Integrating whole-genome sequencing data into quantitative risk assessment of foodborne antimicrobial resistance : a review of opportunities and challenges

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dc.contributor.author
Collineau, Lucie
Boerlin, Patrick
Carson, Carolee A.
Chapman, Brennan
Fazil, Aamir
Hetman, Benjamin
McEwen, Scott A.
Parmley, E. Jane
Reid-Smith, Richard J.
Taboada, Eduardo N.
Smith, Ben A.
dc.date.accessioned
2024-08-30T20:19:39Z
dc.date.available
2024-08-30T20:19:39Z
dc.date.issued
2019-05-21
dc.description - en
Whole-genome sequencing (WGS) will soon replace traditional phenotypic methods for routine testing of foodborne antimicrobial resistance (AMR). WGS is expected to improve AMR surveillance by providing a greater understanding of the transmission of resistant bacteria and AMR genes throughout the food chain, and therefore support risk assessment activities. This review explores opportunities and challenges of integrating WGS data into quantitative microbial risk assessment (QMRA) models that follow the Codex Alimentarius Guidelines for Risk Analysis of Foodborne AMR. We describe how WGS offers an opportunity to enhance the next-generation of foodborne AMR QMRA modeling. WGS has the potential to substantially improve the utility of foodborne AMR QMRA models. However, some degree of uncertainty remains in relation to the thresholds of genetic similarity to be used, as well as the degree of correlation between genotypic and phenotypic profiles. The latter could be improved using a functional approach based on prediction of microbial behavior from a combination of ‘omics’ techniques (e.g., transcriptomics, proteomics and metabolomics). We strongly recommend that methodologies to incorporate WGS data in risk assessment be included in any future revision of the Codex Alimentarius Guidelines for Risk Analysis of Foodborne AMR.
dc.description.abstract - en
Whole-genome sequencing (WGS) will soon replace traditional phenotypic methods for routine testing of foodborne antimicrobial resistance (AMR). WGS is expected to improve AMR surveillance by providing a greater understanding of the transmission of resistant bacteria and AMR genes throughout the food chain, and therefore support risk assessment activities. At this stage, it is unclear how WGS data can be integrated into quantitative microbial risk assessment (QMRA) models and whether their integration will impact final risk estimates or the assessment of risk mitigation measures. This review explores opportunities and challenges of integrating WGS data into QMRA models that follow the Codex Alimentarius Guidelines for Risk Analysis of Foodborne AMR. We describe how WGS offers an opportunity to enhance the next-generation of foodborne AMR QMRA modeling. Instead of considering all hazard strains as equally likely to cause disease, WGS data can improve hazard identification by focusing on those strains of highest public health relevance. WGS results can be used to stratify hazards into strains with similar genetic profiles that are expected to behave similarly, e.g., in terms of growth, survival, virulence or response to antimicrobial treatment. The QMRA input distributions can be tailored to each strain accordingly, making it possible to capture the variability in the strains of interest while decreasing the uncertainty in the model. WGS also allows for a more meaningful approach to explore genetic similarity among bacterial populations found at successive stages of the food chain, improving the estimation of the probability and magnitude of exposure to AMR hazards at point of consumption. WGS therefore has the potential to substantially improve the utility of foodborne AMR QMRA models. However, some degree of uncertainty remains in relation to the thresholds of genetic similarity to be used, as well as the degree of correlation between genotypic and phenotypic profiles. The latter could be improved using a functional approach based on prediction of microbial behavior from a combination of ‘omics’ techniques (e.g., transcriptomics, proteomics and metabolomics). We strongly recommend that methodologies to incorporate WGS data in risk assessment be included in any future revision of the Codex Alimentarius Guidelines for Risk Analysis of Foodborne AMR.
dc.identifier.doi
https://doi.org/10.3389/fmicb.2019.01107
dc.identifier.issn
1664-302X
dc.identifier.pubmedID
31231317
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/2913
dc.language.iso
en
dc.publisher
Frontiers
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
Food safety
Epidemiology
Genomics
dc.subject - fr
Santé
Salubrité des aliments
Épidémiologie
Génomique
dc.subject.en - en
Health
Food safety
Epidemiology
Genomics
dc.subject.fr - fr
Santé
Salubrité des aliments
Épidémiologie
Génomique
dc.title - en
Integrating whole-genome sequencing data into quantitative risk assessment of foodborne antimicrobial resistance : a review of opportunities and challenges
dc.type - en
Article
dc.type - fr
Article
local.acceptedmanuscript.articlenum
1107
local.article.journaltitle
Frontiers in Microbiology
local.article.journalvolume
10
local.pagination
1-18
local.peerreview - en
Yes
local.peerreview - fr
Oui
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