The aim of the present study was to evaluate white blood cell counts and serum protein profiles of commercial layers experimentally infected with Salmonella Gallinarum (SG) in order to better understand the pathophysiology of the disease caused by this bacterium. 180 five-day-old commercial layers were divided into 3 groups (G); G1 and G2 received 0.2 mL of inoculate containing 3.3x10(8) CFU or 3.3x10(5) CFU SG resistant to nalidix acid (Nal r)/mL, respectively, directly into their crops. G3 group did not receive the inoculum. Birds were sacrificed 24 hours before (T1) and 24 hours after the infection (T2), and three (T3), five (T4), seven (T5), and ten (T6) days after the administration of the inoculum. White blood cell counts were carried out in a Neubauer hemocytometer and in blood smears. Serum protein concentrations, including acute-phase proteins, were determined using sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE). Data were submitted to analysis of variance, and means were compared by Tukey's test (P <0.05). G1 and G2 groups presented higher leukocyte counts on T4 and T5, respectively, due to the increase of circulating lymphocytes and heterophils, with a significant difference relative to G3. In electrophoresis, an increase in the serum levels of ceruloplasmin, haptoglobin, and hemopexin and a decrease in transferrin, which are acute-phase proteins, was verified. IgA serum levels did not change; however, IgG concentration increased during the infection. In conclusion, the results provide information for the better understanding of the pathophysiology of fowl typhoid.
Fowl typhoid; serum protein profile; white blood cell count
Experimental infection of commercial layers using a Salmonella enterica serovar Gallinarum strain: Leukogram and serum acute-phase protein concentrations
Garcia KOI; Berchieri-Júnior AI; Santana AMII; Freitas-Neto OCI; Fagliari JJII
IDepartment of Veterinary Pathology
IIDepartment of Veterinary Clinical Sciences. Sao Paulo State University, Campus of Jaboticabal (College of Agricultural and Veterinarian Sciences); Via de Acesso Prof. Paulo Donato Castellane, s/n; 14884-900. Jaboticabal, SP, Brazil
The aim of the present study was to evaluate white blood cell counts and serum protein profiles of commercial layers experimentally infected with Salmonella Gallinarum (SG) in order to better understand the pathophysiology of the disease caused by this bacterium. 180 five-day-old commercial layers were divided into 3 groups (G); G1 and G2 received 0.2 mL of inoculate containing 3.3x108 CFU or 3.3x105 CFU SG resistant to nalidix acid (Nalr)/mL, respectively, directly into their crops. G3 group did not receive the inoculum. Birds were sacrificed 24 hours before (T1) and 24 hours after the infection (T2), and three (T3), five (T4), seven (T5), and ten (T6) days after the administration of the inoculum. White blood cell counts were carried out in a Neubauer hemocytometer and in blood smears. Serum protein concentrations, including acute-phase proteins, were determined using sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE). Data were submitted to analysis of variance, and means were compared by Tukey's test (P <0.05). G1 and G2 groups presented higher leukocyte counts on T4 and T5, respectively, due to the increase of circulating lymphocytes and heterophils, with a significant difference relative to G3. In electrophoresis, an increase in the serum levels of ceruloplasmin, haptoglobin, and hemopexin and a decrease in transferrin, which are acute-phase proteins, was verified. IgA serum levels did not change; however, IgG concentration increased during the infection. In conclusion, the results provide information for the better understanding of the pathophysiology of fowl typhoid.
Keywords - Fowl typhoid, serum protein profile, white blood cell count.
Fowl typhoid, caused by Salmonella enterica serovar Gallinarum or, simply, Salmonella Gallinarum, is a severe systemic disease that affects commercial poultry and other galliform species. When it infects a poultry farm, it causes relevant economic losses due to high morbidity and mortality rates, as well as egg production reduction. It is worldwide distributed, and it is generally regarded as a developing-country disease, including Central America, South America, Africa and Asia (Berchieri Jr., 2000).
The study of leukocyte response and of the kinetics of acute-phase proteins and immunoglobulins is essential for the understanding of the pathophysiology of different infectious diseases. Therefore, the study of epidemiologically relevant infectious processes in poultry, such as fowl typhoid, is essential, particularly because there are few studies on this subject. Sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) is very useful for the evaluation of acute-phase protein serum concentrations during the acute phase of infections, as well as of immunoglobulin levels.
The aim of this study was to evaluate white blood cell counts and acute-phase protein serum concentrations of commercial layers experimentally infected with Salmonella Gallinarum, in order to have a better understanding of the evolution of the disease.
MATERIAL AND METHODS
Birds and housing
A number of 180 commercial semi-heavy (brown) layers, considered susceptible to the infection by Salmonella Gallinarum was used. Blood samples were collected at arrival at the experimental facilities for the serological test (fast serum agglutination test using a commercial Salmonella Pullorum antigen). Fecal swabs were taken from the transport crate for the bacteriological detection of Salmonella, in order to ensure that birds were free from pathogens that might compromise the experiment (Zancan et al., 2000). The results showed that all birds were negative for Salmonella Gallinarum. Birds were then divided into three groups (G1, G2, and G3) of sixty individuals each, and housed in battery cages, located at the isolation units of the Laboratory of Veterinary Pathology of the Department of Veterinary Pathology, Faculdade de Ciências Agrárias e Veterinárias, Universidade Estadual Paulista (FCAVJ-UNESP), Brazil. Birds received water and food ad libitum.
Preparation of the inoculum
A nalidixic-acid resistant Salmonella Gallinarum strain (SGNalr), was used, as recommended by Berchieri Jr. et al. (2001). The strain was prepared and kept at the Department of Veterinary Pathology (FCAVJ-UNESP). The bacterium was cultivated in nutrient broth (Difco-244620), incubated in a shaking incubator (100 strokes/min) at 37°C, for 24h. Cultures were prepared in two different dilutions: one with approximately 3.3x108 CFU of S. Gallinarum Nalr/mL and another with 3.3x105 CFU of S. Gallinarum Nalr/mL.
G1 and G2 birds received 0.2mL of an inoculum containing 3.3x108 or 3.3x105 CFU of Salmonella Gallinarum, respectively, directly into the crop using a cannula. G3 birds did not receive any inoculum (control group). All birds were challenged at 5 days of age and sacrificed to obtain blood samples. Euthanasia was carried out (ten birds at a time in each group) 24h before (T1) or after (T2) the infection, and 3(T3), 5(T4), 7(T5), or 10 (T6) days after infection.
Birds were submitted to a physical examination twice daily - in the morning and afternoon - and, in the case of death, mortality was recorded, as described by Oliveira et al. (2005).
Blood collection and laboratory analysis
Birds were rendered unconscious, and then submitted to euthanasia. Blood samples were collected from the cervical vein. Blood samples for white blood cell counts were collected in tubes containing 10% EDTA. Blood samples for the serum protein profile were collected in tubes with no anticoagulant.
White blood cell counts and serum protein electrophoresis (SDS-PAGE)
White blood cell counts were carried out in a Neubauer hemocytometer (Natt & Herrick, 1952). Blood smears were prepared for differential leukocyte count, and stained by the Rosenfeld method (Lucas & Jamroz, 1961). Serum protein electrophoresis was carried out in sodium dodecyl sulfate acrylamide gel (SDS-PAGE), as proposed by Weber & Osborn (1969). The gel was stained for 10 minutes in 0.25% Coomassie blue solution and then de-stained in 7% acetic acid, until protein fractions were clear. The concentrations of those proteins were determined in a scanning densitometer (Shimadzu CS9301, Tokyo). A marker solution with different molecular weights (Sigma S8445), as well as, purified ceruloplasmin, haptoglobin, antitrypsin, transferrin, and IgG proteins were used as references.
A completely randomized experimental design with in a 3x6 factorial arrangement (infection levels and pre and post-infection times) was used for statistical analysis. Data were submitted to analysis of variance using SAS statistical program, and means were compared by Tukey's test (P <0.05).
White blood cell count
White blood cell counts (WBC) initially decrease (T2) in both infected groups (G1 and G2) due to a reduction in lymphocyte and heterophil counts. From T3 on a recovery in the number of circulating leukocytes was observed in the two infected groups due an increase in lymphocyte and heterophil counts (Table 1 and Figure 1). G1, which were inoculated with higher bacterial concentration, presented evident leukocytosis at T4, characterized by an increase in lymphocyte and heterophil counts, with a high proportional increase of heterophils, leading to an inversion of the heterophil:lymphocyte ratio. After a high WBC count at T4, leukocyte count was reduced at T5, due to a decrease in heterophil and lymphocyte counts; however, these not returned to basal values (Table 1 and Figure 1). In G2, which were inoculated with a lower bacterial concentration, leukocytosis was observed at T5 due to an increase not only of lymphocytes but also of heterophils, resulting in high heterophil counts. WBC count remained the same at T6; however an inversion was observed in the heterophil:lymphocyte ratio due to a decrease in heterophil count and an increase in lymphocyte counts (Table 1 and Figure 1).
Serum protein concentrations
Ten proteins were studied using the SDS-PAGE technique. Their molecular weights (MW) ranged from 32 to 171 Kd (Table 2): IgA, ceruloplasmin, transferrin, hemopexin, albumin, heavy chain IgG, haptoglobin, light chain IgG, and proteins with 96 Kd and 171 Kd molecular weight.
Serum concentrations of acute-phase ceruloplasmin, hemopexin and haptoglobin proteins were higher in the inoculated groups (G1 and G2) (Table 2) as compared to the control group. The kinetics of these acute phase proteins were different in G1 and in G2, with a strong initial increase in ceruloplasmin, followed by that of haptoglobin and of hemopexin. In the most advanced phases of the infection, a progressive decrease of the serum ceruloplasmin and hemopexin concentrations was observed, in contrast with haptoglobin, wich progressively increased during the entire course of the infection. As to the negative acute-phase transferrin and albumin proteins, it was observed that serum transferrin levels in both infected groups decreased after the infection, recovering at T4. However, even after the recovery, transferrin serum concentrations continued to be lower than those of the control group (Table 2 and Figure 2). In terms of immunoglobulins, the highest IgA concentrations were found in the infected groups prior to infection (T1). At T2, serum IgA concentrations decreased, and remained constant throughout the course of the disease, presenting similar values those of the control group. A significant increase, starting at T2, in serum IgG concentrations was verified in the infected groups, and heavy chain IgG presented a proportionally higher increase (Table 2 and Figure 3).
White blood cell counts
Several studies suggest that white blood cell count is a sensitive indicator of acute inflammatory disease. In the present study, the initial decrease in WBC count at T2 may have been caused by the cytopathic effect of Salmonella Gallinarum lipopolysaccharides (LPS) on poultry leukocytes during the initial phases of the infection, causing cell lysis. In studies using a mixture of heterophils and Salmonella Typhimurium, Lam & Munn (2002) detected changes in heterophil morphology and fast disappearance of that cell type, suggesting that the contact with LPS caused heterophil degranulation.
In G1, the evident leukocytosis detected at T3 and T4 coincided with the manifestation of characteristic clinical signs (apathy, dehydration, anorexia, and bloody diarrhea). Berchieri Jr. (2000) suggests that there is leukocytosis because, during the acute phase of fowl typhoid, there is a fast multiplication of Salmonella Gallinarum inside the phagocytes, causing cell lysis and release of the bacterium into the extracellular compartment. This stimulates a strong immune response and induces a type of antigen-antibody reaction that is responsible for the clinical signs. At the same time, the possible presence of the bacterium in target organs, such as the liver, spleen, kidneys, thymus, and heart, may stimulate the production and release of leukocytes into the blood stream.
The leukocytosis detected at T4 was characterized by an increase in lymphocyte and heterophil counts; the higher increase in heterophil count caused the inversion of the heterophil:lymphocyte ratio (Table 1 and Figure 1). That inversion may be explained by the fact that heterophils are particularly important in young birds, because their specific immune response, based on lymphocytes, is still immature. In this case, the high heterophil count may be due to the recruitment of mediators by new cells and also to the migration of the circulating heterophils to the area of the lesion, with the presence of young heterophils in the blood. In a study with experimental infection with Salmonella Gallinarum of 20-day-old broiler chickens, an increase in leukocyte counts was verified, particularly of heterophils relative to lymphocytes (Cardoso et al., 2003); the appearance of young cells in the blood stream of the infected birds, with maximum value at 11 days after inoculation, was also observed. The authors also state that these young cells probably have a heterophylic lineage, and in this case, there is a strong medullar demand which is typical of a bacterial infection. Other authors studying Salmonella Gallinarum experimental infections also observed leukocytosis and heterophilia (Assoku et al., 1970; Allan & Duffs, 1971; Kokosharov, 1998; Freitas Neto et al., 2007), with an increase in the percentage of mielocytes during infection (Kokosharov, 1998).
After intense leukocyte activity and appearance of the characteristic clinical signs between T3 and T4, 21 birds died between T4 and T5. This indicates that the birds were unable to cope with infection, as demonstrated by the sudden decrease in leukocytes at T5 in G1 birds. This decrease may have been caused by the previous excessive recruiting of these cells to eliminate the bacterium, depleting the organs responsible for their production and storage, and rendering them incapable of producing enough new cells to control the infection.
Leukocyte count increase was less evident in G2 as compared to G1; it occurred later (T5), and was less intense (Table 1 and Figure 1). That is also reflected in the number of deaths, with 21 dead birds in in G1 and only nine in G2. The mild infection in G2 allowed some birds to survive, and, at T6, leukocyte counts remained stable, with an inversion, however, of the heterophil:lymphocyte ratio (Table 1 and Figure 1). As only two out of the 11 remaining birds died after the leukocytosis peak, this inversion may indicate that the birds were recovering.
The initial phase of the inflammatory reaction induced by infection involves the release of acute-phase proteins (Gruys et al., 1994).
The results obtained in G1 and in G2 indicate that the serum levels of positive acute-phase ceruloplasmin, hemopexin, and haptoglobin proteins and negative acute-phase transferrin protein increased and decreased, respectively, during the course of the infection, probably due to the tissue lesions caused by the bacterium. Similar results were reported by Fagliari et al. (2008) in horses with acute abdomen. In a study on serum proteins of broilers of different ages, Silva et al. (2007) found a decrease in serum acute-phase proteins at 21 days of age and, according to the authors, this fact can be explained due to the birds' high protein requirements for growth. The decrease in the concentrations of the positive acute-phase proteins and the increase in transferrin levels during the most advanced phases of the infection in G2 birds can be considered prognostic or recovery indicators.
IgA is the main immunoglobulin that acts in the intestinal epithelium, reducing bacterial colonization. The penetration of Salmonella in the intestinal epithelium is mediated by type-III secretion system, present in Salmonella pathogenicity islands 1 and 2 (SPI-1 and SPI-2) (Jones et al., 2001). According to these authors, the proteins secreted by that system interact with the epithelial cells, stimulating the production of pro-inflammatory cytokines (IL-4 and IL-6), aiding the infiltration of polymorphonuclear cells and inducing IgA production, which is an extremely important intestinal inflammatory response for the control of systemic infection. IgA is secreted in the mucous membrane of the oviduct, and then absorbed by the intestinal mucous membrane of the young birds specially during the first hours of life (Loeken & Roth, 1983). This explains why, in the present study, the highest IgA concentrations in the infected groups were verified before the infection. At T2, IgA serum level decreased and remained stable during the entire course of the infection, presenting similar values as those of the control group. This fact may be explained by the weak initial intestinal immune response induced by Salmonella Gallinarum. This can probably be due to the absence of flagellum on the surface of this bacterium, as this structure is a powerful stimulus for cytokines production (Wyant et al., 1999). It can also be due to a mutation in invH, one of the genes that controls the secretion of the type-III system (Altmeyer et al., 1993). It must be noted that low IgA response in the mucosa in face of an infection may result in stronger pathogenicity, and consequently, in high mortality in field cases of fowl tiphoid, as also recorded in the present study. The damage to the barrier of the intestinal mucosa predisposes to systemic infection and consequently, to typical tissue lesions, especially in the liver, spleen, and heart (Berchieri Jr., 2000).
Good protection against Salmonella requires as much immunity mediated by T cells as humoral immunity (Berchieri Jr., 2000). Therefore, in systemic Salmonella infections, the humoral response, characterized by high IgG levels, does not eliminate the bacterium from the body if there is no cellular immune response; it is essential for the extracellular bacterial destruction process. The increase in IgG serum levels, as verified in the present study during the infection, demonstrates the importance of this immunoglobulin in the elimination of the microorganism through opsonization and complement fixation, promoting the phagocytosis of the bacterium.
In conclusion, the most significant changes in the present study were observed in G1 birds, which received a higher concentration of Salmonella Gallinarum; in other words, these birds were more susceptible to the infection as compared to G2 birds. The increase in heterophil and lymphocyte counts was one of the most evident changes in the leukogram of G1 and G2 birds, with an inversion of the heterophil:lymphocyte ratio, typical Salmonella Gallinarum infections in young layers. The main changes in the serum protein profile were an increase in the acute-phase proteins ceruloplasmin, haptoglobin, and hemopexin, and a decrease in transferrin levels. In relation to immunoglobulin concentrations, there was an increase in IgG and mild variation in IgA level during the course of the infection. The results of the present study, therefore, may aid the understanding of leukocyte kinetics, as well as acute-phase protein and immunoglobulin changes that happen during Salmonella Gallinarum experimental infection, and, consequently, the understanding of the pathophysiology of fowl typhoid.
The authors would like to thank FAPESP for providing financial support.
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