Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes

Abstract Salmonella Typhi (S. Typhi), the causative agent of typhoid disease, remains a major public health concern. Owing to the human-restricted nature of S. Typhi, studies of typhoid pathogenesis in animal models are limited to a murine non-typhoidal pathogen. More recently, human challenge model...

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Main Authors: Noa Bossel Ben-Moshe, Shelly Hen-Avivi, Liron Levy Efrati, Leia Veinman, Jennifer Hill, Daniel O’Connor, Marije Verheul, Lisa Stockdale, Florence McLean, Andrew J. Pollard, Roi Avraham
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-62136-8
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author Noa Bossel Ben-Moshe
Shelly Hen-Avivi
Liron Levy Efrati
Leia Veinman
Jennifer Hill
Daniel O’Connor
Marije Verheul
Lisa Stockdale
Florence McLean
Andrew J. Pollard
Roi Avraham
author_facet Noa Bossel Ben-Moshe
Shelly Hen-Avivi
Liron Levy Efrati
Leia Veinman
Jennifer Hill
Daniel O’Connor
Marije Verheul
Lisa Stockdale
Florence McLean
Andrew J. Pollard
Roi Avraham
author_sort Noa Bossel Ben-Moshe
collection DOAJ
description Abstract Salmonella Typhi (S. Typhi), the causative agent of typhoid disease, remains a major public health concern. Owing to the human-restricted nature of S. Typhi, studies of typhoid pathogenesis in animal models are limited to a murine non-typhoidal pathogen. More recently, human challenge models have been conducted, providing insight into immune correlates of infection outcomes, which are still incompletely understood. Here, we performed an integrated single-cell analysis of immune responses from the human S. Typhi challenge model and mouse model of typhoid disease, to associate biological mechanism with human infection outcome. Most prominent, we revealed immune subsets with a hypoxia-related signature in the blood of individuals who developed disease in the human challenge model. This signature was also evident in the mouse model in activated macrophages infiltrating into the Peyer’s patches, but not during infection with a mutant strain impaired for gut invasion. We further identified hypoxia-related signature as a general immune correlate of disease outcome in other infection-and inflammatory-related diseases. Collectively, we identified a hypoxia-associated immune signature that correlates with disease outcomes in humans. Using a mouse model, we demonstrated that this signature is driven by bacterial invasion to the Peyer’s patches, implicating a causal role in the pathogenesis of typhoid fever.
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spelling doaj-art-971f044d7a994d68b52fd53acf58ce302025-08-20T03:05:09ZengNature PortfolioNature Communications2041-17232025-07-0116111910.1038/s41467-025-62136-8Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomesNoa Bossel Ben-Moshe0Shelly Hen-Avivi1Liron Levy Efrati2Leia Veinman3Jennifer Hill4Daniel O’Connor5Marije Verheul6Lisa Stockdale7Florence McLean8Andrew J. Pollard9Roi Avraham10Department of Immunology and Regenerative Biology, Weizmann Institute of ScienceDepartment of Immunology and Regenerative Biology, Weizmann Institute of ScienceDepartment of Immunology and Regenerative Biology, Weizmann Institute of ScienceDepartment of Immunology and Regenerative Biology, Weizmann Institute of ScienceDepartment of Paediatrics, Oxford Vaccine Group, University of Oxford, and the NIHR Oxford Biomedical Research CentreDepartment of Paediatrics, Oxford Vaccine Group, University of Oxford, and the NIHR Oxford Biomedical Research CentreDepartment of Paediatrics, Oxford Vaccine Group, University of Oxford, and the NIHR Oxford Biomedical Research CentreDepartment of Paediatrics, Oxford Vaccine Group, University of Oxford, and the NIHR Oxford Biomedical Research CentreDepartment of Paediatrics, Oxford Vaccine Group, University of Oxford, and the NIHR Oxford Biomedical Research CentreDepartment of Paediatrics, Oxford Vaccine Group, University of Oxford, and the NIHR Oxford Biomedical Research CentreDepartment of Immunology and Regenerative Biology, Weizmann Institute of ScienceAbstract Salmonella Typhi (S. Typhi), the causative agent of typhoid disease, remains a major public health concern. Owing to the human-restricted nature of S. Typhi, studies of typhoid pathogenesis in animal models are limited to a murine non-typhoidal pathogen. More recently, human challenge models have been conducted, providing insight into immune correlates of infection outcomes, which are still incompletely understood. Here, we performed an integrated single-cell analysis of immune responses from the human S. Typhi challenge model and mouse model of typhoid disease, to associate biological mechanism with human infection outcome. Most prominent, we revealed immune subsets with a hypoxia-related signature in the blood of individuals who developed disease in the human challenge model. This signature was also evident in the mouse model in activated macrophages infiltrating into the Peyer’s patches, but not during infection with a mutant strain impaired for gut invasion. We further identified hypoxia-related signature as a general immune correlate of disease outcome in other infection-and inflammatory-related diseases. Collectively, we identified a hypoxia-associated immune signature that correlates with disease outcomes in humans. Using a mouse model, we demonstrated that this signature is driven by bacterial invasion to the Peyer’s patches, implicating a causal role in the pathogenesis of typhoid fever.https://doi.org/10.1038/s41467-025-62136-8
spellingShingle Noa Bossel Ben-Moshe
Shelly Hen-Avivi
Liron Levy Efrati
Leia Veinman
Jennifer Hill
Daniel O’Connor
Marije Verheul
Lisa Stockdale
Florence McLean
Andrew J. Pollard
Roi Avraham
Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
Nature Communications
title Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
title_full Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
title_fullStr Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
title_full_unstemmed Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
title_short Salmonella Typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
title_sort salmonella typhi gut invasion drives hypoxic immune subsets associated with disease outcomes
url https://doi.org/10.1038/s41467-025-62136-8
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