potential impacts of antibiotics in the environment

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Potential Impacts of Potential Impacts of Antibiotics in the Antibiotics in the Environment Environment Amy Pruden Assistant Professor, Civil Engineering, Colorado State University R1 OH O OH R3 R4 OH O OH CONH 2 R2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 A B C D

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Potential Impacts of Antibiotics in the Environment. Amy Pruden Assistant Professor, Civil Engineering, Colorado State University. Overview. Agricultural Antibiotics Overview of potential impacts Why study resistance genes? Poudre River Study Conclusions Recommendations. - PowerPoint PPT Presentation

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Page 1: Potential Impacts of Antibiotics in the Environment

Potential Impacts of Potential Impacts of Antibiotics in the Antibiotics in the

EnvironmentEnvironmentAmy Pruden

Assistant Professor, Civil Engineering, Colorado State

UniversityR1

OH O OH

R3 R4

OHO

OH

CONH2

R2

12

3

4

5

6

7

89

1011

1213

14

15

16

17ABCD

Page 2: Potential Impacts of Antibiotics in the Environment

OverviewOverview

• Agricultural Antibiotics• Overview of potential impacts• Why study resistance genes?• Poudre River Study• Conclusions• Recommendations

Page 3: Potential Impacts of Antibiotics in the Environment

Agricultural AntibioticsAgricultural Antibiotics

• More than ½ used in U.S. Animals• Subtherapeutic use promotes weight

gain.• Animal waste > 130 x human waste

– (United States Senate Committee on Agriculture, 1997)

• Antibiotics can be excreted unaltered.

• Animal Waste Treatment??

Page 4: Potential Impacts of Antibiotics in the Environment

Antibiotic PathwaysAntibiotic Pathways

Modified from www.usda.gov

Page 5: Potential Impacts of Antibiotics in the Environment

Antibiotics Antibiotics Used:Used:

• Tetracyclines– Chlortet., oxytet.,

tet. ..

• Sulfonamides• Macrolides

– Tylosin, erythromycin..

• Ionophores– Monensin..

-lactams Penicilillin

R1

OH O OH

R3 R4

OHO

OH

CONH2

R2

12

3

4

5

6

7

89

1011

1213

14

15

16

17ABCD

H

CH3 H

OH

O

CH3

O

CH3

CH3

O

CH3

O

OH

CH3

O

OHCH3

OH OCH3

OCH3

OHCH3

NCH3CH3

C

OCH3

Erythromycin (Ery)

H

CH3 H

OH

O

CH3

N-O-CH2-O-CH2-CH2-OCH3

CH3

CH3

O

CH3

O

OH

CH3

O

OHCH3

OH OCH3

OCH3

OHCH3

NCH3CH3

C

OCH3

Roxithromycin (Rox)

O

C2H

3 O

CH 3

O

CH 3OH

O

CH3

O

O CH3

CHOOH

O

NCH 3 CH 3

OOH

CH3

OH

CH 3

OHO

CH 3

OCH 3

OCH3

Tylosin (Tyl)

Tetracylcline (Tet)

Page 6: Potential Impacts of Antibiotics in the Environment

Public ConcernPublic Concern

Page 7: Potential Impacts of Antibiotics in the Environment

Potential ImpactsPotential Impacts

• Toxicity to Aquatic life (H. Ramsdell, CSU)– Planaria, flathead minnow, and Hyalella– Chlortetracycline, tylosin, sulfamethazine,

metronidizine, monensin and lyolocid showed toxicity

– Monensin strong toxicity and widespread use• LD50 = 5 ppm in water for minnows• LD50 = 20 ppm in sediment for Planaria• LD50 = 1 ppm in water for Hyalella

– Sublethal effects?

Page 8: Potential Impacts of Antibiotics in the Environment

Potential ImpactsPotential Impacts

• Sub-lethal impacts: Endocrine disruptors– Micropollutants not

removed by wastewater treatment

– May cause hermaphroditism

– Effects on frogs– Fish in Chesapeake Bay

Sower et al., Env. Health Perspect. 2000

Page 9: Potential Impacts of Antibiotics in the Environment

Potential ImpactsPotential Impacts

• Plant Uptake– Antibiotic uptake by plants from soil

fertilized with animal manure- Kumara et al. U. Minn.

• J Environ Qual (2005)

– Greenhouse studies: corn, green onion, & cabbage

– Uptake of chlortetracycline, but not tylosin• Low: 2 – 17 ng/g, but correlates with manure

concentration

– Implications for allergic individuals

Page 10: Potential Impacts of Antibiotics in the Environment

Antibiotic Resistance Genes Antibiotic Resistance Genes (ARG)(ARG)

• Spread of ARG one of most urgent human health issues according to WHO

• Use of antibiotics selects for antibiotic resistant organisms– Shea, 2003; Fedorka-Cray et al., 2002; Smith

et al., 2002; Sørum and L’Abée-Lund, 2002; Teuber, 2001.

• Can be spread across microbial populations and in the environment– ARG as “pollutants”

Page 11: Potential Impacts of Antibiotics in the Environment

Resistance Gene TransferResistance Gene Transfer

ASM News November, 2004ASM News November, 2004

Page 12: Potential Impacts of Antibiotics in the Environment

Antibiotic Resistance GenesAntibiotic Resistance Genes

• If we can detect and quantify resistance genes, then we have an assay on the bioavailability/impact of the antibiotics.

Page 13: Potential Impacts of Antibiotics in the Environment

Mechanisms of ResistanceMechanisms of Resistance

• Alteration of the antibiotic or target site– tetM tetS tetO tetW tetQ tetT tetBP

• Impaired uptake or enhanced efflux– tetA tetB tetC tetD tetE tetG tetH tetJ tetY tetZ

• Overproduce target so higher concentration of antibiotic needed– sul genes (PABA overproduction to make folic

acid)• Degrade antibiotic

-lactams• Resistance transfer:Resistance transfer:

– Plasmids can be exchanged within and Plasmids can be exchanged within and between species……between species……

Page 14: Potential Impacts of Antibiotics in the Environment

MethodsMethods

• Plate counting:– R2A agar with antibiotics.

• Polymerase chain reaction (PCR) assays:– Presence/absence of a resistance gene

family.

• Quantitative real-time PCR (Q-PCR)– Quantify resistance gene families.

Goal: Indicator of Bioavailability/impact of AntibioticsGoal: Indicator of Bioavailability/impact of Antibiotics

Page 15: Potential Impacts of Antibiotics in the Environment

Study Site: Poudre RiverStudy Site: Poudre River

Page 16: Potential Impacts of Antibiotics in the Environment

Map of Study SitesMap of Study Sites

Page 17: Potential Impacts of Antibiotics in the Environment

CFU at Sites: April 2004CFU at Sites: April 2004

site 1 site 2 site 3 site 4 site 5

CF

U P

er G

ram

of

Sed

imen

t

102

103

104

105

106

107

108

ChlortetracyclineOxytetracyclineMecolcyclineSulfamethoxazoleSulfamethazineErythromycinTylosinMonensinNo

Ab.

Page 18: Potential Impacts of Antibiotics in the Environment

CFU at Sites: February 2005CFU at Sites: February 2005

site 1 site 2 site 3 site 4 site 5

CF

U P

er G

ram

of

Sed

imen

t

102

103

104

105

106

107

108

ChlortetracyclineOxytetracyclineMecolcyclineSulfamethoxazoleSulfamethazineErythromycinTylosinMonensinNo Ab.

Page 19: Potential Impacts of Antibiotics in the Environment

Pitfalls of Culture-Based Pitfalls of Culture-Based MethodsMethods

• 99% of environmental organisms cannot be cultured on standard media (Amann et al., Pace et al.).

• 16S rRNA gene as a target for detecting microorganisms in environmental samples (Woese et al.).

• Targeting of functional genes….

Page 20: Potential Impacts of Antibiotics in the Environment

Molecular Biology ApproachMolecular Biology Approach

• Polymerase Chain Reaction (PCR)– Exponentially amplify target genes using

primers specific to the target.– Low detection limit.– Provides a means of presence/absence

detection.

Page 21: Potential Impacts of Antibiotics in the Environment

PhylogenetiPhylogenetics of cs of SulSul GenesGenes

sul I

sul III

sul A

sul BC

sul Bcr

sul D

sul II

Page 22: Potential Impacts of Antibiotics in the Environment

New New SulSul Primers Primers

Specificity verified by cloning and sequencing the inserts.Specificity verified by cloning and sequencing the inserts.

Page 23: Potential Impacts of Antibiotics in the Environment

Detection of PCR ProductDetection of PCR Product

Page 24: Potential Impacts of Antibiotics in the Environment

PCR Presence / Absence PCR Presence / Absence AssayAssay

Gene ID

April 2004 high-flow spring

February 2005 low-flow winter

+ control

Site 1

Site2

Site3

Site4

Site5

Site1

Site2

Site3

Site4

Site5

tetB(P)

- - - - + - - - - - +

tet(O) + - + + + + + + + + +

tet(S) - - - - + - - - - - +

tet(T) - - + + + - - - - - +

tet(W) - + + + + + + + + + +

sul(I) + + + + + + + + + + +

sul(II) - - + + + - - + + + +

sul(III)

- - + + + - - - - - +

sul(A) - - + - + - - - - - +

Page 25: Potential Impacts of Antibiotics in the Environment

Real-time PCRReal-time PCR

Number of Cycles

Flu

ore

scen

ce

0 5 10 15 20 25 30 35 40 45 50

Page 26: Potential Impacts of Antibiotics in the Environment

Sul ISul I Gene Calibration Gene Calibration

Threshold Cycle (CT) Value

0 10 20 30 40 50

Lo

g C

op

y o

f s

ul I

Gen

es

pe

r R

eac

tio

n

0

2

4

6

8

10

12y = -0.22 x + 12.13

r2 = 0.9978

Page 27: Potential Impacts of Antibiotics in the Environment

April, 2004: Spring High-April, 2004: Spring High-FlowFlow

site 1 site 2 site 3 site 4 site 5Co

py

of

AR

G /

Co

py

of

16S

Ge

ne

s

10-10

10-9

10-8

10-7

10-6

10-5

10-4

10-3

10-2sul(I)sul(II)tet(W)tet(O)

Page 28: Potential Impacts of Antibiotics in the Environment

Feb, 2005: Winter Low-FlowFeb, 2005: Winter Low-Flow

site 1 site 2 site 3 site 4 site 5

Co

py

of

AR

G /

Co

py

of

16

S g

en

es

10-10

10-9

10-8

10-7

10-6

10-5

10-4

10-3

10-2sul(I)sul(II)tet(W)tet(O)

Page 29: Potential Impacts of Antibiotics in the Environment

Aug, 2005: Summer Low-Aug, 2005: Summer Low-FlowFlow

site 1 site 2 site 3 site 4 site 5

Co

py

of

AR

G /

Co

py

of

16

S g

en

es

10-10

10-9

10-8

10-7

10-6

10-5

10-4

10-3

10-2sul(I)sul(II)tet(W)tet(O)

Page 30: Potential Impacts of Antibiotics in the Environment

ConclusionsConclusions

• Resistance genes in Poudre sediments– correlate with human and agricultural

activity

• No direct correlation with antibiotics– High sulfonamide resistance compared to

tet resistance– Fate of antibiotics vs fate of genes?

• High-flow versus low-flow?– Implications for transport?

Page 31: Potential Impacts of Antibiotics in the Environment

RecommendationsRecommendations

• Need further studies into the origin of the antibiotic resistance genes and their fate– Human vs agricultural– Do genes persist longer than antibiotics?

• Investigate and apply treatment strategies for mitigating risk.

Page 32: Potential Impacts of Antibiotics in the Environment

Composting Field StudyComposting Field Study

Page 33: Potential Impacts of Antibiotics in the Environment

““Biodegradation” of ARGBiodegradation” of ARG

Page 34: Potential Impacts of Antibiotics in the Environment

Students!!!Students!!!

Page 35: Potential Impacts of Antibiotics in the Environment

Thank You!!Thank You!!• Thank you to USDA NRI and to the

CSU Agricultural Research Station for supporting this research!!

• Ken Carlson & Sung-chul Kim• Jessica Davis & Kathy Doesken

•Questions??Questions??