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ANTIOBIOTIC RESISTANCE TRANMISSION AND MOLECULAR ECOLOGY OF SALMONELLA ... PDF

103 Pages·2006·0.47 MB·English
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ANTIOBIOTIC RESISTANCE TRANMISSION AND MOLECULAR ECOLOGY OF SALMONELLA ENTERICA SUBTYPES FROM NEW YORK STATE A Thesis Presented to the Faculty of the Graduate School of Cornell University In Partial Fulfillment of the Requirements for the Degree of Master of Science by Samuel David Alcaine January 2007 © 2007 Samuel David Alcaine ABSTRACT Salmonella enterica is a gram-negative, rod shaped bacillus, which inhabits the intestines of mammals, reptiles and birds. In the United States, Salmonella is one of the leading causes of food-borne illness, and is typically acquired through the consumption of contaminated food or water. Modern public health practises have lead to a decrease in the number of Salmonella infections, however, there has been rise in the number of infections caused by antimicrobial-resistant Salmonella. The rise of antimicrobial-resistant Salmonella subtypes, including the appearance of subtypes resistant to ceftriaxone, represents a particular concern. Ceftriaxone is used to treat invasive cases of Salmonella in children, and is closely related to ceftiofur, an antibiotic commonly used to treat diseases of cattle. In order to develop a better understanding of the evolution and transmission of ceftiofur resistance in Salmonella, we characterized ceftiofur resistant and sensitive Salmonella isolates from seven New York dairy farms. A total of 39 isolates from these seven farms were analyzed for evolutionary relatedness (by DNA sequencing of the Salmonella genes fimA, manB, and mdh), antibiotic-resistance profiles, and the presence of bla , a beta-lactamase gene associated with resistance to CMY-2 cephalosporins. Our data indicate that (i) resistance to ceftriaxone and ceftiofur were highly correlated with the presence of bla ; (ii) ceftiofur resistant Salmonella were CMY-2 geographically widespread as shown by their isolation from farms located throughout New York state; (iii) ceftiofur resistant Salmonella isolated from farms represent multiple distinct subtypes and evolutionary lineages as determined by serotyping, DNA sequence typing, and antimicrobial-resistance profiles; and (iv) ceftiofur resistant Salmonella evolved by multiple independent acquisitions of an identical bla allele and by clonal spread of ceftiofur resistant subtypes. CMY-2 A collection of 179 human and 166 bovine clinical Salmonella isolates obtained from across New York State over the course of one year were characterized using serotyping and multilocus sequence typing (MLST) scheme based on the sequencing of three genes (fimA, manB, and mdh). The 345 isolates were differentiated into 52 serotypes and 75 sequence types (STs). Serotypes and STs were not randomly distributed among human and bovine isolates and selected serotypes and STs were exclusively associated with human and bovine isolates. A number of common STs were geographically widely distributed, including isolates representing the emerging Salmonella serotype 4,5,12:i:-, which was found among human and bovine isolates in a number of counties in New York state. Phylogenetic analyses supported that serotype 4,5,12:i:- is closely related to Salmonella Typhimurium and that Salmonella Newport represents two distinct evolutionary lineages that differ in their frequency in human and bovine isolates. A number of isolates carried two copies of manB (48 isolates) or showed small deletion events in fimA (9 isolates). Our data indicate that (i) serotyping and MLST typing both provide for sensitive subtype discrimination of Salmonella; (ii) bovine and human Salmonella subtypes represent distinct and overlapping populations; (iii) a number of Salmonella clonal groups, including emerging subtype 4,5,12:i:-, are geographically widespread among human and/or bovine populations; (iv) Salmonella Newport represents two distinct phylogenetic lineages that appear to be host specific; and (v) duplication and deletion events in manB and fimA may provide a mechanism for rapid diversification of Salmonella surface molecules. BIOGRAPHICAL SKETCH Samuel Alcaine was born on a cold Thanksgiving Day in 1979. He is considered a hero by some, a legend by others, and completely unknown to the majority of the world. Exactly why he was selected by Dr. Martin Wiedmann to join the Food Science Lab at Cornell University, he will never know. What he does know is that his time in Ithaca and the Wiedmann Lab was one of the most important experiences in his life, and the people he met there have shaped him for the better, or so he hopes. His greatest triumphs were achieved either while chilling with the members of I-ETA-PI at the hip and exclusive bar known as Korova, or while streaking plates and singing La Ley late at night in the Wiedmann lab. While those moments arguably changed the world we live in, they are not recorded in the following pages. What follows is Samuel Alcaine’s attempt, with much help and prodding from Dr. Martin Wiedmann, to do something useful for society. iii ACKNOWLEDGMENTS First off, none of this would have happened if not for Dr. Martin Wiedmann. I owe him a big thank you for putting up with me and taking the time to teach me how to think like a scientist. Like any lab there were always up and downs, but in the end, if given the chance, I would happily do it again. I also owe a thank you to Dr. Lorin Warnick for being my advisor and providing the Salmonella collection that was the basis of my studies. He gave me an important second point of view to turn to for help on my work and my knowledge. I will never forget about bacteriocins again. I would also like to thank Dr. Kathryn Boor for her support while I was working in the Food Safety Lab. Thank you to Dr. Patrick McDonough for storing, sending, and testing the hundreds of isolates I would later streak up and type late at night. Thanks to all my lab mates and friends: Marker, Paddy, and Eric for being my partners in crime. Alphina, Jesse, Yesim and Reed for all their help. A huge thanks- from-keeping-me-from-going-crazy to Esther, you are the glue, we are the pieces. Thanks to all the undergrads and visitors that helped with the sometimes thankless grunt work: Wan-lin (I hope you’re still driving), Jessica O, and Marlin. Finally a shout out to my family, friends, I-ETA-PI, and everyone at Korova, without your support, ears, beers, and laughter, I would be as gray as the Ithaca skies. iv TABLE OF CONTENTS Page CHAPTER 1 ANTIMICROBIAL RESISTANCE IN SALMONELLA: A 1 REVIEW CHAPTER 2 CEFTIOFUR RESISTANT SALMONELLA ISOLATED 37 FROM DAIRY FARMS REPRESENT MULTIPLE WIDELY DISTRIBUTED SUBTYPES THAT EVOLVED BY INDEPENDENT HORIZONTAL GENE TRANSFER CHAPTER 3 MULTILOCUS SEQUENCE TYPING SUUPORTS THAT 60 BOVINE AND HUMAN ASSOCIATED SALMONELLA REPRESENT DISTINCT AND OVERLAPPING POPULATIONS INCLUDING CLONAL GROUPS WITH DUPLICATION AND DELETION EVENTS IN GENES ENCODING CELL SURFACE PROTEINS v LIST OF FIGURES Page FIGURE 2.1 Distribution of MLST types across New York dairy farms 48 FIGURE 2.2 Phylogenetic tree of Salmonella isolates based on the 51 concatenated manB, mdh, and fimA sequences FIGURE 3.1 Phylogenetic trees based on Salmonella mdh and fimA gene 79 sequences FIGURE 3.2 DNA and amino acid sequences of fimA deletion types 85 vi LIST OF TABLES Page TABLE 1.1 Drug-resistant Salmonella Outbreaks 5 TABLE 1.2 Summary of Antibiotic Resistance in 7 Salmonella TABLE 2.1 PCR primers and conditions 43 TABLE 2.2 Allelic profiles and MLST types of 49 Salmonella isolates TABLE 2.3 Serotype, MLST, and antibiotic 53 resistance profiles of Salmonella isolates TABLE 3.1 Farms with multiple sample-submission 71 dates resulting in Salmonella isolation from clinically infected animals TABLE 3.2 Distribution of Salmonella serotypes 75 among sequence types (STs) and human andbovine isolates TABLE 3.3 Salmonella Sequence Type (ST) 76 Distribution among different counties in New York State TABLE 3.4 Serotypes that include at least one isolate 82 that carries two manB copies TABLE 3.5 Serotypes that include at least one isolate 84 that carries a deletion in the 3’ end of fimA vii CHAPTER 1 ANTIMOCROBIAL RESISTANCE IN SALMONELLA: A REVIEW* *S. D. Alcaine, L. Warnick, and M. Wiedmann 1

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1999. Molecular characterization of an antibiotic resistance gene cluster of Salmonella typhimurium DT104. Antimicrob. Agents Chemother. 43:846-849. 20. Cabrera, R., J. Ruiz, F. Marco, I. Oliveira, M. Arroyo, A. Aladuena, M. A.. Usera, M. T. Jimenez De Anta, J. Gascon, and J. Vila. 2004. Mechanism
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