Indian Journal of Animal Research

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Indian Journal of Animal Research, volume 55 issue 2 (february 2021) : 160-166

Inhibitory Effect of Herbs on Extended Spectrum Beta Lactamase Enzyme from Escherichia coli of Healthy Broilers

Arpita Shrivastav1,*, R.K. Sharma1, Neeraj Shrivastav2, Vidhi Gautam1, S.K. Jain1
1Department of Veterinary Pharmacology and Toxicology, Nanaji Deshmukh Veterinary Science University, Jabalpur-482 001, Madhya Pradesh, India.
2Department of Veterinary Microbiology, Nanaji Deshmukh Veterinary Science University, Jabalpur-482 001, Madhya Pradesh, India.
Cite article:- Shrivastav Arpita, Sharma R.K., Shrivastav Neeraj, Gautam Vidhi, Jain S.K. (2020). Inhibitory Effect of Herbs on Extended Spectrum Beta Lactamase Enzyme from Escherichia coli of Healthy Broilers . Indian Journal of Animal Research. 55(2): 160-166. doi: 10.18805/ijar.B-3935.
Background: Bacterial resistance to beta-lactam antibiotics has risen dramatically in Escherichia coli from poultry and other food animals due to the production of extended-spectrum beta-lactamase enzyme (ESBLs) which degrades third generation cephalosporins.Herbs could be a better alternative for such cases. 

Methods: Present study was undertaken on 400 caecal samples of healthy broilers, collected from various poultry sale outlets of Jabalpur (M.P.). Samples were screened phenotypically and genotypically for the presence of extended spectrum beta lactamase producing E. coli. Inhibitory effect of fruit peel juice of Punica granatum and Syzigium aromaticum oil observed on the Beta lactamase enzyme obtained from these positive samples by colorimetric method using CENTA and NITROCEFIN as chromogenic substrate.

Result: Phenotypically 135 samples/isolates were ESBL producing E.coli. On multiplex PCR assay 76 positive samples with bla TEM, blaCTX and bla SHV, gene was obtained. Oil of Syzygium aromaticum showed maximium per cent inhibition, Punica granatum depicted lower per cent inhibition with CENTA and NITROCEFIN respectively. Combination of both herbs showed increased inhibition. Tazobactum, (100µM) taken as the standard control exhibited 99.88 and 98 per cent inhibition of ESBL enzyme.
Antimicrobial agents are used to treat bacterial infections and contagious diseases in animals since long back. In food-producing animals, broad-spectrum antibiotics have been widely used off-label for prophylactic treatment. Apart from other drugs cephalosporins have been used to prevent and control colibacillosis infections, in day old chicks (early chick mortality) and turkey poultry, associated with Escherichia coli (Lucianne et al., 2013). Increasing resistance to third-generation cephalosporins amongst E. coli and Klebsiella spp. is predominantly due to the production of extended-spectrum beta-lactamases (ESBLs). These plasmid mediated enzymes mostly evolved via point mutations of the classical TEM-1 and SHV-1 beta-lactamases and notably the CTX-M types, which evolved via the escape and mutation of chromosomal beta-lactamases from Kluyvera spp. Increasing prevalence of resistance has been reported in many pathogens over the years in different regions of the world (Walsh, 2000; Witte, 1998). In addition to this, poultry farmer also use low doses of antibiotics as growth-promoting substances, which result in the high antibiotic selection pressure for resistance with relatively high proportion of resistant bacteria in poultry faecal flora. So, the misuse and overuse of broad-spectrum antibiotics, mainly cephalosporins, becomes one of the contributing factors in selection and spread of ESBL-producing Enterobacteria--ceae in animals.
       
Although acquisition of ESBLs confers resistance to penicillins, cephalosporins and monobactams, isolates still remain susceptible to carbapenems. In vitro, these enzymes are inhibited by beta-lactamase inhibitors, such as clavulanic acid, sulbactam and tazobactam (Jiang et al., 2012). ESBL-encoding genes are often carried on plasmids, which can easily be transferred between isolates, bearing additional resistance determinants for other classes of antimicrobial agents, mainly fluoroquinolones, aminoglycosides and sulfonamides, contributing to the multidrug-resistant phenotype (Paterson and Bonomo, 2000).
         
Antimicrobial resistance problem has forced to switch over to the use of plant herbs for various infectious conditions. Ethanol extracts of 100 traditional Chinese medicines for beta-lactamase inhibitors activity was screened and assayed by using enzyme assay colorimetric method (Ziachang et al., 2009). Inhibitory potential of Ocimum sanctum, Punica granatum, Syzygium aromaticum, Glycyrrhiza glabra, Piper longum, Zingiber officinalis and fifteen other plant extracts against extended spectrum beta lactamase enzyme using chromogenic substrate CENTA was also reported (Solanki and Selvanayagam, 2013).
       
Pomegranate peels are characterized by substantial amounts of tannins, gallic acid, ellagic acid and punicalagin tannins which have been reported to hold antimicrobial activity against intestinal flora, particularly enteric pathogens, such as Escherichia coli, Salmonella spp., Shigella spp. and Vibrio cholera (Al-Zoreky,2009). Syzygium aromaticum have also been used as an antiseptic, antimicrobial, analgesic and local anesthetic. Recently an essential oil mix derived from oregano, clove and anise has been suggested as a potential growth promoter in poultry. Looking into the sensitivity and severity of the problem, the present study was undertaken.
Collection of samples
 
Caecal samples were collected from the freshly slaughtered healthy birds at the poultry sale outlets taking all the aseptic precautions.
 
Isolation of extended spectrum beta lactamase producing E.coli
 
Faecal sample were subjected to non-selective enrichment in buffered peptone water @ 25ml / 5 gm sample, followed by selective enrichment in Mueller Hinton broth 10 ml/1 ml of the previously enriched sample containing cefpodoxime, ceftazidime (2µg/ml) and aztreonam (4 µg/ml) respectively. Selectively enriched samples were then inoculated into the selective agar media with 100µl inoculum of bacterial strain so as to deliver a ûnal inoculum of approximately 106 CFU/ ml.for preparing colonies of ESBL producing E. coli as shown in Fig 1.
 

Fig 1: ESBL E.coli positive isolate in TBX medium.


 
Phenotypic characterization was done by three methods
Double Disc Synergy Test (DDST)
 
Discs containing amoxicillin-clavulanic acid in the centre with either sides cefotaxime disc on the sample inoculated Petri plate. When the inhibition zones around any of the cephalosporin discs were augmented in the direction of the disc containing amoxicillin clavulanic acid the result was positive. The distance between the discs was kept 20 mm centre-to-centre however it could be reduced or expanded as the levels of resistance (Fig 2).
 

Fig 2: Phenotypic characterization by Double disc diffusion test (DDST) and combined disc diffusion test method (CDDT).


 
Combined Disc Diffusion Test (CDDT)
 
Cefotaxime and cefotaxime + clavulanic acid discs kept at a distance on the sample inoculated Petri plate. In positive samples the inhibition zone around the cefotaxime disc combined with clavulanic acid was 5 mm larger in diameter than disc of cefotaxime (Fig 2).
 
Enzyme MIC strip test

Ceftazidime and ceftazidime + clavulanic acid E strip were used and test was confirmed positive if MIC ratio ≥ 8 or deformed ellipse was present around ceftazidime + clavulanic acid (Fig 3). ESBL Positive control: K. pneumoniae ATCC® 700603 which delivered a deformed inhibition ellipse, E. coli ATCC® 35218 was taken as ESBL Negative control (Fig 3).
 

Fig 3: Phenotypic characterization by EzyMIC strip method.


 
Genotypic characterization by Multiplex PCR method
 
DNA isolation
 
As per the manufacturer’s instructions using Insta Gene matrix DNA was isolated and stored at -20°C till further use.
 
PCR amplification conditions
 
Initially, a PCR annealing temperature gradient was performed and all subsequent multiplex PCR reactions were carried out using 1 µl DNA solution, 12.5 µl REDTaq Ready Mix PCR Reaction Mix with MgCl2 (sigma Aldrich make) and 10 pico mole of each gene-specific primer in a final volume of 25 µl. Initial denaturation step at 95°C for 15 min; 30 cycles of denaturation at 94°C for 30 s, annealing at 60°C for 30 s, extension at 72°C for 2 min, followed by a final extension step at 72°C for 10 min [Rahman et al., 2004]. Specific primers of the product size were obtained from Integrated DNA technologies (Table 1).
 

Table 1: Primers used for the molecular study.


 
In vitro Inhibitory potential of herbs by colorimetric method
 
Oil of Syzygium aromaticum – Procured from the market
Fruit peel juice of Punica granatum
 
Fruit peel juice of Punica granatum was obtained by grinding the fruit peel and was filter sterilized by 0.2 micron filter. Further fruit peel juice was freeze dried in lyophilizer and used in the concentration of 10mg/ml.
 
Preparation of beta lactamase enzyme
 
Beta lactamase enzyme was isolated from the fresh overnight bacterial culture as per the method of Solanki and Selvanayagam (2013) with slight modifications and were stored in portions at -20°C until required.
 
Assay method
 
Beta lactamase inhibitory potential of oil of Syzygium aromaticum and fruit peel juice of Punica granatum were analysed by the beta lactamase enzyme inhibitory assay using chromogenic substrate CENTA and Nitrocefin was done as per the method of Solanki and Selvanayagam (2013) with slight modifications.

The study investigated the frequency of antibiotic resistance and ESBL producers in healthy poultry and also to determine the transferability and potential exchange of ESBL producing E. coli. After initial screening of samples ESBL E. coli was isolated from 135 samples and 265 samples were negative, yielding an isolation rate of 33.75 per cent regardless of the area and poultry sale outlet (Fig 1).
       
A comparative study observed maximum per cent isolation with Combined Disc DiffusionTest (CDDT) method (Table 2; Fig 2, 3) which means sample resistant to cefotaxime, cefpodoxime and few towards ceftazidime. European Union also recommends resistance of ESBL producers to cefotaxime, variably resistant to ceftazidime and susceptible to cefoxitin. (European Food Safety Authority, 2011d; European Food Safety Authority, 2011b), in reference to the above recommendations cefotaxime was included as marker for present investigations. (European Food Safety Authority, 2012; European Food Safety Authority, 2011b). Taslima, (2012) and George et al., (2005) even recommended Combined Disc DiffusionTest (CDDT) as the single best method for ESBL E.coli isolation. Many times strip cannot be read due to growth beyond the MIC range of the strip, make it less sensitive for detection (Drieux et al., 2008; Garec et al., 2011).
 

Table 2: Comparative sensitivity of methods of phenotypic characterization of ESBL E. coli.


       
Sample analyzed (Table 3) The study by multiplex pcr (Monstein et al., 2007; Pierano and Pitout,2010) for blaTEM blaSHV and blaCTX  genes revealed 64.47 per cent blaTEM, 19.73 blaCTX and 2.63 per cent blaSHV genes 15.78 both blaCTX and blaSHV genes and 1.31 per cent blaTEM and blaSHV genes from phenotypically confirmed ESBL producing E. coli isolates. It correlates with the findings of 14 different chicken farms in Henan Province in China where 80.7 per cent isolates harboured blaTEM genes and 51 per cent isolates carried blaCTX-M genes (Yuan et al., 2009). In India too TEM and CTX were (39.2 per cent) predominantly found in E.coli.  Presence of both blaTEM blaSHV genes in a sample suggest, same organism can harbour both TEM and SHV type beta lactamase (Yan et al., 2000) (Table 3). As the PCR-based results matched with the laboratory-grown cultures, it is concluded that direct diagnosis of E. coli and/or other species of bacteria by PCR is possible directly from swab samples. It also simulate with the study undertaken by Shailash et al., (2010), where sixteen strains of E. coli were successfully isolated from biopsy/swab samples of 15 out of 42 patients (35.71 per cent) admitted to the S.S Hospital, Varanasi. Two E. coli strains were isolated from Diabetic foot ulcer of one patient (DF30). Identity of E. coli strains was confirmed by amplification of the E. coli specific 16S rDNA.
 

Table 3: Comparative study of blaTEM, blaCTX and blaSHV gene positive ESBL E. coli isolates.


       
The early ESBL’s evolved from TEM assumed to have an origin in E.coli (Witte, 1998). Beta lactamase SHV type, first detected in Germany is assumed to have transferred horizontally to other bacteria including E.coli. Since not much information is available about the prevalence of gene responsible for ESBL production in E.coli in poultry in India, it is assumed that high rate of ESBL isolation by phenotypic method may be due to mutation of any gene (TEM or SHV) and some newer prevalent gene apart from CTX (Yan et al., 2000).
       
Positive Isolates were later subjected  to study inhibitory potential, per cent inhibition and antibacterial potentiation of Syzygium aromaticum, Punica granatum against extended spectrum beta lactamase enzyme  by colorimetric method (microplate assay method) using CENTA and Nitrocefin as the chromogenic substrate at the wave length of 405 and 486 nm respectively. Oil of Syzygium aromaticum showed maximium per cent inhibition and minimum absorbance value (0.4±0.02, 28 per cent and 0.41±0.03, 27) (p>0.05) with no significant difference with CENTA and NITROCEFIN (Table 4 to Table 7). Punica granatum depicted mean absorbance value and per cent inhibition of 1.72±0.05, 14.0 and 1.73±0.05,13.9 and with CENTA and NITROCEFIN respectively (Table 5). Combination of oil of Syzygium aromaticum and Punica granatum showed 1.41±0.04, 31.9 per cent and 1.38±0.04, 31 per cent inhibition (Table 6). Tazobactum, (100µM) taken as the standard control exhibited 0.12±0.01 and 0.13±0.01 (Mean±S.E.) of inhibitory potential, per cent inhibition observed   was 99.88 per cent and  98 per cent.
 

Table 4: Comparative study of Inhibitory potential and per cent inhibition of Syzigium aromaticum oil by colorimetric method using CENTA and Nitrocefin.


 

Table 5: Comparative study of Inhibitory potential and Per cent inhibition of fruit peel juice of Punica granatum by Colorimetric method using CENTA and Nitrocefin.


 

Table 6: Comparative study of Inhibitory potential and per cent inhibition ofcombination of Syzigium aromaticum and fruit peel juice of Punica granatum by Colorimetric method using CENTA and Nitrocefin.


 

Table 7: Comparative study of Inhibitory potential of Tazobactum as standard control by Colorimetric method using CENTA and Nitrocefin.


       
Lena et al., (2013), also observed cinnamon and clove oil exhibited stronger antibacterial activity against these ESBL isolates than Tulsi, Garlic or Neem oil. Approximately 86 per cent and 100 per cent of E. coli and 100 per cent of K. pneumoniae were sensitive to eugenol and cinnamaldehyde (active principle of clove oil), respectively.
       
According to (Mishra and Mishra 2010) level of antibacterial effect of Ocimum sanctum against E.coli  was found to be lower as compared with the other herbs specially clove oil which also  simulate with the present investigation, where effect of Punica granatum was fairly less than the Syzigium aromaticum.
The ability (innate or acquired) to produce beta-lactamases, enzymes which are capable of hydrolysing the endocyclic peptide bond in beta-lactam antibiotics, appear to be a primary contributor to the ever-increasing incidences of resistance against these class of antibiotics. Despite an increasing number of publications linking E. coli in poultry with human infection, there is still a lack of harmonised information on prevalence, types of E. coli, plasmid types and genetic mechanisms that occur in both poultry and humans. It is also important to ensure that standards of cleaning and disinfection and pest control in hatcheries and on farms are sufficiently robust to avoid carryover and recycling of resistant organisms. A baseline survey of poultry caecal contents at slaughter and poultry carcasses/meat would facilitate gathering of such data and help to inform further analyses of the currently unknown quantitative contribution of the poultry reservoir to human infections (Chong et al., 2013). Focus on natural products to develop better medications against multidrug resistant microbial strains (Miyasaki et al., 2010) can be a better alternative.

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