over 2000 compounds. This will allow a powerful analysis of genome, transcriptome and phenotype for defined mutants. Expected outcomes: An understanding of the mechanisms by which biocides can select antibiotic resistance and an evaluation of whether this is a threat to human health. A better understanding of the fundamental biology of Salmonella. Identification of target genes for development of novel antibiotics

Summary

This proposal aims to understand more about how bacteria become resistant to antibiotics and what factors influence the rate at which this can occur. Around the world antibiotic resistance is a major problem, in recent years increasing numbers of bacteria which are Multiply Drug Resistant (MDR) - resistant to three or more classes of antibiotics are being isolated. Bacteria can become resistant to antibiotics in a number of ways, one mechanism they use is known as efflux. Efflux pumps are able to pump antibiotics out of the bacterial cell; they also pump biocides (disinfectants). The use of biocides in farming has increased in recent years as the use of antibiotics as growth promoters in animals has been reduced. Concern has been raised about the potential for biocides to cause antibiotic resistance by selecting for mutant bacteria which produce a greater number of efflux pumps. One route by which people can become infected with pathogenic bacteria is via food, Salmonella are the second most common cause of gastroenteritis in the U.K and the majority of infections are via contaminated food. In recent work the applicants have shown that exposure of Salmonella to various biocides (disinfectants) used on farms can result in selection of mutants which are MDR but are not able to grow as well as their parent. However these experiments used multiple exposures to biocides and it is not clear how many exposures are needed to select MDR, and whether the loss of fitness (ability to grow and infect human cells) is linked to development of MDR. This proposal aims to identify how many biocide exposures are needed to select MDR and whether the fitness cost is linked by performing stepwise exposure experiments and keeping mutants after each exposure. These mutants will then be examined and the antibiotic resistance and fitness measured. These experiments will allow the development of MDR over time to be followed. It is likely that the repeated biocide exposureswill select for mutants with multiple mutations within their genomes. Recent development of new sequencing technologies have allowed whole genomes to be sequenced rapidly for relatively little cost. This proposal aims to sequence the genomes of biocide selected mutants to identify mutations involved in biocide-antibiotic cross resistance. The result of these mutations on expression of all the genes of salmonella will be measured as will the ability of mutants to grow in the presence of over 2000 compounds. These results will help assign function to the mutations identified and understand how they affect antibiotic resistance and fitness. The assembly of genome, transcriptome (expression profile of all genes) and phenotype (ability to grow in a range of conditions) is a powerful tool to understand the mechanisms of resistance. The importance of mutations identified in this study will be assessed in two ways. Firstly specific mutations will be re-created in a normal Salmonella strain and the effect on antibiotic resistance and fitness evaluated. Secondly a group of current isolates of MDR Salmonella from animals will be studied for the presence of these mutations in order to identify whether they are found in 'real-world' isolates. The expected outcomes are: An understanding of the mechanisms by which biocides can select antibiotic resistance and an evaluation of whether this is a threat to human health. A better understanding of the fundamental biology of Salmonella. Identification of new target genes for development of novel antibiotics.

Committee	Closed Committee - Agri-food (AF)
Research Topics	Animal Health, Microbial Food Safety, Microbiology
Research Priority	X – Research Priority information not available
Research Initiative	X - not in an Initiative
Funding Scheme	X – not Funded via a specific Funding Scheme

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