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The `Eat me cake' theory, or genetic cannibalism of the enemy: A cause of vanishing antimicrobial resistance

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The ‘Eat me cake’ theory, or genetic cannibalism of the

enemy: A cause of vanishing antimicrobial resistance

Didier Raoult

To cite this version:

Didier Raoult. The ‘Eat me cake’ theory, or genetic cannibalism of the enemy: A cause of vanishing

antimicrobial resistance. International Journal of Antimicrobial Agents, Elsevier, 2018, 52 (4),

pp.441-442. �10.1016/j.ijantimicag.2018.08.018�. �hal-02000578�

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International Journal of Antimicrobial Agents 52 (2018) 4 41–4 42

ContentslistsavailableatScienceDirect

International

Journal

of

Antimicrobial

Agents

journalhomepage:www.elsevier.com/locate/ijantimicag

Hot

Topic

The

‘Eat

me

cake’

theory,

or

genetic

cannibalism

of

the

enemy:

A

cause

of

vanishing

antimicrobial

resistance

Lévi-Strauss,quotedbyM.Foucault[1],explainedthatin prim-itive civilisations, theway tofight against enemieswas eitherto eat their strength by cannibalism or to exile them by ostracism. This analogy is also applicable to the immune defences of indi-vidualsandpopulations,complementingouranalogywithanother newpunishmentagainstenemiesinhumanswhichisjail,created to keep enemies in a situationin which they cannot act/interact ormultiply(dormantvirusorbacteria).Thefirst,andprobablythe oldest, defenceof microbialpopulations against competing popu-lations (enemies)wasgeneticcannibalism,withthe consumption of their genetic material, which I want to report here asa new theory named‘Eatmecake’, inspired,asmanyotherevolutionary theories,byAliceinWonderlandwhereconsumptionofacake al-lowsgrowingatwill[2,3].Here,theanalogyisthatconsumption

Fig. 1. ‘Eat me cake’ theory, illustrated by Christelle Forzale. This figure represents the allegory of Alice from Lewis Carroll (as a bacterium) eating a cake (here a sequence of the bacteriophage), allowing to resist phage aggression and thus allowing growth of the bacterial population.

ofthe enemy’sgenetic material makes itpossible todevelop de-fencesand to multiply (Fig. 1). Indeed,the exogenous sequences containedinthegeneticmacromoleculesarenotwelcomebecause theyconstitute ageneticparasitismcostlyin termsof multiplica-tionoforganisms,anditisgenerallyacceptedforgenes,asquoted byMoran, ‘useitorlose it’[4].Theseunnecessary additional se-quencesweighonthecostofreproducingmicro-organisms.

Manyoftheantimicrobialresistancegenetransfermechanisms areconferredby exogenoussequences carriedbyplasmids, trans-posonsorbacteriophages.Theseresistances,inaninterestingway, are unstable[5]. Indeed,manyresistances disappeared over time whentheuseofantibiotics,andthereforethepressureof antimi-crobial selection, disappeared. One of the major reasons for the disappearance oftheseresistances is thecannibalisation of

repli-https://doi.org/10.1016/j.ijantimicag.2018.08.018

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442 Hot Topic / International Journal of Antimicrobial Agents 52 (2018) 4 41–4 42

con sequences, which allows bacteria to eliminate replicons by cannibalismfollowing themodel ‘Eat me cake’. Indeed, clustered regularlyinterspaced shortpalindromicrepeats(CRISPRs) areone ofthe defencemodesforintegratingsequences oftheenemy[6]. Followingintegration,enemysequences(fromphages,transposons orplasmids)arerecognisedwhenthetranscribedRNAoftheDNA sequence,integratedintothechromosomeofthebacterium,pairs withthesingle-strandedDNAoftheenemysequence,afterwhich theenzymeCas9cutsthewhole,thusdestroyingtheenemyDNA. ThishasalreadybeenfoundforEnterococcusfaecalis,inwhichthe presenceofresistancegenes tovancomycinisantagonisedbythe presenceofCRISPR[7].Asamatteroffact,assoonastheselection pressure disappears, the alien replicon sequence is destroyed by geneticcannibalisation,asmicrobeswithoutdefenceagainstalien geneticsequencesarenolongerselected.Anothermechanismthat illustratesthe‘Eatmecake’modelisthatofretroposons. Humans are composed of thousands of integrated retroviruses, including those that have allowed the existence of the placenta andthose thatplayaroleinembryogenesis,whichdifferentiatesusfromthe greatapes[8].Thisprocessiscurrentlyongoingwiththeretrovirus causingAIDS-like diseasein koalas. Followingthe endogenisation process, the progeny of koalas are no longer susceptible to the virus[9].Finally,wedescribethesamemechanismingiantviruses integratingthe sequence of the virophage in an operon that we namedMIMIVIRE,allowing toresistits infectivity[10].Thus, can-nibalisationofenemysequencesinthe‘Eatmecake’modelplaysa majorroleinthe evolutionandprotectionofpopulations, includ-inghumans, againstforeign agentsandexplainstheinstability of antimicrobialresistance.

Acknowledgments

The authorthanks Christelle Forzaleforher illustrationofthe ‘Eatmecake’theory(Fig.1)aswellasChristelleDesnues. Funding None. Competinginterests Nonedeclared. Ethicalapproval Notrequired. DidierRaoult∗ Aix-MarseilleUniv.,MEPHI,IRD,IHUMéditerranéeInfection, Marseille,France AssistancePublique–HôpitauxdeMarseille(AP-HM),IHU MéditerranéeInfection,Marseille,FranceTel.:+33413732401;fax:+33413732402. E-mailaddress:didier.raoult@gmail.com

Received9July2018 Accepted18August2018 References

[1] Foucault Michel . L’archéologie du savoir. Paris, France: Gallimard; 2018 .

[2] Carroll Lewis . Alice’s adventures in Wonderland. London, UK: Macmillan; 2018 .

[3] Baquero F , Lemonnier M . Generational coexistence and ancestor’s inhibition in bacterial populations. FEMS Microbiol Rev 2009;33:958–67 .

[4] Moran NA . Microbial minimalism: genome reduction in bacterial pathogens. Cell 2002;108:583–6 .

[5] Abat C, Raoult D, Rolain JM. Are we living in an antibiotic resistance night- mare? Clin Microbiol Infect 2018;24:568–9.

[6] Koonin EV , Krupovic M . Evolution of adaptive immunity from transposable ele- ments combined with innate immune systems. Nat Rev Genet 2015;16:184–92 .

[7] Palmer KL, Gilmore MS. Multidrug-resistant enterococci lack CRISPR-cas. MBio 2010:1 pii: e00227-10. doi: 10.1128/mBio.00227-10 .

[8] Tamalet C , Colson P , Decroly E , Dhiver C , Ravaux I , Stein A , et al. Reevaluation of possible outcomes of infections with human immunodeficiency virus. Clin Microbiol Infect 2016;22:299–311 .

[9] Colson P , Ravaux I , Tamalet C , Glanuzova O , Baptiste E , Chabrière E , Wie- dermann A , Lacabaratz C , Chefrour M , Picard C , Stein A , Levy Y , Raoult D . HIV infection en route to endogenization: two cases. Clin Microbiol Infect 2014;20(12):1280–8 .

[10] Levasseur A , Bekliz M , Chabrière E , Pontarotti P , La Scola B , Raoult D . MIMIVIRE is a defence system in mimivirus that confers resistance to virophage. Nature 2016;531:249–52 .

Figure

Fig. 1. ‘Eat me  cake’ theory, illustrated by  Christelle Forzale. This figure  represents the allegory of  Alice from Lewis Carroll  (as a bacterium) eating a cake (here a sequence  of  the  bacteriophage),  allowing to  resist phage aggression  and  thus

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