Effects of microplastic concentration, composition, and size on biofilm-associated antimicrobial resistance.

Unlabelled: Microplastics (MPs) have emerged as a significant environmental pollutant with profound implications for public health, particularly as substrates to facilitate bacterial antimicrobial resistance (AMR). Recently, studies have shown that MPs may accommodate biofilm communities, chemical contaminants, and genetic material containing AMR genes. This study investigated the effects of MP concentration, composition, and size on the development of multidrug resistance in . Specifically, we exposed to varying concentrations of different MP types, including polyethylene, polystyrene, and polypropylene, across a range of sizes (3-10, 10-50, and 500 µm). Results indicated that the biofilm cells attached to MPs had elevated multidrug resistance (in . Notably, MPs exhibited a higher propensity for facilitating biofilm and resistance than control substrates such as glass, likely due to their hydrophobicity, greater adsorption capacities, and surface chemistries. Notably, we found that the bacteria passaged with MPs formed stronger biofilms once the MPs were removed, which was associated with changes in motility. Thus, MPs select cells that are better at forming biofilms, which can lead to biofilm-associated AMR and recalcitrant infections in the environment and healthcare setting. Our study highlights the importance of developing effective strategies to address the challenges posed by MPs.

Importance: Antimicrobial resistance (AMR) is one of the world's most pressing global health crises. With the pipeline of antibiotics running dry, it is imperative that mitigation strategies understand the mechanisms that drive the genesis of AMR. One emerging dimension of AMR is the environment. This study highlights the relationship between a widespread environmental pollutant, microplastics (MPs), and the rise of drug-resistant bacteria. While it is known that MPs facilitate resistance through several modes (biofilm formation, plastic adsorption rates, etc.), this study fills the knowledge gap on how different types of MPs are contributing to AMR.