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Antimicrobial resistance phylodynamics and source attribution under a One Health framework

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Resumo:Antimicrobial resistance (AMR) is a significant public health threat and has recently been recognized as a One Health issue, reflecting the interconnected nature of human, animal, and environmental health. This thesis aimed to increase knowledge on the burden, drivers and transmission dynamics of AMR at the human-animal-environment interfaces, for which Staphylococcus aureus, wild ungulates and genomics were central. Wastewater-based surveillance (WBS) of urban and hospital sewersheds by shotgun metagenomics depicted microbiota signatures of public health importance, while showing that the urban resistome is not restricted to clinically relevant pathogens, being strongly related with the most consumed antimicrobials in Europe. Through molecular, phenotypic and ecological modelling analyses, we show that AMR in commensal Staphylococcus aureus strains from wild ungulates in Portugal is driven by agricultural land cover and livestock farming. We then generate and explore a large dataset of S. aureus draft genomes from wild ungulates to address with high resolution the hypotheses that wildlife colonization and AMR occurrence are related with human activities and that host adaptation is accompanied by genome diversification with phenotypic impacts. For source attribution purposes, we dissect host-informative mobile genetic elements (MGE) and, in parallel, perform ancestral host state reconstruction via phylodynamics. Based on cgMLST, we demonstrate high genomic similarity of S. aureus at the animal-human interface, with MGE biomarkers for host adaptation further supporting epidemiological connections. Phylodynamic inferences on relevant molecular types across Iberia indicate that several clonal lineages were widespread among humans before jumping to new hosts, highlighting recent spillover events from livestock to wildlife. Pangenome analyses retrieved S. aureus antimicrobial and heavy metals resistance determinants in the accessory genome. This thesis provides new insights on AMR transmission across interfaces, encouraging environmental and animal surveillance to help curb AMR, and confirms that genomic data-driven approaches are powerful to track AMR trends and drivers.
Autores principais:Ramos, Beatriz
Assunto:Antimicrobial Resistance Transmission One Health Genomic Surveillance Staphylococcus aureus Wild Ungulates Transmissão da Resistência a Antimicrobianos Uma Só Saúde Vigilância Genómica Ungulados Selvagens
Ano:2024
País:Portugal
Tipo de documento:tese de doutoramento
Tipo de acesso:acesso embargado
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Ramos, Beatriz
author_facet Ramos, Beatriz
author_role author
contributor_name_str_mv Cunha, Mónica Vieira
Rosalino, Luís Miguel do Carmo
Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Ramos, Beatriz\",\"Person.identifier.orcid\":\"0000-0003-1471-9334\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Cunha, Mónica Vieira
Rosalino, Luís Miguel do Carmo
Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Ramos, Beatriz
datacite.date.Accepted.fl_str_mv 2024-12-19T00:00:00Z
datacite.date.available.fl_str_mv 2028-03-01T00:00:00Z
datacite.date.embargoed.fl_str_mv 2028-03-01T00:00:00Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_f1cf
datacite.subjects.subject.fl_str_mv Antimicrobial Resistance Transmission
One Health
Genomic Surveillance
Staphylococcus aureus
Wild Ungulates
Transmissão da Resistência a Antimicrobianos
Uma Só Saúde
Vigilância Genómica
Ungulados Selvagens
datacite.titles.title.fl_str_mv Antimicrobial resistance phylodynamics and source attribution under a One Health framework
dc.contributor.none.fl_str_mv Cunha, Mónica Vieira
Rosalino, Luís Miguel do Carmo
Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Ramos, Beatriz
dc.date.Accepted.fl_str_mv 2024-12-19T00:00:00Z
dc.date.available.fl_str_mv 2028-03-01T00:00:00Z
dc.date.embargoed.fl_str_mv 2028-03-01T00:00:00Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.5/99453
dc.language.none.fl_str_mv eng
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_f1cf
dc.subject.none.fl_str_mv Antimicrobial Resistance Transmission
One Health
Genomic Surveillance
Staphylococcus aureus
Wild Ungulates
Transmissão da Resistência a Antimicrobianos
Uma Só Saúde
Vigilância Genómica
Ungulados Selvagens
dc.title.fl_str_mv Antimicrobial resistance phylodynamics and source attribution under a One Health framework
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_db06
description Antimicrobial resistance (AMR) is a significant public health threat and has recently been recognized as a One Health issue, reflecting the interconnected nature of human, animal, and environmental health. This thesis aimed to increase knowledge on the burden, drivers and transmission dynamics of AMR at the human-animal-environment interfaces, for which Staphylococcus aureus, wild ungulates and genomics were central. Wastewater-based surveillance (WBS) of urban and hospital sewersheds by shotgun metagenomics depicted microbiota signatures of public health importance, while showing that the urban resistome is not restricted to clinically relevant pathogens, being strongly related with the most consumed antimicrobials in Europe. Through molecular, phenotypic and ecological modelling analyses, we show that AMR in commensal Staphylococcus aureus strains from wild ungulates in Portugal is driven by agricultural land cover and livestock farming. We then generate and explore a large dataset of S. aureus draft genomes from wild ungulates to address with high resolution the hypotheses that wildlife colonization and AMR occurrence are related with human activities and that host adaptation is accompanied by genome diversification with phenotypic impacts. For source attribution purposes, we dissect host-informative mobile genetic elements (MGE) and, in parallel, perform ancestral host state reconstruction via phylodynamics. Based on cgMLST, we demonstrate high genomic similarity of S. aureus at the animal-human interface, with MGE biomarkers for host adaptation further supporting epidemiological connections. Phylodynamic inferences on relevant molecular types across Iberia indicate that several clonal lineages were widespread among humans before jumping to new hosts, highlighting recent spillover events from livestock to wildlife. Pangenome analyses retrieved S. aureus antimicrobial and heavy metals resistance determinants in the accessory genome. This thesis provides new insights on AMR transmission across interfaces, encouraging environmental and animal surveillance to help curb AMR, and confirms that genomic data-driven approaches are powerful to track AMR trends and drivers.
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format doctoralThesis
fulltext.url.fl_str_mv https://repositorio.ulisboa.pt/bitstreams/8da335c7-313a-4bb5-ac0c-f76e6df97b82/download
funding.funder.alternateName_str_mv FCT
FCT
FCT
funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
http://doi.org/10.13039/501100001871
http://doi.org/10.13039/501100001871
funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
Fundação para a Ciência e a Tecnologia
Fundação para a Ciência e a Tecnologia
funding.name_str_mv Concurso de Projetos de I&D em Todos os Domínios Científicos - 2022
6817 - DCRRNI ID
6817 - DCRRNI ID
id ul_5c8ef534293dceee34b3ab62cedfcaad
identifier.url.fl_str_mv http://hdl.handle.net/10400.5/99453
instacron_str ul
institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10400.5/99453
organization_str_mv urn:organizationAcronym:ul
person_str_mv Ramos, Beatriz
Ramos, Beatriz
https://www.ciencia-id.pt/A012-C83A-B679
A012-C83A-B679
http://orcid.org/0000-0003-1471-9334
0000-0003-1471-9334
publishDate 2024
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
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spelling engpt_PTAntimicrobial resistance (AMR) is a significant public health threat and has recently been recognized as a One Health issue, reflecting the interconnected nature of human, animal, and environmental health. This thesis aimed to increase knowledge on the burden, drivers and transmission dynamics of AMR at the human-animal-environment interfaces, for which Staphylococcus aureus, wild ungulates and genomics were central. Wastewater-based surveillance (WBS) of urban and hospital sewersheds by shotgun metagenomics depicted microbiota signatures of public health importance, while showing that the urban resistome is not restricted to clinically relevant pathogens, being strongly related with the most consumed antimicrobials in Europe. Through molecular, phenotypic and ecological modelling analyses, we show that AMR in commensal Staphylococcus aureus strains from wild ungulates in Portugal is driven by agricultural land cover and livestock farming. We then generate and explore a large dataset of S. aureus draft genomes from wild ungulates to address with high resolution the hypotheses that wildlife colonization and AMR occurrence are related with human activities and that host adaptation is accompanied by genome diversification with phenotypic impacts. For source attribution purposes, we dissect host-informative mobile genetic elements (MGE) and, in parallel, perform ancestral host state reconstruction via phylodynamics. Based on cgMLST, we demonstrate high genomic similarity of S. aureus at the animal-human interface, with MGE biomarkers for host adaptation further supporting epidemiological connections. Phylodynamic inferences on relevant molecular types across Iberia indicate that several clonal lineages were widespread among humans before jumping to new hosts, highlighting recent spillover events from livestock to wildlife. Pangenome analyses retrieved S. aureus antimicrobial and heavy metals resistance determinants in the accessory genome. This thesis provides new insights on AMR transmission across interfaces, encouraging environmental and animal surveillance to help curb AMR, and confirms that genomic data-driven approaches are powerful to track AMR trends and drivers.application/pdfpt_PTAntimicrobial resistance phylodynamics and source attribution under a One Health frameworkPersonalRamos, BeatrizDSpacehttp://dspace.org/items/279377af-0bd7-4ae9-a444-c43e346bf928DSpacehttp://dspace.org/items/279377af-0bd7-4ae9-a444-c43e346bf928Gameiro RamosBeatrizCiência IDhttps://www.ciencia-id.ptA012-C83A-B679ORCIDhttp://orcid.org0000-0003-1471-9334Cunha, Mónica VieiraRosalino, Luís Miguel do CarmoHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptURNurn:tid:1017083512024-12-192024-08-282028-03-01T00:00:00Z2024-12-19T00:00:00ZHandlehttp://hdl.handle.net/10400.5/99453http://purl.org/coar/access_right/c_f1cfembargoed accessAntimicrobial Resistance TransmissionOne HealthGenomic SurveillanceStaphylococcus aureusWild UngulatesTransmissão da Resistência a AntimicrobianosUma Só SaúdeVigilância GenómicaUngulados Selvagens17827291 bytesFundação para a Ciência e a TecnologiaOne Health empiriCo-mEchanistic modeLing of antimicrObial resisTanceConcurso de Projetos de I&D em Todos os Domínios Científicos - 2022Crossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaCentre for Ecology, Evolution and Environmental Changes6817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaBiosystems and Integrative Sciences Institute6817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_db06doctoral thesishttp://purl.org/coar/access_right/c_f1cfapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/8da335c7-313a-4bb5-ac0c-f76e6df97b82/download
spellingShingle Antimicrobial resistance phylodynamics and source attribution under a One Health framework
Ramos, Beatriz
Antimicrobial Resistance Transmission
One Health
Genomic Surveillance
Staphylococcus aureus
Wild Ungulates
Transmissão da Resistência a Antimicrobianos
Uma Só Saúde
Vigilância Genómica
Ungulados Selvagens
status SINGLETON
subject.fl_str_mv Antimicrobial Resistance Transmission
One Health
Genomic Surveillance
Staphylococcus aureus
Wild Ungulates
Transmissão da Resistência a Antimicrobianos
Uma Só Saúde
Vigilância Genómica
Ungulados Selvagens
title Antimicrobial resistance phylodynamics and source attribution under a One Health framework
title_full Antimicrobial resistance phylodynamics and source attribution under a One Health framework
title_fullStr Antimicrobial resistance phylodynamics and source attribution under a One Health framework
title_full_unstemmed Antimicrobial resistance phylodynamics and source attribution under a One Health framework
title_short Antimicrobial resistance phylodynamics and source attribution under a One Health framework
title_sort Antimicrobial resistance phylodynamics and source attribution under a One Health framework
topic Antimicrobial Resistance Transmission
One Health
Genomic Surveillance
Staphylococcus aureus
Wild Ungulates
Transmissão da Resistência a Antimicrobianos
Uma Só Saúde
Vigilância Genómica
Ungulados Selvagens
topic_facet Antimicrobial Resistance Transmission
One Health
Genomic Surveillance
Staphylococcus aureus
Wild Ungulates
Transmissão da Resistência a Antimicrobianos
Uma Só Saúde
Vigilância Genómica
Ungulados Selvagens
url http://hdl.handle.net/10400.5/99453
visible 1