Bacterial Membrane Vesicles in Wastewater Disseminate Antibiotic Resistance Genes

Abstract

Bacterial membrane vesicles (BMVs) have emerged as important contributors to the dissemination of antibiotic resistance genes (ARGs) in the environment. Here, we developed a high-performance immunomagnetic isolation method that improves the purity and selectivity of BMV recovery from wastewater, minimizes contamination from eDNA and viruses, and enables differentiation of BMVs originating from Gram-positive versus Gram-negative bacteria with minimal cross-reactivity. Using this approach, we found that ARGs such as the kanamycin resistance gene (kanR) was highly abundant in BMVs from both raw and treated wastewater, exhibited persistence following treatment, and retained the ability to generate antibiotic-resistant bacteria via transformation. Metagenomic sequencing further revealed that tetracycline resistance genes were the most abundant ARG class across all wastewater samples, while the composition of BMV-associated ARGs differed from the bulk ARG profile. These findings highlight the critical yet underrecognized role of BMVs in the spread of antimicrobial resistance and underscore the need to address BMV-mediated pathways within a One Health framework linking environmental and human health.