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Journal of Clinical Microbiology, February 2008, p. 593-600, Vol. 46, No. 2
0095-1137/08/$08.00+0 doi:10.1128/JCM.01829-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Animal Health Service (GD), P.O. Box 9, 7400 AA Deventer, The Netherlands,1 School of Veterinary and Biomedical Sciences, Murdoch University, Murdoch, Western Australia 6150, Australia,2 Department of Farm Animal Health, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands3
Received 14 September 2007/ Returned for modification 20 November 2007/ Accepted 28 November 2007
| ABSTRACT |
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| INTRODUCTION |
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AIS was first clearly described in the 1980s, in both The Netherlands (5, 7, 8) and the United Kingdom (10), and subsequently has been reported in the United States (39, 43), Australia (24, 35), and a number of other European countries (2, 3). The nonspecific nature of the disease and the lack of availability of simple and specific diagnostic tests for these anaerobic spirochetes from chickens may have resulted in the condition being greatly underreported (14).
Studies using multilocus enzyme electrophoresis showed that intestinal spirochetes from chickens could be divided into at least six species groupings (25). These included the three species currently considered to be pathogenic to chickens, Brachyspira pilosicoli, B. intermedia, and B. alvinipulli (13, 37, 34, 40), as well as B. innocens, B. murdochii, and the proposed species "B. pulli" (35) that are generally considered to be nonpathogenic in chickens (35, 36). In several studies, other unidentified Brachyspira isolates of unknown pathogenic significance also have been identified in chickens (25, 27, 38).
In both Europe and Australia, the two most frequently reported pathogenic Brachyspira species in cases of AIS have been B. intermedia and B. pilosicoli (2, 3, 7, 25, 35, 38), while in the United States only pathogenic B. pilosicoli and B. alvinipulli have been recorded to date (39, 40, 43). In recent years, there has been only one brief conference report (45) regarding the occurrence of Brachyspira spp. infections in commercial poultry in The Netherlands; hence, the purpose of the current study was to determine which species are most commonly encountered in this region in poultry flocks with symptoms consistent with AIS. After selective anaerobic culture, isolates were identified using phenotypic traits and PCR-based methods. Significant new findings included the identification of the porcine pathogen B. hyodysenteriae (the agent of swine dysentery) in chickens from three flocks as well as the first identification of B. alvinipulli in chickens in Europe.
| MATERIALS AND METHODS |
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Another 30 samples were collected from live birds submitted from two other farms with epidemiological links (farms 24 and 25). The samples from farm 24 were derived from 1, 4, and 17 chickens collected at 24, 48, and 56 weeks of age, respectively, while the samples from farm 25 were from 8 chickens of 50 weeks of age. On farm 24, there was reduced egg production and eggshell quality and slightly increased mortality (0.15%). Additionally, there was an above-average number of eggs with fecal staining of the eggshells due to wet feces. Egg production and eggshell quality on farm 25 also were decreased. Both farms were situated in Germany just across the Dutch borders (1 to 2 km) but were owned by a Dutch poultry farmer. They had the same caretaker and well for drinking water and were located 500 m from each other. On both farms, brown-layer hens of the same breed were housed in an aviary system with a free-range area. The free-range areas of the two farms were adjacent to each other. The farms housed 25,452 and 20,971 chickens, respectively. The flocks were reared at different farms and had different origins. Fattening pigs were housed within 300 m of both farms, while a swamp with waterfowl was present within 800 m of both farms.
IFAT. A routine diagnostic IFAT for Brachyspira spp. was performed on a smear of the contents of one cecum from each of the sampled chickens. The other cecum was kept in sterile water and was used for Brachyspira culture within 24 h if the IFAT was positive. The general method for IFAT was carried out as described previously (20). Briefly, smears on glass slides were air dried and fixed in acetone for 5 min and then were incubated at 37°C for 30 min with a unabsorbed Brachyspira-specific antiserum raised in a rabbit by repeated intramuscular injection with a formalinized bacterin produced from a Dutch B. hyodysenteriae strain (CIDC, Lelystad, The Netherlands). The serum had been shown to cross-react with other Brachyspira spp. Subsequently, the smears were subjected to three 2-min washes in phosphate-buffered saline (PBS), incubated for 30 to 45 min with goat anti-rabbit fluorescein isothiocyanate-labeled conjugate (Nordic, Tilburg, The Netherlands), and again subjected to three 2-min washes in PBS. The slides were dried and examined for positive apple-green fluorescent spirochetes using a UV fluorescence microscope (DM2000; Leica Microsystems) at x100 to x400 magnification. Negative and positive control samples were examined with each batch of slides.
Spirochete culture. Cecal contents were stirred with a sterile cotton-tipped swab that was used to inoculate two selective Trypticase soy agar (TSA) plates (BBL Microbiology Systems, Cockeysville, MD). One plate was supplemented with spectinomycin (200 µg/ml), spiromycin (25 µg/ml), rifampin (12.5 µg/ml), vancomycin (6.25 µg/ml), colistin (6.25 µg/ml), 0.1% yeast extract (Oxoid, Basingstoke, United Kingdom), and 5% defibrinated ovine blood (22), and the other plate was supplemented with spectinomycin (400 µg/ml), vancomycin (25 µg/ml), colistin (25 µg/ml), and 5% defibrinated ovine blood (18). The reference strains B. hyodysenteriae ATCC 27146 and B. pilosicoli ATCC 51139 each were used as positive controls on duplicate plates. The plates were incubated in an anaerobic jar under H2 and CO2 generated using an anaerogen gaspak (Oxoid) for 4 to 7 days at 42°C. If spirochetal growth was suspected, a piece of agar was removed and used to inoculate an agar plate supplemented with 5% defibrinated sheep blood (SBA) (Biotrading, Meidrecht, The Netherlands), which subsequently was incubated anaerobically at 42°C for 2 to 3 days. The purity and the presence of spirochetes were examined by Gram staining. In the case of pure cultures, an agar fragment was used to subculture the isolate onto four SBA plates and one TSA plate (without antibiotics). One SBA plate was used to harvest the spirochetes in a peptone-glycerol medium that was stored at –80°C. Only pure cultures were used for biochemical typing. In cases for which a pure culture could not be obtained (after repeating the procedure twice), the culture was harvested directly from the SBA plate. A total of 73 culture-positive samples were stored frozen at –80°C.
Phenotypic characteristics.
Selected phenotypic characteristics of pure primary isolates from the original samples, and of three secondary cultures from frozen samples from farm 24, were determined using the methods described by Hommez and others (15). The presence and extent of β-hemolysis was observed on the original SBA plate after it was further incubated for 2 days. Spirochetes from the TSA plates were tested for indole by the spot test, while those from three of the SBA plates were harvested and pooled for the determination of
-galactosidase,
-glucosidase, β-glucosidase, and hippurate activity. The biochemical identification of pure cultures was performed as described for porcine isolates by Hommez and others (15), but with the addition of data for "B. pulli" and B. alvinipulli (34, 40). The phenotypic definitions used to identify the species are shown in Table 1.
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Histopathology and immunohistochemistry. For chickens from flocks 24 and 25, besides using cecal samples for culture and PCR, cecal tissue was obtained within 10 to 15 min of death for histopathology and immunohistochemistry. Tissue from the cecal wall was fixed in 4% formalin, paraffin embedded, and processed for histology. Sections were stained with hematoxylin and eosin. Sections were pretreated by incubation in a solution of methanol-H2O2 to neutralize endogenous peroxidase activity prior to immunohistochemistry. Samples then were incubated in the same rabbit polyclonal antiserum against Brachyspira that was used in the IFAT, rinsed in PBS, incubated with peroxidase-labeled goat anti-rabbit antibodies as described by the manufacturer (Nordic, Tilburg, The Netherlands), rinsed, and then incubated with 3,3'-diaminobenzidine tetrahydrochloride-H2O2 (Sigma-Aldrich). All sections were viewed at x100 to x400 magnification.
| RESULTS |
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Phenotypic identification of 43 isolates from 23 farms. Only 16 (37%) of the 43 Brachyspira isolates from the first 23 farms could be identified to the species level on the basis of their phenotypic properties (Table 2). These comprised isolates of the nonpathogenic B. innocens (n = 7), B. murdochii (n = 6), and "B. pulli" (n = 2) and a single isolate of the potentially pathogenic B. pilosicoli.
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Partial 16S rRNA gene sequencing of isolates from 23 farms. Twelve samples that were positive in the general PCR and negative in the species-specific PCR and one sample that was positive for both B. hyodysenteriae and B. pilosicoli (sample 19) were subjected to partial 16S rRNA gene sequencing. For sample 19, a sequence consistent with B. pilosicoli was obtained. Of the others, four were identified as belonging to the B. innocens/B. murdochii cluster, six as "B. pulli," and one as B. pilosicoli, and one was consistent with the B. hyodysenteriae/B. intermedia cluster (Table 2).
Phenotypic identification of isolates from farms 24 and 25. Of 33 isolates (including three secondary cultures) from farms 24 and 25 (Table 3), six isolates, all from farm 24, had the phenotype of B. hyodysenteriae (including two of the three secondary cultures). Nine isolates, including one subculture, were identified as B. murdochii, three as B. innocens, and two each as B. intermedia and B. pilosicoli; 11 isolates could not be identified.
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Partial 16S rRNA gene sequencing on isolates from farms 24 and 25. Sequencing was undertaken on six isolates identified as B. hyodysenteriae either by phenotypic analysis or PCR testing, as well as on 11 isolates that did not amplify in the species-specific PCRs but were positive in the general PCR. Three of the six isolates identified as B. hyodysenteriae clustered in the B. hyodysenteriae/B. intermedia group on the 16S rRNA gene tree, while the other three clustered with B. alvinipulli. Of the other 12 isolates, 8 were identified as B. alvinipulli, 1 as B. pilosicoli, and 1 as B. murdochii/B. innocens, and one (sample 73) did not cluster with any species in the tree.
Postmortem findings in chickens from farms 24 and 25. All but one chicken had productive ovaries at postmortem. A macroscopic examination showed the presence of localized enteritis with necrotic lesions in the duodenum in 12 of the chickens. A bacteriological examination suggested that the local enteritis in the duodenum was caused by a Clostridium perfringens infection. The presence of coccidia and other enteric parasites was ruled out by microscopic examination. Five chickens had unusual foamy cecal contents, but only one had obvious typhlitis.
Histopathology and immunohistochemistry. Cecal tissue from the chickens showed reactive and mild inflammatory changes morphologically consistent with Brachyspira infections. The changes were characterized by crypt hyperplasia, epithelial erosion, and increased numbers of goblet cells (Fig. 2A). Furthermore, mild to moderate infiltrates of macrophages and heterophils were observed in the lamina propria. In one sample from farm 24, which contained B. alvinipulli and showed typhlitis at postmortem, focal necrosis and necrotic material containing spirochetes was present in the lumen. Also, oocysts were found within the necrotic core.
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| DISCUSSION |
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In relation to the methodology used for identifying Brachyspira spp., it was evident that biochemical identification was problematic due to the frequent presence of mixed spirochete species (and possibly strains) and/or contamination of cultures with other bacteria. Only a minority of spirochete isolates could be identified by their biochemical profiles, and in many cases the phenotypic identity did not correspond to the species identified by PCR or by the clustering observed in the 16S rRNA gene phylogenetic tree. In part, this can be explained by the fact that the phenotypic identification systems originally were set up for the Brachyspira spp. isolated from pigs (9). Chickens are colonized by a greater range of Brachyspira spp. than are pigs, including a number of unidentified or new species groupings (25, 30, 38). Furthermore, typical biochemical profiles for B. alvinipulli and "B. pulli" have not yet been defined using large panels of isolates from these species. In this study, it was clear from the PCR results that quite a few of the individual cultures contained mixed species. Such mixtures would make determining biochemical reactivities problematic. In contrast, mixed infections of individuals with different Brachyspira spp. appear to occur less commonly in pigs (29). To help address the problems of mixed cultures and the presence of bacterial contamination, in future studies it will be necessary to be more careful in subculturing different colonies to purity, including, if necessary, making a series of limiting dilutions of the primary inocula before plating them out. Brachyspira spp. tend to form low flat confluent areas of growth on most agar media; however, it is possible to obtain individual colonies for subculturing by using fastidious anaerobe agar with 10% horse blood (29). The use of this sort of medium for subculturing is recommended for future studies.
The PCR methods that were used greatly improved the identification of species compared to the results of the examination of phenotypic properties. There were two discrepancies between the results of the species-specific PCRs and the 16S rRNA gene sequencing (for samples 19 and 72), but these could be explained by the likely presence of mixed species in the cultures tested. The sequence from the more common strain in a mixed culture likely would be amplified for sequencing at the expense of the less common strain. Despite the relatively small number of samples examined overall, seven different named or proposed Brachyspira spp. and many unidentified isolates were detected. Besides the presumed nonpathogenic species B. murdochii, B. innocens, and "B. pulli," the potentially pathogenic species B. pilosicoli, B. intermedia, and B. alvinipulli were identified. B. alvinipulli was identified only by using partial 16S rRNA gene sequencing, as a diagnostic PCR for this species has not been developed to date. The seventh species identified was B. hyodysenteriae, which was confirmed by a minimum of two independent species-specific PCR tests (for nox and tlyA) in three samples from flock 24, one from flock 25, and one from flock 4. Two of the confirmed positive isolates from flock 24 (44 and 48) also had the typical phenotypic properties of B. hyodysenteriae.
The results show that B. intermedia and B. pilosicoli either alone or in combination are the two most common pathogenic species in Dutch laying flocks with clinical symptoms consistent with AIS. These observations agree with the results of several studies from other countries (2, 3, 35, 38, 42). In addition, in the examination of larger numbers of chickens from flocks 24 and 25, B. alvinipulli was identified. This species was first identified and described as a pathogen in laying chickens in the United States (34, 39, 40). It subsequently has been reported in Hungary in two large goose flocks that had severe fibrinonecrotic typhlitis (26), and there are recent brief reports of this species occurring in laying chickens in the United Kingdom (42) and Sweden (16). Our results confirm that B. alvinipulli is present as a potential pathogen in laying chickens in countries outside the United States and emphasize the importance of considering this species in cases of AIS. The findings also point to the need for the development of an improved species-specific PCR for the identification of B. alvinipulli in diagnostic samples from chickens.
Brachyspira hyodysenteriae is the etiological agent of swine dysentery, a severe mucohemorrhagic colitis of growing and fattening pigs that is still common and important in many swine-rearing countries (12). This spirochete also naturally infects and causes typhlocolitis in rheas (Rhea americana) (19, 31). More recently, strongly β-hemolytic B. hyodysenteriae was isolated from mallards in Sweden (17). There has been a brief unconfirmed report mentioning the isolation of B. hyodysenteriae from Dutch commercial poultry (45) and a very recent brief report of it being isolated from laying chickens in the United Kingdom (42). The current study clearly shows that B. hyodysenteriae can naturally infect laying chickens.
The experimental infection of day-old chicks with B. hyodysenteriae isolates from pigs has caused a necrotic typhlitis (1, 44). Although it appears likely that B. hyodysenteriae also has pathogenic potential in adult chickens, currently there is no experimental evidence available to support this. Clearly, it will be important to use our B. hyodysenteriae isolates for experimental infections of adult chickens to determine the extent of any pathological changes they may induce.
The original source of the B. hyodysenteriae isolates infecting the chickens was not established, but in the case of the chickens on farms 24 and 25, infection may have come from pigs on the nearby swine farm or from waterfowl in the local swampland. As the survival time of B. hyodysenteriae in pig manure can be up to 48 days (4), hypothetically pig (and duck) manure cannot be excluded as a potential epidemiological factor.
Knowledge of the origin and transmission routes of the spirochete are important, as this may help in devising means to reduce its spread to chicken farms. Unfortunately, it was not possible to sample the neighboring pigs or the waterfowl to determine if they were infected. It seems likely that transmission of B. hyodysenteriae and/or B. alvinipulli between the two neighboring farms (farms 24 and 25) also may have occurred. Movement between the two farms by the caretaker, contact between chickens across the adjacent free-range areas, or a contaminated common water supply could have enabled the spread of these spirochetes between the farms.
All the farms investigated had clinical and production problems consistent with AIS. Flocks with AIS have been reported to show reduced egg production, diarrhea, increased fecal fat content, fecal staining of eggshells, increased feed consumption, and/or maldigestion (5, 8, 11, 35, 39, 43). Nevertheless, in the current study it was difficult to attribute the presence of any one species or set of spirochete species to the particular problems in the farms, especially as many of the farms were shown to have, or may have had, mixed Brachyspira species infections. Moreover, other potential pathogens affecting the gastrointestinal tract were detected in chickens from these farms (e.g., coccidia, nematodes, infectious bronchitis virus, and Clostridium perfringens). Only the chickens from farms 24 and 25 were subjected to histologic examination of their ceca, and the chickens from both farms showed the presence of different pathogenic Brachyspira spp. in combination with enteric disease. Histology and immunohistochemistry of cecal tissue from both farms in general showed reactive and mild inflammatory changes that were morphologically consistent with Brachyspira spp. in chickens and in other animal species (5, 6, 32). Focal necrosis was seen in one chicken, and in some ceca spirochetes were attached to cecal enterocytes and/or penetrating the epithelium as far as the lamina propria. The occurrence of clinical signs and histologic lesions in chickens from those two farms suggests a causality with the pathogenic Brachyspira strains detected. Nevertheless, potentially pathogenic Brachyspira spp. have been found previously in flocks without clinical signs, suggesting that predisposing factors can be necessary for the full clinical expression of AIS (35, 36). On the other hand, even the presumed nonpathogenic species B. murdochii has been associated with clinical problems on certain farms (35, 38). Arguably, preexisting enteritis (for example, associated with coccidiosis) might be a predisposing factor that enhances the pathogenicity of some of the Brachyspira species found in these chickens.
In conclusion, a number of different pathogenic Brachyspira spp. were widely distributed within and across different Dutch commercial laying chicken farms with clinical symptoms consistent with AIS. Besides potentially pathogenic B. intermedia, B. pilosicoli, and B. alvinipulli, laying chickens were naturally infected with B. hyodysenteriae. Further work is required to study the epidemiology of AIS in general and to assess the pathogenic potential of B. hyodysenteriae isolates in laying chickens.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Published ahead of print on 12 December 2007. ![]()
| REFERENCES |
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. 2006. Typhlocolitis associated with spirochaetes in goose flocks. Avian Pathol. 35:4-11.[CrossRef][Medline]
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