Figures
Abstract
Salmonella enterica and Escherichia coli are well-known bacteria commonly associated with foodborne illnesses in humans and animals. Genomic characterization of these pathogens provides valuable insights into their evolution, virulence factors and resistance determinants. This study aimed to characterized previously isolated Salmonella (n = 14) and E. coli (n = 19) from milk, meat and its associated utensils in Ghana using whole-genome sequencing. Most of the Salmonella serovars (Fresno, Plymouth, Infantis, Give and Orleans) identified in this study are yet to be reported in Ghana. Most Salmonella isolates were pan-sensitive, but genes conferring resistance to fosfomycin (fosA7.2) and tetracycline (tet(A)) were detected in one and three isolates, respectively. Seven of the Salmonella isolates carried the IncI1-I(Gamma) plasmid replicon. Although antimicrobial resistance was not common among Salmonella strains, most (11/19) of the E. coli strains had at least one resistance gene, with nearly half (8/19) being multidrug resistant and carried plasmids. Three of the 19 E. coli strains belonged to serovars commonly associated with enteroaggregative E. coli (EAEC) pathotype. While strains belonging to virulence-associated lineages lacked key plasmid-encoded virulence plasmids, several plasmid replicons were detected in most of the E. coli (14/19) strains. Food contaminated with these pathogens can serve as a vehicle for disease transmission, posing a significant public health risk and necessitating stringent food safety and hygiene practices to prevent outbreaks. Hence, there is need for continuous surveillance and preventive measures to stop the spread of foodborne pathogens and reduce the risk of associated illnesses in Ghana.
Citation: Sunmonu GT, Adzitey F, Odih EE, Tibile BA, Ekli R, Aduah M, et al. (2025) Genomic characterization of foodborne Salmonella enterica and Escherichia coli isolates from Saboba district and Bolgatanga Municipality Ghana. PLoS ONE 20(2): e0315583. https://doi.org/10.1371/journal.pone.0315583
Editor: Mabel Kamweli Aworh, North Carolina State University, UNITED STATES OF AMERICA
Received: September 11, 2024; Accepted: November 28, 2024; Published: February 7, 2025
Copyright: © 2025 Sunmonu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: The sequence reads were deposited in the European Nucleotide Archive with the study accession PRJEB58695 (For ease of retrieval, a full listing of the specific sequences is included in S1 Table).
Funding: Whole genome sequencing and analysis for this project was supported through SEQAFRICA, a regional award funded by the Department of Health and Social Care’s Fleming Fund using UK aid. INO is a Calestous Juma Fellow supported by the Bill and Melinda Gates Foundation (INV-036234). The views expressed in this publication are those of the authors and not necessarily those of the Bill and Melinda Gates Foundation, the UK Department of Health and Social Care or its Management Agent, Mott MacDonald. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Introduction
Milk and meat are essential protein sources that constitute a significant and nutrient-rich component of human diets. However, their consumption is often associated with foodborne infections [1], particularly those caused by Salmonella and Escherichia coli [2–5]. Salmonellosis is under-reported in Ghana, and only a few studies have investigated the plausible role of contaminated milk [6], meat, meat products, handlers’ hands and associated surfaces such as knives, tables and aprons [7–9] in facilitating their transmission. Knowledge of food safety practices by key food handlers in Ghana has recently been reported to be suboptimal, as have food safety infrastructure and regulatory enforcement [10, 11]. There have been a few reports of meat samples contaminated with E. coli in Ghana [11–14]. Similarly, E. coli has been recovered from milk, milking utensils, faeces of lactating cow and milkers’ hands [15]. Some of these E. coli strains harbour both virulence and antimicrobial resistance genes (ARGs), raising public health concerns. However, few of these strains have been thoroughly characterized.
There are public health and food safety implications of finding Salmonella and E. coli in food because they are invariably of faecal origin. Globally, in addition to contamination risks, Salmonella and E. coli sourced from milk and meat increasingly exhibit resistance to different classes of antibiotics that is commonly mediated by mobile elements [13, 16–18]. The prevalence of multidrug-resistant (MDR) Salmonella and E. coli is also on the rise in clinical infections [19, 20]. Notably, resistance to extended spectrum beta-lactams, trimethoprim/sulfamethoxazole, chloramphenicol and ciprofloxacin has been reported, often associated with plasmids that could mediate their spread, in both Salmonella and E. coli isolates from milk and retail meats in Ghana [6, 12, 14].
Various methods, including serotyping, antibiotic profiling, pulsed-field gel electrophoresis and whole genome sequencing, have been employed to elucidate the phenotypic and genotypic attributes of foodborne pathogens and to determine their interrelationships and connections to pandemic clones of interest [13, 21]. Next-generation sequencing (NGS) technology, the most versatile and informative approach, has gained recent prominence [22, 23]. NGS is now used by PulseNet to categorize foodborne diseases, enabling nuanced epidemiological investigations [24]. Identification of virulence factors, antibiotic resistance genes, and serotypes are all possible by genomic analysis, which can also provide enhanced information on strain inter-relatedness, and therefore enable source attribution. Data on the genomic characterization of Salmonella and E. coli from milk and meat are few from low- and middle-income countries, including Ghana [7, 25]. In light of this gap, this study aims to characterize the resistance, virulence and plasmid profile of previously isolated Salmonella and E. coli isolated from fresh different retail meats, milk, and associated samples (handler’s hand swab, table, knife and faecal samples) in Saboba district and Bolgatanga Municipality of Ghana.
Methods
Strains
A total of 33 bacterial isolates (14 Salmonella and 19 E. coli species) previously isolated from various fresh and ready-to-eat meats, meat sellers’ tables, milk, milk-collecting utensils, milkers’ hands and faeces of lactating cows were characterized for this study (Table 1) [8, 15, 26, 27]. The isolates originated from markets and farms in Bolgatanga Municipality and Saboba District in Northern Ghana and were cryopreserved in 50% glycerol in Luria broth at -80°C.
Ethical considerations
All isolates were recovered in earlier studies from vended food or at informal food vending premises, including milk cow droppings [8, 15, 26, 27]. Study design and sampling was approved by the Department of Veterinary Science, UDS. No other permissions were obtained or deemed necessary by the department. No humans or animals were use in the research and therefore ethical approval was deemed not required.
Salmonella and E. coli identification
Salmonella isolates were initially confirmed using a latex agglutination kit for Salmonella (Oxoid Limited, Basingstoke, UK) and by PCR targeting the invA gene as described by Rahn et al. (1992) [28], using PCR oligonucleotides invA139f GTGAAATTATCGCCACGTTCGGGCAA and invA141r TCATCGCACCGTCAAGGAACC. PCR was performed using PuRe Taq Ready-To-Go PCR Beads (illustraTM). The PCR cycle used an initial denaturation temperature of 95°C for two minutes, followed by 35 cycles of denaturation at 95°C for 30 seconds, annealing at 55°C for 30 seconds and extension at 72°C for two minutes, then a terminal extension at 72°C for five minutes. Visualization of the 284 bp amplicon was accomplished after electrophoresis on 1.5% (w/v) agarose gels stained with Gel red (biotium), using a UVP GelMax transilluminator and imager. Salmonella isolates positive for invA and E. coli isolates were biotyped with the Gram-negative (GN) test kit (Ref: 21341) on VITEK 2 systems (version 2.0, Marcy-l’Etoile, France, Biomérieux) according to manufacturer’s instructions
DNA extraction, library preparation and whole genome sequencing
Genomic DNA of the isolates was extracted using Wizard DNA extraction kit (Promega; Wisconsin, USA) in accordance with manufacturer’s protocol. Using a dsDNA Broad Range quantification assay, the extracted DNA was quantified on a Qubit fluorometer (Invitrogen; California, USA). dsDNA libraries were prepared using NEBNext Ultra II FS DNA library kit for Illumina with 96-unique indexes (New England Biolabs, Massachusetts, USA; Cat. No: E6609L). DNA libraries was quantified using dsDNA High Sensitivity quantification assay on a Quibit fluorometer (Invitrogen; California, USA) and fragment length analysed with the Bioanalyzer (Agilent). Denatured libraries were sequenced on an Illumina MiSeq (Illumina, California, USA). The raw sequence reads were de novo assembled using SPAdes v3.15.3 [29] according to GHRU protocols (https://gitlab.com/cgps/ghru/pipelines/dsl2/pipelines/assembly).
Sequence typing of Salmonella and E. coli genomes
Sequence reads were deposited in the Salmonella and E. coli database for Salmonella and E. coli respectively on EnteroBase [30] and analyzed using publicly available tools that we have previously validated [31, 32]. Multi-locus sequence types (MLST) for the isolates were determined using ARIBA [33]. Novel ST strains were assigned ST using EnteroBase [30]. The Salmonella genome assemblies were analysed using the Salmonella In-Silico Typing Resource (SISTR) for the prediction of serovars and serogroups [34] (https://github.com/phac-nml/sistr_cmd), while the serotyping of the E. coli genome was done using ECtyper [35].
Identification of AMR, plasmids and virulence genes
PlasmidFinder [36] was utilized to identify plasmid replicons that were present in the assembled genomes. AMRFinderPlus v3.10.24 [37] and its associated database (version 2022-04-04.1) were used to predict the antimicrobial resistance genes carried by the isolates and the drug classes to which they probably conferred resistance. Using ARIBA [33] and the virulence factor database (VFDB, http://www.mgc.ac.cn/VFs/), we were also able to identify the virulence genes that were present in the isolates.
Single Nucleotide Polymorphism (SNP) calling and phylogenetic analysis
For phylogenetic analysis, reference sequences for the Salmonella and E. coli genomes were objectively selected from the National Center for Biotechnology Information Reference Sequence (RefSeq) database (https://www.ncbi.nlm.nih.gov/refseq/) using BactinspectorMax v0.1.3 (https://gitlab.com/antunderwood/bactinspector). The selected references were the S. enterica subsp. enterica serovar Fresno strain (assembly accession: GCF_003590695.1) and the E. coli O25b:H4-ST131 strain (assembly accession: GCF_000285655.3). The sequence reads for each species were then mapped to the chromosome of the reference using BWA (v0.7.17) [38] and variants were called and filtered using bcftools (v1.9) [39] as implemented in the GHRU SNP phylogeny pipeline (https://gitlab.com/cgps/ghru/pipelines/snp_phylogeny). Variant positions were concatenated into a pseudoalignment and used to generate a maximum likelihood tree using iqtree (v1.6.8) [40]. SNP distances between the genome pairs were calculated using snp-dists v.0.8.2 (https://github.com/tseemann/snp-dists).
Results
Salmonella serotypes, sequence types (STs), virulence factors and phylogeny
We used SISTR software to predict the serovars of the 14 Salmonella strains characterized in this study from whole genome sequence reads, which are deposited in the European Nucleotide Archive with the study accession PRJEB58695 (S1 Table). The most common serotype was Fresno (n = 6) followed by Give (n = 3), Orleans (n = 2), Plymouth (n = 1), Agona (n = 1) and Infantis (n = 1). The S. Fresno and S. Orleans isolates were from previously unreported sequence types, now designated ST10742 and ST10465 respectively (S2 Table). As shown in Fig 1, all the isolates from ready-to-eat pork, mutton and chicken belonged to serovar Fresno. S. Fresno isolates were also isolated from a meat vendor’s knife, as was S. Orleans. The three milk isolates, which were all from Saboba, belonged to the serovars Plymouth (ST565), Give (ST516) and Agona (ST13) (Fig 1). Two more ST516 S. Give isolates were recovered from the faeces of milking cow and from a milking utensil.
The matrix below the tree shows the sequence types, serotypes, location of isolation (Bolgatanga municipality or Saboba district) as well as the source/host sample and presence or absence of the IncI1-I(Gamma) plasmid replicon, tetA and fosA resistance genes.
Phylogenetic analysis of the 14 Salmonella isolates from this study showed that all S. Fresno isolates, irrespective of source, clustered together and differed by < 3 SNPs. The two S. Orleans isolates were identical (0 SNPs) and the three S. Give isolates were also identical, with the isolates originating from milk, faeces of milking cow and from a milking utensil, also in Saboba.
All Salmonella isolates harboured curli (csg) genes as well as bcf, fim and ste fimbrial operons and ten of them, representing all serovars except S. Give and Plymouth, carried long polar fimbriae (lpf) genes. The S. Infantis and S. Agona strains carried ratB and shdA. Type III secretion system effector genes, such as: inv, org, prg, sif, spa, sse, ssa and sop were detected in all the isolates while avr was present in 57.1% (8/14) of the isolates and only one isolate harboured gogB. Four of the isolates also encoded the cytholethal distending toxin gene, cdtB (S3 Table).
Plasmid replicons and ARG profiles of Salmonella
The Salmonella isolates were largely pan-sensitive but genes conferring resistance to fosfomycin (fosA7.2) and tetracycline (tet(A)) were detected in one and three isolates respectively. Both S. Orleans isolates and one of the S. Fresno, from ready-to-eat mutton carried tetA, along with an IncI1-I(Gamma) plasmid replicon, which was also seen in six other tetA-negative strains. Interestingly, the IncI1-I(Gamma) plasmid replicon was detected in all isolates from Bolgatanga municipality, irrespective of serovar, and no isolate from Saboba district harboured this plasmid. The fosfomycin resistance gene was found in the S. Agona genome, in which no plasmid replicons were detected (Fig 1).
E. coli serotypes, sequence types (STs), virulence factors and phylogeny
A total of 19 E. coli isolates were identified. E. coli serotyping using the ECtyper revealed that the most common serotypes among the E. coli isolates were -:H7 (n = 2), O138:H48 (n = 2), O6:H16 (n = 2), and O8/O160:H16 (n = 2). A number of these serovars and STs are associated with pathogenicity, notably O6:H16 [41], as well as O8/O160:H16 and O77/O17/O44/O106/O73:H18 (ST394; [42–44]). The strains belonging to these lineages lacked the defining virulence genes of the respective pathotypes but did contain accessory virulence genes, as shown in S4 Table.
Irrespective of whether they belonged to a lineage commonly associated with virulence, most of the isolates contained a range of adhesins and iron utilization genes. E. coli extracellular protein (ECP) export pathway (ecp/yag) and ompA and type I fimbriae-encoding operon, fim, encoding genes seen in most E. coli genomes, were present in 94.7% (18/19) of E. coli isolates. Fimbriae encoding gene, f17d, often seen in enterotoxigenic E. coli recovered from animals, was present in the two O8/O160:H16 isolates and an O-:H7 isolate.
The phylogenetic analysis of the 19 E. coli isolates from this study and a reference genome (NZ_HG941718.1) based on SNP is presented in Fig 2. The range of isolates was broader than with Salmonella but closely related pairs of isolates belonging to the same serovar, and ST were found in three instances. Very similar (2347 SNPs) O6:H16 isolates were recovered from different food preparation table samples in Bolgatanga. One of the two isolates from milk in Saboba belonged to ST2165 and was identical (0 SNPs) to a Saboba ST2165 utensil isolate. The two ST4 isolates from fresh beef and a cow milker’s hand differed by 2347 SNPs and are unlikely to be connected.
(a). SNP-based phylogenetic tree of the E. coli isolates showing the range of sequence types, serovars, plasmid replicons and resistance genes detected (b) AMR determinants detected in E. coli and the resistance they confer.
Plasmid replicons and ARG profiles of E. coli
Antimicrobial resistance determinants present in the E. coli isolates include those encoding resistance to aminoglycosides (aph(3”)-Ib, aph(6)-Id, aph(6)-Id, aph(3”)-Ib), beta-lactams (blaLAP-2, blaTEM-1), fosfomycin (fosA7.5), quinolones (qnrB19, qnrS1), sulfonamide (sul2), tetracycline (tet(A), tet(B)) and trimethoprim (dfrA14) (Fig 2). At least 3 antimicrobial resistance genes (ARGs) which confer resistance to different classes of antibiotics were present in 8 isolates. Three isolates carried one ARG each while 8 isolates had no ARGs. Six strains carried the genes aph(3’’)-Ib, aph(6)-Id, blaTEM-1, dfrA14, sul2, qnrS1 and tet(A). The dfrA14-qnrS1-tet(A) resistance gene combination has previously been reported from Nigeria, being part of a transposon transmitted in an IncX plasmid [45]. In this study however, IncX replicons were not detected. The most common plasmid replicon type detected among the E. coli isolates was pO111 (n = 6), originally described in an E. coli virulence plasmid and found in the aforementioned strains belonging to virulence-associated lineages. The other plasmid replicon types detected were IncY (n = 5), IncFII (n = 2), IncFIA(HI1) (n = 2), Col(pHAD28) (n = 2), IncFIB(pB171) (n = 1), IncR (n = 1), IncHI1A (n = 1) and IncI1-I(Gamma), which was common among the Salmonella, (n = 1) (Fig 2). All multidrug resistant E. coli strains in this study encode pO111 or IncY replicons.
Discussion
Salmonella and E. coli are the main causes of bacterial foodborne illnesses in Ghana [46]. Retail meat, along with milk and their products are recognized as primary sources of foodborne Salmonellosis [12] and E. coli infection [7]. Post-cooking handling practices, exposure during the points of sale, and suboptimal meat storage conditions collectively contribute to an increased presence of both pathogenic and spoilage bacteria in ready-to-eat (RTE) meat [47]. Within Ghana, food safety has been inadequately studied in the northern region [10]. In this study, we characterized the genomes of 14 Salmonella and 19 E. coli previously isolated from Saboba district and Bolgatanga Municipality in northern Ghana.
The Salmonella serovars (Fresno, Plymouth, Infantis, Give and Orleans) identified in this study are yet to be reported in Ghana, but Guinee et al. (1961) [48] isolated S. Agona from cattle in Ghana and S. Give (but ST524, different from ST516 in this study) has been reported from beef in Nigeria [49]. Isolation of S. Infantis from retail poultry meat has also been reported in Ecuador [50], Belgium [51] and Italy [52] and all the serovars detected in this study have been implicated in human infections. The identification of Salmonella serovars not previously documented in the country in meat and milk products highlights the need for heightened surveillance and preventive measures to curb the spread of foodborne pathogens and reduce the risk of associated illnesses.
Unlike Salmonella, not all E. coli are potential pathogens. However, E. coli serve as markers for faecal contamination and therefore the potential that other pathogens are present. The predominant E. coli STs (ST4, ST10, ST219, ST2522) detected in our study have been previously isolated from food animals and have been associated with pathogenicity [53–55].
While none of the E. coli isolates carried genes encoding ETEC heat-sensitive or heat-labile enterotoxins, f17d fimbrial genes present in four of the E. coli genomes encode ETEC colonization factors commonly associated with colonization of cattle and other ruminant isolates [56]. E. coli, F17 fimbriae are associated with pathogenic E. coli recovered from diarrhoea and septicaemia outbreaks in calves, lambs, and humans, including from outbreaks.
Additionally, two of the ST4 E. coli isolates from this study not harbouring f17d fimbrial genes belong to the serovar O6:H16, one of the most widely disseminated lineages of human enterotoxigenic E. coli (ETEC). O6:H16 ETEC cause outbreaks, often associated with food and/or inadequate handwashing [57–59]. ETEC, by definition, produce plasmid-encoded heat-labile and/or heat stable toxins not present in the genomes of the isolates from this study.
However, the serovars O8/O160:H16 and O77/O17/O44/O106/O73:H18 belong to a previously described enteroaggregative E. coli (EAEC) lineage [42, 44]. Isolates from this study belonging to the serovars O8/O160:H16 and O77/O17/O44/O106/O73:H18 possessed no EAEC accessory genes. These strains are from virulent lineages but lack key virulence genes that are plasmid-encoded, which could mean that these plasmids were lost in the food chain or during isolation but could be reacquired. Nevertheless, the presence of these strains in food could increase the risk of foodborne illness.
While strains belonging to virulence-associated lineages lacked key plasmid-encoded virulence plasmids, several plasmid replicons were detected in the isolate genomes. According to McMillan et al. (2019) [60], plasmid replicons ColE, IncI1, IncF, and IncX were commonly detected in Salmonella from food animals in the US. In this study, the IncI1 replicon was predominant, with nine of the thirteen Salmonella strains harbouring IncI1 plasmid replicon, of which three harboured the tetA gene. This is likely to be an instance of a successful mobile element with extraordinary local reach, a few of which have been reported from West Africa, including Ghana, in the past [45, 61–63]. The IncI1-I(Gamma) plasmid replicon observed among Salmonella isolates was detected in all Salmonella isolates from Bolgatanga municipality—three different serovars—and none of the Saboba district isolates. However, one E. coli isolate (from a recently reported ST, ST8274) from Saboba did have this replicon. As it is an IncI1 plasmid replicon, its plasmid should be better characterized and, it should remain under surveillance because numerous articles have reported association of the IncI1 plasmid replicon with multiple ARGs, such as tetB, tetAR, blaCMY-2, blaTEM-1, aac3VIa, aphA, aadA and sul1 [60], blaCTXM-1 [64], strA, strB, cmlA, floR, blaSHV-12, blaOXA-2 and FosA3 [65] in IncI1 plasmids in Salmonella. As our own sequence was generated by short read only, the first step would be to generate long read sequence that could fully assemble the plasmid and make it possible to identify genetic factors supporting its success.
Among the E. coli isolates, the plasmid replicons pO111 was the most common replicon. A previous study by Balbuena-Alonso et al. (2022) [66], revealed that pO111 is usually associated with extended spectrum beta lactamases gene and is very common in food and clinical isolates. In this study, all isolates carrying pO111 harbour at least one beta-lactamase gene. Likewise, all the pO111 plasmid bearing isolates in this study carried ARGs that confer resistance to at least 4 classes of antibiotics. Altogether, these data demonstrate a concerning reservoir of resistance genes in these foodborne bacteria.
Conclusion
This study has characterized the genomes of Salmonella and E. coli in milk, meat and their associated utensils. The diverse serovars and virulence genes detected in Salmonella strains indicate potential pathogenicity. Although not all E. coli strains are pathogenic, their presence serves as an indicator of faecal contamination, suggesting the potential presence of other harmful pathogens. The presence of EAEC strains in food is concerning as EAEC is a well-known cause of diarrhoeal diseases, particularly in children and immunocompromised individuals, making its presence in food a serious concern. While antimicrobial resistance was not common among Salmonella strains, most of the E. coli strain had at least one resistance gene, and almost half were multidrug resistant and carried mobile elements. Moreover, there have been recent reports of resistant Salmonella and E. coli from meat and milk elsewhere in West Africa [49].
A recent scoping review reported weak enforcement of food safety regulations, as well as a lack of infrastructure, knowledge and skills to implement these regulations [10, 11, 46]. Food contaminated with and Salmonella and E. coli can serve as a vehicle for their transmission, posing a significant public health risk. We recommend that food safety regulations be strengthened in northern Ghana and, by extension, West Africa. It is also important to increase awareness among consumers so that food is handled in such a way to prevent pathogen transmission. There is an additional need for continuous surveillance and preventive measures to stop the spread of foodborne pathogens and reduce the risk of associated illnesses in Ghana.
Supporting information
S1 Table. Accession numbers for genomes generated in this study.
https://doi.org/10.1371/journal.pone.0315583.s001
(XLSX)
S2 Table. Novel Salmonella allelic profile and assigned ST.
https://doi.org/10.1371/journal.pone.0315583.s002
(XLSX)
S3 Table. Salmonella strain metadata including serotype, ST, plasmid replicon, AMR and virulence profile.
https://doi.org/10.1371/journal.pone.0315583.s003
(XLSX)
S4 Table. E. coli strain metadata including serotype, ST, plasmid replicon, AMR and virulence profile.
https://doi.org/10.1371/journal.pone.0315583.s004
(XLSX)
Acknowledgments
We thank Ayorinde Afolayan, Faith I. Oni, and Abeeb Adeniyi for technical assistance and Jola-Ade Ajiboye, Kesiena Akpede and Pernille Nilsson for logistic support.
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