Abstract
Pathogenic Salmonella strains that cause gastroenteritis are able to colonize and replicate within the intestines of multiple host species. In general, these strains have retained an ability to form the rdar morphotype, a resistant biofilm physiology hypothesized to be important for Salmonella transmission. In contrast, Salmonella strains that are host-adapted or even host-restricted like Salmonella enterica serovar Typhi, tend to cause systemic infections and have lost the ability to form the rdar morphotype. Here, we investigated the rdar morphotype and CsgD-regulated biofilm formation in two non-typhoidal Salmonella (NTS) strains that caused invasive disease in Malawian children, S. Typhimurium D23580 and S. Enteritidis D7795, and compared them to a panel of NTS strains associated with gastroenteritis, as well as S. Typhi strains. Sequence comparisons combined with luciferase reporter technology identified key SNPs in the promoter region of csgD that either shut off biofilm formation completely (D7795) or reduced transcription of this key biofilm regulator (D23580). Phylogenetic analysis showed that these SNPs are conserved throughout the African clades of invasive isolates, dating as far back as 80 years ago. S. Typhi isolates were negative for the rdar morphotype due to truncation of eight amino acids from the C-terminus of CsgD. We present new evidence in support of parallel evolution between lineages of nontyphoidal Salmonella associated with invasive disease in Africa and the archetypal host-restricted invasive serovar; S. Typhi. We hypothesize that the African invasive isolates are becoming human-adapted and ‘niche specialized’ with less reliance on environmental survival, as compared to gastroenteritis-causing isolates.
Author summary
African clades of nontyphoidal Salmonella cause invasive disease on a daily basis and thousands of deaths each year. Although it is generally accepted that the transmission route for these organisms is fecal-oral, we know very little about their behaviour in the environment between hosts. In this paper, we have identified both a genotype and a phenotype that suggest environmental niche specialization that is distinct from lineages of Salmonella Typhimurium and Salmonella Enteritidis associated with industrialized food supply chains in resource-rich settings. We also compared with strains of Salmonella Typhi, which cause systemic typhoid fever infections exclusively in humans. In each invasive lineage, regulatory or structural gene mutations leading to loss or impairment of biofilm were identified, all associated with curli and cellulose production, the two main structures that comprise the biofilm matrix. This suggests that similar evolutionary pressures are acting on invasive Salmonella isolates. Public health strategies aimed at reducing the burden of invasive Salmonella disease must prevent transmission to vulnerable adults and children via water sanitation and hygiene practices–a process that starts with identification of environmental reservoirs. The results of our study will raise the profile of this neglected aspect of invasive salmonellosis and will challenge researchers and clinicians to search in new places for potential environmental reservoirs of these pathogens.
Introduction
The 2,600 serovars of the genus Salmonella have considerable genetic diversity, which permits them to occupy a wide variety of environmental and animal niches and to cause clinical presentation in humans ranging from asymptomatic carriage through enterocolitis and invasive disease. Most cases of human disease are caused by a few serovars of Salmonella enterica, which are loosely categorized as being invasive/typhoidal (serovars Typhi and Paratyphi A) or nontyphoidal. The nontyphoidal salmonellae (NTS) typically cause self-limiting enterocolitis and include common serovars such as Salmonella Typhimurium and Salmonella Enteritidis [1,2].
This simple clinical distinction breaks down in settings where there is high prevalence of immunosuppressive illness, such as sub-Saharan Africa (sSA). Here, NTS have emerged as a leading cause of bacterial bloodstream infection [3], or invasive nontyphoidal Salmonella (iNTS) disease. In common with typhoid fever, iNTS disease frequently presents without diarrheal symptoms, with non-focal febrile illness being the dominant clinical presentation [4]. This disease is responsible for an estimated 681,000 deaths per year, with nonspecific symptomology, multidrug resistance, and poor clinical outcomes despite correct diagnosis contributing to this significant mortality rate [5]. There is great urgency to better understand iNTS disease and reduce its impact in Africa and other areas of the world [6].
Most NTS infect a wide range of host species and are considered host-generalist pathogens [7]. In contrast, typhoidal serovars are exemplars of host-restricted pathogens, with marked genomic degradation in comparison to NTS serovars [8]. There is evidence that the same process is underway in strains of S. Typhimurium and S. Enteritidis associated with invasive disease in sub-Saharan Africa [9,10]. Many of these gene mutations affect metabolic processes involved in anaerobic respiration on unique carbon sources, a mechanism that is pivotal for the replication and outgrowth of Salmonella in the inflamed intestinal tract [11,12]. Whether this represents a random process related to the different geographical location of these strains, convergent evolution with the typhoidal serovars towards an invasive rather than an enteric “lifestyle”, or adaptation to distinct environmental niches remains an outstanding question.
Irrespective of invasive versus enteric lifestyle, all salmonellae are transmitted via the fecal-oral route, but key questions remain over how invasive strains interact with the environment between host colonization events [13,14]. Biofilm formation is proposed to aid in the survival and persistence of Salmonella cells during this environmental phase of the transmission cycle [15]. The most well-characterized format of Salmonella biofilm physiology has been termed the rdar (red, dry, and rough) morphotype, where a self-produced extracellular matrix interconnects cells and facilitates their adherence to abiotic and biotic surfaces [16–18]. Multiple cues, including ambient temperature, osmolarity, and nutrient availability, act via a complex regulatory network to activate CsgD, a member of the RpoS regulon and the primary transcriptional activator of the rdar morphotype [15,16]. CsgD in turn induces the expression of proteinaceous (curli fimbriae [19]), BapA [20]) and polysaccharide (cellulose [17,21], O-antigen capsule [18,22]) polymers that act as major contributors to the recalcitrant matrix structure associated with this phenotype. The genes for curli fimbriae and cellulose are highly conserved in Salmonella [23–25]; however, almost all Typhi and Paratyphi isolates are phenotypically negative for the rdar morphotype [23,26]. Therefore, loss of the rdar morphotype may represent an additional signature of host adaptation.
Landmark studies revealed genomic degradation within representative iNTS strains S. Typhimurium D23580 [27] and S. Enteritidis D7795 [10]–these observations were consistent with genetic signatures of host adaptation found in typhoidal and paratyphoidal Salmonella species [28,29]. As such, significant attention has focused on evaluating the virulence of these strains in laboratory models of Salmonella infection [9,30–32]. Comparatively less is known about the state of biofilm physiology of iNTS strains [33], and in particular the CsgD-regulated rdar morphotype, which we and other labs have postulated may be important for the persistence of nontyphoidal Salmonella species in non-host environments [15,23,25,26,34].
We wanted to determine if S. Typhimurium D23580 and S. Enteritidis D7795 can form biofilms, and if not, to determine if the corresponding mutations are conserved in other African strains associated with invasive disease. We selected typical Typhimurium and Enteritidis strains that cause enterocolitis to act as controls in our phenotypic screens and to rule out any serovar-specific genetic variations that do not affect biofilm formation. We included the archetypal Typhi strain (CT18) and modern versions of the H58 haplotype [35] to determine if patterns of gene loss or mutation are shared between invasive isolates.
Results
Evaluation of the biofilm phenotype for invasive nontyphoidal and typhoidal Salmonella strains
The rdar morphotype was first described by Römling and colleagues during their research into the expression of curli fimbriae in S. Typhimurium 14028 [16]. For the wildtype strain, the morphotype was reported as a temperature-restricted phenotype, with transcription of curli biosynthesis (csg) genes and characteristic patterns on the colony surface constrained to cells grown at 28˚C in nutrient-rich medium of low osmolarity. These conditions have since been used as a standard for screening Salmonella isolates for the rdar morphotype [26]. After three to five days of growth at 28˚C, nontyphoidal and typhoidal Salmonella strains were easily distinguishable based on the different appearances of their macrocolonies (Fig 1). We added Congo red dye to the agar to visualize the presence of curli fimbriae and cellulose and identify strains that possess the red, dry, and rough (rdar) morphotype [19]. Control strains of NTS were rdar-positive and red in colour, while S. Typhi strains were smooth and white (saw), or rdar-negative. S. Typhimurium D23580 formed pale red colonies with an incomplete wrinkling pattern on the colony’s surface, whereas S. Enteritidis D7795 was rdar-negative. Temperature-based restriction of curli expression can be overcome in some instances; examples of this include when strains carry certain mutations in the csgD promoter [16,36], or when nontyphoidal Salmonella are grown in iron-limiting conditions [16] or in the presence of human bile [37]. However, all NTS strains displayed a temperature-based restriction of curli expression [16], as they did not form rdar colonies at 37°C and curli (csgBAC) transcription was at basal levels (S1 Fig).
Rdar morphotype-positive Salmonella strains grown in an in vitro flask model of biofilm development will produce two unique subpopulations—multicellular, biofilm aggregates and planktonic cells [38,39]—due to the bistable production of CsgD [40]. We reasoned that multicellular aggregation in liquid cultures would provide a clearer diagnostic for the presence of a functioning biofilm phenotype in both strong and moderate biofilm-producing strains. Cultures of S. Typhimurium D23580 contained visible multicellular aggregates and planktonic cell subpopulations (Fig 1). However, the aggregates made up a lower proportion of the population biomass compared to aggregates from other NTS and had observable differences in their physical structure (S2 Fig), suggesting a moderate but impaired biofilm phenotype. In contrast, cultures of S. Enteritidis D7795 and all typhoidal Salmonella strains consisted solely of planktonic cells. Cellulose production can be specifically assessed by supplementing T agar with calcofluor white dye and illuminating colonies with ultraviolet light [25]. Similar fluorescence intensity was observed for S. Typhimurium D23580 compared to other NTS, indicating the presence of cellulose production despite the partial rdar morphotype (Fig 1). In contrast, cellulose production was comparably minimal or absent from macrocolonies of S. Enteritidis D7795 and all S. Typhi isolates.
Status of CsgD and curli production and RpoS synthesis and activity
The divergent csg operons are central to curli biosynthesis and include genes for curli fimbrial protein subunits (csgBA), transcriptional regulation (csgD), and curli assembly machinery (csgC and csgEFG) [41–43]. CsgD is involved in activating the transcription of both operons [16,19], making detection of curli fimbrial subunits a strong indicator of CsgD activity. We probed the lysates of cell subpopulations emerging from flask cultures for synthesis of CsgD and CsgA, the major subunit of curli fimbriae (Fig 2). We detected both proteins in lysates from multicellular aggregates, including S. Typhimurium D23580. In contrast, neither protein was detected for samples derived from S. Enteritidis D7795 or any of the S. Typhi strains.
We also probed the lysates for RpoS, the sigma factor that controls csgD expression [19] (S3A Fig). RpoS protein was detected in all nontyphoidal Salmonella strains, including both biofilm and planktonic cell subpopulations derived from biofilm-producing strains. S. Enteritidis D7795 appeared to have lower levels of RpoS compared to the other NTS strains. For the S. Typhi strains, there was significant variation in protein levels at the 24-hour time point used for sampling, with low levels of RpoS observed for S. Ty E03-9804 and S. Ty 8(04)N. Bacterial luciferase reporter technology allows for the systematic comparison of transcriptional activity across a wide variety of strains [24,44]. To evaluate RpoS activity, we tracked the expression of a synthetic, RpoS-dependent promoter-luciferase reporter construct in each strain during growth in microbroth cultures [15] (S3B–S3D Fig). All strains in our panel exceeded the standard RpoS activity threshold identified in our previous work with other Salmonella strains (i.e. 10,000 CPS) [24], except for S. Enteritidis D7795.
Screening for serovar- and strain-specific cis or trans variation in biofilm gene regulation
We hypothesized that variation in csgD expression levels could account for differences in the biofilm phenotypes we observed. The sequence of the 755-bp intergenic region between the csgBAC and csgDEFG operons was compared between each strain in our panel (Fig 3A). For S. Enteritidis D7795 and S. Typhimurium D23580, unique single nucleotide polymorphisms (SNPs) were identified within the intergenic region (Fig 3B). For S. Enteritidis D7795, a C-to-T SNP was observed in the regulatory region 47 bp upstream of the csgD transcriptional start site. For S. Typhimurium D23580, independent C-to-A and G-to-A transversion mutations were identified 80 bp and 189 bp upstream of the csgD transcriptional start site.
To assess the effects of sequence or ‘cis’ differences in the csg intergenic region, we generated transcriptional reporters for the csgD and csgB promoters of all twelve strains. The reporters were transformed into S. Typhimurium 14028 to ensure that promoter activity was measured in a consistent cellular environment. Maximum expression levels were similar for all csgD or all csgB promoter-reporter constructs generated from NTS control strains and S. Typhi strains, suggesting that serovar-specific polymorphisms did not have a significant impact on promoter functionality (Fig 3C). We noted slightly lower activity from the csgB promoter from S. Typhimurium SL1344, but considered the promoter functional based on its overall expression profile (S4 Fig). In contrast, the activity of csgD promoters from S. Typhimurium D23580 and S. Enteritidis D7795 were significantly lower than native S. Typhimurium 14028 promoters (Fig 3C). S. Typhimurium D23580 had peak expression that was approximately three-fold lower than S. Typhimurium 14028, whereas S. Enteritidis D7795 had near background levels of expression (~1,000 counts per second) and appeared to be non-functional. In contrast, there was minimal difference between the activities of csgB promoters from the African NTS strains and the panel of control strains.
To determine if strains harboured mutations in trans-acting regulatory elements, each strain was transformed with a set of biofilm-associated transcriptional reporters derived from S. Typhimurium 14028. The csgD promoter was expressed in all Salmonella strains, though its activity was six-fold lower in S. Enteritidis D7795, S. Ty E02-2759, and S. Ty E03-9804 (Fig 3D). This result suggested that mutations in the regulatory network upstream of csgD could be partially responsible for loss of the rdar morphotype in these three strains. However, sequence analysis of the promoters and genes of six common regulators of csgD transcription did not reveal any unique sequence changes in these strains (i.e., positive regulators OmpR, MlrA, IHF, RstA; negative regulators CpxR, H-NS [45,46]). Expression of the csgB promoter showed a clearer distinction, as all control NTS strains and S. Typhimurium D23580 had significantly greater csgB promoter expression than rdar-negative S. Enteritidis D7795 and the S. Typhi strains (Fig 3D). A similar pattern was observed for the promoters of adrA, a gene which regulates cellulose production, and cpxRA, which is part of a two-component system that responds to envelope stress (S5 Fig). These trans patterns of gene expression correlated with a lack of CsgD in S. Enteritidis D7795 and S. Typhi strains.
A single, non-coding nucleotide shuts off the rdar morphotype for Salmonella serovar Enteritidis D7795
S. Enteritidis D7795 possessed a unique C-to-T transition in the csgD promoter region and also had a non-functional csgD promoter. We performed genome engineering to replace this SNP with corresponding sequence from rdar-positive S. Typhimurium 14028 (see Materials and Methods). We were able to track the presence of the SNP by digestion of the csgD promoter region with the restriction endonuclease, PsiI. Strains containing the SNP (i.e., TTATAA) had a unique 148 bp fragment compared to strains with the SNP corrected (i.e., TTACAA) (Fig 4A). Strains of S. Enteritidis D7795 with the SNP corrected (-47T>C) had their biofilm phenotypes restored, as judged by the formation of rdar colonies on TCR agar and cellulose production on agar supplemented with calcofluor white (Fig 4B), in addition to the formation of biofilm aggregates when grown in liquid culture (S6 Fig). In contrast, S. Enteritidis D7795 strains that had retained the SNP after genome engineering were negative for the rdar morphotype and multicellular aggregate formation. As another test of the importance of this promoter SNP, we introduced the change into S. Typhimurium 14028 (-47C>T), which resulted in the loss of rdar colony morphology and cellulose production (Fig 4B).
To determine if the phenotypic changes observed were directly linked to changes in csgD promoter activity, we generated promoter-reporter constructs from each engineered strain. Presence of the ‘T’ SNP at position -47 correlated with functional inactivation of the csgD promoter, shown as a 48-hour time course for S. Enteritidis D7795 strains (Fig 4C) and a statistically significant drop in maximum promoter expression for the S. Typhimurium 14028 strains (Fig 4D). Together, these experiments provided evidence that a single polymorphism in a non-coding region of the Salmonella genome was capable of shutting off CsgD-regulated biofilm phenotypes.
Unique SNPs reduce csgD promoter activity in invasive NTS strain Salmonella serovar Typhimurium D23580
S. Typhimurium D23580 possessed two unique SNPs in the csgD promoter region and the promoter had reduced activity when compared to S. Typhimurium 14028. We used genome engineering to replace the SNP at the -80 bp position (D23580 -80A>C), which boosted csgD promoter activity approximately two-fold as compared to the D23580 parent strain (Fig 5A). Replacement of the SNP at -189 bp position (D23580 -80A>C, -189A>G) resulted in an additional boost in promoter activity to reach similar levels as the csgD promoter from wildtype S. Typhimurium 14028 (Fig 5A). Despite the increase in promoter activity, replacement of both csgD promoter SNPs (S. Typhimurium D23580-PcsgD -80A>C, -189A>G) was unable to restore the rdar morphotype, and although the strain appeared to bind more Congo red than the parent S. Typhimurium D23580 strain, the difference was hard to quantitate (Fig 5B).
S. Typhimurium D23580 was first characterized as being rdar-negative or -intermediate due to the presence of a premature stop codon in bcsG, and the rdar morphotype was restored by over-expressing bcsG [47]. To evaluate the impact of the bcsG mutation, we introduced this SNP into the rdar-positive S. Typhimurium 14028 strain, which caused a loss of pattern formation on the colony surface and a drop in calcofluor binding intensity (Fig 6B). We concluded from this data that S. Typhimurium D23580 possessed multiple mutations that influence curli and cellulose production, leading to a reduced biofilm phenotype.
Conservation of biofilm-altering SNPs in invasive lineages of S. Typhimurium and S. Enteritidis
We performed in silico screening of additional serovar Enteritidis and Typhimurium strains isolated from Africa and other areas of the world [10,48] to determine how widespread the biofilm-altering SNPs were. For S. Enteritidis, all 167 strains in the central/east African clade (i.e., HierBAPs-predicted clade from [10]), which includes D7795, possessed the inactivating csgD promoter SNP (Fig 6A). In contrast, 100% of the 250 isolates from the HierBAPs-predicted global clade associated with human enterocolitis and/or poultry farming did not have this SNP (Fig 6A; S3 Table). For S. Typhimurium, the csgD promoter mutation at position -189 was conserved in all 50 lineage I and 71 lineage II strains analyzed (Fig 6B; S4 Table), that were isolated from people in sSA within the past 30 years [48]. Lineage II, which includes strain D23580, is thought to have arisen from lineage I due to increased selection pressure from heavy antibiotic use [48]. Therefore, we predicted that lineage II isolates would carry some unique mutations. Consistent with this, all lineage II isolates possessed the csgD promoter SNP at position -80 as well as the premature stop codon in bcsG. Importantly, none of the 63 S. Typhimurium strains of other sequence types (i.e., ST-19, -34, -98, -128 or -568) possessed the biofilm-altering mutations (Fig 6B; S4 Table).
Loss of the rdar morphotype and multicellular aggregation in Salmonella serovar Typhi strains is due to truncated CsgD
Salmonella Typhi represents the best characterized group of strains that cause a more invasive disease than enterocolitis. All six S. Typhi strains that we analyzed had functional csgD promoters, and at least four strains appeared to have upstream regulatory components intact (Fig 3). In the S. Typhi CT18 genome sequence, Parkhill et al. identified a premature stop codon at the 3’ end of csgD, which would result in truncation of eight amino acids from the C-terminal end of CsgD [49]. To analyze the functionality of this truncated csgD allele (i.e., csgD^CT18) compared to full-length csgD (i.e., csgD^14028), we performed complementation experiments in a S. Typhimurium 14028 ΔcsgD strain background. The presence of csgD^14028 in a multi-copy plasmid resulted in a strain with characteristic rdar morphotype colonies, whereas the p3xFLAG control strain was smooth and white (Fig 7A). The presence of csgD^CT18 resulted in a strain that formed red colonies with rdar-intermediate morphology, indicating that the truncated CsgD protein was partially functional. When grown in liquid culture, the csgD^CT18 and p3xFLAG cultures were devoid of multicellular aggregates, whereas the csgD^14028 complemented culture produced both cell types (Fig 7A). We detected robust CsgD-3xFLAG synthesis in the csgD^14028 culture, whereas only a faint CsgD band could be detected in the csgD^CT18 culture (Fig 7B). When expression of csgD^CT18 was induced by addition of IPTG, it caused a boost in curli (csgBAC) gene promoter expression (Fig 7B) and aggregates were formed in liquid culture (Fig 7C). Expression of the csgB promoter in the induced csgD^CT18 cultures reached levels similar to, but still below the levels in the csgD^14028 uninduced cultures (Fig 6C). We were unable to measure csgB promoter activity in induced csgD^14028 cultures because growth ceased upon addition of IPTG. Together, these experiments demonstrated that truncated CsgD from S. Typhi CT18 had reduced functionality compared to full-length CsgD, but was able to restore both rdar and other CsgD-regulated biofilm phenotypes if expressed at higher levels. As a final test of functionality, we used genome engineering to introduce the premature stop codon in csgD into S. Typhimurium 14028, resulting in a strain that was rdar-negative with minimal Congo red binding and reduced cellulose production (Fig 7D). This experiment showed that the SNP at the 3’ end of csgD was sufficient to disrupt CsgD-regulated biofilm phenotypes in S. Ty CT18.
We wanted to determine if there were other mutations that could potentially affect curli or cellulose production within our panel of twelve Salmonella strains. For curli, we performed sequence alignment of the entire 4,450 bp region containing the divergent csgBAC and csgDEFG operons (S7 Fig). Seventeen unique SNPs were identified in each of the six S. Typhi strains, however the only clear nonsynonymous mutation was the premature stop codon in csgD that was previously described [49]. Several serovar Typhimurium- and Enteritidis-specific SNPs were identified in the intergenic region and in the csg coding regions, however since the majority of these SNPs were found in biofilm-positive strains, we concluded that they likely do not pose a significant effect on csg function. For cellulose, we performed sequence alignment of the 14,273 bp region containing the divergent bcsRQABZC and bcsEFG operons (S8 Fig). Overall, this DNA region was less conserved than the csg region. All six S. Typhi strains shared numerous SNPs, including 21 non-synonymous changes in the bcs coding regions, and four premature stop codons in bcsC. S. Enteritidis D7795 had one unique SNP in bcsC, which resulted in a non-synonymous change that was shared with S. Typhi strains, and S. Typhimurium D23580 had one unique SNP leading to a premature stop codon in bcsG, as previously described [47].
Uniqueness of the identified SNPs influencing rdar morphotype biofilm formation in Salmonella
We wanted to determine if the SNPs identified in S. Enteritidis D7795, S. Typhimurium D23580 and S. Typhi were unique to these lineages or could be detected in isolates from other S. enterica subspecies enterica serovars. We analyzed the genomes of 248 isolates from 55 serovars, including representatives of the most common serovars associated with human disease [50] and host-adapted serovars such as Dublin, Choleraesuis and Gallinarum (S5 Table). The -47 C>T mutation of S. Enteritidis D7795 was found in one strain of serovar Weltevreden, one strain of serovar Anatum had a 110-bp deletion in the csgD promoter region comprising both the -47 C>T and -80 G>T mutations, and the -189 C>T mutation of S. Typhimurium D23580 was found in one strain of serovar Hillingdon and two strains of serovar Typhimurium (S5 Table). The SNP leading to a premature stop codon in csgD was unique to Typhi strains, and the G>A mutation causing a premature stop codon in bcsG was not detected in any strains (S5 Table). We also screened 82 West African serovar Enteritidis strains associated with invasive human disease [10] but none of the mutations were detected (S6 Table). With just a few exceptions, the SNPs identified in our biofilm screening appeared to be unique to the invasive lineages of Salmonella where they were originally detected.
Discussion
In this study, we identified critical changes that disrupt or reduce the rdar morphotype and other CsgD-regulated biofilm phenotypes in three invasive Salmonella lineages. For S. Enteritidis D7795, a single promoter mutation was responsible for inactivating the csgD promoter and shutting off the rdar morphotype. The polymorphism was in one of the two most conserved bases in the OmpR recognition site (ACNTTTNGNTA’C’ANNTAT; [51]). This is predicted to knock out OmpR binding to a region which has been shown to be a major activating factor for csgD transcription [52]. Restoring biofilm formation was as simple as replacing this SNP, which re-activated the csgD promoter, overcoming low RpoS activity in S. Enteritidis D7795. We have observed mutations in this OmpR binding site before, in two strains of Salmonella serovar Arizonae that had lost biofilm formation, strains that we speculated were adapted for living within the snake intestine [24]. Conservation of the csgD promoter SNP in all 167 strains of the Central/East African clade of S. Enteritidis from sub-Saharan Africa, and lack of the SNP in 250 ‘global’ S. Enteritidis isolates, is strong evidence that loss of this CsgD-regulated biofilm phenotype has being selectively maintained in the invasive population since the most recent common ancestor, circa 1945 [10].
S. Typhimurium D23580 had multiple mutations that influenced the rdar morphotype. Two SNPs were identified in the csgD promoter region, each causing a reduction in transcriptional activity. We hypothesized that reduced csgD promoter activity in S. Typhimurium D23580 could explain the reduced levels of curli production measured in the biofilm flask model. The third mutation was a premature stop codon in bcsG that was first identified by Singletary et al. in 2016 [47]. Recent work has shown that deletion of bcsG shuts off cellulose production [53]; however, in our hands, S. Typhimurium D23580 still produced measurable amounts of cellulose. BcsG has at least two functions, to add phosphatidylethanolamine (PE) to monomers of the growing cellulose chain [54], and to stabilize integration of BcsA into the inner membrane, a role that has been ascribed to the N-terminal half of the protein [53]. In S. Typhimurium D23580, the premature stop codon occurs at amino acid 247 in BcsG. If the N-terminal region of BcsG is synthesized, it would allow BcsA, the cellulose synthase enzyme, to reach native levels within the cytoplasmic membrane [53]. This could explain why S. Typhimurium D23580 can still produce moderate levels of cellulose. The effects of the csgD promoter mutations and bcsG truncation could have a great impact in the natural lifecycle of Salmonella, since they would reduce both the amount of biofilm produced and alter the physical structure of any multicellular aggregates. This could result in isolates that do not survive as well in the environment, as recently demonstrated for invasive S. Typhimurium isolates in Mali [33]. Conservation of all three polymorphisms in 100% of African S. Typhimurium lineage II isolates, collected from human patients in sSA within the past 30 years [48], is evidence of sustained selection against the rdar morphotype in this lineage.
For Salmonella serovar Typhi, we showed that a premature stop codon, resulting in loss of eight amino acids from the C-terminus of CsgD, was sufficient to shut off the rdar morphotype. The truncated CsgD protein had reduced activity, but was able to activate rdar-like morphologies and multicellular aggregation when expressed at higher levels. Therefore, any increases in csgD transcription, which can be caused by known promoter mutations [16,24] or potentially host-related environmental signals such as iron limitation [16] or the presence of human bile [37], may be enough to restore CsgD-regulated biofilm phenotypes in S. Typhi. To explain why CsgD was not detectable in S. Typhi, we hypothesize that the reduced activity of truncated CsgD was not able to activate the genetic feed-forward loop that normally amplifies CsgD production [39,55]. Key dimerization domains exist in the N-terminal half of CsgD [56], but it is not yet clear why the C-terminal truncation would reduce its activity. Despite the lack of a rdar morphotype, it should be noted that S. Typhi can form biofilms on human gallstones [57,58], a process which has been simulated with S. Typhimurium in a mouse model of chronic carriage; however, the nature of the extracellular matrix in such biofilms is still under investigation [37,59,60]. Our analysis highlighted the presence 4 premature stop codons in the bcsC of the S. Typhi strains included in our panel [23]. BcsC is an essential enzyme in cellulose biosynthesis [61], with a C-terminal ‘pore’ domain that guides the growing cellulose chain out of the cell [62]. This suggests that S. Typhi strains could be negative for cellulose production irrespective of reduced CsgD function.
The impacts on the curli and cellulose systems in all three lineages of invasive S. enterica isolates provides strong evidence that parallel evolution has occurred [63]. With the association of phenotypic changes to mutations in promoter regions [64–66] or in transcriptional regulatory proteins that can act as bistable switches [40,67,68], we present further evidence that changes in gene expression can drive specialization or ecological divergence without significant changes in gene content [69,70]. We recently reported the increased expression of over 780 genes during the development of multicellular aggregates in flask cultures of S. Typhimurium 14028 [39]. The shift in the transcriptome of Salmonella cells contrasts sharply with both the small regulon of genes directly controlled by CsgD as well as the complex but limited number of regulatory factors that influence expression and synthesis of CsgD itself [34,45]. Variation in cis regulatory regions is hypothesized to have a reduced fitness cost compared to changes in coding sequence, since genetic plasticity is retained [71]. Within the three lineages of invasive Salmonella isolates, both regulatory and structural mutations have played a prominent role in loss or impairment of the rdar morphotype. It is possible that the accumulation of genetic changes has been aided by replication and circulation of African strains within immunocompromised hosts [72].
We do not fully understand what the selective pressures are that have led to loss or impairment of biofilm formation in invasive Salmonella isolates. The changes we identified were generally specific to the invasive lineages that were investigated and were not conserved across a wider variety of serovars and isolates. We know that enterocolitis-causing isolates replicate to high numbers in the intestine before passing out of the host and into the environment [7]. Replication is aided by Salmonella-induced inflammation, which destabilizes the normal microbiota and provides Salmonella with a selective advantage due to specific metabolic adaptations [30,73]. In contrast, Salmonella strains that cause systemic disease tend to have a stealth and persistence strategy and remain associated with the host for a longer duration of time [8]. The transition from the intestinal to systemic niche is thought to represent an evolutionary bottleneck for Salmonella [28], with significant losses in the functional gene repertoire consistently observed for invasive variants [29]. Bistable genetic networks in bacteria, such as the one described for CsgD, are often associated with the formation of two distinguishable phenotypes within a clonal population [74], which is thought to allow genotypes to persist in fluctuating environments [75]. It would make sense for enterocolitis-causing isolates to retain the CsgD network, because the presence of persistent (CsgD-ON) biofilm cells and virulent (CsgD-OFF) planktonic cells would likely improve the odds for future transmission events [15,23,26,39]. Systemic isolates might not require the CsgD network because they are increasingly reliant on human carriers for transmission, as noted for S. Typhi [28,57,58]. In general, the biofilm-altering SNPs identified in the invasive isolates were not found in lineages of S. Enteritidis or S. Typhimurium that typically cause enterocolitis in association with zoonotic transmission.
An alternative explanation for selection against the rdar morphotype is that the biofilm surface structures themselves are targets of the host immune system. Several independent studies have shown that S. Typhimurium strains that have lost curli and cellulose production are able to invade tissue culture cells more efficiently [76,77] and spread systemically in vivo [78,79]. Curli have been established as potent stimulators of the innate immune system that are recognized by Toll-like receptor 1 and 2 complexes [80,81], as well as intracellular NOD-like receptors [82]. Curli also have the ability to stimulate T-helper cell 17 (Th17) differentiation and increase expression of pro-inflammatory interleukin (IL) cytokines IL-17A, IL-22 and IL-1ß [82,83]. Some questions still remain, however. Although there is evidence that cellulose can be produced in vivo [78,84], it has yet to be conclusively established if this constitutes a biofilm phenotype. It is also difficult to extrapolate how much of an immune response could be generated against Salmonella biofilms in immunocompromised, often HIV-positive patients in sSA.
Both csgD expression and the rdar morphotype are highly conserved across Salmonella enterica and E. coli [19,23,24,85], with notable exceptions including Salmonella serovars associated with host restriction and systemic disease (S. Typhi, S. Paratyphi A, and S. Gallinarum) and enteroinvasive E. coli and Shigella [23,26]. Loss of the rdar morphotype in Salmonella has been correlated with invasion of the intestinal epithelial lining [23]. There are numerous examples of Salmonella biofilm formation providing a survival or persistence advantage under conditions of stress, such as desiccation, nutrient deprivation and disinfection [24,25,86–88]. The impairment or inactivation of the rdar morphotype in the African invasive lineages suggests that their lifestyle could be distinct from lineages of S. Typhimurium and S. Enteritidis associated with industrialized food supply chains in resource rich settings. Although it is generally accepted that the transmission route for these invasive organisms is fecal-oral, we know very little about their behaviour in the environment between hosts. Based on the data presented, we hypothesize that the African invasive NTS isolates are becoming human-adapted, as has been speculated by other researchers [89,90]. Increased knowledge about the ecological niches that harbor these specialized strains as well as their transmission patterns will be critical for developing public health measures to reduce the morbidity and mortality associated with invasive salmonellosis.
Materials and methods
Bacterial strains, media, and growth conditions
The bacterial strains used in this study are listed in S1 Table. For standard growth, strains were inoculated from frozen stocks onto LB agar (lysogeny broth, 1% NaCl, 1.5% agar) and grown overnight at 37˚C. One isolated colony was used to inoculate 5 mL LB broth and the culture was incubated for 18 hours at 37˚C with agitation at 200 RPM. For colony morphology assays, overnight cultures of each strain were normalized to an optical density of 1.0 at 600 nm and 2 μL were spotted onto 1% tryptone medium containing 1.5% Difco agar (T agar) [36]. To visualize the rdar morphotype, T agar was supplemented with 40–60 μg mL-1 Congo red. To visualize cellulose production, T agar was supplemented with calcofluor white (fluorescent brightener 28; Sigma-Aldrich Canada) at a final concentration of 200 μg mL-1 [25]. To analyze liquid culture growth under biofilm-inducing conditions, 1 x 109 CFU were inoculated into 100 mL of 1% tryptone, pH 7.4, and incubated at 28˚C for 24 or 48 hours with agitation at 200 rpm.
Generation of bacterial luciferase reporters
The pCS26 and pU220 reporter plasmids containing csgDEFG, csgBAC, and adrA promoter sequences from S. Typhimurium 14028 fused to the luxCDABE operon from Photorhabdus luminescens have been described previously [15,24]. The RpoS-dependent reporter plasmid sig38H4 contains the luxCDABE operon preceded by a synthetic promoter designed based on the alignment of multiple RpoS-controlled promoters [15]. To generate the pCS26-cpxR promoter-luxCDABE construct, the cpx intergenic region was PCR amplified from S. Typhimurium 14028 genomic DNA using primers cpxR1 and cpxR2 (S2 Table) and Phusion high-fidelity DNA polymerase (New England BioLabs), with reaction conditions outlined by the manufacturer. The desired PCR product was purified (Geneaid PCR cleanup kit), sequentially digested with XhoI and BamHI (New England BioLabs), and ligated using T4 DNA ligase (New England BioLabs) into the pCS26 vector cut with XhoI and BamHI. To generate csgDEFG and csgBAC luciferase reporters from each Salmonella strain, the csg intergenic region was PCR amplified from genomic DNA using primers agfD1 and agfD2 (S2 Table). The PCR products were then ligated into either pCS26 (XhoI-BamHI) or pU220 (BamHI-XhoI) to generate the csgB and csgD promoter-reporter constructs, respectively.
Luciferase reporter assays
LB overnight cultures of Salmonella strains were diluted 1 in 600 in a final volume of 150 μL of 1% tryptone broth supplemented with 50 μg mL-1 Kn in 96-well clear-bottom black plates (Costar #9520; Corning Life Sciences). To minimize evaporation of the medium during the assay, cultures were overlaid with 50 μL of mineral oil. Cultures were assayed for absorbance (590 nm, 0.1 s) and luminescence (1s; in counts per second [CPS]) every 30 min during growth at 28˚C with agitation in a Victor X3 multilabel plate reader (Perkin-Elmer).
SDS-PAGE and western blotting
For planktonic cell samples, approximately 5 x 1010 cells were sedimented by centrifugation (11,000 x g; 10 min; 4˚C). For biofilm aggregate samples, approximately 30 mg samples were resuspended in 1 mL of water and homogenized with a glass tissue grinder (Product #7727–2, Corning Life Sciences) for 25 dounces, prior to centrifugation (10,000 x g; 1 min) to sediment the cell material. Sedimented samples were resuspended in 1 mL of SDS-PAGE sample buffer without 2-mercaptoethanol and bromophenol blue and boiled for 5 min. Using the DC protein assay (Bio-Rad Laboratories), cell lysates were normalized to a final protein concentration of 3 mg/mL. Bromophenol blue (0.0002% final concentration) and 2-mercaptoethanol (0.2% final concentration) were added to each lysate before loading 15 μg of total protein per lane. SDS-PAGE was performed with a 5% stacking gel and a 12 or 15% resolving gel. Proteins were transferred to nitrocellulose for 40 min at 25 V using a Trans-Blot SD semi-dry transfer cell (Bio-Rad Laboratories) in tris-glycine buffer supplemented with methanol. To detect curli fimbriae, cell debris was sedimented following boiling in SDS-PAGE sample buffer, washed twice with 500 μL of distilled water, suspended in 250 μL of 90% formic acid, frozen and lyophilized [36]. The dried samples were resuspended in SDS-PAGE sample buffer and loaded directly without boiling into each SDS-PAGE gel lane. CsgD was detected using a CsgD-specific monoclonal antibody at a 1-in-6 dilution of tissue culture supernatant (ImmunoPrecise Antibodies Ltd., Victoria, BC). To detect RpoS protein, a commercially available mouse polyclonal immune serum recognizing epitope 33 to 256 of E. coli RpoS was used at a 1-in-2000 dilution (BioLegend; 1RS1). CsgA, the major subunit of curli fimbriae, was detected by using a rabbit polyclonal serum raised against whole purified curli [36]. GroEL was used as a protein-loading control and was detected with a 1-in-60,000 dilution of rabbit polyclonal immune serum (Sigma-Aldrich; G6532). Secondary antibodies IRDye 800CW Goat anti-Mouse immunoglobulin G (IgG) or 680RD Goat anti-rabbit IgG (Mandel Scientific) were used at a 1-in-10,000 dilution and detected using the the Odyssey CLx imaging system and Image Studio 4.0 software package (Li-Cor Biosciences).
Reference genome sequences
Whole genome sequences were obtained from the National Centre for Biotechnology Information (NCBI) via the following accession numbers: NC_016810 (S. Typhimurium SL1344); NC_016854 (S. Typhimurium D23580); NC_003198 (S. Typhi CT18). Mapped assemblies for S. Typhi H58 haplotype strains E02-2759, E03-9804, ISP03-07467, ISP04-06979 were available from http://www.sanger.ac.uk/Projects/S_typhi [28]. The S. Typhi 8(04)N genome was available from the European Nucleotide Archive under the name SGB112 and associated with the assembly number GCA_001362315.1. The sequence for S. Enteritidis D7795 was available from the Public Health England Pathogens BioProject on NCBI (accession number PRJNA248792).
Chromosomal DNA isolation, genome sequencing and sequence alignments
Overnight liquid cultures of Salmonella serovar Enteritidis strains 301 and ATCC 4931 were sub-cultured 1 in 100 in 200 mL LB broth and grown at 37˚C for 2.5 hours. Approximately 7 x 108 cells were centrifuged (6000 x g, 10 minutes, 4˚C), resuspended in 25 mM Tris, 1 mM EDTA solution (pH 8.0) to a total volume of 3.5 mL, and then treated with 10 mg lysozyme (Sigma-Aldrich; L6876) and 200 units of mutanolysin (Sigma-Aldrich; M9901) for 1 hour at 37˚C. For cell lysis, each sample was treated with 50 μL of 25% SDS, 1 mg proteinase K (Applied Biosystems; AM23548), and 125 μL of a 5M sodium chloride solution and incubated at 65˚C for 30 minutes. Nucleic acid was isolated from cell lysates using a series of phenol:chloroform:isoamyl and phenol:chloroform extractions, precipitated by the addition of ammonium acetate (at a final concentration of 2M), washed with ethanol, and resuspended in Tris-EDTA solution (10 mM Tris, 1 mM EDTA, pH 8.0). To remove RNA, RNase A was added to each sample at a final concentration of 0.2 mg/mL and incubated for 1 hour at 37˚C. Samples were purified once more by phenol:chloroform:isoamyl extraction, precipitated with ammonium acetate, washed with ethanol, and resuspended in a final volume of 200 μL of Tris-EDTA solution.
Purified chromosomal DNA samples were fragmented by cup horn sonication with a high-intensity ultrasonic processor (Vibra-Cell, Danbury, CT) for 10 cycles of a 30-second pulses and 2 minute rest. DNA libraries were prepared from 1 μg of fragmented DNA using the NEBNext Ultra DNA Library Prep Kit for Illumina (New England BioLabs; E7645S) and NEBNext Multiplex Oligos for Illumina (Index Primer Set 2) (New England BioLabs; E7500S) according to the manufacturer’s protocols. Adaptor-ligated DNA was size-selected between 400 and 500 bp total library size (length of insert sequence + adaptor sequence) following kit instructions. DNA samples were assessed for quality, purity, and integrity using a NanoDrop ND-1000 spectrophotometer (Fisher Scientific) and an Agilent 2100 Bioanalyzer with a High Sensitivity DNA chip (Agilent Technologies; 5067–4626). To ensure efficient adaptor ligation, samples were analyzed by quantitative PCR using the KAPA Library Quantification Kit for the Illumina platform (KAPA Biosystems; KK4824). Samples were sequenced using the MiSeq Reagent Kit version 3, 600 cycles (2 x 300 bp read length) (Illumina; MS-102-3003).
Genome sequencing assembly and DNA sequence alignments were performed using the Geneious Pro v8.1.5 software package (Biomatters). Paired-end sequence reads from Entertidis strains 4931 and 301 were assembled into contigs based on mapping to the S. Enteritidis reference genome P125109 (NC_011294). Sequence alignments were performed using ClustalW and an IUB cost matrix (gap open cost of 15, gap extend cost of 6.66). A phylogenetic tree for strains included in this study was constructed based on the csg operon region by using the Geneious Tree Builder program [91], with the Tamura-Nei model of genetic substitution and the neighbour-joining algorithm with bootstrapping (1000 replicates and support threshold of 70%).
Genome engineering in S. Enteritidis D7795, S. Typhimurium D23580 and S. Typhimurium 14028
The I-SceI suicide plasmid system developed by Victor de Lorenzo and colleagues [92] was used for genome engineering. The following fragments were PCR amplified: 1) csg intergenic region from S. Typhimurium 14028 or S. Enteritidis D7795 using primers agfD3-FWD and agfD4-REV (S2 Table); 2) csg intergenic region from S. Typhimurium 14028 using primers agfD5-FWD and agfD6-REV (S2 Table); 3) bcsG-containing region from S. Typhimurium 14028 or S. Typhimurium D23580 using primers bcsG-checkF and bcsG-checkR (S2 Table); and 4) csgD-containing region from S. Typhi CT18 using primers csgDORFstartPstI and csgDreplaceREV (S2 Table). Phusion high-fidelity DNA polymerase was used for amplification, following reaction conditions outlined by the manufacturer (New England BioLabs). PCR products were purified, digested with BamHI and PstI (New England Biolabs) and ligated into BamHI/PstI-digested pSEVA212 [94]. Clones corresponding to each product were selected in E. coli S17-1 (λpir) and mating was performed to move the plasmid constructs into S. Enteritidis D7795, S. Typhimurium D23580 or S. Typhimurium 14028. Merodiploid strains with pSEVA212 plasmid constructs inserted into the genome were selected by growth on M9 minimal agar supplemented with 1mM MgSO4, 0.2% glucose and 100 μg mL-1 kanamycin (M9-Glc-Kn100) and confirmed by re-streaking onto M9-Glc-Kn100 agar. Purified pSEVA628S (200–300 ng) [93] was transformed into merodiploid strains by electroporation with selection on Luria agar supplemented with 1 mM m-toluate and 20 μg mL-1 gentamicin. Resulting colonies were re-streaked onto Luria agar supplemented with 20 μg mL-1 gentamicin, streaked on Luria agar supplemented with 50 μg mL-1 kanamycin to confirm loss of the pSEVA212 plasmid, and streaked on TCR plates (1% tryptone, 1.5% agar, 40 μg mL-1 Congo red) to check the biofilm phenotype. Colonies were selected from TCR plates and grown at 37°C for two overnight growth steps without gentamicin to generate cells that lack pSEVA628S. Final colonies were streaked onto (1) Luria agar, (2) Luria agar + 50 μg mL-1 Kn, (3) Luria agar + 20 μg mL-1 gentamicin, and (4) TCR plates to select the desired phenotypes. To confirm the genotypes, csgD promoter-, bcsG- or csgD-containing regions were PCR-amplified from resulting strains and Sanger sequencing was performed (Eurofins MWG Operon; Louisville, Kentucky, USA).
Generating p3xFLAG vector constructs
The pFLAG-CTC expression vector (Sigma Aldrich #E8408) was maintained in E. coli DH10B. Purified pFLAG-CTC was digested with SalI and XhoI restriction enzymes. A synthetic polylinker generated from phosphorylated oligonucleotides 3xFLAG-linkerA and 3xFLAG-linkerB (S2 Table) was ligated into the digested vector to generate p3xFLAG. The csgD open reading frame was PCR amplified from S. Typhimurium 14028 or S. Typhi CT18 genomic DNA using primers csgD-ORF-start and csgD-ORF-end (S2 Table), followed by digestion with XhoI and BamHI. The csgD fragments were ligated into XhoI- and BglII-digested plasmid to generate p3xFLAG/csgD^14028 and p3xFLAG/csgD^CT18. Insertion of the 3xFLAG polylinker and csgD ORF was confirmed by DNA sequencing. The csgD^CT18 allele does not have the 3xFLAG linker attached because of the premature stop codon in the 3’ end of csgD. The resulting p3xFLAG vectors were transformed into S. Typhimurium ΔcsgD prior to analysis of biofilm formation.
In silico detection of identified polymorphisms in Salmonella serovar Enteritidis and serovar Typhimurium strains
S. Enteritidis D77 is one of 167 isolates recently sequenced and described as being part of a distinct clade of S. Enteritidis featuring genomic degradation and geographical restriction to central and eastern Africa [10]. Similarly, S. Typhimurium D23580 is part of a unique lineage of S. Typhimurium, consisting of isolates from sSA [48]. Genome assemblies of the S. Enteritidis and S. Typhimurium isolates were investigated for the presence or absence of csgD promoter or bcsG SNPs through in silico PCR. Primers of the csgD sequence with a SNP in the promoter region were searched for in the genome assemblies using in_silico_pcr.py script (https://github.com/simonrharris/in_silico_pcr), allowing zero changes for a match. Names and accession numbers for each strain included in the SNP screening are listed in S3 and S4 Tables. A similar approach was followed to screen the genome sequences of 248 diverse S. enterica isolates [94], as well as 82 strains of serovar Enteritidis that are part of the West Africa lineage of strains originally described by Feasey et al. [10].
Statistical analysis
Statistical analysis was performed using GraphPad Prism versions 7.0c and 8.0.2. Data collected from promoter-reporter luciferase assays was reported as the maximum luciferase expression measured during the course of the experiment, and was expressed as the mean ± the standard deviation. This data was logarithmically transformed and evaluated for normal distribution using the Shapiro-Wilk normality test. If the data was normally distributed, comparisons of the mean maximum luciferase expression levels obtained from multiple experiments were performed using an ordinary one-way ANOVA with post-hoc analysis via Holm-Sidak’s multiple comparisons test with statistical significance set at p < 0.05. If the data was not normally distributed, comparisons were performed using the Kruskal-Wallis test with post-hoc analysis via Dunn’s multiple comparison test with statistical significance set at a p value of 0.05.
Data availablility
All numerical data and statistical analysis has been deposited in figshare (https://figshare.com/) and is publicly available at doi: https://doi.org/10.6084/m9.figshare.8220866.v1. The Illumina paired end sequence reads comprising the genome sequences of S. enterica suspecies enterica serovar Enteritidis strains have been deposited in the Sequence Read Archives (strain 301—SAMN11956692; strain ATCC 4931—SAMN11956691).
Supporting information
Acknowledgments
The authors wish to thank Gordon Dougan, Robert Kingsley and members of their laboratories for sending Salmonella strains; Victor de Lorenzo for providing I-SceI plasmids; Nicolas Wenner and Jay Hinton for providing the I-SceI genome engineering protocols; Bill Kay and Mike Surette for critical reading of the manuscript. Published as VIDO manuscript #844.
Data Availability
All raw numerical data and statistical analysis has been deposited in figshare (https://figshare.com/) and is publicly available at: doi: https://doi.org/10.6084/m9.figshare.8220866.v1.
Funding Statement
This work was supported by the Natural Sciences and Engineering Research Council of Canada, http://www.nserc-crsng.gc.ca/ (Grant #2017-05737 to APW; Alexander Graham Bell Canada Graduate Scholarship to KDM; Undergraduate Research Award to EGH), the Jarislowsky Chair in Biotechnology (APW), Saskatchewan Health Research Foundation (3866 to KDM); the University of Saskatchewan (Integrated Training Program in Infectious Diseases to MBP; Biomedical Research Award to DJH). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Data Availability Statement
All raw numerical data and statistical analysis has been deposited in figshare (https://figshare.com/) and is publicly available at: doi: https://doi.org/10.6084/m9.figshare.8220866.v1.