Nature Communications (Apr 2025)

Global diversity and distribution of antibiotic resistance genes in human wastewater treatment systems

  • Congmin Zhu,
  • Linwei Wu,
  • Daliang Ning,
  • Renmao Tian,
  • Shuhong Gao,
  • Bing Zhang,
  • Jianshu Zhao,
  • Ya Zhang,
  • Naijia Xiao,
  • Yajiao Wang,
  • Mathew R. Brown,
  • Qichao Tu,
  • Global Water Microbiome Consortium,
  • Feng Ju,
  • George F. Wells,
  • Jianhua Guo,
  • Zhili He,
  • Per H. Nielsen,
  • Aijie Wang,
  • Yu Zhang,
  • Ting Chen,
  • Qiang He,
  • Craig S. Criddle,
  • Michael Wagner,
  • James M. Tiedje,
  • Thomas P. Curtis,
  • Xianghua Wen,
  • Yunfeng Yang,
  • Lisa Alvarez-Cohen,
  • David A. Stahl,
  • Pedro J. J. Alvarez,
  • Bruce E. Rittmann,
  • Jizhong Zhou

DOI
https://doi.org/10.1038/s41467-025-59019-3
Journal volume & issue
Vol. 16, no. 1
pp. 1 – 14

Abstract

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Abstract Antibiotic resistance poses a significant threat to human health, and wastewater treatment plants (WWTPs) are important reservoirs of antibiotic resistance genes (ARGs). Here, we analyze the antibiotic resistomes of 226 activated sludge samples from 142 WWTPs across six continents, using a consistent pipeline for sample collection, DNA sequencing and analysis. We find that ARGs are diverse and similarly abundant, with a core set of 20 ARGs present in all WWTPs. ARG composition differs across continents and is distinct from that of the human gut and the oceans. ARG composition strongly correlates with bacterial taxonomic composition, with Chloroflexi, Acidobacteria and Deltaproteobacteria being the major carriers. ARG abundance positively correlates with the presence of mobile genetic elements, and 57% of the 1112 recovered high-quality genomes possess putatively mobile ARGs. Resistome variations appear to be driven by a complex combination of stochastic processes and deterministic abiotic factors.