Identification of novel double-stranded RNA elements in developing antibiotic resistance in the agricultural environment

Lead Research Organisation: Coventry University
Department Name: Ctr for Sport, Exercise and Life Science

Abstract

Many types of antibiotics (AB) which are used in humans (e.g. chloramphenicol and its derivatives) are also used in farms (e.g. thiamphenicol, a methyl-sulfonyl derivative of chloramphenicol) either to treat or prevent disease. They have a similar antibacterial spectrum and may significantly increase a possibility that clinical pathogens will develop cross-resistance to drugs used in human medicine. The intestinal microbiota is the epicentre but underexplored source for antibiotic resistance (AR) emergence in response to the selective pressure of AB. The vast majority of bacteria cannot be cultured in laboratory conditions and this limits our knowledge of the potential AR determinants these species may possess and express in a community-dependent manner.
Metagenomics, for identification of encoded metabolic pathways present in bacterial populations, has revealed many novel, possibly dormant genes in microbial communities as well as a large discrepancy between predicted and detected resistance genes. While metagenomics has primarily focused on analysis of DNA as the source of genomic information, RNA can also serve as genetic material. Recent high-throughput RNA-sequencing (RNA-Seq) analyses of bacterial systems have made two critical discoveries. Firstly, expression of the bacterial genome is extensively regulated by non-coding (nc) RNAs, including antisense (as) RNAs (a class of ncRNA that are encoded on the opposite strand of their target genes). asRNAs regulate gene expression via RNA-RNA interactions, thus leading to modulation of mRNA translation and stability. asRNAs were firstly found on mobile elements (phages (bacterial viruses), plasmids or transposons) which are used for horizontal transfer (HT) of AR genes between different bacteria. However, the mechanism by which these asRNAs regulate expression and possibly acquisition and spread of genes involved in AR is unknown. Secondly, the microbial metatranscriptome contains double stranded (ds) RNA sequences, derived from uncharacterised phages which do not match to the corresponding DNA. Intriguingly, these dsRNAs have coding potential for a large proportion of novel proteins of unknown function.
The use of AB in medicine and agriculture triggers a number of adaptation responses in bacterial communities. Dynamics and mechanisms underlying such functional changes in microbiomes in response to AB are still elusive. This may involve activation of expression of a number of genes relevant to resistance (e.g. transposases, proteases or efflux pump genes), HT or mobilisation of genes and non-coding DNA/RNA elements on mobile structures. Thus, key questions are: How do as-metatranscriptomes respond to antibiotic treatments? Does the animal gut microflora contain dsRNAs that do not correspond to their DNA metagenomes? If yes, then what roles do these dsRNAs play in this ecosystem? Does this uncharacterised genetic information play a role in adaptation responses, including AR?
Our aim therefore is to undertake RNA-Seq of dsRNAs extracted from animal faecal samples in order to identify dsRNAs metatranscriptome in response to antibiotic therapy. The results will lead to identification of an unexplored array of novel genetic information, including non-coding regulatory elements and new open reading frames relevant to AR mechanisms. This in turn, will transform our view on the role novel dsRNAs play in the development and regulation of AR in bacterial communities. The results will also lead to detecting novel or dormant pathways which are regulated by dsRNAs for the production of secondary metabolites with low susceptibility to resistance and discovery of novel genetic information involved in development, transmission and regulation of AR. This ground breaking research project has the potential to provide a paradigm shift in the understanding of transmission and regulation of AR originated from environment and direct the future strategic development of novel antimicrobials.

Planned Impact

This work will lead to a fundamental shift in our view on the development, transmission and regulation of AR and bacterial pathogenicity in agricultural settings. This project will result in identification of new targets for novel and possibly existing antibacterials, thus paving the way for industry to re-stimulate research in antibiotic drug discovery. Results from this proposal will inform the UK government and other policymakers (via One Health framework) on the use of clinically relevant drugs in agricultural settings, such as farms in order to prevent potential appearance of clinically relevant AR determinants on mobile elements which are controlled by anti-sense RNAs.
Exploitation of our work has significant potential for Pharmaceutical industries in developing novel strategies and designing new generation therapies based on novel targets. Results will be shared via Antibiotic Action initiative groups across the globe.
The results of this proposal in the long term will be important for development of new combination therapies, as this research has a great potential to identify new regulatory elements (coding and non-coding), AR determinants associated with bacterial communication and mechanisms which can be regulated in response to antibiotic pressure (e.g. switching on adaptive mechanisms, including the excludon). This could lead to follow up studies to this project by screening new therapies based on the use of novel agents (asRNAs or novel RNA-based drugs) to silence mechanisms responsible for transmission of AR in conjunction with known antibacterial to treat the infection. Mutations in the targets (as a mechanism of developing AR) of asRNAs are unlikely to influence the efficiency of asRNA-mRNA binding and, therefore therapy. asRNAs are from tens to hundreds of nucleotides, so are generally long enough to maintain a strong interaction despite mutations in mRNA targets. Resulting new antibacterial with a reduced capacity for resistance long term would significantly benefit the NHS and the cost of care, increase efficiency of health care, life expectancy and reduce the risk of invasive surgery and treatments. This will result in saving millions of lives world-wide and save the National Health Service millions of pounds.
The results from this blue-sky research will set a solid foundation for future work in our lab to address current and potentially forthcoming challenges associated with AR. Identification of novel RNA-based regulatory elements will stimulate further efforts to characterise their roles in AR not just in our lab but also in the real world. This in turn will transform the research data into identification of novel drug targets for potential drug discovery.
The experimental work will also add to the collaborative momentum generated on AR. Understanding the role of ds-metatranscriptome in AR within our lab would directly stimulate future studies planned by the collaboration and also by other groups. The results will therefore be shared with other researchers within the Faculty and around the world (via The Joint Programming Initiative on Antimicrobial Resistance) and collaborators to get a better understanding of the role of novel regulatory RNAs in developing AR.
This and future research will provide opportunities for our Master/PhD students as well as for Warwickshire College students to gain first hand experience in cutting edge multidisciplinary research, deep-sequencing, molecular biology, biochemistry, microbiology and bioinformatics. This will significantly enhance our research-based teaching for both undergraduate and postgraduate programmes and therefore be beneficiary for their experience.
Given the global nature of this proposed study this research will benefit Britain also via (i) creation of high-quality bioscience research jobs, (ii) retention of high quality staff in the UK (iii) support the global reputation of the UK as location to support pioneering advanced science based research.

Publications

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Description The project is in the early stages, work started on 1st November 2016 following the recruitment of a Postdoctoral RA (research assistant). A five month no-cost extension has been sought. However, despite this, since the recruitment of a RA we are within our planned schedule as shown in Fig.1 of the Case of support and the work currently completed is listed below
• In collaboration with North Warwickshire college/Moreton Morrell College Farm, six calves (7 months of age) were selected and placed on the same diet (ad-lib hay, silage and 1kg of concentrates/animal/day), which was maintained for the duration of the study. Three calves received an injection of 40mg/kg Nuflor on day 0 of the study (medicated animals) whilst the other three have received no antibiotics (non- medicated animals). Medicated and non-medicated animals were housed separately to prevent cross contamination.
• In total, 18 faecal samples (three from each calf) were collected as proposed (taken on day 0, day 3 and day 7 following administration of antibiotics).
• From each faecal sample, 10 g of a bacterial pellet purified from undigested food has been obtained.
• From all 18 samples, genomic DNAs (between 6 µg- 10µg) has been purified for rDNA-seq (5 µg of genomic DNA is required for DNA-seq).
• As planned, RNA from all 18 samples has been extracted and dsRNA further extracted and purified for RNA-seq (concentration of purified dsRNA obtained ranges between 200 and 500 ng; 100-150 ng of dsRNA is required for RNA-seq).
• All 36 samples (18 samples of genomic DNAs and 18 samples of dsRNAs) are being sent for cDNA library construction and sequencing (Case for support, Objective 1, D1 & D2).
February 2018.
1. Phylogenetic analysis of the gut microbiota has revealed a number of surprising results. Firstly, treatment with Nuflor(a thiamphenicol derivative)results in alteration of the gut bacteria composition such that it resembles that of obese/overweight animals and humans without changes in the diet. We observed a gradual increase in abundance of Erysipelotrichia spp over the course of the treatment, a trend which has also been reported in the mouse gut microbiome after switching to diets high in fat. We also found a significant increase of both methanogenic Archaea and Prevotellaceae spp in response to the AB treatment. The coexistence of Prevotellaceae with methanogenic Archaea species in the obese gut allows efficient fermentation of polysaccharides, increasing conversion into short-chain fatty acids andresulting in excessive fat storage. Interestingly, we also observed a significant decrease in the abundance of the phylum Verrucomicrobia (e.g. Akkermancia spp) in response to the treatment whilst no changes have been detected in the gut microbiota of non-medicated animals, this corresponds with established literature that the phylum Verrucomicrobia (including Akkermancia sp) are poorly represented in obese individuals. Secondly, we have found that antibiotic treatment can transiently change the composition of gut microbiota, notably though a significant reduction in the abundance of Lactobacillales. This change could potentially allow colonisation of pathogens as Lactobacillus species help in maintaining the host health by preventing colonisation by disease-associated bacteria. The treatment also caused an abnormal expansion of Proteobacteria and hence, a compromised ability to sustain a balanced gut microbial community. An increased in the prevalence of Proteobacteria is a potential diagnostic signature of dysbiosis and risk of disease. Finally, the abundance of Escherichia spp (Enterobacteriaceae) in the gut microbiota of medicated animals increased, this was confirmed by semi-quantative (sq)PCR for the uidA gene, which encodes the beta-glucuronidase, a marker gene for E. coli. Similar increases have been detected in obese children and pregnant women which is consistent with our data, that following antibiotic treatment, the animal gut microbiota changes to ones associated with gaining weight in animals and humans. This observed increase in abundance of Escherichia spp is a prominent signature of dysbiosis as it enhances the risk of disease because Escherichia spp are constantly producing ethanol and thus increasing permeability of the intestinal.
2. Analysis of the metaresistome of the animal gut bacteria in response to the AB treatment is currently underway. Bioinformatics analysis of the prevalence of colistin resistant genes in the gut microbiota has revealed that at day seven, the gut microbiota of two out of the three medicated animals contain detectable amount of DNA reads which match the mcr-2 gene, no colistin resistance genes reads have been found in non-medicated samples. The emergence of the mcr-2 allele in response to Nuflor is consistent with the 10-fold increase in the abundance of Escherichia spp (and E. coli by sqPCR) as the mcr-2 originally was found on E. coli plasmid pKP37-BE. Sanger sequencing of the PCR fragments for the first 680 nucleotides of the mcr-2 gene confirmed the DNA-seq data, namely the emergence of the mcr-2 gene, though at a low level in the gut microbiota of medicated animals.
3. ds-RNA-seq data has been received and its analysis is underway.
Exploitation Route We show that preventive antibiotic treatment of healthy calves resulted in unbalanced intestinal microbiota, termed dysbiosis, with two major outcomes. Firstly, the preferential growth of bacteria with high energy harvesting capacity, a key obesity determinant. Secondly, the selective growth of bacteria carrying a range of highly transmissible, clinically significant antibiotic resistance genes, crucially to antibiotics that have not been administered. We propose that the primary outcome of antibiotic treatment is dysbiosis that predisposes the host to a myriad of diseases, significantly increasing the risk of spread and transmission of multidrug-resistant bacteria to humans.

We also found a set of antisense RNA to AMR transcripts and this analysis is underway.
Sectors Agriculture, Food and Drink,Communities and Social Services/Policy,Education,Environment,Healthcare,Government, Democracy and Justice,Pharmaceuticals and Medical Biotechnology

 
Description "Antibiotic resistance: how science influences our lives" June 2018, Birmingham, UK. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Schools
Results and Impact Engagements with primary school children the age of 8 years old to 11 years old: Adderley Primary School, Birmingham. We talked about our experiences in science and gave them a talk on antibiotic resistance and how they could help in promoting good practice. We showed them a lab demo. We also got them to do fingerprints on agar and we posted them photos of their results.
Year(s) Of Engagement Activity 2018
 
Description 1. "Antibiotic treatment for livestock: A preventative measure against bacterial infections or aiding in the spread of resistance?" Café Scientifique, Leamington Spa, June 18th, 2018. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Discussion on "Antibiotic treatment for livestock: A preventative measure against bacterial infections or aiding in the spread of resistance?" .
Year(s) Of Engagement Activity 2018