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“Microplastic pollution in the ocean contributes to antibiotic resistance”

Maria Belen
Maria Belen Sathicq
Post-doctoral fellow at the Institute for Water Research of the Italian National Research Council (CNR)

It is now well known that the wide­spread use of anti­bi­ot­ics – to treat patients, but espe­cially to treat farm anim­als – has accel­er­ated bac­teri­al res­ist­ance to these treat­ments, ren­der­ing many inef­fect­ive. Also, no new anti­bi­ot­ics have been dis­covered in dec­ades, put­ting us at risk of a future without them – leav­ing humans vul­ner­able to micro­bi­al infec­tions. The grow­ing phe­nomen­on of anti­bi­ot­ic res­ist­ance there­fore rep­res­ents one of the most ser­i­ous threats to human and anim­al health today. And a bet­ter under­stand­ing of the dif­fer­ent drivers of this res­ist­ance is becom­ing urgent.

Recently, research­ers estab­lished a con­nec­tion between this prob­lem and anoth­er major issue of our time: micro­plastic pol­lu­tion in the sea. These plastic particles, less than 5mm in size, come from the degrad­a­tion of plastic waste, or dir­ectly from cer­tain products them­selves, such as cos­met­ics. Because of their small size, micro­plastics found in water (oceans, lakes, rivers) are often inges­ted by aquat­ic anim­als, but also by humans since they can be present in tap water and bottles. They are sus­pec­ted of hav­ing harm­ful effects on health, and stud­ies to bet­ter under­stand the risks involved are cur­rently being conducted. 

Over the past dec­ade, when micro­bi­al samples from micro­plastics float­ing in the seas and oceans were stud­ied, patho­gen­ic bac­teria cap­able of infect­ing humans of the Vibrio, Sal­mon­ella or Legion­ella fam­ily were found. Fur­ther­more, many of these bac­teria carry the genes for anti­bi­ot­ic res­ist­ance. Nor­mally, these bac­teria are not present in mar­ine waters because they can­not sur­vive in water pH and salin­ity, or due to oth­er envir­on­ment­al factors, but over time their pres­ence in coastal waters has increased. This is mainly due to the dis­charge of domest­ic, indus­tri­al or agri­cul­tur­al wastewa­ter in the sea… but also of micro­plastics. The asso­ci­ation between micro­plastics and patho­gen­ic bac­teria seems to be respons­ible for the longev­ity of these bac­teria in mar­ine envir­on­ments, their repro­duc­tion, and their trans­port to regions far from the place of dis­charge into the sea. Bio­lo­gist Maria Belen Sath­icq, post-doc­tor­al fel­low at IRSA (CNR), is study­ing this micro­bi­al eco­logy through the AENEAS research project.

What are the main dangers of the microplastic/antibiotic res­ist­ant bac­teria bino­mi­al for human and envir­on­ment­al health?

Plastic pol­lu­tion has a major impact on com­mer­cial fish­ing and aquacul­ture activ­it­ies. When micro­plastics accu­mu­late in the tis­sues of mar­ine anim­als, they also con­tam­in­ate all levels of the food chain, right up to our plates. But plastic debris also provides a float­ing sub­strate that acts as a car­ri­er for harm­ful algae, organ­ic pol­lut­ants and poten­tially patho­gen­ic microor­gan­isms. In addi­tion, micro­plastics can facil­it­ate the trans­fer of genes for anti­bi­ot­ic res­ist­ance to aquat­ic anim­als that ingest or fil­ter them… and then to con­sumers of fish and sea­food, espe­cially when inges­ted raw. 

A 2018 study found that the gut micro­bi­ota of people who spend a lot of time near pol­luted coast­lines often carry anti­bi­ot­ic-res­ist­ant bacteria.

A 2018 study found that the gut micro­bi­ota of people who spend a lot of time near pol­luted coast­lines often carry anti­bi­ot­ic-res­ist­ant bac­teria. As for the envir­on­ment, micro­plastics also induce res­ist­ance in aquat­ic micro­bi­al eco­sys­tems to oth­er pol­lut­ants, such as heavy metals. How­ever, while these phe­nom­ena are con­firmed by sev­er­al exper­i­ment­al stud­ies, the search for evid­ence of the impact of micro­plastics on micro­bi­al com­munit­ies in the nat­ur­al envir­on­ment is still in its infancy.

What is the “plas­ti­sphere” and how is this new eco­lo­gic­al niche formed in which anti­bi­ot­ic-res­ist­ant bac­teria pro­lif­er­ate, among others?

Bac­teria, algae and fungi attach them­selves to the sur­face of vari­ous hard sub­strates – nat­ur­al or arti­fi­cial. This then gives rise to a biofilm – an adhes­ive and pro­tect­ive mat­rix pro­duced by the microor­gan­isms them­selves – in which they live. In 2013, Zettler and col­leagues pro­posed the term “plas­ti­sphere” to refer to the micro­bi­al com­munit­ies dis­covered on micro­plastics col­lec­ted in the North Atlantic. Since then, sev­er­al research stud­ies have shown that plastic can allow spe­cif­ic micro­bi­al com­munit­ies to sur­vive in water. Micro­plastics are thus a new eco­lo­gic­al niche offer­ing bac­teria great­er chances of sur­viv­al in the nat­ur­al envir­on­ment, and in which genet­ic exchange between dif­fer­ent indi­vidu­als or spe­cies is favoured by the prox­im­ity provided by the biofilm.

Your AENEAS pro­ject is com­ing to an end. What meth­ods were used and what res­ults were obtained?

The pro­ject, born in 2019 thanks to the sup­port of the AXA Research Fund, aimed to study the impact of micro­plastics on micro­bi­al com­munit­ies in coastal waters of the north­ern Medi­ter­ranean region, with a par­tic­u­lar focus on the poten­tial selec­tion of anti­bi­ot­ic res­ist­ance with­in com­munit­ies exposed to micro­plastic pol­lu­tion. We first assessed plastic com­pos­i­tion and micro­bi­al com­munity diversity on micro­plastics at six sites along the north­ern Tyrrhe­ni­an Sea coast. We found that the dom­in­ant poly­mer there was poly­ethyl­ene, and that its greatest con­cen­tra­tion was not in sites with the greatest anthro­po­gen­ic impact (such as ports), as might have been expec­ted, but in less fre­quen­ted areas, such as nature reserves. 

The bac­teri­al colon­ies present on micro­plastics and in water are very diverse, but poten­tially patho­gen­ic Vibrio bac­teria and anti­bi­ot­ic res­ist­ance genes (espe­cially against tet­ra­cyc­line), are the most abund­ant on micro­plastics in water. In a second step, we ana­lysed the role of dif­fer­ent poly­mers on bac­teria, in par­tic­u­lar on patho­gens. We mainly stud­ied tyre rub­ber, a type of plastic with a very com­plex chem­ic­al com­pos­i­tion. Indeed, this mater­i­al exerts selec­tion, and poten­tially patho­gen­ic bac­teria (e.g. Pseudo­mo­nas, Aeromo­nas, Acineto­bac­ter) are rel­at­ively more abund­ant where it is found. Finally, we are plan­ning a sur­vey to under­stand the level of risk per­cep­tion of cit­izens liv­ing around these issues who live near the coastal areas we are study­ing, it will involve high school students.

Going for­ward, what are the most press­ing areas to study to curb the spread of anti­bi­ot­ic resistance?

There is still much to be learned about the role of micro­plastics in the spread of anti­bi­ot­ic res­ist­ance, although research has already accu­mu­lated a great deal of evid­ence via labor­at­ory stud­ies. How­ever, res­ults strongly sug­gest that micro­plastics act as a long-term reser­voir for anti­bi­ot­ic res­ist­ance due to their dur­ab­il­ity, but the role of each type of poly­mer and addit­ive needs to be stud­ied. It is also import­ant to eval­u­ate the beha­viour of bioplastics; a prom­ising sub­sti­tute for pet­ro­leum-based plastics, that may be sim­il­ar to oth­er con­ven­tion­al plastics in terms of micro­bi­al com­munity formation. 

The grow­ing threat of anti­bi­ot­ic res­ist­ance requires a multi-sec­tor­al approach, which views human, anim­al and envir­on­ment­al health as con­nec­ted and depend­ent on each oth­er (One Health concept). There are still many issues to be resolved: human abuse of anti­bi­ot­ics, excess­ive use of these drugs in anim­al farm­ing, and the effect­ive­ness of wastewa­ter treat­ment plants in remov­ing pol­lut­ants such as microplastics.

Interview by Annalisa Plaitano

Contributors

Maria Belen

Maria Belen Sathicq

Post-doctoral fellow at the Institute for Water Research of the Italian National Research Council (CNR)

An Argentinean biologist, living and working in Italy, Maria Belen has a BSc in Biology, from the Universidad Nacional de La Plata (Buenos Aires, Argentina), and a PhD from the same University specialising in water quality assessment. Before arriving at the Molecular Ecology Group (IRSA-CNR) she worked on the use of phytoplankton as a pollution indicator, with emphasis on cyanobacteria. Currently she has an AXA postdoctoral fellowship with her project ENEAS, which aims to understand the role of microplastics in the spread of antibiotic resistant bacteria in the Tyrrhenian Sea.

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