Indian Journal of Animal Research

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Detection of Antimicrobial Resistance Genes in Pseudomonas Isolated from Poultry

R. Khatri1, D. Chhabra1,*, R. Sikrodia1, R. Gangil1, R. Sharda1, J. Jogi1
1Department of Veterinary Microbiology, College of Veterinary Science and Animal Husbandry, Nanaji Deshmukh Veterinary Science University, Mhow-453 441, Madhya Pradesh, India.

Background: P. aeruginosa is one of the normal inhabitants and considered as an opportunistic organism of avian spp. Under stressful conditions this organism may becomes pathogenic and induces a clinical picture with serious economic losses in the poultry industry.

Methods: A total of 150 samples were collected from birds, poultry farms and hatcheries for bacteriological isolation and identification of Pseudomonas at Genus level and Pseudomonas aeruginosa by phenotypic methods and PCR using species specific primers of gene oprL. Seven antimicrobial resistance genes (ARG) in Pseudomonas isolates were also detected using PCR.

Result: Out of 150 samples, only 10 (6.66%) samples yielded Pseudomonas. Out of total 10 Pseudomonas isolates, 07 (70%) were identified as Pseudomonas aeruginosa in PCR using oprL gene primers. Out of 10 Pseudomonas isolates, 1 (10%) isolate was positive for blaCTX-M gene, 2 (20%) for tetB and blaSHV gene, 3 (30%) for tetA and Sul1 gene. The most prevalent gene found in Pseudomonas isolates was MexA as it was found in 9 (90%) isolates followed by blaTEM 5 (50%).

Pseudomonas is a communal motif of environmental associated disease and causes a serious and extensive economic problem in all age groups in poultry farms and hatcheries (Fodor, 2007). The Pseudomonas is one of the ESKAPE group pathogens (Enterococcus faecium, Staphylo- coccus aureus, Klebsiella pneumoniae, Acinetobacter   baumanii, Pseudomonas aeruginosa and Enterobacter spp.)   and have capacity to “escape” from common antibacterial treatments (Omoya and Ajayi, 2016; Chakraborty et al., 2020). P. aeruginosa could adapt very easily to antibiotics and could quickly develop multidrug resistance (Sekhri et al., 2020). In relation to the burning problem of antimicrobial resistance, the low antibiotic susceptibility of  P. aeruginosa against most antibiotics is worrisome.
       
This is mainly attributable to low permeability of the bacterial cellular envelopes, action of multidrug efflux pumps, mobile genetic elements and hydrolyzing enzymes. In addition to this intrinsic resistance, P. aeruginosa can get resistance by mutation either in chromosomally encoded genes or by the horizontal gene transfers of antibiotic resistance determinants. Better understanding and monitoring of AMR gene transfer could potentially help to limit the spread of AMR  and prolong the life of new antibiotics (Strateva and Yordanov, 2009). The indiscriminate and injudicious use of antimicrobials in poultry is the major contributors in development of AMR in bacteria including Pseudomonas (Wibisono et al., 2020). Therefore, considering the above facts present research pursuit was undertaken with the objective of detection of some antimicrobial resistance genes in Pseudomonas isolates.
The work was carried out in the Department of Microbiology, Veterinary College, MHOW (M.P.) during October 2020 to October 2021.
 
Sample collection
 
Total 150 samples comprising of nasal exudate (n= 5) from the birds showing clinical signs of respiratory illness, cloacal swab (n=33), respiratory tract tissues (n= 8), liver (n=5) and heart (n=7 ) from dead birds, hatchery samples from egg incubators (n= 10), water (n=14)  and yolk sacs of dead in shell embryos (n=37),  samples from poultry farms: feed, water, soil and litter material (n=31) were collected from various organized and unorganized poultry farms and hatchery situated in and around Mhow and Indore cities for isolation and identification of Pseudomonas and Pseudomonas aeruginosa.

Isolation and Identification
 
The samples were first inoculated in BHI broth and incubated aerobically at 37oC for 24 hrs, followed by inoculation on basic and selective media and Gram staining for the presumptive identification of bacterial isolates as Pseudomonas by colonial and microscopic morphology (Collee et al., 1996). Further, the biochemical tests were carried out as per Barrow and Feltham (1993) and PCR using primers for species specific gene oprL.
 
Polymerase chain reaction (PCR) for species identification
 
Extraction of DNA
 
The Pseudomonas isolates were cultivated by inoculating in Brain heart infusion broth (Hi Media) and incubating at 37oC for 12-18 hours (overnight grown culture). DNA was extracted with the kit (GeneElute Bacterial Genomic DNA Kit).
 
Thermocyclic conditions for oprl gene
 
The PCR was standardized for the detection of Pseudomonas aeruginosa specific oprL using published primers (Farghaly et al., 2017). The nucleotide sequences of the forward and reverse primers for amplification of 504 bp product of oprL gene were as forward ATGGAAATGC TGAAATTCGGC and reverse CTTCTTCAGCTCGACGC GACG. The PCR reaction was optimized for amplification by adding 12.5 μl of Master mix, 1.0 μl of forward and reverse primer (20 pm/μl) each, 5 μl of DNA Template (150-200 ng) and the reaction was made up to 25 μl by using 5.5 μl nuclease free water. The negative control consisted of sterile water. PCR was performed in thermocycler (Eppendorf Research, Germany) for identification of Pseudomonas aeruginosa targeting oprL gene. The protocol included 35 cycles of initial denaturation at 96oC for 5 minutes, denaturation at 96oC for 1 minute, annealing at 60oC for 1 minute, extension at 72oC for 1 minute and final extension at 72oC for 10 minutes. The amplified products were electrophoresed in 1.5% agarose gel (in TBE buffer), stained with ethidium-bromide solution. The resolution of bands in the gel was visualized by a UV transilluminator (Alpha-Innotech) and digitally recorded by gel documentation system (Alphalmager, USA).
 
Polymerase chain reaction for antimicrobial genes
 
The PCR was standardized for the detection of seven antimicrobial genes in Pseudomonas using published primers (Table 1).

Table 1: Details of primers used for molecular characterization of ARGs of Pseudomonas.


 
Thermocyclic condition fo Thermocyclic condition for identification of AMR genes
 
PCR was performed for identification of antimicrobial genes of Pseudomonas species (Table 2).

Table 2: Thermocyclic condition for amplification of AMR genes of Pseudomonas.


 
Gene sequencing
 
For the sequence analysis, the PCR product of two genes (oprL and MexA) were got sequenced from Eurofins (Bengaluru).
Isolation and Identification of Pseudomonas spp.
 
Out of 150 samples collected for bacteriological isolation and identification of Pseudomonas and Pseudomonas aeruginosa by phenotypic and genotypic methods, only 10 (6.66%) samples yielded Pseudomonas. All the 10 isolates producing characteristic colonies with greenish pigmentation, fruity odour on nutrient agar and greenish yellow colonies, sweet odour on Pseudomonas base agar and Gram negative rods were suggestive of Pseudomonas. The results of biochemical tests were in agreement with the standard book reference and other reports (Barrow and Feltham, 1993; Abd El-Tawab et al., 2014, Shahat et al., 2019).
       
Ten isolates of Pseudomonas were further tested and positive amplification of 504 bp fragment specific for the oprL gene was disclosed only in 7 (70%) isolates and was thus confirmed as Pseudomonas aeruginosa (Plate 1).

Plate 1: Agarose gel electrophoresis showing amplified product (504 bp) of oprL gene of Pseudomonas aeruginosa.


       
Many researchers have made attempts to develop molecular methods especially PCR for the detection of P. aeruginosa (Nikbin et al., 2012). In this study the size of amplicon for the gene of interest was 504 bp. The reports which used same set of primer and same PCR amplified fragment size to confirm Pseudomonas aeruginosa strain genotypically were Abd El-Tawab et al., (2014); Elsayed et al., (2016); Bakheet and Torra (2020) and Soha et al., (2021).                               

Identification of P. aeruginosa can be achieved by   amplification of a peptidoglycan associated lipoprotein (oprL) gene (species-specific gene). It encodes a protein in the inner and outer membranes and is essential for the invasion of epithelial cells and indicate also the pathogenic potential of these isolates (Elsayed et al., 2016).
 
Detection of antimicrobial resistance genes by PCR in Pseudomonas spp.
 
Extracted DNAs from 10 isolates of Pseudomonas spp. were amplified in PCR for detection of various genes of antimicrobial resistance. Different primers used for targeted antibiotic genes were blaCTX-M, tetA, MexA, Sul1, blaSHV, blaTEM and tetB (Table 1). Amplification and detection of blaCTX-M gene was done using published primer as per Adesoji et al., (2015). An amplicon size of 538 bp was taken as positive for blaCTX-M gene. Out of 10, one (10%) isolate was positive for blaCTX-M gene (Plate 2). A desired product of 628 bp using primer as per Gundran et al., (2020) in PCR was produced by 2 (20%), strains thus showing the presence of blaSHV gene against beta lactam antibiotics (Plate 3). Amplification and detection of blaTEM gene was done using published primer as per Gundran et al., (2020). An amplicon size of 506 bp was taken as positive for blaTEM gene. Out of 10 isolates, 5 (50%) were positive for blaTEM gene (Plate 4). The detection of ESBL and beta-lactamase encoding genes: blaTEM, blaSHV and blaCTX in the ESBL-producing Pseudomonas species isolated from livestock samples were also reported by Falodun et al., (2020).

Plate 2: Agarose gel electrophoresis showing amplified product (538bp) of blaCTX-M gene.



Plate 3: Agarose gel eleectrophoresis showing amplified product (628 bp) of blaSHV gene.



Plate 4: Agarose gel electrophoresis showing amplified product (506 bp) of blaTEM gene.


       
In this study the ESBL producing Pseudomonas isolates were dominated by encoding blaTEM gene, followed by blaSHV and blaCTX-Ms (Table 3). It has been reported that ESBL genes show variation depending on the geographical location. Dominance of genotype blaTEM was also reported by Chen (2015). On contrary, Jamali et al., (2017) reported the prevalent gene to be blaSHV. The least detected ESBL genotype from this study was blaCTX-M similar to records of Miranda (2015). In other studies Hassan et al., (2020) reported that resistance genes, blaCTX, was detected in 100% of the examined P. aeruginosa isolates although the lower prevalence was recorded by others (Peymani et al., 2017). The detection of blaCTX gene among all the tested isolates could explain the growing resistance pattern of P. aeruginosa, which reached to complete resistance against the third generation of cephalosporins represented by cefotaxime.

Table 3: Prevalence of different ARGs in Pseudomonas isolates.


       
Several researchers have reported about the concurrence of different β-lactamase genes found in the same strains (Bahrami et al., 2018). ESBL combinations in our study observed were blaTEM + blaSHV and blaTEM + blaSHV+ blaCTX-M. Chen (2015) reported the commonest combination of genes to be blaSHV + blaCTX-M. Prior to now, blaTEM used to be the most prevalent gene but recent reports suggest that the CTX-M-type group of ESBLs may now be the most predominant type globally (Sahoo et al., 2019). These discrepancies may be due in part to varied geographic location, different levels of healthcare facilities involved, varied levels of exposure to healthcare settings, antibiotic use and antibiotic stewardship practices.
       
ESBLs are undergoing continuous mutations, causing the progression of new enzymes, showing expanded substrate profiles. So far, there have been more than 300 different ESBL variants which have been clustered into nine different structural and evolutionary families based on their amino acid sequences (Bokaeian et al., 2015).
       
A desired product of 316 bp using published primer as per Farghaly et al., (2017) in PCR was produced by 9 (90%), strains thus showing the presence of MexA gene against beta lactam antibiotics (Plate 5). Detection of some efflux pumps system genes, such as oprJ, mexA, etc in avian P. aeruginosa isolates was conducted by Farghaly et al., (2017) and the results revealed the presence of these genes with percentages of 100% and 85.7%, respectively.

Plate 5: Agarose gel electrophoresis showing amplified product (316 bp) of MexA gene.


       
The DNA extracted from 10 isolates of Pseudomonas was subjected to PCR for detection of Sul1 gene using published primer pair (Shehata et al., 2016). A desired amplicon size of 822 bp was found in only 3 (30%) out of 10 Pseudomonas isolates (Plate 6). Adekanmbi et al., (2020) also reported Sul1 gene in P. aeruginosa. Resistance to sulfonamides occurs principally through the acquisition of the alternative dihydropteroate synthase (DHPS) gene sul, the product of which has a low affinity for sulfonamides (Changkaew et al., 2014).

Plate 6: Agarose gel electrophoresis showing amplified product (822bp) of Sul1 gene.


       
Three (30%) out of 10 Pseudomonas strains showed the presence of tetA gene against tetracycline group of antibiotics, as they produced a desired product of 494 bp in PCR as per Adesoji et al., (2015) (Plate 7). Two (30%) out of 10 Pseudomonas strains showed the presence of tetB gene against tetracycline group of antibiotics, as they produced a desired product of 773 bp in PCR as per Van et al., (2008) (Plate 8). One of the most common resistance mechanisms in Gram-negative bacteria is the energy-dependent efflux pump system which is encoded by the genes tetA, tetB, tetC, tetD and tetG, with tetA and tetB genes being the most frequently described (Lewis et al., 2002).

Plate 7: Agarose gel electrophoresis showing amplified product (494bp) of tetA gene.



Plate 8: Agarose gel electrophoresis showing amplified product (773bp) of tetB gene.


 
Prevalence of different antimicrobial genes in Pseudomonas isolates
 
Seven antimicrobial resistant genes (ARGs), belonging to three antimicrobial families, were detected in varying percentage from all the Pseudomonas isolates of different samples as shown in Table 3. Analysis revealed that the most prevalent gene found in Pseudomonas isolates was MexA detected in 9 (90%) isolates followed by blaTEM (50%), tetA and Sul1 (30%), tetB and blaSHV (20%) and blaCTX-M (10%) genes (Fig 1). Maximum 7 genes detected in one sample followed by 5, 4, 2 and 1 in other samples (Fig 2). MexA gene was detected in maximum 9 isolates and blaCTX-M in minimum one isolate (Table 3).

Fig 1: Prevalence of antimicrobial resistance genes.



Fig 2: Total number of genes in each isolate of Pseudomonas.


       
Analysis revealed that the most prevalent gene found in Pseudomonas isolates was MexA detected in 9 (90%) isolates followed by blaTEM (50%), tetA and Sul1 (30%), tetB and blaSHV (20%) and blaCTX-M (10%) genes (Fig1). Maximum 7 genes detected in one sample followed by 5, 4, 2 and 1 in other samples (Fig 1). MexA gene was detected in maximum 9 isolates and blaCTX-M in minimum one isolate (Table 3).
 
Gene sequencing
 
For the sequence analysis, the PCR product of two genes (oprL and MexA) were got sequenced from Eurofins. Nucleotide base analysis of all sequence in GeneBank database revealed 98-100% homology with Pseudomonas aeruginosa.
The study concludes that the presence of ARGs such as bla TEM, bla CTX, bla SHV, mex A, tetA, tet B and sul 1 in Pseudomonas strains may be responsible for coding resistance to different antibiotics. Antibiotic resistant bacteria in poultry could be a major threat to public health as there is the distinct possibility that genes encoding antibiotic resistance determinants that are carried on mobile genetic elements may be transferred to other bacteria of human clinical significance.
The present study was supported by Dean, Veterinary College, Mhow and NDVSU university officials.
 
Disclaimers
 
The views and conclusions expressed in this article are solely those of the authors and do not necessarily represent the views of their affiliated institutions. The authors are responsible for the accuracy and completeness of the information provided, but do not accept any liability for any direct or indirect losses resulting from the use of this content. 
   
Informed consent
 
The research methodology was approved by the Institutional Animal Ethics Committee (IAEC).
The authors declare that there are no conflicts of interest regarding the publication of this article. No funding or sponsorship influenced the design of the study, data collection, analysis, decision to publish, or preparation of the manuscript.

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