The work was organized in two parts, in agreement with the double objective of the study i.e. the detection of plasmid gene markers in LWW and the identification of disinfection / decontamination methods of laboratory cultures achieving the degradation of antibiotic resistant plasmids.
Detection of the origin of replication of E. coli plasmids in LWW bacteria strains
To determine if laboratory strains are released in wastewater, we first collected water samples from exhaust drains of research facilities where the official methods of LLW disinfection are a 20-min incubation with sodium hypochlorite at a final concentration of 2,4 g.L− 1 sodium hypochlorite (i.e., a 20-fold dilution of a stock solution with 5% of Free Available Chlorine or FAC). Bacteria isolates were selected using two criteria. The first selection criterion was the antibiotic resistance profile i.e., the capacity to grow on solid media containing antibiotics frequently used in research laboratories, namely: ampicillin, kanamycin, chloramphenicol, nalidixic acid and spectinomycin. The second criterion was the presence of the gene ori (origin of replication pBR322, found on many synthetic plasmids used in routine molecular biology technique) in the antibiotic resistant isolates. Among 16 antibiotic resistant isolates obtained from 8 LWW samples, 15 bacteria strains positive for the gene ori (Fig. 1) were selected for further analysis (samples L in Table S2). Applying the same approach with 36 bacteria strains isolated from research institute sewage exhaust ducts, 10 isolates positive for the ori gene were selected for further studies (samples MAS in Table S2). Finally, only 1 strain positive for the ori gene, out of 18 isolates from WWTP samples, was selected for further characterization (WWTP-1 in Table S2). The sequencing of the ori amplicons of most laboratory isolates (L1-6, L9-10, L12 and L15) displayed a 100% homology with that of the commercial synthetic plasmid used as positive control (pBR322 in Fig. 2).
The pBR322 origin of replication derives from the EcolE1 plasmid specific of Enterobacteriaceae and Pasteurellaceae (Ares-Arroyo et al. 2018, 2021). Therefore, without adding other origins of replication in these plasmids to broaden their host range, they could normally not replicate in other family bacteria (O’Neill and Bender 1988; Wu et al. 2010, Ares-Arroyo et al., 2018). However, most isolates positive for the ori gene obtained from wastewater samples analyzed in this study were not Enterobacteriaceae (Fig. 2). The presence of this typical marker of E. coli plasmids in non-Enterobacteriaceae bacteria found in wastewater suggests that it could have been acquired through horizontal transfer of laboratory plasmids that were released undestroyed in the sewage.
This is in line with not only the well described horizontal transfer of plasmid between bacteria, but also with its major role in ARGs dissemination (Sorensen et al. 2005 and Pinilla-Redondo et al. 2018). For instance, the colE1 plasmids, since they showed an increasing diversification of their antimicrobial resistance gene cargo - limited to bacteriocin before the antibiotic era - are considered key plasmids for the horizontal transfer of ARGs to other Enterobacteriaceae. (Ares-Arroyo et al. 2018; 2021 and Dolejska et al. 2018). Another example is the experimental demonstration of the transfer of IncHI1A plasmids not only within Enterobacteriaceae but also across other families such as Moraxellaceae, Pseudomonadaceae and Shewanellaceae (Olesen et al. 2022). In line with a possible inter-family transfer of plasmids, in their recent publication Ares-Arroyo and coworkers (Ares-Arroyo et al. 2021) detected the non-conjugative ColE1 in non-enterobacteriaceae / non-Pasteurellaceae bacteria, namely: Pseudomonas, Vibrio, Alivibrio, Photobacterium and Aeromonas.
However, the detection of the pBR322 origin of replication in non-Enterobacteriaceae (non-Pasteurellaceae) would imply that this plasmid is stable and capable of replication in these bacteria strains. A possible explanation would be that this origin of replication is integrated in a broad host range plasmid possessing multiple origins of replication. This seems to be the case in certain strains of Aeromonas: beside a putative replication gene, they retain the ColE1 (pBR322) origin of replication itself (Ares-Arroyo et al. 2021).
Considering the natural competence of environmental bacteria, our data stress the necessity to avoid the accidental release of antimicrobial resistant genes in the sewage. This prompted us to investigate the effectiveness of bacteria disinfection methods routinely used in research facilities to degrade bacteria DNA (or DNA-dgr effect) in treated cells.
Testing the DNA degradation effect (DNA-dgr effect) of disinfection methods commonly used in the laboratory
As recently pointed out in reviews on this topic (Yoo 2018; Jones and Joshi 2021) the choice of disinfection methods should rely on in-depth knowledge of their mode of action in view of the increasing number of microorganisms resistant to chemical antimicrobial agents. The disinfection method must also be validated for each experimental situation, because - given the highly variable experimental conditions from one research laboratory to another - not all decontamination agents will be effective according to the protocol recommended by the normative texts (Uy et al. 2022). Moreover, showing the limited effect of very good biocides (such as glutaradehyde) to alter the integrity of cellular DNA, another recent study (Calderón-Franco et al. 2020) underlined the need to develop a strategy to overcome this shortcoming.
As a result, the present study focused on the identification of disinfection methods that would lyse bacteria and be accompanied by a degradation of DNA in treated cells, including plasmid-borne ARG.
We first investigated the impact of chemical disinfectants on the growth of the model bacterial strain E. coli TOP10 bearing the empty plasmid pET28A+ (biocidal effect). Using the same bacteria culture, the integrity of the plasmid pET28A + was assessed through the PCR detection of one of its gene markers: the pBR322 origin of replication. We tested the action of two frequently used biocides in research laboratories: sodium hypochlorite NaClO (stock solution with 5% of FAC) and a commercial disinfectant referred as P3 (composed of quaternary ammonium compounds or QACs, aldehydes and organic acid), both diluted to a final concentration of 0,5–10% (v:v). As shown in Fig. 3a and 3b, bacterial growth was inhibited at all tested concentrations of both biocides. By contrast, PCR data revealed that only P3 broke down the plasmid DNA (Fig. 3d), while no drastic reduction was observed in PCR products of sodium hypochlorite treated cultures (Fig. 3c). Assessment of DNA reduction using quantitative PCR confirmed that treatment with 10% NaClO led to a DNA maximal decrease of 40% (Fig. S4).
Using quantitative PCR, we quantified the DNA-dgr effect of disinfectants with the aim to determine their decimal reduction dose (D-value), reflecting the DNA resistance to a disinfection / decontamination procedure. Indeed, this value corresponds to the quantity of a chemical disinfectant, or the duration of a disinfection method, to decrease the plasmid DNA amount by 90%. The higher the D-value, the more ineffective the procedure. For chemical disinfectants tested over a given duration (20 minutes in the present study), the D-value is determined by the linear relationship between the residual quantity of DNA (expressed as log10 value) and the quantity of biocide used (in molar concentration or in %). The D-value of P3 for DNA degradation corresponds to a 6,3% final concentration of the stock solution. Determination of the D-value of NaClO for DNA degradation is not of interest under the disinfectant conditions applied in the present study, as it was found to be poorly effective.
Despite an efficient biocide effect of NaClO on bacteria cultures, incubation conditions applied in the present study failed to exert a complete DNA-dgr effect in dead cells. In agreement with our data, a the pre-treatment of the transforming plasmids with lower concentrations of FAC (between 0,5 and 5 mg.L− 1) had no effect on the efficiency of transformation in vitro, suggesting that the treatment had no DNA-dgr effect (Öncü et al. 2011). However, considering the very low concentration used (compared to the conditions applied in the present study i.e. from 500 to 5000 mg.L− 1 of FAC), one could not exclude that NaClO quantities used in their study were below the effective dose. Indeed, using higher quantities of FAC (i.e. 25 mg.L− 1, which is still 20 times lower than the minimal quantity used in the present study), Zhang and coworkers (Zhang C et al. 2019a) observed the degradation of DNA of wastewater bacteria and a 1.7 log10 decrease in the transforming activity of their plasmids. In support to their observations, other reports indicated that chlorination is an effective method for destroying bacterial ARGs in wastewater treatment plants (Zheng et al. 2017 and Zhang M et al 2019b). However, the magnitude of the effect of the chlorine-releasing agent (CRA) depended on the antibiotic resistance gene, and the destruction of plasmid DNA was never complete (Zhang M et al 2019b; Liu and Hu, 2020). This is not entirely surprising considering that the first targets of CRAs (usually NaClO, ClO2, HCLO and N-chloramines) in the process of disinfection are the membrane proteins of cells and organelles (Jones and Joshi 2021). Besides oxidizing proteins, CRAs also react with peptides and DNA itself, but proteins of cell membranes and organelles mobilizing a part of FAC, the resulting DNA-dgr effect on plasmid-resistant genes is reduced accordingly (matrix negative effect.) As a highly concentrated cell culture was used in the present study (corresponding to usual cultures of E. coli in research laboratories), it cannot be excluded that the poor DNA-dgr effect of NaClO results from the interference of cell protein (and other components of the culture medium) on this process, even at a high concentration of NaClO (10 times diluted stock solution, corresponding to 5 g.L− 1of FAC). In line with this hypothesis, sodium hypochlorite is known to be sensitive to the presence of organic material in culture media: a higher concentration is required to achieve disinfection of culture media (2,5 g.L− 1of FAC) and spillages of blood and body fluids (10 g.L− 1of FAC), compared to surface disinfection (2,5 g.L− 1of FAC) (Rutala &Weber 2015). Another oxidizing agent, peracetic acid (PAA) is mostly used for the surface disinfection of medical material by oxidizing macromolecules (Yoo 2018). Yet, in comparison with chlorine used at the same concentration (i.e. 25 mg.L− 1), PAA is less powerful than chlorine to reduce the transforming activity of treated plasmids (Zhang C et al. 2019b) and is therefore not recommended for wastewater disinfection.
The commercial disinfectant P3 showed an efficient DNA-dgr effect in treated cells. The efficacy of this disinfectant cocktail results from the contribution of its components to destroy macromolecules (proteins and nucleic acids). For instance, QACs – acting as cationic surfactants - destabilize cell membranes (which results in cell lysis), while aldehydes present in the mix (formaldehyde, glutaraldehyde and glyoxal) also contribute to cell membrane disruption by chemically alkylating the amino (-NH2) and sulfhydryl (-SH) groups of proteins, as well as the amino groups of nucleic acid bases (e.g. adenine) of DNA and RNA (Lin et al. 2020 and Jones and Joshi 2021). QACs also enhance the bactericidal effect of organic acids present in P3. Therefore, in disinfections procedures developed for laboratories, QACs are attractive biocides not only for the properties mentioned before, but also for their high tolerance towards the contaminating organic matter in cell culture. As a result, they efficiently open the way to aldehydes for DNA degradation, even in cultures with a high cell concentration (condition used in the present study).
Cultures of E. coli were also submitted to a disinfection treatment by acids, namely: 0,1 − 0,25 M sulfuric acid (Fig. S1a-c) or phosphoric acid (Fig. S1b-d) which were previously reported as efficient agents for DNA degradation in a former publication (Kochetkov 1972). Both treatments caused growth inhibition regardless of their respective concentrations (Fig.S1a-b), but sulfuric acid was more effective at degrading DNA, as seen in PCR results (Fig.S1c-d). Sodium hydroxide and hydrogen peroxide also exerted a strong inhibitory effect on bacteria growth (Fig S2a-b), but without perceptible effect on the plasmid DNA degradation (Fig. S2c-d) after a 20-minute treatment. D-values deduced from quantitative PCR data were respectively 0,69 M for sulfuric acid, 4.2 M for phosphoric acid and 3.2% for P3 (Fig. 4).
The high quantity of phosphoric acid (> 4M) is needed to reduce the DNA amount by only 1 log10. Therefore phosphoric acid is not suitable for DNA destruction in routine use, considering its high D-value. By contrast, the D-value of sulfuric acid determined in the present study (0,7 M) makes it a good disinfectant. However, the routine use of sulfuric acid as a disinfectant being hazardous to user health, as well as to the material integrity, it is also not recommended for routine disinfection.
Finally, we compared two physical methods of disinfection often used in laboratories: steam sterilization at 121°C to exposure to ultraviolet light (UVC). Both treatments led to DNA degradation in a time-dependent manner (Fig. S3a-b), confirmed using qualitative PCR. Sterilization at 121°C appeared a more rapid way to destroy plasmid DNA, as the D-values were determined as respectively being 25 minutes for steam sterilization at 121°C and 49 minutes for UVC irradiation (Fig. 4).
UVC are routinely used to decontaminate biosafety cabinets and hospital and healthcare settings (Scott at al. 2022), as well as to degrade DNA contaminating PCR workstations. Though UVC are the most germicidal amongst UV, it is surprising to see that UVC effects are rather slow to degrade DNA of bacteria cultures. Yet, recent reports of UV effect on plasmid and ARG integrity are converging to the same conclusion. For instance, apart from Zheng and coworkers’ data (Zheng et al. 2017), after UV irradiation of wastewater, there still are antibiotic resistant organisms and ARG in the effluent of a treatment plant (Guo and Kong 2019; Liu and Hu 2020), due to the matrix effect of liquid waste. This was also shown in attempts for food sterilizing using UV irradiation (Ballari and Martin 2013).
How to use the DNA-degradation D-values to design a disinfection method for laboratory liquid waste
As mentioned above, the D-value reflects the ineffectiveness of a DNA-degradation process in terms of biocide concentration or biocidal treatment time carried out under a given condition (concentration, sterilization temperature, exposure to UVC, etc.). When comparing disinfection approaches, the smaller the D-value, the more efficient the process. Using the D-value, it is possible to assess the Minimum Effective Concentration (MEC) defined as the lowest concentration of a chemical or product, used in a specified process, that achieves an activity claimed, expressed as log10 reduction of bacteria count. Many normative documents have been developed to test a wide variety of disinfectants activity by suspension and surface-carrier tests. Regarding bactericidal activity of disinfectants (European standard EN 14885:2018, in Tyski et al. 2022), MEC corresponds to a log reduction ≥ 4.0 in bacteria count.
MEC could also be assessed for the DNA-dgr effect of chemical disinfectants on the cell DNA. Under the conditions used in the present study, reaching this 4-log10 reduction of plasmid DNA in treated cells, would mean using a 20-minute incubation with a final concentration of 25.2% P3 or 2.8 M sulfuric acid (as deduced from results illustrated in Fig. 4). The 4-log10 reduction will also be obtained with steam sterilization performed during 100 min at 121°C or an UV irradiation performed for 3.3 h. Practically speaking, those conditions seem not manageable in routine, especially for chemicals. Using P3 (and mild acids such as PAA), the D-value could be decreased to a suitable one, using higher incubation time (60 min instead of 20 min, for example). Regarding steam sterilization, the D-value can also be decreased using a higher temperature (134°C). Those options to decrease D-values of DNA-dgr effect of disinfection methods will be the next step of our work, including also in vitro biological tests of the transforming capacity of treated samples.
Another alternative is taking advantage of synergies of combined disinfection methods. For instance, preliminary results (Fig. S4) showed that combining 10% sodium hypochlorite with a 30-minute UVC irradiation of a E. coli culture was more effective to degrade plasmid DNA (1.3-log10 decrease) than the sum of individual effects of NaClO (0,23-log10 decrease) and a 30-min UVC irradiation (0,74-log10 decrease). Although the statistical significance of this preliminary result should be confirmed, it is supported by similar synergies reported for the combination of UVC and chlorine to reduce the conjugative transfer (Lin et al. 2016) or to degrade ARGs (Liu and Hu 2020). The synergy could be explained by a better access of UV to the DNA following bacterial lysis by chlorine, combined with a reduced capacity of the DNA repair systems of the bacteria under double treatment.
Combining autoclaving with an oxidizing disinfectant such as ozone could also be an option. Indeed, using an approach resembling the method applied in the present paper, Lan and co-workers (Lan et al. 2021) detected only a limited decrease of ARGs in bacteria even after a 60-minute autoclaving, while they obtained a higher reduction of ARGs when autoclaving was followed by ozonation. Similarly, Zhang and coworkers (Zhang T. et al. 2019c), obtained a better degradation of the sulI antibiotic resistance gene using a treatment combining UV and chlorination, than by applying each approach separately.
Besides the advantages of combining two approaches, the extracellular organic matter (EOM) of cell culture being one of the major limiting agents of chemical disinfection, the design of disinfection procedures would improve significantly if one could establish a correlation between EOM quantities and another parameter indicative of the cell number in the culture, such as the optical density at 600 nm (for bacteria). The amount of protein in culture media could thus help to assess a maximal threshold value of cell culture OD allowing for the use of organic matter sensitive chemicals.
Considering the increasing number of evidences about the capacity of microorganisms to develop resistance to biocides (Russell 2002, 2003), which in turn could lead to increased resistance to antibiotics (Maillard 2018; Dopcea et al. 2020), methods combining chemical and physical disinfections seem to be the appropriate way to limit the emergence of resistance, as it will avoid using increased amounts of chemicals to degrade plasmid DNA. The resistance to QACs is well documented in Gram-positive and Gram-negative bacteria (Zou et al. 2004). It results from their rejection by non-specific efflux pumps also used to expel antibiotics from the cell. This might explain why exposing bacteria to a sublethal concentration of CAQs can lead to cross-resistance with other antibiotics like fluoroquinolones (Morrison et al., 2019). CAQs are also suspected to induce mutations leading to the development of resistance to antibiotic, as demonstrated by exposing E. coli to sublethal doses of benzalkonium chloride (BAC) or Didecyldimethylammonium chloride (DDAC) (Jia et al. 2022), which is especially alarming. As a result, two recommendations were recently issued regarding the use of chemical disinfectants. Firstly, biocides should only be used in their minimal inhibitory concentration (MIC) (Vijayakumar and Sandle, 2019). However, as seen in the present study, MIC doses of some disinfectants would not completely destroy plasmid DNA. The second recommendation is an urgent call to apply the current policy about antibiotic use to antiseptics / biocides, in order to preserve their biocidal benefits (Dopcea et al. 2020). Both recommendations stress the need to develop educational programs on the appropriate use of disinfectants in research laboratories, especially in low level containments (Biosafety level 1 and 2 laboratories) where the low risk of acquiring an infection in the workplace could lead to an underappreciation of the high risk of dissemination of ARGs – and therefore to contribute to the global antibiotic resistance crisis – due to accidental release of undestroyed plasmids in sewage.