“…The presence of plasmid-mediated AR and VG in clinically isolated samples is well documented ( Corliss et al, 1981 ; Balis et al, 1996 ; Oppegaard et al, 2001 ; Winokur et al, 2001 ; Salyers et al, 2004 ; Hong et al, 2009 ; Aguado-Urda et al, 2012 ; Diaz et al, 2012 ; Liu et al, 2012 ; McInnes et al, 2020 ). These plasmid-mediated ARG and VGs have been shown, anecdotally, to be involved in plasmid conjugation and the emergence of novel resistant bacterial strains in human healthcare ( Balis et al, 1996 ; Guiyoule et al, 2001 ; Winokur et al, 2001 ; Ohana et al, 2005 ; Daini and Akano, 2009 ; Goldfarb et al, 2009 ; Mahmood et al, 2014 ; Schweizer et al, 2019 ). However, due to limitations in human microbial research related to the introduction of antimicrobial resistance plasmids into living hosts, there has been a limit to the understandings available surrounding the factors that participate in regulating the process of plasmid-mediated HGT in and on humans.…”