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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
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<issn pub-type="epub">1664-302X</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="doi">10.3389/fmicb.2026.1746150</article-id>
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<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Comparative genomic and ecological insights into <italic>Salmonella enterica</italic> serovar Kumasi ST2302 from the first Asian clinical isolate</article-title>
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<name><surname>Peng</surname> <given-names>Shijie</given-names></name>
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<aff id="aff1"><label>1</label><institution>Laboratory Department of Panzhihua University, Affiliated Hospital</institution>, <city>Panzhihua</city>, <country country="cn">China</country></aff>
<aff id="aff2"><label>2</label><institution>Department of Microbiology, Panzhihua City Center for Disease Control and Prevention (Panzhihua City Health Supervision Institute)</institution>, <city>Panzhihua</city>, <country country="cn">China</country></aff>
<aff id="aff3"><label>3</label><institution>International Joint Research Center of National Animal Immunology, College of Veterinary Medicine, Henan Agricultural University</institution>, <city>Zhengzhou</city>, <country country="cn">China</country></aff>
<aff id="aff4"><label>4</label><institution>Division of Pathogen Testing and Analysis, Shanghai Municipal Center for Disease Control and Prevention</institution>, <city>Shanghai</city>, <country country="cn">China</country></aff>
<aff id="aff5"><label>5</label><institution>Department of Infectious Disease Control, Center for Disease Control and Prevention of Minhang District</institution>, <city>Shanghai</city>, <country country="cn">China</country></aff>
<author-notes>
<corresp id="c001"><label>&#x002A;</label>Correspondence: Yue Liu, <email xlink:href="mailto:liuyue@scdc.sh.cn">liuyue@scdc.sh.cn</email></corresp>
<corresp id="c002">Yibin Zhou, <email xlink:href="mailto:yibin_zhou@hotmail.com">yibin_zhou@hotmail.com</email></corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-27">
<day>27</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>17</volume>
<elocation-id>1746150</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>11</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>26</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>02</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2026 Peng, Chen, Chen, Wang, Lv, Wang, Xu, Zhou and Liu.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Peng, Chen, Chen, Wang, Lv, Wang, Xu, Zhou and Liu</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-27">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p><italic>Salmonella enterica</italic> subspecies <italic>enterica</italic> serovar Kumasi (<italic>S</italic>. Kumasi) is an exceptionally rare non-typhoidal <italic>Salmonella</italic> (NTS) serovar that has been historically linked to plant- or environment-associated sources and only sporadically isolated from humans. Its genomic characteristics, ecological niche, and pathogenic potential remain poorly defined.</p>
</sec>
<sec>
<title>Methods</title>
<p>The clinical isolate (XXB410) underwent antimicrobial susceptibility testing and whole-genome sequencing. Comparative phylogenomic, resistome, virulence, and pan-genome analyses were performed against all 20 publicly available <italic>S</italic>. Kumasi genomes.</p>
</sec>
<sec>
<title>Results</title>
<p>We report the first human infection due to <italic>S</italic>. Kumasi in Asia, isolated from a 4-year-old child in China presenting with self-limiting diarrhea. XXB410 was identified as sequence type ST2302 and clustered within a lineage dominated by plant/botanical and non-human sources. The genome was plasmid-free and pansusceptible, carrying only the intrinsic <italic>aac (6&#x2019;)-Iaa</italic> and <italic>parC</italic> (T57S) polymorphism, with no acquired antimicrobial resistance (AMR) genes. Genomic profiling confirmed the conservation of canonical invasion islands (SPI1/2) and determinants critical for environmental persistence and plant attachment (e.g., <italic>csg</italic> operon), yet revealed an atypical toxin architecture restricted to a divergent <italic>cdtB</italic> homolog without <italic>pltA</italic>/<italic>B</italic> subunits. Pairwise core-genome SNP distances between XXB410 and other ST2302 isolates fell well outside outbreak-level relatedness, supporting sporadic spillover from plant-associated reservoirs rather than sustained human transmission.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>These findings expand the clinical and geographic range of <italic>S</italic>. Kumasi and support a model of a plant-adapted lineage characterized by a scarcity of mobile genetic elements (MGEs), an incomplete toxin architecture, and limited clinical expansion. The benign, self-limiting clinical course aligns with the genomic profile. Collectively, we propose <italic>S</italic>. Kumasi as a genomic sentinel to monitor hygiene vulnerabilities in plant-based food supply chains.</p>
</sec>
</abstract>
<kwd-group>
<kwd>cytolethal distending toxin</kwd>
<kwd>non-typhoidal <italic>Salmonella</italic></kwd>
<kwd>plant-associated reservoir</kwd>
<kwd><italic>Salmonella enterica</italic> serovar Kumasi</kwd>
<kwd>spillover infection genomic sentinel</kwd>
<kwd>ST2302</kwd>
<kwd>whole-genome sequencing</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This study was supported by the National Key Research and Development Program of China (Grant Nos. 2023YFC2307101 and 2017YFC1600100104), the Guiding Science and Technology Program of Panzhihua City (Grant No. 2025ZD-S-51), and the Sichuan Provincial Social Science Research Base&#x2014;China Panxi Health and Wellness Industry Research Center (Grant No. 25PXKYCY0004).</funding-statement>
</funding-group>
<counts>
<fig-count count="3"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="52"/>
<page-count count="9"/>
<word-count count="5588"/>
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<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Infectious Agents and Disease</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Non-typhoidal <italic>Salmonella</italic> (NTS) remains a leading cause of food-borne diarrheal disease worldwide. A landmark global burden analysis estimated approximately 93.8 million episodes of gastroenteritis and 155,000 deaths annually, with the greatest impact in low- and middle-income countries and among children under 5 years of age (<xref ref-type="bibr" rid="B28">Majowicz et al., 2010</xref>). Crucially, the globalization of food supply chains has introduced new complexities to pathogen dissemination. A recent global atlas spanning 1900&#x2013;2023 further quantitatively mapped the evolutionary trajectories of <italic>Salmonella</italic> populations, identifying international food trade and livestock intensification as the primary accelerators of antimicrobial resistance (AMR) dissemination and lineage expansion globally (<xref ref-type="bibr" rid="B46">Wang et al., 2025</xref>).</p>
<p><italic>Salmonella enterica</italic> is highly diverse, comprising more than 2,600 recognized serovars (<xref ref-type="bibr" rid="B19">Grimont and Weill, 2007</xref>). While surveillance consistently shows that a limited number of animal-associated serovars, principally S. Enteritidis and S. Typhimurium (including monophasic 4,5,12:i:-), accounts for most human NTS infections globally (<xref ref-type="bibr" rid="B10">Centers for Disease Control and Prevention [CDC], 2025</xref>; <xref ref-type="bibr" rid="B16">European Food Safety Authority [EFSA], and European Centre for Disease Prevention and Control [ECDC], 2024</xref>; <xref ref-type="bibr" rid="B17">Ferrari et al., 2019</xref>; <xref ref-type="bibr" rid="B18">Gal-Mor et al., 2014</xref>). This animal-centric focus often obscures a critical blind spot: the rising incidence of outbreaks links to non-animal reservoirs. Epidemiological investigations in North America and Europe have increasingly implicated fresh produce (e.g., leafy greens, onions) and low-moisture foods (e.g., spices and seasonings) as vehicles for widespread salmonellosis (<xref ref-type="bibr" rid="B1">Aiyedun et al., 2021</xref>; <xref ref-type="bibr" rid="B9">Centers for Disease Control and Prevention [CDC], 2010</xref>; <xref ref-type="bibr" rid="B43">U.S. Food and Drug Administration [FDA], 2025</xref>). Notable historical events, such as the multistate <italic>S</italic>. Montevideo outbreak traced to imported red and black pepper (<xref ref-type="bibr" rid="B9">Centers for Disease Control and Prevention [CDC], 2010</xref>), underscore the ability of <italic>Salmonella</italic> to persist in desiccated environmental niches and contaminate global food supply chains. Despite this shifting landscape, the specific environmental lineages driving these plant-associated spillovers remain under-surveilled.</p>
<p>To address such surveillance gaps and capture this overlooked diversity, large-scale genomic surveillance efforts have been initiated in China. Through coordinated sequencing and curation of nearly 8,000 isolates, our team established a comprehensive genomic database that integrates human, food, animal, and environmental <italic>Salmonella</italic> data (<xref ref-type="bibr" rid="B45">Wang et al., 2023a</xref>; <xref ref-type="bibr" rid="B47">Wang et al., 2023b</xref>). This unified resource enables the rapid identification and contextualization of emerging or rare serovars, thereby supporting timely clinical and public-health responses and underscoring the value of sustained genomic monitoring&#x2014;particularly for environmentally adapted lineages that may act as reservoirs for future spillover, as exemplified by recent findings of diverse antimicrobial resistance genes and plasmids in hospital effluent pathogens (<xref ref-type="bibr" rid="B12">Chen et al., 2025</xref>). It was through this systematic surveillance network that the rare isolate described in this study was identified.</p>
<p>The specific lineage identified is <italic>Salmonella enterica</italic> subspecies <italic>enterica</italic> serovar Kumasi (<italic>S</italic>. Kumasi). First described in 1961, this serovar belongs to O-group 30 (formerly Group N), characterized by the antigenic formula 30:z<sub>10</sub>:e,n,z<sub>15</sub> (<xref ref-type="bibr" rid="B20">Guin&#x00E9;e and Kampelmacher, 1961</xref>). Unlike broad-host-range serovars, <italic>S</italic>. Kumasi shares ecological traits with other Group N serovars (e.g., <italic>S</italic>. Urbana), historically associated with cold-blooded animals and environmental reservoirs (<xref ref-type="bibr" rid="B24">Kocianov&#x00E1; et al., 2010</xref>; <xref ref-type="bibr" rid="B31">Rimhanen-Finne et al., 2010</xref>). Its environmental niche is strongly substantiated by global surveillance data. Our analysis of the NCBI Pathogen Detection database revealed that majority of <italic>S</italic>. Kumasi genomes were recovered during the 2018 US FDA investigation into contaminated kratom (<italic>Mitragyna speciosa</italic>) products (<xref ref-type="bibr" rid="B34">Schwensohn et al., 2022</xref>; <xref ref-type="bibr" rid="B42">U.S. Food and Drug Administration [FDA], 2018</xref>). This specific association with a dried botanical commodity strongly supports the hypothesis that <italic>S</italic>. Kumasi occupies a plant-associated ecological niche. In contrast, human clinical isolates are exceptionally rare. Consequently, the isolate (XXB410) reported in this study represents the fourth human infection worldwide and the first clinical report from Asia.</p>
<p>Despite its potential relevance to food safety in plant-based supply chains, <italic>S</italic>. Kumasi remains poorly characterized. The determinants underlying its restricted virulence and sporadic occurrence remain unknown. Here, we describe the genomic features, virulence potential, and ecological context of <italic>S</italic>. Kumasi ST2302. By integrating microbiological identification with whole-genome sequencing (WGS) and comparative analyses, we elucidate the determinants underlying its restricted virulence and propose its utility as a genomic sentinel for plant-associated food safety risks.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="S2.SS1">
<label>2.1</label>
<title>Case and sample collection</title>
<p>A 4-year-old girl from Sichuan Province, China, presented to the Affiliated Hospital of Panzhihua University on 11 May 2024. A stool specimen was collected for microbiological testing. To identify the etiology, the specimen was subjected to a standard diagnostic workflow, including PCR screening for viral enteric pathogens and selective culture for bacterial pathogens. Clinical information was recorded, and written informed consent was obtained from the patient&#x2019;s guardians.</p>
</sec>
<sec id="S2.SS2">
<label>2.2</label>
<title>Bacterial isolation and identification</title>
<p>The stool specimen was cultured on <italic>Salmonella-Shigella</italic> (SS) agar, xylose lysine deoxycholate (XLD) agar, and Hektoen Enteric (HE) agar plates and incubated at 37 &#x00B0;C overnight. Suspected colonies displaying typically <italic>Salmonella</italic> morphology were picked and subcultured. Species identification was initially performed using Matrix-Assisted Laser Desorption/lonization Time-of-Flight Mass Spectrometry (MALDI-TOF MS)(Bruker Daltonics, Germany) and biochemical profiling via the API 20E system (bioM&#x00E9;rieux, France). Serological confirmation was performed by slide agglutination with O and H antisera, and the isolate was assigned to <italic>S.</italic> Kumasi under the Kauffmann-White-Le Minor scheme (antigenic formula 30:z<sub>10</sub>:e,n,z<sub>15</sub>).</p>
</sec>
<sec id="S2.SS3">
<label>2.3</label>
<title>Antimicrobial susceptibility testing</title>
<p>Minimum inhibitory concentrations (MICs) were determined by broth microdilution following CLSI guidelines (M100-S33, 2023) (<xref ref-type="bibr" rid="B14">Clinical and Laboratory Standards Institute [CLSI], 2023</xref>). Twenty agents from 11 classes were tested: aminoglycosides (amikacin, gentamicin); &#x03B2;-lactam/&#x03B2;-lactamase inhibitor combinations (ampicillin/sulbactam, amoxicillin/clavulanic acid); cephalosporins (cefepime, cefotaxime, cefoxitin, ceftazidime, ceftiofur, cefazolin, cefuroxime); folate pathway inhibitor (trimethoprim-sulfamethoxazole); macrolides (azithromycin); tetracyclines (tetracycline); carbapenems (imipenem); penicillin (ampicillin); phenicols (chloramphenicol); quinolones (nalidixic acid, ciprofloxacin); and polymyxins (polymyxin B). Results were interpreted using CLSI breakpoints. <italic>Escherichia coli</italic> ATCC 25922 served as the quality-control strain.</p>
</sec>
<sec id="S2.SS4">
<label>2.4</label>
<title>Whole-genome sequencing and assembly</title>
<p>Genomic DNA was extracted using the QIAamp DNA Mini Kit (Qiagen, Germany). Illumina libraries (2 &#x00D7; 150 bp) were prepared per the manufacturer&#x2019;s instructions and sequenced on a NovaSeq platform. Reads were quality-filtered with fastp v0.24 (<xref ref-type="bibr" rid="B13">Chen et al., 2018</xref>), and assembled using SPAdes v4.0.0 (<xref ref-type="bibr" rid="B3">Bankevich et al., 2012</xref>). Assembly metrics were assessed with QUAST v5.3.0 (<xref ref-type="bibr" rid="B21">Gurevich et al., 2013</xref>). Annotation was performed with Prokka v1.14.6 (<xref ref-type="bibr" rid="B35">Seemann, 2014</xref>).</p>
</sec>
<sec id="S2.SS5">
<label>2.5</label>
<title>Genomic analysis</title>
<p>Sequence type (ST) and <italic>in silico</italic> serotyping were determined using the MLST tool (PubMLST) (<xref ref-type="bibr" rid="B23">Jolley et al., 2018</xref>) and SeqSero 2 v1.3.2 (<xref ref-type="bibr" rid="B50">Zhang et al., 2019</xref>), respectively. To characterize the ecological and pathogenic potential, we screened for antimicrobial resistance (AMR), virulence, and environmental adaptation genes using ABRicate v1.0.1 (<xref ref-type="bibr" rid="B37">Seemann, 2018</xref>). Acquired AMR genes were queried against the ResFinder database using strict thresholds (identity &#x2265; 90%, coverage &#x2265; 60%). Virulence and adaptation genes were screened against the VFDB database using a minimum identity of 80% and coverage of 60% to capture divergent homologs. Specifically, the amino acid sequence of the divergent <italic>cdtB</italic> allele was extracted and aligned with the reference <italic>S</italic>. Typhi CT18 CdtB (NP_456275.1) using Clustal Omega (<xref ref-type="bibr" rid="B26">Madeira et al., 2024</xref>; <xref ref-type="bibr" rid="B39">Sievers et al., 2011</xref>), and the alignment was visualized using MView (<xref ref-type="bibr" rid="B7">Brown et al., 1998</xref>; <xref ref-type="bibr" rid="B26">Madeira et al., 2024</xref>). To ensure structural accuracy, the integrity of <italic>Salmonella</italic> Pathogenicity Islands (SPIs) was further verified using the SPIFinder v2.0 web server<sup><xref ref-type="fn" rid="footnote1">1</xref></sup> (<xref ref-type="bibr" rid="B32">Roer et al., 2016</xref>). Chromosomal mutations and plasmid replicons were identified using PointFinder (<xref ref-type="bibr" rid="B49">Zankari et al., 2017</xref>) and PlasmidFinder (<xref ref-type="bibr" rid="B8">Carattoli et al., 2014</xref>) (identity &#x2265; 95%), respectively. Pan-genome analysis was performed using Roary v3.13.0 (<xref ref-type="bibr" rid="B30">Page et al., 2015</xref>), with gene presence/absence visualized using the bundled scripts.</p>
<p>For phylogenomic analysis, core-genome SNPs were called using Snippy v4.6.0 (<xref ref-type="bibr" rid="B36">Seemann, 2015</xref>). To ensure accurate distance estimation within the lineage, the high-quality draft genome of <italic>S.</italic> Kumasi ST2302 (RefSeq GCA_005902525.1; 44 contigs; N50 = 268,613 bp) was selected as the mapping reference. Putative recombination was detected and masked using Gubbins v3.4 (<xref ref-type="bibr" rid="B15">Croucher et al., 2015</xref>). A recombination-corrected maximum-likelihood phylogeny was reconstructed using IQ-TREE 2 under the GTR++G model with 1,000 ultrafast bootstrap replicates (<xref ref-type="bibr" rid="B22">Hoang et al., 2018</xref>; <xref ref-type="bibr" rid="B29">Minh et al., 2020</xref>).</p>
</sec>
<sec id="S2.SS6">
<label>2.6</label>
<title>Ethical statement</title>
<p>The study involving human participants was reviewed and approved by the Ethics Committee of the Affiliated Hospital of Panzhihua University (Approval No. 2025-11-007). This study adhered to the Declaration of Helsinki. Written informed consent was obtained from the patient&#x2019;s guardians for the publication of this case report and any accompanying data. All personally identifiable information was anonymized.</p>
</sec>
<sec id="S2.SS7">
<label>2.7</label>
<title>Data availability</title>
<p>The genome sequence of <italic>S.</italic> Kumasi isolate XXB410 has been deposited in the GenBank under accession number <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JBRSFH000000000">JBRSFH000000000</ext-link> (BioProject <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="PRJNA1311721">PRJNA1311721</ext-link>; BioSample <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="SAMN50839459">SAMN50839459</ext-link>).</p>
</sec>
</sec>
<sec id="S3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="S3.SS1">
<label>3.1</label>
<title>Clinical presentation and isolate identification</title>
<p>The patient presented with acute watery diarrhea with visible blood streaks. Routine microbiological screening yielded negative results for common viral agents (Rotavirus and Norovirus) and bacterial pathogens (e.g., <italic>Shigella</italic> spp.). <italic>S</italic>. Kumasi was the sole pathogen recovered from the stool culture, confirmed by biochemical assays and serological test (antigenic formula 30:z<sub>10</sub>:e,n,z<sub>15</sub>). The clinical course, laboratory findings, and management are summarized in <xref ref-type="supplementary-material" rid="TS1">Supplementary Table 1</xref>.</p>
</sec>
<sec id="S3.SS2">
<label>3.2</label>
<title>Genomic features of isolate XXB410</title>
<p>The XXB410 draft genome comprised 4.57 Mb assembled into 51 contigs (N50, 262,886 bp; largest contig, 594,055 bp; GC content, 52.2%). SeqSero2 predicted the serovar as <italic>S</italic>. Kumasi, consistent with traditional serological test. MLST assigned the isolate to sequence type ST2302. To our knowledge, this represents the fourth human infection worldwide and the first reported case from Asia.</p>
</sec>
<sec id="S3.SS3">
<label>3.3</label>
<title>Global genomic context and ecological clustering</title>
<p>Analysis of comprehensive 21 genomes dataset identified ST2302 as the dominant lineage (19/21). Epidemiological metadata revealed a strong ecological association: nearly all historical isolates originated from environmental or plant sources, including kratom products sampled by the US FDA, whereas human cases remain exceptional (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 2</xref>).</p>
<p>Phylogenomic analysis placed isolate XXB410 firmly within the environmental ST2302 clade (<xref ref-type="fig" rid="F1">Figure 1</xref>). Pairwise SNP analysis revealed that XXB410 differs from its closest relatives by 115 SNPs. This genetic distance exceeds the threshold typically defined for direct outbreak transmission (<xref ref-type="bibr" rid="B2">Ashton et al., 2015</xref>), supporting a model of sporadic spillover from a globally distributed plant-associated reservoir rather than sustained human-to-human transmission.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Global phylogenomic context of <italic>S</italic>. Kumasi. Maximum-likelihood phylogeny based on core-genome SNPs, referencing the <italic>S</italic>. Kumasi genome (GCA_005902525.1). The tree was reconstructed using IQ-TREE 2 with 1,000 ultrafast bootstrap replicates. Node labels indicate bootstrap support value &#x003E; 70%. The scale bar represents nucleotide substitutions per site. Annotations (left to right): metadata, year, sequence type (ST), country, and isolation source; toxin genotype, presence of the <italic>cdtB</italic> gene; genotypic markers, presence of the intrinsic <italic>aac (6&#x2019;)-Iaa</italic> gene and the <italic>parC</italic> (T57S) polymorphism; adaptation and virulence, presence of plant-adaptation determinants and intact <italic>Salmonella</italic> Pathogenicity Islands; plasmids, presence of IncF-type plasmid replicons.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-17-1746150-g001.tif">
<alt-text content-type="machine-generated">Figure contains two phylogenetic trees with heatmap-style annotations displaying metadata for bacterial isolates, including sequencing type, source, country, gene markers, plasmids, antimicrobial resistance, and virulence traits. Each tree is color-coded using legends on the left, with detailed columns for reference, year, sequence type, country, source, presence or absence of specific genes, resistance markers, and plasmid replicons. Symbols and colors visually distinguish genetic and epidemiological traits for each isolate.</alt-text>
</graphic>
</fig>
</sec>
<sec id="S3.SS4">
<label>3.4</label>
<title>Environmental adaptation and genomic stability</title>
<p>Pan-genome analysis (<xref ref-type="fig" rid="F2">Figure 2</xref>) identified a total of 5,942 gene clusters across the 21 genomes dataset. The core genome comprised 3,714 clusters, accounting for 62.5% of the total gene pool, while the accessory genome consisted of 2,228 clusters. Within the conserved core genome, screening for environmental adaptation markers revealed the universal presence of the <italic>csg</italic> operon (encoding curli fimbriae) and the <italic>fim</italic> operon (encoding Type 1 fimbriae) in all isolates, with nucleotide identities exceeding 99% (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 2</xref>). Additionally, the C63PI pathogenicity island (typically encoding the <italic>sit</italic> iron-uptake system) was detected in all genomes via SPIFinder analysis (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 3</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Pan-genome analysis of 21 <italic>S</italic>. Kumasi genomes. The heatmap shows the presence and absence of accessory genes across isolates, aligned to the core-genome phylogeny. The vertical dashed line delineates the boundary between the conserved core genome (left) and the variable accessory genome (right). Gene categories (core, shell, cloud) are indicated by color coding intensity.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-17-1746150-g002.tif">
<alt-text content-type="machine-generated">Bar chart comparing core and accessory genes for 21 taxa, each labeled by accession number, with core genes shown as solid blue bars and accessory genes as sparse, variable blue segments. Table includes total gene numbers for each taxon.</alt-text>
</graphic>
</fig>
<p>Regarding genomic plasticity, plasmid replicons were absent from the clinical isolate XXB410 and were detected in only a minority of the global genomes (IncF-type) (<xref ref-type="fig" rid="F1">Figure 1</xref>). Correspondingly, no acquired antimicrobial resistance (AMR) genes were identified in the ST2302 lineage. The chromosomal genotype was restricted to the intrinsic <italic>aac (6&#x2019;)-Iaa</italic> gene and <italic>parC</italic> (T57S) polymorphism. This genomic profile corresponded with the phenotypic susceptibility of XXB410 to all 20 antimicrobial agents tested (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 4</xref>).</p>
</sec>
<sec id="S3.SS5">
<label>3.5</label>
<title>Virulence architecture</title>
<p>Virulence profiling identified a conserved set of invasion determinants but an incomplete toxin locus. Analysis using SPIFinder confirmed the presence of <italic>Salmonella</italic> Pathogenicity Islands 1 (SPI-1) and 2 (SPI-2) across all 21 genomes, characterized by high nucleotide identities ( &#x003E; 97%) and canonical insertion sites (<xref ref-type="fig" rid="F1">Figure 1</xref> and <xref ref-type="supplementary-material" rid="TS1">Supplementary Table 3</xref>).</p>
<p>In contrast, the typhoid toxin locus exhibited lineage-specific variation regarding the <italic>cdtB</italic> subunit, yet the holotoxin structure remained incomplete across the entire dataset (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 2</xref>). While a cdtB homolog was detected in all genomes, the essential <italic>pltA</italic> and <italic>pltB</italic> delivery subunits were absent in all 21 isolates. Specifically, the ST2302 lineage (including XXB410) carried a divergent <italic>cdtB</italic> allele (&#x223C;83% amino acid identity to <italic>S</italic>. Typhi). Sequence alignment revealed that despite this divergence, the protein retains conserved catalytic residues essential for DNase activity (<xref ref-type="fig" rid="F3">Figure 3</xref>). However, the universal absence of the delivery complex suggests that holotoxin assembly is impaired in this serovar. Notably, a canonical <italic>cdtB</italic> allele ( &#x003E; 99% identity) was identified only in the single ST4834 isolate, consistent with the broader lineage, it also lacked the accompanying <italic>pltA</italic> and <italic>pltB</italic> subunits.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Amino acid sequence alignment of CdtB. Pairwise alignment of the CdtB protein from <italic>S</italic>. Kumasi (XXB410) and the reference <italic>S</italic>. Typhi CT18 (Accession: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NP_456275.1">NP_456275.1</ext-link>). Key metrics: 100% Coverage (cov) indicates the <italic>S</italic>. Kumasi (XXB410) is a full-length protein with no truncations. 83.1% Identity (pid) highlights the significant sequence divergence from the canonical typhoid toxin.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-17-1746150-g003.tif">
<alt-text content-type="machine-generated">Amino acid sequence alignment graphic comparing reference sequence NP_456275.1 and sequence XXB410_04156, color-coded by identity, with percentage coverage and identity displayed, generated using MView software.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>This study broadens the clinical and geographic footprint of <italic>S.</italic> Kumasi by characterizing the first human case reported in Asia. By integrating the clinical genome with global public datasets, we propose that <italic>S</italic>. Kumasi represents a specialized plant-adapted lineage rather than a typical broad-host-range serovar. This ecological positioning is strongly substantiated by the origin of the global dataset: a significant proportion of the available genomes were isolated during the 2018 US FDA investigation into contaminated kratom products (<xref ref-type="bibr" rid="B34">Schwensohn et al., 2022</xref>; <xref ref-type="bibr" rid="B42">U.S. Food and Drug Administration [FDA], 2018</xref>). The recovery of <italic>S</italic>. Kumasi from these dried botanical supplements not only clarifies the epidemiological background of these archival strains but also, given its rarity in extensive global livestock surveillance, strongly points toward a predominantly plant-associated or environmental ecological niche. To persist in such desiccated, nutrient-limited environments, <italic>Salmonella</italic> requires specific genomic mechanisms, which are reflected in the <italic>S</italic>. Kumasi genome.</p>
<p>The genomic machinery of <italic>S</italic>. Kumasi strongly corroborates its environmental adaptability. Our analysis revealed the universal conservation of the <italic>csg</italic> operon (curli fimbriae) and the <italic>fim</italic> operon (Type 1 fimbriae) across all genomes. Functionally, the FimH adhesin specifically binds mannose residues on plant cell walls, while the <italic>csg</italic> operon encodes curli fimbriae&#x2014;the primary structural component of the &#x201C;rdar&#x201D; (red, dry, and rough) biofilm morphotype (<xref ref-type="bibr" rid="B4">Barak et al., 2005</xref>; <xref ref-type="bibr" rid="B5">Berger et al., 2010</xref>; <xref ref-type="bibr" rid="B48">White et al., 2006</xref>; <xref ref-type="bibr" rid="B52">Zogaj et al., 2001</xref>). This phenotype is critical for protecting <italic>Salmonella</italic> against desiccation stress and UV radiation (<xref ref-type="bibr" rid="B48">White et al., 2006</xref>). Furthermore, the detection of the C63PI island suggests an enhanced capacity to sequester iron via the <italic>sit</italic> system in the metal depleted phyllosphere (<xref ref-type="bibr" rid="B6">Brandl, 2006</xref>). Collectively, this specific genomic toolkit aligns with the archetypal features of plant-associated <italic>Salmonella</italic>, supporting the classification of <italic>S</italic>. Kumasi as a lineage specialized for survival in the phyllosphere and dried botanical commodities.</p>
<p>The distinct environmental niche also provides a plausible explanation for the lineage&#x2019;s genomic stability and lack of antimicrobial resistance and plasmids. Unlike high-burden serovars that evolve under constant clinical antibiotic pressure, <italic>S</italic>. Kumasi displays a pansusceptible phenotype and a scarcity of plasmids. While genomic screening identified an intrinsic <italic>aac (6&#x2019;)-Iaa</italic> gene and a <italic>parC</italic> (T57S) polymorphism, crucially, neither of these features conferred phenotypic resistance. The <italic>parC</italic> (T57S) substitution is widely recognized as a natural phylogenetic marker rather than a resistance-conferring mutation (<xref ref-type="bibr" rid="B11">Chang et al., 2021</xref>; <xref ref-type="bibr" rid="B44">V&#x00E1;zquez et al., 2022</xref>), and the <italic>aac (6&#x2019;)-Iaa</italic> gene is typically silent in <italic>Salmonella</italic> unless upregulated by specific mutations (<xref ref-type="bibr" rid="B27">Magnet et al., 1999</xref>; <xref ref-type="bibr" rid="B41">Tang et al., 2022</xref>). This profile reflects an evolutionary history in &#x201C;low-pressure&#x201D; non-clinical environments. However, despite this adaptation, <italic>S</italic>. Kumasi appears to retain a &#x201C;cross-kingdom lifestyle&#x201D; capacity characteristic of the genus (<xref ref-type="bibr" rid="B33">Schikora et al., 2012</xref>). The conservation of intact SPI-1and SPI-2 invasion systems indicates that the lineage retains the genomic potential to colonize mammalian hosts upon ingestion (<xref ref-type="bibr" rid="B38">Sia et al., 2025</xref>), providing a biological basis for the diarrheal symptoms observed in our case.</p>
<p>Regarding pathogenicity, the isolate presents an &#x201C;atypical&#x201D; virulence profile. While canonical invasion determinants (SPI-1 and SPI-2) are retained, the typhoid toxin locus is incomplete. Crucially, sequence analysis reveals that while the divergent CdtB homolog retains conserved catalytic residues essential for DNase activity, the absence of the delivery complex likely compromises the toxin&#x2019;s entry into host cells (<xref ref-type="bibr" rid="B40">Song et al., 2013</xref>). This pattern of gene loss resembles host-adaptation trajectories described in other lineages and aligns with the self-limiting nature of the infection (<xref ref-type="bibr" rid="B25">Langridge et al., 2015</xref>; <xref ref-type="bibr" rid="B51">Zhou et al., 2023</xref>). Clinically, although incidental detection via foodborne transport is a theoretical possibility, the definitive exclusion of other common viral and bacterial pathogens establishes <italic>S</italic>. Kumasi as the sole recovered agent, strongly supporting its role as the primary cause.</p>
<p>We acknowledge certain limitations in this study. First, our conclusions regarding the &#x201C;atypical&#x201D; virulence potential and environmental adaptation are based on high-resolution genomic data. Future functional characterization using <italic>in vitro</italic> or <italic>in vivo</italic> models is required to definitively confirm the biological activity of the divergent <italic>cdtB</italic> and the biofilm-forming capacity. Second, establishing definitive causality in a single case report presents inherent challenges. While we rigorously excluded common viral and bacterial co-pathogens, the theoretical possibility of incidental detection cannot be entirely eliminated without broader epidemiological data.</p>
<p>From a public health perspective, we propose that <italic>S</italic>. Kumasi serves as a valuable &#x201C;genomic sentinel&#x201D;. While the serovar itself may pose a lower immediate clinical risk than high-burden serovars, its detection signals hygiene vulnerabilities in non-animal supply chains, particularly fresh produce and herbal supplements, which are increasingly recognized as vehicles for transboundary salmonellosis (<xref ref-type="bibr" rid="B1">Aiyedun et al., 2021</xref>; <xref ref-type="bibr" rid="B34">Schwensohn et al., 2022</xref>). Monitoring such sentinel lineages allows for the early detection of contamination routes that might be missed by traditional meat-focused surveillance. Finally, we emphasize the critical importance of international collaboration. By contributing this first Asian clinical genome to public repositories, we underscore the necessity of global data transparency and an One Health approach to track the cross-border movement of environmental pathogens in our interconnected food systems.</p>
</sec>
<sec id="S5" sec-type="conclusion">
<label>5</label>
<title>Conclusion</title>
<p><italic>S</italic>. Kumasi appears to be a plant-associated lineage with an incomplete typhoid-toxin architecture and limited clinical expansion. These features argue for targeted genomic surveillance of plant-linked supply chains to detect and prevent sporadic spillover.</p>
</sec>
</body>
<back>
<sec id="S6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="supplementary-material" rid="TS1">Supplementary material</xref>.</p>
</sec>
<sec id="S7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>Written informed consent was obtained from the minor(s)&#x2019; legal guardian/next of kin for the publication of any potentially identifiable images or data included in this article.</p>
</sec>
<sec id="S8" sec-type="author-contributions">
<title>Author contributions</title>
<p>SP: Investigation, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Conceptualization. YC: Data curation, Software, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft. TC: Data curation, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Software. JW: Writing &#x2013; original draft, Methodology, Writing &#x2013; review &#x0026; editing. PL: Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Formal analysis. YW: Validation, Writing &#x2013; review &#x0026; editing, Funding acquisition, Writing &#x2013; original draft. XX: Writing &#x2013; review &#x0026; editing, Supervision, Writing &#x2013; original draft, Resources. YZ: Supervision, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing, Visualization, Validation. YL: Writing &#x2013; review &#x0026; editing, Validation, Visualization, Writing &#x2013; original draft.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We gratefully acknowledge the public health agencies and laboratories&#x2014;specifically the US FDA GenomeTrakr network and Public Health England (now UKHSA)&#x2014;for generating and submitting the <italic>S</italic>. Kumasi gemonic data to the NCBI Pathogen Detection database. Their commitment to open data sharing made this global comparative analysis possible.</p>
</ack>
<sec id="S10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="S11" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was used in the creation of this manuscript. During the preparation of this work, the authors used ChatGPT in order to improve language. After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="S12" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="S13" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2026.1746150/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmicb.2026.1746150/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.xlsx" id="TS1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
</sec>
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<fn-group>
<fn id="n1" fn-type="custom" custom-type="edited-by"><p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/199539/overview">Jens Andre Hammerl</ext-link>, Bundesinstitut f&#x00FC;r Risikobewertung, Germany</p></fn>
<fn id="n2" fn-type="custom" custom-type="reviewed-by"><p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2955775/overview">Ruy D. Chac&#x00F3;n Villanueva</ext-link>, University of S&#x00E3;o Paulo, Brazil</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2404288/overview">Peter Johnston</ext-link>, University of Liverpool, United Kingdom</p></fn>
</fn-group>
<fn-group>
<fn id="footnote1"><label>1</label><p><ext-link ext-link-type="uri" xlink:href="https://cge.food.dtu.dk/services/SPIFinder/">https://cge.food.dtu.dk/services/SPIFinder/</ext-link></p></fn>
</fn-group>
</back>
</article>