Alawi, Marwa (2024) Antimicrobial Resistance in Irish Private Drinking Water Supplies and Novel Treatments. PhD thesis, National University of Ireland Maynooth.
![2027-Marwa Alawi Thesis.pdf [thumbnail of 2027-Marwa Alawi Thesis.pdf]](https://mural.maynoothuniversity.ie/style/images/fileicons/text.png)
2027-Marwa Alawi Thesis.pdf
Restricted to Repository staff only until 1 January 2027.
Available under License Creative Commons Attribution Non-commercial Share Alike.
Download (9MB)
Abstract
Antimicrobial resistance (AMR) is jeopardising the efficacy of current and future antimicrobial
agents, with the environment as a reservoir for AMR being notably underrepresented in the One
Health framework. However, drinking water has emerged as a potential environmental route of
transmission of AMR. Irish private drinking water supplies (PDWS) are particularly vulnerable
to AMR contamination due to poorer microbiological quality than public supplies. An absence of
guidelines that recognise AMR bacteria (ARB) and genes (ARGs) as contaminants of drinking
water has limited our knowledge on the contribution of PDWS in the spread and persistence of
AMR. Furthermore, AMR plasmids are particularly concerning within One Health, as they can
independently mobilise between and across species, and ecosystems.
With the support of citizen science, we investigated the bacterial reservoirs of AMR in Irish
PDWS and explored the potential of alkyl α-D-mannopyranosides to reduce the transmission of
MDR plasmids via inhibition of biofilms amongst Escherichia coli.
Irish PDWS were confirmed reservoirs of both commensal and clinically relevant ARB. Bacteria
resistant to last-line antimicrobials were identified as carbapenem-resistant H. alvei and linezolid�resistant Enterococcussp. Opportunistic and potentially pathogenic isolates of E. coli, E. cloacae,
Enterococcus casseliflavus, Stenotrophomonas maltophilia, and Serratia rubidaea harboured
MDR phenotypes. In E. coli, this was attributed to conjugative plasmids, IncP-1α, IncFIA and
IncFIB. Whole genome sequencing of two E. coli isolates harbouring IncFIB revealed virulence
factors and clinically relevant ARGs such as phenicol- (floR, catI), aminoglycoside- (apha�variants), and β-lactam- (blaTEM-1) resistance genes. Exogenously captured plasmids also
harboured IncF, IncQ and Col-plasmids. In addition to the ARGs identified in E. coli, these plasmids additionally encoded clinically relevant ARGs such as the methyltransferase (cfrA),
tetracycline efflux (tetB) and broad-spectrum β-lactamase (blaTEM-116).
Investigations into a biofilm-inhibiting, next generation antimicrobial, revealed previously
unexplored conjugation inhibitor (COIN) activity against MDR F-plasmids. Heptyl α-D�mannopyranoside inhibited biofilms of a broad range of biofilm-forming E. coli strains at µg/mL
concentrations, with only a small impact on bacterial viability. In addition, heptyl α-D�mannopyranoside significantly reduced the transmission of MDR IncF plasmids of both clinical
(pEK499) and environmental (pEN154, pEN500) background. However, limitations were
identified due to an increase in the conjugation of the R388 (IncW) plasmid.
Heptyl α-D-mannopyranoside failed to inhibit conjugation in the absence of FimH, demonstrating
the significance of FimH interactions. Further, the COIN potency of heptyl α-D-mannopyranoside
was determined – in large – by the plasmid host. We also uncovered COIN potential for the
galactose analogue, heptyl β-D-galactopyranoside, which demonstrated comparable COIN
activity on pEK499 (IncFIA/IncFII), but this was limited by concentration.
Overall, this thesis provides evidence that Irish PDWS are reservoirs of AMR. By accumulating
information regarding the movement and persistence of ARB and ARGs, efforts can be made to
mitigate the potential risk this poses to the Irish population. Moreover, the novel and promising
findings have unveiled a new class of COINs for the control of MDR plasmids amongst E. coli.
The work suggests that lectins may be used as an alternative target for COINs, a promising starting
point for future COIN studies.
Item Type: | Thesis (PhD) |
---|---|
Keywords: | Antimicrobial Resistance; Irish Private Drinking Water Supplies; Novel Treatments; |
Academic Unit: | Faculty of Science and Engineering > Biology |
Item ID: | 20097 |
Depositing User: | IR eTheses |
Date Deposited: | 26 Jun 2025 11:24 |
URI: | https://mural.maynoothuniversity.ie/id/eprint/20097 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
Repository Staff Only (login required)
Downloads
Downloads per month over past year