Papers

20 results
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Article Tier 2

Research progress on the origin, fate, impacts and harm of microplastics and antibiotic resistance genes in wastewater treatment plants

This review explores how microplastics and antibiotic resistance genes interact in wastewater treatment plants, where they can survive treatment and enter the environment together. The concern for human health is that these contaminants can travel through the food chain, potentially increasing illness from antibiotic-resistant infections.

2024 Scientific Reports 49 citations
Article Tier 2

Unveiling the Interactions Between the Antibiotic Resistome and Microplastics Influenced by Trace Elements and PPCPs in Wastewater Treatment Plants

Researchers monitored wastewater treatment plants containing microplastics, trace elements, and pharmaceutical/personal care products, finding that these co-occurring pollutants interact to influence the survival and spread of antibiotic-resistant bacteria and resistance genes through the treatment process.

2025 Utah State Research and Scholarship (Utah State University)
Article Tier 2

Microplastics shape microbial interactions and affect the dissemination of antibiotic resistance genes in different full-scale wastewater treatment plants

A study of three full-scale wastewater treatment plants found that microplastics were associated with increased spread of antibiotic resistance genes (ARGs), with microplastic surfaces appearing to facilitate microbial interactions that promote ARG transfer. This is a significant public health concern because wastewater plants that fail to fully remove microplastics may also be inadvertently accelerating the dissemination of antibiotic resistance into receiving waterways.

2023 The Science of The Total Environment 14 citations
Article Tier 2

Contribution of microplastic particles to the spread of resistances and pathogenic bacteria in treated wastewaters

Researchers studied microplastic particles collected from treated wastewater effluents and found that MPs harbored significantly higher loads of antibiotic resistance genes and pathogenic bacteria compared to surrounding water, suggesting MPs facilitate their environmental spread.

2021 Water Research 140 citations
Article Tier 2

Antibiotic resistance genes and virulence factors in the plastisphere in wastewater treatment plant effluent: Health risk quantification and driving mechanism interpretation

Researchers found that microplastics in treated wastewater carry significantly more disease-causing bacteria, antibiotic resistance genes, and virulence factors on their surfaces compared to the surrounding water. This means microplastics released from wastewater treatment plants into rivers and lakes could spread antibiotic-resistant infections, posing a direct risk to communities that rely on these water sources.

2024 Water Research 54 citations
Article Tier 2

Understanding the Interplay between Antimicrobial Resistance, Microplastics and Xenobiotic Contaminants: A Leap towards One Health?

This review examines the interplay between antimicrobial resistance, microplastics, and xenobiotic contaminants in the environment, highlighting how microplastics can serve as vectors for antibiotic-resistant bacteria and genes, posing combined threats to ecosystem and human health.

2022 International Journal of Environmental Research and Public Health 21 citations
Article Tier 2

The nexus of microplastics, food and antimicrobial resistance in the context of aquatic environment: Interdisciplinary linkages of pathways

This review examines how microplastics in aquatic environments serve as surfaces where bacteria can grow, share antibiotic resistance genes, and then enter the food chain through contaminated seafood. The combination of microplastic pollution and antimicrobial resistance creates a compounding threat, as resistant bacteria riding on plastic particles can survive water treatment and reach humans. The authors call for interdisciplinary research connecting environmental science and public health to address this growing risk.

2025 Journal of Contaminant Hydrology 7 citations
Article Tier 2

Interactions of microplastics, antibiotics and antibiotic resistant genes within WWTPs

This review examined the interactions between microplastics, antibiotics, and antibiotic resistance genes within wastewater treatment plants, analyzing how MPs serve as carriers for antimicrobial compounds and facilitate the spread of resistance in microbial communities.

2021 The Science of The Total Environment 145 citations
Article Tier 2

Antibiotic and Non-Antibiotic Determinants of Antimicrobial Resistance: Insights from Water Ecosystems

This review explains how non-antibiotic pollutants like heavy metals, biocides, and microplastics are contributing to antibiotic resistance in water systems, beyond the well-known problem of antibiotic overuse. Wastewater treatment plants are hotspots where these pollutants interact with bacteria, promoting the spread of resistance genes through mobile genetic elements. The findings are concerning for human health because drug-resistant bacteria from water environments can ultimately reach people through drinking water and food.

2024 ACS ES&T Water 10 citations
Article Tier 2

Decoding the microplastic Micro-interface: a complex Web of gene transfer and pathogenic threats in wastewater

Researchers used metagenomics to study how microplastic surfaces in wastewater treatment systems serve as hotspots for antibiotic resistance genes and pathogenic bacteria. They found that microplastic micro-interfaces supported more robust microbial networks and facilitated horizontal gene transfer of resistance and virulence genes more actively than surrounding environments. The study suggests that microplastics in wastewater may accelerate the spread of antibiotic resistance and increase pathogenicity risks.

2025 Environment International 1 citations
Article Tier 2

The Role of the Environment (Water, Air, Soil) in the Emergence and Dissemination of Antimicrobial Resistance: A One Health Perspective

This review examines how water, soil, and air act as reservoirs for antibiotic-resistant bacteria, with microplastics highlighted as one of several agents that help spread drug-resistant genes across environments. The findings matter for human health because microplastics can carry antibiotic-resistant bacteria from wastewater and agricultural runoff into water supplies and food systems.

2025 Antibiotics 16 citations
Article Tier 2

Impact of wastewater treatment plant effluent discharge on the antibiotic resistome in downstream aquatic environments: a mini review

This review summarizes how wastewater treatment plants release antibiotic-resistant bacteria and resistance genes into rivers and lakes through their treated water. Current treatment processes cannot fully remove these resistance factors, allowing them to spread in downstream water bodies and potentially reach humans through drinking water and the food chain. The review is relevant to microplastics research because microplastics in wastewater can serve as surfaces where resistant bacteria grow and spread.

2023 Frontiers of Environmental Science & Engineering 31 citations
Article Tier 2

The Role of Wastewater Treatment Plants in Dissemination of Antibiotic Resistance: Source, Measurement, Removal and Risk Assessment

This review examines how wastewater treatment plants handle antibiotic-resistant bacteria and their resistance genes, finding that current treatment processes do not fully remove them. Different levels of treatment show varying removal rates, and resistant bacteria can still be found in treated water released into the environment. While not directly about microplastics, the findings are relevant because microplastics in wastewater can carry antibiotic-resistant bacteria into waterways.

2024 Antibiotics 34 citations
Article Tier 2

Microplastics as hubs enriching antibiotic-resistant bacteria and pathogens in municipal activated sludge

Researchers demonstrated that microplastics in municipal wastewater treatment plants act as "hubs," selectively concentrating antibiotic-resistant bacteria and pathogens in their surface biofilms, with antibiotic-resistance genes enriched up to 4.5-fold compared to sand particles — raising concerns about microplastics spreading drug-resistant microbes into the environment.

2021 Journal of Hazardous Materials Letters 181 citations
Article Tier 2

Microplastics exhibit accumulation and horizontal transfer of antibiotic resistance genes

Researchers investigated whether microplastics in wastewater treatment plants can accumulate and spread antibiotic resistance genes. They found that bacteria growing on microplastic surfaces in treatment tanks harbored antibiotic resistance genes and transferred them at higher rates than bacteria in the surrounding water. This suggests microplastics in wastewater systems may serve as hotspots for spreading antibiotic resistance, posing potential risks to both ecosystems and human health.

2023 Journal of Environmental Management 49 citations
Article Tier 2

The interplay between antimicrobial resistance, heavy metal pollution, and the role of microplastics

This review explores the three-way connection between microplastics, heavy metals, and antibiotic resistance in the environment. Microplastics serve as surfaces where bacteria form biofilms and exchange resistance genes, while heavy metals have been driving bacterial resistance for billions of years through similar genetic mechanisms. Together, these pollutants create hotspots where dangerous antibiotic-resistant bacteria can develop and spread.

2025 Frontiers in Microbiology 39 citations
Article Tier 2

Unveiling the Interactions Between the Antibiotic Resistome and Microplastics Influenced by Trace Elements and PPCPs in Wastewater Treatment Plants

This study investigated how microplastics, trace elements (copper and zinc), and pharmaceuticals/personal care products interact in wastewater treatment plants to influence the spread of antibiotic resistance genes. The findings revealed that co-occurrence of these pollutants promoted the persistence and spread of the antibiotic resistome beyond what any individual contaminant caused.

2025 Digital Commons - USU (Utah State University)
Article Tier 2

Interactions between microplastics and microbiota in a One Health perspective

This review examines how microplastics interact with microbial communities across human, animal, and environmental settings using a One Health framework. Microplastics disrupt the normal balance of microbiota in the gut, soil, and water, and serve as surfaces where harmful bacteria and antibiotic resistance genes accumulate and spread. The authors argue that understanding these microplastic-microbe interactions across all domains of life is essential for protecting both ecosystem and human health.

2025 One Health 8 citations
Article Tier 2

Microplastics and Antibiotic Resistance: The Magnitude of the Problem and the Emerging Role of Hospital Wastewater

This review examines how microplastics in water can carry antibiotic-resistant bacteria and spread resistance genes, especially through hospital wastewater. Microplastics provide a surface where bacteria easily form colonies and share resistance genes, creating a potential threat to human health. The authors call for better wastewater management to reduce this emerging risk.

2023 International Journal of Environmental Research and Public Health 71 citations
Article Tier 2

Environmental pollution as a critical driver of antimicrobial resistance emergence

Researchers argue that environmental pollution — including microplastics, antibiotics, and heavy metals — is fueling the spread of antimicrobial resistance (AMR) by allowing bacteria to swap resistance genes in rivers, soils, and wastewater, yet most global AMR policies still ignore environmental pathways. The authors call for stricter discharge limits and better monitoring of contaminated environments as part of a One Health approach.

2025 Discover Environment