Salmonella enterica serovar Typhimurium is one of the leading causes of gastroenteritis in humans. Phage typing has been used for the epidemiological surveillance of S. Typhimurium for over 4 decades. However, knowledge of the evolutionary relationships between phage types is very limited. In this study, we used single nucleotide polymorphisms (SNPs) as molecular markers to determine the relationships between common S. Typhimurium phage types. Forty-four SNPs, including 24 identified in a previous study and 20 from 6 available whole-genome sequences, were used to analyze 215 S. Typhimurium isolates belonging to 45 phage types. Altogether, 215 isolates and 6 genome strains were differentiated into 33 SNP profiles and four distinctive phylogenetic clusters. Fourteen phage types, including DT9, one of the most common phage types in Australia, were differentiated into multiple SNP profiles. These SNP profiles were distributed into different phylogenetic clusters, indicating that they have arisen independently multiple times. This finding suggests that phage typing may not be useful for long-term epidemiological studies over long periods (years) and diverse localities (different countries or continents). SNP typing provided a discriminative power similar to that of phage typing. However, 12 SNP profiles contained more than one phage type, and more SNPs would be needed for further differentiation. SNP typing should be considered as a replacement for phage typing for the identification of S. Typhimurium strains.
Salmonella enterica serovar Typhimurium is a broad-host-range pathogen that causes gastroenteritis in humans. The phage typing scheme described by Anderson et al. (3) has been used for the routine epidemiological surveillance of S. Typhimurium infections for many years. Phage types are determined by resistance or sensitivity to a set of 34 phages, and so far, more than 300 definitive phage types (DTs) are recognized (38). Phage typing has been found to be particularly useful for tracking the spatiotemporal distribution of important pathogenic forms. For example, multidrug-resistant DT104 has caused widespread infections in humans and animals in Europe and the United States since 1994 (12, 23), but it remains rare in Australia. In contrast, DT9, DT135, and DT170/108 are common in Australia (34), while DT9 is rare in Europe and the United States. However, knowledge of the evolutionary relationships between phage types is very limited, and the genetic basis for the variation in phage sensitivity remains largely unknown. The discriminatory power of phage typing is often inadequate to track community outbreaks, especially in settings when one particular phage type is dominant. In addition, phage types can change with a few genetic modifications, such as a gain or loss of mobile elements (2, 27, 50).Despite the extensive diversity of phage types in S. Typhimurium, population structure studies using multilocus enzyme electrophoresis (MLEE) showed that the majority of S. Typhimurium isolates are grouped together as a s...