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Pathophysiology
of Clostridial Enteritis and the Impact of Treatment:
Lessons from a Chick Model
H.R.
Gaskins1 and Jan Dirk van der Klis2
Departments
of Animal Sciences and Veterinary Pathobiology, &
Division
of Nutritional Sciences, University of Illinois at Urbana-Champaign1
ID
Lelystad B.V., Institute of Animal Science and Health, The
Netherlands2
Introduction
Clostridial
or necrotic enteritis (NE), caused by Clostridium perfringens type
A, suppresses chick growth and is a source of mortality in the broiler
industry. Risk factors for the onset of clinical disease include
the removal of antibiotic growth promoters, as well as concurrent
coccidia infection and the inclusion of diet components high in
nonstarch polysaccharides, both of which stimulate microbial
growth through the enhancement of intestinal mucus production.
Although toxin production by C. perfringens has been well
studied, less is known about its growth characteristics and
colonization potential relative to the commensal microbiota in
broiler chicks. We report a study with a clostridial enteritis
infection model, which used both molecular (16S rDNA)-based and
cultivation techniques to determine the effects of a feed grade
antibiotic and diet on the structure and mucolytic activity of
the small intestinal microbiota relative to colonization with C.
perfringens. Birds received a wheat/barley (WB) diet, or a WB
diet supplemented with 2% highly methylated citrus pectin (WBP).
Both diets were fed with and without 100 ppm Tylan. Experimental
diets were fed until 28 days of age. At 20 days of age a
crossover design was used, in which birds from the medicated
WBP diet
were switched to an unmedicated WBP diet and vice versa. In total,
six treatments were included, following the experimental schedule
below.
| Treatment |
Diet
(Days 0-28 |
Tylan
PPM (0-20
days) |
Tylan
PPM (20-28
days) |
| 1 |
WB |
0 |
0 |
| 2 |
WB |
100 |
100 |
| 3 |
WBP |
0 |
0 |
| 4 |
WBP |
0 |
100 |
| 5 |
WBP |
100 |
0 |
| 6 |
WBP |
100 |
100 |
At 10 days
of age, the birds were infected with Eimeria acervulina,
followed by a C. perfringens inoculation on three
consecutive days (days 14, 15, and 16). NE lesions were scored on
days 15, 16, 17, and 20. Birds were killed on days 17, 20, and 24
for the collection of digesta and mucosa samples from the jejunum
and ileum for microbiological analyses, including a) bacterial
population profiles and community structure by 16S rDNA PCR-DGGE
(denaturant gradient gel electrophoresis) and cluster analysis; b)
mucolytic activities of mucosal bacterial populations by
cultivation-based techniques; and c) analysis of C.
perfringens colonization by real-time quantitative PCR (Q-PCR).
Results
Microbial
community profiles in the jejunum and ileum clusted according to
the presence or absence of Tylan on days 17 and 20. By day 24, four
distinct microbial community profiles were observed according to
treatments 1-4. A comparison of diet effects independent of
antibiotic treatment indicated that jejunal and ileal 16S rDNA
banding patterns were more homogeneous in WBP-fed vs. WB-fed
birds on days 17 (P < 0.05) and 20 (P < 0.05),
but not different on day 24. A comparison of antibiotic effects
independent of diet revealed that jejunal and ileal 16S rDNA
banding patterns were more homogeneous in Tylan-treated birds
than in non-antibiotic-treated birds on days 17 (P < 0.01),
20 (P < 0.01), and 24 (P < 0.05). Tylan
reduced (P < 0.05) the number of 16S rDNA bands in
jejunal and ileal contents on days 20 and 24 for WB-fed birds and
on day 24 for WBP-fed birds.
Tylan
reduced (P < 0.01) the percentage of mucolytic bacteria
in jejunal and ileal mucosa on days 17 and 20 in WB-fed birds and
on day 24 for WBP-fed birds. Tylan reduced (P < 0.01) C.
perfringens colonization of the jejunum and ileum on days 17
and 20 for both WB- and WBP-fed birds. Clostridium perfringens
was not detectable by Q-PCR on day 24, independent of diet
treatment. The disappearance of C. perfringens in Tylan-treated
birds on days 17, 20, and 24 correlated with the appearance of a Lactobacillus
species, tentatively identified as Lactobacillus gasseri by
16S rDNA-V3 sequence analysis. The inverse relationship between
these two bacteria according to Tylan treatment was observed in
all birds tested.

Summary
and Conclusion
Performance
and pathophysiological data demonstrate that, independent of diet,
Tylan reduced NE lesions and prevented a corresponding compromise
in barrier function, resulting in a significant improvement in
body weight gain. In addition, Tylan reduced both C.
perfringens concentrations and the percentage of mucolytic
bacteria. Most importantly, the reduction in mucolytic bacteria,
in general, and C. perfringens, in particular, correlated
in a temporal fashion with improvements in intestinal integrity
and barrier function in response to Tylan.
Pathophysiology
of Clostridial July 9-11, 2002 The Elanco Global Enteritis
Symposium
Enteritis
and the Impact of Treatment: Lessons from a Chick Model, Abstract,
J-3 to J-5