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Using CRISPR-Cas9 to eradicate antimicrobial resistance genes from complex bacterial communities Supervisory team: Main supervisor: Dr William Gaze (University of Exeter) Second supervisor: Dr Ben Ashby (University of Bath) Dr Edze Westra (University of Exeter), Dr Stineke van Houte (University of Exeter), Prof Ed Feil (University of Bath) Host institution: University of Exeter Project description: Antimicrobial resistance (AMR) is one of the greatest threats to human health of our time causing a predicted 10 million deaths per year by 2050 with a total cost of $100 trillion by the same date. The most important resistance mechanisms are carried on plasmids, which are mobile DNA elements that can spread by horizontal gene transfer within bacterial populations. Preventing acquisition of these mobile resistance mechanisms and to be able to target and destroy these resistance mechanisms within bacterial communities would be a huge step forward in our fight against AMR. Data generated in Gaze’s lab shows that mobile resistance mechanisms are selected for by very low concentrations of antibiotics, suggesting that selection for AMR occurs within polluted natural environments, within the human and animal microbiomes as well as within individuals taking antibiotics. Novel resistance mechanisms regularly emerge in clinical pathogens threatening to make even our antibiotics of last resort ineffective. It has been postulated that we are entering a post-antibiotic era where even simple infections might be fatal, and routine medical procedures that depend of antibiotic prophylaxis will be impossible. Discovering ways to prevent or even reverse the spread of AMR would be truly ground breaking. This project “Using CRISPR-Cas9 to eradicate antimicrobial resistance genes from complex bacterial communities” will develop a recently discovered bacterial immune system called CRISPR-Cas to target and destroy mobile bacterial resistance plasmids. The integration of CRISPR-Cas and AMR research is highly novel and is supported by established research programmes on AMR and CRISPR-Cas in Gaze and Westra’s laboratories in the Environment and Sustainability Institute at the University of Exeter. Expertise in bioinformatic analysis of next generation sequencing data will be provided by Ed Feil at Bath and mathematical modelling expertise by Ben Ashby, also at Bath.