Metals are overlooked in the evolution of antibiotic resistance

Yi Zhao*, Rui Xu, Siobhan F. Cox, Min Qiao, Huaming Guo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The rapid development of antibiotic resistance is occurring at a global scale. Wetherefore stride into the post-antibiotic era and have to battle antibiotic resistancein the Anthropocene. Metals are widely used and their pollution is widespreadworldwide. More importantly, metal-induced co-selection greatly expands theenvironmental resistomes and increases the health risk of antibiotic resistancein environments. Here, we reviewed the metal-induced co-selection and theirincreasingly important roles in the development of antibiotic resistance. Inparticular, we highlight the metal-rich environments that maintain reservoirs forhigh-risk antibiotic resistance genes with horizontally transferable potentials. Wealso call for considerations and further investigations of other co-selectiveagents and the efficacy of metal-based interventions to better manage andcombat the global antibiotic resistance crisis within the One Health framework.
Original languageEnglish
Article number240244
JournalSoil Ecology Letters
Issue number4
Publication statusPublished - 12 Apr 2024


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