Literature DB >> 35909609

Antimicrobial resistance genes, virulence markers and prophage sequences in Salmonella enterica serovar Enteritidis isolated in Tunisia using whole genome sequencing.

Boutheina Ksibi1,2, Sonia Ktari1,2, Kais Ghedira3, Houcemeddine Othman4, Sonda Maalej1,2, Basma Mnif1,2, Laetitia Fabre5, Faouzia Rhimi1,2, Simon Le Hello5,6, Adnene Hammami1,2.   

Abstract

Salmonella Enteritidis causes a major public health problem in the world. Whole genome sequencing can give us a lot of information not only about the phylogenetic relatedness of these bacteria but also in antimicrobial resistance and virulence gene predictions. In this study, we analyzed the whole genome data of 45 S. Enteritidis isolates recovered in Tunisia from different origins, human, animal, and foodborne samples. Two major lineages (A and B) were detected based on 802 SNPs differences. Among these SNPs, 493 missense SNPs were identified. A total of 349 orthologue genes mutated by one or two missense SNPs were classified in 22 functional groups with the prevalence of carbohydrate transport and metabolism group. A good correlation between genotypic antibiotic resistance profiles and phenotypic analysis were observed. Only resistant isolates carried the respective molecular resistant determinants. The investigation of virulence markers showed the distribution of 11 Salmonella pathogenicity islands (SPI) out of 23 previously described. The SPI-1 and SPI-2 genes encoding type III secretion systems were highly conserved in all isolates except one. In addition, the virulence plasmid genes were present in all isolates except two. We showed the presence of two fimbrial operons sef and ste previously considered to be specific for typhoidal Salmonella. Our collection of S. Enteritidis reveal a diversity among prophage profiles. SNPs analysis showed that missense mutations identified in fimbriae and in SPI-1 and SPI-2 genes were mostly detected in lineage B. In conclusion, WGS is a powerful application to study functional genomic determinants of S. Enteritidis such as antimicrobial resistance genes, virulence markers and prophage sequences. Further studies are needed to predict the impact of the missenses SNPs that can affect the protein functions associated with pathogenicity.
© 2022 The Authors. Published by Elsevier B.V.

Entities:  

Keywords:  Antimicrobial resistance; Prophages sequences; S. Enteritidis; Salmonella pathogenicity islands; Whole genome sequencing

Year:  2022        PMID: 35909609      PMCID: PMC9325895          DOI: 10.1016/j.crmicr.2022.100151

Source DB:  PubMed          Journal:  Curr Res Microb Sci        ISSN: 2666-5174


Introduction

During the last two decades, whole-genome sequencing (WGS) has become the affordable tool that has the capacity to revolutionize different domains including genetics, microbiology, epidemiology and public health surveillance. The evolution of the current WGS technologies allowed to rapidly increase the realization of bacterial genome sequencing projects (Hu et al., 2021; Punina et al., 2015) . Since the entire genome is readily available for analysis, WGS has the capacity to replace traditional methods for characterizations such as serotyping, virulotyping and antimicrobial resistance which can easily be predicted from the genome. This improves the capacity of surveillance systems to quickly provide information on the probable source, to identify the path of disease transmission within a population and to detect the virulence factors of the pathogen. Therefore, WGS-based analyses are becoming the primary subtyping tool of choice for pathogens particularly Salmonella species (Deng et al., 2015). To date, there are over 400,000 Salmonella enterica genomes published in public databases, that have been widely exploited to track and investigate outbreaks (“Home - Pathogen Detection - NCBI,”). Salmonella enterica subsp enterica serovar Enteritidis (S. Enteritidis) is among the most frequent Salmonella serovars isolated worldwide. It is a human and animal pathogen that causes a major public health problem. The genome of Enteritidis serovar has approximately 5 million bases and codes for over 4000 genes, from which more than 200 genes are actively dysfunctional. A global comparison study of S. Enteritidis isolates demonstrates the emergence of closely related isolates during a long period and underline the genetic homogeneity of this serovar. The virulence of Salmonella enterica depends on diverse assortment of genes which are required for adhesion, invasion, intra-cellular survival, and replication. These genes are located on various elements of the genome including Salmonella pathogenicity islands (SPIs) (Gupta et al., 2019; Zhao et al., 2020). Different strains of S. Enteritidis have mobile genetic elements such as plasmids, prophages and transposon that can carry virulence or antimicrobial resistance genes (Hu et al., 2021). Recently, WGS has been successfully used in our previous studies to assess the genetic diversity of S. Enteritidis and Salmonella Typhimurium serovars (Ksibi et al., 2020; Ktari et al., 2020). The use of these technologies has greatly enlarged our view of the genetic diversity of this bacterium. Furthermore, it produces an opportunity to provide more genetic information to study all genetic determinants such as virulence markers, antimicrobial resistance genes, mobile elements, bacteriophages and to determine genomic changes associated with pathogenicity and antibiotic resistance. In this study, we sought to investigate the whole genome of 45 S. Enteritidis strains isolated from different sources, human, animals and food in order to predict the antimicrobial resistance, the potential pathogenicity, the prophages sequences and the substitution of an amino acid on the protein sequence.

Material and methods

Bacterial strains

45 S. Enteritidis strains isolated from human, animal, and food samples were included in this study. A collection of 29 clinical S. Enteritidis isolates were recovered in the Laboratory of Microbiology CHU Habib Bourguiba Sfax-Tunisia between 2000 and 2015. In addition, seven S. Enteritidis isolates were collected in 2009, 2014, and 2015 from animal samples. We also included nine S. Enteritidis isolates obtained from two distinct foodborne outbreaks that occurred in 2007 (Table 1).
Table 1

List of 45 Samonella Enteritidis strains sequenced for comparison.

No.Tree LabelbiosampleBioprojectgenomefilenameIsolation dateIsolation typeIsolation sourceResistance patternsAntimicrobial resistance genes
gyrAblaTEM
1C238SAMN13108479PRJNA579483WICN00000000C238.fasta2000ClinicalStoolsusceptible
2C5352SAMN13110851PRJNA579483WICR00000000C5352.fasta2000Clinicalunknownsusceptible
3X1500SAMN13110876PRJNA579483WIDC00000000X1500.fasta2000Clinicalunknownsusceptible
4B3015SAMN13108482PRJNA579483WIBL00000000B3015.fasta2001ClinicalStoolsusceptible
5D849SAMN13108483PRJNA579483WICS00000000D849.fasta2002ClinicalStoolsusceptible
6S1078SAMN13108484PRJNA579483WIDB00000000S1078.fasta2003ClinicalStoolsusceptible
7B3544SAMN13108480PRJNA579483WIBM00000000B3540.fasta2004ClinicalStoolsusceptible
8I42SAMN13108481PRJNA579483WICY00000000I42.fasta2005ClinicalBloodsusceptible
9B3790SAMN13108485PRJNA579483WIBN00000000B3790.fasta2006ClinicalCerebro-Spinal Fluidsusceptible
10C4140SAMN13108486PRJNA579483WICQ00000000C4140.fasta2007ClinicalStoolsusceptible
11B1988SAMN13108419PRJNA579483WIBK00000000B1988.fasta2007ClinicalStoolsusceptible
12I1104SAMN13110852PRJNA579483WICZ00000000I1104.fasta2007ClinicalStoolsusceptible
13B5147SAMN13108487PRJNA579483WICN00000000B5147.fasta2008ClinicalBloodsusceptible
14G604SAMN13110859PRJNA579483WICU00000000G604.fasta2008ClinicalStoolNALp.Asp87Asn
15C1248SAMN13108488PRJNA579483WICO00000000C1243.fasta2009ClinicalBloodNAL Pefp.Ser83Phe
16ED1075SAMN13110877PRJNA579483WICT00000000ED1075.fasta2009ClinicalBloodNAL Pefp.Asp87Asn
17H1349SAMN13110860PRJNA579483WICX00000000H1349.fasta2009ClinicalBloodsusceptible
18H175SAMN13110878PRJNA579483WICV00000000H175.fasta2010ClinicalStoolNAL Pefp.Ser83Phe
19H444SAMN13110884PRJNA579483WICW00000000H444.fasta2010ClinicalStoolNALp.Asp87Asn
20C1458SAMN13108489PRJNA579483WICP00000000C1458.fasta2010ClinicalStoolsusceptible
21J316SAMN13110853PRJNA579483WIDA00000000J316.fasta2010ClinicalBloodAMP NALp.Asp87AsnblaTEM
22C2644SAMN13108490PRJNA579483WICC00000000BK-C2644.fasta2012ClinicalBloodsusceptible
23B480SAMN13108491PRJNA579483WICA00000000BK-B480.fasta2013ClinicalStoolNAL Pefp.Asp87Asn
24NP294SAMN13110854PRJNA579483WICF00000000BK-NP294.fasta2013ClinicalUrineNALp.Asp87Thr
25W355SAMN13110881PRJNA579483WICM00000000BK-W355.fasta2013ClinicalBloodNAL Pefp.Asp87Thr
26B2464SAMN13110883PRJNA579483WICB00000000BK-B2464.fasta2013ClinicalStoolNAL Pefp.Asp87Thr
27pl573SAMN13108492PRJNA579483WICG00000000BK-PL573.fasta2014ClinicalStoolsusceptible
28F74/14SAMN13110858PRJNA579483WICE00000000BK-F74.fasta2014ClinicalBloodNAL Pefp.Ser83Thr
29CR268SAMN13108493PRJNA579483WICD00000000BK-CR268.fasta2015ClinicalBloodNAL Pefp.Asp87Thr
30S2SAMN13110855PRJNA579483WICH00000000S2.fasta2009AnimalChicksusceptible
31S10SAMN13110856PRJNA579483WICI00000000BK-S10.fasta2014AnimalPoultryNALp.Asp87Thr
32S12SAMN13110879PRJNA579483WICJ00000000BK-S12.fasta2014AnimalPoultryNAL Pefp.Asp87Thr
33S19SAMN13110880PRJNA579483WICK00000000BK-S19.fasta2009AnimalChicksusceptible
34S29SAMN13110885PRJNA579483WICL00000000BK-S29.fasta2009AnimalChicksusceptible
351922SAMN13110889PRJNA579483WIBQ00000000BK-1922.fasta2014AnimalPoultrysusceptible
36153 (F)SAMN13110886PRJNA579483WIBP00000000BK-153.fasta2014AnimalPoultryNAL Pefp.Asp87Asn
373174SAMN13110933PRJNA579483WIBX00000000BK-3174.fasta2007Foodbornesusceptible
383156SAMN13110887PRJNA579483WIBT00000000BK-3156.fasta2007Foodbornesusceptible
393157SAMN13110890PRJNA579483WIBU00000000BK-3157.fasta2007Foodbornesusceptible
403220SAMN13110940PRJNA579483WIBY00000000BK-3220.fasta2007Foodbornesusceptible
413222SAMN13110941PRJNA579483WIBZ00000000BK-3222.fasta2007Foodbornesusceptible
423155SAMN13110882PRJNA579483WIBS00000000BK-3155.fasta2007Foodbornesusceptible
433173SAMN13110895PRJNA579483WIBW00000000BK-3173.fasta2007Foodbornesusceptible
443171SAMN13110893PRJNA579483WIBV00000000BK-3171.fasta2007Foodbornesusceptible
453152SAMN13110857PRJNA579483WIBR00000000BK-3152.fasta2007Foodbornesusceptible
List of 45 Samonella Enteritidis strains sequenced for comparison.

Antibiotic susceptibility test

Antibiotic susceptibilities of S. Enteritidis isolates were determined with the disk diffusion method, as recommended by European Committee on Antimicrobial Susceptibility Testing (EUCAST 2013). Antimicrobial susceptibility was performed for 16 antimicrobials, including ampicillin (10 µg), amikacin (30 µg), chloramphenicol (30 µg), azithromycin (30 µg), ciprofloxacin (5 µg), gentamicin (10 µg), streptomycin (10 µg), sulfamide (30 µg), tetracycline (30 µg), tigecycline (15 µg), streptomycin (10 µg), spectinomycin (100 µg), kanamycin (30 µg), netilmicin (10 µg), nalidixic acid (30 µg), pefloxacin (5 µg), and trimethoprim (30 µg). .

Whole genome sequencing, assembly and phylogeny

Genomic DNA was extracted using a MagNA Pure 96 DNA and Viral NA Small Volume Kit (Roche Life Science). Sequencing libraries were prepared with a Nextera XT DNA sample preparation kit (Illumina, Inc., San Diego, CA) and sequenced on an illumina NextSeq 500 platform (Illumina, San Diego, CA, USA) with 100 to 150-bp paired-end protocol according to the manufacturer's instructions. A threshold of 30X minimum coverage was applied. Genome sequences were assembled using SPAdes software V.3.6.0 with default settings (Bankevich et al., 2012). Genome assemblies consisted of several contigs ranging from ∼3.6 to 4.8 Mbp, with an average GC content of ∼52%. The sequencing depth of coverage ranged between 81% to 94%. The genomes were annotated with the NCBI Prokaryotic Genomes Annotation Pipeline (PGAP V.4.1) (http://ncbi.nlm.nih.gov/genomes/static/Pipeline.html) (Tatusova et al., 2016). We identified a total number of genes ranged between 4313 and 5147, a number of protein coding regions ranging from 4228 to 5075, and a number of pseudogenes ranging from 150 to 665. The phylogenetic relationship based on SNPs was constructed by mapping all the paired-end reads to the S. Enteritidis reference genome (GenBank:AM933172) as previously described (Ksibi et al., 2020).

In silico analysis of virulence genes and prophage detection

Salmonella Pathogenicity Islands (SPIs) were detected using SPIFinder 1.0 database (https://cge.cbs.dtu.dk/services/SPIFinder/). Prophage sequences were detected using PHASTER web server (http://phaster.ca/): only “intact” prophages were considered for this analysis (Zhou et al., 2011).

In silico identification of resistance genes

Antimicrobial resistance genes were searched using the ResFinder database (https://cge.cbs.dtu.dk/services/ResFinder/) (Zankari et al., 2012) with the following thresholds: minimum length coverage of 90% and nucleotide sequence identity of 96%. PointFinder was used to detect chromosomal structural gene mutations, gyrA, gyrB, parC, and parE genes, which were analyzed for quinolone resistance-determining region (QRDR) mutations (Zankari et al., 2017).

SNPs annotation and Cog analysis

SNPs annotations were obtained using SnpEff v4.121 with Ensembl gene annotation database for Salmonella (Cingolani et al., 2012). Clusters of Orthologous Groups of proteins (COGs) database was used for the functional annotation of SNPs and determination the most variable COGs for S. Enteritidis (Tatusov, 2000). The amino acid sequences generated from the SnpEff were used as input for functional annotation based on orthologous group.

Nucleotide sequence accession numbers

Complete genome sequences of these S. Enteritidis isolates are available in GenBank under BioProject no. PRJNA579483 and the GenBank accession numbers listed in Table 1.

Results

Phylogeny and functional SNPs

A phylogenetic analysis based on 806 SNPs revealed the existence of two lineages named A and B with 345 to 470 SNPs difference. Examination of individual lineage revealed that lineage A grouped twenty-six isolates with two clades (C1 and C2) and five subclades (C1–1 to C1–5). Lineage B included eighteen S. Enteritidis subdivided into two clades (C3 to C4) and two subclades (C3–1 and C3–2) placed in lineage B (Fig. 1).
Fig. 1

Maximum likelihood tree of 45 Salmonella Enteritidis genomes with reference strain AM933172.1. Branch lables represent isolate number_Isolation type_isolation date. Heatmaps showing the presence and absence of SPI, prophage and antimicrobial resistance with a white box indicates absence while a black box shows presence. Point mutations in gyrA and SPI profile are indicated by color as shown in the legend.

Maximum likelihood tree of 45 Salmonella Enteritidis genomes with reference strain AM933172.1. Branch lables represent isolate number_Isolation type_isolation date. Heatmaps showing the presence and absence of SPI, prophage and antimicrobial resistance with a white box indicates absence while a black box shows presence. Point mutations in gyrA and SPI profile are indicated by color as shown in the legend. Variant annotations showed that 276 were silent SNPs (33.99%), 493 were missenses SNPs (61.16%) and 37 were nonsense mutations (4.59%). The distribution of 493 missense SNPs among serovar Enteritidis was examined using the COG database. This annotation reflected that the genes are scattered in an assorted range of 22 functional categories throughout the genome. The COG distribution showed that the five most prevalent groups were carbohydrate transport and metabolism [G] (11.7%), amino acid transport and metabolism [E] (9.46%), transcription [K] (9.17%), cell wall/membrane/envelope biogenese [M] (6.88%) and energy production and conversion [C] (6.59%) (Fig. 2).
Fig. 2

Functional classification of mutated orthologues genes of 45 Salmonella Enteritidis genomes with Clusters of Orthologous Groups COGs. Each functional group is indicated by color as shown in the legend.

Functional classification of mutated orthologues genes of 45 Salmonella Enteritidis genomes with Clusters of Orthologous Groups COGs. Each functional group is indicated by color as shown in the legend.

In vitro and in silico assessments of antimicrobial resistance

Out of 45 isolates, 15 exhibited antimicrobial resistance (Table 1, Fig. 1). Among all these resistant isolates, only four were strictly resistant to nalidixic acid, ten showed resistance to nalidixic acid and intermediate resistance to pefloxacin, and one clinical isolate was resistant to nalidixic acid and ampicillin (Fig. 1). The antimicrobial resistance gene results showed that 15 resistant isolates harbored single nucleotide polymorphism in the gene gyrA: Asp87Thr (n = 6), Ser83Phe (n = 2), Ser83Tyr (n = 1) and Asp87Asn (n = 6) (Fig. 1). No other known quinolone resistance mutations were detected. Only one isolate contained a marker for β-lactamase blaTEM-1b gene conferring ampicillin resistance. No antimicrobial resistance genes have been identified in the genome of the susceptible isolates. These results agreed with those obtained from the phenotypic analysis. Phylogenetic tree analysis demonstrated that resistant isolates were separated in two lineages. The six isolates carrying the amino acid change Asp87Thr were grouped in the clade C2–5. The amino acid change from serine to phenylalanine at the site 83 were detected in two isolates grouped in C2–3. At the same site, the singleton isolate showed the variation from serine to tyrosine. Finally, six isolates having the mutation at the site 87 from aspartic acid to asparagine were assembled in lineage B (Fig. 2).

In silico assessments of virulence genes

To elucidate genomic features of virulence, we used the SPIFinder database. This analysis identified 11 out of 23 previously described SPIs (Fig. 1). All 45 S. Enteritidis carried the same six SPIs, including SPI-1, SPI-2, SPI-3, SPI-9, SPI-13 and CS54. The SPI-14 was detected in all isolates except one. Eight profiles of SPIs, arbitrarily designated as P1 to P8, were identified with two major profiles P3 and P4 (14 isolates for each) which differ at the level of SPI-10. These profiles shared SPI-1_SPI-2_SPI-3_SPI-5_SPI-9_SPI-13_SPI-14_C63PI_CS54 (Fig. 1). WGS data was used to screen SPI-1 and SPI-2 genes from 45 S. Enteritidis. SPI-1 and SPI-2 genes were common to all isolates except one clinical strain isolated in 2000 and lacking the spiC and sseA genes. In addition, the phoP and phoQ genes, encoded the phoP/Q system, were detected in all our isolates. All S. Enteritidis isolates harbored 12 fimbrial operons agf, bcf, fim, lpf, peg, saf, stb, std, ste, stf, sth and sti. Conversely, sta, stc, stg, stj, stk and tcf genes were absent in all isolates. It is noticeable that fimbrial adherence operon sef was detected in all isolates except five. Moreover, four isolates showed the absence of one or two sef operon genes (Fig. 3).
Fig. 3

Maximum likelihood tree of 45 Salmonella Enteritidis genomes with reference strain AM933172.1. Branch lables represent isolate number_Isolation type_isolation date. First heatmap showing the presence and absence of pef and sef genes. Second and third heatmap showing the presence and absence of missense mutations in fimbriae, SPI-1, SPI-2 and phoPQ genes with a white box indicates absence and a black box shows presence.

Maximum likelihood tree of 45 Salmonella Enteritidis genomes with reference strain AM933172.1. Branch lables represent isolate number_Isolation type_isolation date. First heatmap showing the presence and absence of pef and sef genes. Second and third heatmap showing the presence and absence of missense mutations in fimbriae, SPI-1, SPI-2 and phoPQ genes with a white box indicates absence and a black box shows presence. Finally, the virulence plasmid genes (spvABCDR) involved in intra-macrophage survival, plasmid-encoded fimbriae (pefABCD), transfer gene (traAVKELY) and resistance to complement killing (rck) were present in all our isolates except two (Fig. 4). None of these plasmids contained genes associated with antimicrobial resistance. The expression of several genes on the virulence plasmid that contribute to efficient systemic infections was regulated by alternative sigma factor RpoS. This factor across all isolates.
Fig. 4

Maximum likelihood tree of 43 plasmid sequences of Salmonella Enteritidis with reference strain NC_019120.1. Branch lables represent isolate number_Isolation type_isolation date. Heatmap showing the presence and absence of missense mutations in plasmid virulence genes and rpoS gene with a white box indicates absence and a black box shows presence.

Maximum likelihood tree of 43 plasmid sequences of Salmonella Enteritidis with reference strain NC_019120.1. Branch lables represent isolate number_Isolation type_isolation date. Heatmap showing the presence and absence of missense mutations in plasmid virulence genes and rpoS gene with a white box indicates absence and a black box shows presence.

Mutations of the target virulence genes

We identified 15 synonymous, 20 missense and 7 nonsens mutations among the selected target genes of SPI-1and SPI-2 genes, fimbrial adherence genes and virulence plasmid genes. The most commonly mutations were changes between G and A (15 times), C and T (15 times) and C and A (9 times); the less frequent changes were those between T and A (2 times) and T and G (1 time). Regarding the mutations in each gene, we identified four missenses SNPs in fimbrial adherence genes (Fig. 3). For one isolate of lineage A, the fimI gene was found to have one missense mutation resulted in an acid amine change of Arginine to cysteine at the site 50. The missense mutations in lpfA and stiC genes, at the site 111 (from threonine to isoleucine) and site 435 (from tyrosine to aspartic acid), respectively, were detected across all the isolates of lineage B (Fig. 3; Table 2).
Table. 2

: Non-synonymous mutations determined in target virulence genes in 45 Salmonella Enteritidis isolates.

GenesNucleotide positionNucleotide changeProtein positionAmino acid changeAssociated isolates
chr_genomefimbrieabcfC28,045C->A826Ala -> Asp17 isolates (13 Human, 1 Animal, 3 Foodborne)
fimI584,376C->T50Arg -> Cys1 Foodborne isolate
lpfA3,708,664G->A111Thr->Ile18 isolates (13 Human, 1 Animal, 4 Foodborne)
stiC208,100A->C435Tyr->Asp18 isolates (13 Human, 1 Animal, 4 Foodborne)
SPi-1&2invH2,929,483T->G475Ser->Leu18 isolates (13 Human, 1 Animal, 4 Foodborne)
ttrA1,760,475C->T232Arg->Cys18 isolates (13 Human, 1 Animal, 4 Foodborne)
ttrA1,762,630C->A950Ala->Thr2 Human isolates
ssaO1,732,159T->C28Thr->Ala17 isolates (13 Human, 1 Animal, 3 Foodborne)
ssaN1,733,278A->C89His->Gln8 isolates (7 Human, 1 Animal)
phoPQ-regulated genesPhoP1,919,806A->G156Tyr->Cys1 Human isolate
PhoQ1,921,103A->C364Ser->Arg1 Human isolate
PhoQ1,921,325A->G438Thr->Ala18 isolates (13 Human, 1 Animal, 4 Foodborne)
PhoP1,919,418C->T27Gln->stop codon1 Human isolate
phoQ1,920,324G->A104Trp->stop codon1 Human isolate
Alternative sigma factorrpoS2,950,320C->T309Gly->Asp1 Human isolate
2,950,824C->A141Arg->Leu1 Human isolate
2,950,839G->A136Pro->Leu1 Animal isolate
2,950,909C->T113Gly->Arg1 Human isolate
2,950,330G->A306Gln->stop codon1 Human isolate
2,950,438G->A270Gln->stop codon1 Animal isolate
2,950,803C->T148Trp->stop codon1 Foodborne isolate
2,951,020C->A76Glu->stop codon1 Foodborne isolate
2,951,092G->A52Gln->stop codon1 Human isolate
Virulence plasmid genesPlasmid-encoded fimbriaepefB17,597G->A96Val->Ile1 Human isolate
pefC19,667T->C343Val->AlaAll isolates (43 isolates)
Transfer genetraE35,699T->A179Asn->Ile24 isolates (16 Human,3 Animal, 5 Foodborne)
traY37,011G->A68Thr->Ile1 Human isolate
: Non-synonymous mutations determined in target virulence genes in 45 Salmonella Enteritidis isolates. Among SPI-1 and SPI-2 genes, we found five genes mutated with missense SNPs. The phylogenetic analysis demonstrated that two clinical isolates of lineage A carried a missense mutation in the ttrA gene (from alanine to Aspartate) at the site 950 (Fig. 3; Table 2). For the lineage B isolates, four missense mutations have been identified in invH (Ser146Ala), ttrA (Arg232Cys), ssaQ (Thr28Ala) and ssaN (His89Gln) (Fig. 3; Table 2). In phoP and phoQ genes, we found two and three non-synonyms mutations, respectively. The phoP gene exhibited one missense mutation (Tyr156Cys) in one clinical of the lineage A and one nosense mutation (Gln27*) in one clinical isolate of the lineage B. For the phoQ gene, we identified missense mutation (from theronine to alanine) at the site 438 in all isolates of lineage B. In addition, one clinical isolate of the lineage A carried mutation in the phoQ (from Serine to arginine) at the site 364. Another mutation at the site 104 in the gene phoQ, resulting a change from tryptophane to codon stop was detected in one clinical isolate of lineage B (Fig. 3; Table 2) For the virulence plasmid genes, one clinical isolate of lineage B carried missense mutation at the site 197 (form valine to alanine) (Fig. 4). The 43 S. Enteritidis carried virulence plasmid genes carried a missense mutation in pefC gene (Val343Ala). Other missense mutations have been identified in genes that code for plasmid transfer traE (Asn179Ile) and tarY (Thr68Ile). Two mutation types were detected in alternative sigma factor RpoS, including four missense and five nonsense (Fig. 4). No missense mutations were observed for the other target virulence genes among the isolates studied.

Prophages in S. enteritidis

A total of 21 prophage regions were detected using the PHASTER prophage analysis web server. Five out of these different phages were intact lysogenic phages (Salmon_118,970_Sal3; Gifsy_2; Salmon_Fels_1; Gifsy_1 and salmon_re_2010) (Fig. 1). 11 prophage profiles were identified, the most prevalent profiles were Salmon_118,970_sal3 (n = 7); Salmon_RE_2010 (n = 6); Salmon_118,970_sal3-Salmon_Fels_1 (n = 6) and Gifsy_2-Salmon_RE_2010 (n = 5). No intact prophage sequence was detected in six isolates. We identified only one phage sequence in nine isolates. The genomes of the other isolates carried two to three prophage sequences. The most prevalent intact prophages detected in our collection of S. Enteritidis were Salmon_118,970_sal3 and Fels-2 which were present in 20 and 18 genomes, respectively. The prophages Gifs _2 and Salmon_Fels_1 were defined in 15 isolates, while Gifsy_1 was present in only two isolates. Phylogenetic analysis based on the SNPs of all isolates showed that Salmon_118,970_sal3 and Salmon_RE_2010 were specific for the lineage A and lineage B isolates, respectively while three prophages (Gifsy_2, Salmon_Fels_1 and Gifsy_1) were common among the two lineages (Fig. 1).

Discussion

In the present study, a collection of 45 S. Enteritidis isolates were studied through WGS and subsequent in silico to determine the distribution of virulence genes, antimicrobial resistance genes, prophage sequences and the sequence variation of target virulence genes. The use of WGS became the most powerful tool for determining genomic variation especially in homogeneous bacterial genome. Several studies have demonstrated the homogeneity of S. Enteritidis (Allard et al., 2012; Graham et al., 2018). In the current report, we have identified the existence of two lineages of S. Enteritidis circulating in Tunisia based on 802 SNPs whole-genome. Among these SNPs, 493 missense SNPs were detected. The COG distribution predicted that 349 orthologue genes mutated by one or two missense SNPs were classified into 22 functional groups. The major group was carbohydrate transport and metabolism [G] followed by amino acid transport and metabolism [E] and transcription [K]. Previous studies indicated that the orthologue genes of the majority of Salmonella serovars including Enteritidis are mainly classified in the transport and metabolism of glucid [G], transport and metabolism of amino acids [E], and transcription [k]. Zhou et al. (2018), reported that 1622 missenses SNPs distributed in 928 ORFs were detected in Rissen and Typhi serovar genomes. The distribution of the mutated orthologue genes showed that the majority were classified in the defense mechanisms [V], intracellular passage, secretion and vesicular transport [U] (Zhou et al., 2018). This classification differs from one serovar to another. The most abundant COG functional group was the carbohydrate transport and metabolism [G] for Typhimurium serovar however for the Worthington and Ohio serovars, the orthologous genes were mainly classified in the groups of transcription [K] amino acids transport and metabolism [E] (Gupta et al., 2019). The orthologous genes of Salmonella Napoli were mainly classified in the functional group of translation, ribosome structure and biogenesis [J] (Mastrorilli et al., 2020). WGS has been previously applied for the prediction of antibiotic resistance genes in several microbes including the genus Salmonella (Ellington et al., 2017; Pornsukarom et al., 2018). It has been reported that WGS had more than 96% sensitivity and 97 to 100% specificity in predicting resistance phenotypes and as well it is concluded that WGS can be used as an alternative method to conventional phenotypic antimicrobial susceptibility testing methods. In accordance, our results show a correlation between genotypic antibiotic resistance profiles and phenotypic analysis. The nalidixic acid-resistant isolates showed a single point mutation in the gyrA gene at the codon Asp87 or Ser83. These mutations were previously detected in S. Enteritidis recovered from different sources resistant to nalidixic acid (Aldrich et al., 2019; Ben Salem et al., 2017; Wasyl et al., 2014). In addition, to single point mutation in the gyrA gene, one isolate carried the blaTEM-1B gene which is associated with resistance to ampicillin. Previous studies showed that blaTEM-1B gene is the most common β-lactamase in Salmonella . In our study, we note that the ampicillin-resistant isolate carried the plasmid IncX-1 additional to plasmid virulence genes IncF. This result suggests that IncX plasmid can carry blaTEM-1B gene. The association of IncX-1 conjugative plasmids with blaTEM genes was previously described by Matsumoto et al., al.(2014) which showed that the blaTEM gene has been found to be located on a 38-kb IncX-1 plasmid (Matsumoto et al., 2014). Similarly in a study conducted by Tran-Dien et al. (2018), the authors revealed that WGS identified blaTEM-1B gene on two different plasmids IncX-1 and IncF in three S. Typhimurium isolates collected in France and Tunisia between 1959 and 1960 (Tran-Dien et al., 2018). Prophages sequences constitute the accessory genome of bacteria and appear to be a major source of genomic variability in Salmonella. These sequences can carry virulence genes, toxins and antimicrobial resistance genes (Mottawea et al., 2018; Wahl et al., 2019). Previous studies reported that Salmonella enterica are characterized by high degree of variability of prophage profiles (Gymoese et al., 2019; Hu et al., 2021). This is consistent with our results that prophage profiles are variable among S. Enteritidis. No prophage sequences were identified in six isolates. The number of prophage sequences detected ranged from 1 to 3 intact region per genome. We also noticed that prophage sequences Salmon_118,970_sal3 and Salmon_RE_2010 are highly prevalent among S. Enteritidis. In addition, the phylogenetic analysis informs that the Salmon118970_sal3 phage was detected only in the lineage A, while the Salmon RE_2010 phage was specific for the lineage B isolates. Many studies concluded that prophage sequences can differentiate between epidemiological subtypes of S. Enteritidis. Allard et al., 2012 exhibit the capacity of prophage RE_2010 to separate S. Enteritidis isolates with the same PFGE pattern. Furthermore, Ogunremi et al. (2014) proposed that the prophage composition could differentiate between S. Enteritidis subtypes during foodborne outbreaks (Ogunremi et al., 2014). Many virulence genes of Salmonella enterica are organized on SPIs. 23 SPIs are identified in genus Salmonella, playing a fundamental role in pathogenesis and host specificity (Zhao et al., 2020). Suez et al. (2013) showed that S. Enteritidis reference strain P125109 contains 14 SPI (SPI-1 to 5, 9, 11–14, 16,17, 19 and cs54) (Suez et al., 2013). In our study, the investigation of 45 S. Enteritidis isolates showed that six SPIs, including SPI-1, SPI-2, SPI-3, SPI-9, SPI-13 and CS54 are conserved in all isolates while SPI-11 and SPI-12 were absent. Many studies suggest the universal presence of SPI-1 to SPI 5, SPI-13 and SPI-14, the absence of SPIs 7, 8 and 15 in all non-typhoidal Salmonella isolates, and the mosaic presence of SPIs 6, 10–12 and 16–19 across the serovars (Suez et al., 2013). The characterization of several genes carried by SPI-1 and SPI-2, encoding type III secretion systems which is important for the infection of the host cell and facilitate intracellular survival and replication, were highly conserved in all isolates except one. Previous studies reported that these genes are probably part of the core genes with an essential function for Salmonella serovars and the absence of certain genes could be explained by the possibility of losing the gene during their evolution (Ben Hassena et al., 2021; Suez et al., 2013). In our study, all tested isolates were positive for phoP and phoQ genes which are essential for the regulation of type III secretion systems. PhoQ is the transmembrane sensor histidine kinase of the bacterial and phoP is cytoplasmic regulatory protein (Hu et al., 2021). Among virulence factors, fimbriae have a major role in pathogenesis and a source of diversity for Salmonella serovars. This factor is one of the most common adhesion systems and are differentially expressed and found in a specific pattern among each serovar (Dufresne and Daigle, 2017). In our analysis, the fimbrial operons agf, bcf, fim, lpf, peg, saf, stb, std, ste, stf, sth and sti were present in all S. Enteritidis genomes. Suez et al. (2013) showed the same results and indicated that five fimbrial clusters (bcf, agf, stb, sth and sti) were detected to be part of core genome for invasion and systemic disease in humans (Suez et al., 2013). In addition, it has been reported that the five Chaperone-Usher Pathway (CUP) fimbriae sta, stg, ste, tcf and sef were considered to be specific for typhoidal Salmonella (Dufresne et al., 2018; Forest et al., 2007; Suez et al., 2013). However, our study showed that sef and ste are not specific for typhoidal Salmonella as we detected the presence of ste operon in all isolates and the sef operon in 40 isolates. These findings agree with the study of Ben Hassena et al. (2021) that reported the presence and specificity of the sef operon for the Enteritidis serovar (Ben Hassena et al., 2021). Virulence-associated plasmids are important genetic elements in Salmonella. They are required for bacterial multiplication in the reticulo-endothelial system, which confers to Salmonella the ability to produce systemic disease. In our previous study, the plasmid characterization showed that among 45 isolates 43 carried the replicons incFIB and incFII belonging to FAB type [S1:A-:B22]. This FAB type was previously found to be associated with the S. Enteritidis virulence plasmid (Silva et al., 2017; Villa et al., 2010). This largely consistent with our finding that all S. Enteritidis isolates caring the replicons incF contain pefABCD, spvABCDR, traAVKELY and rck. Among the 45 S. Enteritidis isolates investigated in this study, both synonym and non-synonym mutations in the selected target virulence genes were detected. In plasmid genes, we note missense mutations in pefC gene (Val343Ala) and in transfer genes as traE (Asn179Ile) and tarY (Thr68Ile). No missenses mutations were detected in the spv and rck genes. The spv genes were reported to be highly conserved in Salmonella (Hu et al., 2021). In our study, we observed missense and nonsense variability in the regulated rpoS and phoPQ genes. Hu et al. (2021) observed that cytoplasmic regulatory protein phoP gene has been frequently used for Salmonella detection as it has a conserved sequence in different serovars. Of note, the phylogenetic analysis highlights that missense SNPs detected in virulence genes is also able to discriminate isolates by lineages. Two missense SNPs were detected in fimH (Arg50Cys) and ttrA (Ala950Asp) genes in lineage A. However, six missense SNPs were found in lpfA (Thr111Ile), stiC (Tyr435Asp) invH (Ser146Ala), ttrA (Arg232Cys), ssaQ (Thr28Ala) and ssaN (His89Gln) genes in lineage B. These results suggest that, in addition to their phylogenetic differences, each lineage may have differential phenotypic traits.

Conclusions

In conclusion, the WGS appears to be undisputed not only in typing of bacterial pathogens, epidemiological surveillance and outbreak investigation but also in functional genomics studies. This is the first study of the application of WGS to predict antimicrobial resistance genes, virulence markers, prophage sequences and the sequence variation among S. Enteritidis strains isolated from different sources in Tunisia. An excellent correlation between antimicrobial profiles obtained by phenotypic and genotypic analysis were observed. Our comparative genomics approach informs that our collection of S. Enteritidis is characterized by variability of prophage profiles. The prophage sequences can also be exploited for lineage tracking and epidemiological studies. The Salmon118970_sal3 phage was detected only in the lineage A, while the Salmon RE_2010 phage was specific for the lineage B isolates. We also observed that lineage B isolates acquired the majority of missenses SNPs detected in fimbriae, SPI-1 and SPI-2 genes. Further experiments will be needed to elucidate the impact of these mutations in the pathogenicity of Salmonella.

Declaration of Competing Interest

The authors declare that they have no competing interests.
  35 in total

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Journal:  Clin Microbiol Infect       Date:  2016-11-23       Impact factor: 8.067

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Review 4.  Whole-genome sequencing targets drug-resistant bacterial infections.

Authors:  N V Punina; N M Makridakis; M A Remnev; A F Topunov
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