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Global Antibiotic Resistance: Insights from the Cryosphere

Antibiotic Resistance — truly a global challenge

Today’s world faces seve­ral major chal­lenges, and let’s be honest – we haven’t been par­ti­cu­lar­ly good at addres­sing them so far. Cli­ma­te pro­tec­tion is pro­gres­sing slug­gish­ly, eco­no­mic chal­lenges affect almost every coun­try, and sup­p­ly chains still resem­ble shaky domi­noes rather than a solid foundation.

Antibiotic Resistance Cryosphere
Antibiotic Resistance Cryosphere

On the health front, the popu­la­ti­on batt­led through a glo­bal viral pan­de­mic while ano­ther one has been quiet­ly advan­cing for years: anti­bio­tic-resistant bac­te­ria. Dub­bed one of the grea­test glo­bal chal­lenges by the WHO, anti­bio­tic resis­tance is no lon­ger just a rele­vant issue in direct human envi­ron­ments. Did you know that the­re are bac­te­ria on the hig­hest moun­ta­ins and in the nor­t­hern­most and sou­thern­most regi­ons of our pla­net that our anti­bio­tics can’t touch? No? Then let’s find out why together.

The Leading Role of Globalization

Our high­ly inter­con­nec­ted world today brings many advan­ta­ges, but this strong inter­con­nec­ted­ness also means that vir­tual­ly ever­y­thing can spread much fas­ter than befo­re. Micro­or­ga­nisms know no bor­ders, and through us humans, viru­s­es, bac­te­ria, and the like spread light­ning-fast, as the COVID-19 pan­de­mic impres­si­ve­ly demons­tra­ted. The same goes for anti­bio­tic-resistant bac­te­ria, which can tra­vel around the world on and insi­de us.

Antibiotic Resistance Spread

The trans­port of such orga­nisms in its­elf might not be the big pro­blem. The real issue is that the­se bac­te­ria are incre­di­bly good at flaun­ting their abili­ties and tea­ching other bac­te­ria how to neu­tra­li­ze anti­bio­tics. To make mat­ters worse, the­se micro­bes are, of cour­se, invi­si­ble to the naked eye, and we don’t even rea­li­ze when we are trans­port­ing resistant orga­nisms or when they exch­an­ge infor­ma­ti­on… likely a cur­se and a blessing.

Natural long distance travel

Bes­i­des human trans­port, seve­ral other important fac­tors con­tri­bu­te to the spread of micro­or­ga­nisms and poten­ti­al­ly anti­bio­tic-resistant bac­te­ria. Glo­bal wind sys­tems span the enti­re glo­be and some­ti­mes trans­port enti­re com­mu­ni­ties of micro­or­ga­nisms (like with Saha­ran dust!) from A to B. The same goes for oce­an curr­ents and water­ways, whe­re anti­bio­tic-resistant bac­te­ria like to drift. For exam­p­le, resistant micro­bes from our gut can end up in water­ways through sewa­ge and may­be even reach the sea. And as always, the­se bac­te­ria can poten­ti­al­ly teach other bac­te­ria how to beco­me antibiotic-resistant.

When we shift our focus from phy­si­cal to bio­lo­gi­cal trans­port rou­tes, migra­to­ry birds imme­dia­te­ly come to mind. The­se and other migra­ting ani­mals can trans­port bac­te­ri­al colo­nies and poten­ti­al­ly exis­ting anti­bio­tic resis­tance genes over thou­sands of kilo­me­ters during their journeys.

Antibiotic Resistance Global
Antibiotic Resistance Global

Into the Cryosphere (and far beyond)

By now, we know that all the­se pro­ces­ses have led to the spread of anti­bio­tic-resistant bac­te­ria across the enti­re glo­be. And when I say enti­re, I mean it. This includes the cryo­s­phe­re – the regi­on of the Earth whe­re water exists in its solid form as snow (even sea­so­nal­ly) or ice. The hig­hest moun­ta­ins with their gla­ciers and even the nor­t­hern­most and sou­thern­most icy are­as of our pla­net are not free from bac­te­ria that anti­bio­tics can­not affect. Resis­tances against anti­bac­te­ri­al sub­s­tances of all clas­ses, mecha­nisms, and manu­fac­tu­ring methods have alre­a­dy been found. The descri­bed trans­port rou­tes cer­tain­ly play a signi­fi­cant role, espe­ci­al­ly for anti­bio­tics that have no natu­ral coun­ter­parts but are desi­gned and manu­fac­tu­red in the lab. Ano­ther fac­tor is likely intrin­sic resis­tances: non-spe­ci­fic defen­se mecha­nisms that some bac­te­ria natu­ral­ly have against harmful sub­s­tances of all kinds.

Die beschrie­be­nen Trans­port­we­ge spie­len dabei sicher eine wesent­li­che Rol­le, vor allem für Anti­bio­ti­ka, die kei­ne natür­li­chen Vor­bil­der haben, son­dern im Labor designt und her­ge­stellt wer­den. Ein wei­te­rer Fak­tor sind jedoch ver­mut­lich auch soge­nann­te intrin­si­sche Resis­ten­zen: unspe­zi­fi­sche Abwehr­me­cha­nis­men, die man­che Bak­te­ri­en von Natur aus gegen schäd­li­che Sub­stan­zen aller Art schützen.

Antibiotic Resistance Cryosphere

Why Does This Matter?

But why is it rele­vant to us whe­ther bac­te­ria live in the fro­zen regi­ons of our pla­net that are resistant to anti­bio­tics? We likely don’t need to worry about released kil­ler bac­te­ria, as most orga­nisms can’t even sur­vi­ve at 37°C (our body tem­pe­ra­tu­re). Howe­ver, mel­ting pro­ces­ses, which have increased signi­fi­cant­ly due to cli­ma­te chan­ge, can lead to the­se resistant bac­te­ria rea­ching other regi­ons. Gla­cier melt­wa­ter even­tual­ly ends up in human sett­le­ments, car­ry­ing with it the­se par­ti­al­ly mul­ti-resistant orga­nisms. The­se, in turn, can share their genes with local bac­te­ria, effec­tively spre­a­ding anti­bio­tic resis­tance. Ulti­m­ate­ly, this trans­mis­si­on can also reach patho­gens, and that’s defi­ni­te­ly some­thing we want to avoid.

The poten­ti­al of anti­bio­tic-resistant bac­te­ria “washed ashore” by mel­ting pro­ces­ses is still bare­ly unders­tood, but it could play a cru­cial role in our under­stan­ding of the spread and con­tain­ment of anti­bio­tic resis­tance. It is, after all, a glo­bal phe­no­me­non and should be trea­ted as such becau­se medi­cal faci­li­ties are no more clo­sed sys­tems than gla­ciers, the Arc­tic, and Ant­ar­c­ti­ca are free from human influence.

Antibiotic Resistance Spread
Antibiotic Resistance Spread

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