Experimental Evolution as a Tool in Investigating Antibiotic Resistance and Antimicrobial Discovery

Date
2023-04-20
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Abstract

The discovery of antibiotics was one of the greatest healthcare advances in history. However, its success is being challenged by the emergence of multidrug-resistant (MDR) pathogens. In addition to the misuse and overuse of antibiotics, the lack of a robust antibiotic development pipeline also contributes to the worldwide increase in antibiotic resistant pathogens. Due to these reasons, the rise of MDR pathogens has become one of the fastest growing medical problems of this century, leading to the urgent need for new strategies to control antibiotic resistance. Our lab has long been interested in using experimental evolution as a method to investigate approaches to slowing down antibiotic resistance. Adaptive evolution can be used to induce resistance in bacteria which will allow us to investigate the molecular and genetic mechanisms underlying antibiotic resistance. This knowledge can then be used as potential targets for drug development and potentially control the increase in antibiotic resistance. One of the rapidly emerging MDR pathogens, vancomycin-daptomycin resistant Enterococcus faecium, is an attractive bacterial strain to study using experimental evolution. As Daptomycin (DAP) is a drug of last resort being used to treat enterococcal infections, the combination of DAP with another antibiotic, Fosfomycin (FOS), has been proposed as a potential method to maintain DAP efficacy. Here, I provide evidence that DAP-FOS combination (DF) successfully delayed the emergence of DAP resistance in vitro. Genetic data indicate that resistance was acquired independently, with little evidence of significant cross-drug epistasis that could undermine a combinatorial approach. I also uncovered a novel FOS resistance mechanism, through changes in phosphoenolpyruvate (PEP) flux, that may potentially be shared with other bacterial species. Additionally, I also have evidence showing that E. faecium was able to develop DAP resistance through a variety of biochemical mechanisms and was able to employ different adaptive strategies. In addition to studying antibiotic resistance development, experimental evolution, in conjunction with microfluidics, can also be used as a platform for discovering new antimicrobials. By exposing an antibiotic producing strain (Producer) against its predator (Reporter), the Producer strain can be pressured to evolve and produce either a new antimicrobial or a modified known antibiotic that produces better activity to compete against its predator for resources. While the microfluidics platform can allow for high-throughput screening, a previous lab member had found that small molecules such as antibiotics can freely diffuse between the microdroplets. Antibiotics diffusing across the droplets will severely complicate our efforts to enrich for solely the antibiotic-producing strain, which is required for future studies. In this thesis, I will also be exploring the use of activated charcoal in suppressing the diffusion of small molecules. I was able to show that activated charcoal can successfully bind to a small quorum-sensing molecule that diffuses rapidly, AHL. In addition, I found that the sensitivity of the reporter system and media complexity drastically changes the amount of activated charcoal required to achieve significant suppression. Reporter system that are less sensitive and less complex media required less activated charcoal in the system to achieve suppression. I also have evidence showing that activated charcoal activity was retained in both bulk and microdroplet environments. Finally, I was also able to show that activated charcoal is also capable of binding antibiotics across different classes and molecular sizes. These findings support the rationale of adding activated charcoal to the microfluidic-based experimental evolution pipeline of discovering new antimicrobials.

Description
Degree
Doctor of Philosophy
Type
Thesis
Keywords
Antibiotic Resistance, Evolution, Antimicrobial Discovery
Citation

Supandy, Adeline. "Experimental Evolution as a Tool in Investigating Antibiotic Resistance and Antimicrobial Discovery." (2023) Diss., Rice University. https://hdl.handle.net/1911/115119.

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