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Infection and Immunity, February 2003, p. 857-863, Vol. 71, No. 2
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.2.857-863.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Veterinary Infectious Disease Organization, Saskatoon, Saskatchewan, Canada S7N 5E3;,1 Department of Veterinary Microbiology,3 Department of Veterinary Pathology, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada S7N 5B4,2 QIAGEN-GmbH, 40724 Hilden Germany4
Received 6 May 2002/ Returned for modification 3 August 2002/ Accepted 31 October 2002
| ABSTRACT |
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| INTRODUCTION |
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It is now well established that two general immune mechanisms function against pathogens. Innate immunity (antigen-nonspecific) recognizes molecular patterns unique to and characteristic of infectious organisms. Adaptive or acquired (antigen-specific) immunity uses T and B lymphocytes that express distinct receptors to recognize pathogen-derived peptides or epitopes. Innate immunity has been thought to provide only a rapid, short-term, incomplete antimicrobial host defense until the slower, antigen-specific immune response develops. Recently, it has been suggested that the innate immune response may play a pivotal role in immune regulation and the development of host immunity by identifying which antigens require a specific response and determining the nature of that response (1, 9, 22). These studies have led to the evolution of the "danger" hypothesis, which proposes that cells of the immune system can respond rapidly to bacterial invaders, allowing the host to clear the infection even before specific immune responses are developed (6, 13, 16-18).
Escherichia coli causes a variety of disease syndromes in poultry, including yolk sac infection, omphalitis, respiratory tract infection, swollen head syndrome, septicemia, and cellulitis (21, 26). Cellulitis, first reported in 1984 by Randall et al. (26) in England, refers to inflammation of the subcutaneous tissue and is typically seen in the lower abdomens and thighs of broiler chickens. No clinical signs have been associated with cellulitis in living birds, but the presence of the lesion results in the condemnation of part of or the entire carcass at processing. Cellulitis has been reproduced in broilers by damaging the surface of the skin and applying virulent E. coli strains of serogroup O78 or O2 (10, 23, 24). A percentage of experimentally infected birds go on to develop colibacillosis, which is characterized in its acute form by septicemia resulting in death and in its subacute form by pericarditis, airsacculitis, and perihepatitis (5). The pathogenesis of colibacillosis is poorly understood, but the development of bacteremia appears to be essential (5, 20).
Although CpG-ODN have been used in laboratory animals and primates as inducers of innate immunity and as a vaccine adjuvant, their activity in chickens has not been reported to date. The objective of this study was to determine the effect of CpG-ODN as immunostimulants in broiler chickens by using an E. coli infection model.
| MATERIALS AND METHODS |
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Synthetic CpG-ODN. The sequence of CpG-ODN(2007) was TCGTCGTTGTCGTTTTGTCGTT, and the sequence of non-CpG-ODN(2041) was CTGGTCTTTCTGGTTTTTTTCTGG (underlining indicates CpG dinucleotides). Both ODN were produced with a phosphorothioate backbone. Synthetic CpG-ODN were diluted in sterile, pyrogen-free saline and administered in a 1-ml volume by either the subcutaneous or intramuscular route.
Animal model. All procedures involving animals were done with the approval of the University of Saskatchewan Committee on Animal Care. Day-old broiler chicks were obtained from a local hatchery in Saskatchewan, Canada, and identified individually by wing bands. Groups of chicks were randomly allocated into individual animal isolation rooms at the Veterinary Infectious Disease Organization, University of Saskatchewan. Water and commercial broiler ration were provided ad libitum, and a photoperiod of 8 h per 24 h was established. Room temperature was maintained at 20 to 22°C. Each room was ventilated with filtered, nonrecirculated air at a rate of 10 to 12 changes/h. Air pressure differentials and strict sanitation were maintained in this isolation facility. The model used for the production of cellulitis and colibacillosis in broiler chickens was a modification of one previously described (11). At day 25 of age, two parallel 3-cm-long, full-thickness scratches were made through the skin on the left caudal abdominal region with a diabetic lancet (Lifescan Lancets; Lifescan Canada Ltd., Burnby, British Columbia, Canada). The challenge inoculum was applied with two cotton applicators (Hardwood Products Company LLC, Guilford, Maine) to the scratches. Application of E. coli was repeated 15 min later. In this model, cellulitis develops in 100% of birds, and pericarditis, airsacculitis, and perihepatitis develop in 50 to 90% of birds. Occasionally, a few birds also develop hepatitis. Mortality ranges between 50 and 90% of the birds.
Birds were observed twice daily for 9 days postchallenge for clinical signs, and each individual was assigned daily clinical scores as follows: 0, normal; 0.5, slightly abnormal appearance, slow to move; 1, depression, reluctant to move; 2, inability to stand or reach food or water; and 3, dead. All of the birds were scored daily for 9 days postchallenge. Birds that received a clinical score of 2 were euthanized by cervical dislocation.
Chickens that were found dead or were euthanized were necropsied immediately. Gross pathological examinations, including the measurement of the size of the cellulitis lesion, and bacteriological cultures were done. Bacterial swabs were taken from the cellulitis lesion, pericardium, and air sacs and cultured on MacConkey agar (Difco) and tryptic soy agar with sheep blood (PML Microbiologicals, Richmond, British Columbia, Canada). For isolation of E. coli, a semiquantitative estimate of E. coli was conducted on MacConkey agar (3). Any gross lesions were recorded. On day 10, the remaining birds were euthanized by cervical dislocation, and necropsy and bacteriological procedures were done as described above.
Experimental design. (i) Effect of CpG-ODN(2007) treatment on E. coli infection in chickens. This large-scale experiment was designed after a preliminary experiment, using 80 birds, indicated a protective effect of CpG-ODN against cellulitis and colibacillosis. Two hundred birds were randomly allocated into five groups of 40 birds each, identified by wing band, injected with CpG-ODN(2007) on day 22, and randomly distributed to 10 isolation rooms. Two groups received either 10 or 50 µg of CpG-ODN(2007) in the subcutaneous tissues of the left caudal abdomen. Two other groups received either 10 or 50 µg of CpG-ODN(2007) intramuscularly in the left drumstick. Half of the control group received saline intramuscularly in the left drumstick, and the remaining birds in the control group received saline subcutaneously in the left caudal abdomen. All of the groups were challenged on day 25 with E. coli as described above. Clinical assessments, necropsy examinations, and bacteriology were done as previously described.
(ii) Dose titration of CpG-ODN(2007) by the subcutaneous route. Birds were randomly allocated into seven groups of 20 birds each, identified by wing band, and injected with CpG-ODN(2007) on day 22. Four groups of birds received 100, 31.6, 10, or 3.16 µg of CpG-ODN(2007) subcutaneously in the left caudal abdomen. To determine if the effect of CpG-ODN treatment was localized, one group of birds received 31.6 µg of CpG-ODN(2007) in the subcutaneous tissues of the neck. The control group received saline in the subcutaneous tissue of the left caudal abdomen. All of the groups were challenged on day 25 with E. coli as described above. Clinical, bacteriological, and gross pathological evaluations were conducted as in the previous experiment.
(iii) Dose titration of CpG-ODN delivered by the intramuscular route. Birds were randomly allocated into eight groups of 24 birds, wing banded, randomly distributed into isolation rooms, and injected intramuscularly with CpG-ODN(2007) on day 22. Four groups of birds received 100, 31.6, 10, or 3.16 µg of CpG-ODN(2007) in the left drumstick. Three negative control groups received normal saline or 10 or 3.16 µg of non-CpG-ODN(2041) in the left drumstick. All of the groups were challenged on day 25 with E. coli. Clinical, bacteriological, and gross pathological evaluations were conducted as described above.
(iv) Duration of protection against E. coli infection by administration of CpG-ODN(2007). Birds were randomly allocated into five groups of 24 birds, wing banded, randomly distributed into isolation rooms, and injected with 10 µg of CpG-ODN(2007) subcutaneously in the left caudal abdomen on either day 10, 13, 16, 19, or 22 of age. All of the groups were challenged on day 25 with E. coli as described above. Clinical, bacteriological, and gross pathological evaluations were conducted as described above.
(v) Evaluation of tissue reactions at the site of CpG-ODN administration. Fourteen-day-old birds were randomly allocated into seven groups of 15 birds each. Two groups of birds received CpG-ODN(2007) (100 or 3.16 µg) subcutaneously in the left caudal abdomen and saline in the right caudal abdomen. Two groups of birds received CpG-ODN(2007) (10 or 3.16 µg) in the left drumstick and saline in the right drumstick. Two groups of birds received 3.16 µg of non-CpG-ODN(2041) subcutaneously in the left caudal abdomen or intramuscularly in the left drumstick and received saline in either the right caudal abdomen or drumstick accordingly. A control group of birds were injected subcutaneously with saline in the right caudal abdomen and right drumstick. Three birds were euthanized on each of days 1, 3, 7, 10, and 14 postinoculation, and tissue sections were taken for histopathology. Tissue sections from the caudal abdominal subcutaneous tissue or drumstick were fixed in 10% neutral buffered formalin, embedded in paraffin, sectioned at 5-µm thickness and stained with hematoxylin and eosin. A histological score from 0 to 4 (0, no visible lesions; 1, focal, mild mononuclear, and heterophil infiltrations or cellulitis or myositis; 2, locally extensive, moderate mononuclear and heterophil infiltrations or cellulitis or myositis; 3, locally extensive, moderate to severe mononuclear and heterophil infiltrations or cellulitis or myositis; 4, diffuse, severe mononuclear and heterophil infiltrations or cellulitis or myositis) was assigned based on the tissue reactions to the various doses of CpG-ODN.
(vi) E. coli septicemia in birds treated with CpG-ODN(2007). Birds were randomly allocated into two groups of 20 birds, wing banded, randomly distributed into isolation rooms, and injected with 50 µg of CpG-ODN(2007) subcutaneously in the left caudal abdomen on day 22 of age. All of the birds were challenged on day 25 with E. coli as described above. One milliliter of blood was collected from all of the birds into 3-ml syringes containing heparin (Organon Teknika, Toronto, Ontario, Canada) on days 1, 2, 4, 7, and 8 postchallenge with E. coli. The actual number of bacteria in the blood sample was determined by plating 10-fold serial dilutions in duplicate on sheep blood agar and MacConkey agar (Difco) and incubating at 37°C for 24 h. Clinical evaluation and gross pathological evaluations were conducted as described above.
Statistical analysis. Comparisons of survival patterns and median survivals were done by the log rank test. The significance of treatment effects on the size of cellulitis lesions was determined by one-way analysis of variance (nonparametric, Kruskal-Wallis) and the t test (Mann-Whitney). The significance of effect of treatment group on E. coli isolation score was determined by contingency table analysis and the chi-square test or Fisher's exact test as appropriate. All data were analyzed by using Prism 3.0 (GraphPad Software Inc., San Diego, Calif.), with a P of 0.05 indicating significance.
| RESULTS |
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To determine the contribution of the CpG motif to the inflammation, some birds received the non-CpG-ODN(2041). Treatment with this ODN by subcutaneous injection resulted in mild to moderate cellular infiltration at 3 days that had completely resolved by day 7 (Table 2). There was no cellular infiltration in response to treatment with 3.16 µg of non-CpG-ODN(2041) by intramuscular injection. No cellular infiltration was observed in any of the saline-injected sites.
E. coli septicemia in birds treated with CpG-ODN(2007). To evaluate the systemic protective effect of CpG-ODN, the level of bacteremia was monitored following challenge. E. coli was isolated in the control group at a higher frequency than in the group that received CpG-ODN(2007) (P < 0.05) (Table 3), and the relative risk parameter indicated that 59% of birds that received this treatment became bacteremic, compared to controls. Also, the birds that received CpG-ODN(2007) had a lower number of E. coli than the control group (P < 0.01). Treatment also delayed the development of bacteremia. In the control group, of the 16 birds in which bacteremia was detected, 14 of those had E. coli isolated on day 1. In contrast, it was not until day 4 postchallenge that bacteremia was first detected in five of the nine birds which developed bacteremia in the CpG-ODN(2007)-treated group. The group that received CpG-ODN(2007) had significantly increased survival compared to the control group (P < 0.01), and the pattern of clinical signs and bacterial isolations from the internal lesions were similar to those in the previous experiments.
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| DISCUSSION |
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Synthetic CpG-ODN have been shown to be effective stimulators of the immune system and potent adjuvants in a number of species, including mice, primates, and humans (8, 29). However, this study demonstrates, for the first time, that CpG-ODN are efficacious as immunostimulants in poultry, a food animal species. Furthermore, while CpG-ODN have been effective in controlling intracellular protozoa, bacteria, and viruses, this is the first report showing CpG-ODN to be efficacious against a bacterial poultry disease, in which the bacteria do not have an intracellular phase.
The mortality rate in our animal model was generally above 50% and was associated with septicemia (11) and the development of systemic and local lesions. Our experiments demonstrated enhanced survival of birds that received CpG-ODN, by either the intramuscular or subcutaneous route, in a dose-dependent manner. In all instances, subcutaneous administration was more effective than intramuscular administration of CpG-ODN. Similarly, clinical disease scores, number of gross lesions, and amount of bacteria isolated from lesions were highest in the control group, intermediate in the group that received CpG-ODN intramuscularly, and lowest in the group that received CpG-ODN by subcutaneous injection. The mortality, clinical scores, and development of gross lesions are more severe in this model than in natural outbreaks of E. coli infections, where mortality is lower and subclinical infections cause major economic losses due to poor feed conversion and growth rate. Since CpG-ODN were able to significantly reduce the mortality in this severe model, we believe that CpG-ODN would be able to control naturally occurring, less severe E. coli infections.
Based on the histological data, doses of as low as 0.1 µg of CpG-ODN recruited both mononuclear and polymorphonuclear cells to the site of administration. Since we administered CpG-ODN and infected birds with E. coli at the same location in the subcutaneous groups, it is likely that inflammatory cells, recruited prior to challenge, reduced the number of bacteria that were available to enter systemic circulation. This local effect may explain why the administration of CpG-ODN by intramuscular injection resulted in a lower survival rate than the administration of CpG-ODN by the subcutaneous route. This explanation is supported by the observation that the administration of CpG-ODN by subcutaneous injection at a distant location (the neck) did not increase the survival rate (Fig. 2). The smallest cellulitis lesions were observed in birds that received CpG-ODN by the subcutaneous route, compared to either the control, intramuscular, or intravenous route. This observation also indicates that some bacteria are killed at the site of the CpG-ODN administration before they can establish the lesion.
Although there was some cellular infiltration to the site of non-CpG-ODN administration, cell recruitment was augmented by the presence of the CpG motif, demonstrating that similar motifs are recognized in chickens as in other species. Although this cellular infiltration was very high, occurred within 24 h, and lasted for up to 14 days, we did not see any indication of necrosis or cell death at the site of infiltration. This observation has also been reported for mice, and it was suggested that CpG-ODN failed to activate mast cell degranulation (30) and hence caused no tissue necrosis. Immunostimulation by CpG-ODN without causing tissue necrosis at the injection site would be a tremendous advantage to the poultry industry, since tissue damage due to injections leads to condemnation or trimming of parts of the carcass at slaughter and causes significant reduction of meat quality.
As well as having a local effect on the development of the cellulitis lesion, CpG-ODN treatment also had systemic effects as demonstrated by protection by intramuscular injection. These systemic effects were also demonstrated in that CpG-ODN treatment was able to minimize the incidence and the level of, and delay the development of, septicemia.
Although microbial contamination of poultry meat is controlled by modern sanitary slaughter procedures, bacteria commonly are found in retail poultry products. Reduction of the amount of bacteria present in the carcass is one way to reduce the risk that the meat products will become contaminated. We have shown that treatment with CpG-ODN reduced the amount of E. coli bacteria present in lesions of cellulitis, pericarditis, and airsacculitis. Reducing the amount of E. coli in the bird reduces the risk that poultry meat will become contaminated with potentially hazardous bacteria during processing and thus will improve food safety. This is especially important for those poultry processors that trim rather than condemn poultry with cellulitis.
CpG-ODN treatment was consistently effective when given 3 days prior to infection and appeared to have some effect for almost 6 days (Fig. 4). This duration of effect represents a significant proportion of the life span of a broiler chicken, which is from 35 to 42 days. Thus, work on the effect of repeated administration and development of feasible delivery methods such as aerosol or oral delivery are necessary to determine the utility of CpG-ODN use in the poultry industry. Moreover, E. coli infection-associated mortality in the first week of life is a significant problem. Currently, antibiotics are used as a preventative measure, but there is the potential to use CpG-ODN in ovo to reduce the incidence of E. coli infection in the first week of life.
In conclusion, CpG-ODN were effective immunoprotective agents in poultry, as in other species. Further research into the mechanism of action and testing in other poultry disease models is required to determine how the recognition of CpG motifs by the avian immune system compares to that by other species and how utility of these immunostimulatory agents in the poultry industry can be developed.
| ACKNOWLEDGMENTS |
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Financial support was provided by grants from the Poultry Industry Council, Ontario; the Saskatchewan Agriculture Development Fund; the Natural Sciences and Engineering Research Council; and QIAGEN-GmbH, Hilden, Germany.
| FOOTNOTES |
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Published with the permission of the Director of VIDO as journal series no. 317. ![]()
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