Tolerance to multiple metal stressors in emerging non-typhoidal MDR Salmonella serotypes: a relevant role for copper in anaerobic conditions

Factors driving the expansion of particular MDR Salmonella serotypes/clones are not completely understood. We assessed if emergent MDR Salmonella serotypes/clones were more enriched in metal tolerance genes (e.g. to Cu/Ag) than other less frequent ones, as an additional feature to survive in environments contaminated with metals. Metal (Cu pco/Ag,Cu sil/Hg mer/As ars/Te ter) tolerance genes screening (PCR/sequencing), MICs of CuSO4/AgNO3 (aerobiosis/anaerobiosis), genetic element characterization (S1/I-CeuI PFGE) and conjugation assays were performed in a well-characterized Salmonella collection (naEuroS=aEuroS275 isolates; 2000-14; 49 serotypes/clones). The silaEuroS +/- aEuroSpco genes were detected in 37% of isolates from diverse serotypes, mainly in emergent Rissen/ST469 and Typhimurium/ST34 European clone (100%), which are mostly associated with pig settings where Cu is highly used. These genes were frequently co-located with merAaEuroS +/- aEuroSterF and/or antibiotic resistance genes in plasmids (100-270 kb; IncHI2/IncHI1/IncN/IncFIIA; mostly transferable by conjugation) or in the chromosome. Most silaEuroS +/- aEuroSpco(+) isolates (77%) were MDR contrasting with silaEuroS +/- aEuroSpco(-) ones (48%). The silaEuroS +/- aEuroSpco(+) isolates presented significantly higher MICCuSO4 under anaerobiosis (MIC50/MIC(90)aEuroS=aEuroS28/32 mM) and MICAgNO3 after previous Ag contact (MIC50/MIC(90)aEuroS > aEuroS3 mM) than sil(-) ones (MIC50/MIC(90)aEuroS=aEuroS2/8 mM to CuSO4; MIC50/MIC(90)aEuroS=aEuroS0.125/0.16 mM to AgNO3). Use of these modified methodological approaches allowed the establishment of CuSO4/AgNO3 tolerance cut-offs to differentiate sil(+) and sil(-) isolates, here firstly proposed. This study demonstrates that acquisition of Cu/Ag tolerance genes (sil/pco genes) might contribute to the emergence of particular clinically relevant MDR Salmonella serotypes/clones by facilitating their survival in diverse metal-contaminated settings, particularly in pig production. Assessment of control measures for the use and/or accumulation of metals in diverse environments are needed to prevent a wider expansion of such strains or the emergence of new ones.