Source: KANSAS STATE UNIV submitted to
UNDERSTANDING AND HARNESSING MOLECULAR BARRIERS TO VANCOMYCIN RESISTANCE IN AGRICULTURE
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
TERMINATED
Funding Source
Reporting Frequency
Annual
Accession No.
0223868
Grant No.
(N/A)
Project No.
KS458
Proposal No.
(N/A)
Multistate No.
(N/A)
Program Code
(N/A)
Project Start Date
Oct 1, 2010
Project End Date
Sep 30, 2015
Grant Year
(N/A)
Project Director
Scott, HA, MO.
Recipient Organization
KANSAS STATE UNIV
(N/A)
MANHATTAN,KS 66506
Performing Department
Diagnostic Medicine & Pathobiology
Non Technical Summary
The global emergence of antimicrobial resistant bacteria has serious consequences for both human and animal health. Food animal agriculture has been blamed for decades by both national and international advocacy groups as the major source of antibiotic resistance among food borne enteric bacterial pathogens. More often, these enteric pathogens harbor resistances to multiple antibiotics which have a greater propensity for horizontal gene transfer. These resistant bacteria continue to propagate and their increased prevalence poses significant clinical and societal challenges. Our proposal focuses on one of the major clinically important enteric bacterial pathogens, Enterococcus. The enterococci are intrinsically resistant to broad range of antimicrobials agents, thus leading to a pre-existing limited choice of antimicrobials against these agents. During the last few decades, enterococci have emerged as one of the important pathogens attributed to significant causes of community acquired and nosocomial infections. The role of foodborne transfer of enterococci remains controversial; however, recent discoveries of VRE among swine in Michigan have refocused concern on this potential mode of transfer. Our hypothesis is novel and concentrates on the impact of feeding heavy metals and their possible role in dissemination of vancomycin resistant enterococci (VRE) and also their selection pressure against heavy metal resistance. We have reported the presence of transferable copper resistance gene, tcrB among enterococcal isolates of swine with its co-selection of macrolide and tetracycline resistant determinants, for the first time in the US. Therefore, the bacteria that are resistant to heavy metals, more often than not also carry other antibiotic resistant determinants. The major objectives of our proposal includes characterization of subset of enterococcal isolates belonged to Texas and Kansas. The Texas study consisted of isolates arising from groups of swine and human in semi-closed integrated agri food system. The Kansas study consists of both copper resistant and sensitive isolates of swine. To accomplish our objectives we will use traditional bacteriological procedures coupled with cutting edge molecular biology techniques.
Animal Health Component
40%
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
3113399106025%
3113599106025%
3153999104020%
7223399106015%
7223599106015%
Goals / Objectives
Goals/Objectives/Expected Outputs: The study will be focused on determining relative transferability of antibiotic resistant determinants from human enterococci to animal enterococcal isolates. The proposed activities will employ cutting edge molecular tools coupled with ecological approaches to assess the dynamics of dissemination of antimicrobial resistance among enterococcal isolates of food producing animals and to human isolates. This will help us to elucidate the global epidemiological distribution of predominant sequence types and clonal complexes prevalent among VRE's in closed population of humans and in animals and their zoonotic potential. Our novel approach will yield valuable scientific insights, ranging from a better understanding the molecular mechanisms affecting strain selection through to a more expansive view of the epidemiology and ecology of antimicrobial resistance in food producing animals; and potentially, their spread to humans via occupational exposure and the food chain. Our long term goal will be to develop a strategic research plan involving food-producing animals (cattle and swine) focusing on multidrug resistant enterococci and their public health significance in dissemination of resistance determinants. Additional objectives will involve characterization of linkages among copper and antibiotic resistant determinants among fecal enterococcal isolates, and determine their propensity to transfer of resistance within or between and or among other gut microflora. The outcomes of the project will be used to educate the farmers and veterinarians about the potential risks of feeding heavy metals and their potential role in dissemination of antibiotic resistances among enteric pathogens. It will also help us to perform thorough field investigations to determine the correlation between feeding heavy metals at an elevated levels on the resistance patterns of fecal bacteria. These additional assays will provide the 'closing arguments' in exploring the issues of antimicrobial resistance at the interface of human and animal health.
Project Methods
The approach to accomplish these objectives involves utilization of enterococcal isolates from studies conducted at two geographical locations in Kansas and Texas. The Texas study resulted in isolates arising from groups of swine and human in a semi-closed and fully integrated agri-food system. The population of both swine and humans were housed across the multiple locations. Humans were further categorized into swine-worker and non-worker groups. VRE were only isolated from humans (both swine-worker and non-workers). Non-vancomycin-resistant enterococci (vancomycin-susceptible enterococci - VSE) were isolated from swine fecal samples, floor wash, influent, lagoon samples, and human waste water grab samples. The Kansas study consisted of both copper resistant and sensitive isolates of swine from a series of feeding trials. To accomplish our objectives we will use traditional bacteriological procedures coupled with cutting edge molecular biology techniques. Earlier studies from our laboratory reported the presence of tcrB (transmissible copper resistance) gene from fecal enterococcal isolates of swine for the first time in US. There are strong associations between tcrB and erm(B) (macrolide) and tet(M) (tetracycline). Further research is warranted to investigate the epidemiology of VRE in U.S and its dissemination into food producing animals to elucidate the public health significance of VRE within the integrated agri-food system. The proposed work will be carried out to study the dynamics of transfer and its frequency among enterococci with in closed population of human and animals. The study will be mainly focused on determining transferability of antibiotic resistant determinants from human enterococci to animal enterococcal isolates. The isolates will be subjected to antibiotic resistance determinants assay and characterization by PCR, RT-PCR for quatification, susceptibility determination (MIC), conjugation assay to determine the transferability of resistant determinants, and multi-locus sequence typing to determine the clonal differences among the clinically predominant isolates. This will help us to elucidate the global epidemiological distribution of predominant sequence types and clonal complexes prevalent among VRE's in closed population of humans and animals and their zoonotic potential. The molecular epidemiological studies and population structures analysis will give us an idea whether the emergence of E. faecium and E. faecalis as major nosocomial pathogens has resulted from the evolutionary development of specific lineages or clonal complexes harboring antimicrobial resistance determinants. The statistical analyses will be performed using STAT SE (v. 11.0). Descriptive, bivariate, and multivariate analyses will be used in a multi-level mixed model framework for each of the outcomes, such as growth curve, plasmid transfer efficiency etc.

Progress 10/01/10 to 09/30/15

Outputs
Target Audience: Nothing Reported Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? The objectives of this project were to investigate the prevalence of vancomycin resistant enterococci (VRE; vanA), determine the genetic relationship between van genes and other antimicrobial resistance determinants [erm(B) and tet(M)] among both human and swine enterococcal isolates. The study design consisted of isolates arising from groups of humans and swine in a semi-closed, vertically integrated agri-food system. The isolates were from swine fecal samples, floor wash, influent, lagoon samples, and human waste water grab samples. We have approximately 2,500 isolates (1,315 human + 972 swine isolates), of which 62 isolates were positive for vanA and resistant to vancomycin among human isolates. One isolate was positive for both vanA and vanB genes. All these 62 isolates were also positive for the presence of erm(B) and tet(M) genes and also phenotypically resistant to erythromycin and tetracycline. Most of the isolates (57) harbored esp gene and one isolate was positive for both esp and hyl, virulence genes. The conjugation experiment proved that VREs are transferable and resides on a plasmid, mobile genetic element. All these isolates were Enterococcus faecium. Among 972 swine enterococcal isolates screened till now, 8 were positive for vanA gene and resistant to vancomycin. All these VRE isolates were also harbored erm(B) and tet(M) genes. The presence of vanA gene was further confirmed by sequence analysis. The proportions of isolates resistant to any of the antimicrobials did not differ between human and swine VRE isolates (P > 0.05). Among the human VREs, 50% of them resistant to ten or more than ten antimicrobials. Majority of the human VRE isolates (98.4%; 61/62) were resistant to three or more antimicrobials, and were classified as multidrug resistant (MDR). The highest proportion of resistant isolates were with vancomyicn, lincomycin, tetracycline, tylosin, erythromycin, penicillin, ciprofloxacin, kanamycin, and gentamicin antimicrobials in both human and swine VRE isolates. All the swine VRE isolates are multidrug resistant (100%) and were resistant to eight (n=1), nine (n=1), and ten (n=6) antimicrobials. The study was further extended to study the sequence types and clonal complexes by multi-locus variable number tandem repeat (MLVA) analyses for both human and swine VRE isolates to assess their significance in relation to global prevalence of VRE, and also to determine the presence of virulence genes and to explore the possibility of linkage of these virulence factors with antibiotic resistance determinants and clonal differences among VREs. MLVA analysis revealed the presence of diverse and heterogeneous clones of enterococcal isolates. ?Outcomes / Impacts: The scientific insights spanning from molecular mechanisms affecting strain selection with a broader view of the epidemiology and ecology of antimicrobial resistance in food producing animals have been published in both national and international conferences (CRWAD, ARAE)

Publications


    Progress 10/01/13 to 09/30/14

    Outputs
    Target Audience: Scientists, Veterinarians, Food Safety Inspection Agency, Cattlemen, Packers, Students Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? The research project has provided opportunities for the following students to obtain graduate degrees in Pathobiology, specifically in Microbiology and Epidemiology: Charley Cull: PhD Diana Dewsbury: MS Pius Ekong: PhD Lance Noll: MS Pragathi Shridhar: PhD The graduate students get trained and become proficient in designing the study, collection of samples, processing of samples, microbiological and molecular analyses of samples, data collection and management, statistical analyses, and data interpretation. Students have opportunities to present their findings as poster or oral presentations in a number of scientific conferences. Also, students receive the training in writing manuscripts for submission to peer-reviewed journals for publications. Additionally, a number of undergraduate students, including freshman and sophomore DVM students, have worked in the laboratory and received training in culture and PCR-based methods to detect foodborne pathogens. How have the results been disseminated to communities of interest? The following presentations were made in a variety of conferences and meetings: Nagaraja T.G. (invited): Diet, Hindgut Ecosystem, and Foodborne Pathogens in Cattle. Glance 2014-Global Animal Nutrition Conference in Bangalore, India (Apr 20-23, 2014). Nagaraja T.G. PCR- and culture-based methods of detection of STEC-7 in cattle feces. Shiga toxin-Producing Escherichia coli-Coordinated Agricultural Project Annual Conference, Lincoln, NE (May 28-29, 2014). Nagaraja T.G. (invited): Detection methods for STEC-7. Shiga toxin-Producing Escherichia coli-Coordinated Agricultural Project Annual Meeting, Indianapolis, IN (Aug 4-6, 2014). Nagaraja T.G. (invited): Future use of antimicrobial additives and alternatives to prevent acidosis. Ruminant Nutrition Conference, Universidad Autónomo de Nuevo León, Monterrey, Mexico (Oct 7-8, 2014). Nagaraja T.G. (invited): Shiga toxin-producing Escherichia coli. Meeting of the NC 1202 Regional Research Technical Committee on Enteric Diseases of Food Animals: Enhanced Prevention, Control and Food Safety, Chicago, IL (Dec 6-7, 2014) Renter D. G. (invited): Ecology and Epidemiology of STEC in the Feedlot Through Harvest. In a Symposium entitled "Update on the STEC CAP Grant", at the Annual Meeting of the International Association of Food Protection, Indianapolis, IN, August 4, 2014. Renter D. G. (invited): Recent Research on the Epidemiology of STEC in Beef Production Systems. 2014 Governor's Conference on Ensuring Food Safety and the Annual Meeting of the Shiga toxin-producing Escherichia coli Coordinated Agriculture Project (STEC CAP), Lincoln, NE. 2014. Renter D. G. (invited): Salmonella Research 2013 - results of SRP® vaccine efficacy trial and related studies. Zoetis sponsored Salmonella Research Cluster meeting; in conjunction with the Beef Industry Safety Summit. Dallas, TX. 2014. Renter D. G. (invited): Shiga toxin-producing E. coli CAP Grant: preharvest progress and plans. Beef Industry Safety Summit, Dallas, TX. 2014. Noll, L. W., Belagola, P. B. Shridhar, W. C. Baumgartner, X. Shi, T. G. Nagaraja. Evaluation of chromID EHEC agar for detection of seven major serogroups of Shiga toxin-producing Escherichia coli from cattle feces. Annual International Association for Food Protection Conference, Indianapolis, Indiana, August 3-6, 2014 (Poster presentation). Noll, L. W., P. B. Shridhar, D. Dewsbury, X. Shi, N. Cernicchiaro, D. G. Renter, and T. G. Nagaraja. Prevalence of seven major serogroups of Shiga toxin-producing Escherichia coli in cattle feces from a large commercial feedlot. Governor's E. coli Conference/Shiga toxin-producing E. coli Coordinated Agricultural Project Annual Conference, Lincoln, NE., May 27-29, 2014 (Poster presentation). Noll, L. W., P. B. Shridhar, X. Shi, B. An, T. G. Nagaraja, and J. Bai. A four-plex real-time PCR assay for the detection and quantification of Escherichia coli O157 in cattle feces. BioKansas One Health Summit Annual Conference, Kansas City, Kansas, Mar 5, 2014 (Poster presentation). Shridhar, P. B., L. Noll, X. Shi, N. Cernicchiaro, D. G. Renter, J. Bai and T. G. Nagaraja, Prevalence, isolation and characterization of E. coli O104 in cattle feces. Annual American Association of Veterinary Laboratory Diagnosticians Meeting, Kansas City, October 16-22, 2014 (Oral presentation). Shridhar, P. B., L. Noll, B. An, X. Shi, T. G. Nagaraja and J. Bai. TaqMan-based multiplex real time PCR assays for the detection and quantification of the six major non-O157 Shiga toxin-producing Escherichia coli in cattle feces. Annual International Association for Food Protection Conference, Indianapolis, Indiana, August 3-6, 2014 (Oral presentation). Shridhar, P. B., L. Noll, X. Shi, N. Cernicchiaro, J. Bai and T. G. Nagaraja. Prevalence and characterization of E. coli O104 in cattle feces. Annual International Association for Food Protection Conference, Indianapolis, Indiana, August 3-6, 2014 (Oral presentation). Shridhar, P. B., L. Noll, B. An, X. Shi, N. Cernicchiaro, D. G. Renter, J. Bai and T. G. Nagaraja. Spiral plating method to quantify six major non-O157 E. coli serogroups in cattle feces. Governor's E. coli Conference/Shiga toxin-producing E. coli Coordinated Agricultural Project Annual Conference, Lincoln, NE., May 27-29, 2014 (Poster presentation). Shridhar, P. B., L. Noll, B. An, X. Shi, N. Cernicchiaro, J. Bai, and T. G. Nagaraja. Prevalence and characterization of E. coli O104 in cattle feces, Annual Phi-Zeta Research Day, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, March 4, 2014 (Oral presentation). Shridhar, P. B., L. Noll, B. An, X. Shi, N. Cernicchiaro, J. Bai, and T. G. Nagaraja. Development of multiplex real time PCR assays for the detection and quantification of the six major non-O157 Escherichia coli serogroups. Capitol Graduate Research Summit (CGRS), Topeka, Kansas, Feb 12, 2014 (Poster presentation). Shridhar, P. B., Noll L.W., Kim E., Cull C. A., Dewsbury D. M., Shi X., Cernicchiaro N., Renter D. G., Bai J., Nagaraja T.G. Quantification of six non-O157 E. coli serogroups in cattle feces by spiral plating method. Conference of Research Workers in Animal Disease, Chicago, IL, 014. 048 (Oral presentation).. Cull, C.A., Renter D.G., Dewsbury D.M., Noll L.W., Shridhar P. B., Shi X., Nagaraja T.G., Cernicchiaro N. Feedlot- and pen-level prevalence of Shiga toxin-producing Escherichia coli in feces of commercial feedlot cattle. Conference of Research Workers in Animal Disease, Chicago, IL, 2014. 046 (Oral presentation).. Dewsbury, D.M., Noll L.W., Shridhar P.B., Shi X., Renter D.G., Nagaraja T.G., Cernicchiaro N. Summer and winter prevalence of O26, O45, O103, O111, O121, O145 and O157 Shiga toxin-producing Escherichia coli (STEC) in feces of feedlot cattle. Conference of Research Workers in Animal Disease, Chicago, IL, 2014. 045 (Oral presentation).. Noll, L.W., Baumgartner W.C., Shridhar P. B., Cull C.A., Dewsbury D.M., Shi X., Cernicchiaro N., Renter D. G., Nagaraja T.G. Pooling of immunomagnetic separation beads does not affect sensitivity of detection of seven serogroups of Shiga toxin-producing Escherichia coli in cattle feces. Conference of Research Workers in Animal Disease, Chicago, IL, 2014. 129 (Oral presentation). Moxley, R. (invited): Renter, D., Luchansky, J., Chapman, B., Ekong, P., Sanderson, M., Gallagher, D., and G. Acuff. 2014. Update on the Shiga toxin-producing Escherichia coli Coordinated Agricultural Project (STEC-CAP). J. Food Prot. Supplement A, 77:6 (Abstract S7). Gallagher DL, (invited): Sanderson M, Ekong, P. Quantitative Risk Assessment Model for STEC in the Beef Continuum. Int. Assoc Food Protection Annual Meeting, Indianapolis, IN. August 3-6, 2014. Sanderson, M.W. (invited): Ekong, PS. Gallagher. D. L. Quantitative Microbial Risk Assessment: An Update on Objective 4 of the STEC-CAP Grant. Proceedings 4th Governor's Conference on Ensuring Food Safety, 2nd STEC CAP Annual Conference. Lincoln, NE. May 27-29, 2014. Ekong, PS. Sieg, J. Sanderson, M.W. A systematic review of harvest intervention for the reduction of shiga-toxin producing Escherichia coli on beef carcass surfaces. Proceedings 4th Governor's Conference on Ensuring Food Safety, 2nd STEC CAP Annual Conference. Lincoln, NE. May 27-29, 2014. Sieg, J. Ekong PS. Sanderson, M.W. A systematic review of peri-harvest intervention for the reduction of shiga-toxin producing Escherichia coli on cattle hides. Proceedings 4th Governor's Conference on Ensuring Food Safety, 2nd STEC CAP Annual Conference. Lincoln, NE. May 27-29, 2014. What do you plan to do during the next reporting period to accomplish the goals? Evaluation of the applicability of Real-Time PCR assays to detect and quantify seven serogroups of Shiga-toxin producing E. coli in cattle feces. Evaluation of the applicability of the spiral plate method to quantify Shiga-toxin producing E. coli in cattle feces, hide and carcass samples. Development, validation and applicability of Real-Time PCR assay to detect and quantify Salmonella in cattle feces and lymph nodes. Study on bacterial probiotics in cattle and swine to determine whether they carry antimicrobial resistance genes.

    Impacts
    What was accomplished under these goals? The Research Team has focused on Shiga toxin-producing Escherichia coli (STEC) and antimicrobial resistance in gut bacteria. STEC: Shiga toxin-producing E. coli (STEC) are major foodborne pathogens that cause illnesses in humans with symptoms ranging from diarrhea, with or without blood, to hemolytic uremic syndrome, and even death. Among STEC, the serotype O157:H7 has caused a greater number of foodborne outbreaks than any other serotype. Recent epidemiological data have shown that six more serogroups of STEC (O26, O45, O103, O111, O121, and O145) represent a major portion of foodborne STEC infections. A study was conducted to determine fecal prevalence and characteristics of E. coli O26, which second only to O157 in causing STEC infections in commercial feedlot cattle. Pen floor fecal samples (n=4,800) were enriched in E. coli broth and subjected to a multiplex PCR designed to detect O26-specific wzx gene and four major virulence genes (stx1, stx2, eae, and ehxA) and to a culture-based procedure that involved immunomagnetic separation and plating on MacConkey agar. The overall prevalence E. coli O26 was higher (P < 0.001) by the culture-based method compared to the PCR assay (22.7 vs.10.5%). Of the 260 isolates of O26 obtained in the study, only seven were positive for stx gene and a majority of them possessed an eaeβ gene that codes for intimin subtype β, but not the bfpA gene, which codes for bundle-forming pilus. Therefore, the majority of the O26 recovered from feedlot cattle feces was atypical enteropathogenic E. coli, and not STEC. Culture-based methods to detect and isolate all six major non-O157 STEC are not well established. We have developed a culture-based method and compared with PCR method for the detection of six non-O157 STEC serogroups in cattle feces. Fecal samples (n=576) were collected in a commercial feedlot and enriched in E. coli broth at 40 C for 6 h. Enriched samples were subjected to immunomagnetic separation (IMS), spread-plated onto selective media and initially pooled colonies, and subsequently, single colonies were tested by 7-plex (seven serogroups only) and 11-plex PCR (seven serogroups plus four virulence genes, stx1, stx2, eae, and ehxA), respectively. Fecal suspensions, before and after enrichment, were tested by an 11-plex PCR targeting seven serogroups and four virulence genes. There was no difference in the proportions of fecal samples that tested positive (84.0 vs. 83.5%) for one or more of the seven serogroups by either PCR or the culture method. Both culture method and PCR indicated that O26, O45, O103, and O157 were the dominant serogroups. None of the fecal samples contained more than five serogroups by either method. Higher proportions (P > 0.05) of fecal samples were positive for O26 (44.5 vs.22.7%), O121 (22.9 vs.2.3%) and O157 (54.7 vs. 42.9%) serogroups by PCR than by the culture method; however, each method detected O26, O45, O103 and O157 in samples that were negative by the other method. Also, 99/576 (17.2%) samples harbored STEC not associated with one of the seven serogroups. Our data indicate that neither culture nor PCR method was better than the other in detecting the seven serogroups in cattle feces, and only a small proportion of the non-O157 serogroups (23/640; 3.6%) isolated carried Shiga toxin genes. Another study was conducted to estimate the prevalence of E. coli O104 serogroup in feedlot cattle feces and characterize the isolated strains. The reason for the study was that a unique serotype of O104:H4 was reported in a 2011 foodborne outbreak in Germany, which possessed characteristics of two pathotypes, STEC and enteroaggregative E. coli. Fecal samples (n=757) were enriched in E. coli broth for 6 h at 400C. DNA extracted from pre and post enriched fecal samples were tested by a multiplex PCR to detect serogroup O104 and associated virulence genes of the hybrid strain. Post-enriched fecal samples were also subjected to culture-based method of detection that involved serogroup-specific immunomagnetic separation. Of the 757 fecal samples, 38 (5%) were positive before enrichment and 349 were positive (46%) after enrichment for O104 serogroup specific gene. A total of 143 O104 isolates was obtained in pure culture, 92 of them were positive for O8/O9 serogroup antigen genes. Of the 51 O104 isolates, only 16 (31.4%) carried stx1, none of them carried eae. The stx1 was of the stubtype 1c in all 16 isolates. The O104 isolates harbored diverse flagellar (H) antigens with 37 isolates containing H7, 4 H2, 1 H21 and 1 H1. Cattle shed serogroup O104 in feces, but only a few strains (31.4 %) carried stx1 gene and none of the isolated strains carried genes characteristic of the hybrid pathotype. Antimicrobial resistance: Feed grade antimicrobials are supplemented in cattle and s wine diets to promote growth, improve feed efficiency, and to reduce the incidence of respiratory or gut infections. The use of antimicrobial feed additives is controversial because of the emergence and potential dissemination of antimicrobial resistance and subsequent risk to human health. Therefore, alternatives to conventional antimicrobials, such as heavy metals, are being used to achieve improved animal performance. Copper, an essential micronutrient, is supplemented in feedlot cattle diets at elevated levels to promote growth and improve feed efficiency. Resistance to copper among gut bacteria is common and in enterococci, a transferable copper resistance gene, tcrB, is linked to erm(B) and tet(M) genes on a plasmid. The potential genetic link between copper and antibiotic resistance is of interest because tylosin, a macrolide, and tetracyclines are widely used as feed additives in feedlot cattle. A study was conducted to investigate whether feed supplementation of copper, at elevated level, co-selects for macrolide resistance in fecal enterococci in the absence of tylosin. A longitudinal study was conducted in cattle (n=80) with 2×2 factorial arrangements of copper (10 or 100 mg/kg of feed) and tylosin (0 or 10 mg/kg of feed). Thirty-seven isolates (4.6%; 37/800) were positive for the tcrB and all were E. faecium. The prevalence was higher among cattle fed diets supplemented with copper and tylosin (8.5%) compared to control (2.0%), copper (4.5%), and tylosin (3.5%) alone. All tcrB-positive isolates were positive for erm(B) and tet(M) genes. Median copper MICs for tcrB-positive and tcrB-negative enterococci were 20 and 4 mM, respectively. The overall prevalence of the erm(B) and tet(M) genes among enterococcal isolates was 46.8%and 57.5% , respectively. Feeding of elevated dietary copper and tylosin alone or in combination resulted in an increased prevalence of tcrB and erm(B) mediated copper and tylosin resistant fecal enterococci in feedlot cattle. A longitudinal study was conducted to investigate the effects of in-feed copper, chlortetracycline, and tylosin alone or in combination on the selection and co-selection of antimicrobial resistant enterococci. The study included 240 weaned piglets assigned randomly to six dietary treatment groups; control, copper, chlortetracycline, tylosin, copper and chlortetracycline, and copper and tylosin. Feces was collected before, during, and after initiating treatment, and enterococcal isolates were tested for genotypic and phenotypic resistance to copper and antibiotics. The overall prevalence of tcrB-positive enterococci was 14.3% (372/2,592). Among the tcrB-positive isolates, 331 were E. faecium and 41 were E. faecalis. All tcrB-positive isolates contained both erm(B) and tet(M) genes. The median MIC of copper for tcrB-negative and tcrB-positive enterococci was 6 and 18 mM, respectively. In conclusion, supplementing copper or antibiotics alone did not increase copper resistant enterococci; however, supplementing antibiotics with copper increased the prevalence of tcrB gene among fecal enterococci of piglets.

    Publications

    • Type: Journal Articles Status: Published Year Published: 2014 Citation: Jacob M. E., J. Bai J, D. G. Renter, A. T. Rogers, X. Shi and T. G. Nagaraja. 2014. Comparing real-time and conventional PCR to culture-based methods for detecting and quantifying Escherichia coli O157 in cattle feces. J Food Prot. 77:314-319. Paddock Z. D, D. G. Renter, C. A. Cull, J. Bai, and T. G. Nagaraja*. 2014. Escherichia coli O26 in feedlot cattle: Fecal prevalence, isolation, characterization and effects of an E. coli O157 vaccine and a direct-fed microbial. Foodborne Pathog Dis. 11: 186-193. Cernicchiaro, N., D. G. Renter, C. A. Cull, Z. D. Paddock, X. Shi, and T. G. Nagaraja. 2014. Fecal shedding of non-O157 serogroups of Shiga toxin-producing Escherichia coli in feedlot cattle vaccinated with an Escherichia coli O157:H7 SRP vaccine or fed a Lactobacillus-based direct-fed microbial. J. Food Prot. 77:732-737. Agga, G. E., H. M. Scott, R. G. Amachawadi, T. G. Nagaraja, J. Vinasco, J. Bai, B. Norby, D. G. Renter, S. S. Dritz, J. L. Nelssen, and M. D. Tokach. 2014. Effects of chlortetracycline and copper supplementation on antimicrobial resistance of Escherichia coli isolates from nursery pigs: Phenotypic and Genotypic analysis. Prev.Vet. Med. 114:231-246


    Progress 01/01/13 to 09/30/13

    Outputs
    Target Audience: Nothing Reported Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

    Impacts
    What was accomplished under these goals? Major activities completed: We have completed screening 2,500 isolates (1,315 human + 972 swine isolates) for vancomycin resistance. Of which 62 isolates were positive for vanA and resistant to vancomycin among human isolates. One isolate was positive for both vanA and vanB genes. All these 62 isolates were also positive for the presence of erm(B) and tet(M) genes and also phenotypically resistant to erythromycin and tetracycline. Most of the isolates (57) harbored esp gene and one isolate was positive for both esp and hyl, virulence genes. The conjugation experiment proved that VREs are transferable and resides on a plasmid, mobile genetic element. All these isolates were Enterococcus faecium. Among 972 swine enterococcal isolates screened till now, 6 were positive for vanA gene and resistant to vancomycin. All these VRE isolates were also harbored erm(B) and tet(M) genes. The presence of vanA gene was further confirmed by sequence analysis. Specific objective met: The objectives of this project were to investigate the prevalence of vancomycin resistant enterococci (VRE; vanA), determine the genetic relationship between van genes and other antimicrobial resistance determinants [erm(B) and tet(M)] among both human and swine enterococcal isolates. The study design consisted of isolates arising from groups of humans and swine in a semi-closed, vertically integrated agri-food system. The isolates were from swine fecal samples, floor wash, influent, lagoon samples, and human waste water grab samples. Significant results achieved: We have investigated the presence of vanA positive E. faecium among swine fecal samples (US Animal Agriculture), and which is of more public health significance. Majority of the VRE isolates of both human and swine are multi-drug resistant which in turn makes it very difficult to treat when it is associated with nosocomial infections. The study was further extended to study the sequence types and clonal complexes by multi-locus variable number tandem repeat (MLVA) analyses for both human and swine VRE isolates to assess their significance in relation to global prevalence of VRE, and also to determine the presence of virulence genes and to explore the possibility of linkage of these virulence factors with antibiotic resistance determinants and clonal differences among VREs. MLVA profile was submitted to the database maintained at the University of Utrecht, The Netherlands, to get MTs or STs numbers. MLVA analysis revealed the presence of diverse and heterogeneous clones of enterococcal isolates. For further confirmation and to compare our VRE isolates with the global VRE pool, we submitted both human and swine VRE isolates to the Massachusetts Eye and Ear Infirmary, Harvard Medical School for multi-locus sequence typing and analyses. Key outcomes or other accomplishments: The scientific insights spanning from molecular mechanisms affecting strain selection with a broader view of the epidemiology and ecology of antimicrobial resistance in food producing animals have been published in both national and international conferences (CRWAD, ARAE).

    Publications

    • Type: Conference Papers and Presentations Status: Published Year Published: 2011 Citation: 1. Molecular characterization of vancomycin-resistant and vancomycin-susceptible Enterococcus faecium isolated from a semi-closed and integrated agri-food system. 2010. 91st Proceedings of CRWAD, Chicago, Illinois. 2. Molecular epidemiology of vancomycin-resistant and vancomycin-susceptible Enterococcus faecium isolated from a semi-closed and integrated agri-food system. 2011. 4th Symposium on Antimicrobial Resistance in Animals and Environment (ARAE), Tours, France.


    Progress 01/01/12 to 12/31/12

    Outputs
    OUTPUTS: The objectives of this project were to investigate the prevalence of vancomycin resistant enterococci (VRE; vanA), determine the genetic relationship between van genes and other antimicrobial resistance determinants [erm(B) and tet(M)] among both human and swine enterococcal isolates. The study design consisted of isolates arising from groups of humans and swine in a semi-closed, vertically integrated agri-food system. The isolates were from swine fecal samples, floor wash, influent, lagoon samples, and human waste water grab samples. We have approximately 2,500 isolates (1,252 human + 1,270 swine isolates), of which 62 isolates were positive for vanA and resistant to vancomycin among human isolates. One isolate was positive for both vanA and vanB genes. All these 62 isolates were also positive for the presence of erm(B) and tet(M) genes and also phenotypically resistant to erythromycin and tetracycline. Most of the isolates (57) harbored esp gene and one isolate was positive for both esp and hyl, virulence genes. The conjugation experiment proved that VREs are transferable and resides on a plasmid, mobile genetic element. All these isolates were Enterococcus faecium. Among 486 swine enterococcal isolates screened till now, 6 were positive for vanA gene and resistant to vancomycin. All these VRE isolates were also harbored erm(B) and tet(M) genes. The presence of vanA gene was further confirmed by sequence analysis. The study was further extended to study the sequence types and clonal complexes by multi-locus variable number tandem repeat (MLVA) analyses for both human and swine VRE isolates to assess their significance in relation to global prevalence of VRE, and also to determine the presence of virulence genes and to explore the possibility of linkage of these virulence factors with antibiotic resistance determinants and clonal differences among VREs. MLVA profile was submitted to the database maintained at the University of Utrecht, The Netherlands, to get MTs or STs numbers. MLVA analysis revealed the presence of diverse and heterogeneous clones of enterococcal isolates. At present, we are in the process of performing descriptive statistics on the prevalence data, generating eBURST analysis and creating a phylogenetic tree based on the assigned STs or MTs. PARTICIPANTS: Dr. H. Morgan Scott (Kansas State University), Principal Investigator Collaborators: Dr. T. G. Nagaraja (Kansas State University) Dr. R. B. Harvey (Southern Plains Agricultural Research Center, ARS, USDA, College Station, Texas) Dr. T. L. Poole (Southern Plains Agricultural Research Center, ARS, USDA, College Station, Texas) Graduate Student: Raghavendra Amachawadi Undergraduate Students: Tiffany Mainini, Melody Phillips TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

    Impacts
    The scientific insights spanning from molecular mechanisms affecting strain selection with a broader view of the epidemiology and ecology of antimicrobial resistance in food producing animals have been published in both national and international conferences (CRWAD, ARAE).

    Publications

    • Molecular characterization of vancomycin-resistant and vancomycin-susceptible Enterococcus faecium isolated from a semi-closed and integrated agri-food system. 2010. 91st Proceedings of CRWAD, Chicago, Illinois.
    • Molecular epidemiology of vancomycin-resistant and vancomycin-susceptible Enterococcus faecium isolated from a semi-closed and integrated agri-food system. 2011. 4th Symposium on Antimicrobial Resistance in Animals and Environment (ARAE), Tours, France.


    Progress 01/01/11 to 12/31/11

    Outputs
    OUTPUTS: The objectives of this project were to investigate the prevalence of vancomycin resistant enterococci (VRE; vanA), determine the genetic relationship between van genes and other antimicrobial resistance determinants [erm(B) and tet(M)] among both human and swine enterococcal isolates. The study design consisted of isolates arising from groups of humans and swine in a semi-closed, vertically integrated agri-food system. The isolates were from swine fecal samples, floor wash, influent, lagoon samples, and human waste water grab samples. We have approximately 2,500 isolates (1,252 human + 1,270 swine isolates), of which 62 isolates were positive for vanA and resistant to vancomycin among human isolates. One isolate was positive for both vanA and vanB genes. All these 62 isolates were also positive for the presence of erm(B) and tet(M) genes and also phenotypically resistant to erythromycin and tetracycline. Most of the isolates (57) harbored esp gene and one isolate was positive for both esp and hyl, virulence genes. The conjugation experiment proved that VREs are transferable and resides on a plasmid, mobile genetic element. All these isolates were Enterococcus faecium. Among 370 swine enterococcal isolates screened till now, 6 were positive for vanA gene and resistant to vancomycin. All these VRE isolates were also harbored erm(B) and tet(M) genes. At present, we are still in the process of screening remaining swine fecal samples for the presence of VREs. The study will be further extended to study the sequence types and clonal complexes by multi-locus sequence typing (MLST) analyses to assess their significance in relation to global prevalence of VRE, and also to determine the presence of virulence genes and to explore the possibility of linkage of these virulence factors with antibiotic resistance determinants and clonal differences among VREs. Our future studies might give us an idea on evolutionary development of specific lineages or clonal complexes harboring multidrug resistance determinants. PARTICIPANTS: Principal Investigator: Dr. H. Morgan Scott (Kansas State University) Collaborators: Dr. T. G. Nagaraja (Kansas State University) Dr. R. B. Harvey (Southern Plains Agricultural Research Center, ARS, USDA, College Station, Texas) Dr. T. L. Poole (Southern Plains Agricultural Research Center, ARS, USDA, College Station, Texas) Graduate Student: Raghavendra Amachawadi Undergraduate Students: Tiffany Mainini, Melody Phillips TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

    Impacts
    The scientific insights spanning from molecular mechanisms affecting strain selection with a broader view of the epidemiology and ecology of antimicrobial resistance in food producing animals have been published in both national and international conferences (CRWAD, ARAE).

    Publications

    • Molecular characterization of vancomycin-resistant and vancomycin-susceptible Enterococcus faecium isolated from a semi-closed and integrated agri-food system. 2010. 91st Proceedings of CRWAD, Chicago, Illinois.
    • Molecular epidemiology of vancomycin-resistant and vancomycin-susceptible Enterococcus faecium isolated from a semi-closed and integrated agri-food system. 2011. 4th Symposium on Antimicrobial Resistance in Animals and Environment (ARAE), Tours, France.