Insights into the Antimicrobial Resistance Profile of a Next Generation Probiotic Akkermansia muciniphila DSM 22959

Int J Environ Res Public Health. 2022 Jul 27;19(15):9152. doi: 10.3390/ijerph19159152.

Abstract

Akkermansia muciniphila is a Gram-negative intestinal anaerobic bacterium recently proposed as a novel probiotic candidate to be incorporated in food and pharmaceutical forms. Despite its multiple health benefits, the data addressing its antimicrobial susceptibility profile remain scarce. However, the absence of acquired resistance in probiotic strains is a compulsory criterion for its approval in the qualified presumption of safety list. This study aimed at characterizing the A. muciniphila DSM 22959 strain's antimicrobial susceptibility profile using phenotypic and in silico approaches. To establish the phenotypic antimicrobial susceptibility profile of this strain, minimum inhibitory concentrations of eight antimicrobials were determined using broth microdilution and E-test methods. Additionally, the A. muciniphila DSM 22959 genome was screened using available databases and bioinformatics tools to identify putative antimicrobial resistance genes (ARG), virulence factors (VF), genomic islands (GI), and mobile genetic elements (MGE). The same categorization was obtained for both phenotypic methods. Resistance phenotype was observed for gentamicin, kanamycin, streptomycin, and ciprofloxacin, which was supported by the genomic context. No evidence was found of horizontal acquisition or potential transferability of the identified ARG and VF. Thus, this study provides new insights regarding the phenotypic and genotypic antimicrobial susceptibility profiles of the probiotic candidate A. muciniphila DSM 22959.

Keywords: Akkermansia muciniphila; antimicrobial resistance genes; antimicrobial susceptibility testing; in silico analysis; mobile genetic elements; safety profile.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Akkermansia
  • Anti-Bacterial Agents / pharmacology
  • Anti-Infective Agents* / pharmacology
  • Base Composition
  • Drug Resistance, Bacterial / genetics
  • Phylogeny
  • Probiotics*
  • RNA, Ribosomal, 16S
  • Sequence Analysis, DNA
  • Verrucomicrobia / genetics
  • Virulence Factors

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • RNA, Ribosomal, 16S
  • Virulence Factors

Supplementary concepts

  • Akkermansia muciniphila

Grants and funding

This work was supported by national funds through FCT/MEC (PIDDAC), project references IF/00588/2015, under the Scientific Employment Stimulus—Individual Call (CEEC Individual—CEECIND/00520/2017/CP1404/CT0001), and by Operational Program Competitiveness and Internationalization in its FEDER component and by the budget of the Foundation for Science and Technology, I.P. (FCT, IP) in its OE component, project reference POCI-01-0145-FEDER-031400-PTDC/BAA-AGR/31400/2017. We would also like to thank the scientific collaboration under the FCT project UIDB/50016/2020.