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  4. Vancomycin resistance plasmids affect persistence of Enterococcus faecium in water
 
research article

Vancomycin resistance plasmids affect persistence of Enterococcus faecium in water

Young, Suzanne  
•
Rohr, Jason R.
•
Harwood, Valerie J.
December 1, 2019
Water Research

Vancomycin resistant enterococci (VRE) cause 20,000 infections annually in the United States, most of which are nosocomial. Recent findings of VRE in sewage-contaminated surface waters demonstrate an alternate route of human exposure, and a possible setting for horizontal gene exchange facilitated by plasmids and other mobile genetic elements. Maintenance of antibiotic resistance genes and proteins may, however, present a fitness cost in the absence of selective pressure, particularly in habitats such as environmental waters that are not optimal for gut-associated bacteria. Nutrient levels, which are transiently elevated following sewage spills, may also affect survival. We tested the hypotheses that nutrients and/or plasmids conferring vancomycin resistance affect Enterococcus faecium survival in river water by measuring decay of strains that differed only by their plasmid, under natural and augmented nutrient conditions. In natural river water, decay rate (logio reduction) correlated directly with plasmid size; however, plasmid presence and size had no effect on decay rate when nutrients levels were augmented. Under natural nutrient levels, the vancomycin-resistant strain with the largest plasmid (200 kb) decayed significantly more rapidly than the plasmid-less, susceptible parent strain, in contrast to similar decay rates among strains under augmented nutrient conditions. This work is among the first to show that plasmids conferring antibiotic resistance affect fitness of Enterococcus species in secondary habitats such as surface water. The nutrient-dependent nature of the fitness cost suggests that conveyance of VRE to environmental waters in nutrient-rich sewage may prolong survival of these pathogens, providing greater opportunity for host infection and/or horizontal gene transfer. (C) 2019 Published by Elsevier Ltd.

  • Details
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Type
research article
DOI
10.1016/j.watres.2019.115069
Web of Science ID

WOS:000493221600034

Author(s)
Young, Suzanne  
Rohr, Jason R.
Harwood, Valerie J.
Date Issued

2019-12-01

Publisher

PERGAMON-ELSEVIER SCIENCE LTD

Published in
Water Research
Volume

166

Article Number

115069

Subjects

Engineering, Environmental

•

Environmental Sciences

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Water Resources

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Engineering

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Environmental Sciences & Ecology

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Water Resources

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vancomycin resistant enterococci

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antibiotic resistance

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fitness cost

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survival

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water quality

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enterococcus faecium

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antibiotic-resistance

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glycopeptide resistance

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fitness costs

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in-vitro

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biological cost

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united-states

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vanb genes

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survival

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virulence

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bacteria

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
IIE  
Available on Infoscience
November 20, 2019
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/163239
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