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    Biology of Salmonella

    Dr Sophie Helaine

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    Human diseases

    Typhoid (S. entericaTyphi and S. Paratyphi):17 million casesand 600,000 deaths/yr - increasing multiple drug resistance recurrence infection

    on-typhoidal (e!g S. entericaTyphimurium)" 1!# $illioncases and # million deaths/yr (ma%or pro$lem in su$-&arahan'frica)

    Salmonellapathogenesis

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    SalmonellaTyphi andhuman typhoid

    Typhoid prevalence, 2006

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    Transmission (faecal-oral)

    SalmonellaTyphi andhuman typhoid

    Chronic carrier stateTyphoid Mary

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    S.Typhi S.Typhimurium

    h (10 days)

    T0

    1* days

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    Human diseases

    Typhoid (S. entericaTyphi and S. Paratyphi):17 million cases

    and 600,000 deaths/yr - increasing multiple drug resistance recurrence infection

    on-typhoidal (e!g S. entericaTyphimurium)" 1!# $illioncases and # million deaths/yr (ma%or pro$lem in su$-&arahan

    'frica)

    Salmonellapathogenesis

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    S.Typhimurium in+asion of cells

    olonisation of Peyer.s

    Patches, mesenteric lymphnodes

    atal $acteraemiantracellular replication in spleen and li+e

    macrophages (up to 10 $acterial cells/org

    implies 2#0 rounds of cell di+ision)

    Murine model of Typhoidfever

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    3stimates suggest appro4! of S.Typhimuriumgenome

    5uired for +irulenceS.Typhimurium has 600 s 82 appro4! +irulence gen

    ppro4! genes identi9ed to dateost are present on Pathogenicity slands/islets (2 60)

    :ut, $iochemical and physiological functions of manyemain un;no

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    !i"erent virulence genes act atdi"erent stages of S. Typhimurium

    virulencestage of environmental response virulenceinfection stimulus genes

    stomach low pH acid tolerance fur, atr

    small osmotic stress motilityintestine anaerobiosis adhesion flg, lpf and pef

    epithelium anaerobiosis invasion many (e.g.inv/spa)penetration cell contact

    blood- complement serum resistance rfb, rfc, rckstream antimicrobial peptide resistance sap, htr

    peptides

    macrophage low pH, low Mg comple! many(pag, "#$-%, spv)

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    Salmonella-containing vacuoles in spleen cells

    Salmonellaan intracellularpathogen

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    isteriahigella

    SalmonellaMycobacteria

    Coxiella

    Salmonellaan intracellularpathogen

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    #ntracellular replication in macrophages($6 h)

    %ild-type

    Dhar and McKinney, Current Opinion in Microbiology 2007

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    pDiGi

    pDiGc

    Helaine et al, PNAS 200

    Measuring replication y &luorescence!ilution

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    Helaine et al, PNAS 200

    !one"#arro$ deri%ed#acrophage&

    ' h

    Non"replicating bacteria ( )0 *

    Measuring replication y &luorescence!ilution

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    Many bacterial species form persisters - highly tolerant to antibiotics

    Persistent bacterial infections pose significant public-health problems

    Typhoid fever in humans - 1! of treated patients suffer a relapse

    " ma#or brea$through %as the discovery that E. coli in vitro persisters are non-

    replicating bacterial cells &Balaban et al' Science ())*+

    'acterial persisters

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    Per&i&ter& are tran&iently tolerant to A! treat#ent

    +nteraction $ith ho&t M=, e%en tran&ient, enhance& the or#ation oper&i&ter cell& o Salmonella to- dierent cla&&e& o A!

    Survival of Salmonella to AB treatment

    Salmonellapersisters induced y contact%ith host M

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    . *

    2 *

    Antibiotic tolerant bacteria / non"ly&ed by epo&ure to beta"lacta#

    Ho&t induced per&i&ter& are non"replicatingbacteria

    total intracellular

    population

    )

    ()

    *)

    ,)

    )

    1))

    !

    ofMa.

    1))

    1)1

    1)(

    1)/

    1)*

    0P

    total intracellular

    population

    intracellular

    persisters

    )

    ()

    *)

    ,)

    )

    1))

    !

    ofMa.

    1))

    1)1

    1)(

    1)/

    1)*

    0P

    luorescence

    Host induced Salmonellapersisters arenon-replicating

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    21 hin #acrophage&

    ceotai#e 200 g3#4

    arabino&e

    gfp dsRed

    +P56"inducible arabino&e"inducible

    Proportion o the non"replicatingbacteria re&u#e gro$th

    1))

    1)1

    1)(

    1)/

    1)*

    31-H

    1)

    )

    1)1

    1)(

    1)/

    1)*

    13(-H

    8e&pon&i%e non"replicating bacteriaater 21 h in #acrophage&

    0P

    Ds2ed

    1))

    1)1

    1)(

    1)/

    1)*

    31-H

    1)

    )

    1)1

    1)(

    1)/

    1)*

    13(-

    H

    8egro$ing non"replicating bacteriaater 21 h in #acrophage&

    Ds2ed

    0P

    responding

    regro%ing

    on-replicating acteria*egro%th

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    21 hin #acrophage&

    ceotai#e 200 g3#4

    arabino&e

    Non replicating bacteria9 re&er%oir or relap&e o inection

    1))

    1)1

    1)(

    1)/

    1)*

    1))

    1)1

    1)(

    1)/

    1)*

    1))

    1)1

    1)(

    1)/

    1)*

    1))

    1)1

    1)(

    1)/

    1)*

    Ds2ed

    8e&pon&i%e per&i&ter& a,ter 21 h in +:Nacti%ated C)7 #acrophage&

    8e&pon&i%e and regro$ing per&i&ter& inC)7 #acrophage&

    Ds2ed

    0P 0P

    on-replicating acteria*egro%th

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    Bacterial actors 4 Host signals 4

    Heterogeneity of intracellular population

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    Human diseases

    Typhoid (S. entericaTyphi and S. Paratyphi):17 million cases

    and 600,000 deaths/yr - increasing multiple drug resistance recurrence infection

    on-typhoidal (e!g S. entericaTyphimurium)" 1!# $illioncases and # million deaths/yr (ma%or pro$lem in su$-&arahan

    'frica)

    Salmonellapathogenesis

    Salmonella an intracellular

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    +#-$mediates in+asion of host cells

    andintestinal secretory and in?ammatoryresponses

    +#-2is re5uired for $acterial replicationand immune modulation

    Salmonellaan intracellularpathogenT%o T++

    Salmonella an intracellular

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    Adhesion Invasion SCV formation SCV maturation Replication

    SP5-1 T/SS SP5-( T/SS

    6.tracellular 5ntracellular

    Salmonellaan intracellularpathogenT%o T++

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    e@ectors induce actin polymerisation,

    mem$rane ruAing and $acterial internalisation

    Salmonellainvasion of epithelialcells occurs

    via the +#-$ type ### secretion

    system

    3@ector

    Salmonella an intracellular

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    Adhesion Invasion SCV formation SCV maturation Replication

    SP5-1 T/SS SP5-( T/SS

    6.tracellular 5ntracellular

    Salmonellaan intracellularpathogenT%o T++

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    effectors &Sif"' Sse7' Sse0' etc+

    translocon pore &Sse8' SseD+

    translocon &SseB+

    vacuolar membrane

    bacterial outermembrane

    bacterial innermembrane

    Ssa9

    Ssa8

    secreton needle

    Ssa7

    H:

    H:

    H:

    H:

    H: H:

    H:

    SsaM

    Spi8

    Ssa3

    cidic pH triggerssecretion

    ssaVmutantis null for+#-2 function

    +#-2 Type ###

    cretion system

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    #ntracellular replication defect of a +#-2null mutant in macrophages ($6 h)

    %ild-type +#-2 mutant

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    ."ectors of the +#-2 T++

    rom igueira and Holden' Microbiology' ()1(

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    ."ectors of the +#-2 T++

    rom igueira and Holden' Microbiology' ()1(

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    ."ectors of the +#-2 T++

    :igueira et al, #anu&cript in preparation

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    Human diseases

    Typhoid (S. entericaTyphi and S. Paratyphi):17 million casesand 600,000 deaths/yr - increasing multiple drug resistance recurrence infection

    on-typhoidal (e!g S. entericaTyphimurium)" 1!# $illioncases and # million deaths/yr (ma%or pro$lem in su$-&arahan'frica)

    Salmonellapathogenesis

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    yphoidal Salmonella in H#/-infected frican

    T& (S.Typhimurium and 3nteritidis)"

    Predominantly cause self-limiting gastroenteritis:BTma%or cause of in+asi+e disease in 'frica, young

    children and CD-infected adults

    on speci9c fe+er (E/- diarrhea) :acteremiaase fatalities (**-> F)': resistanceo +accine

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    &2eddy 6"' et al; Lancet Infect Dis ()1)+

    Salmonellaeare the commonest causeof acterial loodstream infection in

    frica

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    yphoidal Salmonella in H#/-infected frican

    ;oro, et al. ature Genetics, *01*

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    yphoidal Salmonella in H#/-infected frican

    Cost resistance to Salmonellarelies on"

    - cell-mediated immunity (macrophages, Ps, Hcells)

    - complement ;illing (induced $y 'nti$odies Ps)

    CD-uninfected sera CD-infected sera

    34posure to serum (min)Iog10changeinSalmone

    lla(cfu/ml)

    Iac; of '$J

    acIenan, et al. &cience, *010

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    yphoidal Salmonella in H#/-infected frican

    CD-uninfected sera CD-infected sera

    Total anti- &almonella gG titerIog

    10changein

    Salmonella(cfu/ml)

    acIenan, et al. &cience, *010

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    yphoidal Salmonella in H#/-infected frican

    nhi$itory factor" IP& gG

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    yphoidal Salmonella in H#/-infected frican

    nhi$itory factor" IP& gG

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    yphoidal Salmonella in H#/-infected frican

    nhi$itory factor" IP& gG

    Ki+erting complement deposition a

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    Salmonella enterica di@erent diseases, typhoid and non-typhoidal

    eplicates in macrophages in mem$rane-$ound +acuoles

    Persists chronic infection, carriers/shedders

    &P-1 and &P-* Type secretion systems are important

    +irulence components" &P-1 for in+asion and &P-* forreplication

    +ummary

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