We believe that the PHASTER project will generate results with a direct impact on the scientific community, economic development, and society.
Expected scientific impact. This research project will provide a better understanding of the contribution of phages to the acquisition and spread of ARGs and their interaction with antibiotic compounds, even at extremely low concentrations. This is because exposure of antibiotic-resistant bacteria to stressors of anthropogenic origin may trigger gene transfer between bacteria via mobile genetic elements (e.g. phages). This warrants further studies to elucidate to what extent phage-mediated gene transfer contributes to antibiotic resistance and what preventive measures should be implemented to mitigate this potential risk. Thus, the high-quality scientific publications and outreach activities foreseen in this project will promote and strengthen the establishment of public and environmental health strategies and mitigation programs for reducing the impact of antibiotic resistance.
Expected economic/technological impact. Antibiotic resistance has become a global public health concern, which has developed over time, from resistance to single classes of antibiotics to multidrug resistance and extreme drug resistance, thereby increasing the challenge for the development of more effective antibiotics. According to the recent report from the Antimicrobial Resistance Collaborators, every year approximately 1.3 million deaths directly attributable to antibiotic resistance worldwide. Moreover, antibiotic resistance is responsible for costs about 1.1 billion Euros to the health care system of European countries. Therefore, the role of phages deserves special attention considering the wide array of mechanisms by which ARGs may spread among bacteria and eventually to human pathogens. The results of this research are expected to provide clues for a better understanding of the evolutionary pathways through which antibiotic resistance determinants spread within microbial communities.
Expected societal impact. This project will make a significant and tangible contribution towards the mechanisms and pathways by which antibiotic resistance evolves and spreads, which will permit the implementation of appropriate public health strategies, policies, and mitigation programs for reducing their impact on the public and environmental health. If it is successful, this project will have future tangible impacts on the overall human and environmental health by providing information on to what extent phage-mediated gene transfer contributes to antibiotic resistance, as well as on what factors facilitate this gene transfer. In this context, the main goal of PHASTER is to contribute to achieving the objectives of the European One Health Action Plan against antibiotic resistance and the WHO Global Action Plan on antibiotic resistance, which are aimed at reducing the impact of this phenomenon on human, animal, and environmental health.