Indian Journal of Animal Research

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Isolation, Pathotyping and Drug Susceptibility Pattern of Escherichia coli Isolates from Diarrheic Piglets

Das Adwitiya1,*, Dilip Kumar Sarma2, Rajeev Kumar Sharma2, Probodh Borah3, Durlav Prasad Bora2, Farhin Aktar Choudhury4, Tinku Das5, Ritam Hazarika3
1Division of Microbiology, Indian Veterinary Research Institute, Izatnagar, Bareilly-243 122, Uttar Pradesh, India.
2Department of Veterinary Microbiology, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781 022, Assam, India.
3Department of Animal Biotechnology, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781 022, Assam, India.
4Department of Veterinary Pathology, College of Veterinary Science and Animal Husbandry, Selesih, Aizawl-796 015, Mizoram, India.
5Department of Veterinary Epidemiology and Preventive Medicine, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781 022, Assam, India.

Background: Multidrug resistant strains of Escherichia coli have been causing worldwide outbreaks of food borne diseases in recent years. The emergence of antibiotic-resistant strains of E. coli and the occurrence of transmissible drug resistance among the organism has amplified the complications associated with its control and treatment measures. Data associated with the prevalence, virulence factors and antimicrobial susceptibility of E. coli isolates are needed to be studied in order to develop an effective control strategy for colibacillosis in piggeries. The goal of the investigation was to study the antimicrobial susceptibility pattern and pathotyping of E. coli isolates from diarrhoeic piglets.

Methods: 102 rectal swab samples were collected from diarrhoeic piglets of ICAR-AICRP/MSP on Pig, College of Veterinary Science, Assam Agricultural University, Khanapara, ICAR-National Research Centre on Pig, Rani, Guwahati, Assam and from different unorganized farms of the state. These samples were then inoculated in Luria Bertani (LB) broth and incubated aerobically at 37oC for 24 hours followed by sub culturing them in MacConkey’s lactose agar (MLA) and Eosin Methylene Blue (EMB) agar for purification of the suspected E. coli isolates. The isolates were characterized by biochemical tests and motility tests and were pathotyped based on detection of specific virulence genes by multiplex Polymerase Chain Reaction (PCR).

Result: Out of 102 rectal swab samples examined, 92 (90.2%) yielded E. coli which included 41 (91.12%) of 45 samples collected from ICAR-AICRP/MSP on Pig, College of Veterinary Science, Assam Agricultural University, Khanapara and 32 (88.89%) of 36 samples from ICAR-National Research Centre on Pig, Rani, Guwahati, Assam and 19 (90.48%) of 21 samples from different unorganized farms. All the 92 E. coli isolates were examined for the presence of stx1, est1, elt1 and eaeA genes using specific primers. Among these isolates, 25 (27.17%) were positive for stx1 gene, 18(19.56%) for est1 gene, 6(6.52%) for elt1 gene, 3 (3.26%) for both genes est1 and elt1 and 12 (13.04%) for eaeA gene. Antimicrobial susceptibility pattern of the isolates revealed that the highest percentage (71.74%) of the isolates were resistant to tetracycline and the least (4.34%) to imipenem.

E. coli is one of the most important and pervasive pathogen that pose a serious threat to global public health (Ahmed and Shimamoto, 2014). Infections with E. coli account for several cases of diarrhoea in animals as well as human worldwide and are frequently encountered in the younger age groups. Colibacillosis is an important disease from zoonotic point of view (Dorn, 1988; Rice et al., 1996). 
       
Many E. coli strains have been identified as an important cause of several diseases in pigs worldwide including neonatal diarrhoea, neonatal septicaemia, post-weaning diarrhoea, oedema disease (bowel oedema or gut oedema), cystitis, septicaemia, polyserositis, coliform mastitis, urinary tract infections and can also colonise existing lesions elsewhere in the body. These diseases have a significant economic impact on the pig industry due to their association with high morbidity and mortality, as well as decreased weight gain in pigs (Fairbrother and Gyles, 2012; Taylor, 2013).
       
The commonest form of neonatal E. coli infections in piglets is diarrhoea without bacteraemia or any morphological evidence of enteritis (Smith and Jones, 1963; Moon et al., 1966).
       
The broad classes of E. coli causing diarrhoea in pigs include shigatoxigenic E. coli (STEC), enterohaemorrhagic E. coli (EHEC), enteropathogenic E. coli (EPEC) and extra-intestinal pathogenic E. coli (ExPEC). The major characteristics associated with the pathogenic E. coli infections are presence of specific fimbriae and production of enterotoxins, especially by the enterotoxigenic E. coli (ETEC) and shiga toxin by shiga toxin-producing E. coli (STEC). Other toxins are Enteroaggregative heat-stable toxin 1 (EAST1), cytotoxins, cytolethal distending toxin, hemolysin; outer membrane proteins (intimin) and adhesin involved in diffuse adherence. In addition, study has shown that F18 was the main colonization factor for STEC and ETEC with F18ab and F18ac as subgroups (Cheng et al., 2005).
       
In recent years, there has been a serious concern on the multidrug resistant strains of E. coli causing multiple food borne disease outbreaks worldwide (Kemper, 2011; Yamasaki et al., 2015). E. coli can exchange antibiotic-resistance genes between strains of the same species as well as other bacteria (Li et al., 2020). The emergence of antibiotic-resistant strains leads to failure of treatments which greatly complicates the control of infections (Amarillas et al., 2017). The magnitude of this problem has been further amplified by the occurrence of transmissible drug resistance among E. coli (Koh and Kok, 1984; Popovic and Popara, 1987; Raghav et al., 2022). Pathogenic bacteria have evolved and become more diverse as a result of the acquisition of virulence factors through successive horizontal gene transfer (Ogura et al., 2009; Ji et al., 2020; Kumar et al., 2022). Data on the prevalence of virulence factors and the antimicrobial susceptibility of E. coli isolates are needed in order to effectively develop control strategies for colibacillosis in piggeries.
Collection of samples
 
The research was conducted in the Department of Veterinary Microbiology, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati from January 2019 to March 2020. 102 rectal swab samples were collected from diarrhoeic piglets of ICAR-AICRP/MSP on Pig, College of Veterinary Science, Assam Agricultural University, Khanapara, ICAR-National Research Centre on Pig, Rani, Guwahati, Assam and from different unorganized farms of the state and were inoculated in Luria Bertani (LB) broth and incubated aerobically at 37oC for 24 hours. Subsequent subcultures were made in MacConkey’s lactose agar (MLA) and Eosin Methylene Blue (EMB) agar for purification of the suspected E. coli isolates. The isolates were characterized based on morphology, colony characteristics and biochemical tests like IMViC and motility tests as per the method of Cruickshank et al., (1975).
 
Pathotyping of E. coli isolates
 
The E. coli isolates were pathotyped based on detection of specific virulence genes by multiplex Polymerase Chain Reaction (PCR) as per the method described by Rajkhowa et al., (2015). Template DNA was prepared from each isolate for detection of stx1, elt1, est1 and eaeA genes by multiplex PCR. Pure colonies from EMB agar plates were enriched in LB broth (2 ml) by incubating aerobically at 37oC for 16-18 hours following which the broth culture was centrifuged at 3000 rpm for 10 minutes. Then the pellet was washed with 250 µl of Tris EDTA buffer by centrifuging at 3000 rpm for 10 minutes and a suspension was made in 100 µl of Nuclease Free Water and heated for 10 minutes followed by immediate snap cooling in ice for 10 minutes. Finally, the contents were centrifuged at 3000 rpm for 10 minutes and 80 µl of the supernatant was collected. The extracted DNA concentration was measured in Nanodrop Spectrophotometer (Thermo fisher scientific, USA) and stored at -20oC for further use.
 
Amplification of template DNA for detection of virulence genes by multiplex PCR
 
The detection of virulence genes, viz., stx1, elt1, est1 and eaeA was done by PCR using standard strains of E. coli as positive control, reported primers (Table 1) for all the four genes (20 pmol for each primer) in a single final reaction volume of 25 µl containing 2 X DreamTaq Master mix (0.05 units/of Taq polymerase, 4.0 mM MgCl2, 10 mM Tris- HCl, 50 mM KCl, 0.4 mM of each dNTPs) and cycling conditions mentioned in Table 2.

Table 1: Primer sequences.



Table 2: Multiplex PCR cycling conditions.


       
The amplicons were separated by electrophoresis using 2% agarose gel containing 0.5 µl/ml ethidium bromide in 1X TAE buffer and the gel was visualized in the gel documentation system and images were captured by ImageLab software.
 
Antimicrobial susceptibility test
 
All the E. coli isolates were tested for in-vitro susceptibility to 28 different antimicrobial agents (HiMedia Laboratories) by disc diffusion technique as per method described by Bauer et al., (1966). 
Isolation of E. coli from rectal swabs of diarrhoeic piglets
 
In the present study a total of 102 samples of rectal swab from diarrhoeic piglets were examined for isolation of E. coli of which, 92 (90.2%) samples yielded E. coli showing characteristic morphology (Fig 1 and 2). In respect to source of samples, 41 (91.12%) out of 45 samples were collected from ICAR-AICRP/MSP on Pig, College of Veterinary Science, Assam Agricultural University, Khanapara and 32 (88.89%) out of 36 samples were collected from ICAR-National Research Centre on Pig, Rani, Guwahati, Assam while 19 (90.48%) out of 21 samples were collected from different unorganised farms (Table 3).

Fig 1: Pink colonies of E. coli on MLA plate.



Fig 2: Metallic sheen of E. coli on EMB plate.



Table 3: Isolation of E. coli from diarrheic piglets.


 
Biochemical characterization of E. coli
 
The isolates were subjected to biochemical tests like IMViC tests, catalase test and motility tests (Table 4). 92 isolates were positive for indole and methyl red tests, in which the isolates have produced red/pink colour ring (Fig 3) and red colour respectively (Fig 4). None of the samples were positive for Voges-Proskauer (Fig 5) and citrate utilization tests (Fig 6). Catalase (Fig 7) and motility tests (Fig 8) showed positive reaction for 92 isolates. All the biochemical reactions confirmed the presence of E. coli.

Table 4: Results of the biochemical tests for E. coli isolates.



Fig 3: Indole test.



Fig 4: Methyl red test.



Fig 5: Voges-Proskeur test.



Fig 6: Citrate test.



Fig 7: Catalase test.



Fig 8: Motility test before and after inoculation of sample.


 
Pathotyping of E. coli isolates
 
Nucleic acid amplification by Polymerase Chain Reaction is recognised as one of the most important scientific developments to come along during the last two centuries for detection of genes encoding virulence factors of pathogenic organisms (Rahman, 2002; Moon et al., 2003). Multiplex PCR is a useful adoption in which several PCR primers are combined to detect virulent genes in a single reaction. In the present study, a oligonucleotide primer set was used which encodes the genes typically found in pathotypes of E. coli prevalent in piglet diarrhoea viz. Enterotoxigenic or ETEC (est1, elt1), Shigatoxigenic or STEC (stx1) and Enteropathogenic or EPEC (eaeA) E. coli. Primers were selected on the basis of published nucleotide sequence of the 127 bp for stx1, 222 bp for est1, 308 bp for elt1 and 535 bp for eaeA genes (Rajkhowa et al., 2015).
       
A total of 92 isolates of E. coli were examined for the presence of stx1, est1, elt1 and eaeA gene by multiplex PCR using standard primers. The study revealed that 25 isolates were positive for stx1 gene (27.17%), 18 for est1 gene (19.56%), 6 for elt1 genes (6.52%), 3 for presence of both genes est1 and elt1 (3.26%) and 12 for eaeA genes (13.04%), which corroborates with the findings of Bessone et al., (2017) and Fratamico et al., (2008).
       
This suggests that the E. coli isolates were capable of producing heat stable (ST) and heat labile (LT) toxins. Prevalence of ETEC in E. coli isolates were also reported by some workers (Garcia-Menino et al., 2018, Yang et al., 2019, Li et al., 2020).
       
stx1
gene encodes for Shiga toxin 1 which is a characteristic cytotoxin released by verocytotoxigenic E. coli (VTEC) or Shigatoxigenic E. coli (STEC). Shiga toxin-producing E. coli (STEC) are a group of highly pathogenic foodborne zoonotic pathogens, associated with diarrhoea, hemorrhagic colitis (HC) and hemolytic uremic syndrome (HUS) in humans. As a matter of fact, STEC have been isolated from pigs and pork products, in some cases associated with episodes of HC and HUS in humans (Baranzoni et al., 2016; Honish et al., 2017). This is an important finding from public health concern as these strains can be cross transferred to human via food chain. Overall, pathotyping of the E. coli isolates by detection of the virulent genes revealed that 25 (27.17%) isolates belonged to STEC, 27(29.34%) to ETEC and 12(13.04%) to EPEC as depicted in Table 5, 6 and Fig 9, 10.

Table 5: Detection of virulence genes in the E. coli samples isolated from diarrheic piglets.



Table 6: Pathotyping of E. coli isolates from diarrhoeic piglets.



Fig 9: Agarose (2%) gel showing band patterns of E. coli isolates in multiplex PCR for detection of virulence genes in E. coli from diarrhoeic piglets.



Fig 10: Different pathotypes of E. coli isolated from diarrhoeic piglets.


 
Antimicrobial resistance pattern of the isolates
 
The widespread use of antibiotics in livestock has led to the emergence of multidrug-resistant (MDR) E. coli, posing a threat to animal and human health. In the present study, E. coli isolates resistant to more than 3 drugs were considered MDR Sahm et al., (2001) and 50% of E. coli isolates were found to be MDR, exhibiting resistance to three or more antimicrobials. In all, 46 (50%) of the 92 E. coli isolates were found to be MDR. Table 7 and Fig 11 shows that the E. coli isolates tested for antimicrobial susceptibility showed maximum resistance towards tetracycline (71.74%), nalidixic acid (70.65%), framycetin (59.78%), cefazolin (54.35%), ofloxacin (51.09%), erythromycin (50%), gatifloxacin (48.91%) and ampicillin (47.83%), while moderate resistance was observed against nitrofurantoin (43.48%), co-trimoxazole (41.30%), cefixime (41.30%), neomycin (41.30%) ciprofloxacin (40.22%) and streptomycin (35.87%). Moderate susceptibility was recorded to piperacillin/ tazobactum (33.69%), cefuroxime (33.69%) cephalothin (32.61%), chloramphenicol (29.35%) and levofloxacin (29.34%), while maximum susceptibility was observed for meropenem (21.74%), norfloxacin (21.74%), cefoxitin (21.74%), cefepime (16.30%), gentamicin (11.95%), ceftazidime (10.87%), amikacin (8.69%), polymixin- B (6.52%) and imipenem (4.34%). Fig 12-15 depicts the antimicrobial sensitivity and resistance patters of E. coli isolates on Mueller Hinton agar.

Table 7: Antimicrobial susceptibility patterns of E. coli isolates from different sources.



Fig 11: Antimicrobial susceptibility patterns of E. coli isolates from different sources.



Fig 12: Antimicrobial sensitivity and resistance patterns of E. coli isolates on Mueller Hinton agar plate (AMP, C, CEP, COT, IPM, MRP, PIT and TE).



Fig 13: Antimicrobial sensitivity and resistance patterns of E. coli isolates on Mueller Hinton agar plate (CAZ, CFM, CZ, F, NIT and NX).



Fig 14: Antimicrobial sensitivity and resistance patterns of E. coli isolates on Mueller Hinton agar plate (CIP, CXM, CPM, CX, GAT, LE and OF).



Fig 15: Antimicrobial sensitivity and resistance patterns of E. coli isolates on Mueller Hinton agar plate (AK, E, GEN, N, NA, PB and S).


       
High resistance rates were observed for tetracycline (71.74%), nalidixic acid (70.65%), framycetin (59.78%), cefazolin (54.35%) and several other commonly used drugs. Moderate resistance was noted for nitrofurantoin, co-trimoxazole and ciprofloxacin, among others. The frequent use of these antibiotics likely drives resistance development. The occurrence of MDR E. coli with resistance to up to 20 antimicrobials suggests plasmid-mediated resistance and highlights the urgent need for prudent antibiotic use in livestock to mitigate the spread of resistance (Chakravarti et al., 1990). Conversely, higher susceptibility to carbapenems (meropenem, imipenem), polymyxin B, and certain cephalosporins indicates limited use of these drugs in veterinary practice, preserving their effectiveness.
Findings of the present study indicated a high prevalence of VTEC/STEC E. coli isolates among diarrhoeic piglets which suggested E. coli as a leading cause of piglet diarrhoea. Furthermore, high level of resistance against the commonly used antimicrobial agents and presence of ETEC and STEC among the isolates suggested the possibility of cross-transfer of drug-resistant strains from pigs to human through the food chain.
The authors are thankful to the Dean, Director of Research (Veterinary) and Principal Scientist, ICAR-AICRP on Pig, Faculty of Veterinary Science, Assam Agricultural University, Khanapara as well as Principal Scientist of NRC on Pig, Rani for providing all necessary facilities to carry out the research work. 
The authors declare no conflict of interests.

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