Within-host spatiotemporal dynamics of systemic Salmonella infection during and after antimicrobial treatment

O Rossi1, R Dybowski1, D J Maskell1

  • 1University of Cambridge, Department of Veterinary Medicine, Cambridge, UK.

Abstract

Insights

Bacterial growth rates impact antibiotic effectiveness in Salmonella infections. Mesenteric lymph nodes (MLNs) harbor distinct bacterial populations resistant to treatment and prone to relapse.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pharmacology

Background:

  • Systemic Salmonella infections pose significant health risks.
  • Understanding antibiotic treatment dynamics is crucial for effective management.
  • Pathogen growth rates and organ-specific dissemination influence treatment outcomes.

Purpose of the Study:

  • To investigate the interplay between antibiotic efficacy, pathogen growth rates, and inter-organ spread in systemic Salmonella infections.
  • To determine how bacterial growth kinetics affect antimicrobial treatment outcomes in vivo.

Main Methods:

  • Mice were infected with isogenic, molecularly tagged subpopulations of either fast-growing wild-type (WT) or slow-growing ΔaroC Salmonella.
  • Bacterial loads and subpopulation proportions were monitored in spleen, liver, blood, and mesenteric lymph nodes (MLNs).
  • Monitoring occurred before, during, and after treatment with ampicillin and ciprofloxacin.

Main Results:

  • Both antibiotics reduced bacterial numbers in spleen, liver, and blood, with efficacy correlating positively with Salmonella growth rates.
  • Fast-growing bacteria showed a biphasic reduction, while slow-growing bacteria exhibited a gradual decrease in bacterial load.
  • Bacterial numbers in MLNs remained constant during treatment, showing distinct population structures compared to spleen and liver.
  • Infections relapsed in MLNs after treatment cessation, particularly with WT Salmonella.

Conclusions:

  • Bacterial growth rates are a key determinant of antibiotic treatment efficacy in Salmonella infections.
  • Mesenteric lymph nodes (MLNs) serve as a reservoir for Salmonella, with distinct bacterial population dynamics.
  • Antimicrobials have limited impact on MLN bacterial loads, which can regrow post-treatment, highlighting a potential mechanism for relapse.

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