Abstract
Salmonella Typhimurium elicits gut inflammation by the costly expression of HilD-controlled virulence factors. This inflammation alleviates colonization resistance (CR) mediated by the microbiota and thereby promotes pathogen blooms. However, the inflamed gut-milieu can also select for hilD mutants, which cannot elicit or maintain inflammation, therefore causing a loss of the pathogen’s virulence. This raises the question of which conditions support the maintenance of virulence in S. Typhimurium. Indeed, it remains unclear why the wild-type hilD allele is dominant among natural isolates. Here, we show that microbiota transfer from uninfected or recovered hosts leads to rapid clearance of hilD mutants that feature attenuated virulence, and thereby contributes to the preservation of the virulent S. Typhimurium genotype. Using mouse models featuring a range of microbiota compositions and antibiotic- or inflammation-inflicted microbiota disruptions, we found that irreversible disruption of the microbiota leads to the accumulation of hilD mutants. In contrast, in models with a transient microbiota disruption, selection for hilD mutants was prevented by the regrowing microbiota community dominated by Lachnospirales and Oscillospirales. Strikingly, even after an irreversible microbiota disruption, microbiota transfer from uninfected donors prevented the rise of hilD mutants. Our results establish that robust S. Typhimurium gut colonization hinges on optimizing its manipulation of the host: A transient and tempered microbiota perturbation is favorable for the pathogen to both flourish in the inflamed gut and also minimize loss of virulence. Moreover, besides conferring CR, the microbiota may have the additional consequence of maintaining costly enteropathogen virulence mechanisms.
The costly expression of virulence factors by the enteropathogen Salmonella Typhimurium elicits gut inflammation which in turn alleviates microbiota-mediated colonization resistance and promotes pathogen blooms. This comprehensive study explains the tight connection between microbiota complexity and evolution of Salmonella virulence.
Highlights
In wild-type S. Typhimurium infections, the trade-off between virulence costs and benefits is strongly affected by the microbiota.
Wild-type virulence in antibiotic-treated mice can disrupt microbiota irreversibly, which selects for long-term gut colonization by attenuated hilD mutants.
Microbiota transfer can prevent selection for hilD mutants in wild-type S. Typhimurium infections.
Microbiota transfer can displace hilD-dominated Salmonella populations from the gut lumen.
Introduction
The gut is colonized with a diverse gut microbiota, which provides numerous beneficial functions including colonization resistance (CR) [1,2]. CR describes the microbiota’s ability to block the growth of pathogens in the gut lumen [3] by diverse mechanisms (reviewed in detail elsewhere; [4]). To overcome CR, gut pathogens can deploy virulence factors that elicit intestinal disease often characterized by a pronounced immune response (i.e., inflammation) that alters the gut-luminal milieu and the architecture of the gut tissue to the detriment of the host (i.e., enteropathy). Therefore, a pathogen’s virulence is associated with a trade-off between reducing host fitness (via intestinal disease) but enhancing its own gut luminal growth and subsequent transmission by depleting competing species in the microbiota [5]. By extension, the tripartite interaction between the host, the pathogen, and the microbiota is thought to influence the evolution of enteropathogen virulence, although the selective environment appears to be highly context dependent [6–8]. While some experimental work has assessed virulence evolution in simplified model systems or invertebrate hosts, studies of virulence evolution in the mammalian gut have remained scarce [7–9]. The eukaryotic pathogen Candida albicans is a notable exception. Elegant evolution experiments established that the gut microbiota select for wild-type C. albicans virulence while in germ-free mice, virulence-attenuated mutants featuring hyphal growth defects were selected for [10,11]. However, it remains unclear if the microbiota would affect virulence evolution of enteropathogenic bacteria in a similar fashion.
Infection biology has identified numerous toxins, injected effector proteins and innate immune stimuli of enteric pathogens such as Salmonella enterica serovar Typhimurium (S.Tm), Citrobacter rodentium, Vibrio cholerae, or Clostridioides difficile, which engage the host, elicit disease, alleviate CR, and thereby promote gut-luminal growth [12–16]. Promoting gut colonization is thought to rationalize the existence of virulence in these enteropathogens, yet only few studies have leveraged experimental evolution to probe the effects of the microbiota on virulence evolution in enteropathogenic bacteria.
S. Typhimurium expresses flagella, adhesins and most notably 2 type III secretion systems (TTSS) to approach the gut surface, invade the gut tissue, and elicit gut inflammation [17]. The TTSS-1 facilitates invasion into the gut epithelium and TTSS-2 enhances survival and growth within host tissues [18–20]. Virulence effectors secreted by the TTSS-2 system allow the pathogen to survive intracellularly in the Salmonella containing vacuole by interfering with the endocytic trafficking and by conferring survival from NADPH-oxidase-dependent killing [21]. Therefore, wild-type infections can drastically decrease host lifespan, such as in susceptible mice like C57BL/6 [18]. In streptomycin pretreated mice, wild-type S. Typhimurium blooms to high densities of ≈109 CFU/g stool in the gut lumen, elicits gut inflammation (as measured by histopathology, cytokine gene expression profiling, or ELISA for the gut inflammation marker lipocalin-2) and thereby suppresses microbiota regrowth [12,19]. S. Typhimurium mutants lacking functional TTSS-1 and TTSS-2 machineries (like deletion mutants lacking the structural genes invG and ssaV) fail to trigger enteropathy and are displaced by regrowing gut microbiota within 4 days [12]. S. Typhimurium mutants that retain either TTSS-1 (with dysfunctional TTSS-2; like ssaV) or TTSS-2 (with dysfunctional TTSS-1; like invG) elicit enteropathy which is milder compared to wild-type S. Typhimurium [20,22,23]. Such mutants also show reduced transmission as indicated by reduced fecal pathogen loads in various mouse infection models [12,20,24,25].
S. Typhimurium enteric virulence is tightly regulated by the master regulator HilD, which controls the genes encoding TTSS-1, TTSS-2, flagella, and the SiiE adhesin [26,27] (S1 Fig). Thereby, HilD controls gut tissue infection, gut luminal growth, and transmission of S. Typhimurium, while suppressing microbiota regrowth in antibiotic-pretreated mice [12,17,28–33]. The expression of HilD itself is embedded in a tightly controlled regulon that is critical for minimizing the fitness costs associated with the expression of S. Typhimurium virulence [29]. The signals for expression appear to be derived or controlled by both the microbiota and the host [34,35] (S1 Fig). For example, these signals provide environmental cues for controlled expression of S. Typhimurium virulence factors such that the associated costs occur only at those moments of the infection cycle when the respective virulence factors are needed. In antibiotic pretreated mice, this is well established for the costly expression of the virulence factors required for the invasion of the gut epithelium and triggering of gut inflammation (in particular for TTSS-1, flagella, and the SiiE adhesin). The HilD regulon then shuts them off after mucosa invasion once they are no longer needed [36]. When virulence is expressed, however, the fitness cost manifests in reduced growth rates and exacerbated envelope stress sensitivity of TTSS-1-expressing S. Typhimurium cells (as shown ex vivo; [37,38]). In fact, these costs are strong enough for the selection for hilD mutants over hilD-proficient strains during 1 infection cycle, as shown in a proof-of-principle study [29]. This suggested that the cost of HilD-controlled virulence is a critical factor in Salmonella virulence evolution. This previous work [29], however, was limited as it focused on ssaV mutants of S. Typhimurium in order to follow infections of C57BL/6 mice for up to 10 days without compromising host survival. While this work discovered regulatory mechanisms that slowed the selection for hilD mutants in vivo, it neglected to capture the full virulence of S. Typhimurium as it occurs in the wild. This is important as wild-type S. Typhimurium elicits a stronger form of enteric disease than the ssaV mutant [20,23,24]. Furthermore, while long-term infection experiments with wild-type S. Typhimurium have been performed, the evolutionary dynamics of the pathogen were not studied [12]. Therefore, how wild-type S. Typhimurium virulence evolves in the gut during the infection of a host remained unclear.
Recent studies discovered that HilD-regulon mutants are positively selected in a small fraction of natural Salmonella isolates (78 hilD nonsense mutants per 100,000 isolates) [39–41]. The frequency of hilD-deficient mutants featuring premature stop codons was ≈22-fold higher than expected for genes that are under no selection. Based on these data, Cherry suggested that hilD-proficient strains are favored in most relevant conditions and that the 78 hilD mutants point to the existence of some unidentified condition where hilD-deficient mutants are selected for. These observations further supported that the pathogen faces fundamental trade-offs that are not well understood.
Here, we employed mouse infection models, within-host experimental evolution, and competitive infection experiments between isogenic strain pairs to explore how the microbiota affects virulence evolution of wild-type S. Typhimurium. Our data reveal that wild-type S. Typhimurium infection can disrupt the gut microbiota to such an extent that the gut luminal pathogen population evolves towards reduced virulence. The rise and long-term shedding of such mutants can be controlled by microbiota transfer. This identifies a previously unrecognized role of the microbiota in the selection for wild-type S. Typhimurium virulence within an infected host.
Results
In streptomycin pretreated mice, wild-type S. Typhimurium infection results in long-term fecal shedding of virulence-attenuated mutants
To assess how wild-type S. Typhimurium virulence evolves in the murine gut, we infected streptomycin pretreated mice with wild-type S. Typhimurium SL1344 (denoted as S. Typhimurium or S.Tm). S.Tm gut colonization has 2 stages in natural settings: (i) initial gut colonization which is promoted by any type of microbiota perturbation; and (ii) blooming and long-term shedding in the inflamed gut. In the streptomycin pretreated mouse model, the single dose of antibiotic which is applied 24 h before the infection transiently alleviates the CR and allows researchers to focus on the second stage, blooming in the inflamed gut [19,42,43]. Therefore, for our initial experiments, we selected this model to focus on the virulence-associated stages of the gut infection. As control, we infected a second group of mice with the ssaV deletion mutant of S. Typhimurium SL1344 (denoted as S.Tm*), an attenuated strain that lacks a functional TTSS-2 apparatus and which we had used in our proof-of-principle work on within-host evolution [29]. We chose 129SvEv mice for our initial experiments, as streptomycin pretreated 129SvEv mice develop overt enteropathy upon infection with wild type S. Typhimurium, which is similar to that of C57BL/6 mice that have been used most frequently in previous work [19,44] (S2A–S2F Fig). Like C57BL/6 mice, 129SvEv mice also permit gut-luminal Salmonella blooms. However, unlike C57BL/6 mice, 129SvEv mice express a functional Nramp1 gene that is critical to restrict systemic spread of wild-type S. Typhimurium and have therefore been used not only in studies of chronic gut infections, but also in seminal work on transmission and persistent systemic infections [12,24,45]. This resembles the capacity of immunocompetent humans to control systemic spread of wild-type S. Typhimurium. These features of 129SvEv mice enable long-term studies of within-host evolution of the wild-type pathogen. Our 129SvEv mouse colony is bred under hygienic isolation and harbors a complex, specified pathogen-free microbiota which confers a high level of CR, as long as the microbiota remains unperturbed [25]. 129SvEv mice with this microbiota are denoted as CONX. Streptomycin pretreatment was used to transiently alleviate CR in the CONX mice, and 24 hours later, the mice were infected with Salmonella via the natural orogastric route and remained in individually ventilated cages that form a strict hygienic barrier preventing the unintended introduction of new microbial strains (Fig 1A; Materials and methods).
In line with previous work [12,29], wild-type S. Typhimurium and S.Tm* colonized the gut lumen at high densities at days 1 to 10 of infection (≈109 CFU/g stool; Fig 1B). Also, both strains elicited gut inflammation within the first 3 days of infection, as assessed by ELISA for the gut inflammation marker lipocalin-2 (Fig 1C, left side), which is expressed by the infected mucosa [29,46] and provides a reasonable assay for probing the time course of gut inflammation. In the S.Tm* infected mice, gut inflammation was resolved between days 20 to 70, as indicated by reduced lipocalin-2 concentrations in the stools, histopathological examination (Fig 1C, right side), cytokine mRNA expression analysis and neutrophil staining in gut tissues at day 70 (S3A–S3C Fig). Further, the gut-luminal pathogen population declined below 105 CFU per gram (CFU/g) feces in mice infected with S.Tm* between days 25 to 70 p.i. (Fig 1B). This was strikingly different compared to the wild-type S. Typhimurium infected mice, where gut inflammation and fecal pathogen loads remained much higher than in the S.Tm* infected group until day 70 p.i. (Figs 1B, 1C, and S3A–S3C).
Next, we asked if mutant clones with attenuated virulence arise in the gut lumen. Earlier work using genetically barcoded S. Typhimurium populations had shown that the pathogen population structure in the cecum lumen is established by bacterial growth, influx, efflux, and death and that the Salmonella population structures of the feces resemble those in the cecum [46–49]. Thus, by analyzing the feces, we could assess the clonal composition of the Salmonella population within the host (that is the cecum lumen) and obtain information about the pathogen population that can be transmitted to new hosts. The fecal S. Typhimurium population was analyzed using a colony protein blot assay [29,50] (Materials and methods). We plated dilutions of fecal material on MacConkey agar, replica-plated the colonies onto nitrocellulose and lysed the Salmonella cells to transfer the proteins expressed by each colony onto the membrane. As wild-type S. Typhimurium expresses detectable amounts of TTSS-1 on such plates, we could use an antibody for the TTSS-1 translocon protein SipC to detect colonies capable of TTSS-1 expression (S1B Fig; [29,50]). This assay revealed a further striking difference between the pathogen populations in the 2 groups of mice. While S.Tm*-infected mice shed pathogen populations dominated by clones expressing TTSS-1 (SipC detected in >95% of all colonies; Figs 1D and S4), such clones were much less frequent in the second group of mice. In CONX mice pretreated with streptomycin and infected with wild-type S. Typhimurium, we detected SipC in <2% (median of all mice) of the fecal Salmonella colonies by day 30 p.i. and this fraction remained extremely low until day 70 p.i. (Figs 1D and S4). Overall, the wild-type S. Typhimurium infection yields lower numbers of fecal Salmonella cells capable of expressing SipC, than the mutant S.Tm* infection mice (S4C Fig). At the same time, the absolute number of fecal Salmonella cells without detectable SipC expression was 104-fold higher. This suggested that wild-type S. Typhimurium infection in streptomycin CONX mice selects for pathogen mutants with reduced virulence and that this selection was much more pronounced than with S.Tm*.
To understand the genetic nature of the evolved clones without detectable SipC expression, we isolated and genome-sequenced several colonies from the feces at different times after wild-type S. Typhimurium infection or from S.Tm* infections based on their Colony Blot phenotypes (i.e., SipC detected, undetected, or intermediate). With this approach, we isolated 15 clones from wild-type S. Typhimurium infections and 12 from S.Tm* infections, which do not express SipC. Furthermore, colonies expressing SipC (intermediate or high; 22 from wild-type S. Typhimurium infections; 21 from S.Tm* infections) were genome-sequenced as controls (S1–S6 Tables). We reasoned that these numbers of clones should allow us to survey mutations that are positively selected and to distinguish them from mutations hitchhiking on the mutations selected for. At day 70 p.i., the majority of clones without detectable SipC expression featured mutations in the HilD regulon, mostly disrupting its master regulator gene hilD (Fig 1E and S1–S6 Tables). In wild-type S. Typhimurium-infected mice, 82% of all clones without detectable SipC had such hilD mutations at day 50 to 70 p.i. This is in line with the critical role of hilD in the expression of the TTSS-1 translocator protein SipC and suggests that hilD mutants are selected for in the wild-type S. Typhimurium-infected mice. In addition, we observed multiple clones with mutations in other genes implicated in Salmonella colonization and virulence, such as LPS biosynthesis, metabolism, chemotaxis, or flagella biosynthesis, all of which are indicative of a trend of within-host evolution towards reduced virulence (Fig 1E; Supplementary discussion A in S1 Text). We decided to focus on the hilD gene in our further experiments, as hilD was previously shown to be the most frequently mutated gene in animal models and natural isolates, and earlier work has established the central role of HilD in Salmonella virulence in antibiotic pretreated mice [29,41,51,52].
The evolved S. Typhimurium population, dominated by hilD mutants, shows reduced virulence
We performed 3 types of infection experiments to test the reduced virulence of the hilD mutant-dominated Salmonella population that evolved in wild-type S. Typhimurium infected mice by day 70 p.i. (from Fig 1A–1D). In the first experiment, the feces were suspended in PBS and then used to infect naïve streptomycin pretreated CONX mice via the orogastric route for 3 days (S5A Fig). Compared to control infections with the original wild-type S. Typhimurium strain, the evolved population reached equivalent gut-luminal densities (≈109 Salmonella cells per gram feces; S5B Fig), but caused significantly less gut inflammation, as judged by a reduced lipocalin-2 concentration in the feces (S5C Fig). In a second experiment, we sought to measure the virulence attenuation of hilD mutants in a system that retains a more intact gut microbiota than the streptomycin pretreated mice to better resemble natural infections. Therefore, we turned to the “high-fat diet shift” protocol [25] (Fig 2A). Earlier work had established that shifting CONX mice for 24 h from the normal plant-based mouse chow to a lard-based high-fat diet will transiently disturb the microbiota to temporarily alleviate CR (though less efficiently than in streptomycin pretreated mice). This permits wild-type S. Typhimurium growth in the intestinal lumen, resulting in shedding of high numbers of Salmonella cells in the feces. In natural settings, such increased fecal shedding would be expected to promote fecal-oral transmission. After the high-fat diet shift, the orogastric infection with wild-type S. Typhimurium elicits enteropathy within 3 to 4 days. These disease kinetics are significantly delayed compared to the streptomycin pretreated mouse model, where enteropathy is observed as early as 8 to 12 h after infection. We assume that this is due to the milder microbiota perturbation, which leads to slower gut colonization in the high-fat diet shift model. In the high-fat diet shift model, therefore, inflammation-dependent bloom of the luminal pathogen population is later and less pronounced than in streptomycin pretreated mice. After shifting CONX mice for 24 h to high-fat diet (Materials and methods), we infected them with either wild-type S. Typhimurium or an isogenic hilD mutant, in which the gene had been recombinantly deleted (termed S.TmhilD), by gavage. Wild-type S. Typhimurium maintained higher fecal loads and elicited more pronounced enteropathy, while S.TmhilD loads declined during the 5 days of infection and caused attenuated enteropathy with delayed kinetics as judged by lipocalin-2 ELISA and by histopathology (Fig 2B–2D). Equivalent observations were made in the experiment shown in S6 Fig, in which we infected gnotobiotic mice that harboring 2 different microbiotas that confer intermediate degrees of CR and can thus be infected without prior microbiota perturbation. In these models, as seen previously, wild-type S. Typhimurium maintained higher fecal loads and elicited more pronounced enteropathy than S.TmhilD. Based on this evidence, we conclude that hilD mutants have a reduced virulence compared to wild-type S. Typhimurium and can be displaced by the gut microbiota, such as the one that remains in the diet-shift model.
Our data so far established that wild-type S. Typhimurium evolves during the infection of streptomycin pretreated mice yielding pathogen populations that are dominated by hilD (and other) mutants, and that such attenuated mutants are shed in the feces at high densities for months. These evolved mutants did not show any sign of reversal upon infection of the next host, but instead showed reduced ability to trigger enteric disease. Thus, wild-type S. Typhimurium evolved towards reduced virulence. This was strikingly different from earlier work re-capitulated in the experiments with S.Tm*, which served as control in the current study. In these experiments, we observed only transient selection for hilD mutants, and the gut-luminal Salmonella population was displaced by days 20 to 60 p.i., without accumulation of evolved mutants. Overall, attenuated virulence was selected for more strongly and over much longer periods of time in wild-type S. Typhimurium than in S.Tm* infections. However, it had remained unclear which feature of the tripartite interaction between the wild-type pathogen, the microbiota and the host’s immune response would promote the selection for reduced virulence in the wild-type S. Typhimurium infection.
Microbiota transfer displaces the gut luminal Salmonella population dominated by hilD mutants
First, we probed the role of the microbiota in displacing Salmonella populations that had evolved towards reduced virulence. Specifically, we hypothesized that the wild-type S. Typhimurium infection may disrupt the gut microbiota to such an extent that it loses its ability to displace the hilD mutant-dominated pathogen population selected for during the infection. Such pronounced microbiota disruption seemed plausible, as inflammation is known to alter the gut microenvironment and suppress regrowth of the microbiota, promoting gut luminal growth of Salmonella spp. and related enteric bacteria [12,31,32,53]. Moreover, in streptomycin pretreated mice, gut inflammation induced by wild-type S. Typhimurium elicits such a pronounced anti-microbial defense that even gut-luminal loads of the inflammation-adapted pathogen transiently decline by 10 to 10,000-fold at day 2 of the infection [48,49] before regrowing to carrying capacity (≈109 CFU/g in cecum content or feces). Based on this previous knowledge and our data presented above, we hypothesized that wild-type S. Typhimurium might disrupt the gut microbiota “beyond return”, so that it cannot regrow when the virulence of the pathogen population declines and therefore fails to displace the mutant-dominated gut luminal population at the end of an infection. It is important to note that the experiments above (as well as our previous work [12,28,29,52]) were performed using individually ventilated cages. This hygienic isolation prevents access to microbiota from other sources. Therefore, once a particular member of the microbiota is lost, it cannot be naturally re-acquired [54]. We reasoned that the long-term prevalence of HilD-regulon mutants in mice infected wild-type S. Typhimurium might be promoted by hygienic isolation.
Microbiota transfer experiments are a gold standard for demonstrating microbiome functions in mouse physiology and disease research [55]. To probe into the role of the microbiota in displacing hilD mutant-dominated Salmonella populations, we performed 2 types of microbiota transfer experiments. Both approaches relied on co-housing, as previous work had established that this mediates microbiota transfer into Salmonella-infected mice [56]. First, we asked if microbiota transfer from naive hosts with a complex microbiota (that is uninfected CONX mice) could terminate the continuous gut colonization by the hilD mutant-dominated Salmonella population that rises in the wild-type S. Typhimurium infection. We co-housed mice at the end of the experiment shown in Fig 1A–1D (that is at day 70 p.i. with wild-type S. Typhimurium; SipC detected in <2% of all colonies), with untreated CONX animals (Fig 3A). Compared to control mice without co-housing, the total Salmonella loads in the feces and the fraction of Salmonella clones without detectable SipC were significantly reduced and dropped below the detection limit in most mice by day 120 (<103 CFU/g feces; Fig 3B and 3C). Moreover, in addition to decreasing detectable lipocalin-2, cytokine mRNA expression, neutrophil staining and histopathology indicated that co-housing enhanced the resolution of gut inflammation (Figs 3D and S7).
In control mice without co-housing, the fraction of Salmonella clones without detectable SipC remained high (Fig 3B and 3C) and the pathogen population accumulated further mutations (day 160 p.i.; median = 8 mutations per clone; S8 Fig and S3 Table). Thus, under hygienic isolation, HilD-regulon mutants prevailed.
To confirm that co-housing achieved microbiota transfer, we compared the gut microbiome composition between both groups of mice using 16S rRNA sequencing of fecal samples taken from mice in Fig 3B–3D (day 120 and 160 p.i.). The co-housed mice re-gained a significantly higher community diversity compared to the control animals (Fig 3E; within-sample diversity measured using Shannon index). In fact, co-housing re-established a similar within-sample diversity as observed in the naïve CONX “donor” mice (Fig 3E, compare gray circles with and without red lining). In line with this, co-housing restored microbiota composition at least in part, as indicated by the principal coordinate analysis (PCoA) based on Bray–Curtis dissimilarities at day 160 p.i. and by the analysis of microbiota composition (S9 Fig).
Altogether, this first transfer experiment suggested that transferring a complex microbiota can resolve chronic gut inflammation and displace the gut luminal HilD-regulon mutant-dominated pathogen population, which evolved during wild-type S. Typhimurium infection.
Microbiota transfer shows that the microbiota of S.Tm*-infected mice retains its capacity to displace a Salmonella population dominated by hilD mutants
In an alternative type of microbiota transfer experiment, we probed into the capacity of the gut microbiota remaining after 1 round of S.Tm* infection to displace wild-type S. Typhimurium hilD mutants. As microbiota regrowth is thought to displace the gut luminal Salmonella population at the end of such S.Tm* infections (as in the controls in Fig 1A–1D), we reasoned that the “recovered” microbiota might also be capable of displacing the hilD mutant-dominated pathogen population that is selected for in wild-type S. Typhimurium infected hosts. Here, we changed our experimental set-up slightly to more precisely quantify the selection for or against hilD mutants. To this end, we infected streptomycin pretreated CONX mice with a recombinant hilD deletion mutant and its isogenic hilD-proficient counterpart carrying antibiotic selection markers. This allowed us to precisely monitor the size of each population in feces. Furthermore, we infected these mice for 40 days instead of 70 days, as this was sufficient for hilD mutant cells to dominate the population (Fig 1A–1E). We used an inoculum in which hilD-proficient cells were 10- or 100-fold more abundant than the isogenic hilD-deficient mutant (S.Tm*hilD) (Fig 4A). The higher surplus of S.Tm* was chosen to mimic the selective environment from the experiments in Fig 1A–1D. Specifically, this generated an S.Tm*-conditioned inflammatory milieu in the gut lumen during the first days of the infection that allowed for the selection for initially rare hilD mutants. This competitive infection allowed us to verify that the regrowing microbiota had successfully displaced the gut luminal Salmonella population and prevented further selection for hilD mutants.
In the first stage of this experiment, we generated 4 groups of mice. The first group provided the “microbiota donor” mice. The second group was designed to probe into the importance of the microbiota in displacing the gut-luminal Salmonella population in the first group. To this end, we infected germ-free C57BL/6 mice with the same inoculum that we had used for the first group (that is S.Tm* versus S.Tm*hilD; 100:1). In contrast to the first group, the second group (that is, the germ-free mice) shed highly dense Salmonella populations dominated by S.Tm*hilD until day 40 p.i. (≈109 CFU/g feces; Fig 4B and 4C). Strikingly, the second group retained this high S.Tm*hilD colonization in spite of falling lipocalin-2 levels, which are indicating the resolution of gut inflammation by days 30 to 40 p.i. (Fig 4D). These observations supported the hypothesis that the microbiota is essential for displacing the gut luminal pathogen population that evolves during the course of the S.Tm* infection (as observed in the first group and in our previous work) [29]. Also, these data confirmed that the selection for hilD mutants occurs in different mouse lines (C57BL/6 and 129SvEv) [29] and that enteropathy can resolve (at least partially) in the absence of microbiota, as indicated by the declining lipocalin-2 levels (from >105 ng/g feces at day 3 p.i. down to 101 ng/g feces at day 30 to 40 p.i.).
The third and the fourth groups were the experimental groups of our transfer experiment. In groups 3 and 4, we infected streptomycin pretreated CONX mice with a 10:1 or a 100:1 mixture of wild-type S. Typhimurium versus S.TmhilD (Fig 4A; S.Tm: S.Tm hilD). This experimental setup allowed us to accurately quantify the selection for the hilD mutant by differential plating using unique antibiotic resistances for wild-type S. Typhimurium and S.TmhilD (Table 1). Furthermore, the setup established an inflammatory gut-luminal milieu conditioned by wild-type S. Typhimurium and created a situation in which hilD mutants were initially rare and subsequently selected for to dominate the gut lumen (days 1–40 p.i.; Fig 4B–4D). Of note, infections with both 1:10 and 1:100 inoculate mixtures yielded equivalent outcomes and therefore are equally represented in the co-housing experiments after day 40 p.i. The data for the first 40 days were consistent with the results from the wild-type S. Typhimurium infection shown in Fig 1A–1D (that is we observed the selection for S.TmhilD over wild-type S. Typhimurium; reaching ≈109 CFU/g feces). At day 40, we placed mice from the first group as “microbiota donors” into the cages of the third group. This reduced the total Salmonella loads in the feces and the selection for S.TmhilD compared to the fourth group which remained without donor mice (Fig 4B and 4C). The displacement of the hilD mutant-dominated gut luminal Salmonella population went along with a slight amelioration of the gut inflammation, as indicated by histopathological inspection (S10 Fig). However, the resolution of enteropathy was incomplete and fecal lipocalin-2 concentrations remained much higher than in non-infected mice and did not differ between groups 3 and 4 (Fig 4D). This data demonstrated that the gut microbiota re-establishing during recovery from S.Tm*-induced colitis retains its capacity to displace the gut-luminal hilD mutant-dominated pathogen population selected for in wild-type S. Typhimurium infected mice. This displacement can occur in the face of gut inflammation, as observed in wild-type S. Typhimurium infected mice by days 40 to 80 p.i.
Table 1. Strains used in this study.
Strain name used in the study | Strain number | Relevant genotype | Resistance# | Reference |
---|---|---|---|---|
S.Tm (wild-type S.Tm) | SB300 | Wild-type, S. Typhimurium SL1344 | Sm | [81] |
S.Tm# (S.Tm ssaV) | M2730 | SL1344 ΔssaV | Sm | [82] |
S.TmAvir (S.Tm invGssaV) | M2702 | SL1344 ΔssaV; ΔinvG | Sm | [82] |
S.TmhilD (hilD mutant) | T247 | SL1344 ΔhilD; aphT | Sm, Kan | This study |
S.Tm CmR | T176 | SL1344 WITS::cat | Sm, Cm | This study |
S.Tm#hilD | T132 | SL1344 ΔssaV; hilD::cat | Sm, Cm | This study |
S.Tm# KanR | T156 | SL1344 ΔssaV; aphT | Sm, Kan | This study |
S.TmAvir hilD | T134 | SL1344 ΔssaV; ΔinvG; hilD::cat | Sm, Cm | This study |
S.TmAvir | Z6832 | SL1344 ΔssaV; ΔinvG; WITS::aphT | Sm, Kan | This study |
# Relevant resistances only: Sm = ≥50 μg/ml streptomycin; Cm = ≥15 μg/ml chloramphenicol; Kan = ≥50 μg/ml kanamycin.
Together, our 2 microbiota transfer experiments established that hilD mutants are displaced by the microbiota. The lack of microbiota (as in germ-free mice) or its irreversible disruption (as in streptomycin-treated CONX mice infected with wild-type S. Typhimurium) promotes within-host evolution of the pathogen towards reduced virulence. Therefore, the microbiota appears to be critical for creating a selective environment that promotes the maintenance of Salmonella virulence.
Gut inflammation selects for hilD mutants independent of the S.Tm strain background
To this point, our experiments established that wild-type S. Typhimurium infections differ from S.Tm* infections in their tendency to select for hilD mutants and the massive fecal shedding of these virulence-attenuated mutants for weeks and months. Furthermore, our data suggested that this might be attributable to the different capacities of these 2 strains to trigger enteropathy and thereby disturb the gut microbiota. However, it remained possible that pleiotropic effects pertaining to the strain backgrounds, e.g., the ssaV deletion mutation, which attenuates tissue colonization by S.Tm* relative to wild-type S. Typhimurium, might contribute to the selection for hilD mutants in the gut lumen. We addressed this using 2 different approaches.
In the approach shown in S11 Fig, we used a mixture of isogenic S.Tm strains as an inoculum where a strain given in 10,000-fold excess conditions the gut milieu to either remain “uninflamed” (S.Tm lacking invG ssaV; S.TmAvir; cannot trigger substantial gut inflammation) or to feature wild-type enteropathy (wild-type S.Tm). Within the 10,000-fold excess of the conditioning strain, we mixed a 1:1 ratio of focal competing strains that were either hilD-deficient or -proficient S.Tm mutants constructed in either the S.TmAvir or wild-type S.Tm background (scheme in S11A Fig). By this way, we could disentangle if the strain background or instead the inflamed gut milieu selects for hilD mutants. In these 4 conditions, we analyzed the competition between isogenic S. Typhimurium strain pairs. Strikingly, when the gut is conditioned to remain “uninflamed” (that is by using a 10,000-fold excess of S.TmAvir), the hilD-proficient strain and its isogenic hilD-deficient mutant remained at a 1:1 ratio throughout the 4 days of the infection (competitive index, C.I. = 1; S11 Fig). This was independent of the strain background used. In contrast, in the positive control experiment where untagged wild-type S. Typhimurium is used in 10,000-fold excess and triggered pronounced enteropathy, the hilD mutant outcompeted the tagged hilD-proficient strain by 1,000-fold within 4 days. Indeed, the same held true when we competed S.TmAvir (S.Tm SL1344 invG ssaV) against its hilD-deficient derivative in the presence of 10,000-fold excess of wild-type S. Typhimurium (S11 Fig). Thus, gut inflammation selects for hilD mutants, regardless of the presence or absence of ssaV in the competing strain pairs or their capacity to invade and grow within host tissues.
The second approach we applied is depicted in S12 Fig. Here, we used an experimental setup in which the infections are performed with the same strain (i.e., wild type S. Typhimurium) but the kinetics of gut inflammation differ due to the use of different mouse models. Therefore, we could address if the selection for or against hilD mutants is affected by the degree of gut inflammation. To this end, we performed serial transmission experiments in 2 different types of isogenic C57BL/6 mice. The serial fecal-oral transmission allowed us to limit the infection in the individual mice to 3 or 4 days and thereby avoid death from systemic pathogen spread in C57BL/6 mice. We used 2 groups of C57BL/6 mice differing in both the degree of CR conferred by their microbiota and the disease kinetics. Gut inflammation occurs within 24 h in streptomycin pretreated C57BL/6 (CONE; Materials and methods) mice, while it is delayed to day 3 to 4 p.i. in untreated C57BL/6 mice that are associated with a defined microbiota composed of 12 representative microbiota strains (OligoMM12 mice [57]). Both types of mice were infected with the same wild-type S. Typhimurium strain. While OligoMM12 mice shed pathogen populations dominated by clones expressing TTSS-1 until the end of the experiment (SipC detected in 100% of all colonies; S12 Fig), this population declined much faster in the streptomycin pretreated CONE mice. Thus, we conclude that the selection for hilD mutants is not related to the strain background, but that it is much rather determined by the gut-luminal milieu shaped by gut inflammation and initial microbiota composition.
Altogether, these data suggest that the gut milieu created as a result of wild-type S. Typhimurium-triggered inflammation selects for hilD mutants regardless of the strain background (e.g., wild-type, ssaV mutant, or avirulent). However, it remained unclear whether microbiota transfer can prevent selection for hilD mutants during the acute phase of the wild-type S. Typhimurium infection (e.g., in streptomycin pretreated mice).
Microbiota transfer can prevent selection for attenuated hilD mutants during the acute phase of wild-type S. Typhimurium infection
Our results so far show that (i) gut inflammation is necessary for efficient gut colonization; (ii) but also selects for attenuated hilD mutants; while (iii) microbiota transfer from a naïve or recovered donor mouse clears S.Tm population dominated by hilD mutants from the gut lumen, which can indirectly contribute to maintenance of the wild-type S. Typhimurium genotype. Next, we asked whether a complex microbiota is also capable of preventing the rise of hilD mutants in the first place during the conditions in which the gut milieu is shaped by wild-type S. Typhimurium-triggered inflammation. To address this, we performed microbiota transfer experiments during the acute phase of the infection in our streptomycin pretreated mouse model and monitored the kinetics of selection for hilD mutants (Fig 5A).
To this end, we infected 2 groups of streptomycin pretreated CONX mice for 40 days with a 106:1 mixture of wild-type S. Typhimurium and S.TmhilD. By reducing the initial fraction of hilD mutants in the inoculum as low as possible, we aimed to mimic spontaneous rise of these mutants at a low frequency. The first group remained under hygienic isolation (i.e., no co-housing) throughout the infection, while the second group got access to unperturbed microbiota via co-housing with a naïve CONX mouse. The CONX mice were added at day 4 p.i., when gut inflammation is still very pronounced (S2 Fig; [44]), but after the streptomycin has been washed out and the extremely bactericidal phase of the wild-type S. Typhimurium infection (between days 1 to 2 p.i. [48]) is over. We reasoned that this would promote efficient microbiota transfer and allow us to disentangle the effect of the microbiota from the inflammatory environment on the selection for hilD mutants. Strikingly, while the total S.Tm gut population remained at the carrying capacity for 40 days in both groups, only in the control group with no co-housing, the hilD mutant dominated the total pathogen population in the feces by day 40 p.i. (Fig 5B and 5C). In stark contrast, most of the mice that received microbiota transfer at day 4 p.i. were colonized by wild-type S. Typhimurium at the end of the infection (Fig 5B and 5C). Thus, a complex microbiota transfer during the acute phase of the enteric disease is sufficient to prevent the rise and accumulation of hilD mutants without compromising the gut colonization efficiency of the pathogen.
We next checked if the reason for lack of selection for hilD mutants in the co-housed group was attributable to absence of gut inflammation. Surprisingly, gut inflammation was apparent and comparably high in both groups (Fig 5D and 5E). Furthermore, pathogen loads in the systemic organs (mLN and spleen) were also comparable between both groups. Thus, the microbiota from a naïve donor mouse can effectively alleviate the selective advantage of hilD mutants during S. Typhimurium gut infection, even in the face of continued pronounced gut inflammation.
Altogether, we conclude that the gut milieu shaped by wild-type S. Typhimurium-triggered gut inflammation and supplemented by the transfer of complex microbiota prevents the selection for attenuated hilD mutants while permitting a robust gut-luminal growth of the pathogen.
Long-term microbiota perturbation in mice infected with wild-type S. Typhimurium
Our data so far suggests that, under hygienic conditions, wild-type S. Typhimurium-triggered enteric disease in antibiotic pretreated mice selects for attenuated hilD mutants. This happens unless the mice are supplemented with an unperturbed microbiota from a naïve donor. On the other hand, enteric disease triggered by S.Tm* does not lead to attenuation of virulence since the regrowing microbiota is able to prevent the accumulation of hilD mutants. Therefore, we next investigated how the composition of the microbiota had changed during both infection conditions. To identify correlations between microbiota changes during wild-type S. Typhimurium and S.Tm* infection, the dynamics of Salmonella gut colonization, and the selection for mutants with reduced virulence, we performed 16S community sequencing on fecal samples taken from mice in Fig 1A–1D. It should be noted that the experiment shown in Fig 1A–1D relied on the initial microbiota perturbation by streptomycin pretreatment; previous work had established that this disturbs the microbiota composition and reduces its diversity transiently [12,58–60]. However, antibiotic treatment alone can only suppress CR for 1 to 3 days. Unless virulence-elicited inflammation suppresses microbiota regrowth, Salmonella loads in the gut lumen will decline from more than 109 to about 107 CFU per gram cecum content by day 4 p.i. [12]. This had been established for the wild-type S. Typhimurium infection and for the infection with the avirulent double-mutant lacking functional TTSS-1 and TTSS-2 (S.TmAvir; see above) that did not cause any enteropathy [12]. Here, we sought to assess if the S.Tm* infection and the associated gut-luminal milieu allows the regrowth of microbiota at day 20 to 70 p.i. We reasoned that such data might help explain why hilD mutant-dominated Salmonella populations that arise transiently during S.Tm* infections are displaced and why that gut microbiota retains its capacity to displace hilD mutant-dominated pathogen populations from wild-type S. Typhimurium infected mice.
For the analysis, we assessed fecal microbiota composition at day 0 and compared these to the fecal microbiota composition at day 10 p.i. We chose day 10 p.i., as Salmonella loads were at carrying capacity in both groups of infected mice (≈109 CFU/g feces; Fig 1B), concentrations of the inflammation marker lipocalin-2 were elevated and roughly equal (≈104 ng/g feces; Fig 1C), and clones without detectable SipC expression were still a minority in the feces from most of the mice (Fig 1D). We also assessed day 70 p.i., as fecal Salmonella loads and gut inflammation differed strongly between both groups of mice (Figs 1B, 1C, and S3). Moreover, by day 70, the clones without detectable SipC expression dominated the feces of all mice infected with wild-type S. Typhimurium (but absent from S.Tm* infected mice; Fig 1D). Also, the day 70 p.i. data would be particularly valuable, as mice from that time point were used in the microbiota transfer experiment shown in Fig 3.
At day 10 p.i., the within-sample diversity (as quantified by the Shannon index) was similar between wild-type S. Typhimurium and S.Tm*-infected mice, and lower than in naïve CONX mice (compare Fig 6A to the gray symbols in Fig 3E). While the within-sample diversity remained low in wild-type S. Typhimurium infections, it returned almost to “unperturbed” levels in S.Tm*-infected mice by day 70 p.i. (Figs 6A and S13; compare to the gray symbols in Fig 3E). In S.Tm*-infected mice, the rise of microbiota complexity between days 10 to 70 p.i. correlated temporally with the decline of the total Salmonella loads in the feces (Fig 1B) and the decline of clones without detectable SipC expression (between days 20 to 70 p.i.; Fig 1D). Importantly, microbiota compositions were distinct between wild-type S. Typhimurium- and S.Tm*-infected mice at both time points, as shown by principal coordinate analysis (PCoA) based on Bray–Curtis dissimilarities (Fig 6B and 6C). Of note, identical observations were made when we excluded the Salmonella reads from this analysis. Thus, S.Tm* caused a transient reduction of the microbiota complexity that was restored despite the hygienic isolation during these 70 days of infection. In contrast, the impact of wild-type S. Typhimurium on microbiota complexity was distinct and long lasting.
To identify taxa that might be responsible for displacing mutant-dominated gut-luminal Salmonella populations, we first investigated the gut microbiota communities at higher taxonomic resolution. The unperturbed CONX microbiota consists of 4 major phyla: Firmicutes, Bacteroidetes, Proteobacteria, and Actinobacteria (Fig 6D). Our analysis of microbiota compositions over time revealed striking differences in the relative abundance of taxa between the mice infected with wild-type S. Typhimurium or S.Tm*. The members of the phylum Proteobacteria were prominent in the S.Tm*- and wild-type S. Typhimurium infected mice at day 10 p.i. and >99% of the proteobacterial 16S sequences were attributable to the Salmonella strains used for infecting these mice (S7–S10 Tables). In line with the high fecal Salmonella loads (Fig 1B), the Proteobacteria sequences remained prominent until day 70 in the wild-type S. Typhimurium-infected mice, while they declined drastically in S.Tm*-infected animals (Fig 6D; blue bars; day 70 p.i.).
The phylum Bacteroidetes was suppressed by day 10 p.i. in both groups of mice (Figs 6D and S13E). Bacteroidales were the major order of this phylum in our mice and declined from a relative abundance of 69% (based on the 16S sequence reads from the feces of untreated CONX mice; median) to about 0.1% and remained low until day 70 p.i. in both groups (Figs 6D and S13E). This suggested that the composition of the gut microbiota does not completely return to its initial state even in S.Tm*-infected mice. Furthermore, these data suggest that the Bacteroidales are likely not required for displacing the luminal Salmonella populations in our experiments.
The phylum Actinobacteria was present in low abundance in unperturbed animals and appeared at more variable abundances in wild-type S. Typhimurium and S.Tm*-infected mice at day 70 p.i. (Fig 6D). This pattern of abundance may suggest that the presence or absence of high Actinobacteria loads will likely have little effect on the gut colonization by hilD mutants.
In contrast to the Bacteroidetes, members of the phylum Firmicutes remained well-represented accounting for 10% to 30% of all 16S sequences at day 10 p.i. in most animals from both groups (Fig 6D). By day 70 p.i., the Firmicutes accounted for up to >95% of all 16S sequences in the S.Tm*-infected mice, while they remained at approximately 10% to 30% in the wild-type S. Typhimurium-infected animals. At higher taxonomic resolution, there were pronounced differences between the infected and the non-infected mice, and also between the groups infected with S.Tm* and wild-type S. Typhimurium (Fig 6E–6G). At the order level, we observed 3 patterns of change in response to the infection with S.Tm* or wild-type S. Typhimurium: (i) orders featuring an increased abundance in mice infected with either S.Tm* or wild-type S. Typhimurium at day 70 p.i.; (ii) orders that declined in both groups by day 10 p.i., but regrew by day 70 p.i. in the S.Tm*- (but not the wild-type S. Typhimurium-) infected mice; (iii) orders declining by day 10 p.i. but blooming to higher abundance than in the unperturbed microbiota by day 70 specifically in the S.Tm*-infected mice (Figs 6E and S13H). Taxa showing the latter 2 response patterns were of particular interest, as they might include key strains that displace Salmonella spp. and create an environment that selects against mutant overgrowth, as observed in the S.Tm*-infected mice (day 70, Fig 1B and 1D) or after microbiota transfer (Figs 3B, 3C, 4B and 4C).
The orders Oscillospirales and Lachnospirales were depleted by day 10 of infection with either strain, but regrew by day 70 p.i. with S.Tm*-, but not in the S.Tm-infected mice (Fig 6E). The underlying mechanism has remained unclear. On the one hand, the luminal environment of the convalescent gut (as in S.Tm*-infected mice at day 70 p.i.) might select for Oscillospirales and Lachnospirales. They may thus represent indicator strains for that gut-luminal milieu. Alternatively, the dominance of the Oscillospirales and Lachnospirales might hint at a more active function of these taxa in suppressing gut luminal Salmonella growth and selecting against attenuated Salmonella mutants when acute colitis resolves. In principle, such an “active” role might be exerted via short chain fatty acids (SCFAs) such as butyrate, as these microbiota metabolites have much higher concentrations in the cecum lumen of mice with high CR (such as CONX mice), than in mice without CR (such as germ-free mice; S14 Fig). SCFA modulate the expression of the HilD-regulon [61–63], and Oscillospirales and Lachnospirales were shown to produce such metabolites. Regardless, even in the S.Tm*-infected mice, the microbiota composition did not return to the naïve state, as the Bacteroidales order was mostly replaced by orders from the Firmicutes phylum (mainly Lachnospirales; Figs 6D, 6E, and S13E), hinting that the post-colitis microbiota might have distinct functional features (with distinct effects on virulence regulation by enteropathogens, altered SCFA outputs, etc.) than the naïve microbiota.
To identify genera of the normal mouse gut microbiota that might be responsible for restricting long-term colonization by hilD-mutants, we investigated the orders Oscillospirales and Lachnospirales at the suborder level (Fig 6F and 6G). We compared the most abundant taxa in the gut of mice that had recovered from S.Tm* infection at day 70 p.i. with those of mice infected for 70 days with wild-type S. Typhimurium and with untreated mice (Fig 6F and 6G). Of note, Lachnospiraceae NK4A136, Roseburia, Lachnospiraceae UCG-006, Lachnoclostridium, Lachnospiraceae UCG-001, A2, and Marvinbryantia from Lachnospirales, and Colidextribacter, Intestinimonas, Anaerotruncus, and Oscillibacter from Oscillospirales were significantly elevated in mice which had recovered from S.Tm* infection (Fig 6F and 6G). We hypothesized that particular members or consortia that include groups of these taxa may create a gut-luminal environment selecting against hilD mutants (Fig 6F and 6G). To test this hypothesis, we focused on taxa that were initially depleted, but regrew by day 70 p.i. with S.Tm*. To this end, we chose cultivatable strains from Lachnospirales, Oscillospirales, and Erysipelotrichales.
In a first experiment, we infected streptomycin pretreated CONX mice and inoculated these animals at days 0, 1, and 3 with the indicated microbiota strain (S15A and S15B Fig). This timing of microbiota inoculation seemed reasonable, as streptomycin is washed out of the gut within approximately 24 to 36 h, and S. Typhimurium gut infection has a pronounced effect on the gut-luminal bacterial community between days 1 and 2 p.i. [48,49], which starts to recover after day 2. However, neither the introduction of individual strains nor the supplementation of propionate or butyrate in the drinking water of mice (as examples for prominent microbiota fermentation products) prevented the selection for S.Tm*hilD (S15B Fig).
A second experiment was performed in germ-free mice, as these animals lack any microbiota selecting against hilD mutants or displacing hilD mutant-dominated Salmonella populations from the gut lumen (see Fig 4B and 4C). Thus, adding suitable microbiota strains may restore these microbiota-mediated functions. To this end, we took competitively infected germ-free C57BL/6 mice (100:1 mixture of S.Tm* versus S.Tm* hilD) from Fig 4 (at day 40 p.i.; green symbols), and inoculated these mice with a microbiota strain cocktail composed of Actualibacter muris KB18, Clostridium clostridioforme YL32, Flavonifractor plautii YL31, Blautia coccoides YL58, and Faecalibaculum rodentium DSM 103405 at days 40, 45, or 50 p.i. (S16A Fig). However, the microbiota inoculations did not affect the dominance of S.Tm* hilD (S16B Fig). The reasons for this remain unclear. We speculate that the 16S data from Figs 6 and S13 might have been insufficient to identify strains that can establish the proper gut-luminal environment. Alternatively, such environmental conditions may be an emergent property requiring a particular combination of microbiota strains (including strains which we have failed to add to our microbiota mix). Also, we cannot rule out that the Oscillospirales, Lachnospirales, or Erysipelotrichales do not play an active role in selecting against hilD mutants or displacing mutant-dominated Salmonella populations. Instead, they may just be indicator strains which dwell in the gut-luminal milieu of a convalescent mouse. These questions will be a topic for future work.
In summary, our data suggested that emergent properties of the full post-recovery community might be responsible for suppressing the spread of hilD mutants in S.Tm*-infected mice (Fig 1B and 1D) and after microbiota transfer into wild-type S. Typhimurium-infected animals (Fig 4B and 4C).
Microbiota conferring intermediate levels of CR tend to prevent selection for hilD mutants
The data above suggested that the gut microbiota is critical for conditioning a gut luminal milieu that selects against hilD mutants. The superior gut-luminal colonization by wild-type S. Typhimurium (compared to S.TmhilD) was particularly evident after a mild diet-mediated microbiota perturbation (Figs 2 and S6) and in mice harboring microbiotas which confer lower levels of CR compared to the unperturbed complex microbiota (that is CONX or CONE). In those initial experiments, we had infected the mice with either wild-type S. Typhimurium or with S.TmhilD alone. However, it remained unclear if wild-type virulence would be selected for or against in competition with a hilD mutant in the presence of a microbiota that conferred intermediate CR. Therefore, we performed 2 competitive infection experiments in mouse models with intermediate CR.
In the first experiment, we competed wild-type S. Typhimurium against S.TmhilD in CONX mice that had been exposed to a high-fat diet shift to transiently alleviate CR (Fig 7A). We hypothesized that this mouse model might offer conditions that prevented selection for hilD mutants since our data already indicated that such a moderate disturbance of a complex microbiota might condition the intestinal milieu to favor virulence (S6J Fig). To this end, the CONX mice were shifted to high-fat diet for 24 h before infection with a 100:1 mixture of wild-type S. Typhimurium versus S.TmhilD and we analyzed gut luminal growth of the Salmonella strains and fecal lipocalin-2 concentrations for 40 days. The median total Salmonella loads in the feces remained at ≈106 CFU/g throughout our experiment, which is higher than expected for mice with strong CR, like unperturbed CONX mice (S6K Fig), but significantly lower than in streptomycin pretreated CONX mice (Fig 7B, replotted from Fig 4A). In these high-fat diet shifted CONX mice, the average selection for the hilD mutant was extremely mild or absent (Fig 7C). In fact, in some animals, we observed selection for the hilD-proficient wild-type S. Typhimurium strain. This selection for wild-type S. Typhimurium appeared to be most pronounced in those animals with the lowest gut luminal pathogen loads (103–107 CFU per g feces). To assess this in more detail, we re-analyzed the infection data separately for the subgroups of mice featuring total fecal Salmonella loads of >106 CFU/g or of <106 CFU/g at day 10 p.i. (Figs 7 and S17A–S17D). In the former subgroup, the S.TmhilD was selected for strongly (C.I. ≈106 by days 30 to 40 p.i.). In contrast, the latter subgroup did not select for S.TmhilD (C.I. ≈1 at days 1 to 40 p.i.; S17C Fig, gray circles). This split into 2 distinct subgroups might be related to the high animal-to-animal variability rooted in the relatively mild effect of the high-fat diet shift on CR (as compared to the streptomycin pretreatment) which results in a high animal-to-animal variation in gut colonization and the degree of enteropathy (which was also observed above (S6E and S6J Fig) and in earlier work [25]). We hypothesize that in those animals with fecal Salmonella densities of <106 CFU/g, the microbiota was only minimally disturbed: just enough to partially alleviate CR but too little to fully alleviate the microbiota’s capacity to condition the gut luminal milieu and thereby facilitate selection for S.TmhilD. Strikingly, the selection for S.TmhilD was prevented in this subgroup of mice, despite significant levels of gut inflammation as indicated by fecal lipocalin-2 concentrations of ≈102 ng/g from days 3 to 40 p.i. (Figs 7 and S17D, gray symbols). This is in keeping with the data in Fig 5 and suggests that the parts of the microbiota that are critical for conditioning the selective gut-luminal milieu remained intact in that subgroup of mice and that this can prevent the selection for hilD mutants even in the inflamed gut.
In the second experiment, we analyzed the competitive infection of hilD-proficient versus -deficient Salmonella strains in gnotobiotic C57BL/6 mice, which are associated with a low complexity microbiota (termed LCM). The LCM mice harbor a microbiota consortium composed of 8 strains and confer an intermediate level of CR. Upon orogastric infection in this mouse model, wild-type S. Typhimurium takes 3 to 4 days to grow to carrying capacity and 2 to 4 days to elicit pronounced enteropathy [4,46,47], and our new data shows that a hilD mutant is attenuated (S6C and S6H Fig). In order to assess the selection for (or against) virulence over 40 days, we used an isogenic strain pair that carries a ssaV mutation, as this prevents death from systemic spread (as discussed above). The LCM mice were infected with a 100:1 mix of S.Tm* and S.Tm*hilD to allow the virulent strain S.Tm* to condition the inflammatory milieu in the gut lumen during the first days of the infection and to approximate the low abundance of hilD mutants that spontaneously arise in natural Salmonella populations (S18 Fig). In the LCM mice, S.Tm*hilD was selected for during the first 10 days, as indicated by the C.I. which rose from 100 to ≈102 (S18D Fig). This period was associated with mild gut inflammation, as indicated by fecal lipocalin-2 concentrations of ≈102 ng/g feces (S18E Fig). Importantly, the C.I. of S.Tm*hilD dropped by >10,000-fold between days 10 and 40 of the experiment (S18D Fig), when lipocalin-2 concentrations returned to normal levels as typically observed in unperturbed mice. At the same time, the gut-luminal densities of the hilD-proficient strain remained very high (≈109 CFU/g feces; S18C Fig). Thus, the gut-luminal environment in LCM mice strongly selected for the virulent strain, at least during days 10 to 40 of our experiment.
Together, these data support the hypothesis that the gut microbiota is critical for conditioning the milieu in the infected gut and that microbiota conferring intermediate levels of CR may tend to select for wild-type S. Typhimurium virulence.
Discussion
We studied wild-type S. Typhimurium infections in mice to decipher the role of the microbiota in virulence evolution of enteropathogens. Within-host evolution, microbiota transfer and infection assays in mice with different levels of CR established that the gut microbiota has a key role in conditioning the gut-luminal milieu with important consequences for the selection for mutants with reduced virulence. If the microbiota is absent or disrupted beyond recovery (Figs 1, 3, 4, 6 and S16), virulence-attenuated hilD mutants replace the parental wild-type strain, in particular in the inflamed gut. Thereby virulence declines. This is prevented if the microbiota recovers during convalescence (Figs 1, 3, 4 and S18), or if it is replenished by transfer (Figs 3–5). Overall, this identifies a trade-off between the costs of hilD-dependent virulence expression, its role in disturbing the gut microbiota, and the role of the microbiota in preventing selection for hilD mutants, which determines the within-host evolution of wild-type S. Typhimurium. We hypothesize that this gut milieu may represent the natural habitat which has selected for the evolution and the maintenance of virulence by this enteropathogenic bacterium. Notably, most natural Salmonella isolates retain a functional HilD-regulon [41,64]. Hence, we propose that using mouse infection models selecting for the retention of the HilD-regulon may allow us to optimize our experimental approaches and identify conditions similar to the pathogen’s natural habitat. These conditions could serve as a testing ground to discover vulnerabilities of the pathogen. Unraveling how microbiotas shape the gut environment that favors virulence may lead to therapies and preventive measures that restore the microbiome and reinstate CR without promoting virulence (Supplementary discussion B in S1 Text).
Inflammation is a critical parameter conditioning the milieu in the infected gut [4]. Inflammation has 2 inter-related effects on the pathogen population. One is that it fuels the selection of hilD mutants over wild-type S. Typhimurium. Without gut inflammation, the hilD mutant and the isogenic wild-type strain grow equally well in the antibiotic pretreated mouse gut lumen (S11 Fig). The second is that gut inflammation disrupts the microbiota, which allows the pathogen to grow at higher densities over longer periods of time. This is true for wild-type S. Typhimurium, as initially discovered in [12] (though without noticing the hilD mutants) and confirmed by the present study. Our new data show that this is also true for S.TmhilD (Figs 1 and 4). The microbiota disruption beyond return (as triggered by the enteric disease during the first days of a wild-type S. Typhimurium infection) explains why hilD mutant-dominated pathogen populations can populate the gut over long times (as in Fig 1). Both effects are interrelated, as both (microbiota disruption and the selection for hilD mutants) are mediated by the gut-luminal milieu of the inflamed gut and as the microbiota can condition the inflamed gut in a way that halts the selection for hilD mutants (Fig 5).
Wild-type S. Typhimurium infection in antibiotic pretreated mice represents an extreme case of microbiota disruption during enteric infection, and this helped to uncover 2 phenomena important for within-host evolution of the pathogen: Under these extreme conditions, the high severity of enteropathy of the wild-type pathogen can lead to short-sighted evolution towards virulence attenuation (Figs 1, 2, S5 and S6) as indicated by the selection for attenuated mutants and their massive fecal shedding over weeks and months (Figs 1B, 1D, 1E, 3B and 3C). This is strikingly different from our earlier observations in S.Tm*-infected mice and the experimental controls in our present study, wherein the regrowing gut microbiota halted the evolution towards reduced virulence [29]. Second, as shown here, the extreme conditions triggered by the wild-type pathogen could identify a trade-off between virulence-driven alleviation of microbiota-mediated CR and the key role of the microbiota in conditioning a gut-luminal milieu that selects for the maintenance of Salmonella virulence. In line with earlier work [12], the pronounced enteropathy elicited by wild-type S. Typhimurium in streptomycin pretreated mice is a prerequisite for long-term gut colonization of mice with complex gut microbiotas. Therefore, as long as host viability remains unchanged, higher virulence would be expected to correlate with enhanced transmission, and this should select for the evolution of virulence or its maintenance by the wild-type pathogen. However, our new data presented here show that the pronounced disruption of the microbiota by wild-type S. Typhimurium (“beyond return”; Figs 6 and S13) results in the selection for attenuated mutants (Figs 1, 4, S5, S6, S8 and S12). Together, these data demonstrate the trade-off between virulence-triggered microbiota suppression and the virulence-selecting effect of the microbiota. In other words, “more inflammation” is not always “better” when considering the maintenance of virulence in Salmonella populations. The key role of the microbiota in promoting the selection for virulence and therefore coincidentally preventing short-sighted evolution for virulence loss in pathogens is best illustrated by our microbiota transfer experiments after 40 or 70 days of infection with wild-type S. Typhimurium (Figs 3 and 4), and by the transfer experiment in which we co-housed mice at day 4 of the infection (Fig 5). Additional support for the role of the gut microbiota in selecting for the maintenance of virulence comes from the gut colonization defects of hilD mutants in mice with intermediate levels of CR (Figs 2 and S6). In hosts with transient food-mediated disturbance of CR, microbiotas conferring intermediate levels of CR, and in cases where pronounced enteropathy is combined with microbiota transfer, the pathogen can exploit virulence-elicited inflammation to (partially) suppress the microbiota and accelerate Salmonella growth, without selection for virulence-attenuated mutants. We hypothesize that this would promote transmission and thereby enhance the fitness of the wild-type pathogen [65]. During spread in a host population, on the other hand, additional factors come into play in the selection for Salmonella virulence. For example, the transmission bottleneck between hosts selects for virulent S.Tm cells that are able to trigger gut inflammation in the next host [52,66], as attenuated mutants will be unable to. We believe that our results from within-host evolution experiments introduce another layer to this concept: unperturbed or regrowing microbiota selects against attenuated mutants and thereby increases the total number of wild-type pathogen cells that are shed into the feces and can infect new hosts. This process would eventually increase the epidemiological fitness of the virulent S.Tm population in nature [67]. Consequently, within-host selection of virulence, which is promoted by microbiota, can contribute to the evolution of virulence within-population. However, additional data should be obtained to assess the potential of the pathogen to spread across host populations (that is fitness at evolutionary timescales) in a quantitative fashion.
The key role of the gut microbiota in preventing the selection for hilD mutants is further supported by our new data from germ-free mice. In contrast to our previous work in antibiotic pretreated CONX or CONE mice, S.Tm*hilD was selected for over the hilD-proficient strain (that is S.Tm*) in germ-free animals (Fig 4, green symbols). Moreover, the mutant-dominated Salmonella population was maintained and shed at high densities over many weeks. Our data suggest that this striking difference to streptomycin pretreated CONX mice resides in the failure of S.Tm* to disrupt the complex gut microbiota beyond return (Figs 6 and S13) and indicate that this is attributable to the reduced degree of enteropathy that is elicited by S.Tm* compared to wild-type S. Typhimurium (S2 Fig). This reduced virulence of S.Tm* has also been well documented in previous work [20,23]. These observations provide additional support for the trade-off between the virulence-triggered microbiota suppression and the virulence-selecting effect of the microbiota. In face of a complex microbiota (and its transient alleviation by antibiotic treatment, diet shifts, etc.), moderate enteropathy can also entail the transient appearance of attenuated mutants. However, these are later displaced by regrowing microbiota (see S.Tm* data in Figs 1, 4 and 6), as key members of the microbiota have survived the disease.
What else can we learn from the antibiotic pretreated mouse model and its tendency to select for HilD-regulon mutants? A body of previous work shows that it represents an extreme but highly instructive model for deciphering inflammation-triggering mechanisms [68–71], studying Salmonella growth under full-blown inflammation [12,31,32], and assessing why HilD-regulon expression can be so costly at times of severe microbiota perturbation [29,38,52]. These costs explain why mutants with HilD-regulon defects become dominant in Salmonella populations when the host’s microbiota is disrupted by the combined action of antibiotics plus wild-type S. Typhimurium infection and when microbiota transfer is prohibited by hygienic isolation (Figs 1 and 4). The spectrum of mutations is strikingly similar to those observed in the genome sequences of natural Salmonella enterica isolates [41]. This suggests that the antibiotic pretreated mouse model is representative of a distinct (though small and poorly characterized) natural niche characterized by a milieu selecting for HilD-regulon mutants. In the majority of hosts, the microbiota confers either strong CR (preventing colonization and evolution towards reduced virulence) or intermediate levels of CR, selecting for an intact HilD-regulon [41]. Even after the pronounced microbiota disruption by antibiotics plus wild-type S. Typhimurium infection, microbiota transfer can terminate the selection for hilD mutants (Fig 5) or the gut colonization by mutant-dominated pathogen populations (Figs 3 and 4). Such microbiota transfer should occur in most natural infections. This raises the question about the nature of the natural niche that selects for mutants with reduced virulence, which had been observed by Joshua Cherry [41]. So far, this niche has not been identified. Our data suggest that rare incidences of an extreme disruption of the mature complex microbiota (e.g., by food, antibiotics, and/or massive inflammation) and a limited access to microbiota transfer by strict hygiene measures might explain some of these cases. Evidence from an infant mouse infection model [72] (which is known to select for flagella mutants over wild-type S. Typhimurium) [73] indicates that incomplete CR provided by infant gut microbiota might also select for mutants with reduced virulence. However, further work is needed to substantiate the relevance of these niches or identify more relevant niches selecting for reduced Salmonella virulence.
How does enteropathy affect the gut microbiota? Interestingly, the degree of enteropathy appears to determine how microbiota communities shift (Figs 6 and S13). Compared to S.Tm*, the pronounced enteropathy elicited by wild-type S. Typhimurium entails more neutrophil recruitment into the gut lumen, exacerbated epithelial damage, altered metabolite levels in the gut lumen, and altered spatial organization of the cecal microenvironment (S2 and S14 Figs). Previous work established that the enteropathy elicited by wild-type S. Typhimurium in streptomycin pretreated mice not only prevents gut microbiota regrowth, but also it has particularly strong bactericidal effects at days 1 to 2 p.i. [48,49], which are strong enough to reduce the gut-luminal loads of the inflammation-adapted pathogen by 10 to 10,000-fold at day 2 of the infection [48,49], before it can regrow to carrying capacity (≈109 CFU/g in cecum content or feces). The co-housing experiment in Fig 5 provides further evidence that microbiota can (re)-establish in the infected gut as early as day 4 p.i. These observations suggest that days 1 to 2 are most critical for the disruption of the microbiota beyond return in wild-type S. Typhimurium-infected mice. We hypothesize that tissue-destructive inflammation marked by elevated IFN-γ levels might disrupt microbiota preserving niches in the gut mucosa like crypts, Peyer’s patches, or mucus-associated communities [74]. Our experiments were limited to longitudinal sampling of gross fecal microbiota composition, rather than assessing subtle differences in spatial organization. It was suggested that differences in sampling technique might result in underrepresentation of tissue-associated bacteria [75]. Further analysis of the relevant microbiota members in these niches and the underlying molecular mechanisms facilitating their long-term suppression or regrowth may broaden our understanding of specific functions of particular microbiota strains and be of interest as biotherapeutics, e.g., to reduce an infection-related predisposition, or alleviate auto-inflammatory sequelae like in IBD (see Supplementary discussion C in S1 Text). Moreover, this could highlight specific competitive effects of different microbiota members which may condition the gut to reverse colonization by enteropathogenic bacteria (to be used as probiotics). However, care must be taken to avoid microbiota members that may coincidentally select for Salmonella virulence.
Multiple studies have reported the evolution of microbial symbionts from mutualism to parasitism or virulence and vice versa, dependent on host associations or the environmental context (reviewed in [7,9]). Previous work on the fungal pathogen C. albicans had established a critical role of the microbiota in selecting against mutants with impaired hyphal virulence [10,11,76–78]. Here, we demonstrate the role of the microbiota in the maintenance of virulence by a wild-type enteropathogenic bacterium. In contrast to the C. albicans data, our work established that wild-type S. Typhimurium virulence has a dual relationship with the microbiota that results in a trade-off between virulence-mediated microbiota disruption and the role of the microbiota in maintaining Salmonella virulence. As many other gut pathogens such as C. rodentium, V. cholerae, or C. difficile use virulence-mediated host exploitation as a strategy to increase their transmission akin to S. Typhimurium, we suggest that the microbiota might play a similar role for the maintenance of virulence in such bacterial pathogens [12–16]. This both provides an experimental framework and opens up a major field of exploration to understand the role and mechanisms of how the microbiota influences the evolutionary dynamics of virulence across multiple enteric pathogens.
Materials and methods
Ethics statement
All mouse experiments were done according to the legal requirements and performed as approved by the responsible authority (Tierversuchskommission, Kantonales Veterinäramt Zürich, license approval numbers: ZH158/2019, ZH108/2022, and ZH109/2022). Sample size was not predetermined and mice were randomly assigned to treatment group. In co-housing experiments, female mice were predominantly used. In all other experiments, we used mice of 8 to 12 weeks of age of both sexes.
Bacterial strains and growth conditions
In all experiments, Salmonella Typhimurium SL1344 (SB300, SmR) or the indicated mutant versions were used (summarized in Table 1). Desired genetic constructs were transferred into the appropriate background strain using P22 HT105/1 int-201 phage transduction [79]. Antibiotic resistance cassettes were removed using the heat inducible FLP recombinase encoded on pCP20, if desired [80]. For in vivo mouse infections, bacteria were grown in lysogeny broth (LB) media containing the appropriate antibiotics (50 μg/ml streptomycin (AppliChem); 15 μg/ml chloramphenicol (AppliChem); 50 μg/ml kanamycin (AppliChem); 100 μg/ml ampicillin (AppliChem)) at 37°C for 12 h and subcultured in 1:20 LB without antibiotics for 4 h. Cells were washed and resuspended in cold PBS (BioConcept).
Infection experiments
Infection experiments followed protocols derived from the streptomycin pretreated mouse model for S.Tm oral infection [19]. Experiments were performed in 8- to 12-week-old male or female mice. Different mouse models with varying CRs were used throughout the study. Germ-free (GF) mice have no CR [83]. LCM [46] and Oligo-MM12 [57] mice are ex-GF mice that are stably colonized by 8 and 12 representative microbiota species, respectively. They confer intermediate CR. Specified pathogen free 129/SvEv mice (CONX) and C57BL/6 (CONE) feature complete CR [4], unless pretreated with antibiotics, and 129/SvEv mice were used for S.Tm infections >4 days, since they contain a functional Nramp1 allele (also known as Slc11a1). This allows resistance to systemic S.Tm disease and therefore allow for long-term infections [44,84]. For all infection experiments, the inocula were prepared as follows. Overnight cultures of S.Tm in LB with streptomycin were subcultured for 4 h (1:20 dilution) in LB without antibiotics. The subcultured strains were washed with PBS, and mice were given a dose of approximately 5 × 107 CFU S.Tm by oral gavage. Feces were collected in pre-weighed tubes containing 1 ml PBS and homogenized with a steel ball for 2 min at 25 Hz using TissueLyser (Qiagen). Mice were euthanized at the time point indicated in the figure legends. The organs were collected aseptically, ensuring that dissection tools were disinfected with ethanol in between organ collection to minimize cross-contamination. The mesenteric lymph nodes (mLNs), spleen, liver, gall bladder, kidney, lung, brain, heart, and stomach are reported per organ. Approximately 100 μl of blood was aspirated from the heart immediately after euthanasia and collected in PBS with 2% BSA and 1 mM EDTA. All organs were homogenized in PBS with a steel ball for 3 min at 30 Hz.
Single infections in streptomycin pretreated mice
Mice were pretreated with 20 mg streptomycin by oral gavage, and 24 h later, mice were infected with an inoculum of approximately 5 × 107 CFU S.Tm by oral gavage.
Competitive infections
Mice were pretreated with 20 mg streptomycin by oral gavage, and 24 h later, mice were infected with an inoculum consisting of a mix of the competing strains tagged with different antibiotic resistance markers in the chromosome (approximately 5 × 107 CFU S.Tm total inoculum) by oral gavage. Competing strains were grown and subcultured individually and combined only after washing with PBS. The competitive index is calculated as the ratio between 2 strains, normalized by the ratio of the strains in the inoculum (as confirmed by selective plating).
Single infections in western-diet shifted mice
Mice were switched to western diet (BioServ, S3282; 60% kcal fat; irradiated; per weight: 36% fat, 20.5% protein, 35.7% carbohydrates, 0% fiber) [25] from maintenance diet (Kliba Nafag, 3537; autoclaved; per weight: 4.5% fat, 18.5% protein, approximately 50% carbohydrates, 4.5% fiber), and 24 hours later, mice were switched back to maintenance diet and infected with an inoculum of approximately 5 × 107 CFU S.Tm by oral gavage. Cages were changed in between diet switches to limit feeding on residual diet in the cage and carryover of microbiota.
Fecal transmission experiments
Fecal suspensions from mice given S.Tm were stored in 20% glycerol/LB at −80°C until use (S6 Fig). Fecal suspensions were inoculated directly from the glycerol stock into LB containing streptomycin and allowed to grow for 5 h. Cells were centrifuged and washed with PBS twice, before introducing approximately 5 × 107 CFU total into mice pretreated with 20 mg streptomycin 24 h prior.
Fecal transmission experiments
Fecal pellets from mice given S.Tm were collected at day 3 p.i., resuspended in 1 ml PBS (S5 Fig). From this suspension, 100 μl was given to the next mouse by oral gavage.
Co-housing experiments
Female mice infected with S.Tm to be co-housed were split into fresh individual cages (in 1 case a cage of 2 mice) at the time point of co-housing. Mice were randomly assigned into co-housing groups (or left in their original cage). Female mice to be use as co-housing donors were added to the cage (1 donor mouse per cage). Mice added to the cage were either untreated CONX mice (no perturbation before addition to the cage) or infected with S.TmSPI-2 for 40 days.
Microbiota gavage experiments
Germ-free mice or streptomycin pretreated CONX mice were gavaged via orogastric route with a cocktail of representative microbiota strains (frozen glycerol stocks; [85,86]). Oligo-MM12 strains were grown in anaerobic Akkermansia medium (AAM; 18.5 g/l brain heart infusion (BHI), 5 g/l yeast extract, 15 g/l trypticase soy broth, 2.5 g/l K2HPO4, 1 mg/l haemin, 0.5 g/l glucose, 0.4 g/l Na2CO3, 0.5 g/l cysteine hydrochloride, 5 mg/l menadione, 3% complement-inactivated fetal calf serum) anaerobically. The successful growth of the cultures was confirmed by OD measurements and 16S PCR. Strains from DSMZ (German Collection of Microorganisms and Cell Cultures GmbH) were ordered as active cultures (grown in their respective media according to DSMZ culture conditions) and glycerol stocks were prepared anaerobically.
Immunofluorescence
Cecal tissue sections from mice were fixed with 4% paraformaldehyde, saturated in PBS containing 20% sucrose, and snap-frozen in optimal cutting temperature compound (OCT; Sakura USA). Samples were stored at −80°C until further analysis. Samples to be stained were cut in 10 μm cross-sections and mounted on glass slides (Superfrost++, Thermo Scientific). For staining, cryosections on the glass slides were air-dried, rehydrated with PBS, and permeabilized using a 0.5% TritonX-100 solution in PBS. Sections were blocked using 10% normal goat serum (NGS)/PBS before staining with primary and secondary antibodies. The following antibodies and dilutions were used for the staining of different samples: 1:200 EpCam/CD326 (clone G8.8, Biolegend), 1:200 α-S.Tm LPS (O-antigen group B factor 4–5, Difco), 1:200 α-Ki67 (ab15580, Abcam Biochemicals), or 1:200 α-Ly6B.2 (clone 7/4, BioRad) in combination with the respective secondary antibodies, i.e., α-rabbit-AlexaFluor488 (Abcam Biochemicals), α-rat-Cy3 (Jackson), fluorescent probes, i.e., CruzFluor488-conjugated Phalloidin (Santa Cruz Biotechnology), AlexaFluor647-conjugated Phalloidin (Molecular Probes), and/or DAPI (Sigma Aldrich). Stained sections were then covered with a glass slip using Mowiol (VWR International AG) and kept in dark at room temperature (RT) overnight. For Confocal Microscopy Imaging, a Zeiss Axiovert 200 m microscope with 10 to 100× objectives or a spinning disc confocal lased unit (Visitron) with 10 to 100× objectives were used. Manual quantification was done blindly on 2 different sections (3 to 5 regions per section) from the same mouse according to the indicated parameters. The number of neutrophils per 63× field of view was counted on epithelium where half of the field included the lumen close to the epithelium to include freshly transmigrated neutrophils.
qRT-PCR
Cecal tissue sections were snap-frozen in RNAlater solution (Thermo Fisher Scientific) after extensive washing of the content in PBS and stored at −80°C until downstream analysis. Total RNA was extracted using RNeasy Mini Kit (Qiagen) and converted to cDNAs employing RT2 HT First Strand cDNA Kit (Qiagen). qPCR was performed with FastStart Universal SYBR Green Master reagents (Roche) and Ct values were recorded by QuantStudio 7 Flex FStepOne Plus Cycler. Primers used either were from Qiagen as pre-validated primer assays for Cxcl9, il1a, Ccl2, Adgre1 (F4/80), or designed using the NCBI primer-designing tool (see Table 2). The mRNA expression levels were plotted as relative gene expression (2-ΔΔCt)) and comparisons are specified in the figure caption.
Table 2. Primer sequences used for real time qRT-PCR.
Gene name | Primer sequence (5`➔3`) | |
---|---|---|
β-actin (mouse) |
F
R |
AGAGGG1TCGTGCGTGAC
CAATAGTGATGACCTGGCCGT |
Cxcl1 (mouse) |
F
R |
CCGCTCGCTTCTCTGTGC
CTCTGGATGTTCTTGAGGTGAATC |
Cxcl10 (mouse) |
F
R |
GGAT6TCTCGCAAGGA
ATCGTGGCAATGATCTCAACA |
Ifng (mouse) |
F
R |
TTCTTCAGCAACAGCAAGGC
TCAGCAGCGACTCCTTTTCC |
Il1β (mouse) |
F
R |
GCAACTGTTCCTGAACTCAACT
ATCTTTTGGGGTCCGTCAACT |
Il6 (mouse) |
F
R |
CCTCTGGTCTTCTGGAGTACC
ACTCCTTCTGTGACTCCAGC |
Reg3g (mouse) |
F
R |
ATGGCTCCTATTGCTATGCC
GATGTCCTGAGGGCCTCTT |
Tnfa (mouse) |
F
R |
ATGAGCACAG1GCATGA
AGTAGACAGAAGAGCGTGGT |
Lipocalin-2 ELISA
Lipocalin-2 ELISA (R & D Systems) was performed on feces according to the manufacturer’s instructions. Fecal pellets were suspended in PBS, diluted 1:20, 1:400, or undiluted, and the concentrations were determined by curve fitting using a Four-Parametric Logistic Regression in GraphPad Prism version 7.
Colony protein blots
A colony protein blot for SipC (as a proxy of TTSS-1 expression) was used to quantify the proportion of clones that can express SipC in the feces. For a detailed protocol, see [50]. Colonies on MacConkey agar from diluted fecal suspensions were replica transferred to nitrocellulose membranes, placed face-up onto LB agar without antibiotics and allowed to grow at 37°C overnight. The original MacConkey plates were also re-incubated and then stored at 4°C. A series of Whatman filter papers soaked with buffers were used to lyse colonies and hybridize cellular material to the membrane. Membranes were placed on Petri dishes containing soaked Whatman filer papers in the following conditions: 10 min on 10% SDS, 10 min on denaturation solution (0.5 M NaOH, 1.5 M NaCl), twice for 5 min on neutralization solution (1.5 M NaCl, 0.5 M Tris-HCl (pH 7.4)), and 15 min on 2× SSC (3 M NaCl, 0.3 M sodium citrate (pH 7)). TBS washing (10 mM Tris-HCl, 150 mM NaCl (pH 7.4)) and gentle scraping the surface of the membrane with a folded Whatman paper removed excess cellular debris. TBS containing 3% BSA was used to block membranes for 1 h at RT. Overnight incubation in a moist chamber at 4°C on a rocking platform with 5 ml (per membrane) of blocking solution containing a 1:4,000 dilution of anti-SipC rabbit antibody provided by Virotech Diagnostics GmbH (reference number: VT110712) was used to stain the membranes. Washing with TBS-T (20 mM Tris-HCl, 500 mM NaCl, 0.05% Tween 20, 0.2% Triton X-100 (pH 7.5)) once and with TBS twice removed nonspecific binding. Membranes were then incubated with secondary antibodies (1:2,500 dilution of goat anti-rabbit IgG conjugated to HRP; Sigma; catalogue number A0545-1ML; in 5 ml blocking solution) at RT on a rocking platform for 2 to 4 h. Additional washes (3×) with TBS were performed before adding 5 ml of substrate per membrane: a 30 mg tablet of 4-chloro-1-naphthol (Sigma) dissolved in 10 ml of methanol, mixed with H2O2 (0.06% w/v) in 50 ml of TBS. Once the desired intensity was observed, the reaction was stopped with dH2O.
Clones without detectable SipC-specific signal were identified by comparing the colony blot assay data with the colony pattern on the original MacConkey agar plates. Desired isolates were matched to the original MacConkey plate, picked from those plates and inoculated in LB containing streptomycin. Isolates were then stored in 20% glycerol/LB at −80°C until whole-genome bacterial sequencing was performed.
It should be noted that this assay is well suited to identify clones with genetic defects in the genes required for sipC expression (which include hilD). However, as signal to noise ratios are in some cases quite small, there is a small chance for false-negatives that is clones which are in principle able to express SipC on the plate, but which fail to yield sufficient signal in the given assay. This might be the case in a subgroup of the 18% of all clones from the wild-type S. Typhimurium that did not express SipC, but which retained a functional hilD gene (see Fig 1E). In conclusion, the colony blot assay is useful to monitor within-host evolution of mutants with reduced virulence. However, competitive infection assays with isogenic strain pairs should be performed to confirm fitness effects.
Whole-genome sequencing
Clones stored in 20% glycerol/LB at −80°C were regrown in LB with streptomycin. Genomic DNA was extracted using a QIAamp DNA Mini Kit (Qiagen). The Functional Genomics Centre Zurich or Novogene (Cambridge) performed Illumina MiSeq sequencing to generate 150 bp paired-end reads with at least 50× coverage across the genome. Analysis was performed using CLC Genomics Workbench versions 11, 12, and 20. Paired-end reads were mapped to the SL1344 chromosome reference (NCBI accession FQ312003.1). Basic variant detection was performed to detect variants that occurred in a minimum of 70% of reads and detect amino acid changes. S1–S6 Tables contain summaries of non-synonymous mutations in coding sequences that were absent in the ancestor strains (SL1344 and SL1344ssaV. S6 Table contains mutations detected in the ancestral strains.
Gut microbiota community analysis using 16S rRNA sequencing
Fecal pellets were collected from mice and immediately stored at −20°C. Genomic DNA was extracted from the fecal pellet using the AllPrep DNA/RNA Mini Kit (Qiaqen) with a modified protocol for homogenization and disruption of the bacterial membranes. Approximately 600 ml of RLT buffer and two 3 mm metal beads were used for bead-beating at 25 Hz for 3 min using the TissueLyser (Qiagen). After a brief centrifugation step, supernatants containing the bacteria were transferred to a tube containing 0.9 mg of 0.1 mm zirconia beads (OPS Diagnostics) for homogenization (twice at 30 Hz for 3 min with 5 min incubation between each homogenization run). The samples then transferred to the DNA-binding columns following centrifugation at full speed for 3 min to pellet the cell debris. The supernatants were loaded onto the DNA-binding columns and DNA was eluted in 100 μl elution buffer (EB). Exceptionally for 4 samples (S.Tm; day 160; mouse 1–4), DNA was extracted from fecal samples resuspended in PBS due to technical reasons.
The concentration of genomic DNA was determined by Qubit measurements, and 5 ng of DNA was used as input to create a sequencing library using a [87] two-step PCR approach. Locus-specific degenerative primers 515f (5′-GTGCCAGCMGCCGCGGTAA-3′) and 806r (5′-GGACTACHVGGGTWTCTAAT-3′) were used to amplify the V4 region of the 16S rRNA gene. The first PCR ran under the following conditions, using the Q5 High-Fidelity DNA polymerase (BioConcept, New England BioLabs): Initial denaturation step at 98°C for 30 s, followed by denaturation for 10 s at 98°C, annealing for 30 s at 56°C, and extension for 30 s at 72°C. The steps after initial denaturation were repeated 15 times, followed by a final extension step at 72°C for 2 min, after which the temperature was held constant at 4°C. Following the first PCR step, PCR products were purified using 0.8 × reaction volumes of CleanNGS magnetic beads (LABGENE SCIENTIFIC SA) and eluted in 13 μl EB. Cleaned PCR products were used as input for the second PCR step with identical conditions as the first PCR step but running 20 instead of 15 cycles. During this step, unique dual-index barcodes were added to each sample to enable multiplexing. The quantity and quality of the final PCR products (approximately 450 bp) was assessed using a fragment analyzer (Advanced Analytical). The final library was pooled equimolarly depending on the concentration of the fragment analyzer peak that represented the target fragment. The final library was sequenced using paired-end read sequencing on the MiSeq platform at the Genome Engineering and Measurement Lab (GEML, Zürich). Lengths of the amplicons were 300 bp. A total of 34,412,752 sequencing reads from 246 samples (median = 64,486) served as input for the inference of ASVs using dada2 [88]. Primer sequences were removed using cutadapt [87] and only inserts that contained both primers and were as least 75 bases were kept for downstream analysis. Next, reads were quality filtered using the filterAndTrim function of the dada2 package (maxEE = 2, truncQ = 3, trimRight = (40, 40)). The learnErrors and dada functions were used to calculate sample inference using pool = pseudo as parameter. Reads were merged using the mergePairs function and bimeras were removed with the removeBimeraDenovo function (method = pooled). Remaining ASVs were then taxonomically annotated using the IDTAXA classifier [89] in combination with the Silva v138 database [90]. The final table (after excluding negative and positive controls) contained 1,081 ASVs. Individual library sizes ranged from 18,634 to 140,867, with a median of 45,669. We rarefied all samples to an even depth of 18,634 reads. Differentially enriched ASVs in different conditions are listed in S7–S10 Tables.
Statistical analysis
For mouse experiments, nonparametric statistical testing was performed using GraphPad Prism 8 for Windows. Analysis of 16S amplicon sequencing was performed in R version 4.1.0 [91]. The Shannon index of diversity was computed as the main alpha-diversity metric and diversity differences between groups of samples were statistically tested with two-sample Wilcoxon rank sum tests. Permutational MANOVA based on Bray–Curtis dissimilarity after square-root transformation of abundances was used to infer differences between microbial communities of different groups of mice. Enrichment of individual ASVs was inferred using differential abundance testing using the DESeq2 package (version 1.28.1) with shrunken log2 fold changes using the apeglm method [92].
Supporting information
Acknowledgments
We would like to acknowledge the staff at the ETH animal facilities (EPIC and RCHCI; especially Manuela Graf, Katharina Holzinger, Dennis Mollenhauer, Sven Nowok, and Dominik Bacovcin) and thank members of the Hardt, Sunagawa and Slack labs for helpful comments and discussions. We thank Manja Barthel and Ursina Enz for histopathology support. Valuable comments on the manuscript by Yassine Cherrak, Luca Maurer, Bärbel Stecher, Kevin Foster, and Andrew Goodman are gratefully acknowledged. We also would like to thank The Functional Genomics Centre Zurich and Novogene (Cambridge) for whole-genome sequencing of S.Tm re-isolates. We also would like to thank Dr. Charlotte Carlström and Jeremey Evrett Junior Nathan from Sunagawa group for 16S rRNA library preparation.
Abbreviations
- AAM
anaerobic Akkermansia medium
- BHI
brain heart infusion
- CR
colonization resistance
- EB
elution buffer
- GF
germ-free
- LB
lysogeny broth
- LCM
low complexity microbiota
- mLN
mesenteric lymph node
- NGS
normal goat serum
- PCoA
principal coordinate analysis
- RT
room temperature
- SCFA
short chain fatty acid
- TTSS
type III secretion system
Data Availability
The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files. Source data used for graphs in all figures are provided in S1 Data file. All 16S rRNA sequencing data are deposited to European Nucleotide Archive (ENA; accession number: PRJEB64217).
Funding Statement
This work has been funded by grants from the Swiss National Science Foundation (NRP 72 407240_167121, 310030B_173338, 310030_192567, NCCR Microbiomes grant 51NF40_180575) and the Gebert Rüf Foundation (GRS-060/18) to WDH. EG was funded by a grant from the Monique Dornonville de la Cour Foundation to WDH. EB received a Boehringer Ingelheim Fonds PhD fellowship. MD was funded by a SNSF professorship (PP00PP_176954) and a multi-investigator grant from the BRCCH. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files. Source data used for graphs in all figures are provided in S1 Data file. All 16S rRNA sequencing data are deposited to European Nucleotide Archive (ENA; accession number: PRJEB64217).