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Gulls as carriers of antimicrobial resistance genes in different biogeographical areas of South America

Abstract

The aim of this communication was to establish if Enterobacterales associated with gulls in Argentina harbored antimicrobial resistance (AMR) genes. We analyzed cloacal swabs in two contrasting areas: Ensenada, Buenos Aires province (26 Larus dominicanus and 22 Chroicocephalus maculipennis) and Puerto Madryn, Chubut province (20 L. dominicanus). In Ensenada, bla CTX-M and mcr-1 genes, were isolated from both gull species, whereas in the Puerto Madryn, only bla CTX-M gene was found. We report for the first time C. maculipennis as carrier of AMR. The finding of AMR in wildlife constitutes a useful tool in evaluating the anthropogenic impact on environmental health.

Key words
Antimicrobial resistance; Argentina; blaCTX-M; gulls; landfills; mcr-1

INTRODUCTION

Antimicrobial resistance (AMR) is the ability of microorganisms to grow at therapeutic concentrations of antibiotics (García-Hernández et al. 2011GARCÍA-HERNÁNDEZ AM, GARCÍA-VÁZQUEZ E, HERNÁNDEZ-TORRES A, RUIZ J, YAGÜE G, HERRERO JA & GÓMEZ J. 2011. Bacteriemias por Escherichia coli productor de betalactamasas de espectro extendido (BLEE): significación clínica y perspectivas actuales. Rev Esp Quimioter 24: 57-66.). Gram-negative bacilli (Enterobacterales) extended-spectrum β-lactamases (ESBLs) enzymes production is a mechanism that confers resistance to broad-spectrum antimicrobials like cephalosporins. The CTX-M β-lactamase enzymes encoded by the bla CTX-M gene, are the most worldwide distributed (Hernández et al. 2013, Darwich et al. 2019DARWICH L, VIDAL A, SEMINATI C, ALBAMONTE A, CASADO A, LÓPEZ F, MOLINA-LÓPEZ RA & MIGURA-GARCIA L. 2019. High prevalence and diversity of extended-spectrum β-lactamase and emergence of OXA-48 producing Enterobacterales in wildlife in Catalonia. PLoS ONE 14(8): e0210686.).

Colistin, atimicrobial polymyxin’s family, was used until cephalosporins became available (Stein & Didier 2002STEIN A & DIDIER R. 2002. Colistin: An Antimicrobial for the 21st Century? Clin Infec Dis 35: 901-902.). Since bacteria developed resistant to them, colistin was again used despite its toxicity (Sun et al. 2017SUN J, ZENG X, LI XP, LIAO XP, LIU YP & LIN J. 2017. Plasmid-mediated colistin resistance in animals: current status and future directions. Anim Health Res Rev 18: 136-152.). Recently, Liu et al. (2016)LIU YY ET AL. 2016. Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study. Lancet Infect Dis 16: 161-168. isolated the mcr-1 plasmid-mediated colistin resistance mechanism from Escherichia coli.

Wild birds can harbor and spread AMR locally or globally (Liakopoulos et al. 2016aLIAKOPOULOS A, MEVIUS D, OLSEN B & BONNEDAHL J. 2016a. The colistin resistance mcr-1 gene is going wild. J Antimicrob Chemother 2335-2336.). There are many studies about AMR in gulls from Europe (e.g. Bonnedahl et al. 2009BONNEDAHL J ET AL. 2009. Dissemination of Escherichia coli with CTX-M Type ESBL between Humans and Yellow-Legged Gulls in the South of France. PLoS ONE 4(6): e5958., Simões et al. 2010SIMÕES RR, POIREL L, DA COSTA PM & NORDMANN P. 2010. Seagulls and beaches as reservoirs for multidrug-resistant Escherichia coli. Emerg Infec Dis 16: 110-112., Vergara et al. 2016VERGARA A, PITART C, ROCA I, HURTADO C, PLANELL R, MARCO F & VILA J. 2016. Prevalence of ESBL and/or carbapenemase-producing Escherichia coli isolated from Yellow-legged Gulls from Barcelona, Spain. Antimicob Agents Chemother: 10.1128/AAC.02071-16.) however, in South America are very scant (Hernández et al. 2013, Liakopoulos et al. 2016aLIAKOPOULOS A, MEVIUS D, OLSEN B & BONNEDAHL J. 2016a. The colistin resistance mcr-1 gene is going wild. J Antimicrob Chemother 2335-2336., bLIAKOPOULOS A, OLSEN B, GEURTS Y, ARTURSSON K, BERG C, MEVIUS DJ & BONNEDAHL J. 2016b. Molecular Characterization of Extended-Spectrum-Cephalosporin-Resistant Enterobacteriaceae from Wild Kelp Gulls in South America. Antimicrob Agents Chemother 60: 6924-6927.).

This study aimed to determine if Enterobacterales associated to different gull species that visited landfills in two contrasting areas from Argentina, harbored bla CTX-M and mcr-1 genes, allowing us to understand if anthropogenic activities generate selective pressure on the environment, intervening in AMR presence on wildlife promoting its dissemination.

MATERIALS AND METHODS

Study areas

Two landfills were chosen because of their contrasting biogeographical location in South America, Argentina. One is a household waste sanitary landfill, administrated by CEAMSE (Coordinación Ecológica Área Metropolitana Sociedad del Estado) located in Ensenada city, Northeast Buenos Aires province, (34°51’13”S, 57°57’33”W) (Fig. 1). This site is in the Neotropical region, Pampean biogeographical province (Arana et al. 2017ARANA MD, MARTÍNEZ GA, OGGERO AJ, NATALE ES & MORRONE JJ. 2017. Map and shapefile of the biogeographic provinces of Argentina. Zootaxa 4341: 420-422.). The humid climate, the geochemical properties of the ground and the cycles of vegetation that characterize this region, promote agricultural activities (Burkart et al. 1999BURKART R, BÁRBARO N, SÁNCHEZ R & GÓMEZ D. 1999. Eco-regiones de la argentina. Administración de Parques Nacionales. Buenos Aires. Argentina.). Furthermore, Buenos Aires province concentrates a great human population density (50.8 hab/km2) (https://www.indec.gob.ar/ftp/cuadros/poblacion/censo2010_tomo1.pdf).

Figure 1
Sampling sites: landfills in each biogeographical province CEAMSE Ensenada, Pampean Province and Municipal Bowls Puerto Madryn, Monte Province.

The other chosen site is an open landfill (Municipal bowls) located near Puerto Madryn city (Chubut province), on the northern Patagonian coast (42°43’52”S, 65°8’16”W) (Fig. 1). This area is part of the South American transition zone, in the biogeographical Monte province where the climate is temperate to arid and dries, and shrub vegetation is dominant (Arana et al. 2017ARANA MD, MARTÍNEZ GA, OGGERO AJ, NATALE ES & MORRONE JJ. 2017. Map and shapefile of the biogeographic provinces of Argentina. Zootaxa 4341: 420-422.). Due to that, agricultural activity is not developed as the previous region (Burkart et al. 1999BURKART R, BÁRBARO N, SÁNCHEZ R & GÓMEZ D. 1999. Eco-regiones de la argentina. Administración de Parques Nacionales. Buenos Aires. Argentina.). In addition, Chubut province has a lower human population density (2.3 hab/km2) than Buenos Aires province (https://www.indec.gob.ar/ftp/cuadros/poblacion/censo2010_tomo1.pdf).

Cloacal samples and bacteria isolates

During 2017-2018, sixty-eight (68) cloacal swabs were sampled: twenty-six (26) from the Kelp Gulls Larus dominicanus (Lichtenstein) and twenty-two (22) from the Brown-hooded Gulls Chroicocephalus maculipennis (Lichtenstein) from Ensenada, and twenty (20) from Kelp Gulls from Puerto Madryn (Fig. 1). All gulls were sacrificed to carry out other studies under required permits. Every cloacal swab was transported in Cary Blair media (Copan Diagnostics 132C.US®) and kept cool (4°C) until processed. Samples were incubated overnight at 37°C in buffered peptone water. Enriched cultures (30μl) were inoculated on both Mac Conkey agar (Laboratorios Britania S.A. Argentina®) containing 4μg/ml cefotaxime (MC-CTX), and Mac Conkey agar containing 2μg/ml colistin (MC-COL), and incubated for 24 h at 37°C. Colonies with different morphology grown in MC-CTX and MC-COL were subcultured on trypticase soy agar (Laboratorios Britania S.A. Argentina®) for subsequent characterization with conventional phenotypic methods (Koneman et al. 2008KONEMAN EW, WINN WC, ALLEN SD, JANDA WM, PROCOP GW, SCHECKENBERGER PC & WOODS GL. 2008. Koneman Diagnóstico Microbiológico. Texto y atlas color. 6ta ed., Buenos Aires: Médica Panamericana.).

All scientific bird names were used according to Gill & Donsker (2019)GILL F & DONSKER D. 2019. IOC world bird list (v9. 2). Vancouver (BC): IOC..

Antimicrobial susceptibility testing

Antimicrobial susceptibility was evaluated by disk diffusion (cefotaxine 30 µg, ceftazidime 30µg, amoxicillin/clavulanic 20/10 µg, imipenem 10µg, ertapenem 10µg (Laboratorios Britania S.A. Argentina®) according to CLSI-M100S 27th ed. guidelines (CLSI 2017CLSI - CLINICAL AND LABORATORY STANDARDS INSTITUTE. 2017. CLSI document M100-S27. Wayne, PA: CLSI; Performance standards for antimicrobial susceptibility testing.) except for colistin where resistance was evaluated as grown or not on screening plates of Müller-Hinton agar (Laboratorios Britania S.A. Argentina®) containing 3µg/ml colistin. bla CTX-M and mcr-1 genes were detected by PCR as previously described (Pagani et al. 2003PAGANI L, DELL’AMICO E, MIGLIAVACCA R, D’ANDREA MM, GIACOBONE E, AMICOSANTE G, ROMERO E & ROSSOLINI GM. 2003. Multiple CTX-M-Type Extended-Spectrum-Lactamases in Nosocomial Isolates of Enterobacteriaceae from a Hospital in Northern Italy. J Clin Microb 41: 4264-4269., Liu et al. 2016LIU YY ET AL. 2016. Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study. Lancet Infect Dis 16: 161-168.).

RESULTS

In Ensenada, 50% (13/26) of the L. dominicanus analyzed were positive for bla CTX-M gene. This one was mainly detected in E. coli isolated strains in most of the gulls, 84.6% (11/13). Even more, the 15.4 % (2/13) of the gulls carried the mcr-1 gene too. Furthermore, the bla CTX-M gene was detected in Enterobacter cloacae and Citrobacter spp. strains isolated from two different gull specimens, 7.7% (1/13) respectively (Fig. 2).

Figure 2
Prevalence (%) of positive gulls for bacteria harboring antimicrobial resistance genes in both studied sites (LDE= Larus dominicanus Ensenada, CME= Chroicocephalus maculipennis Ensenada, LDPM= Larus dominicanus Puerto Madryn).

From the same locality, 45.4% (10/22) of the C. maculipennis analyzed were positive for AMR genes. The 90% (9/10) were positive for bla CTX-M , mainly harboring by E. coli isolated on 7/9 gulls. This gene was also detected from Klebsiella spp. on 1/9 gulls, and Serratia marcescens on 1/9 gulls. Only one of the 10 C. maculipennis positive carried the mcr-1 gene in E. coli isolated strain (Fig. 2).

From Puerto Madryn open landfill, 30% (6/20) of the L. dominicanus analyzed, carried Enterobacterales with AMR genes. The bla CTX-M gene was detected in E. coli strains isolated from 5/6 gulls, and in Hafnia alvei strain isolated from 1/6 gulls. One of the six gulls carried both E. coli and E. cloacae strains harboring bla CTX-M. None of the gulls from Puerto Madryn were positive for the mcr-1 gene (Fig. 2).

DISCUSSION

This study increases the knowledge of seagulls as carriers of Enterobacterales harboring AMR genes in South America. We report two new areas, Buenos Aires and Chubut provinces, as focus of antimicrobial contamination for wild birds; and C. maculipennis harboring AMR genes on their Enterobacterales associated for the first time.

The sanitary landfill in Ensenada receives different types of urban, organic and inorganic garbage, which would include poorly recycled pharmaceutical products by the high population density in Buenos Aires province. Also, this landfill is located only a few kilometers from the Río de La Plata, whose shores channel the sewage of the city. Added to that, the use of antibiotics (colistin and its products) in agricultural and livestock activities that characterize this region may exerts selection pressure on microorganisms, favoring the incorporation and spread of AMR mechanisms, mainly in C. maculipennis which is the most abundant gull species who frequents these environments to feed. For all these reasons, resistance mechanisms associated with wild birds were expected to be found in the sanitary landfill from Ensenada city.

In contrast, mcr-1 gene was not isolated in gulls from Puerto Madryn. This may be related to the number and randomness of the sampled. However, it may be due to biogeographic differences between sampling sites, including population density and types and degrees of anthropogenic activities, which influence environments differently. Those gulls visiting the Municipal bowls from Puerto Madryn are in contact with other types of garbage. The main discards come from fishing activity, which in this area is handmade; all products come from the sea and do not exposed to antibiotics. Further, population density, agricultural and farming activities are lesser development than in Buenos Aires province, with the consequently reduced use of colistin and its products.

Species detection of Enterobacterales harboring resistance genes in gulls that feed on landfills in two different areas from Argentina, contributes to Ramey & Ahlstrom (2020)RAMEY A & AHLSTROM CA. 2020. Antibiotic resistant bacteria in wildlife: perspectives on trends, acquisition and dissemination, data gaps, ans future directions. J Wildl Dis 56(1). proposal. These authors highlight that anthropogenic inputs into the environments can act as a focus of infection for gulls and other species, implicating them as indicators of AMR contamination. Although, isolated resistance genes in this study were more frequent in E. coli; present results suggest that other species of bacteria (e.g. E. cloacae, Klebsiella spp., Citrobacter spp.) are also playing an important role in the spread of AMR.

The generalist and opportunistic behavior that characterizes gulls and their movements between the breeding and feeding areas become them in potential spreaders of AMR. We agree with Radhouani et al. (2014)RADHOUANI H, SILVA N, POETA P, TORRES C, CORREIA S & IGREJAS G. 2014. Potential impact of antimicrobial resistance in wildlife, environment, and human health. Front Microbiol 5: 1-12. that continuing to monitor AMR constitutes a useful tool to evaluate the impact of anthropogenic pressure on environmental health.

ACKNOWLEDGMENTS

We would like to thank Hernán Améndola, Mariano Dorrego and our laboratory partners for their help in the fieldwork. We thank Graciela T. Navone for her unconditional advice. We are gratefully with John Mike Kinsella for English style revision. We thanks to fauna and flora secretary of Buenos Aires province (Dispositions Nº 30/17 and Nº 132/18) and Chubut province (Dispositions Nº 60/17 and Nº 03/18) for permits granted. This work was supported by CONICET (PIP 0698), Universidad Nacional de La Plata (N859).

REFERENCES

  • ARANA MD, MARTÍNEZ GA, OGGERO AJ, NATALE ES & MORRONE JJ. 2017. Map and shapefile of the biogeographic provinces of Argentina. Zootaxa 4341: 420-422.
  • BONNEDAHL J ET AL. 2009. Dissemination of Escherichia coli with CTX-M Type ESBL between Humans and Yellow-Legged Gulls in the South of France. PLoS ONE 4(6): e5958.
  • BURKART R, BÁRBARO N, SÁNCHEZ R & GÓMEZ D. 1999. Eco-regiones de la argentina. Administración de Parques Nacionales. Buenos Aires. Argentina.
  • CLSI - CLINICAL AND LABORATORY STANDARDS INSTITUTE. 2017. CLSI document M100-S27. Wayne, PA: CLSI; Performance standards for antimicrobial susceptibility testing.
  • DARWICH L, VIDAL A, SEMINATI C, ALBAMONTE A, CASADO A, LÓPEZ F, MOLINA-LÓPEZ RA & MIGURA-GARCIA L. 2019. High prevalence and diversity of extended-spectrum β-lactamase and emergence of OXA-48 producing Enterobacterales in wildlife in Catalonia. PLoS ONE 14(8): e0210686.
  • GARCÍA-HERNÁNDEZ AM, GARCÍA-VÁZQUEZ E, HERNÁNDEZ-TORRES A, RUIZ J, YAGÜE G, HERRERO JA & GÓMEZ J. 2011. Bacteriemias por Escherichia coli productor de betalactamasas de espectro extendido (BLEE): significación clínica y perspectivas actuales. Rev Esp Quimioter 24: 57-66.
  • GILL F & DONSKER D. 2019. IOC world bird list (v9. 2). Vancouver (BC): IOC.
  • HERNANDEZ J, JOHANSSON A, STEDT J, BENGTSSON S, PORCZAK A, GRANHOLM S, GONZÁLEZ-ACUÑA D, OLSEN B, BONNEDAHL J & DROBNI M. 2013. Characterization and Comparison of Extended-Spectrum b-Lactamase (ESBL) Resistance Genotypes and Population Structure of Escherichia coli Isolated from Frankli’s Gulls (Leucophaeus pipixcan) and Humans in Chile. PLoS ONE 8(9): e76150.
  • KONEMAN EW, WINN WC, ALLEN SD, JANDA WM, PROCOP GW, SCHECKENBERGER PC & WOODS GL. 2008. Koneman Diagnóstico Microbiológico. Texto y atlas color. 6ta ed., Buenos Aires: Médica Panamericana.
  • LIAKOPOULOS A, MEVIUS D, OLSEN B & BONNEDAHL J. 2016a. The colistin resistance mcr-1 gene is going wild. J Antimicrob Chemother 2335-2336.
  • LIAKOPOULOS A, OLSEN B, GEURTS Y, ARTURSSON K, BERG C, MEVIUS DJ & BONNEDAHL J. 2016b. Molecular Characterization of Extended-Spectrum-Cephalosporin-Resistant Enterobacteriaceae from Wild Kelp Gulls in South America. Antimicrob Agents Chemother 60: 6924-6927.
  • LIU YY ET AL. 2016. Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study. Lancet Infect Dis 16: 161-168.
  • PAGANI L, DELL’AMICO E, MIGLIAVACCA R, D’ANDREA MM, GIACOBONE E, AMICOSANTE G, ROMERO E & ROSSOLINI GM. 2003. Multiple CTX-M-Type Extended-Spectrum-Lactamases in Nosocomial Isolates of Enterobacteriaceae from a Hospital in Northern Italy. J Clin Microb 41: 4264-4269.
  • RADHOUANI H, SILVA N, POETA P, TORRES C, CORREIA S & IGREJAS G. 2014. Potential impact of antimicrobial resistance in wildlife, environment, and human health. Front Microbiol 5: 1-12.
  • RAMEY A & AHLSTROM CA. 2020. Antibiotic resistant bacteria in wildlife: perspectives on trends, acquisition and dissemination, data gaps, ans future directions. J Wildl Dis 56(1).
  • SIMÕES RR, POIREL L, DA COSTA PM & NORDMANN P. 2010. Seagulls and beaches as reservoirs for multidrug-resistant Escherichia coli. Emerg Infec Dis 16: 110-112.
  • STEIN A & DIDIER R. 2002. Colistin: An Antimicrobial for the 21st Century? Clin Infec Dis 35: 901-902.
  • SUN J, ZENG X, LI XP, LIAO XP, LIU YP & LIN J. 2017. Plasmid-mediated colistin resistance in animals: current status and future directions. Anim Health Res Rev 18: 136-152.
  • VERGARA A, PITART C, ROCA I, HURTADO C, PLANELL R, MARCO F & VILA J. 2016. Prevalence of ESBL and/or carbapenemase-producing Escherichia coli isolated from Yellow-legged Gulls from Barcelona, Spain. Antimicob Agents Chemother: 10.1128/AAC.02071-16.

Publication Dates

  • Publication in this collection
    30 June 2021
  • Date of issue
    2021

History

  • Received
    17 Dec 2019
  • Accepted
    27 July 2020
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