Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Augmented antibiotic resistance associated with cadmium induced alterations in Salmonella enterica serovar Typhi


In view of the reports on co-selection of metal and antibiotic resistance, recently we have reported that increased cadmium accumulation in Salmonella Typhi Ty2 leads to increased antibiotic resistance. In continuation, the present study was carried to substantiate this association in clinical isolates. Interestingly, the levels of cadmium were found to be more in the clinical isolates which co-related with their antibiotic sensitivity/resistance pattern. On cadmium accumulation, antibiotic(s) sensitive isolates were rendered resistant and the resistant isolates were rendered more resistant as per their minimum inhibitory concentration(s). Further, after subjecting the pathogen to cadmium accumulation, alterations occurring in the cells were assessed. Transgenerational cadmium exposure led to changes in growth response, morphology, proteome, elevated antioxidants other than SOD, increased biofilm formation, decreased intracellular macrophage killing coupled with upregulation of genes encoding metallothionein and metal transporters. Thus, these results indicate that cadmium, if acquired from the environment, being non-degradable can exert a long-lasting selective pressure on Salmonella in the host which may display antibiotic resistance later on, as a result of co-selection. Therefore, appropriate strategies need to be developed to inhibit such an enduring pressure of heavy metals, as these represent one of the factors for the emerging antibiotic resistance in pathogens.


Heavy metals are widespread in sewage as a consequence of ungoverned industrial and anthropological activities1,2,3. Thus, in natural habitats, bacteria are continuously exposed to different metals, thereby giving rise to survival of the metal tolerant cells due to mutations4. Salmonella is known to persist for longer period in sludge of sewage treatment plant (STP) where it encounters the heavy metal selective pressure5. The pathogen penetrates into the food chain and water through agricultural practises where effluents and minimally treated sewage sludge are used in order to recirculate nutrients from sludge to arable land, thereafter entering the human host through contaminated food and water6,7.

It has been well documented that active transporters participating in the regulation of influx and efflux systems of the organisms account for adaptations to metals present in the environment8,9. Genes determining metal tolerance as well as antibiotic resistance may be located either on the same genetic structure (eg. plasmid) or different genetic structure within same bacterial strain1 thus affecting the regulation and expression of each other. Significantly enhanced expression of genes involved in co-selection/co-inheritance of metal and antibiotic resistance has been reported in various pathogens including Escherichia. coli, Pseudomonas, Acinetobacter and Listeria10,11,12,13,14,15. The genes that are responsible for tolerance to arsenic, copper and zinc have been observed to be present in methicillin resistant Staphylococcus aureus isolated from livestock16. The same has also been suggested for Salmonella Typhimurium isolated from retail foods17. Unlike antibiotics, metals are not subjected to degradation and can subsequently represent an enduring selection pressure18,19. Thus, there are concerns regarding the potential of metal contamination in maintaining a pool of antibiotic resistance genes in both environmental as well as clinical settings.

Salmonella enterica serovar Typhi (the causative agent of typhoid fever) which enters the host via feco-oral route represents a major health concern and is associated with the number of epidemics. Salmonella already exposed to heavy metals in the natural environment may cause the pathogen to become resistant to the advocated antibiotics inside the host as per the co-selection theory. Recently we have reported that intracellular accumulation of cadmium in Salmonella enterica serovar Typhi Ty2 (reference strain) leads to increased antibiotic resistance20. In continuation to this report, the present study was carried out to validate the cadmium-antibiotic co-relationship in the antibiotic resistant clinical isolates and to evaluate cadmium induced alterations in the pathogen contributing to this association.

Materials and Methods

Bacterial strains

S. enterica serovar Typhi Ty2, reference strain (DBL-8, David Bruce Laboratory, East Everleigh, Marlborough Wiltshire) was originally procured from Central Research Institute, Kasauli. It has been maintained in our laboratory21. The clinical isolates of serovar Typhi procured earlier from All India Institute of Medical Sciences (AIIMS), New Delhi; Maulana Azad Medical College (MAMC), New Delhi and Government Medical College and Hospital, Chandigarh for epidemiological studies, were used in the present study. These isolates were recovered from random, sporadic and unrelated cases of typhoid fever which belonged to different clusters22. All the isolates were preserved in 40% glycerol stocks and stored at −80 °C.


Ampicillin, ciprofloxacin, chloramphenicol, ceftizoxime and TRIZOL reagent were procured from Sigma-Aldrich (St Louis, MO, USA). Cadmium chloride (CdCl2) salt was procured from Sisco Research Laboratories Pvt. Ltd. (Mumbai). cDNA reaction kit and 2X iQ SYBR Green Supermix were purchased from Bio-Rad Laboratories (India) Pvt. Ltd. The antibiotics were stored as standard stocks of 1 g/L at −20 °C.

Flame atomic absorption spectroscopy (FAAS)

The intracellular concentration(s) of various metals like Zn, Ni, Cu, Co, Pb, Mn, Fe, Ca, Cd in all the serovar Typhi isolates was assessed using AA- 6800, Shimadzu flame atomic absorption spectrophotometer (FAAS). The metals were extracted out using HNO3 and perchloric acid which oxidises the organic component of the samples20,23.

Determination of minimum inhibitory concentration (MIC)

MICs of ampicillin, ciprofloxacin, chloramphenicol and ceftizoxime against reference as well as clinical isolates before and after adaptation (described below) were determined by broth dilution techniques (CLSI, 2012), as described by us earlier24.

Adaptation of reference strain and clinical isolates of S. enterica serovar Typhi isolates to cadmium

Cadmium adapted (CdA) serovar Typhi cells were obtained by carrying out sequential propagation (ten passages) in nutrient broth supplemented with cadmium chloride at its sub-MIC (0.5 mM) under laboratory conditions, as described by us earlier20. In addition, all the parameters regarding the bioavailability of cadmium chloride in the medium were taken into consideration.

Characterisation of CdA Salmonellae

The CdA serovar Typhi isolates were quantitatively characterised by (i) FAAS analysis by estimating the intracellular cadmium concentration as mentioned earlier20. The fold change in accumulation in CdA cells with respect to cadmium unadapted (CdunA) cells was recorded in terms of ppm (mg/L). ANOVA single factor (one way analysis of variance) was performed keeping altered antibiotic MIC values as dependent variable and cadmium accumulation, antibiotic types as independent variables. (ii) The growth response of CdA and CdunA Ty2 cells in nutrient broth (beef extract-1g/L, peptone- 5 g/L, yeast extract-2 g/L, NaCl-5g/L) was also monitored. Briefly, 1% (106 colony forming units/ml) of overnight grown bacterial culture was inoculated in nutrient broth and incubated at 37 °C under shaking conditions. O.D. 600 nm and log10 CFU/ml were recorded at different time intervals for 48 h. (iii) Additionally, the CdA Ty2 cells were characterised by observing cadmium associated ultrastructural alterations using transmission electron microscopic (TEM) analysis.

Mechanistic studies

Cadmium associated phenotypic alterations in reference Ty2 strain

Proteome analysis: Total proteins from the CdA as well as CdunA cells were extracted25 and fractionated into cytoplasmic (CYT), inner membrane (IM) and outer membrane fraction (OM) and visualized using SDS- PAGE. GelQuant (DNR Bio-Imaging Systems Ltd.) and ImageJ were used for image analysis to estimate the approximate molecular weight of differentially/over expressed proteins and fold increase in the expression of proteins.

Native gel zymography of SOD: a metal associated enzyme: The in-gel SOD activity was evaluated by native-PAGE zymography i.e. after electrophoresis the gel was soaked in NBT-riboflavin solution as described by us earlier20 and the SOD isoforms in both the CdunA and CdA Ty2 cells were compared.

Biochemical analysis: Overall estimation of cellular antioxidants like superoxide dismutase (SOD), catalase (CAT), reduced glutathione (GSH), glutathione reductase (GR), ascorbate peroxidase (APOX) activity and non-protein thiol (NPSH) content was performed in both the CdunA and CdA Ty2 cells by the protocols of Shamim and Rehman26.

Evaluation of biofilm forming potential: Biofilms of CdA and CdunA Ty2 cells at cell density of 107 colony forming units/ml were established in 96-well microtiter plate according to the method of Wong et al.27 and Peng28, with some modification. The optical density and log10 colony forming units/ml in the biofilms were determined after 24, 48 and 72 h.

Macrophage intracellular survival assay: For extracting the murine macrophages, the guidelines issued by the Institutional Animal Ethics Committe Panjab University, Chandigarh (India) were followed. Peritoneal macrophages from mice were extracted and infected with CdunA and CdA Ty2 cells at a multiplicity of infection of 1:100 (macrophage: bacteria), as described by us earlier29,30.

qRT- PCR of smtA and ybaL genes: Differential gene expression of smtA gene (encodes for metallothionein- a metal binding protein) and ybaL gene (cation: proton antiport protein) was determined in CdA Ty2 cells using real time PCR studies. smtA (Forward primer: 5′-CAAAGGACAACTGCGGCAAG-3′ and Reverse Primer: 5′-ATAACGTCACCTGATGGCCG-3′) and ybaL (Forward Primer: 5′-CCGTGCTGGGATGGTCATTA-3′ and Reverse Primer: 5′-CGACATCGCCTTTTTCCACC-3′) were synthesised from gene sequences (smtA- Gene ID: 1252509 and ybaL- Gene ID: 1247009) available in NCBI database using NCBI primer designing tool. The PCR protocol used on Applied Biosystem step one real time PCR system started with the first step of initial denaturation and enzyme activation at 95 °C for 3 min, followed by 40 cycles of denaturation at 95 °C for 10 s, annealing and extension at 55 °C for 1 min. Melt curve analysis was performed by heating the samples from 55 °C to 95 °C with an increment of 0.5 °C and fluorescence was recorded. Under these experimental conditions, GAPDH was used as reference gene.

Statistical analysis

Data were expressed as mean ± standard deviation of three independent experiments. Statistical data analysis was done using SPSS 16.2 for Windows (SPSS Inc., Chicago, IL) and GraphPad Prism 5 software by evaluating significance of data using Student’s two sample t-test and one way analysis of variance (ANOVA). During data analysis, p-values of 0.05 or less (p < 0.05) were considered significant.

Results and Discussion

An indirect link between metal and antibiotic resistance has been reported in various microorganisms10,11,12,13,14,15,16. Metal ions can function in the selective propagation of antibiotic resistant microorganisms in environmental as well as clinical settings3. A recent observation from our laboratory20 that intracellular cadmium plays a role in the antibiotic sensitivity pattern of Salmonella, prompted us to study this association in the clinical isolates along with its effect on other metal associated changes in S. Typhi.

In the present study, when different metals were estimated in clinical isolates, cadmium was found to be predominantly present as observed previously in the reference strain. On analysing the antibiotic susceptibility pattern of the isolates, it was observed that the resistant isolates had more cadmium levels as compared to the levels present in the sensitive isolates (Table 1). This surprisingly high concentration of cadmium can be attributed to relative higher exposure of Salmonella in metal contaminated sewage water, as metals are not subjected to degradation which subsequently represents an enduring selection pressure31. Incorporation of this non-essential active metal in sub-cellular compartments might be due to its “look alike” nature to calcium and zinc (required by the bacterial cells for various metabolic processes)32.

Table 1 Change in MICs and cadmium accumulation of the reference as well as the clinical isolates of Salmonella enterica serovar Typhi upon cadmium exposure.

These observations made us speculate that higher concentration of cadmium in the clinical isolates (Table 1) may be one of the factors for the antibiotic resistance. Therefore, to further acertain the role of cadmium, clinical Salmonella isolates were adapted to sub-MIC (0.5 mM) of cadmium chloride for ten subsequent generations, under laboratory conditions in order to attain the maximum permissible level that can be tolerated by the organism. Re- FAAS analysis confirmed the increase in the intracellular cadmium content in all the isolates (Table 1). These results are in agreement with previous results of the reference CdA Ty2 strain, where 13.9 fold increase in cadmium content was observed20. In the present study, cadmium adaptation in serovar Typhi isolates (19C, 18C, 12G, 11G, 10G and 25C) exhibiting resistance to least one antibiotic revealed as high as 16.61, 16.29, 16.22, 18.0, 19.48 and 19.83 fold increase in intracellular cadmium content. This observation highlighted the fact that the isolates which initially had low cadmium levels demonstrated higher intracellular cadmium accumulation upon exposure to cadmium chloride (Table 1). The analysis of variance (ANOVA) indicated the association in the change in MIC of antibiotics and cadmium accumulation (p < 0.05).

Antibiogram analysis of CdA serovar Typhi isolates revealed that the sensitive isolates became resistant to antibiotics as per their MICs, as compared to MICs observed before adaptation (Table 1) and these observations are in concordance with our previous observations20. Overall in clinical isolates, cadmium induced MIC variation of ciprofloxacin was more frequent (76% isolates) followed by ceftizoxime (55% isolates), ampicillin (55% isolates) and chloramphenicol (36% isolates) (Fig. S2). Thus, with overall augmentation in the antibiotic MICs, sensitive serovar Typhi isolates became resistant and resistant isolates became more resistant to antibiotics upon cadmium accumulation (Table 1) indicating a co-association of antibiotic resistance and presence of the metal. Bacterial resistance to metals and antibiotics are often genetically linked and exposure to metal, may select for strains resistant to antibiotics and vice-versa31. Increased antibiotic resistance might be attributed to alteration in the efflux or the metal sequestration mechanisms as well as biofilm forming potential as a result of involvement of a co-regulatory response to metal and antibiotic stress. A range of transcriptional and translational responses to metal or antibiotic exposure can be linked to form a coordinated response to both the stresses3.

Further, in order to elucidate the changes occurring in the cells on cadmium adaptation, CdA Ty2 cells were characterized. At 0.5 mM cadmium chloride supplementation, no visible precipitation or any other change, except small shift in pH i.e. from 7.2 to 7.0 was observed suggesting that the bioavailability of cadmium in nutrient broth was not limited, which is concordance with previous reports where nutrient broth supplemented with cadmium chloride had been used in order to study metal induced stress in bacteria33,34,35,36. Re-FAAS analysis revealed the increased levels of cadmium as observed in the clinical isolates. Growth response of CdA Ty2 cells was found to be strikingly different from CdunA Ty2 cells (Fig. 1). A marked reduction in the cell density was also observed in CdA Ty2 cells during growth kinetics. A delay in the lag phase and prolonged log phase observed in CdA Ty2 cells may be attributed to the fact that metabolism dependent uptake of metal ions is usually a slower process thereby delaying the lag and log phases37,38,39,40. To adapt to stresses, bacteria can activate a number of envelope stress responses that sense specific signals and regulate gene expression41. The effect of metal stress in CdA Salmonellae was visualised using TEM (Fig. 2) which revealed considerable structural changes, disclosing extensive membrane alterations (intense wavy appearance) and significantly reduced periplasmic space in contrast to CdunA Ty2 cells. Further, stained micrographs of cadmium adapted cells reflected the loss of intracellular organisation with disappearance of certain cellular compartments present towards the polar regions of the stained cells (Fig. 2f–h). Additionally, in the micrographs some prominent electron dense regions (highlighted using inset and white arrows- Fig. 2e–h) ascertained the sequestration of cadmium within CdA serovar Typhi Ty2 cells as suggested earlier42,43.

Figure 1

Growth pattern curve showing optical density at 600 nm and log10 CFU/ml along the vertical axis at different time intervals.

Figure 2

Transmission electron micrographs of reference serovar Typhi Ty2 strain. (ad) Normal Salmonella cells and (eh) cadmium adapted Salmonella cells. Arrows highlights the differences observed. Inset- White arrows marked the electron dense regions in the enhanced micrographic image.

Proteome analysis revealed differential expression of proteins in CdA Salmonellae. A 2.12 fold (relative density) reduction in the expression of porins as per densitometric analysis using ImageJ software was observed which is in agreement with the earlier reports44,45,46,47. The CdA cells might have down regulated porins thereby inhibiting the influx of the desired molecules or antibiotics (Fig. 3). Comparative analysis of different cellular fractions of the CdA Ty2 strain with CdunA Ty2 strain, revealed a total of 16 significantly expressed proteins (Fig. 3) with molecular weight of (CYT-41.6 kDa, 39.0 kDa, 37.8 kDa, 27.6 kDa, 24.3 kDa; IM-36.8 kDa, 34.0 kDa, 29.5 kDa; OM-67.3 kDa, 60.4 kDa, 46.0 kDa, 40.0 kDa, 32.1 kDa, 25.1 kDa, 20.1 kDa). Representative SDS-PAGE gels for two clinical isolates have also been included in the supplementary file (Figs S4 and S5). We speculate that downregulation of porins, in particular, may contribute as a mode of co-selection of metal and antibiotic resistance in bacteria, by conferring outer membrane permeability barrier45,46,47.

Figure 3

SDS-PAGE analysis of different protein fractions from CdunA serovar Typhi Ty2 cells and CdA Ty2 cells. Lane M- Broad range protein molecular weight marker; Lane 1,3,5- CYT, IM, OM fractions from CdunA Ty2 cells and Lane 2,4,6- CYT, IM, OM fractions from CdA Ty2 cells. Arrows indicate the changes observed. (Full-length gel is presented in Supplementary Fig. S3).

To identify a possible link between cadmium stress and superoxide dismutase activity, we have analysed Mn-SOD, Mn/Fe-SOD and FE-SOD activity in CdA isolates. The native PAGE gel revealed only Mn-SOD to be present in CdA cells as compared to three isoforms observed in CdunA cells. This is in concordance with our previous report on reference strain20. Representative gel for two clinical isolates (25C and 12G) has been shown in Fig. 4. It may be inferred that cadmium might have initiated a complete cascade of reactions by releasing free Fe+ ions from SOD which further catalyses the generation of reactive oxygen species in the form of highly damaging hydroxyl radicals and indirectly contributing to oxidative stress through free ferric ions via “Fenton reaction”. To counteract this oxidative stress, Salmonellae might have attempted to elevate the levels of other antioxidant enzymes leading to cellular adjustment towards metal stress environment48,49,50. Higher NPSH levels, GR, APOX and CAT enzyme activities were observed in CdA cells in comparison to CdunA cells (Table S1). However, SOD and GSH levels were found to be decreased in CdA Ty2 cells as compared to CdunA Ty2 cells (Table S1), thus co-relating with the zymographic analysis of SOD.

Figure 4

Cadmium dependent variation of SOD enzymes. Serovar Typhi 25 C and 12 G grown with and without cadmium supplementation, whole cell lysates (WCL) were loaded on native PAGE gel and stained to visualise different isoforms of SOD. Lane 1,3 - normal serovar Typhi cells and Lane 2,4 - cadmium adapted serovar Typhi cells. (Full-length gel is presented in Supplementary Fig. S6).

To deepen our investigation on cadmium interference with other phenotypic characters of Salmonellae, biofilm formation potential and intracellular survival ability of CdA and CdunA cells were studied. After 24 and 48 h of biofilm formation, a significant increase (p < 0.01) in the OD at 600 nm was observed in CdA Ty2 cells in comparison to CdunA cells. Similarly in adapted cells during the three subsequent days, increase (p < 0.05) in log bacterial cells count was observed with respect to normal unadapted cells (Fig. 5). This observation is strengthened by many reports which suggest involvement of persistent bacterial population and metal sequestration in the extracellular matrix as an escape strategy of the biofilm cells51. All these observations prompted us to look for macrophage intracellular survival of CdA Salmonellae. The assay revealed increased survivability of CdA as compared to CdunA serovar Typhi Ty2 cells, as mean percentage of intracellular killing in CdA Salmonellae was found to be significantly decreased (p < 0.05) at 30, 60 and 90 minutes. On the other hand, comparatively increased killing was observed in CdunA serovar Typhi Ty2 cells (Table S2). Increased intracellular survivability by counteracting the oxidative stress mounted by macrophages may be correlated with the enhanced biofilm potential and increased antioxidant levels observed in the pathogen.

Figure 5

Quantification of biofilm formed in terms of optical density at 595 nm and log10 CFU/ml on polystyrene plates. The values were expresses as mean ± standard deviation. ($p < 0.01 versus normal cells and #p < 0.05 versus normal cells).

qPCR analysis of CdA Ty2 strain revealed upregulated expression of smtA (encodes for bacterial metallothioneins, low molecular weight cysteine rich proteins, that can bind to cadmium and other heavy metal ions) with relative fold increase corresponding to 0.87 ± 0.07 in comparison to its expression in CdunA Ty2 cells (Fig. 6a) indicating bacterial adaptation to cadmium by sequestration52. The amplification of smtA gene observed in the present study confirmed its role in conferring resistance to heavy metal ions including cadmium, as reported earlier in Salmonella enterica53,54. In addition, the expression of putative metal transporter gene ybaL, was also found to be significantly altered in CdA Ty2 cells with relative fold increase corresponding to 1.21 ± 0.24 with respect to the CdunA Ty2 cells (Fig. 6a). ybaL encodes for K+–H+ efflux pump which forms part of large family of cation: proton antiporter-2 (CPA-2) in Gram-positive, Gram-negative bacteria and other higher organisms55,56. Within the bacterial cells, cation transport is important in maintenance of its physiological state and potassium transporters in particular have been shown to be actively involved in stress resistance and pathogenesis of Salmonella. Therefore, above observations indicate the role of ybaL in the pathogenesis of CdA cells, owing to its indirect link between type three secretion system of Salmonella Pathogenicity Island-1 (TTSS of SPI-1) and increased potassium efflux in Salmonellae as reported by Liu et al.56.

Figure 6

(a) Relative fold change in the gene expression of smtA and ybaL genes. The values are expressed as mean ± standard mean error. (b,c) Melt curves for smtA and ybaL.

Considering all the observations of the present study, presence of cadmium inside the cells altered the susceptibility profile of S. enterica serovar Typhi towards the ampicillin, ciprofloxaxin, chloramphenicol and ceftizoxime, leading to an increase in MIC values suggesting that the sensitive isolates became resistant and resistant became more resistant as per their MICs. In addition to the increase in MIC values, accumulation of cadmium caused morphological, biochemical and physiological alterations that might be related to antimicrobial resistance of S. enterica serovar Typhi. The CdA Ty2 Salmonellae lowered down the expression of porin proteins, thereby restricting further entry of both metals and antibiotics. In response to these changes, the CdA Ty2 cells also responded by raising cellular antioxidants (other than SOD and GSH) and enhancing biofilm formation potential as a part of “survival strategy” thereby surviving the macrophage intracellular killing. The CdA Ty2 cells thus might defend themselves from metal insult by over-expressing the metal binding proteins and metal transporters in order to maintain the cellular physiology. This suggests involvement of co-regulatory response as a mechanism of metal induced antibiotic resistance in adapted cells3. Our future studies are being focussed on detailed proteomic exploration of CdA Salmonellae for identification of suitable protein inhibitor(s) in order to disarm the phenotypic expression involved in co-selection of metal and antibiotic resistance.


  1. 1.

    Guardabassi, L. & Dalsgaard, A. Occurrence and fate of antibiotic resistant bacteria in sewage. Danish Environmental Protection Agency. 722, 1–59 (2002).

    Google Scholar 

  2. 2.

    Eze, E., Eze, U., Eze, C. & Ugwu, K. Association of metal tolerance with multidrug resistance among bacteria isolated from sewage. J Rural Trop Public Health. 8, 25–29 (2009).

    Google Scholar 

  3. 3.

    Baker-Austin, C., Wright, M. S., Stepanauskas, R. & McArthur, J. V. Co-selection of antibiotic and metal resistance. Trends  Microbiol. 14, 176–186 (2006).

    Article  PubMed  CAS  Google Scholar 

  4. 4.

    Marti, E., Jofre, J. & Balcazar, J. L. Prevalence of antibiotic resistance genes and bacterial community composition in a river influenced by a wastewater treatment plant. PLoS ONE. 8, e78906 (2013).

    ADS  Article  PubMed  PubMed Central  CAS  Google Scholar 

  5. 5.

    Sahlström, L., De Jong, B. & Aspan, A. Salmonella isolated in sewage sludge traced back to human cases of salmonellosis. Lett Appl Microbiol. 43, 46–52 (2006).

    Article  PubMed  Google Scholar 

  6. 6.

    Shuval, H. I., Yekutiel, P. & Fattal, B. Epidemiological evidence for helminth and cholera transmission by vegetables irrigated wastewater: Jerusalem - a case study. Water Sci Tech. 17, 433–442 (1984).

    Google Scholar 

  7. 7.

    Kirchmann, H., Börjesson, G., Kätterer, T. & Cohen, Y. From agricultural use of sewage sludge to nutrient extraction: A soil science outlook. Ambio. 46, 143–154 (2017).

    Article  PubMed  CAS  Google Scholar 

  8. 8.

    Nies, D. H. Efflux-mediated heavy metal resistance in prokaryotes. FEMS Microbiol Rev. 27, 313–339 (2003).

    Article  PubMed  CAS  Google Scholar 

  9. 9.

    Silver, S. Bacterial heavy metal resistance: new surprises. Annu Rev Microbiol. 50, 753–789 (1996).

    Article  PubMed  CAS  Google Scholar 

  10. 10.

    Pal, C., Bengtsson-Palme, J., Kristiansson, E. & Larsson, D. J. Co-occurrence of resistance genes to antibiotics, biocides and metals reveals novel insights into their co-selection potential. BMC genomics. 16, 964 (2015).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  11. 11.

    Calomiris, J. J., Armstrong, J. L. & Seidler, R. J. Association of metal tolerance with multiple antibiotic resistance of bacteria isolated from drinking water. J Appl Env Microbiol. 47, 1238–1242 (1984).

    CAS  Google Scholar 

  12. 12.

    De Souza, M. J., Nair, S., Bharathi, P. L. & Chandramohan, D. Metal and antibiotic resistance in psychrotrophic bacteria from Antarctic Marine waters. Ecotoxicology. 15, 379–384 (2006).

    Article  PubMed  CAS  Google Scholar 

  13. 13.

    Wright, G. D. Antibiotic resistance in the environment: a link to the clinic? Curr Opin Microbiol. 13, 589–594 (2010).

    Article  PubMed  CAS  Google Scholar 

  14. 14.

    Máthé, I. et al. Diversity, activity, antibiotic and heavy metal resistance of bacteria from petroleum hydrocarbon contaminated soils located in Harghita County (Romania). Int Biodeter Biodegr. 73, 41–49 (2012).

    Article  CAS  Google Scholar 

  15. 15.

    Romero, J. L., Grande Burgos, M. J., Pérez-Pulido, R., Gálvez, A. & Lucas, R. Resistance to antibiotics, biocides, preservatives and metals in bacteria isolated from seafoods: Co-selection of strains resistant or tolerant to different classes of compounds. Front Microbiol. 8, 1650 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  16. 16.

    Argudín, M. A. et al. Heavy metal and disinfectant resistance genes among livestock associated methicillin-resistant Staphylococcus aureus isolates. Vet Microbiol. 191, 88–95 (2016).

    Article  PubMed  CAS  Google Scholar 

  17. 17.

    Deng, W. et al. Antibiotic resistance in Salmonella from retail foods of animal origin and its association with disinfectant and heavy metal resistance. Microb Drug Resist (2017).

  18. 18.

    Dhakephalkar, P. K. & Chopade, B. A. High levels of multiple metal resistance and its correlation to antibiotic resistance in environmental isolates of Acinetobacter. Biometals. 7, 67–74 (1994).

    Article  PubMed  CAS  Google Scholar 

  19. 19.

    Seiler, C. & Berendonk, T. U. Heavy metal driven co-selection of antibiotic resistance in soil and water bodies impacted by agriculture and aquaculture. Front Microbiol. 3, 1–10 (2012).

    Article  Google Scholar 

  20. 20.

    Rishi, P., Thakur, R., Kaur, U. J., Singh, H. & Bhasin, K. K. Potential of 2, 2′-dipyridyl diselane as an adjunct to antibiotics to manage cadmium-induced antibiotic resistance in Salmonella enterica serovar Typhi Ty2 strain. J Microbiol. 55, 737–744 (2017).

    Article  PubMed  CAS  Google Scholar 

  21. 21.

    Chanana, V., Majumdar, S. & Rishi, P. Tumour necrosis factor α mediated apoptosis in murine macrophages by Salmonella enterica serovar Typhi under oxidative stress. FEMS Immunol Med Microbiol. 47, 278–286 (2006).

    Article  PubMed  CAS  Google Scholar 

  22. 22.

    Garg, N. et al. Current antibiogram and clonal relatedness among drug-resistant Salmonella enterica serovar Typhi in Northern India. Microb Drug Resist. 19, 204–211 (2013).

    Article  PubMed  CAS  Google Scholar 

  23. 23.

    Shakibaie, M. R., Khosravan, A., Frahmand, A. & Zare, S. Application of metal resistant bacteria by mutational enhancement technique for bioremediation of copper and zinc from industrial wastes. Iran J Environ Health Sci Eng. 5, 251–256 (2008).

    CAS  Google Scholar 

  24. 24.

    Rishi, P., Preet, S., Bharrhan, S. & Verma, I. In-vitro and In-vivo synergistic effects of cryptdin 2 and ampicillin against Salmonella. Antimicrob Agents Chemother. 55, 4176–4182 (2011).

    Article  PubMed  CAS  Google Scholar 

  25. 25.

    Brown, R. N., Romine, M. F., Schepmoes, A. A., Smith, R. D. & Lipton, M. S. Mapping the subcellular proteome of Shewanella oneidensis MR-1using sarkosyl based fractionation and LC-MS/MS protein identification. J Proteome Res. 9, 4454–4463 (2010).

    Article  PubMed  CAS  Google Scholar 

  26. 26.

    Shamim, S. & Rehman, A. Antioxidative enzyme profiling and biosorption ability of Cupriavidus metallidurans CH34 and Pseudomonas putida mt2 under cadmium stress. J Basic Microbiol. 55, 374–381 (2015).

    Article  PubMed  CAS  Google Scholar 

  27. 27.

    Wong, H. S., Townsend, K. M., Fenwick, S. G., Trengove, R. D. & O’handley, R. M. Comparative susceptibility of planktonic and 3‐day‐old Salmonella Typhimurium biofilms to disinfectants. J Appl Microbiol. 108, 2222–2228 (2010).

    PubMed  CAS  Google Scholar 

  28. 28.

    Peng, D. Biofilm Formation of Salmonella in microbial biofilms-importance and applications. InTech (2016).

  29. 29.

    Preet, S., Verma, I. & Rishi, P. Cryptdin-2: a novel therapeutic agent for experimental Salmonella Typhimurium infection. J Antimicrob Chemother. 65, 991–994 (2010).

    Article  PubMed  CAS  Google Scholar 

  30. 30.

    Chanana, V., Majumdar, S. & Rishi, P. Involvement of caspase-3, lipid peroxidation and TNF-α in causing apoptosis of macrophages by coordinately expressed Salmonella phenotype under stress conditions. Mol Immunol. 44, 1551–1558 (2007).

    Article  PubMed  CAS  Google Scholar 

  31. 31.

    Stepanauskas, R. et al. Elevated microbial tolerance to metals and antibiotics in metal-contaminated industrial environments. Enviro Sci Technol. 39, 3671–3678 (2005).

    ADS  Article  CAS  Google Scholar 

  32. 32.

    Filipič, M. Metal Ions in Life Sciences in Cadmium: From toxicity to essentiality (eds. Siegel, A., Siegel, H. & Siegel, R.K.O.) 1662–1663 (Wiley Online Library, 2013).

  33. 33.

    Gomaa, E. Z. Biosequestration of heavy metals by microbially induced calcite precipitation of ureolytic bacteria. Rom Biotechnol Lett (2018).

  34. 34.

    Chen, D., Qian, P. Y. & Wang, W. X. Biokinetics of cadmium and zinc in a marine bacterium: influences of metal interaction and pre‐exposure. Environment Toxicol Chem 27, 1794–1801 (2008).

    Article  CAS  Google Scholar 

  35. 35.

    Kanazawa, S. & Mori, K. Isolation of cadmium-resistant bacteria and their resistance mechanisms: Part 2. cadmium biosorption by Cd-resistant and sensitive bacteria. Soil Sci Plant Nutr. 42, 731–736 (1996).

    Article  CAS  Google Scholar 

  36. 36.

    Moselhy, K. M., Shaaban, M. T., Ibrahim, H. A. & Abdel-Mongy, A. S. Biosorption of cadmium by the multiple-metal resistant marine bacterium Alteromonas macleodii ASC1 isolated from Hurghada harbour, Red Sea. Arch Sci. 66, 259–272 (2013).

    Google Scholar 

  37. 37.

    Higham, D. P., Sadler, P. J. & Scawen, M. D. Cadmium resistance in Pseudomonas putida: growth and uptake of cadmium. Microbiology. 131, 2539–2544 (1985).

    Article  CAS  Google Scholar 

  38. 38.

    Gadd, G. M. Heavy metal accumulation by bacteria and other microorganisms. Experientia. 46, 834–840 (1990).

    Article  CAS  Google Scholar 

  39. 39.

    Chudobova, D. et al. The effect of metal ions on Staphylococcus aureus revealed by biochemical and mass spectrometric analyses. Microbiol Res. 170, 147–156 (2015).

    Article  PubMed  CAS  Google Scholar 

  40. 40.

    Rolfe, M. D. et al. Lag phase is a distinct growth phase that prepares bacteria for exponential growth and involves transient metal accumulation. J Bacteriol. 194, 686–701 (2012).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  41. 41.

    Leblanc, S. K., Oates, C. W. & Raivio, T. L. Characterization of the induction and cellular role of the BaeSR two-component envelope stress response of Escherichia coli. J Bacteriol. 193, 3367–3375 (2011).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  42. 42.

    Sinha, S. & Mukherjee, S. K. Pseudomonas aeruginosa KUCd1, a possible candidate for cadmium bioremediation. Brazilian J Microbiol. 40, 655–662 (2009).

    Article  CAS  Google Scholar 

  43. 43.

    Hrynkiewicz, K. et al. Strain-specific bioaccumulation and intracellular distribution of Cd2+ in bacteria isolated from the rhizosphere, ectomycorrhizae, and fruitbodies of ectomycorrhizal fungi. Environ Sci Pollut. Res 22, 3055–3067 (2015).

    Article  CAS  Google Scholar 

  44. 44.

    Amaral, L., Martins, A., Spengler, G. & Molnar, J. Efflux pumps of Gram-negative bacteria: what they do, how they do it, with what and how to deal with them. Front Pharmacol. 4, 168 (2014).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  45. 45.

    Martins, M., McCusker, M., Amaral, L. & Fanning, S. Mechanisms of antibiotic resistance in Salmonella: Efflux pumps, genetics, quorum sensing and biofilm formation. Lett Drug Des Discov. 8, 114–123 (2011).

    Article  CAS  Google Scholar 

  46. 46.

    Delcour, A. H. Outer membrane permeability and antibiotic resistance. Biochim Biophys Acta, Proteins Proteomics. 1794, 808–816 (2009).

    Article  CAS  Google Scholar 

  47. 47.

    Li, X. Z., Nikaido, H. & Williams, K. E. Silver-resistant mutants of Escherichia coli display active efflux of Ag+ and are deficient in porins. J Bacteriol. 179, 6127–6132 (1997).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  48. 48.

    Privalle, C. T. & Fridovich, I. Inductions of superoxide dismutases in Escherichia coli under anaerobic conditions. Accumulation of an inactive form of the manganese enzyme. J Biol Chem. 26, 4274–4279 (1988).

    Google Scholar 

  49. 49.

    Del Buono, D., Mimmo, T., Terzano, R., Tomasi, N. & Cesco, S. Effect of cadmium on antioxidative enzymes, glutathione content, and glutathionylation in tall fescue. Biol Plantarum. 58, 773–777 (2014).

    Article  CAS  Google Scholar 

  50. 50.

    Banjerdkij, P., Vattanaviboon, P. & Mongkolsuk, S. Exposure to cadmium elevates expression of genes in the OxyR and OhrR regulons and induces cross-resistance to peroxide killing treatment in Xanthomonas campestris. Appl Environ Microbiol. 71, 1843–1849 (2005).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  51. 51.

    Harrison, J. J., Turner, R. J. & Ceri, H. Persister cells, the biofilm matrix and tolerance to metal cations in biofilm and planktonic Pseudomonas aeruginosa. Environ Microbiol. 7, 981–994 (2005).

    Article  PubMed  CAS  Google Scholar 

  52. 52.

    Blindauer, C. A. Bacterial metallothioneins: past, present, and questions for the future. J Biol Inorg Chem. 16, 1011 (2011).

    Article  PubMed  CAS  Google Scholar 

  53. 53.

    Khan, Z. et al. Cadmium resistance and uptake by bacterium, Salmonella enterica 43C, isolated from industrial effluent. AMB Express. 6, 54 (2016).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  54. 54.

    Turner, J. S., Robinson, N. J. & Gupta, A. Construction of Zn2+/Cd2+-tolerant cynobacteria with a modified metallothionein divergon: Further analysis of the function and regulation of smt. J Ind Microbiol. 14, 259–264 (1995).

    Article  PubMed  CAS  Google Scholar 

  55. 55.

    Gries, C. M., Bose, J. L., Nuxoll, A. S., Fey, P. D. & Bayles, K. W. The Ktr potassium transport system in Staphylococcus aureus and its role in cell physiology, antimicrobial resistance and pathogenesis. Mol Microbiol. 89, 760–773 (2013).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  56. 56.

    Liu, Y. et al. Potassium transport of Salmonella is important for type III secretion and pathogenesis. Microbiology. 159, 1705–1719 (2013).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

Download references


The authors acknowledge the help provided by the Incharge Instrumentation laboratory, IMTECH, Chandigarh for carrying out FAAS studies. The authors express their gratitude to Dr. Kanthi Kiran Kondepudi, Scientist-C, National Agri-Food Biotechnology Institute, Mohali, for providing assistance to carry out proteomics related work. The consumables were procured through funds provided by the ICMR project grant [No. 5/3/3/9/2013-ECD-I] provided to Professor Praveen Rishi.

Author information




P.R. conceived, organized and finalised the study. U.J.K. performed the experiments, collected the data. S.P. and U.J.K. carried out the macrophage intracellular survival assay. U.J.K., P.R., S.P. interpreted the data and drafted the manuscript. All authors have critically reviewed and approved the final manuscript.

Corresponding author

Correspondence to Praveen Rishi.

Ethics declarations

Competing Interests

The authors declare no competing interests.

Additional information

Publisher's note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kaur, U.J., Preet, S. & Rishi, P. Augmented antibiotic resistance associated with cadmium induced alterations in Salmonella enterica serovar Typhi. Sci Rep 8, 12818 (2018).

Download citation

Further reading


By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.


Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing