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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2023.1221478</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>On the use of antibiotics to control plant pathogenic bacteria: a genetic and genomic perspective</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Verhaegen</surname>
<given-names>Marie</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1156742/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bergot</surname>
<given-names>Thomas</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liebana</surname>
<given-names>Ernesto</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stancanelli</surname>
<given-names>Giuseppe</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Streissl</surname>
<given-names>Franz</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mingeot-Leclercq</surname>
<given-names>Marie-Paule</given-names>
</name>
<xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/975767/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mahillon</surname>
<given-names>Jacques</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/163966/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bragard</surname>
<given-names>Claude</given-names>
</name>
<xref rid="aff4" ref-type="aff"><sup>4</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/45482/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laboratory of Food and Environmental Microbiology, Earth and Life Institute, Catholic University of Louvain (UCLouvain)</institution>, <addr-line>Louvain-la-Neuve</addr-line>, <country>Belgium</country></aff>
<aff id="aff2"><sup>2</sup><institution>European Food Safety Authority (EFSA)</institution>, <addr-line>Parma</addr-line>, <country>Italy</country></aff>
<aff id="aff3"><sup>3</sup><institution>Cellular and Molecular Pharmacology Unit, Louvain Drug Research Institute, UCLouvain</institution>, <addr-line>Woluwe-Saint-Lambert</addr-line>, <country>Belgium</country></aff>
<aff id="aff4"><sup>4</sup><institution>Plant Health Laboratory, Earth and Life Institute, UCLouvain</institution>, <addr-line>Louvain-la-Neuve</addr-line>, <country>Belgium</country></aff>
<author-notes>
<fn id="fn0001" fn-type="edited-by">
<p>Edited by: Elisabeth Grohmann, Berlin Technical University of Applied Sciences, Germany</p>
</fn>
<fn id="fn0002" fn-type="edited-by">
<p>Reviewed by: Alexander N. Ignatov, Peoples&#x2019; Friendship University of Russia, Russia; Antonio Busquets Bisbal, University of the Balearic Islands, Spain</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Claude Bragard, <email>claude.bragard@uclouvain.be</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1221478</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>05</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>06</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Verhaegen, Bergot, Liebana, Stancanelli, Streissl, Mingeot-Leclercq, Mahillon and Bragard.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Verhaegen, Bergot, Liebana, Stancanelli, Streissl, Mingeot-Leclercq, Mahillon and Bragard</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Despite growing attention, antibiotics (such as streptomycin, oxytetracycline or kasugamycin) are still used worldwide for the control of major bacterial plant diseases. This raises concerns on their potential, yet unknown impact on antibiotic and multidrug resistances and the spread of their genetic determinants among bacterial pathogens. Antibiotic resistance genes (ARGs) have been identified in plant pathogenic bacteria (PPB), with streptomycin resistance genes being the most commonly reported. Therefore, the contribution of mobile genetic elements (MGEs) to their spread among PPB, as well as their ability to transfer to other bacteria, need to be further explored. The only well-documented example of ARGs vector in PPB, Tn<italic>5393</italic> and its highly similar variants (carrying streptomycin resistance genes), is concerning because of its presence outside PPB, in <italic>Salmonella enterica</italic> and <italic>Klebsiella pneumoniae</italic>, two major human pathogens. Although its structure among PPB is still relatively simple, in human- and animal-associated bacteria, Tn<italic>5393</italic> has evolved into complex associations with other MGEs and ARGs. This review sheds light on ARGs and MGEs associated with PPB, but also investigates the potential role of antibiotic use in resistance selection in plant-associated bacteria.</p>
</abstract>
<kwd-group>
<kwd>antibiotic resistance</kwd>
<kwd>
<italic>Erwinia amylovora</italic>
</kwd>
<kwd>horizontal gene transfer</kwd>
<kwd>one health</kwd>
<kwd>plant pathogenic bacteria</kwd>
<kwd>
<italic>strA-strB</italic>
</kwd>
<kwd>streptomycin</kwd>
<kwd>Tn<italic>5393</italic></kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="143"/>
<page-count count="17"/>
<word-count count="15131"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Antimicrobials, Resistance and Chemotherapy</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<label>1.</label>
<title>Introduction</title>
<p>Plant pathogenic bacteria (PPB) cause devastating losses of crops worldwide, notably in vineyards, pear and apple orchards, estimated from one billion dollars every year (<xref ref-type="bibr" rid="ref67">Mansfield et al., 2012</xref>; <xref ref-type="bibr" rid="ref50">Kannan et al., 2015</xref>) up to five billion euros (<xref ref-type="bibr" rid="ref97">S&#x00E1;nchez et al., 2019</xref>; <xref ref-type="bibr" rid="ref99">Schneider et al., 2020</xref>). To cite a few, PPB such as <italic>Erwinia amylovora</italic> (affecting mainly pear orchards), <italic>Xanthomonas oryzae</italic> (damaging rice cultures), <italic>Pseudomonas syringae</italic> pv. <italic>actinidiae</italic> (harmful to kiwi plantations) or <italic>Ralstonia solanacearum</italic> (impacting tomato yields) represent major concerns. Emerging bacterial plant diseases such as <italic>Candidatus</italic> Liberibacter sp. (also known as Huanglongbing on citrus) or <italic>Xylella fastidiosa</italic>, which is the causal agent of Pierce&#x2019;s disease of grapevine, citrus variegated chlorosis, olive quick decline syndrome and many other plant diseases, are growing threats. Therefore, on a worldwide scale, farmers often resort to antibiotics as a simple and effective tool for the control of bacterial diseases.</p>
<p>Although the amount of antibiotics used in plant protection is considered to be very low compared to human and veterinary medicine (<xref ref-type="bibr" rid="ref70">McGhee and Sundin, 2011</xref>; <xref ref-type="bibr" rid="ref71">McManus, 2014</xref>; <xref ref-type="bibr" rid="ref32">FAO, OIE, and WHO 2018</xref>; <xref ref-type="bibr" rid="ref117">Sundin and Wang, 2018</xref>), it has been suggested that their use may be more widespread than previously thought (<xref ref-type="bibr" rid="ref73">McManus et al., 2002</xref>; <xref ref-type="bibr" rid="ref71">McManus, 2014</xref>; <xref ref-type="bibr" rid="ref82">O&#x2019;Neill, 2015</xref>; <xref ref-type="bibr" rid="ref119">Taylor and Reeder, 2020</xref>). The amounts effectively applied on crops are difficult to assess due to the lack of precise monitoring in different parts of the world. Currently, antibiotics authorized as plant protection products (PPPs) are commonly grouped with fungicides, e.g., in the Food and Agriculture Organization (FAO) statistics, because specific antibiotics can also be antifungal agents. Presently, different legislations, such as in Europe and West Africa, do not authorize antibiotics as PPPs, while their use is, to some extent, allowed in the American and Asian continents. Five antibiotics are most regularly reported to be used in plant agriculture: streptomycin (the most used antibiotic worldwide), oxytetracycline, kasugamycin, oxolinic acid (OA) and gentamicin (<xref ref-type="bibr" rid="ref71">McManus, 2014</xref>; <xref ref-type="bibr" rid="ref117">Sundin and Wang, 2018</xref>; <xref ref-type="bibr" rid="ref75">Miller et al., 2022</xref>).</p>
<p>The application of antibiotics to plants exerts selective pressure on plant-associated bacteria, which can lead to the development of antibiotic resistance. Four main mechanisms result in bacterial antibiotic resistances: (i) inactivation of the antibiotic itself, (ii) reduction of its penetration (e.g., alteration of the cell membrane resulting in decreased permeability) or active elimination via efflux pumps, (iii) modification of the antibiotic targets, and (iv) use of alternative pathways [for reviews on antibiotic resistance mechanisms, refer to (<xref ref-type="bibr" rid="ref3">Alekshun and Levy, 2007</xref>; <xref ref-type="bibr" rid="ref123">Van Hoek et al., 2011</xref>; <xref ref-type="bibr" rid="ref9">Blair et al., 2015</xref>; <xref ref-type="bibr" rid="ref77">Munita and Arias, 2016</xref>)]. Bacteria have a high potential to acquire resistance to antibiotics, either through chromosomal mutations or <italic>via</italic> horizontal gene transfer (HGT) of antibiotic resistance genes (ARGs).</p>
<p>On the one hand, spontaneous gene mutations associated with the mechanism of action of the antibiotic can lead to cell survival. A resistant subpopulation can emerge and become prominent as the initial susceptible population will die (<xref ref-type="bibr" rid="ref77">Munita and Arias, 2016</xref>). On the other hand, genetic material can be horizontally transferred through three main mechanisms (<xref ref-type="bibr" rid="ref22">Dagan, 2011</xref>; <xref ref-type="bibr" rid="ref39">Gyles and Boerlin, 2014</xref>): (i) transformation, which happens when a recipient cell is able to integrate free DNA found in the extracellular medium, (ii) transduction, where a bacteriophage (a bacterial virus) is involved in the gene transfer, and (iii) conjugation, that requires direct contact between two living cells for the exchange of genetic material. Mobile genetic elements (MGEs) can serve as vectors for the transfer of genetic material, either as intracellular, moving from one location to another within the same genome (e.g., insertion sequences or transposons), or intercellular elements, transferred from one cell to another (e.g., conjugative plasmids or integrative and conjugative elements, aka ICEs; <xref ref-type="bibr" rid="ref86">Partridge et al., 2018</xref>).</p>
<p>The extent to which the use of antibiotics in plant agriculture could impact the global antibiotic resistance issue is unknown. The present review focuses on ARGs and MGEs associated with PPB. It highlights the potential correlation between the use of antibiotics against bacterial plant pathogens and the appearance of resistance. It also gathers critical information to be taken into account for risk assessments performed during the authorization process of an antibiotic for plant protection purposes.</p>
</sec>
<sec id="sec2">
<label>2.</label>
<title>Antibiotics used to control plant pathogenic bacteria</title>
<p>There are five major antibiotics most commonly used throughout the world against PPB (streptomycin, oxytetracycline, kasugamycin, oxolinic acid and gentamicin), although at least 15 have been identified as being used against plant diseases (<xref rid="tab1" ref-type="table">Table 1</xref>; <xref ref-type="bibr" rid="ref71">McManus, 2014</xref>; <xref ref-type="bibr" rid="ref117">Sundin and Wang, 2018</xref>; <xref ref-type="bibr" rid="ref119">Taylor and Reeder, 2020</xref>; <xref ref-type="bibr" rid="ref75">Miller et al., 2022</xref>). They belong to eight different classes of antibiotics but the most prevalent are the aminoglycosides and &#x03B2;-lactams (<xref rid="tab1" ref-type="table">Table 1</xref>). Among the top five, only kasugamycin is not used in human nor in veterinary medicine (<xref ref-type="bibr" rid="ref53">Kumar et al., 2005</xref>; <xref ref-type="bibr" rid="ref1">Aarestrup et al., 2008</xref>; <xref ref-type="bibr" rid="ref70">McGhee and Sundin, 2011</xref>; <xref ref-type="bibr" rid="ref71">McManus, 2014</xref>; <xref ref-type="bibr" rid="ref133">World Health Organization, 2019</xref>). This is also the case of other antibiotics, such as ningnanmycin, validamycin or zhongshengmycin, used in China. Potentially, more antibiotics could be used in plant protection, but their use is not well monitored and/or their efficacy has not been demonstrated. In addition, in some parts of the world, antibiotics are applied to plants even though they are not authorized, due to poor control of antibiotic sales and/or lack of knowledge from producers (<xref ref-type="bibr" rid="ref14">Chanvatik et al., 2019</xref>). Besides, there is a constant search for new antibiotics to fight plant diseases; for instance, penicillin shows great promises to combat citrus greening (<xref rid="SM1" ref-type="supplementary-material">Supplementary Table S1</xref>; <xref ref-type="bibr" rid="ref103">Shin et al., 2016</xref>).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Antibiotics used as PPPs, as of January 2023.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="center" valign="top" colspan="5">Antibiotics used as PPPs</th>
</tr>
<tr>
<th align="left" valign="middle">Class of antibiotic</th>
<th align="left" valign="middle">Antibiotic</th>
<th align="left" valign="middle">Countries or region</th>
<th align="left" valign="middle">PPB</th>
<th align="left" valign="middle">Reference(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="5">Aminoglycosides</td>
<td align="left" valign="top">Gentamicin</td>
<td align="left" valign="top">Chile, Costa Rica, El Salvador, Honduras, Guatemala, Mexico</td>
<td align="left" valign="top"><italic>Clavibacter michiganensis</italic> ssp. <italic>michiganensis, Erwinia amylovora, Pectobacterium carotovorum, Pectobacterium</italic> spp., <italic>Pseudomonas syringae</italic> pv. <italic>tomato, Pseudomonas</italic> spp., <italic>Ralstonia solanacearum, Ralstonia</italic> spp., <italic>Xanthomonas campestris</italic> pv. <italic>campestris</italic>,<break/> <italic>X. campestris</italic> pv. <italic>vesicatoria</italic>, <italic>Xanthomonas</italic> spp.</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref125">Vidaver (2002)</xref>, <xref ref-type="bibr" rid="ref94">Rodr&#x00ED;guez et al. (2006)</xref>, <xref ref-type="bibr" rid="ref108">Stockwell and Duffy (2012)</xref>, <xref ref-type="bibr" rid="ref117">Sundin and Wang (2018)</xref>, <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>, and <xref ref-type="bibr" rid="ref75">Miller et al. (2022)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Kasugamycin</td>
<td align="left" valign="top">Brazil, Canada, Japan, United States</td>
<td align="left" valign="top"><italic>Acidovorax avenae, Burkholderia glumae, E. amylovora</italic>, <italic>P. syringae</italic> pv. <italic>garcae</italic>, <italic>Xanthomonas oryzae</italic> pv<italic>. oryzae</italic></td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref138">Yashiro and McManus (2012)</xref>, <xref ref-type="bibr" rid="ref5">Barbosa et al. (2018)</xref>, <xref ref-type="bibr" rid="ref117">Sundin and Wang (2018)</xref>, and <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Streptomycin</td>
<td align="left" valign="top">Canada, Chile, China, Costa Rica, Hungary, Israel, Mexico, New Zealand, South Korea, Switzerland, United States</td>
<td align="left" valign="top"><italic>Candidatus</italic> Liberibacter sp., <italic>C. michiganensis, C. michiganensis</italic> ssp. <italic>michiganensis, E. amylovora, P. syringae</italic> pv. <italic>actinidiae</italic></td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref>, <xref ref-type="bibr" rid="ref79">N&#x00E9;meth (2004)</xref>, <xref ref-type="bibr" rid="ref94">Rodr&#x00ED;guez et al. (2006)</xref>, <xref ref-type="bibr" rid="ref108">Stockwell and Duffy (2012)</xref>, <xref ref-type="bibr" rid="ref13">Cameron and Sarojini (2014)</xref>, <xref ref-type="bibr" rid="ref127">Walsh et al. (2014)</xref>, <xref ref-type="bibr" rid="ref117">Sundin and Wang (2018)</xref>, <xref ref-type="bibr" rid="ref64">Lyu et al. (2019)</xref>, <xref ref-type="bibr" rid="ref74">McVay et al. (2019)</xref>, <xref ref-type="bibr" rid="ref122">Valenzuela et al. (2019)</xref>, <xref ref-type="bibr" rid="ref126">Vincent et al. (2019)</xref>, <xref ref-type="bibr" rid="ref45">Hijaz et al. (2020</xref>, <xref ref-type="bibr" rid="ref46">2021)</xref>, <xref ref-type="bibr" rid="ref51">Killiny et al. (2020)</xref>, <xref ref-type="bibr" rid="ref56">Lee et al. (2020)</xref>, <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>, and <xref ref-type="bibr" rid="ref75">Miller et al. (2022)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Validamycin</td>
<td align="left" valign="top">China</td>
<td align="left" valign="top"><italic>X. oryzae</italic> pv. <italic>oryzae</italic></td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref8">Bian et al. (2020)</xref> and <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Zhongshengmycin</td>
<td align="left" valign="top">China</td>
<td align="left" valign="top"><italic>X. oryzae</italic> pv. <italic>oryzae</italic></td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref130">Wang Q. et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Macrolides</td>
<td align="left" valign="top">Aureofungin</td>
<td align="left" valign="top">South East Asia</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Nucleosides</td>
<td align="left" valign="top">Ningnanmycin</td>
<td align="left" valign="top">Western Pacific</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Quinolones</td>
<td align="left" valign="top">Oxolinic acid</td>
<td align="left" valign="top">Israel, Western Pacific</td>
<td align="left" valign="top">
<italic>E. amylovora</italic>
</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref>, <xref ref-type="bibr" rid="ref108">Stockwell and Duffy (2012)</xref>, <xref ref-type="bibr" rid="ref117">Sundin and Wang (2018)</xref>, <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>, <xref ref-type="bibr" rid="ref21">Dafny-Yelin et al. (2021)</xref>, and <xref ref-type="bibr" rid="ref75">Miller et al. (2022)</xref></td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Tetracyclines</td>
<td align="left" valign="top">Oxytetracycline</td>
<td align="left" valign="top">Brazil, Costa Rica, Mexico, United States</td>
<td align="left" valign="top"><italic>Ca.</italic> Liberibacter sp., <italic>E. amylovora</italic>, <italic>Pectobacterium</italic> spp., <italic>Pseudomonas</italic> spp., <italic>X. campestris</italic> pv. <italic>viticola, Xanthomonas</italic> spp.</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref>, <xref ref-type="bibr" rid="ref94">Rodr&#x00ED;guez et al. (2006)</xref>, <xref ref-type="bibr" rid="ref108">Stockwell and Duffy (2012)</xref>, <xref ref-type="bibr" rid="ref78">Naue et al. (2014)</xref>, <xref ref-type="bibr" rid="ref117">Sundin and Wang (2018)</xref>, <xref ref-type="bibr" rid="ref74">McVay et al. (2019)</xref>, <xref ref-type="bibr" rid="ref126">Vincent et al. (2019)</xref>, <xref ref-type="bibr" rid="ref45">Hijaz et al. (2020)</xref>, <xref ref-type="bibr" rid="ref51">Killiny et al. (2020)</xref>, <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>, <xref ref-type="bibr" rid="ref46">Hijaz et al. (2021)</xref>, and <xref ref-type="bibr" rid="ref75">Miller et al. (2022)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Tetracycline</td>
<td align="left" valign="top">India, Thailand</td>
<td align="left" valign="top"><italic>Ca.</italic> Liberibacter sp., <italic>Candidatus</italic> Phytoplasma sp.</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref>, <xref ref-type="bibr" rid="ref117">Sundin and Wang (2018)</xref>, <xref ref-type="bibr" rid="ref14">Chanvatik et al. (2019)</xref>, <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>, and <xref ref-type="bibr" rid="ref92">Rao (2021)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Thiadiazol</td>
<td align="left" valign="top">Bismerthiazol</td>
<td align="left" valign="top">China</td>
<td align="left" valign="top"><italic>X. oryzae</italic> pv. <italic>oryzae</italic></td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref135">Yang et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4">&#x03B2;-lactams</td>
<td align="left" valign="top">Amoxicillin</td>
<td align="left" valign="top">Thailand</td>
<td align="left" valign="top"><italic>Ca.</italic> Liberibacter sp.</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref14">Chanvatik et al. (2019)</xref> and <xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Ampicillin</td>
<td align="left" valign="top">Thailand</td>
<td align="left" valign="top"><italic>Ca.</italic> Liberibacter sp.</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref14">Chanvatik et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Cefadroxil</td>
<td align="left" valign="top">America</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref119">Taylor and Reeder (2020)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Penicillins</td>
<td align="left" valign="top">Thailand</td>
<td align="left" valign="top"><italic>Ca.</italic> Liberibacter sp.</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref14">Chanvatik et al. (2019)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>NA, information not available. A selection of antibiotics tested as PPPs can be found in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S1</xref>.</p>
</table-wrap-foot>
</table-wrap>
<p>Globally, the use of antibiotics is permitted in the American and Asian continents but currently not approved in Europe (even if some limited derogations were accepted in the past) and West Africa (<xref rid="fig1" ref-type="fig">Figure 1</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S2</xref>). However, it is rather difficult to accurately list countries authorizing their use as PPPs, not only because available data are limited (<xref rid="tab1" ref-type="table">Table 1</xref>), but also because the official lists of authorized pesticides are often available in the country&#x2019;s official language only. Moreover, many countries suffer from a lack of monitoring of the use of antibiotics on plants. In fact, to the best of our knowledge, only three countries release information on the amounts used on crops: the United States, New Zealand and India.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>World map of countries where antibiotics are used as PPPs, compiled from scientific and grey literature searches screening the official list of authorized pesticides, when available, as of July 20, 2022 (list can be found in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S2</xref>). One hundred and ninety-five countries were considered, references could be found for more than 100 countries with around 70 with a clear indication that antibiotic use is not authorized in plants and around 30 countries with an indication of authorization. Numbers refer to the number of antibiotics used in each country. These data must be used with caution since legislations are subjected to rapid changes.</p>
</caption>
<graphic xlink:href="fmicb-14-1221478-g001.tif"/>
</fig>
</sec>
<sec id="sec3">
<label>3.</label>
<title>Antibiotic resistance associated with plant pathogenic bacteria</title>
<p>Several ARGs have been identified in PPB, mainly for the five main antibiotics used in plant protection. Also, the best documented ARGs are the streptomycin resistance genes, while the mechanisms involved in the other resistances are less known (<xref rid="tab2" ref-type="table">Table 2</xref>; <xref ref-type="bibr" rid="ref71">McManus, 2014</xref>; <xref ref-type="bibr" rid="ref117">Sundin and Wang, 2018</xref>; <xref ref-type="bibr" rid="ref75">Miller et al., 2022</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Antibiotic resistance mechanisms found in PPB, associated to the antibiotics used as PPPs.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Antibiotic</th>
<th align="left" valign="middle">Class of antibiotic (general mode of action)</th>
<th align="left" valign="middle">ARG(s) or gene modification leading to resistance</th>
<th align="left" valign="middle">Type of resistance</th>
<th align="left" valign="middle">Antibiotic resistance phenotype</th>
<th align="left" valign="middle">Reference(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Gentamicin</td>
<td align="left" valign="top">Aminoglycosides (protein synthesis inhibitors)</td>
<td align="left" valign="top">
<italic>aacA3</italic>
</td>
<td align="left" valign="top">Gene acquisition (antibiotic inactivation)</td>
<td align="left" valign="top"><italic>aacA3</italic> encodes the aminoglycoside-3&#x2019;-<italic>N</italic>-acetyltransferase, which inactivates gentamicin</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref134">Xu et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Kasugamycin</td>
<td align="left" valign="top" rowspan="2">Aminoglycosides</td>
<td align="left" valign="top"><italic>aac(2&#x2032;)-IIa</italic> (acyltransferase)</td>
<td align="left" valign="top">Gene acquisition (antibiotic inactivation)</td>
<td align="left" valign="top">Acetylation of the 2&#x2032;-amino residue of kasugamycin, which inactivates the antibiotic</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref139">Yoshii et al. (2012</xref>, <xref ref-type="bibr" rid="ref140">2015)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Deletion of <italic>opp</italic> and <italic>dpp</italic> (two permeases)</td>
<td align="left" valign="top">Deletion (reduced permeability)</td>
<td align="left" valign="top">Opp and Dpp are two major peptide ATP-binding cassette transporter systems. When deleted, kasugamycin cannot enter the cell</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref37">Ge et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Streptomycin</td>
<td align="left" valign="top" rowspan="3">Aminoglycosides</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">Gene acquisition (antibiotic modification)</td>
<td align="left" valign="top"><italic>strA-strB</italic> encode phosphostranferases (aph(3&#x2033;)-Ib and aph(6)-Id respectively) that modify streptomycin into a non-toxic form</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref16">Chiou and Jones (1993</xref>, <xref ref-type="bibr" rid="ref17">1995a)</xref>, <xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref>, and <xref ref-type="bibr" rid="ref33">F&#x00F6;rster et al. (2015)</xref></td>
</tr>
<tr>
<td align="left" valign="top">
<italic>rpsL</italic>
</td>
<td align="left" valign="top">Point mutation (modification of the antibiotic targets)</td>
<td align="left" valign="top"><italic>rpsL</italic> encodes the ribosomal protein S12. Point mutations occur at codon 43 or rarely at codon 88 or 128, which prevent streptomycin to bind the ribosome</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref18">Chiou and Jones (1995b)</xref>, <xref ref-type="bibr" rid="ref6">Barnard et al. (2010)</xref>, <xref ref-type="bibr" rid="ref142">Zhang et al. (2011)</xref>, <xref ref-type="bibr" rid="ref33">F&#x00F6;rster et al. (2015)</xref>, and <xref ref-type="bibr" rid="ref27">Escursell et al. (2021)</xref></td>
</tr>
<tr>
<td align="left" valign="top">
<italic>aadA1, aadA2</italic>
</td>
<td align="left" valign="top">Gene acquisition (antibiotic modification)</td>
<td align="left" valign="top"><italic>aadA</italic> genes encode aminoglycoside adenylyltransferases inactivating streptomycin</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref98">Schnabel and Jones (1999)</xref> and <xref ref-type="bibr" rid="ref134">Xu et al. (2013)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Zhongshengmycin</td>
<td align="left" valign="top">Aminoglycosides</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">Increasing fatty acid biosynthesis</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref130">Wang Q. et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Bismerthiazol</td>
<td align="left" valign="top">Thiadiazol (inhibitor of histidine utilization pathway and quorum sensing)</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref144">Zhu et al. (2013)</xref> and <xref ref-type="bibr" rid="ref57">Liang et al. (2018)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Oxolinic acid</td>
<td align="left" valign="top">Quinolones (inhibitors of nucleic acids synthesis)</td>
<td align="left" valign="top">GyrA83 mutation</td>
<td align="left" valign="top">Point mutation (modification of the antibiotic targets)</td>
<td align="left" valign="top"><italic>gyrA</italic> encodes the DNA gyrase subunit A. The exact mechanisms are not defined yet</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref66">Maeda et al. (2007b)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Oxytetracycline</td>
<td align="left" valign="top">Tetracyclines (protein synthesis inhibitors)</td>
<td align="left" valign="top">
<italic>tetC</italic>
</td>
<td align="left" valign="top">Gene acquisition (active elimination)</td>
<td align="left" valign="top">Efflux of the antibiotic through a pump</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref42">Herbert et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Shenqinmycin</td>
<td align="left" valign="top">Heterocyclic antibiotic (phenazine) secreted by <italic>Pseudomonas</italic> spp. (accumulation of reactive oxygen species)</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">Probably point mutation</td>
<td align="left" valign="top">Reduction of reactive oxygen species (ROS) production and/or increasing ability to metabolize ROS. The exact mechanisms are not defined yet</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref84">Pan et al. (2018)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>NA, information not available.</p>
</table-wrap-foot>
</table-wrap>
<sec id="sec4">
<label>3.1.</label>
<title>Streptomycin resistance, mainly mediated by Tn<italic>5393</italic></title>
<p>Streptomycin is used in plant protection against various PPB since the 1950s. The most common target of streptomycin is <italic>Erwinia amylovora</italic>, the causal agent of fire blight, which infects apple and pear trees, targeting leaves, flowers and shoots. Streptomycin is usually sprayed during bloom (<xref ref-type="bibr" rid="ref73">McManus et al., 2002</xref>; <xref ref-type="bibr" rid="ref117">Sundin and Wang, 2018</xref>).</p>
<p>Several mechanisms can be responsible for streptomycin resistance in PPB: (i) a point mutation of the <italic>rpsL</italic> gene, or (ii) the acquisition of <italic>strA-strB</italic> genes or <italic>aadA</italic> genes (<xref rid="tab2" ref-type="table">Table 2</xref>). Other mechanisms have been suggested but they have not yet been confirmed and characterized. In <italic>E. amylovora</italic>, 95% of a total of 107 strains isolated in Mexico showed a mutation at codon 43 in <italic>rpsL</italic>, but the other 5% did not show <italic>rpsL</italic> mutation and did not carry <italic>strA-strB</italic> or <italic>aadA</italic> genes. The unknown resistance mechanism was not further investigated (<xref ref-type="bibr" rid="ref23">de Le&#x00F3;n Door et al., 2013</xref>). In <italic>Clavibacter michiganensis</italic>, another potential mechanism for streptomycin resistance was also suggested but needs further investigation (<xref ref-type="bibr" rid="ref64">Lyu et al., 2019</xref>).</p>
<p>The <italic>rpsL</italic> gene encodes the ribosomal protein S12. A point mutation at codon 43 (mainly changing lysine (Lys) to arginine (Arg), rarely Lys to threonine or Lys to asparagine) prevents the binding of streptomycin to the ribosome. This mutation might be the most prevalent one since it retains a high environmental fitness even in the absence of streptomycin. Another less common mutation has been described at codon 88 (changing Lys to Arg). Both point mutations have been observed in various PPB (e.g., <italic>E. amylovora</italic>, <italic>C. michiganensis</italic> subsp. <italic>michiganensis</italic>, or <italic>in vitro</italic> in <italic>Xanthomonas oryzae</italic> pv. <italic>oryzicola</italic> or <italic>Erwinia carotovora</italic>, now named <italic>Pectobaterium carotovorum</italic>; <xref ref-type="bibr" rid="ref18">Chiou and Jones, 1995b</xref>; <xref ref-type="bibr" rid="ref6">Barnard et al., 2010</xref>; <xref ref-type="bibr" rid="ref142">Zhang et al., 2011</xref>; <xref ref-type="bibr" rid="ref122">Valenzuela et al., 2019</xref>; <xref ref-type="bibr" rid="ref27">Escursell et al., 2021</xref>). In one streptomycin resistant strain of <italic>C. michiganensis</italic>, a point mutation at the 128th nucleotide of <italic>rpsL</italic> (Lys to Arg) was responsible for the resistance (<xref ref-type="bibr" rid="ref64">Lyu et al., 2019</xref>). The <italic>rpsL</italic> chromosomal mutations might be the less worrying resistance mechanism because it is not prone to HGT.</p>
<p>Contrary to <italic>rpsL</italic> mutations, the acquisition of <italic>aadA</italic> or <italic>strA-strB</italic> genes requires more attention because of their presence on MGEs. Two alleles of <italic>aadA</italic> have been described, <italic>aadA1</italic>, the most prevalent allele, and <italic>aadA2</italic>. The <italic>aadA1</italic> gene was found in isolates of <italic>X. oryzae</italic> pv. <italic>oryzae</italic>, whereas <italic>aadA2</italic> conferred streptomycin resistance in a <italic>Pseudomonas</italic> strain (<xref ref-type="bibr" rid="ref98">Schnabel and Jones, 1999</xref>; <xref ref-type="bibr" rid="ref134">Xu et al., 2013</xref>). In <italic>X. oryzae</italic> pv. <italic>oryzae</italic>, three integrons carrying <italic>aadA1</italic> have been described, which was the first report of resistance integrons in PPB (see sections 3.5 and 3.6; <xref ref-type="bibr" rid="ref134">Xu et al., 2013</xref>).</p>
<p>The key actors in streptomycin resistance in PPB are the <italic>strA-strB</italic> genes, mainly found associated with Tn<italic>5393</italic>. This 6.7-kb transposon belongs to the Tn<italic>3</italic> family. In its most simple forms, it encodes a putative transposase (TnpA) and a resolvase (TnpR), followed by a putative recombination site (res), an insertion sequence (IS) element (IS<italic>1133</italic> in <italic>E. amylovora</italic>, IS<italic>6100</italic> in <italic>Xanthomonas campestris</italic>), and by the <italic>strA-strB</italic> genes (<xref rid="fig2" ref-type="fig">Figure 2</xref>). These two genes are commonly encountered in human pathogens and are responsible for many infections associated with streptomycin resistant bacteria (<xref ref-type="bibr" rid="ref16">Chiou and Jones, 1993</xref>; <xref ref-type="bibr" rid="ref113">Sundin and Bender, 1995</xref>; <xref ref-type="bibr" rid="ref33">F&#x00F6;rster et al., 2015</xref>). They are widely disseminated among Gram-negative bacterial pathogens and commensals from humans, probably because of streptomycin use in clinical contexts. The <italic>strA-strB</italic> genes are usually found on small plasmids, such as RSF1010 in human pathogens, while they are most commonly encoded on large conjugative plasmids in plant pathogens (<xref ref-type="bibr" rid="ref33">F&#x00F6;rster et al., 2015</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Schematic representations of the different variants of Tn<italic>5393</italic>, based on GenBank accession numbers and references reported in <xref rid="tab3" ref-type="table">Table 3</xref>. <italic>E. amylovora, P. syringae</italic> and <italic>X. campestris</italic> pv. <italic>vesicatoria</italic> are PPB, while <italic>Aeromonas</italic> sp., <italic>A. faecalis, S. enterica, Yersinia ruckeri</italic> and <italic>K. pneumoniae</italic> are human pathogenic and/or environmental bacteria. Tn<italic>5393</italic> was first identified in <italic>E. amylovora</italic> and the successive variants discovered were then named alphabetically. It is however possible that Tn<italic>5393</italic>c, devoid of internal IS elements, compared to Tn<italic>5393</italic>, is the original version (<xref ref-type="bibr" rid="ref76">Mindlin and Petrova, 2017</xref>). In this review, the original names of the different variants are used, but some publications have designated Tn<italic>5393</italic>c as Tn<italic>5393</italic> and Tn<italic>5393</italic>a as an IS<italic>1133</italic>-bearing variant. Also note than Tn<italic>5393k</italic> was described twice but the two versions were not identical and are distinguished here as Tn<italic>5393k</italic> and Tn<italic>5393k</italic>&#x2019;. Genes are not drawn to scale. Tc: truncated.</p>
</caption>
<graphic xlink:href="fmicb-14-1221478-g002.tif"/>
</fig>
<p>The <italic>strA-strB</italic> genes were identified in <italic>E. amylovora</italic> on plasmid pEA8.7, a plasmid very similar to the broad-host-range plasmid RSF1010, a 8.7-kb IncQ plasmid involved in streptomycin and sulfonamide resistances in bacterial human infections. It is non-conjugative but can be transferred horizontally through mobilization. Another RSF1010-like plasmid has also been observed in <italic>Erwinia herbicola</italic> in New Zealand, suggesting that IncQ plasmids of the RSF1010 family could be more widespread than previously thought (<xref ref-type="bibr" rid="ref83">Palmer et al., 1997</xref>). It is hypothesized that the <italic>strA-strB</italic> sequence on RSF1010 originated from the insertion of Tn<italic>5393</italic> into the ancestral plasmid from which RSF1010 evolved. Indeed, the right inverted repeat of Tn<italic>5393</italic> (located downstream of <italic>strB</italic>) is conserved downstream of <italic>strB</italic> in RSF1010. This IR sequence would be the only vestige of Tn<italic>5393</italic> on RSF1010. The <italic>strA-strB</italic> genes carried by RSF1010 diverged over time from the intact <italic>strA-strB</italic> genes encoded on Tn<italic>5393</italic> from plant pathogens (<xref ref-type="bibr" rid="ref110">Sundin, 2000</xref>).</p>
<p>Tn<italic>5393</italic> is found on a variety of plasmids (<xref rid="tab3" ref-type="table">Table 3</xref>). It was initially discovered on the large conjugative plasmid pEa34 (34&#x2009;kb) in <italic>E. amylovora</italic> (<xref ref-type="bibr" rid="ref15">Chiou, 1991</xref>; <xref ref-type="bibr" rid="ref16">Chiou and Jones, 1993</xref>). The spread of streptomycin resistance genes among <italic>E. amylovora</italic> or other bacteria (pathogenic or not) could thus be facilitated by this conjugative plasmid via HGT. Tn<italic>5393</italic> was also found on plasmid pEa29 from <italic>E. amylovora</italic>, where it can insert at several locations. This 29-kb plasmid is, unlike pEa34, unable to self-transfer to other strains, and is not related to pEa34. pEa29 is highly stable in <italic>E. amylovora</italic> and thus the integration of Tn<italic>5393</italic> suggests the stable establishment of the resistance in <italic>E. amylovora</italic> populations.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Organisms, main plasmid host and mobility, associated with the different variants of Tn<italic>5393</italic> (Tn<italic>5393</italic>a to Tn<italic>5393</italic>l and Tn<italic>5393</italic>n).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Organism</th>
<th align="left" valign="middle">Tn<italic>5393</italic> variant</th>
<th align="left" valign="middle">ARGs carried by the transposon</th>
<th align="left" valign="middle">Other MGEs present in the transposon</th>
<th align="left" valign="middle">Plasmid; mobility; other ARGs carried by the plasmid</th>
<th align="left" valign="middle">GenBank acc. Number</th>
<th align="left" valign="middle">Reference(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="3">
<italic>E. amylovora</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic></td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">IS<italic>1133</italic></td>
<td align="left" valign="top">pEa34; conjugative; none</td>
<td align="left" valign="top">M96392, M95402</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref15">Chiou (1991)</xref>, <xref ref-type="bibr" rid="ref16">Chiou and Jones (1993)</xref>, and <xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Tn<italic>5393</italic></td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">IS<italic>1133</italic></td>
<td align="left" valign="top">pEa29; non-conjugative; none</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref73">McManus et al. (2002)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Tn<italic>5393</italic>a</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">None</td>
<td align="left" valign="top">pEU30; conjugative; none</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref34">Foster et al. (2004)</xref> and <xref ref-type="bibr" rid="ref33">F&#x00F6;rster et al. (2015)</xref></td>
</tr>
<tr>
<td align="left" valign="top">
<italic>P. syringae</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic>a</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">None</td>
<td align="left" valign="top">pPSR1; conjugative; none</td>
<td align="left" valign="top">AY342395</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref34">Foster et al. (2004)</xref> and <xref ref-type="bibr" rid="ref115">Sundin et al. (2004)</xref></td>
</tr>
<tr>
<td align="left" valign="top"><italic>X. campestris</italic> pv. <italic>vesicatoria</italic></td>
<td align="left" valign="top">Tn<italic>5393</italic>b</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">IS<italic>6100</italic></td>
<td align="left" valign="top">pBV5-4a; ND; none</td>
<td align="left" valign="top">U20588</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref113">Sundin and Bender (1995)</xref> and <xref ref-type="bibr" rid="ref111">Sundin (2002)</xref></td>
</tr>
<tr>
<td align="left" valign="top">
<italic>A. salmonicida</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic>c</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">None</td>
<td align="left" valign="top">pRAS2; conjugative; <italic>sul2</italic>, <italic>tetA(31)</italic> and <italic>tetR(31)</italic></td>
<td align="left" valign="top">AF262622</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref54">L&#x2019;Ab&#x00E9;e-Lund and S&#x00F8;rum (2000)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>A. faecalis</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic>d</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>aphA6b</italic>, <italic>blaPER-1</italic></td>
<td align="left" valign="top">IS<italic>1012</italic><sub>L</sub> and Tn<italic>4176</italic> including IS<italic>1012</italic><sub>R</sub>, IS<italic>1387</italic>, IS<italic>1066</italic>, IS<italic>Pa12</italic>, IS<italic>Pa13</italic>, IS<italic>Ppu17</italic></td>
<td align="left" valign="top">pFL424; non-conjugative; none</td>
<td align="left" valign="top">AJ627643</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref68">Mantengoli and Rossolini (2005)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4"><italic>S. enterica</italic> sv. Typhimurium</td>
<td align="left" valign="top">Tn<italic>5393</italic>a</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">None</td>
<td align="left" valign="top">pSRC27-I (I1 type plasmid); conjugative; various (e.g., <italic>bla<sub>CMY-2</sub></italic>, <italic>aadA</italic>, <italic>aac3</italic>, <italic>sul1</italic>, <italic>tetB</italic>, <italic>tetAR</italic>, <italic>blaTEM-1</italic>, <italic>aphA</italic>)</td>
<td align="left" valign="top">CP058811</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref41">Harmer (2021)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Tn<italic>5393</italic>e</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>aphA1b</italic></td>
<td align="left" valign="top">Tn<italic>6023</italic> including IS<italic>26</italic></td>
<td align="left" valign="top">pSRC125; ND; <italic>sul1</italic>, <italic>dfrA5</italic>, <italic>tetA(B)</italic></td>
<td align="left" valign="top">GU562437</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref12">Cain and Hall (2011)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Tn<italic>5393</italic>k</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>aph(3&#x2032;)-Ib</italic></td>
<td align="left" valign="top">IS<italic>26</italic>, IS<italic>1</italic></td>
<td align="left" valign="top">pSW39; conjugative; <italic>aadA2</italic>, <italic>aph(3&#x2032;)-Ia</italic>, <italic>aac(6&#x2032;)-Ib-cr</italic>, <italic>bla<sub>DHA-1</sub></italic>, <italic>bla<sub>OXA-1</sub></italic>, <italic>arr-3</italic>, <italic>tetA</italic>, <italic>floR</italic>, <italic>catB4</italic>, <italic>qnrB4</italic>, <italic>aac(6&#x2032;)-Ib-cr</italic>, <italic>sul1</italic>, <italic>sfrA12</italic>, <italic>mphA</italic></td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref136">Yao et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Tn<italic>5393</italic>l</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>tetD(B), tetC(B), tetA(B), tetR(B)</italic></td>
<td align="left" valign="top">IS<italic>1133</italic>, Tn<italic>10</italic> including IS<italic>10</italic></td>
<td align="left" valign="top">R64; conjugative; none</td>
<td align="left" valign="top">AP005147</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref143">Zhang et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">Unidentified soil bacteria</td>
<td align="left" valign="top">Tn<italic>5393</italic>f</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">IS<italic>26</italic></td>
<td align="left" valign="top">pHH1107; conjugative; gene homologous to <italic>tetX</italic>, <italic>sul2</italic></td>
<td align="left" valign="top">FJ012881</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref43">Heuer et al. (2009)</xref>, and <xref ref-type="bibr" rid="ref12">Cain and Hall (2011)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Unidentified soil bacteria</td>
<td align="left" valign="top">Tn<italic>5393</italic>g</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>aacC3</italic></td>
<td align="left" valign="top">IS<italic>Kpn12</italic></td>
<td align="left" valign="top">pHHV35; conjugative; <italic>aacC2</italic>, <italic>sul2</italic></td>
<td align="left" valign="top">FJ012882</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref43">Heuer et al. (2009)</xref> and <xref ref-type="bibr" rid="ref12">Cain and Hall (2011)</xref></td>
</tr>
<tr>
<td align="left" valign="top"><italic>S. enterica</italic> sv. Kentucky</td>
<td align="left" valign="top">Tn<italic>5393</italic>h</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>tetA(B) and tetR</italic></td>
<td align="left" valign="top">IS<italic>1133</italic> and Tn<italic>10</italic> including IS<italic>10</italic></td>
<td align="left" valign="top">pCVM29188_146; conjugative; none</td>
<td align="left" valign="top">CP001122</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref36">Fricke et al. (2009)</xref> and <xref ref-type="bibr" rid="ref12">Cain and Hall (2011)</xref></td>
</tr>
<tr>
<td align="left" valign="top">
<italic>Yersinia ruckeri</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic>i</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>tetA(B) and tetR</italic></td>
<td align="left" valign="top">IS<italic>1133</italic> including Tn<italic>10</italic>, IS<italic>10</italic> and IS<italic>903</italic></td>
<td align="left" valign="top">pYR1; probably conjugative (carries genes essential for conjugative transfer); <italic>sul2</italic>, <italic>dhfrl</italic></td>
<td align="left" valign="top">CP000602</td>
<td align="left" valign="top"><xref ref-type="bibr" rid="ref131">Welch et al. (2007)</xref> and <xref ref-type="bibr" rid="ref12">Cain and Hall (2011)</xref></td>
</tr>
<tr>
<td align="left" valign="top">
<italic>K. pneumoniae</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic>j</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>aphA6</italic></td>
<td align="left" valign="top">IS<italic>Pa14</italic></td>
<td align="left" valign="top">pJEG011; conjugative; <italic>bla<sub>OXA-48</sub></italic>, <italic>bla<sub>CTX-M-14</sub></italic></td>
<td align="left" valign="top">KC354801</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref28">Espedido et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top"><italic>Aeromonas</italic> sp.</td>
<td align="left" valign="top">Tn<italic>5393</italic>k&#x2019;</td>
<td align="left" valign="top"><italic>strA-strB</italic>, <italic>aph(6)-Id</italic>, <italic>aph(3&#x2032;)-VIb</italic>, <italic>aph(3&#x2033;)-Ib</italic>, <italic>blaPER-1</italic></td>
<td align="left" valign="top">IS<italic>1012</italic><sub>L</sub> and Tn<italic>4176</italic> including IS<italic>1012</italic><sub>R</sub>, IS<italic>1387</italic>, IS<italic>1066</italic>, IS<italic>Pa12</italic>, IS<italic>Pa13</italic></td>
<td align="left" valign="top">ND</td>
<td align="left" valign="top">NA</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref2">Adamczuk and Dziewit (2017)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>A. caviae</italic>
</td>
<td align="left" valign="top">Tn<italic>5393</italic>n</td>
<td align="left" valign="top">
<italic>strA-strB</italic>
</td>
<td align="left" valign="top">IS<italic>Aeca7</italic></td>
<td align="left" valign="top">Chromosomic</td>
<td align="left" valign="top">CP084031</td>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref63">Luo et al. (2022)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>E. amylovora, P. syringae</italic> and <italic>X. campestris</italic> pv. <italic>vesicatoria</italic> are PPB, while <italic>Aeromonas</italic> sp., <italic>A. faecalis, S. enterica, Yersinia ruckeri</italic> and <italic>K. pneumoniae</italic> are human, animal, pathogenic or environmental bacteria. ND, not determined; NA, not available. Note that Tn5393k was described twice but the two versions were not identical and are distinguished here as <italic>Tn5393k</italic> and <italic>Tn5393k&#x2019;</italic>. The genetic organization of these Tn5393 variants is illustrated in <xref rid="fig2" ref-type="fig">Figure 2</xref>.</p>
</table-wrap-foot>
</table-wrap>
<p>Variants of Tn<italic>5393</italic> have been described (<xref rid="fig2" ref-type="fig">Figure 2</xref>; <xref rid="tab3" ref-type="table">Table 3</xref>). Tn<italic>5393</italic>a was identified in several strains of <italic>Pseudomonas syringae</italic> and <italic>Pseudomonas marginalis</italic>, and lacks the IS<italic>1133</italic> of Tn<italic>5393</italic> (<xref ref-type="bibr" rid="ref112">Sundin and Bender, 1993</xref>, <xref ref-type="bibr" rid="ref113">1995</xref>; <xref ref-type="bibr" rid="ref40">Han et al., 2004</xref>). It was also detected in isolates of <italic>E. amylovora</italic>, located on the conjugative plasmid pEU30 (30&#x2009;kb; <xref ref-type="bibr" rid="ref34">Foster et al., 2004</xref>; <xref ref-type="bibr" rid="ref33">F&#x00F6;rster et al., 2015</xref>). Interestingly, the conjugative machinery used by pEU30 most resembles the VirB system from pPSR1 of <italic>P. syringae</italic> (<xref ref-type="bibr" rid="ref34">Foster et al., 2004</xref>). It could be hypothesized that the Tn<italic>5393</italic>a element detected in <italic>E. amylovora</italic> originated from <italic>P. syringae</italic>. Tn<italic>5393</italic>b was identified in <italic>X. campestris</italic> and contains IS<italic>6100</italic> instead of IS<italic>1133</italic>. The presence of an insertion element increases the level of resistance in comparison to Tn<italic>5393</italic>a, which contains none (<xref ref-type="bibr" rid="ref113">Sundin and Bender, 1995</xref>). IS<italic>6100</italic> in Tn<italic>5393</italic> from <italic>X. campestris</italic> is 100% identical to an element found in <italic>Mycobacterium fortuitum</italic>, <italic>Pseudomonas aeruginosa</italic> and <italic>Flavobacterium</italic> sp., suggesting its presence outside of PPB (<xref ref-type="bibr" rid="ref113">Sundin and Bender, 1995</xref>). Also, the <italic>tnpR</italic> and <italic>res</italic> of Tn<italic>5393</italic>, Tn5<italic>393</italic>a and Tn<italic>5393</italic>b from <italic>E. amylovora</italic>, <italic>P. syringae</italic> and <italic>X. campestris</italic>, respectively, are identical (<xref ref-type="bibr" rid="ref113">Sundin and Bender, 1995</xref>).</p>
<p>Other Tn<italic>5393</italic> variants have been found in bacteria not pathogenic to plants (<xref rid="fig2" ref-type="fig">Figure 2</xref>; <xref rid="tab3" ref-type="table">Table 3</xref>). Tn<italic>5393</italic>c, reported in the fish pathogen <italic>Aeromonas salmonicida</italic> (<xref ref-type="bibr" rid="ref54">L&#x2019;Ab&#x00E9;e-Lund and S&#x00F8;rum, 2000</xref>), does not carry any insertion sequence, like Tn<italic>5393</italic>a, and sequence comparison revealed that Tn<italic>5393</italic>c and Tn<italic>5393</italic>a are essentially the same. The presence of Tn<italic>5393</italic>c in <italic>A. salmonicida</italic> is surprising because streptomycin is not used to control <italic>A. salmonicida</italic> in Norway, where the transposon was first described in this bacterium. However, huge amounts of other antibiotics (including oxytetracycline and sulfonamides) have been used and could have selected for the transposon located on pRAS2 which also carries oxytetracycline and sulfonamide resistance determinants (<xref ref-type="bibr" rid="ref54">L&#x2019;Ab&#x00E9;e-Lund and S&#x00F8;rum, 2000</xref>).</p>
<p>Tn<italic>5393</italic>d was identified in a clinical strain of <italic>Alcaligenes faecalis</italic>, which can be responsible for human infections related to contamination of the medical equipment (<xref ref-type="bibr" rid="ref68">Mantengoli and Rossolini, 2005</xref>). Tn<italic>5393</italic>d carries additional antibiotic resistance genes and is found on pFL424, a 44&#x2009;-kb non-conjugative plasmid. This transposon seems to have originated from the consecutive insertion of two composite transposons containing <italic>aphA6b</italic> (conferring resistance to kanamycin, streptomycin and amikacin) and <italic>blaPER-1</italic> (PER-1 extended spectrum beta-lactamase) genes (<xref ref-type="bibr" rid="ref68">Mantengoli and Rossolini, 2005</xref>).</p>
<p>Tn<italic>5393</italic>e is a variant containing another transposon, Tn<italic>6023</italic>, and was found on the IncHI2 plasmid pSRC125. It was recovered from a multi-resistant <italic>Salmonella enterica</italic> serovar Typhimurium isolate of bovine origin. Tn<italic>6023</italic> itself contains the <italic>aphA1b</italic> gene, conferring resistance to various aminoglycosides. Surprisingly, strains containing this transposon did not show resistance to streptomycin, even though the <italic>strA-strB</italic> genes present on the element did not carry any inactivating mutations, suggesting that these genes were not expressed (<xref ref-type="bibr" rid="ref12">Cain and Hall, 2011</xref>). Tn<italic>5393</italic>f and Tn<italic>5393</italic>g were discovered in unidentified soil bacteria where manure had been applied. Both transposons were found on low GC conjugative plasmids carrying other ARGs such as <italic>sul2</italic> or <italic>aac3</italic>, and <italic>Acinetobacter</italic> sp. was identified as the putative host (<xref ref-type="bibr" rid="ref43">Heuer et al., 2009</xref>; <xref ref-type="bibr" rid="ref12">Cain and Hall, 2011</xref>).</p>
<p>Tn<italic>5393</italic>h is derived from Tn<italic>5393</italic>a and includes Tn<italic>10</italic>, a tetracycline resistance transposon, inserted in the <italic>tnpA</italic> gene, which likely annihilates its mobility. Tn<italic>5393</italic>i contains IS<italic>1133</italic>, but this insertion element is not at the same location as in Tn<italic>5393</italic>a (namely in <italic>tnpR</italic>) (<xref ref-type="bibr" rid="ref12">Cain and Hall, 2011</xref>). A variety of Tn<italic>5393</italic> variants sequences are also available in GenBank (<xref ref-type="bibr" rid="ref12">Cain and Hall, 2011</xref>). Tn<italic>5393</italic>j from <italic>Klebsiella pneumoniae</italic> carries another aminoglycoside resistance gene, <italic>aphA6</italic>, but its <italic>tnpR</italic> was not functional and its <italic>tnpA</italic> gene is missing (<xref ref-type="bibr" rid="ref28">Espedido et al., 2013</xref>). Two variants were named Tn<italic>5393</italic>k but, in fact, they are not identical; for the sake of clarity, they are referred to as Tn<italic>5393</italic>k and Tn<italic>5393</italic>k&#x2019; (<xref rid="fig2" ref-type="fig">Figure 2</xref>; <xref rid="tab3" ref-type="table">Table 3</xref>). Tn<italic>5393</italic>k is similar to Tn<italic>5393</italic>c and Tn<italic>5393</italic>f, and carries both IS<italic>26</italic> and IS<italic>1.</italic> It is found in <italic>S. enterica</italic> sv. Typhimurium. The terminal inverted repeats (IRs) of Tn<italic>5393</italic>k exhibit 100% sequence identity with those in Tn<italic>5393</italic>, Tn<italic>5393</italic>c and Tn<italic>5393</italic>f (<xref ref-type="bibr" rid="ref136">Yao et al., 2021</xref>). Tn<italic>5393</italic>k&#x2019; on the other hand is extremely similar to Tn<italic>5393</italic>d; the only difference is that it is lacking the IS<italic>Ppu17</italic> element (<xref ref-type="bibr" rid="ref2">Adamczuk and Dziewit, 2017</xref>). Tn<italic>5393</italic>l carries the tetracycline resistance genes located in Tn<italic>10</italic> and is also found in <italic>S. enterica</italic> sv. Typhimurium (<xref ref-type="bibr" rid="ref143">Zhang et al., 2019</xref>). Finally, Tn<italic>5393</italic>n was found in <italic>Aeromonas caviae</italic> (<xref ref-type="bibr" rid="ref63">Luo et al., 2022</xref>).</p>
<p>Tn<italic>5393</italic> was also found in <italic>Corynebacterium striatum</italic>, <italic>Campylobacter jejuni</italic>, <italic>P. aeruginosa</italic> and <italic>Snodgrassella alvi</italic> (a honeybee gut symbiont; <xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>; <xref ref-type="bibr" rid="ref110">Sundin, 2000</xref>; <xref ref-type="bibr" rid="ref61">Ludvigsen et al., 2018</xref>). Similarly, Tn<italic>5393</italic>a was recently reported on a IncI1 type conjugative plasmid from <italic>S. enterica</italic> (<xref ref-type="bibr" rid="ref41">Harmer, 2021</xref>) while Tn<italic>5393</italic>b was also found on the R64 plasmid of <italic>S. enterica</italic> sv. Typhimurium (<xref ref-type="bibr" rid="ref12">Cain and Hall, 2011</xref>). Our recent BLAST run carried out on the Tn<italic>5393</italic> sequence revealed its presence in many other bacteria, human pathogens or not. Among others, Tn<italic>5393</italic> was found in <italic>Citrobacter koseri</italic>, <italic>Corynebacterium crudilactis</italic>, <italic>Enterobacter cancerogenus</italic>, <italic>Enterobacter cloacae</italic>, <italic>Enterobacter hormaechei</italic>, <italic>Escherichia coli</italic>, <italic>K. pneumoniae</italic>, <italic>Klebsiella quasipneumoniae</italic>, <italic>Klebsiella variicola</italic> and <italic>S. enterica</italic>, as well as in the plant root-associated bacterium <italic>Pseudomonas putida</italic>. However, this does not demonstrate that direct transfer of Tn<italic>5393</italic> occurred between PPB and human pathogens but it certainly indicates that Tn<italic>5393</italic> is much more widespread than previously thought. Similarly, the fact that this transposon was detected in diverse bacteria (Gram-negative as well as Gram-positive) in distinct geographical locations shows that it might be accessible to a large range of organisms.</p>
<p>The sequence of Tn<italic>5393</italic>a also retrieved numerous matches in the BLAST analysis, mostly in antibiotic resistant human pathogens, and in two PPB, <italic>P. syringae</italic> pv. <italic>actinidiae</italic> (plasmid pMG2_SR198) and <italic>Agrobacterium tumefaciens</italic> (plasmids pTi and pAt). Finally, Tn<italic>5393</italic>d displays strong similarities with plasmid p17-84_OXA of <italic>Acinetobacter baumannii</italic>, a critical multi-resistant pathogen in human health for which new antibiotics are needed according to the WHO (<xref ref-type="bibr" rid="ref132">World Health Organization, 2017</xref>), and with pOXA58_100004 from <italic>Acinetobacter pitii</italic>. Tn<italic>5393</italic>e was found in other human bacteria, among which some are pathogenic.</p>
<p>In relation with human health implications, several important findings are worth mentioning. First, a tigecycline resistance mechanism called &#x201C;resistance-nodulation-division&#x201D; (RND) family efflux pump (<italic>tmexCD1-toprJ1</italic> pump) was identified in <italic>K. pneumoniae</italic> isolates from humans and chickens. The corresponding gene <italic>tmexCD1-toprJ1</italic> appeared to be found in Tn<italic>5393</italic> and the authors suggest that it originated from the chromosome of <italic>Aeromonas</italic> spp. through Tn<italic>5393</italic>-mediated translocation (<xref ref-type="bibr" rid="ref109">Sun et al., 2020</xref>). Second, a tigecycline resistance gene, <italic>tet(Y)</italic>, was identified on a plasmid of a multi-resistant clinical isolate of <italic>A. baumannii</italic>. This plasmid carried numerous ARGs, including <italic>strA</italic>, <italic>strB</italic>, <italic>aac(6&#x2032;)-Ib3</italic>, <italic>msr(E)</italic>, <italic>mph(E)</italic>, <italic>floR</italic>, <italic>ARR-3</italic>, <italic>sul1</italic>, <italic>dfrA19</italic>, <italic>tet(39)</italic> and <italic>tet(Y)</italic>. Interestingly, the <italic>tet(Y)</italic> gene was located inside the sequence of Tn<italic>5393</italic> and the authors also concluded that Tn<italic>5393</italic> played a role in its transmission from <italic>Aeromonas</italic> spp. (<xref ref-type="bibr" rid="ref129">Wang Z. et al., 2021</xref>). Lastly, in Australia, a multi-resistant <italic>A. baumannii</italic> strain that contains a fragment of Tn<italic>5393</italic>, was isolated, showing again its potential of ARGs spreading (<xref ref-type="bibr" rid="ref89">Post and Hall, 2009</xref>). It is interesting to note that some species of <italic>Aeromonas</italic> or <italic>Acinetobacter</italic> can also be found in the environment and genetic transfers in these genera should be carefully considered.</p>
<p>Recently, the genomic evolution of Tn<italic>5393</italic> and kin was examined and different steps were proposed on how Tn<italic>5393</italic> could have acquired various MGEs and became more complex.<xref rid="fn0003" ref-type="fn"><sup>1</sup></xref> It is also suggested that other variants of Tn<italic>5393</italic> could exist (<xref ref-type="bibr" rid="ref58">Lima-Mendez et al., 2020</xref>; <xref ref-type="bibr" rid="ref96">Ross et al., 2021</xref>). Additionally, when comparing the different TnpA sequences from Tn<italic>5393</italic> and its variants, it is rather complicated to establish their exact filiation and to determine how exchanges between bacterial species have shaped their structures. Still, the complexity of Tn<italic>5393</italic> is apparently greater among human or animal pathogens than in PPB (<xref rid="fig2" ref-type="fig">Figure 2</xref>; <xref rid="tab3" ref-type="table">Table 3</xref>).</p>
</sec>
<sec id="sec5">
<label>3.2.</label>
<title>Oxytetracycline resistance</title>
<p>Oxytetracycline belongs to the tetracycline class of antibiotics and is the second most used antibiotic in plant agriculture, mainly against fire blight (<italic>E. amylovora</italic>) in the case of streptomycin resistance reports. However, it is only used as a second line of defense because it is considered as less effective than streptomycin (<xref ref-type="bibr" rid="ref73">McManus et al., 2002</xref>; <xref ref-type="bibr" rid="ref117">Sundin and Wang, 2018</xref>). Various genes can be involved in tetracycline resistance: (i) expression of efflux pumps, (ii) enzymatic inactivation of the antibiotic or (iii) ribosomal protein protecting from the action of tetracyclines (<xref ref-type="bibr" rid="ref19">Chopra and Roberts, 2001</xref>).</p>
<p>Concerning PPB, cases of oxytetracycline resistance are rarely reported. To the best of our knowledge, oxytetracycline resistance has not been observed yet in field isolates of <italic>E. amylovora</italic>, although, resistant strains can be obtained <italic>in vitro</italic>. In fact, the RP1 plasmid carrying an oxytetracycline resistance gene can be transferred from both <italic>E. herbicola</italic> and <italic>P. syringae</italic> pv. <italic>syringae</italic> to <italic>E. amylovora.</italic> Nevertheless, after pathogenesis, the plasmid phenotype could only be recovered in 0.03% of the isolates, suggesting that it may not be stable in that species (<xref ref-type="bibr" rid="ref55">Lacy et al., 1984</xref>).</p>
<p>Oxytetracycline resistance cases have been reported in <italic>P. syringae</italic> (<xref ref-type="bibr" rid="ref20">da Silva and Lopes, 1995</xref>; <xref ref-type="bibr" rid="ref107">Spotts and Cervantes, 1995</xref>; <xref ref-type="bibr" rid="ref49">Hwang et al., 2005</xref>), <italic>Xanthomonas arboricola</italic> pv. <italic>pruni</italic> (<xref ref-type="bibr" rid="ref42">Herbert et al., 2022</xref>) and <italic>A. tumefaciens</italic> (<xref ref-type="bibr" rid="ref62">Luo and Farrand, 1999</xref>). The resistance mechanisms were not described, except in <italic>X. arboricola</italic> pv. <italic>pruni</italic>, where it was shown that the tetracycline resistance gene <italic>tetC</italic> was carried by a plasmid, coding for an efflux pump (<xref ref-type="bibr" rid="ref42">Herbert et al., 2022</xref>). Given the plethora of known tetracycline resistance genes (36 efflux pump genes, 13 ribosomal protection protein genes, 13 enzyme genes, 1 other gene conferring an unknown mechanism of resistance and 11 mosaic genes reported so far; <xref ref-type="bibr" rid="ref19">Chopra and Roberts, 2001</xref>; <xref ref-type="bibr" rid="ref123">Van Hoek et al., 2011</xref>; <xref ref-type="bibr" rid="ref93">Roberts, 2021</xref>), others could be present in PPB but they have not been described yet. When searching for identity while running BLAST on PPB genomes with the sequence of <italic>tetC</italic> mentioned above, several strains present sequences with high identity percentage, such as <italic>X. arboricola</italic> pv. <italic>pruni</italic>, <italic>Burkholderia cepacia</italic>, <italic>Agrobacterium fabrum</italic> and several <italic>Streptomyces</italic>, which could be an indication that tetracycline resistance genes are present in other PPB.</p>
</sec>
<sec id="sec6">
<label>3.3.</label>
<title>Kasugamycin resistance</title>
<p>Kasugamycin is an aminoglycoside antibiotic used only in plants, not in human nor veterinary medicine. In <italic>E. coli</italic>, point mutations in various genes (<italic>ksgA</italic>, <italic>ksgB</italic>, <italic>ksgC</italic> and <italic>ksgD</italic>) were shown to confer resistance (<xref ref-type="bibr" rid="ref105">Sparling, 1970</xref>; <xref ref-type="bibr" rid="ref106">Sparling et al., 1973</xref>; <xref ref-type="bibr" rid="ref141">Yoshikawa et al., 1975</xref>; <xref ref-type="bibr" rid="ref35">Fouts and Barbour, 1981</xref>; <xref ref-type="bibr" rid="ref139">Yoshii et al., 2012</xref>). In PPB, different mechanisms have been identified (<xref rid="tab2" ref-type="table">Table 2</xref>). The presence of <italic>aac(2&#x2032;)-IIa</italic> gene in <italic>Burkholderia glumae</italic> and <italic>Acidovorax avenae</italic> ssp. <italic>avenae</italic> was shown to cause the resistance to kasugamycin (<xref ref-type="bibr" rid="ref139">Yoshii et al., 2012</xref>). The Aac(2&#x2032;)-IIa acyltransferase inactivates kasugamycin via acetylation of the 2&#x2032;-amino residue of the antibiotic. In the chromosome of <italic>B. glumae</italic>, this acetyltransferase is encoded on the IncP genomic island, suggesting that this kasugamycin resistance gene might have been acquired by HGT and that the gene could hypothetically spread among PPB (<xref ref-type="bibr" rid="ref139">Yoshii et al., 2012</xref>). The <italic>aac(2&#x2032;)-IIa</italic> gene was later found on a conjugative IncP-1&#x03B2; plasmid, pAAA83, in an <italic>A. avenae</italic> ssp. a<italic>venae</italic> strain, raising even more concern about the potential transmission of this resistance gene (<xref ref-type="bibr" rid="ref140">Yoshii et al., 2015</xref>). In <italic>E. amylovora</italic>, resistance to kasugamycin and blasticidin S is induced by the <italic>in vitro</italic> deletion of both permease genes <italic>opp</italic> and <italic>dpp</italic>, suggesting that Opp and Dpp act synergistically to transport these antibiotics. This deletion has not been observed in field isolates, so the relevance of such mechanism in the environment remains to be assessed (<xref ref-type="bibr" rid="ref37">Ge et al., 2018</xref>). Similarly, <italic>in vitro</italic> mutation of the <italic>ksgA</italic> gene in <italic>E. amylovora</italic> confers kasugamycin resistance but it requires a two-step mutational process and these mutants displayed a considerably reduced fitness (<xref ref-type="bibr" rid="ref70">McGhee and Sundin, 2011</xref>; <xref ref-type="bibr" rid="ref37">Ge et al., 2018</xref>).</p>
</sec>
<sec id="sec7">
<label>3.4.</label>
<title>Oxolinic acid resistance</title>
<p>In PPB, the exact mechanisms involved in OA resistance have not been described in great details (<xref rid="tab2" ref-type="table">Table 2</xref>). <italic>In vitro</italic> mutants of <italic>B. glumae</italic> resistant to the OA quinolone were obtained from strains isolated in rice fields in Japan, where the antibiotic is used as PPP. GyrA83 mutation (substitution of serine by arginine or isoleucine at position 83) seemed to be involved in the resistance mechanism (<xref ref-type="bibr" rid="ref65">Maeda et al., 2007a</xref>,<xref ref-type="bibr" rid="ref66">b</xref>). Others have also demonstrated that OA resistant <italic>B. glumae</italic> could be obtained <italic>in vitro</italic>, however such mutants were unable to survive in paddy fields (<xref ref-type="bibr" rid="ref47">Hikichi et al., 1998</xref>, <xref ref-type="bibr" rid="ref48">2001</xref>).</p>
<p>In Israel, OA was introduced in 1997 when the use of streptomycin was abandoned. About 2&#x2009;years later, OA resistant <italic>E. amylovora</italic> and <italic>B. glumae</italic> were reported. Yet, the exact mechanisms leading to OA resistance in these strains remained unknown, although it was suggested that it might consist into chromosomal mutations rather than gene acquisition through HGT (<xref ref-type="bibr" rid="ref69">Manulis et al., 2003</xref>; <xref ref-type="bibr" rid="ref52">Kleitman et al., 2005</xref>).</p>
</sec>
<sec id="sec8">
<label>3.5.</label>
<title>Gentamicin resistance</title>
<p>Resistance to the gentamicin aminoglycoside was only reported in <italic>X. oryzae</italic> pv. <italic>oryzae</italic>, where the acquisition of the integron-borne <italic>aacA3</italic> gene was incriminated. As indicated in <xref rid="tab2" ref-type="table">Table 2</xref>, <italic>aacA3</italic> encodes an aminoglycoside-3&#x2019;-<italic>N</italic>-acetyltransferase enzyme that deactivates gentamicin (<xref ref-type="bibr" rid="ref134">Xu et al., 2013</xref>).</p>
</sec>
<sec id="sec9">
<label>3.6.</label>
<title>Co-occurrence of antibiotic resistance genes, cross-resistance and resistance to other antibiotics in plant pathogenic bacteria</title>
<p>The <italic>aadA1</italic> gene was found in <italic>X. oryzae</italic> pv. <italic>oryzae</italic> on three integrons and associated with other antibiotic resistance gene cassettes such as <italic>aacA3</italic> (conferring resistance to tobramycin, kanamycin, gentamicin and netilmicin) or <italic>arr3</italic> (conferring resistance to rifampicin; <xref ref-type="bibr" rid="ref134">Xu et al., 2013</xref>). Both <italic>aadA1</italic> and <italic>aadA2</italic> also confer spectinomycin resistance. The co-occurrence of streptomycin and gentamicin resistance is therefore possible and it is then reasonable to speculate that these gene cassettes could be co-transferred under the selective pressure of streptomycin or gentamicin.</p>
<p>In a recent study conducted in South Carolina (United States), strains of <italic>X. arboricola</italic> pv. <italic>pruni</italic> were isolated and characterized for their resistance to both streptomycin and oxytetracycline. They carried a plasmid encoding <italic>tetC</italic>, <italic>tetR</italic> and <italic>strA-strB</italic>, with a region similar to Tn<italic>5393</italic> (<xref ref-type="bibr" rid="ref42">Herbert et al., 2022</xref>). It was previously described that, when isolating epiphytic bacteria (not PPB) from Michigan apple orchards, almost all tetracycline resistant strains were also streptomycin resistant and that tetracycline resistance genes were found on plasmids that also carried Tn<italic>5393</italic> (<xref ref-type="bibr" rid="ref98">Schnabel and Jones, 1999</xref>). Similarly, several plasmid-borne tetracycline resistance elements have been found in various epiphytic bacteria and usually the tetracycline resistance was associated with transposons, mainly Tn<italic>5393</italic> (carried by an uncharacterized plasmid; <xref ref-type="bibr" rid="ref98">Schnabel and Jones, 1999</xref>). These data indicate that PPB could become resistant to different antibiotics through the acquisition of resistance genes from other plant-associated bacteria if the genes are present on MGEs.</p>
<p>In 2005, several <italic>P. syringae</italic> were isolated and assessed for their antibiotic resistance to six antibiotics. One strain of <italic>P. syringae</italic> pv. <italic>syringae</italic> was resistant to kanamycin and tetracycline. Eight isolates were resistant to streptomycin, 16 isolates were resistant to rifampicin and 36 to chloramphenicol. Fifty-five strains in total were resistant to ampicillin. Some of these strains were resistant to several antibiotics, and although the resistance mechanisms were not characterized, this study further highlights the possibility of ARGs co-occurrence (<xref ref-type="bibr" rid="ref49">Hwang et al., 2005</xref>).</p>
<p>Along the same lines, an OA resistant <italic>B. glumae</italic> was reported to display cross-resistance with other quinolones such as ciprofloxacin (<xref ref-type="bibr" rid="ref48">Hikichi et al., 2001</xref>), while another isolated <italic>B. glumae</italic> was resistant to polymyxin B (<xref ref-type="bibr" rid="ref87">Paz-Carrasco et al., 2018</xref>).</p>
<p>Finally, it is worth mentioning three studies that have addressed resistance to antibiotics mainly used in China. First, it was possible to obtain <italic>X. oryzae</italic> pv. <italic>oryzae</italic> strains resistant to phenazine-1-carboxylic acid (PCA), also called shenqinmycin in China, after <italic>in vitro</italic> exposition to increasing concentrations of the antibiotic (<xref ref-type="bibr" rid="ref84">Pan et al., 2018</xref>). Second, zhongshengmycin resistant strains of <italic>X. oryzae</italic> were obtained <italic>in vitro</italic> and the resistance was related to increasing fatty acid biosynthesis. The exact underlying mechanisms are not known yet (<xref ref-type="bibr" rid="ref130">Wang Q. et al., 2021</xref>). Third, bismerthiazol resistant mutants of <italic>X. oryzae</italic> pv. <italic>oryzae</italic> could also be induced, both <italic>in vivo</italic> and <italic>in vitro</italic> (<xref ref-type="bibr" rid="ref144">Zhu et al., 2013</xref>). However, these mutants were all obtained <italic>in vitro</italic> or induced, so the natural occurrence of such resistance remains to be demonstrated. Nevertheless, this indicates that <italic>X. oryzae</italic> pv. <italic>oryzae</italic> is highly adaptable and may easily develop resistances.</p>
</sec>
</sec>
<sec id="sec10">
<label>4.</label>
<title>Link between the use of antibiotics and the development of resistance in plant pathogenic bacteria and other plant-associated bacteria</title>
<p>This section mostly focuses on streptomycin, which has been used the longest in plant agriculture, compared to other antibiotics, and remains the most used antibiotic in this context today. Scientific evidence that can directly link the use of streptomycin and the abundance of streptomycin resistance genes or streptomycin resistant strains are relatively scarce. In fact, although several studies suggest that the application of streptomycin in fields does not influence the abundance of resistance genes in PPB and other surrounding bacteria, opposite conclusions have been reached by other studies.</p>
<sec id="sec11">
<label>4.1.</label>
<title>Effects on the bacterial diversity and on antibiotic resistant bacteria</title>
<p>Several studies reported that the application of streptomycin on orchards did not, or not adversely, affect the bacterial population of the soil (<xref ref-type="bibr" rid="ref128">Walsh et al., 2013</xref>; <xref ref-type="bibr" rid="ref101">Shade et al., 2013a</xref>) or described minimal alterations with a slight decrease in phylogenetic diversity of bacterial communities of apple tree flowers (<xref ref-type="bibr" rid="ref102">Shade et al., 2013b</xref>), on the short-term. Another study indicated a decrease of diversity in streptomycin-treated soil (<xref ref-type="bibr" rid="ref120">Tolba et al., 2002</xref>). When looking at the bacterial communities of apple leaves, a higher frequency of streptomycin resistant bacteria was observed in samples that were not treated with streptomycin (<xref ref-type="bibr" rid="ref138">Yashiro and McManus, 2012</xref>). However, they only focused on apple leaves and not on the other bacterial communities (soil or roots) that could be affected differently. This work also dealt with the overall bacterial community, and not with specific species that could become resistant without significantly increasing the overall abundance of resistance. Moreover, as indicated before, streptomycin application could select for other ARGs.</p>
<p>The effects of streptomycin and kasugamycin application on bacteria in the apple phyllosphere have been investigated. While the use of streptomycin did not result in any increase of streptomycin resistant <italic>E. amylovora</italic>, it was correlated with an increase in resistance in other epiphytic bacteria, such as <italic>Pantoea agglomerans</italic> or <italic>Pseudomonas</italic> spp. No kasugamycin resistant bacteria could be isolated, however the antibiotic application changed the microbial spectrum in the orchard (<xref ref-type="bibr" rid="ref118">Tancos and Cox, 2017</xref>). Along the same lines, there was no influence on the abundance of culturable oxytetracycline and gentamicin resistant bacteria when these antibiotics where applied, as compared to untreated soils (<xref ref-type="bibr" rid="ref95">Rodr&#x00ED;guez-S&#x00E1;nchez et al., 2008</xref>). On the opposite, kasugamycin resistant Gram-negative bacteria (mainly residents of the plant phyllosphere or colonists of apple, such as <italic>P. agglomerans</italic>, <italic>Pseudomonas graminis</italic>, <italic>P. syringae</italic> and <italic>Stenotrophomonas</italic> spp.) could be isolated in another study from orchard soil, apple flowers and leaves treated with kasugamycin (<xref ref-type="bibr" rid="ref70">McGhee and Sundin, 2011</xref>).</p>
<p><xref ref-type="bibr" rid="ref116">Sundin et al. (1995)</xref> observed the distribution of streptomycin resistance transposon Tn<italic>5393</italic> in the apple phylloplane and soil of ornamental pear (that had received previous applications of streptomycin) and tomato (no prior exposure to streptomycin; <xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>). The recovery of streptomycin resistant bacteria was generally higher in soil samples, but the highest occurrence was from phylloplane samples from an orchard where streptomycin had been applied. They showed that the use of streptomycin for plant protection can also select for streptomycin resistance in non-target commensal bacteria that inhabit either plant surfaces or the surrounding soil (<xref ref-type="bibr" rid="ref16">Chiou and Jones, 1993</xref>; <xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>). They investigated the risk of co-selection of other antibiotic resistance genes (tetracycline), but found no evidence that the use of streptomycin increased tetracycline resistance (<xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>). One should however note that streptomycin and tetracycline resistance genes were recently found on the same plasmid (<xref ref-type="bibr" rid="ref42">Herbert et al., 2022</xref>).</p>
<p>In a bioinformatic analysis, where a total of 127 genomes of <italic>E. amylovora</italic> from different geographic regions were examined, the greatest number of streptomycin resistant isolates was observed in Western North America (in particular in British Columbia, Canada), where streptomycin was used, at least during the survey (1993&#x2013;1998; <xref ref-type="bibr" rid="ref104">Sholberg et al., 2001</xref>; <xref ref-type="bibr" rid="ref85">Parcey et al., 2020</xref>). Several additional studies showed that the orchards where streptomycin use is the greatest were usually those where the highest numbers of streptomycin resistant bacteria were detected (<xref ref-type="bibr" rid="ref15">Chiou, 1991</xref>; <xref ref-type="bibr" rid="ref80">Norelli et al., 1991</xref>; <xref ref-type="bibr" rid="ref10">Burr et al., 1993</xref>).</p>
<p>Regarding oxytetracycline resistance, the finding of a tetracycline resistant isolate of <italic>A. tumefaciens</italic> could not be linked to oxytetracycline application (<xref ref-type="bibr" rid="ref62">Luo and Farrand, 1999</xref>). On the opposite, antibiotic sprays of streptomycin and oxytetracycline were positively correlated with resistance in <italic>P. syringae</italic> pv. <italic>syringae</italic> (<xref ref-type="bibr" rid="ref107">Spotts and Cervantes, 1995</xref>). In epiphytic bacteria, the use of oxytetracycline generally resulted in less abundant bacterial populations than when streptomycin was used, but streptomycin resistant isolates were more common than the tetracycline resistant ones. Moreover, tetracycline resistant strains could be observed in orchards where tetracycline had not been applied, although higher numbers of tetracycline resistant bacteria could be detected in another orchard where oxytetracycline was applied (<xref ref-type="bibr" rid="ref98">Schnabel and Jones, 1999</xref>).</p>
<p>In Israel, the introduction of OA to replace streptomycin led to the isolation of OA resistant <italic>E. amylovora</italic> and <italic>B. glumae</italic>. However, the incidence of OA resistance in <italic>E. amylovora</italic> was sporadic and irrespective of the number of sprays applied and the severity of the disease (<xref ref-type="bibr" rid="ref52">Kleitman et al., 2005</xref>). In another study also conducted in Israel after introduction of OA, several OA resistant strains were isolated from different orchards but none was resistant to both streptomycin and OA (<xref ref-type="bibr" rid="ref69">Manulis et al., 2003</xref>). Concerning gentamicin resistance, the only report available in <italic>X. oryzae</italic> pv. <italic>oryzae</italic> in China has not been linked to the use of gentamicin (<xref ref-type="bibr" rid="ref134">Xu et al., 2013</xref>).</p>
</sec>
<sec id="sec12">
<label>4.2.</label>
<title>Effects on the occurrence of antibiotic resistance genes</title>
<p>The abundance of streptomycin and tetracycline resistance genes in flowers, leaves and soil samples from orchards treated with streptomycin in Switzerland was analyzed using multiplex qPCR (<xref ref-type="bibr" rid="ref26">Duffy et al., 2014</xref>). Three orchards that had not been treated with streptomycin prior to the assays were used, and samples were collected over a three-year period. By using qPCR to assess the abundance of ARGs, this study overcame the intrinsic problem linked to culture-dependent assays where unculturable bacteria are overlooked. This method allows for a qualitative assessment of ARGs in the complete apple tree ecosystem but does not identify the species that contain the resistance genes. The results indicated no consistent increase in streptomycin resistance genes in streptomycin-treated samples. Tetracycline resistance genes were also quantified in this study, and no increase was reported with streptomycin use. It is however important to note that due to the nature of the technique used, streptomycin resistance genes, notably <italic>strA-strB</italic> and <italic>aadA</italic>, had to be selected for the screening. Other potential resistance mechanisms might have been ignored.</p>
<p>Similarly, the abundance of various tetracycline resistance genetic determinants and several gentamicin resistance genes was investigated under field conditions with five applications of oxytetracycline and gentamicin during 16&#x2009;months. This study indicated that the occurrence of these genes was not related to the application of antibiotics (<xref ref-type="bibr" rid="ref95">Rodr&#x00ED;guez-S&#x00E1;nchez et al., 2008</xref>).</p>
</sec>
<sec id="sec13">
<label>4.3.</label>
<title>Resilience to antibiotic resistances</title>
<p>Little is known about the resilience of an ecosystem to antibiotic resistances, years after the discontinuation of the antibiotic use.</p>
<p>In Israel, streptomycin was removed from the list of approved antibiotics for plant agriculture in 1997 and has not been used since. A decline in the incidence of streptomycin resistance in <italic>E. amylovora</italic> was observed in the subsequent years (from 57% in 1998 to 15% in 2001). Surprisingly, within 4&#x2009;years, the resistance had almost disappeared (<xref ref-type="bibr" rid="ref69">Manulis et al., 2003</xref>).</p>
<p>Other studies have been conducted in a few American states. In California, streptomycin resistance among bacteria from orchards declined from 1973 to 1977. However, streptomycin resistant <italic>E. amylovora</italic> strains could still be isolated, even though streptomycin had not been applied in these orchards since 1971 (<xref ref-type="bibr" rid="ref100">Schroth et al., 1979</xref>). In Washington state, streptomycin resistant <italic>E. amylovora</italic> strains could still be isolated 5&#x2009;years after termination of streptomycin use (<xref ref-type="bibr" rid="ref60">Loper et al., 1991</xref>). <xref ref-type="bibr" rid="ref98">Schnabel and Jones (1999)</xref> showed that streptomycin resistance did not diminish at their study site over the course of 2&#x2009;years in the absence of the selection pressure (<xref ref-type="bibr" rid="ref98">Schnabel and Jones, 1999</xref>). In Michigan, a decline in the incidence of streptomycin resistance was observed from 1991 to 1992 when oxytetracycline was used rather than streptomycin. However, streptomycin resistance in <italic>E. amylovora</italic> quickly reoccurred in 1993 when the use of streptomycin was resumed (<xref ref-type="bibr" rid="ref72">McManus and Jones, 1994</xref>). This could suggest that streptomycin resistant strains have lower fitness than streptomycin sensitive strains, although <xref ref-type="bibr" rid="ref60">Loper et al. (1991)</xref> found streptomycin resistant strains where this antibiotic had never been applied, suggesting similar fitness capabilities under no selective pressure (<xref ref-type="bibr" rid="ref60">Loper et al., 1991</xref>).</p>
</sec>
<sec id="sec14">
<label>4.4.</label>
<title>What about antibiotic resistance genes naturally present in soils?</title>
<p>It was shown that there is a high presence of streptomycin resistance in agricultural sites without streptomycin treatment history, and that HGT of <italic>strA</italic> and <italic>strB</italic> occurred regardless of soil treatment with antibiotics (<xref ref-type="bibr" rid="ref120">Tolba et al., 2002</xref>). It has also been shown that <italic>strA</italic> gene is more prevalent in soils from compost, forest or agriculture samples than from vegetable gardens, apple orchards or mixed fruit orchards (<xref ref-type="bibr" rid="ref88">Popowska et al., 2012</xref>). However, in the same study, <italic>strB</italic> was less prevalent in compost, forest or agricultural soils than in apple orchards or mixed fruit orchards. The <italic>aadA</italic> gene followed the same pattern as <italic>strB</italic> but was only detected in agricultural soil at very low rates, while absent in compost or forest soils. It was rather prevalent in vegetable gardens, apple orchards or mixed fruit orchards.</p>
<p>It is also worth mentioning that the streptomycin resistant transposon Tn<italic>5393</italic> was detected in bacteria with no prior exposure to streptomycin. It seems that this transposable element is indigenous to both phylloplane and soil microbial communities (<xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>). In fact, <italic>strA-strB</italic> and Tn<italic>5393</italic> are both present in non-target bacteria (<xref ref-type="bibr" rid="ref16">Chiou and Jones, 1993</xref>; <xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>). Gentamicin resistance genes are also commonly found in environments associated with sewage effluent or farm animals (<xref ref-type="bibr" rid="ref44">Heuer et al., 2002</xref>).</p>
</sec>
</sec>
<sec id="sec15" sec-type="discussions">
<label>5.</label>
<title>Discussion</title>
<p>There are many studies reporting the presence of antibiotic resistant bacteria and ARGs in orchards. This does not establish, <italic>per se</italic>, a link with the use of antibiotics. Research on the relationship between antibiotic use and antibiotic resistance in PPB is largely incomplete. Many other factors could drive the emergence of resistant strains, such as cross-resistance to other PPPs, e.g., fungicides or copper, the use of manure, irrigation water, sewage sludge or antibiotic resistance from animal or human uses. As of now, there are not enough data to support either view with confidence. More large-scale and long-term research in fields with non-treated controls are needed to be able to have statistically relevant data on the issue.</p>
<p>What is known for sure is that streptomycin resistance is mainly mediated by <italic>strA-strB</italic> found on the Tn<italic>5393</italic> transposon, which seems to be rather widespread. The <italic>strA-strB</italic> genes found in PPB are broadly disseminated in human pathogens, although the alleles of the genes are different, suggesting diverse routes of acquisition (<xref ref-type="bibr" rid="ref114">Sundin and Bender, 1996</xref>; <xref ref-type="bibr" rid="ref110">Sundin, 2000</xref>, <xref ref-type="bibr" rid="ref111">2002</xref>). Detection of similar <italic>strA-strB</italic> genes in PPB and in human pathogens does not automatically mean that transfer occurred directly between these organisms. In the clinical context, the main problem with Tn<italic>5393</italic> is its ability to translocate and mobilize other ARGs rather than streptomycin resistance <italic>per se</italic>. Strains of two major human pathogens (<italic>S. enterica</italic> and <italic>K. pneumoniae</italic>) have been found to carry Tn<italic>5393</italic> variants, as well as several species of <italic>Aeromonas</italic>, which could indicate that the transposon is also circulating in this bacterial genus. The selection of Tn<italic>5393</italic> in plant-associated bacteria driven by extensive streptomycin use in agriculture could create a reservoir that may negatively influence the antibiotic resistance crisis. The fact that the same Tn<italic>5393</italic> can be found in PPB and in <italic>S. enterica</italic> is a worrying fact.</p>
<p>By using antibiotics on plants, not only are the associated resistance genes selected, but also the MGEs that carry these ARGs, which is often underestimated. Tn<italic>5393</italic> is the only well-documented example, so far, of MGE associated with antibiotic resistance in PPB, but it cannot be excluded that other &#x201C;mobile&#x201D; resistance genes are yet to be discovered or to emerge. Besides, it is known that the use of antibiotics selects not only for the resistance genes, but also contributes to the evolution of complex vectors (MGEs) encoding several ARGs (<xref ref-type="bibr" rid="ref81">O&#x2019;Brien, 2002</xref>), which is a plausible phenomenon also in PPB.</p>
<p>The translocation of ARGs among plasmids thanks to transposons also potentially accelerates the spread of ARGs (<xref ref-type="bibr" rid="ref137">Yao et al., 2022</xref>). The fact that Tn<italic>5393</italic> can translocate to other plasmids also suggests the risk of insertion into other conjugative plasmids, which could lead to further spread of the resistance genes (<xref ref-type="bibr" rid="ref31">Falkenstein et al., 1989</xref>; <xref ref-type="bibr" rid="ref73">McManus et al., 2002</xref>; <xref ref-type="bibr" rid="ref59">Llop et al., 2006</xref>). This suggests Tn<italic>5393</italic> is evolving and that IS or other transposons have inserted into its structure resulting into more complex, better-fit elements, potentially carrying other ARGs. Tn<italic>5393</italic> structures are still relatively simple in PPB (<xref rid="fig2" ref-type="fig">Figure 2</xref>; <xref rid="tab3" ref-type="table">Table 3</xref>), but in human or animal pathogens, variants of the transposon show the potential complexity that could be attained in PPB within a few years, with the formation of complex transposons simultaneously carrying several ARGs.</p>
<p>Regarding the other antibiotics used in plant protection, less information is yet available regarding the resistance risk that they entail. Since the beginning of its use in plant protection, there have been very few reports of tetracycline resistance in PPB. It could therefore be assumed that oxytetracycline resistance is not an issue on the short-term. However, risks related to the transfer of tetracycline resistance genes from epiphytic bacteria to human pathogens or PPB cannot be excluded. Besides, the uncertainty linked to the lack of studies cannot be underestimated. When tetracycline resistance is present, it is typically encoded on plasmids associated with Tn<italic>5393</italic>, which indicates a potential link between streptomycin and tetracycline resistance and the potential dissemination of both resistances at the same time (<xref ref-type="bibr" rid="ref98">Schnabel and Jones, 1999</xref>; <xref ref-type="bibr" rid="ref42">Herbert et al., 2022</xref>).</p>
<p>A better understanding of the extent to which epiphytic bacteria can serve as reservoirs of ARGs for PPB or human pathogens is crucial. In fact, it is very likely that <italic>strA-strB</italic> and Tn<italic>5393</italic> were first transferred from non-target bacteria to plant pathogens, resulting in streptomycin resistant PPB (<xref ref-type="bibr" rid="ref16">Chiou and Jones, 1993</xref>; <xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>). Regarding the case of oxytetracycline resistance potential acquisition, the availability of tetracycline resistance genes in the bacterial populations exposed to tetracycline and their ability to transfer to <italic>E. amylovora</italic> are clear factors contributing to the risk of tetracycline resistance selection in this pathogen. Even though tetracycline resistance in <italic>E. amylovora</italic> by chromosomal mutation does not easily occur (<xref ref-type="bibr" rid="ref55">Lacy et al., 1984</xref>), the use of tetracycline could potentially lead to the selection of resistant strains of <italic>E. amylovora</italic> or other PPB through the acquisition of tetracycline resistance genes from other plant (or soil) bacteria if the genes are present on MGEs (<xref ref-type="bibr" rid="ref16">Chiou and Jones, 1993</xref>; <xref ref-type="bibr" rid="ref116">Sundin et al., 1995</xref>).</p>
<p>Although presently kasugamycin resistance does not appear as a major problem in plant agriculture, the recent emergence of a transmissible kasugamycin resistance gene constitutes a considerable threat for the effective control of the diseases involved, especially because the resistance gene might spread to other bacteria through HGT via MGEs. Dissemination of kasugamycin resistance among PPB is therefore a possibility. Kasugamycin is often considered as an interesting alternative to the other antibiotics used in plant protection because of its non-use in human or veterinary medicine. In fact, it was shown to be efficient for the management of fire blight when streptomycin resistant strains were present (<xref ref-type="bibr" rid="ref70">McGhee and Sundin, 2011</xref>). Conversely, in this same study, Enterobacteriaceae and <italic>Pseudomonas</italic> spp. resistant to both kasugamycin and streptomycin were isolated, which is concerning because of the potential resistance transfer to <italic>E. amylovora</italic> and the potential link between these two ARGs. The authors dismissed the potential cross-resistance among singly resistant spontaneous mutants for either kasugamycin or streptomycin, because kasugamycin resistant <italic>E. amylovora</italic> strains were sensitive to streptomycin and vice versa. However, this does not mean that the double resistance could not arise in the future. An increasing number of antibiotics restricted to plant protection are proposed to control bacterial diseases, but cross-resistances and selection of antibiotic resistance vectors should be investigated.</p>
<p>Nowadays, very little information is known about gentamicin resistance in PPB. However, the only gentamicin resistance report was due to a gene found on an integron, which may then be able to spread through HGT. Rare cases of resistance to OA have been observed in Israel in isolates of <italic>E. amylovora</italic> and <italic>B. glumae</italic>, where the antibiotic is used as PPP, but the exact resistance mechanisms were not characterized, though it seems that they only involved chromosomal mutations so far (<xref ref-type="bibr" rid="ref69">Manulis et al., 2003</xref>; <xref ref-type="bibr" rid="ref52">Kleitman et al., 2005</xref>), such as the GyrA83 mutation observed <italic>in vitro</italic> (<xref ref-type="bibr" rid="ref66">Maeda et al., 2007b</xref>).</p>
<p>Because of the main way of application of antibiotics on plants (spraying), it was suggested that it might result in a limited selection for resistance, due to photodegradation, soil adsorption or deactivation and the substantial dilution (<xref ref-type="bibr" rid="ref71">McManus, 2014</xref>). However, contrarily to animal and human medicine, where the use of antibiotics is rather controlled, when used in plant health, antibiotics are sprayed on a large scale and with relatively high doses, probably notably because of the factors cited above, which is also a source of great concerns due to the large environmental exposure. Besides, it is well-known that antibiotic concentrations already well below the minimal inhibitory concentrations (MICs) select for antibiotic resistant bacteria (<xref ref-type="bibr" rid="ref7">Bengtsson-Palme and Larsson, 2016</xref>), both pathogenic and commensal, which can then become vectors of ARGs. It is also worth noting that, in this review, the purity of the antibiotic, the potential role of the excipients (<xref ref-type="bibr" rid="ref51">Killiny et al., 2020</xref>), the way of use (spraying or injection) as well as the type of crops were not taken into consideration. Yet, they all play a role in the amount of antibiotic that is effectively applied and the potential subsequent selection pressure on bacteria.</p>
<p>Efficient and safe alternative control measures are urgently needed to manage bacterial diseases in plant health, to avoid resorting to antibiotics in the first place. Reducing the need to use antibiotics would be the safest way to avoid the selection and emergence of antibiotic resistance. Many innovative control measures are being explored as new potential alternatives to antibiotics, notably antagonistic bacteria or competitive fungi (<xref ref-type="bibr" rid="ref91">Poveda et al., 2021</xref>; <xref ref-type="bibr" rid="ref90">Poveda and Baptista, 2021</xref>), bacteriophages (<xref ref-type="bibr" rid="ref11">Buttimer et al., 2017</xref>; <xref ref-type="bibr" rid="ref38">Grace et al., 2021</xref>) or for the control of animal vectors of PPB (<xref ref-type="bibr" rid="ref25">Di Serio et al., 2019</xref>; <xref ref-type="bibr" rid="ref124">Vicente-D&#x00ED;ez et al., 2021</xref>). In the European Union, despite the absence of authorization of antibiotic use, fire blight is not so much of a problem because other strategies are in place to control this bacterial disease. In other locations of the world, using antibiotics is often the choice of convenience, but this strategy also hampers the development and application of alternative methods.</p>
</sec>
<sec id="sec16">
<label>6.</label>
<title>Concluding remarks</title>
<p>Even though the use of antibiotics in plant protection is considered relatively low in comparison to the use for human and veterinary medicine, the impact it could potentially have on the phytobiome cannot be overlooked, with potential unintended side effects such as the development of antibiotic resistance. It must also be stressed that PPB are not the only bacteria and microorganisms associated with plants (e.g., fungi, that can also be controlled through antibiotics with antifungal properties, as well as soil bacteria, might also develop resistance). Another aspect not developed in this paper is the use of biocontrol agents to control PPB or fungi, that might themselves carry ARGs. They are also sometimes spread heavily on plants, and are currently approved in Europe and other countries, such as <italic>Streptomyces lydicus</italic> WYEC 108 [<xref ref-type="bibr" rid="ref121">US Environmental Protection Agency Office of Pesticide Programs, 2005</xref>; <xref ref-type="bibr" rid="ref29">European Food Safety Authority (EFSA), 2013</xref>; <xref ref-type="bibr" rid="ref30">European Food Safety Authority (EFSA) et al., 2020</xref>]. They could also represent a source of ARGs and MGEs, potentially interacting with the microorganisms associated with plants.</p>
<p>The contribution of MGEs to the spread of antibiotic resistance in PPB, as well as their ability to transfer to other bacteria, need to be further investigated carefully. In fact, the only well-studied example of ARGs vector in PPB, Tn<italic>5393</italic>, is concerning because of its occurrence outside of PPB and its structure evolving into complex associations of MGEs and ARGs. The effect of antibiotic use on non-pathogenic plant-associated bacteria is not well studied and largely unknown, still they represent another piece of the puzzle that could allow MGEs to travel from crops to the environment and to the human consumers. Whether the use of antibiotics in plant health has an impact on the global problematic of antibiotic resistance remains unanswered.</p>
<p>The extent of the risk of resistance that goes along with antibiotic use in plant protection cannot be excluded given the current lack of data. To reduce the resistance risk, the adoption of strong antimicrobial stewardship practices (<xref ref-type="bibr" rid="ref75">Miller et al., 2022</xref>) is essential. The development of surveillance programs practical and achievable also by low- and middle-income countries that are harmonized and collect quantitative data on the use and sales of antibiotics, as well as the crops and area of their application is necessary to better understand the situation and assess the risks of antibiotic resistance selection and spread. Accurate data on the amounts of antibiotic used in different crops are crucial to better identify and quantify the related risk of development of antibiotic resistance.</p>
<p>Unravelling the risks potentially associated with the use of antibiotics and potential gene transfers among PPB species via MGEs is urgent, which is why surveillance in plants and soils needs to be improved. In order to assess the potential spread of these ARGs, it is also of uttermost importance to develop and use new detection methods (modern tools to carry out genetic analyses). Whole genome sequencing (WGS) of resistant field strains and metagenomics of field samples could clarify where the genes are located and how they can be transferred (presence on MGEs), as well as contribute greatly to resistance prediction (<xref ref-type="bibr" rid="ref4">Arango-Argoty et al., 2018</xref>). In addition, rapid and inexpensive tests and/or tools are needed to facilitate the identification of PPB and to characterize their resistomes.</p>
</sec>
<sec id="sec17">
<title>Author contributions</title>
<p>MV, TB, and CB carried out the original literature screening under the supervision of CB, JM, and M-PM-L. MV drafted the manuscript with inputs from JM and CB. MV, EL, GS, FS, M-PM-L, JM, and CB edited, revised and approved the final version of the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="sec18" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the European Food Safety Authority (EFSA, grant to MV and TB) under Agreement Number GP/EFSA/ALPHA/2020/02.</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="sec120">
<title>Author disclaimer</title>
<p>The authors EL, GS, and FS are employed by the European Food Safety Authority (EFSA). However, the present article is published under the sole responsibility of the authors and may not be considered as an EFSA scientific output. The positions and opinions presented in this article are those of the authors alone and do not necessarily represent the views/any official position or scientific works of EFSA. To know about the views or scientific outputs of EFSA, please consult its website &#x201C;<ext-link xlink:href="https://www.efsa.europa.eu" ext-link-type="uri">www.efsa.europa.eu</ext-link>&#x201D;.</p>
</sec>
</body>
<back>
<ack>
<p>The authors are grateful to the team of the Laboratory of Food and Environmental Microbiology for their critical inputs throughout the writing of this article.</p>
</ack>
<sec id="sec20" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2023.1221478/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmicb.2023.1221478/full#supplementary-material</ext-link></p>
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<supplementary-material xlink:href="Table_2.xlsx" id="SM2" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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