1/12
Evolution does not only change viruses
Here's the evolutionary trajectory of variants of Salmonella Typhimurium that cause bloodstream infection in Africa
Published in @NatureMicrobiol
https://www.nature.com/articles/s41564-020-00836-1
@LivUni_IVES @livuninews @1caiseypulford #iNTS #Salmonella
Evolution does not only change viruses

Here's the evolutionary trajectory of variants of Salmonella Typhimurium that cause bloodstream infection in Africa
Published in @NatureMicrobiol
https://www.nature.com/articles/s41564-020-00836-1
@LivUni_IVES @livuninews @1caiseypulford #iNTS #Salmonella
2/12
#Salmonella not only causes gastroenteritis, but also bloodstream infection
African epidemic of bloodstream infections began in late 1980s, caused by non-typhoidal Salmonella =iNTS
INTS now endemic across sub-Saharan Africa -killed 500,000 people in the last decade #iNTS
#Salmonella not only causes gastroenteritis, but also bloodstream infection
African epidemic of bloodstream infections began in late 1980s, caused by non-typhoidal Salmonella =iNTS
INTS now endemic across sub-Saharan Africa -killed 500,000 people in the last decade #iNTS
3/12
How did S. Typhimurium ST313 evolve from a gut coloniser to bloodstream infection?
We studied a comprehensive collection of African Salmonella isolates from human blood
Thanks to far-sighted scientists @MlwTrust 1996–2018 & @institutPasteur 1966-2018 who did the collecting
How did S. Typhimurium ST313 evolve from a gut coloniser to bloodstream infection?
We studied a comprehensive collection of African Salmonella isolates from human blood
Thanks to far-sighted scientists @MlwTrust 1996–2018 & @institutPasteur 1966-2018 who did the collecting
4/12
We generated 680 genomes from S. Typhimurium isolates from 13 African countries
[part of #10KSG consortium, with @EarlhamInst & collaborators worldwide]
90% of Salmonella Typhimurium bloodstream isolates from Malawi were ST313 (1996-2018)
We generated 680 genomes from S. Typhimurium isolates from 13 African countries
[part of #10KSG consortium, with @EarlhamInst & collaborators worldwide]
90% of Salmonella Typhimurium bloodstream isolates from Malawi were ST313 (1996-2018)
5/12
We put our new S. Typhimurium isolates into context of previously published genomes from @sangerinstitute @UAntwerpen @PHE_uk @institutpasteur & elsewhere
@DrRobKingsley @flashton2003 @implosian @San_VanP
Most of our isolates were ST313 lineage 2…
We put our new S. Typhimurium isolates into context of previously published genomes from @sangerinstitute @UAntwerpen @PHE_uk @institutpasteur & elsewhere
@DrRobKingsley @flashton2003 @implosian @San_VanP
Most of our isolates were ST313 lineage 2…
6/12
We followed step-wise evolution of Salmonella in Africa over 50 years
We saw Lineage 1 disappearing as lineage 2 emerged...
In 2016, new antibiotic-sensitive lineage 3 emerged in Malawi
Lineage 3 is related to UK-ST313 isolates originally identified in England
We followed step-wise evolution of Salmonella in Africa over 50 years
We saw Lineage 1 disappearing as lineage 2 emerged...
In 2016, new antibiotic-sensitive lineage 3 emerged in Malawi

Lineage 3 is related to UK-ST313 isolates originally identified in England
8/12
The fossil-footprint of African S. Typhimurium
Showing stepwise evolution on a time-line, modelled with BEAST.
Sequential acquisition of #pseudogene mutations, many in gastrointestinal colonisation genes.
The fossil-footprint of African S. Typhimurium
Showing stepwise evolution on a time-line, modelled with BEAST.
Sequential acquisition of #pseudogene mutations, many in gastrointestinal colonisation genes.
9/12
S. Typhimurium ST313 lineage 3 has a higher invasiveness index than other ST313 lineages
[Invasiveness index originally developed by @nwheeler443]
S. Typhimurium ST313 lineage 3 has a higher invasiveness index than other ST313 lineages
[Invasiveness index originally developed by @nwheeler443]
10/12
Remarkable collaboration driven by @1caiseypulford
Involving @MelitaGordon5 @BlancaPerSep @NWenner @knalsal @rodwell_ella @benjkum @zxj931_zhu @joy_hermione @APredeus @josebengoechea @wil_rowe @ksbakes @acdarby @neilhall_uk
FX Weill /Nick Feasey not on twitter
Others
Remarkable collaboration driven by @1caiseypulford
Involving @MelitaGordon5 @BlancaPerSep @NWenner @knalsal @rodwell_ella @benjkum @zxj931_zhu @joy_hermione @APredeus @josebengoechea @wil_rowe @ksbakes @acdarby @neilhall_uk
FX Weill /Nick Feasey not on twitter
Others

11/12
This couldn’t have been done without funding from @wellcometrust, @GCRF & @BBSRC
@MlwTrust @EarlhamInst @institutpasteur
@LivUni_IVES @LivUni @livuninews
This couldn’t have been done without funding from @wellcometrust, @GCRF & @BBSRC
@MlwTrust @EarlhamInst @institutpasteur
@LivUni_IVES @LivUni @livuninews
12/12
And finally, @eliza_coli's image puts our work into context…
Showing the stepwise quest of African S. Typhimurium to leave the gastrointestinal tract, and “ascend” to the human bloodstream!
Hope you spot the gut-specialist, ST19 – and ST313 lineages 1, 2 & 3
And finally, @eliza_coli's image puts our work into context…
Showing the stepwise quest of African S. Typhimurium to leave the gastrointestinal tract, and “ascend” to the human bloodstream!
Hope you spot the gut-specialist, ST19 – and ST313 lineages 1, 2 & 3
13/12 (!)
We’re delighted that @NatureMicrobiol agreed to publish our paper #OpenAccess
We hope this will help more scientists from #Africa access our findings
@benjkum @AASciences @AESA_Africa @SooJones @NatureMicrobiol https://www.nature.com/articles/s41564-020-00836-1
We’re delighted that @NatureMicrobiol agreed to publish our paper #OpenAccess
We hope this will help more scientists from #Africa access our findings
@benjkum @AASciences @AESA_Africa @SooJones @NatureMicrobiol https://www.nature.com/articles/s41564-020-00836-1