Jul 26, 2024

Public workspaceDetermining the horizontal transfer of antibiotic resistance genes: using high-throughput fluorescence-based sorting approaches

  • 1Fujian Agriculture and Forestry University
  • Qiu E Yang: corresponding author
Icon indicating open access to content
QR code linking to this content
Protocol CitationQiu E Yang, Yanshuang Yu 2024. Determining the horizontal transfer of antibiotic resistance genes: using high-throughput fluorescence-based sorting approaches. protocols.io https://dx.doi.org/10.17504/protocols.io.14egn6ebpl5d/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: July 19, 2024
Last Modified: July 26, 2024
Protocol Integer ID: 103703
Keywords: antimicrobial resistance, culture-independent, microbial community, cell sorting, horizontal gene transfer
Abstract
Despite the significant role of plasmids play in the global spread of antimicrobial resistance (AMR), current methods to study the transfer of antibiotic resistance genes (ARGs) mainly rely on bacterial cultivation or sequencing techniques, leaving a knowledge gap in understanding ARGs dissemination transfer within natural microbial communities. To address this, new tools allowing real-time tracking of the spread of ARGs are essential for comprehensive environmental risk assessments. Herein, we present a culture-independent protocol for examining the horizontal transfer of ARGs across diverse bacterial populations. This method utilizes CRISPR-based editing to fluorescently label wild-type AMR plasmids, facilitating their identification and sorting via Fluorescence-activated cell sorting (FACS). As an illustrative example, we detail a step-by-step protocol targeting gfp-tagged AMR plasmid, followed by conjugation procedures and FACS-based selection of green fluorescent protein (GFP)-expressing transconjugants. This fluorescence-based approach applied to real-life bacterial populations can be uniquely deployed to examine One Health risk factors such climate changes and environmental pollution.
Materials
Reagents
MilliQ water
LB Broth (HuanKai Microbial, cat. no. 028324)
LB Agar (HuanKai Microbial, cat. no. 028330)
50 × TAE buffer (Solarbio, cat. no. T1060)
Glycerol (Solarbio, cat. no. G8192)
Spectinomycin (Aladdin, cat. no. 64058-48-6)
RNase-free ddH2O (Sangon Biotech, cat. no. B541018-0010)
TIANprep Mini Plasmid Kit (TIANGEN, cat. no. DP103-02)
2 × Phanta Flash Master Mix(Dye Plus) (Vazyme,cat. no. P520-01)
2 × SanTaq PCR Master Mix (with Blue Dye) (Sangon Biotech, cat. no. B532061-0040)
BsaI-HFv2 (NEB, cat. no. R3733).
T4 DNA Ligase (NEB, cat. no. M0202V)
T4 Polynucleotide Kinase (NEB, cat. no. M0201V)
DNA Marker (100-5000 bp) (Sangon Biotech, cat. no. B500351-0500)
DNA Marker (100-2000 bp) (Sangon Biotech, cat. no. B500350-0500)
Agarose (Sangon Biotech, cat. no. A620014)
4S Green Plus Nucleic Acid Stain (BBI, cat. no. A616696-0100)

Equipment and materials
Eppendorf Micropipettes (0.1-2.5, 2-20, 20-200 and 100-1,000 µL)
Micropipette tips (10, 200 and 1,000 µL)
0.2 mL of 96-well PCR rectangular ice box (Biosharp, cat. no. BC026)
Erlenmeyer flasks (150, 250 and 500 mL)
Laboratory glass bottles (100, 250, 500 and 1,000 mL)
Beakers (500 and 1,000 mL)
Inoculating loop (sterile, 1 µL and 10 µL; Biosharp, cat. no. BS-QT-048 and BS-QT-049)
Inoculation spreader (sterile, L-shaped; Biosharp, cat. no. BS-PS-A)
Petri dishes (ØxH: 90 × 15 mm and 60 × 15 mm, Biosharp, cat. no. BS-90-D and BS-60-D)
Safe-Lock microcentrifuge tubes (1.5 and 2.0 mL; Biosharp, cat. no.BS-15-M-S and BS-20-M)
Centrifuge tubes (10mL, 15 mL and 50 mL; Biosharp, cat. no. BS-100-M, BS-150-M and BS-500-M)
PCR tubes (strips of eight, 0.2 mL; Biosharp, cat. no. BS-0208-T)
MicroPulser electroporation cuvette (0.1 cm gap; Bio-Rad, cat. no. 1652083)
Parafilm (ØxH:4 cm×200 m, junor packaging, cat. no. JUNLE061)
Thermal cycler (C1000 Touch Thermal Cycler, BIO-RAD, cat. no. CT062680)
Microwave (Galanz, cat. no. P70D20N1P-G5(W0))
Electronic Scale (JinXuan, model no. JX.C10002)
Vortex mixer (Scientific Industries, model no. G560E)
Centrifuge (Eppendorf, model no. 5418R)
Incubation shaker (ZHICHENG, model: ZWYC-2932)
MicroPulser Electroporator (Bio-Rad, cat. no. 1652100)
TGreen Plus glue cutter (TIANGEN cat. no. OSE-470L)
OSE-GC (TIANGEN cat. no. RH191448)
MilliQ water purification system (MILLIPORE, USE, cat. no. z00Q0V0T0)
Autoclave tape (Biosharp, cat. No. BS-QT-028)
Molecular cloning of plasmid vector pSL1521::gfp (4-5 days)
Molecular cloning of plasmid vector pSL1521::gfp (4-5 days)
Plasmid extraction: extract plasmid DNA from up to Amount5 mL of overnight culture of E. coli DH5α strain containing the pSL1521 plasmid (Addgene, 160729) via a TIANprep Mini Plasmid Kit (TIANGEN, DP103-02). Measure plasmid DNA concentration using the Qubit Flex Fluorometer (Invitrogen, Q33326).

1d
Vector digestion: digest the plasmid pSL1521 with XhoI (NEB, R0146S) and PstI (NEB, R0140S) in a Amount50 µL reaction containing the following components:
ABC
Component Amount (µL) Final concentration
pSL1521 up to 1 ug  500 ng/µL
XhoI 1
PstI 1
rCutSmart™ Buffer5
Nuclease-free Wateradjust to 50 µL final volume
Total volume 50
Incubate the reaction at Temperature37 °C for Duration00:15:00 ~Duration00:30:00 , followed by an inactivation step at Temperature65 °C for Duration00:20:00 .

1h 5m
Digestion
Gel purification of digested plasmid DNA: run the digested plasmid on 1% (wt/vol) agarose gel, excise the band corresponding to the plasmid backbone (~5 kb) and purify it using the Gel Extraction Kit (TIANGEN, China) according to the manufacturer’s instructions.
Note
The digested plasmid can be used for the ligation step directly if the digested plasmid concentration from gel purification is low.


Preparation of gfp DNA fragment:
(i) PCR amplify gfp gene from a gfp-positive template plasmid using primers containing XhoI and PstI overhang nucleotides as follows:
ABC
Component Amount (µL) Final concentration
Forward primer 1  0.3 µM
Reverse primer 1 0.3 µM
2× Phanta Flash Master Mix (Dye Plus) 12.5
Template 1
Nuclease-free Water 9.5
Total volume 25
(ii) Run PCR according to the following program:
ABCDE
Cycle no. Denaturation Annealing Extension Final
1 98 °C, 30 s  
2-31 98 °C, 10 s 58 °C, 5 s 72 °C, 20 s  
32   72 °C, 1 min  
33   4 °C, hold
Digestion and ligation:
(i) Digest the gfp amplicon with XhoI and PstI restriction enzymes as step 2.
(ii) Ligate the digested gfp fragment and the purified plasmid from step3 using the NEBuilder ® HiFi DNA Assembly Master Mix (NEB, E5520S) as follows:
ABC
Component Amount (µL) Final concentration
HiFi DNA Assembly Master Mix 10 1 x
Digested pSL1521 plasmid up to 100 ng 50-100 ng
Insert gfp fragment up to 200 ng 100-200 ng
Nuclease-free Water adjust to 20 µL final volume
(iii) Incubate the reaction atTemperature50 °C for Duration00:30:00 .

30m
Transformation:
(i) Mix Amount5 µL of the ligation reaction from step 5 with the competent E. coli DH5α (TAKARA, 9057) and incubate TemperatureOn ice for Duration00:30:00 .
(ii) Heat-shock the mixture for Duration00:00:45 at Temperature42 °C on a Thermo Shaker Incubator (MIULAB, MTH-100), followed by Duration00:02:00 incubation TemperatureOn ice .
(iii) Add Amount900 µL of prepared LB medium (Temperature30 °C ) and recover the cells for Duration01:00:00 at   Temperature30 °C with agitation at Shaker180 rpm .
(iv) Plate Amount100 µL of the transformed culture on selective LB plates supplemented with Concentration50 mg/L of spectinomycin.
Verification of transformants:
(i) Pick several single clones from step 6 and make cell suspensions as DNA templates, perform a cPCR in a Amount15 µL reaction volume containing the following components:
ABC
Component Amount (µL) Final concentration
Forward primer 0.5  0.3 µM
Reverse primer 0.5 0.3 µM
2× SanTaq PCR Master Mix 7.5
Template (cell suspension) 1
Nuclease-free Water 5.5
Total volume 15
(ii) Run the PCR with the following program:
ABCDE
Cycle no. Denaturation Annealing Extension Final
1 94 °C, 5 min  
2-31 94 °C, 30 s 58 °C, 30 s 72 °C, 1 min  
32   72 °C, 5 min  
33   4 °C, hold
 
(iii) Perform gel electrophoresis to confirm amplicon size, followed by Sanger sequencing.
(iv) Keep pSL1521::gfp-positive strains in Concentration20 % (v/v) glycerol and store at Temperature-80 °C for future investigation.

Spacer cloning of pSL1521::gfp::spacer (3 days)
Spacer cloning of pSL1521::gfp::spacer (3 days)
Spacer design: select a 32 bp genomic sequence immediately preceding the 5′CC PAM, and add the overhang nucleotides to the forward and reverse spacer oligonucleotides to allow cloning into the BsaI of the pSL1521::gfp plasmid.
 
Note
Spacer length must be 32 bp, with a GC content between 45-55 %. Optimize Hairpin and Self Dimer Tm values for successful spacer hybridization.

Phosphorylation and annealing of the complementary oligonucleotides:
(i) Mix Amount1 µL of each oligo pair with T4 Polynucleotide Kinase (NEB, M0201S) as following mixture and incubate atTemperature37 °C for Duration00:30:00 :
ABC
Component Amount (µL) Final concentration
Forward oligonucleotide (100 µM) 1 10 µM
Reverse oligonucleotide (100 µM) 1 10 µM
T4 Polynucleotide Kinase 1 1000 units/mL
T4 Polynucleotide Kinase Reaction Buffer (10×) 1
Nuclease-free Water 6
Total volume 10
       
(ii) Denature the primers at Temperature95 °C for Duration00:05:00 and allow the mixture to cool down to TemperatureRoom temperature (25 °C) using a thermocycler (BIO-RAD, CT062680).
       
Note
For the cool down step, set the machine up to decrease 1 °C each minute until the reaction reaches 25 °C.

35m
Vector digestion: Digest vector pSL1521::gfp with BsaI (NEB, R3733S) in a 50 µL reaction containing the following components:
ABC
Component Amount (µL) Final concentration
plasmid DNA (pSL1521::gfp) >1 (up to 500 ng) 10 ng/µL
BsaI-HF®v2 (20,000 units/mL) 0.5 200 units/mL
rCutSmart™ Buffer 5
Nuclease-free Water adjust to 50 µL final volume
Total volume 50
Incubate for Duration01:00:00 at Temperature37 °C , followed by inactivation at Temperature65 °C for Duration00:20:00 .

1h 20m
Purify the digested pSL1521::gfp using the Gel Extraction Kit (refer to step 3).

Note
If the DNA concentration is lower than 10 ng/µL, the step of gel purification can be skipped.

Ligate the phosphorylated dsDNA spacer fragment into the BsaI-digested pSL1521::gfp from step 10-11 using T4 DNA Ligase (NEB, M0202S) as follows.
ABC
Component Amount (µL) Final concentration
BsaI-digested pSL1521::gfp (step11) 10 10 µM
dsDNA spacer (10 µM) (step9) 2 10 µM
T4 DNA Ligase (400,000 units/mL) 0.5 1000 units/mL
T4 DNA Ligase Reaction Buffer (10×) 2
Nuclease-free Water 5.5
Total volume 20
 Incubate the reaction at Temperature22 °C ~ Temperature25 °C for Duration01:00:00 , followed by heat inactivation at Temperature72 °C for Duration00:20:00 .

1h 20m
Transformation: mix Amount10 µL of the ligation reaction (from step 12) with chemically competent E. coli DH5α cells, follow the remaining steps of the transformation procedure detailed in step 6.

Perform cPCR and sanger sequencing to confirm insertion of target spacer in pSL1521::gfp, following a procedure similar to step 7.

Introducing a gfp tagging into a wild-type plasmid (3 ~ 5 days)
Introducing a gfp tagging into a wild-type plasmid (3 ~ 5 days)
Preparation of electronically competent cells:
(i) Grow overnight culture of E.coli MG1655 containing a desire AMR plasmid in Amount10 mL of LB broth with appropriate antibiotics.
(ii) Inoculate Amount1 mL of the DurationOvernight culture into a Amount500 mL Erlenmeyer flask containing Amount100 mL of LB medium and incubate for 3 ~4 h at Temperature37 °C wiShaker180 rpm until the OD600nm=0.5~0.6.
(iii) Harvest and centrifuge the cultures at Shaker5000 rpm, 4°C, 00:10:00 and discard the supernatant.
(iv) Resuspend cell pellet in ice-cold ddH2O and centrifuge at Shaker5000 rpm, 4°C, 00:10:00 . Discard the supernatant and repeat this step once.
(v) Resuspend cell pellet in ice-cold 10% (wt/vol) glycerol and centrifuge at Shaker5000 rpm, 4°C, 00:10:00 . Discard the supernatant and repeat this step once.
(vi) Prepare Amount100 µL aliquots in Amount1.5 mL tubes.

20m
Electroporation:
(i) Mix approximately Amount500 ng of pSL1521::gfp::spacer (prepared in step 15) with Amount100 µL of electronically competent cells (prepared in step 16).
(ii) Transfer bacterial-plasmid mixture into a 0.1 cm electroporation cuvette (BIO-RAD, 1652083), and apply an electric pulse using the MicroPulser eletroporator (Bio-Rad, program EC1, 1.8 kV).
(iii) Immediately add Amount900 µL LB broth into the cuvette, mix gently, transfer to a sterile 1.5 mL tube, and incubate at Temperature37 °C with constant agitation (Shaker180 rpm )
Plate bacterial culture on selective agar plates similar to step 6.
Perform cPCR verification of successfully gfp-tagged AMR plasmid following step 7, followed by sanger sequencing.

Elimination of pSL1521::gfp::spacer from bacterial strains (2~4 days)
Elimination of pSL1521::gfp::spacer from bacterial strains (2~4 days)
Streak the transformants (from step 19) onto an LB agar with appropriate antibiotics, and incubate overnight at Temperature37 °C .
1d
Pick a colony and streak onto fresh plate and incubate at Temperature37 °C for Duration24:00:00 . Repeat this plasmid curing passages until the loss of plasmid pSL1521::gfp::spacer.
1d
Perform cPCR to verify the loss of pSL1521::gfp::spacer plasmid, similar to step 7.

Note
pSL1521 is a temperature-sensitive plasmid. It is unstable when incubated at 37 °C.

Keep bacterial cultures with gfp-tagged AMR plasmid in Concentration20 % (v/v) glycerol and store at Temperature-80 °C for future investigation.

Conjugation procedures (1 day)
Conjugation procedures (1 day)
Mix donor culture and recipient community with the ratio of 1:1 (v/v), and co-incubate for 16-20 h at Temperature37 °C .

Note
(1) The donor strain is chromosomally tagged with mCherry-lacIq genes, suppressing the expression of gfp in AMR plasmids.
(2) The recipient culture may consist of a single bacterial strain or bacterial communities extracted from soil samples, wastewater, or gut microbiome.

Perform the Fluorescence-activated cell sorting (FACS) (1~2 days)
Perform the Fluorescence-activated cell sorting (FACS) (1~2 days)
Perform preliminary experiments using gfp-positive, mCherry-positive and fluorescence-negative controls, to optimize forward and side scatter threshold and gate settings.
Sample preparation: dilute the mating culture in PBS buffer to ~8000 counting events per second to assure for optimal sorting.

Note
After dilution, allow the sample to stay at 4 °C for 1-2 h to facilitate better gfp maturation.

Sorting speed: set sorting speed to less than 10,000 events per second. Avoid excessively high sorting speed to prevent sorting of adhesive cells.
Sort gfp-positive cells initially and perform a second round of sorting to ensure sorting purity.

Note
For further DNA extraction and 16S rRNA gene amplicon sequencing, at least 10,000 sorted cells are needed.

 After sorting, plate the sorted cells on selective agar plates and verify by cPCR and sanger sequencing.
Protocol references
1. Yang QE, Ma X, Li M, Zhao M, Zeng L, He M, Deng H, Liao H, Rensing C, Friman VP, Zhou S, Walsh TR. Evolution of triclosan resistance modulates bacterial permissiveness to multidrug resistance plasmids and phages. Nat. Commun. 2024, 15(1): 3654. doi: 10.1038/s41467-024-48006-9.
2. Yang QE, Ma X, Zeng L, Wang Q, Li M, Teng L, He M, Liu C, Zhao M, Wang M, Hui D, Madsen JS, Liao H, Walsh TR, Zhou S. Interphylum dissemination of NDM-5-positive plasmids in hospital wastewater from Fuzhou, China: a single-centre, culture-independent, plasmid transmission study. Lancet Microbe. 2024, 5(1): e13-e23. doi: 10.1016/S2666-5247(23)00227-6.
3. Gan D, Lin Z, Zeng L, Deng H, Walsh TR, Zhou S, Yang QE. Housefly gut microbiomes as a reservoir and facilitator for the spread of antibiotic resistance. ISME J. 2024, 20: 128. doi: 10.1093/ismejo/wrae128.