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Investigating Salmonella Eko from Various Sources in Nigeria by Whole Genome Sequencing to Identify the Source of Human Infections

  • Pimlapas Leekitcharoenphon,

    Affiliation National Food Institute, Technical University of Denmark, WHO Collaborating Center for Antimicrobial Resistance in Foodborne Pathogens and European Union Reference Laboratory for Antimicrobial Resistance, Kgs. Lyngby, Denmark

  • Ibrahim Raufu,

    Affiliation Faculty of Veterinary Medicine, Department of Veterinary Microbiology, University of Ilorin, Ilorin, Nigeria

  • Mette T. Nielsen,

    Affiliation National Food Institute, Technical University of Denmark, WHO Collaborating Center for Antimicrobial Resistance in Foodborne Pathogens and European Union Reference Laboratory for Antimicrobial Resistance, Kgs. Lyngby, Denmark

  • Birthe S. Rosenqvist Lund,

    Affiliation National Food Institute, Technical University of Denmark, Søborg, Denmark

  • James A. Ameh,

    Affiliation Faculty of Veterinary Medicine, Department of Veterinary Microbiology and Parasitology, University of Abuja, Abuja, Nigeria

  • Abdul G. Ambali,

    Affiliation Faculty of Veterinary Medicine, Department of Veterinary Microbiology, University of Ilorin, Ilorin, Nigeria

  • Gitte Sørensen,

    Affiliation National Food Institute, Technical University of Denmark, Søborg, Denmark

  • Simon Le Hello,

    Affiliation Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Centre National de Référence des Salmonella, Paris, France

  • Frank M. Aarestrup,

    Affiliation National Food Institute, Technical University of Denmark, WHO Collaborating Center for Antimicrobial Resistance in Foodborne Pathogens and European Union Reference Laboratory for Antimicrobial Resistance, Kgs. Lyngby, Denmark

  • Rene S. Hendriksen

    rshe@food.dtu.dk

    Affiliation National Food Institute, Technical University of Denmark, WHO Collaborating Center for Antimicrobial Resistance in Foodborne Pathogens and European Union Reference Laboratory for Antimicrobial Resistance, Kgs. Lyngby, Denmark

Abstract

Twenty-six Salmonella enterica serovar Eko isolated from various sources in Nigeria were investigated by whole genome sequencing to identify the source of human infections. Diversity among the isolates was observed and camel and cattle were identified as the primary reservoirs and the most likely source of the human infections.

Introduction

Worldwide, Salmonella is estimated to cause 93.8 million human infections and 155,000 deaths annually [1]. Various production animals including poultry, pigs, and cattle are reservoirs for Salmonella, but reptiles also seem to play a role infecting people in sub-Saharan Africa [2]. In most developed countries, Salmonella enterica serovars Typhimurium and Enteritidis are the major reported causes of human salmonellosis [3]. However, other serovars, some rarely described, are common in specific geographical regions such as in Nigeria [2,4,5]. Recently, the first attempt for an active One-Health laboratory-based Salmonella surveillance program targeting both humans and animals was launched in the north-eastern region of Nigeria [6].

A total of 1,888 samples were collected from various sources in Nigeria from 2009 to 2011 [6]. Of those, 149 samples were found positive for up to 17 different Salmonella serovars and S. Eko dominated and was found in 26 of the samples; 12 samples from cattle, 7 from camels, 6 from human feces, and 1 sample from fish. The isolates were previously serotyped followed by minimum inhibitory concentration (MIC) determination as per Ibrahim et al. [6].

S. Eko is rarely reported and has to our knowledge only been reported from poultry sources in Cameroun in 2006–2007 [7].

The purpose of this investigation was to obtain more knowledge about the diversity of S. Eko and determine whether humans were infected with S. Eko from cattle, camels or fish.

Materials and Methods

Genomic DNA was extracted from the 26 isolates, including the original S. Eko serovar reference strain #1279 isolated from a patient in the city of Eko, Nigeria, in 1973, using an Invitrogen Easy-DNA Kit (Invitrogen, Carlsbad, CA, USA), and DNA concentrations were determined using the Qubit dsDNA BR assay kit (Invitrogen). The genomic DNA was prepared for Illumina pair-end sequencing using the Illumina (Illumina, Inc., San Diego, CA) NexteraXT® Guide 150319425031942 following the protocol revision C (http://support.illumina.com/downloads/nextera_xt_sample_preparation_guide_15031942.html). A sample of the pooled NexteraXT libraries was loaded onto an Illumina MiSeq reagent cartridge using MiSeq Reagent Kit v2 and 500 cycles with a standard flow cell. The libraries were sequenced using an Illumina platform and MiSeq control software 2.3.0.3. All isolates were pair-end sequenced with 2 x 150bp base reads.

Raw sequence data were submitted to the European Nucleotide Archive (http://www.ebi.ac.uk/ena) under study accession no.: PRJEB13610 (http://www.ebi.ac.uk/ena/data/view/PRJEB13610). The raw reads were assembled using the Assemble pipeline (version 1.0) available from the Center for Genomic Epidemiology (CGE) http://cge.cbs.dtu.dk/services/all.php, which is based on the Velvet algorithms for de novo short reads assembly. A complete list of genomic sequence data is available in the S1 Table. The assembled sequences were analyzed to identify the MLST sequence type (ST) for Salmonella enterica based on the publication by Jolley KA et al., 2010 [8]. In addition, plasmid replicons, pMLST, and acquired antimicrobial resistance genes using the pipelines MLST (version 1.7), PlasmidFinder (version 1.2), pMLST (version 1.4), and ResFinder (version 2.1) available from CGE [911]. Single Nucleotide Polymorphisms (SNPs) were determined using the pipeline CSI Phylogeny (version 1.1) available from the CGE website [12]. Basically, each of the raw reads was aligned against the genome of strain #2 due to the lack an appropriate reference genome, using Burrows-Wheeler Aligner (BWA) version 0.7.2 [13]. SNPs were called using ‘mpileup’ module in SAMTools version 0.1.18 [14]. SNPs were selected based on both coding and non-coding regions and when they met the following criteria: 1) a minimum distance of 15 bps between each SNP (e.g. to exclude homopolymer-rich regions), 2) a minimum of 10% of the average depth, 3) the mapping quality was above 30, 4) the SNP quality was more than 20 and 5) all indels were excluded.

The qualified SNPs from each genome were concatenated to a single alignment corresponding to position of the strain using an in-house Perl script. In case SNPs were absent in the genome of strain #2, they were interpreted as not being a variation and the relatively base from the genome of strain #2 was expected [15]. The concatenated sequences were subjected to multiple alignments using MUSCLE from MEGA5 [16]. The final phylogenetic SNP tree was computed by MEGA5 using the maximum likelihood method of 1,000 bootstrap replicates [17] using the Tamura-Nei model for inference [18].

Results

The MLST showed that all strains except for #53 (cattle) shared the same loci and alleles; aroC-17, dnaN-101, hemD-8, hisD-439, purE-6, sucA-117, and thrA-12; sequence type (ST)2979. Isolate #53 was a single locus variant with an alteration in allele aroC-114; ST2980. Interestingly, the original S. Eko reference strain #1279 from1973 also displayed a completely different and unknown MLST, aroC-426, dnaN-148, hemD-18, hisD-43, purE-140, sucA-127, thrA-48.

Six of the isolates originating from human, #10, #29, #90, #91, # 92, and fish, #9, contained plasmid replicons; incFII and incI1 (Fig 1). The pMLST showed that incFII exhibited one plasmid multilocus allele FII-S3 and sequence type as S3:A-:B- and incI1 contained a plasmid multilocus profile (ardA-1, pill-6, sogS-7, repI1-5, trbA-3) (official nomenclature).

thumbnail
Fig 1. Phylogenetic reconstruction of the genetic relationships among the S. Eko isolates from cattle, camel, humans and fish in the north-eastern region of Nigeria.

https://doi.org/10.1371/journal.pone.0156212.g001

The MIC determination and detection of antimicrobial resistance genes showed that the same six isolates shared the same plasmid replicons, antimicrobial resistance genes, and conferred resistance to the same antimicrobials. They were all resistant to and harbored the following resistance genes: trimethoprim (TMP) dfrA14; streptomycin (STR) strA; tetracyclin (TET) tetA; sulfamethoxazole (SMX) sul2; and ampicillin (AMP) blaTEM-1b. The remaining part of the strains was pan-susceptible and did not harbor any plasmid replicons (Table 1 and Fig 1).

thumbnail
Table 1. MIC determination and antimicrobial resistance genes of S. Eko isolates from different sources in the north-eastern region of Nigeria.

https://doi.org/10.1371/journal.pone.0156212.t001

The genetic relatedness of the 26 S. Eko isolates was examined using a phylogenetic SNP analysis that identified 22,080 high-quality whole genome SNPs among the genomes. The high number of SNPs was a result of including the original serovar reference strain isolated in 1973, which was separated by an average of 21,906 SNPs and a standard deviation of 14 SNPs from the other genomes included in this study.

The topology of the phylogenetic tree based on the 25 contemporary isolates revealed a total of 187 SNPs and formed 2 distinct clusters; 1 cluster of the 6 genomes including the 5 human and 1 fish isolate, and another cluster of 12 genomes containing 8 cattle, 3 camel and 1 human isolate. The cluster formed by the 5 human and 1 fish isolate was genetically linked, separating the individual genomes between 4 to 15 SNPs. The remaining seven isolates formed single individual branches.

Discussion

The strains belonged to more than one MLST as a result of a single nucleotide variation and the field strains were separated by 187 SNPs which argue for S. Eko being a monomorphic serovar similarly to S. Typhi [19]. However, the huge divergence of the current cluster of field isolates in comparison with the historical reference strain from 1973 and that this strain exhibited nucleotide variation in all seven allele rather arguing for a polymorphic serovar [20]. Thus, only if artificial divergence issuing from multiple laboratory sub-cultivations of the 1973 strain can be eliminated. To truly define S. Eko as an either mono- or polymorphic serovar will require additional analysis of more spatial and temporal strains which unfortunately are not available.

The likely reason why the fish intestine contained a resistant strain compared with the cattle and camel is that cattle and camels in most cases are grazing in the fields with limited veterinary attention and no antimicrobial treatment, whereas, the fish (intestine) might be contaminated from domestic, industrial and agricultural discharges (runoff water). Thus, fish and other aquatic life forms are vulnerable to all environmental hazards why the Salmonella could have originated from terrestrial sources such as the unorthodox utilization of poultry feces as manure/fertilizer on farmland located close to the river, consequently, during the rainy season the top-soil is washed into the river/pond leading to environmental and food (fish) contamination. Other factors such as poor sewage disposal coupled with a high water table permits untreated sewage to enter lakes or ponds either through runoff or storm-water.

A few of the isolates, #2, #85 and #43, were phenotypically resistant to sulfamethoxazole with one MIC value above the breakpoint, but they lacked the corresponding resistance genes. There was a similar observation for strains #31 and #44 for streptomycin. This phenomenon with borderline streptomycin resistant isolates, is well-documented and resistance should be ignored with the absence of corresponding resistance genes [21].

Usually non-typhoid S. enterica are found among mammals such as pigs, cattle and poultry [22] and rarely fish [23]. However, it is likely that the fish was incriminated by contamination from runoff or storm-water. Thus, the authors believe that fish was not the primary reservoir of the pathogen despite the similarity.

The genomes forming the cluster containing pan-susceptible isolates of human, camel and primarily cattle origins were only separated by two to ten SNPs. Thus, suggesting some of the genomes are clonal and that camel and cattle are the primary reservoirs of S. Eko and likely responsible for infecting the patient of this study. The study did not take into account for local genome rearrangements (double recombination events) which potentially also could lead to the differences observed conducting the SNP analysis.

In conclusion, this study points to cattle and camels as the primary reservoir of S. Eko and source of human infections. We encourage the public health authorities in Nigeria to support surveillance initiatives of zoonotic and antimicrobial resistance to further investigate the burden of these diseases and set up prevention measurements.

Author Contributions

Conceived and designed the experiments: PL RSH. Performed the experiments: PL. Analyzed the data: PL RSH FMA MTN BSRL GS. Contributed reagents/materials/analysis tools: IR JAA AGA SLH. Wrote the paper: PL RSH FMA MTN BSRL GS IR JAA AGA SLH.

References

  1. 1. Majowicz SE, Musto J, Scallan E, Angulo FJ, Kirk M, O'Brien SJ, et al. (2010) The global burden of nontyphoidal Salmonella gastroenteritis. Clin Infect Dis 50(6): 882–889. pmid:20158401
  2. 2. Fashae K, Ogunsola F, Aarestrup FM, Hendriksen RS (2010) Antimicrobial susceptibility and serovars of Salmonella from chickens and humans in Ibadan, Nigeria. J Infect Dev Ctries 4(8): 484–494. pmid:20818100
  3. 3. Hendriksen RS, Vieira AR, Karlsmose S, Lo Fo Wong DM, Jensen AB, Wegener HC, et al. (2011) Global Monitoring of Salmonella Serovar Distribution from the World Health Organization Global Foodborne Infections Network Country Data Bank: Results of Quality Assured Laboratories from 2001 to 2007. Foodborne Pathog Dis.
  4. 4. Raufu I, Hendriksen RS, Ameh JA, Aarestrup FM (2009) Occurrence and characterization of Salmonella Hiduddify from chickens and poultry meat in Nigeria. Foodborne Pathog Dis 6: 425–430. pmid:19292685
  5. 5. Fashae K, Hendriksen RS (2014) Diversity and antimicrobial susceptibility of Salmonella enterica serovars isolated from pig farms in Ibadan, Nigeria. Folia Microbiol (Praha) 59: 69–77.
  6. 6. Raufu I, Bortolaia V, Svendsen CA, Ameh JA, Ambali AG, Aarestrup FM, et al. (2013) The first attempt of an active integrated laboratory-based Salmonella surveillance programme in the north-eastern region of Nigeria. J Appl Microbiol 115: 1059–1067. pmid:23848364
  7. 7. Wouafo M, Nzouankeu A, Kinfack JA, Fonkoua MC, Ejenguele G, Njine T, et al. (2010) Prevalence and antimicrobial resistance of Salmonella serotypes in chickens from retail markets in Yaounde (Cameroon). Microb Drug Resist 16: 171–176. pmid:20438345
  8. 8. Jolley KA, Maiden MC (2010) BIGSdb: Scalable analysis of bacterial genome variation at the population level. BMC Bioinformatics 11:595. : 595–11. pmid:21143983
  9. 9. Zankari E, Hasman H, Cosentino S, Vestergaard M, Rasmussen S, Lund O, et al. (2012) Identification of acquired antimicrobial resistance genes. J Antimicrob Chemother 67: 2640–2644. pmid:22782487
  10. 10. Larsen MV, Cosentino S, Rasmussen S, Friis C, Hasman H, Marvig RL, et al. (2012) Multilocus sequence typing of total-genome-sequenced bacteria. J Clin Microbiol 50(4): 1355–1361. pmid:22238442
  11. 11. Carattoli A, Zankari E, Garcia-Fernandez A, Volby LM, Lund O, Villa L, et al. (2014) PlasmidFinder and pMLST: in silico detection and typing of plasmids. Antimicrob Agents Chemother.
  12. 12. Kaas RS, Leekitcharoenphon P, Aarestrup FM, Lund O (2014) Solving the problem of comparing whole bacterial genomes across different sequencing platforms. PLoS One 9: e104984. pmid:25110940
  13. 13. Li H, Durbin R (2009) Fast and accurate short read alignment with Burrows-Wheeler transform. Bioinformatics 25: 1754–1760. pmid:19451168
  14. 14. Li H, Handsaker B, Wysoker A, Fennell T, Ruan J, Homer N, et al. (2009) The Sequence Alignment/Map format and SAMtools. Bioinformatics 25: 2078–2079. pmid:19505943
  15. 15. Leekitcharoenphon P, Kaas RS, Thomsen MC, Friis C, Rasmussen S, Aarestrup FM (2012) snpTree—a web-server to identify and construct SNP trees from whole genome sequence data. BMC Genomics 13 Suppl 7:S6. Epub;%2012 Dec 13.: S6-13. pmid:23281601
  16. 16. Tamura K, Peterson D, Peterson N, Stecher G, Nei M, Kumar S (2011) MEGA5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol 28: 2731–2739. pmid:21546353
  17. 17. Felsenstein J (1985) Confidence limits on phylogenies: An approach using the bootstrap. Evolution 39: 783–791.
  18. 18. Tamura K, Nei M (1993) Estimation of the number of nucleotide substitutions in the control region of mitochondrial DNA in humans and chimpanzees. Mol Biol Evol 10: 512–526. pmid:8336541
  19. 19. Hendriksen RS, Leekitcharoenphon P, Lukjancenko O, Lukwesa-Musyani C, Tambatamba B, Mwaba J, et al. (2015) Genomic signature of multidrug-resistant Salmonella enterica serovar Typhi isolates related to a massive outbreak in Zambia between 2010 and 2012. J Clin Microbiol 53: 262–272. pmid:25392358
  20. 20. Achtman M, Wain J, Weill FX, Nair S, Zhou Z, Sangal V, et al. (2012) Multilocus sequence typing as a replacement for serotyping in Salmonella enterica. PLoS Pathog 8: e1002776. pmid:22737074
  21. 21. Garcia-Migura L, Sunde M, Karlsmose S, Veldman K, Schroeter A, Guerra B, et al. (2012) Establishing streptomycin epidemiological cut-off values for Salmonella and Escherichia coli. Microb Drug Resist 18(1): 88–93. pmid:21749212
  22. 22. Uzzau S, Brown DJ, Wallis T, Rubino S, Leori G, Bernard S, et al. (2000) Host adapted serotypes of Salmonella enterica. Epidemiol Infect 125(2): 229–255. pmid:11117946
  23. 23. Tusevljak N, Rajic A, Waddell L, Dutil L, Cernicchiaro N, Greig J, et al. (2012) Prevalence of zoonotic bacteria in wild and farmed aquatic species and seafood: a scoping study, systematic review, and meta-analysis of published research. Foodborne Pathog Dis 9: 487–497. pmid:22571642