Multidrug-resistant (MDR) Salmonella has been a long-standing challenge in public health and food safety. The prevalence of MDR S. Enteritidis, especially isolated from humans, in China is significantly higher than those from the U.S. and other countries. A dataset of 197 S. Enteritidis genomes, including 16 sequenced clinical isolates from China and 181 downloaded genomes of human isolates from the U.S., Europe, and Africa, was analyzed for genomic diversity, virulence potential, and antimicrobial resistance (AMR). Phylogenomic analyses identified four major well-supported clades (I–IV). While AMR genotype in the majority of isolates in clades I and IV displayed as pan-susceptible, 81.8% (9/11) and 22.4% (13/58) of isolates in clades III and II were MDR, respectively. It is noted that 77% (10/13) of MDR isolates in clade II were from China. The most common antimicrobial resistance genes (ARGs) carried by the Chinese isolates were aph(3′)-IIa, blaCTX-M-55, and blaTEM-1B, whereas blaTEM-1B, sul1, sul2, drfA7, aph(3")-Ib/strA, and aph(6)-Id/strB were most often identified in those from Africa (clade III). Among the 14 plasmid types identified, IncX1 and IncFII(pHN7A8) were found exclusively in the Chinese MDR isolates, while IncQ1 was highly associated with the African MDR isolates. The spvRABCD virulence operon was present in 94.9% (187/197) of isolates tested and was highly associated with both the IncF (IncFII and IncFIB) plasmids. In addition, phylogenetic differences in distribution of Salmonella pathogenicity islands (SPIs), prophages and other accessory genes were also noted. Taken together, these findings provide new insights into the molecular mechanisms underpinning diversification of MDR S. Enteritidis.
Salmonella is a leading bacterial cause of diarrheal disease in humans, leading to an estimated 93.8 million gastroenteritis cases and 155,000 deaths annually worldwide1. Salmonella Enteritidis (S. Enteritidis), a host-promiscuous serotype along with S. Typhimurium, are consistently ranked as the top two serotypes most frequently associated with human disease around the world2. The two serovars account for > 40% of human salmonellosis worldwide -> 30% in China3, and approximately 20% in the U.S.4. The clinical outcome of S. Enteritidis infection varies, ranging from self-limiting enterocolitis and acute pancreatitis to invasive infections with unusually high fatality5.
The continued emergence and expansion of antimicrobial resistance (AMR) in Salmonella has constitutes a serious public health challenge4. AMR in Salmonella varies not only by serotype, but also by source and geographical location. For example, AMR in S. Enteritidis is relatively low compared to many other important serotypes, such as S. Typhimurium, S. Newport, and I.4..0.12:i:-. However, the dynamic of resistance in S. Enteritidis is changing over time in the U.S. Recently, the CDC reported a significant surge in resistance to clinically important antimicrobials (ampicillin and ceftriaxone or nonsusceptibility to ciprofloxacin) occurred among S. Enteritidis in 2015–2016 as compared to 2004–20084. The prevalence of multiple drug resistance (MDR), (i.e. resistance to at least two classes of antimicrobials) in S. Enteritidis varied greatly from different regions and countries as well: 2.2% in the U.S.4, 3.2% in Europe6, 42% in sub-Saharan Africa5, and 40–81% in China7,8.
Plasmid serves as a major mobile genetic element in the spread of AMR10. A variety of plasmids have been reported to carry AMR genes and confer MDR in a variety of Salmonella serotypes. The most prevalent plasmid replicons include IncF, IncI, IncA/C, IncX, IncH, and Col11,12. Differences abound in the presence of certain plasmid replicons across different serotypes, sources, and geographic locations. The majority of IncFII and IncFIB replicons were co-carried and identified in S. Enteritidis and S. Typhimurium. IncX1 and IncA/C2 replicons were dominant in some serotypes, such as S. Newport and S. Dublin12. Among human sources, IncF is most often isolated in Asia and North and South America, followed by IncA/C, while European isolates carry plasmids with diverse replicons including IncI and IncH13.
The spvRABCD operon in subspecies I, located exclusively on the Salmonella virulence plasmid (pSV plasmid and associated with IncFII or IncFIB), is a significant virulence factor14. Isolates carrying the spvRABCD operon are often identified as increased virulence and enhanced disease severity14. The three genes (spvR, spvB and spvC) both necessary and sufficient for the spv virulence phenotype are found only in host-restricted and host-adapted serovars including Abortusovis, Abortusequi, Choleraesuis, Dublin, Gallinarum/Pullorum, Paratyphi C, and Sendai, as well as some invasive strains of broad-host serovars such as Enteritidis, S. I.4..0.12:i:-, and Typhimurium15. Recently, the emergence of hybrid virulence-resistance plasmids in serotypes including S. Enteritidis16 have been reported and pose a potentially serious threat to public health because they could be transferred to other Salmonella serotypes. Moreover, the use of antimicrobial agents could serve as co-selection pressure to spread such hybrid virulence and resistance plasmids17.
Phylogenetic analyses based on single-nucleotide polymorphisms (SNPs) revealed extensive plasticity of S. Enteritidis populations5,19,20. Depending on the scale and scope of the study21, at least three to four lineages of S. Enteritidis have been described globally. Additionally, two distinct (sub)lineages, largely endemic to Africa, that are strongly associated with MDR and invasive disease5. It was also established that international trade of poultry breeding stocks could be a driving force in the geographic dispersal of S. Enteritidis21. However, after initial global spread, how individual clones have localized, expanded, and diversified is not yet fully understood.
AMR and disease severity in humans caused by S. Enteritidis vary greatly from country to country. Comparative genomic analysis of over 600 S. Enteritidis isolates from 45 countries showed that S. Enteritidis lineages from developed countries were strongly associated with gastroenteritis, whereas lineages from Africa were mostly associated with MDR, causing blood stream-invasive infections5. However, the genomic contribution to high prevalence of MDR or increased resistance to current antibiotics of last resort in S. Enteritidis from Asia, specifically China, has not been well studied. To further understand the phylogeny and genomic diversity of S. Enteritidis clinical isolates from China in relation to the rest of the world, we have sequenced and downloaded a total of 197 S. Enteritidis genomes, originating from China, the U.S., Europe, and Africa and have evaluated the virulome, resistome, and transmission potential of these isolates in a global context.
Sample dataset description
To reconstruct the phylogeny of S. Enteritidis human isolates in a global context, 159 genomes of S. Enteritidis from different countries were selected and downloaded from our initial query of public data in addition to the 16 S. Enteritidis genomes our laboratory sequenced in the study. In order to refer to other published S. Enteritidis phylogenies, 22 additional genomes (from major HierBAPS clades 2, 4, 5, and 9) of S. Enteritidis isolates from Nicholas Feasey’s study5 were also downloaded from the public database, EnteroBase. Qualities of the assemblies were checked. Genomes with poor assemblies and incomplete metadata were replaced. The final data set included 197 genomes from clinical isolates collected between 2012 and 2018 except those in Feasey’s study (Table S1). A total of 50% (98/197) were isolated from North America, 31% (62/197) from Europe, 8% each (16/197, 16/197) from Africa and Asia, and 3% (5/197) from South America. The genome of S. Gallinarum strain 287/91, a close neighbor of S. Enteritidis, was included as an outgroup.
Five different MLST profiles, (ST11, ST183, ST1925, ST1974, and ST5895), were observed in the 197 genomes analyzed here (Table S1). Interestingly, 95% (187/197) of S. Enteritidis genomes were ST11, ST183 was represented by 5 isolates from the UK (2.5%, 5/197) in clade IV, a distant clade consisting of five UK human isolates.
The phylogenetic structure of Salmonella Enteritidis
A SNP matrix consisting of 10, 077 nucleotides was used to reconstruct the phylogeny of S. Enteritidis for 197 S. Enteritidis genomes and the outgroup S. Gallinarum 287/91 (Fig. 1). Four phylogenetically and geographically well-defined clades within S. Enteritidis, I–IV, were identified with SNP distance ranging from 0 (CFSAN046971_2015_US and CFSAN046972_2015_US) to 1,365 (173732_2015_UK and V91_2011_Mali) SNPs. All four clades were strongly supported, each having 100% bootstrapping support (Fig. 1). Clade III was originated from sub-Saharan Africa (sSA)18, containing West African clade IIIA and Central/Eastern African clade IIIB. Clade IV was strongly associated with the UK isolates, all of which were ST183. Based on their distribution within the clade and identification of major splits at the base of each clade, six distinct subclades, A-F, were identified in both clade I and clade II. Subclades IA-IC were mainly composed of isolates from the U.S. (78/83), whereas most isolates from subclades ID-IF were from European countries (31/36). Clade II was a geographically diverse and more cosmopolitan clade, containing a global set of isolates. Although the 16 isolates from China were clustered together with the cosmopolitan clade (II), these isolates formed a distinct, locally restricted subclade (IIA) within the larger group (Fig. 1) with notably strong bootstrap support. It was noteworthy that in several instances on the tree that foreign travel supports the notion that may be involved in the dissemination of S. Enteritidis.
Distribution of antimicrobial resistance determinant
Overall, a total of 28 antimicrobial resistance genes (ARGs), plus point mutations in gyrA (D87G, D87Y, and D87N) that associated with decreased susceptibility or resistance to quinolone, were identified among the isolates (Fig. 1). Comparison of the AMR properties across the four clades identified here revealed that the majority of clade I and IV isolates displayed pan-susceptible AMR profiles, with ARGs found in only sporadically several isolates in clade I (Fig. 1). In contrast, as high as 81.8% (9/11 isolates) of isolates were MDR (at least two classes of antimicrobials) in clade III. Clade II isolates showed mixed susceptible/MDR clinical isolates (46/13), And it was noted that in clade II, 77% of MDR isolates (10/13) resided in subclade IIA from China. All the isolates from subclade IIA had a point mutation in the gyrA gene, but none of the isolates from sSA clade (clade III) had gyrA mutations. Interestingly, the most common ARGs from the Chinese isolates were aph(3’)-IIa, blaCTX-M-55, and blaTEM-1B, whereas blaTEM-1B, sul1, sul2, drfA7, strA, and strB were most identified in the African isolates. In addition, plasmid-mediated quinolone resistance (PMQR) genes oqxA/B and quaternary ammonium compound and disinfectant resistance gene qacE were only identified in Chinese isolates (25%, 4/16) and African isolates (50%, 8/16), respectively.
Plasmid identification, distribution, and genomic structures
A total of 14 Inc groups were identified among the 197 S. Enteritidis isolates analyzed in this study (Fig. 1). Most isolates (176/197, 89.3%) carried both IncFIB(S) and IncFII(S) replicons, but only isolates from clade IV were found to carry one of the two replicons. IncX1 and IncFII(pHN7A8) were exclusively found in Chinese MDR isolates (subclade IIA), whereas IncQ1 was highly associated with MDR isolates from sSA (clade III). Additionally, the IncN plasmid was also detected in MDR strains from other countries. It is worth noting that IncI1-I(Alpha) only appeared in isolates from West Africa (subclade IIIA). Interestingly, MLI21, an isolate from Mali, harbored additional plasmid replicons IncFI1, IncHI1A, and IncHI1B without changing its AMR profile (blaTEM-1B, sul1, sul2, defA7, tet(B), strA, strB, catA1, and qacE) which was shared with other MDR isolates from subclade IIIA.
Four different plasmids were identified from the closed genomes of five Chinese isolates, with each isolate carrying up to four plasmids. Three of these were hybrid plasmids (IncFII(pHN7A8)-IncN-IncX1, IncQ1, IncFIB(S)-IncFII(S), and IncFII-IncX1 plasmid), (Fig. 2). The IncFII-IncX1 hybrid plasmid carried multiple ARGs, including sul2, aph(3″)-Ib/strA, aph(6)-Id/strB, tet(A), oqxA, oqxB, aph(3’)-IIa, fosA3, and blaCTX-M-55, as well as a toxin/antitoxin (T/AT) module pemK/I (Fig. 2D). IncFIB(S)-IncFII(S) was the most common hybrid plasmid identified, carrying the spvRABCD virulence operon and a T/AT module ccdB/A (Fig. 2C). Notably, one of the IncFIB(S)-IncFII(S) plasmids (pSE74-2) carried an ARG, blaTEM-1B, in addition to the virulence operon (Fig. 2C).
Distribution of Salmonella pathogenicity islands (SPIs), SGI-1, and spv virulence operon
All isolates carried 15 SPIs, including SPIs-1 to 6, 9 to 14, 16, 17, and 19, and none of the isolates carried SPI-7, 8, 15, 18, 20, 21 and 22 (Fig. 3, Table S1). SPI-23 was completely missing from all of the isolates from sSA (clade III) but was present in the remaining 94% (185/197) of isolates, except for one isolate in clade IID from France (201,607,119). SPI-24, however, was observed in all isolates from clade III, 93% of clade I isolates (111/119), and 95% of clade II isolates (56/59), but absent entirely in clade IV. Notably, the spv operon was identified in 187 S. Enteritidis isolates (95%) and was highly associated with IncFII and IncF1B replicons (Fig. 1), except for the isolates in subclade IIIA, which did not contain either of the IncF replicons. Remarkably, no trace of SGI-1 was detected in any of the S. Enteritidis isolates interrogated here.
A pangenome size of 8,191 nonredundant genes was created using annotated de novo assemblies of all S. Enteritidis isolates. The core genome of S. Enteritidis comprises 3653 genes (Fig. 4), and genes with a prevalence of 15% < x < 99% (shell genes) numbered 905. Additionally, genes with a prevalence of < 15% (cloud genes) numbered 3633. Based on gene presence-absence matrices, accessory genome composition appeared to be influenced considerably by geography (Fig. 5). The temperate prophages were one of the major compositions in the accessory genome, contributing hotspots for enhanced horizontal gene transfer. Prophages were nearly ubiquitous in this S. Enteritidis collection save for isolate 50,129 from the UK. In total, PHASTER identified 37 intact prophages among 197 genomes with each S. Enteritidis isolate containing 1–8 different intact prophages from other bacterial species (Table S3). The five most common prophages identified in S. Enteritidis isolates were Gifsy-2 (183/197, 92.9%), Escherichia coli phage 500,465–2 (173/197, 87.8%), Salmonella phage SJ46 (164/197, 83.2%), Shigella phage SflV (148/197, 75.1%), and Salmonella phage RE-2010 (114/197, 57.9%) (Table S3). Some phylogenetic difference in prophage distribution was noted (Fig. 3). That is, RE-2010 was only found in clade I, and was entirely absent from the other clades. Prophage 118,970-sal3 was abundant in clades II and IV, but very rare in clades I and III. While Gifsy-1 was abundant (100%) in clade III but was identified in a very low percentage (6/181, 3.3%) in clades I and II. Interestingly, Gifsy-2 was opposite in its distribution, and isolates from clade IV contained both Gifsy-1 and Gifsy-2. Finally, Enterobacter phage phiT5282H was only found in clade III.
Accessory genomic features between the S. Enteritidis clades were distinct. Identification of clade II specific genes was defined as: abs (clades II_prevalence – clades I/III/IV_prevalence) > 0.99. Using the criteria previously mentioned as well as an in-house R script, 93 genes were identified to be clade II specific, with 57 genes present in all of the isolates in clade II (Table S2). Gene-ontology enrichment analysis revealed that genes involved in cellular and metabolic processes were highly enriched. For example, isolates in clade II harbored multiple genes responding to a variety of stimuli including toxins, pH, antibiotics, and other abiotic stressors.
AMR and disease severity caused by S. Enteritidis vary greatly from different regions23,24,25. This study has attempted to understand the genomic features associated with virulence, resistance, and geographical origin of S. Enteritidis on a global level.
In the study, geographical structure is documented within our S. Enteritidis phylogeny and sub-phylogenies. For example, clade III within sSA18 and clade IV within the U.K. are detected in the S. Enteritidis population. Geographical sub-clustering is also evident within clades I and II. While clade I is composed mainly of human isolates from the U.S. and Europe, including some of the isolates from Germany during the 2014 European S. Enteritidis outbreak26, clade II displays a much greater global cosmopolitan geographic diversity. To be able to make comparisons to other reported phylogenies5,21, clade specific human isolates from a West African clade, a Central/East African clade, an outlier clade, and a global epidemic clade in the study of Feasey et al.5 were used in the construction of the phylogeny presented in this study. In agreement with previous observations5,21, four well-supported clades were found in this study, including clade III (A and B) (i.e. sSA clade), clade I (i.e. outlier or Atlantic clade) and clade II (i.e. global/cosmopolitan clade). All of the isolates from China formed a subclade within clade II, the global epidemic clade, suggesting that the established clone of S. Enteritidis in China has persisted and evolved remotely within this specific geographical region, much like the localization of African epidemic lineages within the sSA area. Similar geographical partitions were reported in other Salmonella serovars in a global context27,28,29. These data again suggest that besides anthropogenic factors, the evolution of S. enterica genomes is also strongly associated with ecological preference and geographical distribution. Notably, one U.S. isolate (MDH_2014_00247 from arm swab) belonged to the sSA clade, and one U.S. isolate (CFSAN033186 from urine) and one South African isolate (177,883 from blood) fell within the Chinese subclade. These isolates were likely associated with international travels to these areas5,30. However, detailed travel history or other epidemiological information will be needed for further inferences.
The most frequent profile within the collection was ST11 (95%) followed by ST183. ST11 represents the most prevalent MLST profile among S. Enteritidis worldwide (94.8%)22. In EnteroBase, there were 1150 released S. Enteritidis genomes were identified as ST183 as of Mar. 1, 2021. The isolates were mainly isolated from the UK, France, and Germany. ST183 is an emerging and endemic sequence type isolated from hedgehogs in western Europe and human in the UK and appears more likely to infect children aged four or younger31. In addition, a recent study reported that isolates of ST183 were the only isolates associated with hedgehogs in Germany32.
Antibiotic resistant Salmonella infections have been linked to severe clinical outcomes including bloodstream infections, meningitis, septicemia, and high hospitalization and fatality rates23,33. A high proportion of invasive non-typhoidal Salmonella (iNTS) isolates have been shown to be MDR5,8. Human isolates from this study that fall in the China subclade as well as in the sSA clade showed the highest abundance of resistance genes and presence of extended spectrum beta-lactamase (ESBL) genes. However, the pattern of most common resistance genes was different between the two geographic locations. Isolates from the sSA clade (clade III) exhibited a MDR genotype, with associated genes as blaTEM-1B, sul, dfrA, str, and cat. Isolates from the Chinese subclade, however, displayed a much more complex AMR patterns. Some isolates (3/16) had a similar MDR genotype as isolates from the sSA clade showed. Notably, clade II (global/cosmopolitan clade) has a much higher percentage of isolates (47.4%, 28/59) including all 16 isolates from China that contained mutations in quinolone resistance determining regions (QRDR), such as gyrA mutations, when compared to other clades (0.8% in clade I; 0% in clades III and IV). Moreover, only isolates from China harbored the plasmid-mediated quinolone resistance (PMQR) genes oqxA/B. These findings may be explained by a gradual decline in the percentage of MDR isolates accompanied by a steady increase in the rates of Salmonella isolates resistance to nalidixic acid, cefotaxime, and ciprofloxacin during 2007–2016. The ciprofloxacin and cefotaxime resistance rates in S. Enteritidis in China have been of great concern as they are much higher than those in the U.S. and Africa34. In addition, the China subclade carried several beta-lactamase genes of significant public health concern, such as ESBL and AmpC-like-lactamases, including blaCTX-M-55, blaTEM-1B, and blaCMY-2. Notably, these genes were also reported as the most common ESBL genes carried in the ceftriaxone-resistant isolates in China during 2007–20168.
The ARGs seen here were mainly acquired and plasmid-borne except the non-functional aac(6’)-Iaa gene, located on the chromosomes of all the S. Enteritidis genomes. A clade-specific Inc group was also observed in this study. It is noteworthy that IncFII(pHN7A8) was predominantly associated with genotypic MDR profiles found in S. Enteritidis clinical isolates from China, while AMR determinants in isolates from sSA (clade III) were mainly linked to the IncQ1 replicon type. Among plasmids identified in five isolates from China, both IncFII(pHN7A8)-IncX1 and IncFII(pHN7A8)-IncN-IncX1 type hybrid plasmids acquired multiple ARGs35. In addition, both plasmids had a complete conjugative system: the oriT, the relaxase, the type IV coupling protein (T4CP), and the type IV secretion system (TIVSS), together with 22 tra genes belonging to F conjugative system, confirming the potential capacity of these plasmids to be transferred to other bacteria via conjugation. Interestingly, both plasmids possessed the typical IncFII(pHN7A8) backbones from pHN7A8, a chimeric multidrug resistance plasmid from E. coli of animal originated from China36. Due to the abundant presence of IS26, a mosaic structure of the MDR region was observed in IncFII(pHN7A8)-like plasmids detected in this study, suggesting evolution through the recombination and integration of a variety of ARGs. All of the sequenced IncFII(pHN7A8)-like plasmids had acquired the oqxA, oqxB, aph(3’)-IIa, and blaCTX-M-55 genes, while pSE104-1 acquired additional genes (sul2, aph(3″)-Ib/strA, aph(6)-Id/strB, tet(A), and fosA3). These plasmids also carried the addiction system pemI/pemK, which is involved in stable inheritance of the plasmid. Notably, the pHN7A8-like plasmid has been disseminated to multiple species in the Enterobacteriaceae family37 but was predominantly confined geographically. All the plasmids with the same pHN7A8 origin of replication were isolated in Asia, especially China38. Recently, two pHN7A8-like plasmids were detected in clinical isolates of K. pneumoniae from Bolivia39 and E. coli from a wastewater treatment plant (WWTP) from Barcelona, Spain40, respectively, with most variation associated with ARGs, demonstrating a possible intercontinental dissemination. In the U. S., pHN7A8 was detected in E. coli isolated from a forest in North Carolina without carrying any ARGs. A similar IncFII(pHN7A8) without ARGs was detected here in one clinical isolate (CFSAN046972) of S. Enteritidis from the U.S. Among the nine isolates from China carrying the blaCTX-M-55 gene, 89% (8/9) of them was strongly associated with the IncFII(pHN7A8) replicon. In a most recent study, fosfomycin and ceftriaxone co-resistance profiles were found in 2.8% (14/501) of clinical S. Enteritidis isolates in China41. It was noted that most (64.3%, 9/14) blaCTX-M-55 and fosA3-bearing plasmids possessed a typical IncFII backbone similar to the plasmid pHN7A8 carrying blaCTX-M-55/-65, fosA3, and rmtB resistance genes from an E. coli strain (67% coverage, 99.94% identity). Co-existence of the blaCTX-M-55 and fosA3 genes was also found in one of the Chinese clinical isolates (S104) in this study. All together, these findings illustrate the role of horizontal gene transfer of IncFII(pHN7A8)-like plasmids in the dissemination of ARGs in S. Enteritidis in China41.
The prevalence of the spv operon in S. Enteritidis isolates can vary from 15.1 to 93.5% depending on the geographic location42,43. It was also noted that a lower percentage of strains from poultry carried a spv loci than that from humans44. In this study, 94.9% of S. Enteritidis isolates (n = 187) were found to have the spvRABCD operon. The spv operon was located on a hybrid plasmid IncFIB(S)-IncFII(S) in five closed genomes from China. The hybrid plasmids from these isolates are around 60–64 kb, comprising serovar specific features45. In addition to the spv operon, the plasmid carried other virulence loci. For example, the pef region mediates adhesion to intestinal epithelial cells for various species14. Also, YjiK is linked to quorum sensing, which may reduce sensitivity to ceftiofur46. The plasmid also carried the addiction system ccdA/ccdB. The spv operon was found in a variety of virulence plasmids, including IncX1, IncFII, IncA/C-IncFI1, IncA/C-IncFII12,47. In this study, the prevalence of the spv operon was strongly correlated with the presence of IncFIB(S)/IncFII(S) plasmid. It is also noted that the IncFIB(S)-IncFII(S) virulence plasmid SE74 possessed a laterally acquired resistance gene blaTEM-1B. The blaTEM-1B gene was associated with Tn3 and lies adjacent to a Y-family DNA polymerase, which encodes a DNA polymerase specialized in translesion synthesis. Unlike in pUO-SeVR1, the tra locus found on the common virulence plasmid in S. Enteritidis, has undergone a certain amount of evolutionary degradation leading to the loss of mobilization of the virulence plasmid48. Hence, the transmission of this new type of virulence plasmid may be only vertical within Salmonella serovars45. In theory, plasmids, belonging to the same Inc group are not able to stably replicate in the same bacterial cell. However, the emergence of hybrid plasmids, has complicated this incompatibility. Notably, several clinical isolates from China possessed both a virulence plasmid and a resistance plasmid, presenting a new challenge in treating Salmonella infections caused by S. Enteritidis41.
Clustering of the ancillary genes between geographic regions was observed based solely upon presence-absence matrices. Representing a large part of the S. enterica accessory genome, SPIs are mostly serovar specific18. The absence of SPI-23 or SPI-24 in this collection of S. Enteritidis genomes, however, was found largely to be clade and geographic specific. SPI-23, for instance, carrying genes encoding another set of type III effector proteins, was shown to contribute to Salmonella invasion of porcine tissue, for example, the jejunum49. The loss of SPI-23 in the clade III genomes, originating from the sSA area, may provide improved fitness to these isolates in human infections during epidemics in Africa. Prophages, another major source of accessory genes, contribute to genome evolution and provide additional functions to the bacterial host via integration of virulence genes and ecologically significant genes50,51. Clade-specific prophage distribution patterns observed in this study are intriguing and may be used as evolutionary biomarkers. Nonetheless, further studies are needed to investigate the role of prophages in S. Enteritidis evolution and ecological fitness.
In summary, the current study presents an in depth phylogenetic and genomic analyses of a global collection of clinical S. Enteritidis genomes. Analysis of accessory genome content including AMR genes, plasmids, prophage regions, and SPIs, all provided evidence of a significant degree of geographical structuring within the S. Enteritidis phylogeny and its sub-phylogenies. These data suggested the persistence and continued parallel evolution of S. Enteritidis within a specific geographical region such as China and sSA after the clone was introduced and established. Future phylogenetic studies including more clinical S. Enteritidis genomes from Asiatic countries and Oceanic countries will help to shed light on S. Enteritidis evolution and its global AMR distribution and dissemination.
Materials and methods
A total of 16 S. Enteritidis clinical isolates collected from China isolated between 2012 and 2016, were used in this study. All isolates were stored in tryptic soy broth (TSB; Fisher Scientific Inc., Hampton, NH) at − 80 °C with 20% glycerol until use. In addition, whole genome sequence (WGS) data of 181 human clinical S. Enteritidis isolates from 12 other countries, including the U.S. (n = 98), the UK (n = 42), Germany (n = 5), France (n = 9), Norway (n = 6), Mali (n = 5), Malawi (n = 3), Congo (n = 3), Uganda (n = 1), South Africa (n = 3), Senegal (n = 1), and Uruguay (n = 5), were downloaded from the National Center for Biotechnology Information (NCBI) Pathogen Detection (https://www.ncbi.nlm.nih.gov/pathogens/) website and database for comparative genomic analysis (Table S1). The selection criteria of isolates from the U.S., UK, Germany, France, and Norway are based widely on the time period of isolation, the quality and availability of complete annotated genomes and their associated metadata and does not necessarily representative of a specific collection of strains within an individual country. In addition, the criteria of isolates from Africa and Uruguay was also based on phylogenetic analysis from an earlier study5.
Genome sequencing, assembly and annotation
Genomic DNA was extracted using the DNAeasy Blood and Tissue Kit (Qiagen, Inc., Valencia, CA) following an overnight grown culture incubated at 37 °C in TSB (Fisher Scientific Inc., Hampton, NH). After measuring DNA concentrations with a Qubit 3.0 fluorometer (Life Technologies, MD), libraries were prepared following the Illumina Nextera XT DNA Library Preparation (Illumina, San Diego, CA). The prepared libraries were sequenced on the Illumina MiSeq platform (Illumina, San Diego, CA) using the MiSeq Reagents Kits v2 (500 cycles) or MiSeq Reagents Kits v3 (600 cycles) with paired end option. Raw reads quality was assessed by the following parameters: cluster density (1200–1400 k/mm2) and percentage of clusters passing filters (> 80%). Raw reads were trimmed with Trimmomatic52 and de novo assembled using SKESA v2.2 with minimal contig length of 500 bp53. Based on the AMR profiles, five isolates (S74, S81, S95, S104, and S109) were selected to close the genomes using the Nanopore sequencing technology as previously described54. Genomes were annotated using Prokka v1.14.555.
Detection of SPIs and spvRABCD virulence operon
To evaluate the virulence potential of all S. Enteritidis virulence factors, all SPIs and spvRABCD virulence operon were examined. An in-house bioinformatic pipeline12 was constructed to identify 24 SPIs. The existence of SPIs were identified by BLASTn searches of the assembled genomes against a local database. Sequence of the spvRABCD virulence operon from S. Dublin plasmid pOU1115 (Accession: DQ115388) was used for a local BLASTn search (e-value: 1e−3) to identify its presence/absence in all 197 S. Enteritidis isolates.
Identification of AMR genotypes, chromosomal point mutations, plasmid types, and Salmonella genomic island-1 (SGI-1)
To assess AMR genotype profiles, ResFinder 4.156,57 (last updated on May 27, 2021) was used for detection of both acquired AMR genes and chromosomal point mutations that associated with specific resistance phenotypes using the ResFinder default settings (90% minimum identity and 60% minimum sequence length coverage for nucleotide sequence). In addition, PlasmidFinder 2.158 (last updated on July 1, 2020) was used to determine the plasmid type with default settings (95% sequence identity and 60% sequence length coverage for nucleotide sequence). A heatmap illustrating the presence/absence of AMR genes, chromosomal point mutations, and plasmid types was created. The BLAST Ring Image Generator (BRIG) v0.9559 was also used for comparison analysis of the plasmids in the five closed genomes of S. Enteritidis from China and for image generation. The presence of the SGI-1, an integrative mobilizable element carrying a cluster of resistance genes, was detected by blasting genomes against the backbone of SGI based on the SGI structure reported by Hall60 using an in-house bioinformatics pipeline12.
Whole-genome phylogenetic analysis and multi-locus sequence typing (MLST)
To elucidate evolutionary relationships amongst S. Enteritidis isolates, whole-genome phylogenies were reconstructed using S. Gallinarum 287/91 as an outgroup. Briefly, Fastq data from Illumina raw reads of 197 S. Enteritidis isolates were used as inputs for SKESA v2.2 to generate assemblies in fasta file format with minimal contig length of 500 bp. kSNP3.061 with optimum k value as 19 from Kchooser was used to generate a matrix of core SNPs. GARLI 2.0162 was used to construct the maximum likelihood phylogenetic tree (ratematrix = 6rate, ratehetmodel = gamma). Multiple runs were performed (n = 100) to ensure that results were consistent. To estimate support for each node, phylogenies were reconstructed for 1,000 bootstrap replicates of the data set. Python program SumTrees v4.0.063 was used to generate one consensus tree with bootstrap value at a 60% threshold, and ggtree v3.1.364 was used to visualize the phylogenetic tree. Circular BLAST comparison of the representative draft whole genome sequences from each major clade was performed using BRIG v0.95. In addition, EnteroBase33 (https://enterobase.warwick.ac.uk/species/index/senterica) was used to determine the ST using seven housekeeping genes (aroC, dnaN, hemD, hisD, thrA, sucA, and purE) for studied S. Enteritidis isolates, and MEGA765 was used to estimate the evolutionary divergence between sequences and to generate the pairwise distance matrix.
To identify clade specific genes, all assemblies in Fasta file format generated from SKESA v2.2 were annotated with Prokka 1.14.5 to generate GFF3 files as the inputs for pan-genome calculation using Roary v3.12.066. Those genes present in at least 99% of the isolates were considered core genome and genes present in 100% of the isolates in the clade were considered as clade specific genes. The matrix with the presence/absence of core and accessory genes was then used as input for an in-house R script to generate heatmap. The Clusters of Orthologous Groups of proteins (COGs) database was used for functional annotation. At least one GO (Gene Ontology) term was assigned to all clade specific genes for functional enrichment analysis.
Identification and in silico characterization of prophage sequences
Potential prophage profiling among 197 S. Enteritidis genomes were detected and annotated by PHASTER (Phage Search Tool Enhanced Release)67. According to the completeness of identified prophage regions in the bacterial genome, PHASTER classifies those regions into three classes including intact, incomplete and questionable on the basis of the score obtained (i.e. score > 90, score 70–90, and score < 70, respectively).
All 16 S. Enteritidis Chinese human isolates are available in the NCBI database with the specific SRA accession and Genome accession are listed in Supplementary Table 1. The SRA accession numbers for the rest genomes from the collection are showed in Supplementary Table 1 as well.
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Cao, G., Zhao, S., Kuang, D. et al. Geography shapes the genomics and antimicrobial resistance of Salmonella enterica Serovar Enteritidis isolated from humans. Sci Rep 13, 1331 (2023). https://doi.org/10.1038/s41598-022-24150-4