Plastisphere as a pathway for antimicrobial-resistant bacteria spread to the environment: New challenge and open questions

Human health risk assessment associated with the reuse of treated wastewater in arid areas

Qatar produces more than 850,000 m3/day of highly treated wastewater. The present study aims at characterizing the effluents coming out of three central wastewater treatment plants (WWTPs) of chemical pollutants including metals, metalloids and antibiotics commonly used in the country. Additionally, the study is assessing human health risks associated with the exposure to the treated wastewater (TWW) via dermal and ingestion routes. Although the origin of domestic wastewater is desalinated water (the only source of fresh water), the results show that the targeted parameters in TWW were within the international standards. Concentrations of Cl, F, Br, NO3, NO2, SO4 and PO4, were 389, <0.1, 1.2, 25, <0.1, 346, and 2.8 mg/L, respectively. On the other hand, among all cations, metals and metalloids, only boron (B) was 2.1 mg/L which is higher than the Qatari guidelines for TWW reuse in irrigation of 1.5 mg/L. Additionally, strontium (Sr) and thallium (Tl) were detected with relatively high concentrations of 30 mg/L and 12.5 μg/L, respectively, due to their natural and anthropogenic sources. The study found that the low concentrations of all tested metals and metalloids do not pose any risk to human health. However, Tl presents exposure levels above the 10 % of oral reference dose (HQ = 0.4) for accidental oral ingestion of TWW. The results for antibiotics show that exposure for adults and children to TWW are far below the admissible daily intakes set using minimum therapeutic dose and considering uncertainty factors. Treated wastewater of Qatar can be used safely for irrigation. However, further investigations are still needed to assess microbiological quality.

Multidrug-resistant Enterobacter spp. in wastewater and surface water: Molecular characterization of β-lactam resistance and metal tolerance genes

Among the ESKAPE group pathogens, Enterobacter spp. is an opportunistic Gram-negative bacillus, widely dispersed in the environment, that causes infections. In the present study, samples of hospital wastewater, raw and treated urban wastewater, as well as surface receiving water, were collected to assess the occurrence of multidrug-resistant (MDR) Enterobacter spp. A molecular characterization of β-lactam antibiotic resistance and metal tolerance genes was performed. According to identification by MALDI-TOF MS, 14 isolates were obtained: 7 E. bugandensis, 5 E. kobei, and 2 E. cloacae. The isolates showed resistance mainly to β-lactam antibiotics, including those used to treat infections caused by MDR bacteria. Multiple antibiotic resistance index was calculated for all isolates. It allowed verify whether sampling points showed a high risk due to antibiotic resistant Enterobacter spp., as well as to determine if the isolates have been in environments with a frequent antibiotic use. Twelve isolates showed β-lactam antibiotic resistance gene, being the blaKPC widely detected. Regarding metal tolerance, 13 isolates showed at least two genes that encode metal tolerance mechanisms. Overall, metal tolerance mechanisms to silver, copper, mercury, arsenic and tellurium were found. New data on metal tolerance mechanisms dispersion and antibiotic-resistance characterization of the E. bugandensis and E. kobei species were here provided. The occurrence of MDR Enterobacter spp. in analyzed samples draws attention to an urgent need to put control measures into practice. It also evidences waterborne spread of clinically important antibiotic-resistant bacteria recognized as critical priority pathogens.

Effects comparison between the secondary nanoplastics released from biodegradable and conventional plastics on the transfer of antibiotic resistance genes between bacteria

Antibiotic resistance genes (ARGs) have caused widespread concern because of their potential harm to environmental safety and human health. As substitutes for conventional plastics, the toxic effects of short-term degradation products of biodegradable plastics (polylactic acid (PLA) and polyhydroxyalkanoates (PHA)) on bacteria and their impact on ARGs transfer were the focus of this study. After 60 days of degradation, more secondary nanoplastics were released from the biodegradable plastics PLA and PHA than that from the conventional plastics polystyrene (PS). All kinds of nanoplastics, no matter released from biodegradable plastics or conventional plastics, had no significant toxicity to bacteria. Nanoplastic particles from biodegradable plastics could significantly increase the transfer efficiency of ARGs. Although the amount of secondary nanoplastics produced by PHA microplastics was much higher than that of PLA, the transfer frequency after exposure to PLA was much higher, which may be due to the agglomeration of PHA nanoplastics caused by plastic instability in solution. After exposure to the 60 d PLA nanoplastics, the transfer frequency was the highest, which was approximately 28 times higher than that of control. The biodegradable nanoplastics significantly enhanced the expression of the outer membrane pore protein genes ompA and ompC, which could increase cell membrane permeability. The expression levels of trfAp and trbBp were increased by repressed major global regulatory genes korA, korB, and trbA, which eventually led to an increase in conjugative transfer frequency. This study provides important insights into the evaluation of the environmental and health risks caused by secondary nanoplastics released from biodegradable plastics.