Improving Our Understanding of Salmonella enterica Serovar Paratyphi B through the Engineering and Testing of a Live Attenuated Vaccine Strain

We developed a live attenuated Salmonella enterica serovar Paratyphi B vaccine that conferred protection in mice against challenge with S. Paratyphi B sensu stricto and S. Paratyphi B Java, which are the causes of enteric fever and gastroenteritis, respectively. Currently, the incidence of invasive S. Paratyphi B sensu stricto infections is low; however, the development of new conjugate vaccines against other enteric fever serovars could lead to the emergence of S. Paratyphi B to fill the niche left by these other pathogens. As such, an effective S. Paratyphi B vaccine would be a useful tool in the armamentarium against Salmonella infections. Comparative genomics confirmed the serovar-specific groupings of these isolates and revealed that there are a limited number of genetic differences between the sensu stricto and Java strains, which are mostly hypothetical and phage-encoded proteins. The observed level of genomic similarity likely explains why we observe some cross-protection.

ABSTRACT

Enteric fever is caused by three Salmonella enterica serovars: Typhi, Paratyphi A, and Paratyphi B sensu stricto. Although vaccines against two of these serovars are licensed (Typhi) or in clinical development (Paratyphi A), as yet there are no candidates for S. Paratyphi B. To gain genomic insight into these serovars, we sequenced 38 enteric fever-associated strains from Chile and compared these with reference genomes. Each of the serovars was separated genomically based on the core genome. Genomic comparisons identified loci that were aberrant between serovars Paratyphi B sensu stricto and Paratyphi B Java, which is typically associated with gastroenteritis; however, the majority of these were annotated as hypothetical or phage related and thus were not ideal vaccine candidates. With the genomic information in hand, we engineered a live attenuated S. Paratyphi B sensu stricto vaccine strain, CVD 2005, which was capable of protecting mice from both homologous challenge and heterologous challenge with S. Paratyphi B Java. These findings extend our understanding of S. Paratyphi B and provide a viable vaccine option for inclusion in a trivalent live attenuated enteric fever vaccine formulation.

IMPORTANCE We developed a live attenuated Salmonella enterica serovar Paratyphi B vaccine that conferred protection in mice against challenge with S. Paratyphi B sensu stricto and S. Paratyphi B Java, which are the causes of enteric fever and gastroenteritis, respectively. Currently, the incidence of invasive S. Paratyphi B sensu stricto infections is low; however, the development of new conjugate vaccines against other enteric fever serovars could lead to the emergence of S. Paratyphi B to fill the niche left by these other pathogens. As such, an effective S. Paratyphi B vaccine would be a useful tool in the armamentarium against Salmonella infections. Comparative genomics confirmed the serovar-specific groupings of these isolates and revealed that there are a limited number of genetic differences between the sensu stricto and Java strains, which are mostly hypothetical and phage-encoded proteins. The observed level of genomic similarity likely explains why we observe some cross-protection.

INTRODUCTION

Enteric fever is a major cause of morbidity and mortality worldwide, with recent estimates suggesting that there are ∼13.5 million cases (1), and 217,000 deaths (2) each year. The descriptor “enteric fever” refers to two separate, but clinically indistinguishable infectious diseases: typhoid fever and paratyphoid fever. Although typhoid fever has historically shown the greatest prevalence, recent epidemiological surveillance has revealed an increase in paratyphoid A fever across parts of southeast and central Asia (3–5). As such, there is great interest in a vaccine that can protect against both typhoid fever and paratyphoid fever.

Three licensed vaccines currently exist for typhoid fever: the unconjugated Vi polysaccharide vaccine, Vi conjugate vaccine, and Ty21a live attenuated vaccine (6). While the Vi-based vaccines cannot confer cross-protection against paratyphoid strains, in large-scale, randomized controlled field trials of Ty21a live oral vaccine in Santiago, Chile, a moderate level of cross-protection was conferred by Ty21a vaccination against S. Paratyphi B disease (7–9). In a second field trial of Ty21a in Indonesia, where both Salmonella enterica serovars Typhi and Paratyphi A were circulating, Ty21a protected against typhoid but not against paratyphoid A fever (10). Furthermore, in clinical studies, individuals immunized with Ty21a produced moderate antibody responses that cross-reacted with both S. Paratyphi B and S. Paratyphi A (11, 12). Multifunctional CD8⁺ T cell responses were also elicited in Ty21a-immunized volunteers, which recognized S. Typhi, and to a lesser extent S. Paratyphi B, but not S. Paratyphi A (13). These data suggest that additional or different vaccines are required for adequate protection against paratyphoid fever. There are multiple vaccines in clinical development for S. Paratyphi A, including a live attenuated vaccine (ATCC 9150 ΔguaBA ΔclpX [CVD 1902]) and several conjugate vaccines consisting of the S. Paratyphi A O polysaccharide (OPS) (O:2,12) conjugated to different immunogenic proteins, such as tetanus toxoid, diphtheria toxoid, and CRM₁₉₇, a nontoxic mutant of diphtheria toxin (15).

Unlike for S. Typhi and S. Paratyphi A, no vaccine candidates exist for S. Paratyphi B. There are two variants of S. Paratyphi B, Java and sensu stricto, which are differentiated based on their ability to ferment d-tartrate (the sensu stricto variant is d-tartrate fermentation negative, and Java is d-tartrate fermentation positive) (16, 17). Strains of the Java lineage have traditionally been associated with gastroenteritis, while sensu stricto strains cause enteric fever (16). In a recent study, the core genomes of 191 S. Paratyphi B isolates were compared to better understand the genetic composition of this serovar (18). The strains clustered into 10 distinct phylogroups (PGs), with PG1 containing all of the classical sensu stricto strains. Java strains were split across PG2 to -10, with PG2 to -5 harboring some strains that were isolated from patients with invasive disease. Except for clinical presentation, there are few data describing the similarities and differences between the three enteric fever serovars.

S. Paratyphi B sensu stricto infections are presently uncommon; however, in previous decades they constituted a significant proportion of disease. In the 1980s when typhoid was hyperendemic in Santiago, Chile, S. Paratyphi B sensu stricto had an incidence rate of 71.1 cases per 10⁵ school age children over 3 years of follow-up, about one-fifth the incidence of S. Typhi among school age children at the time (9). Although the incidence of invasive S. Paratyphi B sensu stricto infections is currently low, the availability of S. Typhi vaccines, as well as the development of novel S. Paratyphi A vaccines, could create a niche for S. Paratyphi B in the absence of these other pathogens. The availability of an efficacious S. Paratyphi B vaccine would therefore be a useful weapon to add to the growing arsenal against Salmonella infections. The aim of this study was to develop a live attenuated vaccine that can protect against S. Paratyphi B disease and in doing so learn more about this serovar through whole-genome sequencing and evaluation of virulence in mice.

RESULTS

Comparative genomic analysis of typhoidal Salmonella strains from Chile.

Genome sequencing was completed on 14 S. Paratyphi B sensu stricto strains and 11 S. Paratyphi A and 12 S. Typhi strains isolated in Chile between 1983 and 1986 (see Table S1 in the supplemental material). A single nucleotide polymorphism (SNP)-based conserved core genome analysis confirmed that Chilean S. Paratyphi B isolates clustered with S. Paratyphi B reference strains (isolated in the 2000s) designated phylogroup 1 (PG1) by Connor et al. (Fig. 1). Additionally, each of the other serogroups mapped to the included reference isolates for that serogroup. These results indicate that the Salmonella isolates from Chile are not significantly different from other Salmonella isolates.

FIG 1.

Phylogenetic analysis of typhoidal Salmonella strains isolated in Chile. Genomes from bacterial strains isolated in Chile were compared with Salmonella reference strains. Phylogenies were produced using the In Silico Genotyper pipeline (41), using SL1344 as a reference and the tree file generated in RaxML (42). Tree images were created using iTOL (43).

TABLE S1

Salmonella strains used for whole-genome sequencing and analysis. Download Table S1, DOCX file, 0.01 MB ^{(14.7KB, docx)} .

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The whole-genome content of sequenced isolates was compared at the gene level by large-scale BLAST score ratio (LS-BSR) analysis, which compares the gene contents of all included genomes. Sixty-one gene features (centroids) were present in S. Paratyphi B sensu stricto strains but absent from S. Paratyphi B Java (see Table S2 in the supplemental material). These gene features were primarily located in four genomic loci, containing mostly hypothetical proteins and predicted phage proteins. In the converse analysis, 43 gene features were present in three genomic loci in S. Paratyphi B Java strains but absent in the sensu stricto strains (see Table S3 in the supplemental material). Several of these gene features encoded putative multidrug transporters. While core and accessory genomic differences could be identified between the serovars, they were not appropriate targets for vaccine development.

TABLE S2

Large-scale BLAST score ratios (LS-BSR) for genes conserved in Salmonella Paratyphi B sensu stricto (>0.8) but absent in Salmonella Paratyphi B Java (<0.4). Download Table S2, XLSX file, 0.02 MB ^{(23.5KB, xlsx)} .

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TABLE S3

Large-scale BLAST score ratios (LS-BSR) for genes conserved in Salmonella Paratyphi B Java (>0.8) but absent in Salmonella Paratyphi B sensu stricto (<0.4). Download Table S3, XLSX file, 0.02 MB ^{(20.4KB, xlsx)} .

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Mouse infection model for Salmonella paratyphi B.

Mouse infection models were developed for both S. Paratyphi B sensu stricto and Java. BALB/c mice (n = 3 per strain and infection route) were infected with 10⁸ CFU of S. Paratyphi B sensu stricto (strain CMF 6999, ELB 3830, or JSV 7371) or Java (strain CDC00-0301, CDC01-0516, or CDC03-0451), via either the peroral (p.o.) or intraperitoneal (i.p.) route. All mice infected via the i.p. route, succumbed to the infection within 24 h (Table 1). In contrast, the majority of mice survived p.o. challenge. Due to the greater lethality, the i.p. route was chosen for further analysis. As there was no significant difference in virulence between the strains, CMF 6999 (sensu stricto) and CDC00-0301 (Java) were selected for further analysis. The 50% lethal dose (LD₅₀) of S. Paratyphi B sensu stricto CMF 6999 for the i.p. route was subsequently determined to be 1.4 × 10⁶ CFU, while the LD₅₀ for S. Paratyphi B Java CDC00-0301 was 8 × 10⁵ CFU (Table 2).

TABLE 1.

Lethality of Salmonella Paratyphi B strains in mice

Serovar	Strain	No. died/tested by route:
		p.o.	i.p.
S. Paratyphi B sensu stricto	JSV 7371	1/3	3/3
	ELB 6380	1/3	3/3
	CMF 6999	0/3	3/3
S. Paratyphi B Java	CDC00-0301	0/3	3/3
	CDC01-0516	0/3	3/3
	CDC03-0451	0/3	3/3

TABLE 2.

LD₅₀ values for bacterial strains via the i.p. route

Strain	Variant	Genotype	LD50 (CFU)
CMF 6999	Sensu stricto	Wild type	1.4 × 106
CDC00-0301	Java	Wild type	8.0 × 105
CVD 2003	Sensu stricto	CMF 6999 ΔguaBA	>5 × 108
CVD 2004	Sensu stricto	CMF 6999 ΔclpX	4.25 × 107
CVD 2005	Sensu stricto	CMF 6999 ΔguaBA ΔclpX	>5 × 108

Construction of vaccine strains and phenotypic characterization.

For the construction of a live attenuated Salmonella Paratyphi B vaccine strain, we chose to target two known attenuating mutations, guaBA and clpX. Mutations in these genes have previously been used in vaccines for other Salmonella serovars, including Typhimurium and Enteritidis (19) and Paratyphi A (14). Importantly, the S. Paratyphi A live attenuated vaccine CVD 1902 (ΔguaBA ΔclpX) was found to be well tolerated in a phase 1 clinical trial. The guaBA locus encodes guanine biosynthesis, while clpPX encodes a protease that degrades the master flagellar regulator FlhD/FlhC (20, 21), resulting in increased motility. Mutations were introduced into Salmonella Paratyphi B sensu stricto strain CMF 6999, creating strains CVD 2003 (ΔguaBA), CVD 2004 (ΔclpX), and CVD 2005 (ΔguaBA ΔclpX).

To confirm the predicted mutant phenotypes, strains were subjected to targeted phenotypic tests. Mutation of the guaBA locus leads to guanine auxotrophy. To confirm the deletion and subsequent complementation of guaBA mutants, strains were grown on chemically defined medium, with or without the addition of exogenous guanine. Results are shown in Table S4 in the supplemental material. As expected, both CVD 2003 (ΔguaBA) and CVD 2005 (ΔguaBA ΔclpX) were unable to grow on chemically defined medium lacking guanine. Growth was restored by addition of guanine to the medium or by complementation of guaBA on a plasmid.

TABLE S4

Guanine auxotrophy of guaBA mutant strains. Download Table S4, DOCX file, 0.01 MB ^{(13.6KB, docx)} .

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For clpX mutants, strains were assessed for changes in motility. The ClpX protein negatively regulates flagellar expression in S. Typhimurium (20); hence, ΔclpX mutants were predicted to have increased numbers of flagella and motility. Both the CVD 2004 (ΔclpX; 20.0 ± 1.5 mm [mean ± standard deviation]) and CVD 2005 (ΔguaBA ΔclpX; 22.6 ± 0.7 mm) mutants showed significantly increased zones of motility over wild-type strain CMF 6999 (13.8 ± 1.9 mm) on motility agar (P = 0.032 and P = 0.0021, respectively) (see Fig. S1 in the supplemental material). The increase in motility by flagellar overexpression could be restored to wild-type levels by the addition of the clpX gene in trans (Fig. S1).

FIG S1

Motility of S. Paratyphi B ΔclpX mutant strains. Bacterial strains from overnight cultures were inoculated onto motility agar plates by the use of a straight wire. Plates were incubated for 18 h at 37°C, and the zones of motility were measured. Bars: 1, CMF 6999(pLowBlu); 2, CVD 2004(pLowBlu); 3, CVD 2004(pATGclpX); 4, CVD 2005(pLowBlu); 5, CVD 2005(pATGguaBAATGclpX). Data are shown as mean ± standard deviation (SD). *, P < 0.05, and **, P < 0.01, Student’s t test. Download FIG S1, PDF file, 0.3 MB ^{(261KB, pdf)} .

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Attenuation of strains in the mouse model.

The 50% lethal dose for each of the CMF 6999 mutant strains was determined by challenging BALB/c mice i.p. with S. Paratyphi B strains at doses ranging from 10³ to 10⁹ CFU (Table 2). All three mutant strains were attenuated, with the LD₅₀ for strain CVD 2004 1 log₁₀ greater than that of the wild-type strain and those of CVD 2003 and CVD 2005 greater than 2 log₁₀ higher than that of the wild type.

Immunization of mice with strain CVD 2005.

Groups of 12 mice were immunized either p.o. or intranasally (i.n.) with three doses of 10⁹ CFU of CVD 2005 28 days apart. The vaccine was well tolerated, with no noticeable side effects following immunization. The antibody responses to the vaccine were assessed by measuring lipopolysaccharide (LPS)-specific serum IgG titers by enzyme-linked immunosorbent assay (ELISA). An increase in IgG levels was observed after each immunization by either route (Fig. 2). There was no significant difference between the two routes in either geometric mean titer or seroconversion.

FIG 2.

Serum IgG responses to LPS from mice immunized with CVD 2005 (S. Paratyphi B sensu stricto CMF 6999 ΔguaBA ΔclpX). Mice were administered three doses of vaccine CVD 2005 on days 0, 28, and 56. Sera were collected from mice on days −1, 27, 55, and 82. Antibody responses to LPS were assessed by ELISA, using purified O serogroup B polysaccharide. Each point represents an individual mouse, with the average shown as the geometric mean titer. The statistical significance (Student's t test) and percentage of seroconversion are shown above. PO, peroral; IN, intranasal.

Functional activity of the antibodies was assessed using serum bactericidal antibody (SBA) and opsonophagocytic antibody (OPA) assays. The SBA assay measures complement-mediated killing, while the OPA assay measures the ability of antibodies to facilitate opsonophagocytosis. Both routes induced high functional antibody responses. There was no significant difference in overall titer or the rate of seroconversion between the two dosage routes for either the SBA (Fig. 3A) or the OPA (Fig. 3B) assays.

FIG 3.

Serum bactericidal antibody (SBA) and opsonophagocytosis antibody (OPA) assays on sera collected from CVD 2005 (S. Paratyphi B sensu stricto CMF 6999 ΔguaBA ΔclpX)-immunized mice. Immune serum was incubated with early-log-phase-grown bacteria and baby rabbit complement for 1 h. For OPA assays, HL60 cells were added after a 15-min preincubation. Bacterial survival after 1 h was determined by plate counts. (A) SBA against S. Paratyphi B CMF 6999. (B) OPA against S. Paratyphi B CMF 6999. The titer was defined as the highest dilution of sera that could deliver greater than 50% complement killing. Each point represents one mouse. Dashed lines represent the limit of detection. The geometric mean and percentage of seroconversion are shown for each immunized group. PO, peroral; IN, intranasal.

Challenge of vaccinated mice with S. Paratyphi B sensu stricto and Java and S. Typhimurium.

To determine vaccine efficacy, immunized mice were challenged i.p. on day 82 with S. Paratyphi B sensu stricto strain CMF 6999. For mice receiving phosphate-buffered saline (PBS), there was an 83% (10/12) mortality rate (Fig. 4A). Animals succumbed to infection within 1 to 4 days postchallenge, with a mean time to death of 2 days. In contrast, mice that received CVD 2005 via either the i.n. or p.o. route were significantly protected, with an 8% (1/12) mortality rate observed among p.o.-immunized mice and zero mortality for i.n.-immunized mice. This corresponded to vaccine efficacies of 90% for p.o. immunization and 100% for i.n. immunization against challenge with the homologous serovar (Table 3).

FIG 4.

Cumulative mortality for CVD 2005-immunized mice after challenge with homologous and heterologous serovars. Mice immunized with either PBS or CVD 2005 (S. Paratyphi B sensu stricto CMF 6999 ΔguaBA ΔclpX) were challenged with 2 × 10⁷ CFU of S. Paratyphi B sensu stricto strain CMF 6999 (A), S. Paratyphi B Java CDC00-0301 (B) via the i.p. route, or S. Typhimurium I77 (C) via the p.o. route. Mice were monitored for up to 33 days.

TABLE 3.

Vaccine efficacy of strain CVD 2005 against lethal challenge

Immunization route	Immunization	Challengea	Mortality rate	Time to death		Vaccine efficacy
				Mean (days)	P value (Student’s t test)	% efficacy	P value (Fisher’s exact test)
p.o.	PBS	Sensu stricto	10/12	2	NSb	90	<0.001
	CVD 2005	Sensu stricto	1/12	4
i.n.	PBS	Sensu stricto	10/12	2	NAc	100	<0.001
	CVD 2005	Sensu stricto	0/12	NA
	PBS	Java	12/12	1	0.016	42	0.037
	CVD 2005	Java	7/12	10
	PBS	Typhimurium	10/12	11	NS	0	NS
	CVD 2005	Typhimurium	12/12	15

^aRepresented are S. Paratyphi B sensu stricto strain CMF 6999, S. Paratyphi B Java strain CDC00-0301, and S. Typhimurium strain I77.

^bNS, not significant (P > 0.05).

^cNA, not applicable.

In a heterologous challenge with S. Paratyphi B Java, 100% of mice receiving PBS rapidly succumbed to infection (Fig. 4B). Immunized mice exhibited a 58% mortality rate. Although vaccine efficacy was modest (42%), the mean time to death was significantly longer in immunized mice (Table 3 and Fig. 4B). We also challenged CVD 2005-immunized mice perorally with S. Typhimurium, which shares the same O antigens as S. Paratyphi B (1,4,[5],12). We observed no vaccine efficacy against low (LD₅₀ of ∼100) S. Typhimurium challenge (Fig. 4C).

DISCUSSION

We performed whole-genome sequencing to achieve two goals. First, analysis of conserved genome SNPs confirmed that the S. Paratyphi B sensu stricto strains from Chile cluster with other invasive disease strains. In particular, the S. Paratyphi B sensu stricto strains (including the parental strain of our live attenuated vaccine) isolated in Chile in the 1980s cluster with S. Paratyphi B sensu stricto strains isolated in the 2000s. This demonstrates that our live vaccine strain is genetically similar to modern S. Paratyphi B sensu stricto isolates and could therefore confer full protection against currently circulating strains. Second, the comparative genomics analysis revealed that there are a limited number of genetic loci separating the sensu stricto and Java strains, and their products are mostly hypothetical and phage-encoded proteins. The observed level of genomic similarity probably explains why these isolates behave similarly in mice. The subtypes do, however, present differently clinically in human infections, which will require further analysis.

Through the engineering of a live attenuated vaccine for S. Paratyphi B, we have been able to make numerous observations relating to the pathogenesis of this serovar and its relationship with other enteric fever-associated serovars. While many nontyphoidal Salmonella strains readily infect mice orally, S. Typhi and S. Paratyphi A do not typically cause disease in mice unless given intraperitoneally with hog gastric mucin (22–25). The molecular or cellular bases as to why hog gastric mucin is necessary for a productive infection in mice are not known. S. Paratyphi B sensu stricto strains seem to have an intermediate phenotype between these two extremes, being lethal for mice intraperitoneally in the absence of hog gastric mucin, but not lethal orally. This conforms to the theory that S. Paratyphi B is less human host restricted than other enteric fever serovars. In the comparative genomic analysis, we noted many differences in genes related to bacterial metabolism (see Table S5 in the supplemental material). Metabolic gene loss is a characteristic of S. Typhi and S. Paratyphi A and is thought to be one of the means by which they became exquisitely host adapted (26). S. Paratyphi B in contrast has maintained many of these metabolic loci, which may in part explain why they are more virulent in mice.

TABLE S5

Large-scale BLAST score ratios (LS-BSR) for genes conserved in Salmonella Paratyphi B (sensu stricto and Java [>0.8]) but absent in Salmonella Typhi and Paratyphi A (<0.4). Download Table S5, XLSX file, 0.05 MB ^{(54.1KB, xlsx)} .

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As with other Salmonella serovars (14, 19), both the ΔguaBA and ΔclpX mutations were attenuating in S. Paratyphi B. Vaccine strain CVD 2005 was well tolerated and protective in mice against both homologous and heterologous challenge. Upon mucosal immunization, strong humoral responses were observed in vaccinated mice regardless of the route of vaccination. This is consistent with other Salmonella live attenuated vaccines administered to mice, including the live attenuated vaccine strains S. Typhi Ty21a, CVD 915, and CVD 908 htrA, and S. Paratyphi A vaccine candidate CVD 1901 (25, 27). While not significant, there was a trend toward increased antibody titer and functional capacity in i.n.-immunized mice over those receiving p.o. administration. Intranasal immunization allows for direct access of vaccine organisms to the immune cells of the nasal-associated lymphoid tissue and is known to be more immunogenic than oral vaccination in mice (28).

S. Paratyphi B Java is a common cause of gastroenteritis and has been responsible for several human outbreaks in the United States over the past two decades (29, 30). These strains are also frequently associated with high levels of antibiotic resistance (31–34) and are occasionally capable of causing invasive disease. Although CVD 2005 only induced moderate protection against the S. Paratyphi B Java strain CDC00-0301, there was a significant delay in time to death (P = 0.008). The rapid time to death in unvaccinated animals and the slightly lower LD₅₀ suggest that S. Paratyphi B Java is more virulent in mice than S. Paratyphi B sensu stricto. It is possible that there is a difference in endotoxin between these two biotypes and that the very rapid death in unvaccinated animals challenged with S. Paratyphi B Java could be due to toxic shock. Vaccine efficacy against S. Paratyphi B Java might be improved with additional vaccine doses.

Interestingly, we have found that the S. Paratyphi B CVD 2005 vaccine was not able to protect mice against a lethal infection with S. Typhimurium, which shares the same O antigens (1,4,[5],12) as S. Paratyphi B. This suggests that immune responses against the S. Paratyphi B O antigen do not provide cross-protection. Therefore, the cross-protection that we observed against S. Paratyphi B Java is most likely due to immune responses generated against shared peptide antigens. Our comparative genomics analyses showed that there is high genetic similarity between S. Paratyphi B sensu stricto and Java.

In conclusion, S. Paratyphi B strain CVD 2005 is a promising candidate for inclusion in a combined typhoid-paratyphoid live attenuated vaccine. This vaccine strain may also provide protection against S. Paratyphi B Java disease. Finally, by investigating the commonalities and differences between Salmonella serovars, we can better understand the mechanisms that underpin their different disease pathologies.

MATERIALS AND METHODS

Bacterial strains and plasmids.

Isolates used for whole-genome sequencing are listed in Table S1. Strains and plasmids used in this study are listed in Table S6 in the supplemental material. S. Paratyphi B, S. Paratyphi A, and S. Typhi strains were originally isolated from adults who presented with enteric fever symptoms in Santiago, Chile, in the 1980s. S. Paratyphi B strains were typed as Java or sensu stricto based on their ability to ferment d-tartrate. (Java strains are able to ferment d-tartrate, whereas sensu stricto strains do not.) We also confirmed the presence or absence of an intact d-tartrate fermentation gene by PCR as previously described (35). Bacteria were grown in animal-product-free Hy-Soy (HS) medium (1% [wt/vol] soytone [Teknova, Hollister, CA], 0.5% [wt/vol] Hy-Yest [Kerry Bioscience, Beloit, WI], 0.5% [wt/vol] NaCl [American Bio, Natick, MA]) at 37°C. Bacterial strains carrying ΔguaBA mutations were grown on media supplemented with 0.005% (wt/vol) guanine.

TABLE S6

Bacterial strains and plasmids. Download Table S6, DOCX file, 0.02 MB ^{(25.7KB, docx)} .

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Whole-genome sequencing.

Bacterial DNA was isolated from S. Typhi, S. Paratyphi A, and S. Paratyphi B isolates (Table S1) using the GenElute bacterial genomic DNA kit (Sigma-Aldrich). Paired-end 100-bp sequencing was performed on the Illumina HiSeq platform by the Institute for Genome Sciences at the University of Maryland, Baltimore.

Comparative genomics analyses.

Differences in the gene content of the Salmonella genomes were analyzed using de novo large-scale BLAST score ratio (LS-BSR) analysis, as previously described (36). The protein-coding genes were predicted in each genome using Prodigal (37) and were grouped into gene clusters with ≥90% nucleotide identity using cd-hit v.4.6 (38). The gene clusters were identified in each of the genomes by comparing their translated peptide sequences against each genome using TBLASTN and generating a BSR value by dividing the bit score of the top hit by the bit score of the same gene cluster sequence compared to itself. Cutoffs of BSR of ≥0.8 and <0.4 were used to identify highly conserved or absent gene clusters, respectively.

The whole-genome phylogeny was generated using a single nucleotide polymorphism (SNP)-based approach as previously described (39, 40). The In Silico Genotyper (ISG) (41) was used to identify SNPs in the genomes analyzed in this study, compared to the genome of S. Typhimurium strain SL1344 (GenBank accession no. NC_016810.1) as a reference. A total of 86,999 conserved SNP sites, which were identified in all of the genomes analyzed, were used to infer a maximum likelihood using RAxML v.8.2.10 with the generalized time-reversible (GTR) model of nucleotide substitution, the GAMMA model of rate heterogeneity, and 100 bootstrap replicates (42). The final phylogeny image was visualized and labeled using the interactive tree of life software (iTOL) v.3 (43).

Genetic engineering of Salmonella Paratyphi B.

Deletion mutations were created in S. Paratyphi B sensu stricto strain CMF 6999 by using the lambda red recombinase method (44). Insertion constructs were created by overlapping PCR as previously described (19), using 500-bp flanking regions homologous to the gene of interest, linked to the kanamycin cassette from plasmid pKD13. Linear DNA amplicons were transformed into S. Paratyphi B strain CMF 6999, harboring the recombinase plasmid pKD46. After insertion of the kanamycin cassette, at least 150 bp of DNA upstream and downstream of the deletion was sequenced to determine if there were additional changes to the genetic sequence. The kanamycin cassette was then removed by using the flippase system (45). Scar regions and the DNA directly flanking the mutation were sequenced to confirm that additional mutations had not been introduced. Single mutants were created by deleting guaBA (CVD 2003) and clpX (CVD 2004). To create the double mutant vaccine strain, the clpX gene was deleted from strain CVD 2003 to result in strain CVD 2005 (CMF 6999 ΔguaBA ΔclpX). Mutant phenotypes were confirmed by assessing guanine auxotrophy (guaBA) and hyperflagellation (clpX) and complemented in trans. Complementation plasmids expressing these genes had previously been created using homologous S. Typhi genes. To make these plasmids, the clpX and guaBA genes were amplified from S. Typhi CVD 908-htrA and cloned into expression plasmid pLowBlu (Table S6) (46). We transformed pATGguaBA into CVD 2003, pATGclpX into CVD 2004, and pATGclpXATGguaBA into CVD 2005. Each strain was also transformed with empty pLowBlu plasmid. Primers used for mutagenesis and confirmation of the deletion are shown in Table S7 in the supplemental material.

TABLE S7

Primers used in this study. Download Table S7, DOCX file, 0.02 MB ^{(17.2KB, docx)} .

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Phenotypic assays.

(i) Bacterial motility assay. Bacteria were grown overnight in HS medium supplemented with 20 µg/ml chloramphenicol to maintain complementation plasmids and 0.005% guanine to supplement ΔguaBA mutants as required. Cultures were stab inoculated onto motility agar (1% [wt/vol] tryptone [Fisher Scientific, Hampton, NH], 0.5% [wt/vol] NaCl [American Bio], 0.4% [wt/vol] bacteriological agar [American Bio]) and incubated at 37°C for 18 h. The diameter of the zone of motility was then measured.

(ii) Guanine auxotrophy. Bacterial lawns were created on chemically defined medium (47), with or without the addition of 0.005% (wt/vol) guanine (Sigma-Aldrich, St. Louis, MO). Plates were assessed for growth after incubation at 37°C for 18 h.

Mouse infection model for Salmonella Paratyphi B.

Animal procedures were approved by the Institutional Animal Care and Use Committee at the University of Maryland School of Medicine. All procedures were conducted in full compliance with the Animal Welfare Act and according to the Guide for the Care and Use of Laboratory Animals (50) in a fully accredited AALAC facility. S. Paratyphi B strains were grown on HS agar and resuspended in sterile phosphate-buffered saline (PBS [Quality Biologicals, Gaithersburg, MD]) to the appropriate concentration. Six- to 8-week-old female BALB/c mice (n = 3 per group) were infected intraperitoneally (i.p.) or perorally (p.o.) with 100 µl of bacterial suspension (10³ to 10⁹ CFU). Mice were monitored for signs of illness over the course of 28 days and euthanized if they lost greater than 20% of starting body weight or if they fulfilled other alternative endpoint criteria such as extreme lethargy or loss of mobility. Mortality was recorded, and the 50% lethal dose (LD₅₀) was calculated using linear regression analysis.

Mouse immunization and challenge.

Six- to 8-week-old BALB/c mice (n = 12 per group) were immunized either i.n. (10⁹ CFU/10 µl) or p.o. (10⁹ CFU/100 µl) on days 0, 28, and 56. Bacteria were prepared as for the infection model. Serum samples were obtained retro-orbitally on days −1, 27, 55, and 82. Mice were challenged i.p. on day 83 with 2 × 10⁷ CFU/100 µl of S. Paratyphi B sensu stricto strain CMF 6999 or S. Paratyphi B Java strain CDC00-0301, or p.o. with 2 × 10⁷ CFU/100 µl of S. Typhimurium I77. Animals were monitored for signs of illness for 28 to 30 days as described above, and mortality was recorded.

Measurement of anti-LPS antibodies.

The levels of anti-lipopolysaccharide (anti-LPS) antibodies in mouse sera were determined by enzyme-linked immunosorbent assays (ELISA). Plates were coated with Salmonella O group B LPS (0.5 µg in PBS) purified from S. Typhimurium strain CVD 1925 for 3 h at 37°C and blocked overnight in 10% (wt/vol) skim milk powder (SMP) in PBS. Wells were washed using 0.05% Tween 20 (Sigma-Aldrich) in PBS (PBST). Sera were assayed by serial dilution in 10% SMP in PBST. Bound antibody was detected by using peroxidase-labeled goat anti-mouse IgG (KPL, Inc., Gaithersburg, MD), followed by the addition of 3,3′,5,5′-tetramethylbenzidine (TMB) substrate solution (KPL). ELISA titers were calculated by interpolation on a standard curve as the inverse of the dilution that showed an increase in absorbance of greater than 0.2 over the blank. Seroconversion was defined as a 4-fold increase in antibody titer postimmunization.

Serum bactericidal antibody assay.

Serum bactericidal antibody (SBA) assays were performed as described by Boyd et al. (48). Sera were diluted in saline and inactivated at 56°C for 20 min. Serial 2-fold dilutions of inactivated sera were created in a 96-well plate. To each well containing 50 µl serum was added 25 µl of 1:2-diluted (12.5%; final concentration) baby rabbit complement (BRC [Pel-Freez Biologicals, Rogers, AR]) and 3 × 10² CFU/10 µl of log-phase-grown bacterial culture. Plates were incubated at 37°C at 115 rpm for 1 h. The SBA titer was defined as the reciprocal of the highest titer that produced greater than 50% killing, compared to negative-control wells containing bacteria and complement without sera.

Opsonophagocytosis antibody assay.

The opsonophagocytic capability of sera was assayed by using the method of Ramachandran et al. (49). Briefly, HL-60 cells were propagated in RPMI 1640 (Corning CellGro, Manassas, VA) supplemented with 10% fetal bovine serum (FBS; HyClone, Waltham, MA) and 1% GlutaMax, 1% sodium pyruvate, and 1% penicillin-streptomycin (Life Technologies, Carlsbad, CA). Cells were differentiated with 0.8% dimethyl formamide (DMF [Fisher Scientific]) for 6 days to produce phagocytic neutrophils. Mouse sera and bacteria were prepared as for the SBA. To each well was added 25 µl serum and 3 × 10² CFU of bacteria suspended in 10 µl PBS. Opsonization was allowed to occur for 15 min at 37°C in 5% CO₂, after which 25 µl BRC and 40 µl differentiated HL-60 cells (4 × 10⁴ cells/well) were added. Plates were incubated at 37°C for 45 min at 160 rpm. The OPA titer was defined as the reciprocal of the highest titer that produced greater than 50% killing compared to negative-control wells (no sera).

Statistical analyses.

Statistical analysis for phenotypic assays was performed using Student's t test (two tailed). To determine statistical significance of antibody responses, Student's t test was applied to log₂-transformed titers. Statistical significance of seroconversion rates and vaccine efficacy were calculated by using Fisher’s exact test (two tailed). All statistical tests were considered significant at a P value of <0.05.

Accession number(s).

Sequences were deposited in the NCBI GenBank database under BioProject ID PRJNA451499.