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1165-158X
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Virulence Repertoire of Pseudomonas aeruginosa from some Poultry Farms with Detection of Resistance to Various Antimicrobials and Plant Extracts

Elsayed MSA1*, Ammar AM2, Elkerdasy AF3,4, Abd-El Rahman H5 and Abd-El Rahman NA6

1Department of Bacteriology, Mycology and Immunology, University of Sadat City, Egypt

2Department of Microbiology, Zagazig University, Egypt

3Department of Biochemistry, University of Sadat City, Egypt

4Department of Biomedical Science, College of Pharmacy, Shaqra University, Al-Dawadmi,Saudi Arabia

5Department of Physiology, University of Sadat City, Minufia, Egypt

6Veterinary Administration Minufia Governorate, Egypt

*Corresponding Author:
Elsayed MSA
Department of Bacteriology, Mycology and Immunology, University of Sadat City, Egypt
Tel: +20 48 2607037
E-mail: mohamed.sabry@vet.usc.edu.eg

Received date: April 01, 2016; Accepted date: August 26, 2016; Published date: August 30, 2016

Citation: Elsayed MSA, Ammar AM, Elkerdasy AF, Abd-El Rahman H, Abd-El Rahman NA (2016) Virulence Repertoire of Pseudomonas aeruginosa from some Poultry Farms with Detection of Resistance to Various Antimicrobials and Plant Extracts. Cell Mol Biol 62:124. doi: 10.4172/1165-158X.1000124

Copyright: © 2016 Elsayed MAS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Pseudomonas aeruginosa is a serious poultry pathogen and zoonotic bacterial agent causes nosocomial infections. The prevalence of virulence determinants among P. aeruginosa appears to be lacking in Egypt. Therefore, this study investigated occurrence, antimicrobial resistance and virulence gene profiling of P. aeruginosa in broiler chicken. Thirty eight cases (22.9%) were infected with P. aeruginosa, high isolation from dead-in-shell embryos 26 (52%) and significantly different (p<0.0001) when compared with that from diseased and freshly dead 12 (12%). Haemolysin and lipase gave highest rates 28 (73.68%) and 28 (73.68%). While, gelatinase, lecithinase and protease represented 24 (63.1%), 26 (68.42%) and 26 (68.42%) respectively. High distribution of Exotoxin A ( Exo A) and Outer membrane protein (opr L) genes 100% with strong uphill correlation (r):1. Strong relationship between OprL and antibiotic resistance. High resistance 100% to Amoxicillin (AMX), E- Moxclav (AMC). While, resistance to Cotrimoxazole (CMX), Ceftriaxone (CRO), Ofloxacin (OFX) showed 90%, 80% and 30%. Besides, no resistance to Ciprofloxacin (CIP) and Gentamycin (CN). Significant difference between efficacy of Formalin, EDTA, Savlon and Thyme (p<0.0001). Although, great efficacy differences between the MIC of EDTA, Formalin, Savlon and Thyme with 1%, 3%, 6% and 8%, Formalin gave the highest efficacy with 10%. Uphill strong correlation between the efficacies and concentrations of Formalin, EDTA, Savlon and Thyme (r): 0.97, 0.91, 0.92 and 0.80. In this study, we focused on elucidating virulence arsenal and resistance of P. aeruginosa to most antimicrobials. Providing evidential clues about efficacy of some antimicrobial compounds and plant extracts.

Keywords

Poultry; Pseudomonas aeruginosa; Virulence; PCR; Resistance

Introduction

P. aeuroginosa is a motile, gram negative, oxidase positive, rod shaped with single arrangement or short chains. The organism is a strict aerobe, ubiquitous and often associated with soil, water and humid environment. It affects newly hatched chickens drastically causing high mortality and mass death of embryos [1-8]. P. aeruginosa got a huge arsenal of virulence repertoire implicated in pathogenesis. Attributed to the numbers of extracellular virulence factors and cellular components as lipopolysaccharide, elastase, alkaline proteases, pyocyanin, pyoverdin, haemolysins, phospholipase C, rhamnolipids, biofilm, Pilli, and flagella. The complex type III secretion system recognized virulence determinant of P. aeruginosa capable of injecting proteins and secretion toxins into the host cell. Four secretion toxin identified; exoenzyme S, exoenzyme U, exoenzyme T and exoenzyme Y [9-15].

Outer membrane lipoprotein (OprL) implicated in efflux transport systems and affecting cell permeability (4). The Exotoxin A is produced by most of P. aeruginosa strains with great similarity to diphtheria toxin. It can inhibit eukaryotic protein biosynthesis at the level of polypeptide chain elongation factor 2 [16].

P. aeruginosa is resistant to various antimicrobial agents due to impermeability, multi-drug efflux, and a chromosomal AmpC β-lactamase. Prominent resistance found among α-carboxy- and Amino-penicillins, third and fourth-generation Cephalosporins, Monobactams, Carbapenems, aminoglycosides, and Fluoroquinolones. Resistance to any of these classes could be due to various mutations that result in upregulation of efflux or down regulation of permeability. Besides, hyperproduction of the chromosomal AmpC β-lactamase in case of Aminopenicillins and Cephalosporins [17-23].

Many disinfectants and antiseptics are now commercially available. Great progress made to understand mechanisms of their antimicrobial actions. They include alcohols, aldehydes, halogens, phenols, halogenated phenolic and substituted phenolic compounds. Additional preparations are biguanides, peroxygens, tar acid phenol, quaternary ammonium compounds and chlorohexidine gluconate. Many of them are used extensively for variety of animate and inanimate surface applications. In particular, their application constitutes an essential part of infection control practices and aid in infection prevention [24].

The antimicrobial efficacy of plant extracts and phytochemicals evaluated [25] with antibiotic susceptible and resistant microorganisms. P. aeruginosa showed interesting, results since it was inhibited by clove, jambolan, pomegranate and thyme extracts. This inhibition observed with single extract and when used with lower concentrations of ineffective antibiotics. Many regions of the world privileged with medicinal plants rich in active phytochemicals with potential medicinal values. Even so, many studied species considered promising and representing natural settlement of antibiotic resistance problem [26,27].

Material and Methods

Sampling

A total of 150 broiler cases, 100 from 2-40 days old diseased and freshly dead (Nasal swabs, Throat swabs, Heart blood, Cloacal swabs and Liver tissue) were collected. And 50 from dead-in-shell embryos in hatcheries (Heart blood, Lung tissue, Peritoneal samples, Liver tissue, Intestinal samples and Yolk sac). Added to them 8 water and 8 litter samples.

Media and Biochemical Identification

Cetimide agar medium was used, colonial morphology, microscopic examination and biochemical identification according to [26], then confirmation using API 20 NE (Bio-Meriux) after the producer instructions.

Molecular Identification

DNA extraction

Bacterial genomic DNA was extracted from confirmed cultures by QIAamp DNA extraction Mini prep Kit after manufacturer’s instructions. Extracted DNA stored at -80°C before PCR amplification. For each batch of extractions, a negative control containing reagents minus cultures and positive control of P. aeruginosa ATCC 27853.

PCR amplification

The used primers, PCR protocol and program according to [33]: Targeted primers, sequences, amplicon sizes and accession number listed in Table 1.

Target Gene locus Primer Amplicon (bp) Accession number
oprL f: 5'-ATG GAA ATG CTG AAA TTC GGC-3' r: 5'-CTT CTT CAG CTC GAC GCG ACG-3' 504 JQ228528.1
ExoA f: 5'-GAC AAC GCC CTC AGC ATC ACC AGC-3' r: 5'-CGC TGG CCC ATT CGC TCC AGC GCT-3' 396 K01397.1

Table 1: Targeted primers, sequences, amplicon sizes and accession number.

Antimicrobial susceptibility testing

Detection of bacterial count after 24 hrs growth according to [31] has identified P. aeruginosa cultivated onto Todd-Hewitt broth for 24 hrs. Then concentration of bacterial cells in 1 ml medium by centrifugation. Application of spectrophotometer at 660 nm to adjust the concentration to 1×106 colony forming unit (CFU) per 1 ml sterile TSB for dilution of the concentrated bacterial isolates. From the adjusted 106 CFU /l-1 1 ml taken and spread on the surface of Muller- Hinton agar plates and the excess decanted away. Plates left to dry at 40 0C for 20 minutes in the incubator. Plates adjusted to be enough for antibiotic discs Amoxicillin AMX 25 mcg, Ciprofloxacin CIP 5 mcg, Ceftriaxone CRO 30 mcg, Cefuroxime CXM 30 mcg, E- Moxclav AMC 20 mcg, Cotrimoxazole CMX (Trimethoprim/ Sulphamethoxazole 25 mcg), Gentamycin CN10 mcg and Ofloxacin OFX 5 mcg. Agar plates for chemicals and plant extracts (Formalin, EDTA, Ethyl alcohol Only 70%, Isopropyl alcohol, Chlorohexidine cetramid (Savlon), Iodine, Sodium citrate, Allicin, Basil, Lemon citrus oil, Pomegranate and Thyme [27-31].

Wells made by the wide end of blunted sterile Pasteur pipette. Inserting it and twisting to remove the plug of agar a pair of forceps sterilized by flaming in alcohol used to remove the agar. Wells numbered and filled with 120 μl of chemicals or plant extracts then incubated at 37°C for 24-48hrs. The inhibition zone measured by ruler and efficacy determined after [3].

Minimum Inhibitory Concentration (MIC) of chemicals and plant extracts determined using the broth dilution method in Todd-Hewitt broth [28]. Each compound diluted 1 to 10% (v/v) only Ethyl alcohol was 70%. Transfer 1 ml of bacterial suspension (106CFU/ml) and 0.1 ml of each compound showing antibacterial efficacy added to 2.9 ml of Todd-Hewitt broth. After 24 hrs of incubation at 37°C under agitation in culture tubes, the MIC determined as the lowest concentration inhibit bacterial growth turbidity. To detect the MBC, 10 μL of bacterial inoculum removed from tubes with no turbidity and spread onto Todd-Hewitt agar. These plates incubated at 37°C for 48 hrs. The MBC considered as the lower concentration that shows no bacterial growth on Todd-Hewitt agar plates. Each MIC and MBC value obtained from three independent experiments and controls without test compounds used [32,33].

Statistical Analysis

Data analyzed by Statistical Analysis System software package SAS for Windows, version 8 (SAS Institute, Cary, NC). Independent t-test assesses the significance of the difference between numbers of isolates, efficacy of different chemicals and plant extracts. Statistical detection of the correlation coefficient of the presence of Exo A and opr L within isolates and efficacies and concentrations of antimicrobials was performed.

Results

Results of bacteriological examination: the total isolation result of P. aeruginosa was 38 /166 (22.9%). High isolation rate from deadin- shell embryos yolk sac 26/50 (52%). This result showed significant difference (p<0.0001) when being compared with that of liver of 2-40 days old diseased and freshly dead 12/100 (12%). Distribution of phenotypic virulence factors, haemolysin and lipase gave highest rates 28/38 (73.68%) and 28/38 (73.68%). While, gelatinase, lecithinase and protease represented 24/38 (63.1%), 26/38 (68.42%) and 26/38 (68.42%) respectively. These results proved high virulence repertoire owned by the P. aeruginosa confirming pathogenicity.

Molecular detection of ExoA, OprL genes, and phenotypic susceptibility to antimicrobials. There located high distribution of both genes within 100% of the obtained isolates with strong uphill correlation (r):1. A strong resistance of P. aeruginosa to screened antimicrobials with strong relationship between the presence of OprL and phenotypic antibiotic resistance (Regression line equation (y): (62.5). All isolates showed complete resistance 100% to Amoxicillin (AMX), E- Moxclav (AMC). While, resistance to Cotrimoxazole (CMX), Ceftriaxone (CRO), Ofloxacin (OFX) showed 90%, 80% and 30% respectively. Besides, no resistance to Ciprofloxacin (CIP) and Gentamycin (CN).

Concerning the results of testing the efficacy of various chemical substances, disinfectants, and essential oil extracts on P. aeruginosa. There located significant difference between the efficacy of Formalin, EDTA, Savlon and Thyme (p<0.0001). Although, great differences between the MIC of EDTA, Formalin, Savlon and Thyme with concentrations of 1%, 3%, 6%, and 8%. Formalin gave the highest efficacy with 10% concentration. Uphill strong correlation expressed between the efficacies and increased concentrations of Formalin, EDTA, Savlon and Thyme with correlation coefficients (r): 0.97, 0.91, 0.92, and 0.80 respectively.

Discussion

The pathogenicity of P. aeruginosa in birds is related to keratitis, keratoconjunctivitis, septicemia, respiratory infections, sinusitis, and soared embryonic death rates in hatcheries [10]. The total isolation rate (Table 1) was 38/166 (22.9%) of them 12/100 (12%) and 26 (52%) from liver of freshly dead and yolk sac of dead -in-shell embryos respectively, these results similar to [14]. While from the dead- in-shell embryos was higher than 2004 records from Egypt [19] which could be interpreted by the increased virulence and antimicrobial resistance which lead to existence of serious types of P. aeruginosa. The high mortalities reflected in high isolation results were due to the colonization of P. aeruginosa in eggs and degradation of yolk proteins making the environment conductive to the proliferation and installation of other pathogens. Localized or septicemic forms of P. aeruginosa infections dependent on its path of entrance, age and resistance of the host. Concerning the results of phenotypic virulence factors (Table 1), gelatinase and Lecithinase activities were like results reported from Romania in 2013 [11]. In addition to that, haemolysin production was similar to data from India in 2006 [18]. P. aeruginosa lipase is an important virulence factor induces harmful effects with other bacterial enzymes, in particular, Phospholipase C. Production of lipase activity by P. aeruginosa isolates contribute to pathogenicity which may suppress the immune response [8]. The result of protease production comes consistent with data from Iraq 2013 [20]. The relative contribution of each of these exoproducts implicated in virulence of P. aeruginosa may vary depending on site and type of infection [32].

The results of virulence factors clarified that most of the isolates expressed high virulence degrees. The interaction between virulence factors and host immune response determines severity and type of infections.

Molecular detection of (OprL) and (ExoA) gene loci confirmed distribution pattern in 38/38 (100%) of all P. aeruginosa with strong uphill correlation (r):1 (Table 2). There located significant resistance of P. aeruginosa to screened antimicrobials (p<0.0001). There found strong relationship between the presence of OprL and phenotypic antibiotic resistance (Regression line equation (y): 62.5. The highest resistance 100% showed to Amoxicillin (AMX), E- Moxclav (AMC). While, resistance to Cotrimoxazole (CMX), Ceftriaxone (CRO), and Ofloxacin (OFX) were 90%, 80%, and 30% respectively. Besides, no resistance to Ciprofloxacin (CIP) and Gentamycin (CN). Furthermore, the high results of ExoA coincides with published data from National Center for Toxicological Research, Food and Drug Administration, Jefferson, Arkansas in 1994 [16]. The results of genetic detection of outer membrane protein L agree with published results from Belgium in 1997 [4]. Regarding the antimicrobial sensitivity testing results, high sensitivity to gentamicin [25], Also the high P. aeruginosa sensitivity to Ciprofloxacin concurred with reported results from Iraq in 2013 [20] while, ceftriaxone like stated data from Lagos Nigeria in 2002 [23]. Resistance to Amoxicillin, E- Moxclav similar to data published on isolated P. aeruginosa from cattle in Bangladesh in 2013 [13]. Sensitivity to Cotrimoxazole agree with [30] while, resistance to Cefuroxime like published results from Tamale teaching hospital at the north of Ghana in 2013 (Table 3) [1].

Type and No. of Cases Haemolysin Collected samples Results of Biochemical tests and API 20NE Results of phenotypic detection of virulence factors
Type No.
Gelatinase Haemolysin Lipase Lecithinase Protease
Birds (2-40 days old) (diseased and freshly dead) 100 Nasal swabs 100 0 - - - - -
Throat swabs 100 0 - - - - -
Heart blood swabs 100 0 - - - - -
Liver 100 12/100 (12%) 12 12 12 12 12
Cloacal swabs 100 0 - - - - -
dead -in- shell embryos from hatcheries 50 Heart 50 0 - - -   -
Lung 50 0 - - - - -
Peritoneal samples 50 0 - - - - -
Liver 50 0 - - - - -
Intestinal samples 50 0 - - - - -
Yolk sac 50 26/50 (52%) 26 26 26 26 26
Environmental samples 16 Litter samples 8 0 - - - - -
Water samples 8 0 - - - - -
Total 166     38 /166 (22.9%) 24/38 (63.1%) 28/38 (73.68%) 26/38 (68.42%) 28/38 (73.68%) 26/38 (68.42%)

Table 2: Genotypic detection of Exo A and opr L with relation to sensitivity to various antimicrobials.

Results of Phenotypic
antimicrobial
susceptibility testing.
Results of antimicrobial efficacy Molecular
Detection of Exo A
And oprL
genes
Types of used antibiotics Sensitive (S) Intermediate (I) Resistant (R) Exo A oprL
Amoxicillin (AMX) - - 100% 38/38
(100%)
38/38
(100%)
Ceftriaxone (CRO) 20% - 80%
Cefuroxime (CXM) - - 100%
Cotrimoxazole (CMX)   10% - 90%
Ciprofloxacin (CIP)   60% 40% -
E- Moxclav (AMC)   - - 100%
Gentamycin (CN)   100% - -
Ofloxacin (OFX)   70% - 30%

Table 3: Susceptibility testing of P. aeruginosa with chemical substances, disinfectants and essential oil extracts from some medicinal herbs.

Meditating in results of antimicrobial effect of chemical substances (Table 4). Formalin gave notable efficacy with a concentration of 3% concurred with stated data from Al-Hilla teaching hospital Iraq in 2012 [9]. P. aeruginosa was sensitive to 1% of EDTA with a proportional relationship between concentrations and efficacies [2]. Resistance to Ethanol and Isopropyl alcohols disagree with [12]. While, susceptibility to Savlon with concentration of 6% agrees with their results. Essential oils produced no efficacy except Thyme at a concentration of 8% concurred with [21]. The presence of outer membrane proteins increased resistance to various tested antibiotics, chemicals, and plant extracts. Outer membrane proteins implicated in interaction with an environment, efflux transport systems, and cell permeability [22].

Concentrations
Type
1% 2% 3% 4% 5% 6% 7% 8% 9% 10%
Formalin R* R 21.25
±
0.25
21.75
±
0.45
26.5
± 0.204
26.85
± 0.312
35.58
±
0.217
45.88
±
0.426
53.67
±
0.311
61.62
±
0.625
EDTA 17.57
±
0.217**
25.45
± 0.210
25.62
± 0.239
26.37
± 0.239
27.4
± 0.244
28.32
± 0.235
29.55
± 0.239
30.57
± 0.209
31.6
±
0.212
32.5
± 0.279
Ethyl alcohol
Only 70%
R
Isopropyl
alcohol
R R R R R R R R R R
Chlorohexidine cetramid
(Savlon)
R R R R R 16
± 0.248
17.85
± 0.064
20.92
± 0.047
23.82
±
0.143
25.47
± 0.213
Iodine R R R R R R R R R R
Sodium citrate R R R R R R R R R R
Allicin R R R R R R R R R R
Basil R R R R R R R R R R
Lemon citrus
oil
R R R R R R R R R R
Pomegranate R R R R R R R R R R
Thyme R R R R R R R 17.5
± 0.221
20.6
±
0.216
21.67
± 0.228

Table 4: Antimicrobial effect of chemical substances.

Conclusion

In conclusion, the gained results proved high virulence repertoire owned by the P. aeruginosa confirming pathogenicity. Outer membrane protein is responsible for most of resistance expressed by P. aeruginosa. Expressed sensitivity to EDTA, Formalin, Savlon and Thyme with a proportional relationship between concentrations and efficacies. Further investigations are required for new antibacterial components and vaccine formulation.

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