The document discusses three methods of transferring DNA between bacterial cells: conjugation, transduction, and transformation. Specifically, it states that antibiotic resistance genes are primarily spread through conjugation, which involves the transfer of DNA via cell-to-cell contact through sex pili. Additionally, several bacterial exotoxins are encoded by genes that are transferred through transduction, which is the transfer of DNA by bacteriophage. The document provides details on the mechanisms and processes of each method of horizontal gene transfer.