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We owe our deepest gratitude to Dr. Rashmi Prabha Singh,under whose guidance and
continuous support this report is written and prepared.
We feel honored and it is a pleasure to thank Prof. Satyawada Rama Rao, Head of Sharda
School of Basic Life Sciences (SBSR) M.Sc. (Biotechnology) and our other faculty members
for their continuous help and support.
We also thank our participants for giving their ears and time for purpose of completion of this
work.
And finally, we express my heartfelt thanks to our parents, God, and to all our dear
classmates – who supported and suggested us - without whom this report would not have
been possible.
CERTIFICATE
This is to certify that Ms. Naba Fatima (System Id: 2022340629) from M.Sc. Biotechnology,
Department of Life Sciences, School of Basic Sciences and Research, has completed her
Research Based Learning (004) on the topic “Identification of potent inhibitors against
Salmonella Typhi using in-silico approach” under the supervision of Dr. Rashmi Prabha
Singh, during the academic year 2023-2024, as per guidelines.
Salmonella stands out as a frequent culprit among foodborne pathogens, posing a substantial
global public health threat with an annual toll of 93.8 million foodborne illnesses and 155,000
fatalities. The extensive array of Salmonella comprises over 2500 serotypes, with more than
half falling under Salmonella enterica subsp. enterica, responsible for the majority of human
Salmonella infections. Infections involving invasive serotypes are particularly perilous, often
demanding prompt and effective antibiotic intervention. The rise of multi-drug-resistant
(MDR) Salmonella strains significantly challenges antibiotic efficacy, potentially elevating
mortality rates associated with Salmonella infections. Epidemiological findings underscore the
heightened virulence of MDR Salmonella serotypes, leading to more severe and prolonged
illnesses in affected individuals. Proposed preventive measures include upholding stringent
food hygiene and water sanitation practices, alongside advocating for the judicious use of
antibiotics in food animals. This comprehensive review presents an encompassing exploration
of Salmonella infections, encompassing nomenclature, pathogenesis, clinical manifestations,
epidemiology, and the escalating challenge of antibiotic resistance in Salmonella.
S.no. Contents
1. Introduction
3. Pathogenesis
4. Clinical Manifestations
5. Clinical Relevance
6. Prevention
10. Conclusion
Introduction
Salmonella infection continues to pose a significant global public health challenge, imposing
economic burdens on both developed and developing nations due to the expenses associated
with disease surveillance, prevention, and treatment (Crump et al. 2004). The predominant
clinical manifestation of Salmonella infection worldwide is gastroenteritis, with bacteraemia
and enteric fever following closely (Majowicz et al. 2010). Salmonella, a rod-shaped Gram-
negative facultative anaerobe belonging to the family Enterobacteriaceae, encompasses
approximately 2600 serotypes identified through the standard Kauffman–White scheme. Most
of these serotypes exhibit adaptability across a range of animal hosts, including humans
(Allerberger et al. 2003). Among the most frequently isolated foodborne pathogens, Salmonella
and Campylobacter are commonly found in poultry, eggs, and dairy products (Silva et al. 2011).
Additionally, fresh fruits and vegetables contribute to the transmission of Salmonella (Pui et
al. 2011). Generally, food animals such as swine, poultry, and cattle serve as primary sources
of Salmonella infections. The primary dissemination routes for these pathogens involve the
trade in animals, and raw animal food products constitute a noteworthy aspect of the discussion.
The slaughtering procedures employed in abattoirs stand out as a significant contributor to the
contamination of organs and carcasses with Salmonella (Gillespie et al. 2005). The increasing
prevalence of antibiotic-resistant foodborne pathogens has become a cause for public concern,
given the heightened virulence of these pathogens, resulting in elevated mortality rates among
infected individuals (Chiuetal.2002)
Nomenclature and Classification
Salmonella was initially identified and isolated from the intestines of pigs afflicted with
classical swine fever by Theobald Smith in 1855. In honour of Dr. Daniel Elmer Salmon this
bacterial strain was named, an American pathologist who collaborated with Smith. The
nomenclature of Salmonella has been a subject of debate and continues to evolve. Presently,
the Centres for Disease Control and Prevention (CDC) adheres to the nomenclatural system for
Salmonella recommended by the World Health Organization (WHO) Collaborating Centre
(Popoff et al. 2003). According to this system, the genus Salmonella is categorized into two
species, Salmonella enterica (as the type species) and Salmonella bongori, determined by
distinctions in their 16S rRNA sequence analysis. The species S. enterica can be intricately
subdivided into six subspecies, their classification hinging on both genomic relatedness and
biochemical properties, as delineated by Reeves et al. in 1989. These subspecies are
distinguished by Roman numerals: I for S. enterica subsp. enterica, II for S. enterica subsp.
salamae, IIIa for S. enterica subsp. arizonae, IIIb for S. enterica subsp. diarizonae, IV for S.
enterica subsp. houtenae, and VI for S. enterica subsp. indica. Notably, S. enterica subsp.
enterica (I) takes precedence, being predominantly found in mammals and accounting for
approximately 99% of Salmonella infections in both humans and warm-blooded animals.
Conversely, the remaining five Salmonella subspecies and S. bongori predominantly inhabit
the environment and cold-blooded animals, rendering them relatively uncommon in human
infections (Brenner et al.).
Clinical Manifestations
Categorized by clinical patterns observed in human salmonellosis, Salmonella strains are
broadly divided into typhoid Salmonella and non-typhoid Salmonella (NTS). Within human
infections, four distinct clinical manifestations emerge: enteric fever, gastroenteritis,
bacteraemia, and other extraintestinal complications, along with the chronic carrier state, as
outlined by Sheorey & Darby in 2008.
Clinical relevance
The emergence of multi-drug resistance among Salmonella serotypes profoundly affects the
efficacy of antibiotic treatment for Salmonella infections. Infections associated with invasive
serotypes are frequently life-threatening, necessitating the application of potent antibiotic
treatments. Historically, quinolones and third-generation cephalosporins have been the
preferred antibiotics in such case in the treatment of infections caused by Multi-Drug Resistant
(MDR) Salmonella, quinolones and third-generation cephalosporins have traditionally been the
antibiotics of choice (Karon et al. 2007). However, the emergence of Salmonella serotypes
resistant to quinolones and cephalosporins presents a novel challenge in managing infected
patients. The absence of effective antibiotic therapy may contribute to an escalation in
morbidity and mortality rates.
Current preventive measures for enteric fever emphasize access to safe water and food, proper
sanitation, and the use of typhoid vaccines. Ensuring the safety of water for consumption is a
crucial step in eliminating potential transmission routes for both typhoid Salmonella and non-
typhoid Salmonella (NTS). While this goal has been successfully achieved in industrialized
countries like Europe and the USA, challenges persist in developing and underdeveloped
nations (Clasen et al. 2007).
Salmonella spp. can be present in various foods, particularly in poultry, eggs, and dairy
products. Proper handling and cooking of food are recommended measures to eliminate
bacterial contamination. Food irradiation, endorsed by public health agencies including the
WHO and CDC, has been promoted in many countries due to its effectiveness in reducing the
risk of food contamination. However, its utilization is limited in some regions in Europe and
the USA due to concerns about radioactivity (Osterholm & Norgan 2004).
Prevention
The primary transmission route for enteric fever is contaminated water or food. Historically,
USA and Western Europe were endemic. However, the incidence of Salmonella infection
significantly decreased through the implementation of proper food and water sanitation
practices and pasteurization of dairy products. A similar decline in Salmonella infections was
observed in Latin America following the introduction of sanitation measures (Crump et al.
2004).
Current preventive measures for enteric fever emphasize access to safe water and food, proper
sanitation, and the use of typhoid vaccines. Ensuring the safety of water for consumption is a
crucial step in eliminating potential transmission routes for both typhoid Salmonella and non-
typhoid Salmonella (NTS). While this goal has been successfully achieved in industrialized
countries like Europe and the USA, challenges persist in developing and underdeveloped
nations (Clasen et al. 2007).
Vaccination stands out as an effective measure in preventing enteric fever. Currently, two types
of vaccines, inactive parenteral and oral live attenuated, are approved for the prevention of
enteric fever. However, these licensed vaccines are limited to infants and are not effective
against infections caused by S. Paratyphi and NTS (Lin et al. 2001). Regarding NTS, a valuable
preventive measure involves restricting the inappropriate use of antibiotics in food animals and
their feed (Talbot et al. 2006).
Cell wall synthesis of Salmonella Typhi
The intricate polysaccharides found in the cell wall lipopolysaccharides play a crucial role in
determining the somatic (O) antigen specificities of Salmonella typhimurium and E. coli. These
polysaccharides are composed of highly branched structures linked to a lipid containing
glucosamine. The polysaccharide component may consist of up to six neutral sugars, including
L-glycero-D-mannoheptose, glucose, galactose, mannose, rhamnose, and abequose (3,6-
dideoxy-D-galactose), all identified as integral parts of the S. typhimurium polysaccharide.
It is believed that these polysaccharides possess an internal core structure, potentially common
among all enteric bacteria. Complex side chains with group or species-specific antigenic
determinants are attached to this core. Recent insights into the structure and biosynthetic
mechanism of these polysaccharides have emerged from studies involving mutant organisms
deficient in specific nucleotide sugar synthesis.
Nikaido's work revealed that mutants incapable of synthesizing UDP-galactose, due to the loss
of UDP-galactose 4-epimerase, produce incomplete polysaccharides. These mutants exhibit a
distinct lack of galactose and other sugars present in normal polymers, representing the
innermost core region of the wild-type polysaccharide. Previous investigations on a UDP-
galactose-4-epimerase-deficient strain of S. typhimurium demonstrated that the incomplete
"core" polysaccharide from this mutant contains glucose, L-glycero-D-mannoheptose, and
phosphate.
Further exploration has now uncovered that this polysaccharide also contains 2-keto-3-
deoxyoctonate (KDO), a component recently identified by Heath and Ghalambor in the
lipopolysaccharide structure E. coli O111. Consistent with the findings of these researchers,
the majority of the 2-keto-3-deoxyoctonate (KDO) present in the lipopolysaccharide of the S.
typhimurium mutant seems to be in glycosidic linkage at non-reducing terminal positions.
However, around 25 percent of the total KDO is located in a different position; this fraction is
recovered in the purified, lipid-free polysaccharide and occupies the reducing-terminal position
of glucose-heptose-phosphate chains.
Most if not all, of the polysaccharide chains appear to contain KDO at the reducing end,
suggesting that this sugar acid may play a role in linking the core polysaccharide to the lipid
moiety of the intact lipopolysaccharide.
Genes involved in cell wall synthesis
Salmonella Typhi possesses a suite of genes dedicated to cell wall synthesis. In Gram-
negative bacteria like Salmonella Typhi, the cell wall primarily comprises peptidoglycan,
imparting structural integrity to the bacterial cell. The genes linked to cell wall synthesis in
Salmonella Typhi encompass those responsible for encoding enzymes engaged in
peptidoglycan biosynthesis and assembly. Notable examples include:
MraY
Function: MraY is involved in the initial steps of peptidoglycan biosynthesis. It catalyzes the
transfer of the first membrane-anchored peptidoglycan precursor, lipid I, to the outer leaflet of
the inner membrane.
Role: MraY is essential for the synthesis of the peptidoglycan precursor, a crucial step in
building the bacterial cell wall.
MurA
Function: MurA is responsible for the addition of the first amino acid, UDP-N-
acetylglucosamine, to the lipid I precursor, forming UDP-N-acetylmuramic acid.
Role: MurA is a key enzyme in the early stages of peptidoglycan biosynthesis and is essential
for the production of peptidoglycan monomers.
MurB
Function: MurB catalyzes the addition of a second amino acid to UDP-N-acetylmuramic acid,
forming the precursor UDP-N-acetylmuramoyl-L-alanine.
Role: MurB is involved in the sequential steps leading to the formation of the peptidoglycan
precursor, contributing to the synthesis of the peptidoglycan backbone.
The organism commonly employed for studying regulatory elements linked to cellulose
production is Gluconacetobacter xylinus, previously known as Acetobacter xylinus(m). In this
bacterium, glucose units in UDPG (Uridin-5¢-diphosphoglucose) are incorporated into the
cellulose polymer (1,4-β-D-glucan) by a membrane-bound cellulose synthase. The activity of
this synthase is specifically reliant on cyclic diguanylic acid (c-di-GMP) (Ross et al., 1987;
1990; Weinhouse et al., 1997). Cellulose synthesis in G. xylinus is regulated by the opposing
actions of two enzymes: diguanylate cyclase (DGC) and c-di-GMP diesterase (PDEA),
controlling the cellular level of c-di-GMP (for an in-depth review, refer to Ross et al., 1991). In
a comprehensive study, Tal et al. (1998) identified the dgc and pdeA genes as pivotal
components in the turnover of this novel effector. The identification of two adjoining domains,
GGDEF and EAL, shared by all DGC and PDEA isoenzymes, suggests the involvement of
either or both domains in diguanylate cyclase activity (Ausmees et al., 2001). Notably, the
GGDEF domain is prevalent in the genomes of free-living bacteria, although the majority of
GGDEF proteins have not been experimentally characterized yet (Galperin et al., 2001).
Bakowski MA, Braun V, Brumell JH. 2008. Salmonella containing vacuoles: directing traffic
and nesting to grow. Traffic. 9:2022–2031.
Barlow M, Hall BG. 2002. Origin and evolution of the AmpC beta-lactamases of Citrobacter
freundii. Antimicrob Agents Chemother. 46:1190–1198.
Barton Behravesh C, Jones TF, Vugia DJ, Long C, Marcus R, Smith K, Thomas S, Zansky S,
Fullerton KE, Henao OL, et al. 2011. Deaths associated with bacterial pathogens transmitted
commonly through food: foodborne diseases active surveillance network (FoodNet), 1996–
2005. The Journal of Infectious Diseases. 204(2):263–267.
Downloaded by [UQ Library] at 22:27 16 June 2015 8 S.-K. Eng et al. Brenner FW, Villar RG,
Angulo FJ, Tauxe R, Swaminathan B. 2000. Salmonella nomenclature. J Clin Microbiol.
38:2465– 2467.
Buch NA, Hassan MU, Kakroo DK. 1994. Enteric fever – a changing sensitivity pattern, clinical
profile and outcome. Indian Pediatrics. 31:981–985.
Carattoli A, Tosini F, Giles WP, Rupp ME, Hinrichs SH, Angulo FJ, Barrett TJ, Fey PD. 2002.
Characterization of plasmids carrying CMY-2 from expanded-spectrum cephalosporinresistant
Salmonella strains isolated in the United States between 1996 and 1998. Antimicrobe Agents
Chemother. 46:1269–1272.
Chiu CH, Wu TL, Su LH, Chu C, Chia JH, Kuo AJ, Chien MS, Lin TY. 2002. The emergence in
Taiwan of fluoroquinolone resistance in Salmonella enterica serotype choleraesuis. The New
England Journal of Medicine. 346:413–419.
Chuang CH, Su LH, Perera J, Carlos C, Tan BH, Kumarasinghe G, So T, Van PH,
Chongthaleong A, Hsueh PR, et al. 2009. Surveillance of antimicrobial resistance of Salmonella
enterica serotype Typhi in seven Asian countries. Epidemiology and Infection. 137:266–269.
Clasen T, Schmidt WP, Rabie T, Roberts I, Cairncross S. 2007. Interventions to improve water
quality for preventing diarrhoea: systematic review and meta-analysis. British Medical Journal.
334(14):782.
Centers for Disease Control and Prevention. 2007. Multistate outbreak of Salmonella serotype
Tennessee infections associated with peanut butter – United States, 2006–2007. MMWR
Morbidity and mortality weekly report. 56:521– 524.
Crump JA, Luby SP, Mintz ED. 2004. The global burden of typhoid fever. Bulletin of the World
Health Organization. 82:346–353.
Crump JA, Medalla FM, Joyce KW, Krueger AL, Hoekstra RM, Whichard JM, Barzilay EJ.
2011. Antimicrobial resistance among invasive nontyphoidal Salmonella enterica isolates in the
United States: national antimicrobial resistance monitoring system, 1996 to 2007. Antimicrob.
Agents Chemother. 55:1148–1154.
Dione MM, Ikumapayi UN, Saha D, Mohammed NI, Geerts S, Ieven M, Adegbola RA, Antonio
M. 2011. Clonal differences between non-typhoidal Salmonella (NTS) recovered from children
and animals living in close contact in the Gambia. PLoS Neglected Tropical Diseases. 5: e1148.
Gillespie IA, O’Brien SJ, Adak GK, Ward LR, Smith HR. 2005. Foodborne general outbreaks of
Salmonella Enteritidis phage type 4 infection, England and Wales, 1992– 2002: where are the
risks? Epidemiology and Infection. 133: 759–801.
Gonzalez-Escobedo G, Marshall JM, Gunn JS. 2011. Chronic and acute infection of the gall
bladder by Salmonella Typhi: understanding the carrier state. Nat Rev Microbiol. 9: 9–14.
Gordon MA, Graham SM, Walsh AL, Wilson L, Phiri A, Molyneux E, Zijlstra EE, Heyderman
RS, Hart CA, Molyneux ME. 2008. Epidemics of invasive Salmonella enterica serovar
enteritidis and S. enterica Serovar typhimurium infection associated with multidrug resistance
among adults and children in Malawi. Clinical Infectious Diseases. 46(7):963–969.
Guerra B, Soto SM, Arguelles JM, Mendoza MC. 2001. Multidrug resistance is mediated by
large plasmids carrying a class 1 integron in the emergent Salmonella enterica serotype
[4,5,12:i:-].
Guibourdenche M, Roggentin P, Mikoleit M, Fields PI, Bockemuhl J, Grimont PA, Weill FX.
2010. Supplement 2003– 2007 (No. 47) to the White–Kauffmann–Le Minor scheme. Res
Microbiol. 161:26–29.