Introduction
Clostridium septicum(C. septicum) is an anaerobic gram-positive bacterium. The bacterium is a causative agent of some acute lethal diseases in man and animals. Animal disease syndromes are slightly less known than in man ( Vazquez-Iglesias et al., 2017 ). Broxy and gas gangrene or malignant edema with a high mortality rate toxemia are the important infections in the animals ( Gazioglu et al., 2018 ). C.septicum is the cause of acute myonecrosis, meningitis, arthritis, bacteremia, oesteomielitis, miocarditis and other infections in man ( Larson et al., 1995 ; Nanjappa et al., 2015 ; Mallozzi and Clark, 2016 ; Ramphal et al., 2018 ), and are often accompanied with colonic and hematological malignancy in human( Nanjappa et al., 2015 ; Mallozzi and Clark, 2016 ; Ramphal et al., 2018 ). C.septicum aortitis is a rare but fatal infection association with occult malignancy ( Mizrahi and Halpern, 2016 ). Clostridium perfringens type A, the most commonly isolated of clostridia is in combination with C. septicum in 4% of cases ( Salari Sedigh et al., 2015 ). Today, the prevalence of the bacterium is low in man. From 161 asymptomatic community-dwelling stool samples of adults and 192 hospitalized diarrhea patients, all of samples were negative (Chakravorty et al., 2015). There isn’t any documented prevalence of C. septicum in Iran. Alpha toxin, the main dangerous toxin, has some activities include necrosis, hemolysis, and lethality ( Tweten, 2001 ; Kennedy et al., 2005 ; Chakravorty et al., 2015 ). In fact, α-toxin is a hemolysin that attaches to a cell receptor called glycophosphatidylinositol (GPI) and during a cascade process, it causes a cleft in the cytoplasmic membrane, releases the ions from cells, causes cell death( Ballard et al., 1992 ; Ballard et al., 1993 ; Gordon et al., 1997 ; Sellman and Tweten, 1997 ; Takeuchi et al., 1997 ; Tweten, 2001 ; Wichroski et al., 2002 ). All of the diseases caused by C. septicum such as malignant oedema is acute, not more time to treatment except the prevention by the unique solving way, vaccination program. The major immunogenic ingredient of the vaccine, toxoid, is the changed toxin after inactivation. For better vaccine and toxoid production, there is a need for a strong strain of C. septicum that produces more toxin. Providing the best conditions for growth and production of the toxin requires several tests. In certain circumstances, C. septicum may grow well without much toxin secretion. The growth and toxin production are not correlatives necessarily. Toxin secretion, in addition to the proper growth, is responsible for the gene toxin code activation in the strong strain. Understanding of the best condition for the toxin production leads to the identification and optimization of the parameters for better vaccine production. In this study, we tried to improve the usual vaccine media by adding iron, copper, magnesium, trace elements-vitamins and yeast extract to affect not only on growth but also on toxin production.
Material and Methods
strains. Two local strains of C. septicum called NH1, NH8 plus vaccine strain were used in the study. These three strains (along with seven other strains) were initially confirmed by PCR( Hemmati et al., 2006 ) and then their nucleic acids of the α-toxin gene were sequenced ( Fathi Najafi and Hemmati, 2007 ). The results were recorded as EU482197 for strains vaccine strain, EU482188 for NH1 and EU482195 for NH8 strain in the gene bank. The two local strains NH1 and NH8 in the earlier studies showed the highest production of α-toxin.
Media. Magnesium sulfate, copper, ferrous, yeast extract, and trace elements-vitamins' solution were added to the basic vaccine media. Media were used in the study, prepared according to Table 1. The trace element-vitamin solution was used as described for Clostridium perfringens vaccine production media. Trace-elements composition contain: SO4Fe,7H2O; SO4Cu,5H2O; SO4Zn,7H2O; SO4Mg,7H2O; CL2Mn,7H2O and Vitamins include biotin; thiamin; pyroxidin; B12; nicotinic acid in the amount of used for vaccine production( Ardehali and Darakhshan, 1976 ). All media were sterilized at 121 °C for 15 min using an autoclave. The trace element-vitamin solution was filtered and then added to the sterile medium.
no | Media name | Ingredients | pH | Sterilization |
---|---|---|---|---|
1 | vaccine production basic medium | peptone 4%, cysteine hydrochloride 0.05%, sodium chloride 0.5%, glucose 0.5% | 7.5 | 121 for 15 min |
2 | vaccine production basic medium+ Fe | Basic medium plus 1 mg/l FeSO4 | 7.5 | 121°C for 15 min |
3 | vaccine production basic medium+Cu | Basic medium plus 0.5 mg/l CuSO4 | 7.5 | 121°C for 15 min |
4 | vaccine production basic medium+Mg | Basic medium plus 80 mg/l MgSO4 | 7.5 | 121°C for 15 min |
5 | vaccine production basic medium+yeast extract | Basic medium plus 0.25% Yeast Extract | 7.5 | 121°C for 15 min |
6 | vaccine production basic medium + trace elements- vitamins | Basic medium plus 0.7% of trace-elements + vitamins: (SO4Fe,7H2O; SO4Cu,5H2O; SO4Zn,7H2O; SO4Mg,7H2O; CL2Mn,7H2O Biotin; Thiamin; Pyroxidin; B12; Nicotinic acid) | 7.5 | 121°C for 15 min(trace-elements + vitamins after filtration added to sterile medium) |
Culturing. The strains were converted to an active form after 24 hr incubation in thioglycollate broth at 37 °C. One per cent of the broth was added to the test media, incubated for 24 hours at 37 °C in anaerobic jar contain gas pack A (Merck, German). Then, the growth rate and α-toxin production were evaluated in different defined media.
Growth rate. According to Hasan and Hull's method( Hasan and Hall, 1976 ), one ml of 24 hr culture solution was centrifuged at 10,000 rpm for 5 minutes and was suspended in 3 ml normal saline and optical density(OD) at 600 nm was achieved by spectrophotometer (Shimadzu, Japan) and calculated in one ml.
Hemolysin test. 20 ml of sheep fresh blood was prepared in 3.8% sodium citrate and washed three times in phosphate buffer (pH=7) and centrifuged each time in 1000 rpm for five minutes. Samples were centrifuged at 12,000 rpm for 5 minutes and 100 μl of the supernatant was mixed in one ml of 10%RBC. The positive control was prepared by adding 100 μl of distilled water to one ml of 10%RBC. The negative control was also made by adding 100 μl of PBS to one ml of 10%RBC. All samples incubated at 37 °C in a water bath for 20 minutes. Finally, all of them were centrifuged at 10,000 rpm for three minutes and the OD was determined at 545 nm.The percentage of hemolysis was determined using positive and negative controls as 0 and 100 per cent hemolysis respectively. One hemolysin unit(HU) is equal to reduction of one percent hemolysis of RBC against control positive at one minute in one ml. The test was performed duplicate for different media and strains and the results compared to each other.
Results
Iron could increase the growth rate and α-toxin secretion of strain NH1 mildly but had no effect on another two strains. The trace-vitamins solution just for the vaccine strain had a positive effect on the growth and secretion of the toxin. While the growth and α-toxin secretion of NH8 and NH1 strains would not have affected by the trace-vitamins solution. Adding yeast and copper extracts did not stimulate the growth and secretion of the toxin compare to the control (Figures 1 and 2). Magnesium could significantly increase the growth rate and the α-toxin in the NH8 strain. The Mg showed a similar effect on the vaccine strain, but it is not as high as the NH8 strain. The growth and the toxin of NH1 strain did not affect by Mg compare to basic control medium (Figures 1 and 2).
Discussion
The study is going to increase growth and toxin production of C. septicum by adding iron, copper, magnesium, trace elements and yeast extract to the usual vaccine media. Some of the ingredients have a side effect on the bacterium growth in upper concentration like copper. Although the growth and toxin production are not correlatives necessarily, the pattern of the growth rate and α-toxin production as the results, like together in the most tests. The iron is necessary in one mg/l concentration for the growth and α-toxin secretion of C. septicum ( Smith, 1975 ). According to results of the study, the iron could not increase the growth and α-toxin production in vaccine medium. The results show that C. septicum is able to supply its iron need from peptone of medium, which can be considered as a rich source of the iron. The vaccine strain of Cl. perfringens can only produce enough toxin by adding the trace element-vitamin solution in vaccine production procedure. Each ingredient of the solution is a necessary cofactor to activate of the toxins secretion in Cl. perfringens. Base on the result of the study the trace element-vitamins solution could not increase the growth and α-toxin secretion of C. septicum significantly in vaccine media except a little on vaccine strain. Generating a large amount of toxin in vaccine production process means producing a proper vaccine after the inactivation of toxin, changed to toxoid. However, as the trace-vitamin solution cost and the long process of its preparation and sterilization, and the little increase in the growth and production of toxin, there is no economic logic to use expensive solution for little benefit. But if there was no toxin production in C. septicum except with the trace-vitamin solution as like as Cl. perfringens vaccine, it could be advisable. Copper (Cu) is an essential cofactor in enzymes that catalyze redox reactions in all aerobic organisms. Cu not only cannot stimulate growth and toxin secretion of C. septicum in comparison to the basic vaccine medium but also decreased them. Copper has an antibacterial activity but the copper concentration used in the study is necessary for some enzymes activity in the bacteria ( Ladomersky and Petris, 2015 ). Base on the result, there is no reason to add yeast extract in the C. septicum vaccine basic media for any change in growth and toxin production. Magnesium (80 mg / L) could significantly increase the growth rate and the α-toxin production of NH8 strain. Mg also had the same effect on the vaccine strain. Although Mg increases the growth and toxin production, the use of Mg has a problem. Some black sediment was seen in magnesium-containing media after autoclaving in the bottom of the flax. The black sediment, in addition, to make an inappropriate appearance of the production, can create a blockage into the needle during the vaccine injection. Magnesium could be recommended for C. septicum vaccine production and its problem must be solved. If magnesium would have been a perfect effect on the vaccine potency test as the same as the effect on the α-toxin production, it seems it is valuable to solve the problem with the black sediment. It is believed that the vaccine media is the proper medium for toxin production of C. septicum. Hasan and Hall also noted that casein hydrolyzed in a concentration of 13.7 g/l fixed all the need of the bacterium to amino acids. Also, the peptone (0.05%) and yeast extract (0.05%) fixed all the need of C. septicum to vitamins ( Hasan and Hall, 1976 ). C. septicum has enormous enzymatic abilities, which could absorb the various growth factors (except magnesium) from the basic vaccine media. This means that the bacterium can fix all the requirements for the growth and toxin secretion, using the high peptone of the medium (4%). However, the glucose (0.5%) seems to be important to start faster growth and the cysteine hydrochloride (0.05%) to create suitable regenerative conditions for the anaerobic growth.
Since the use of magnesium could increase the toxin production of C. septicum as the same as the NH8 strain, it can remove the disadvantages of using it, include the cost of raw materials and resolve of the sediment. Although a new substance utilization in vaccine production procedure requires extensive research, as a suitable candidate, the use of magnesium in the medium of C. septicum recommended.
Ethics
We hereby declare all ethical standards have been respected in preparation of the submitted article.
Grant Support
In this regard, the representative of the Mashhad Branch, Razi Vaccine and Serum Research Institute, Agricultural Research, Education and Extension Organization (AREEO) set up a research project in the form of a research project number 8401-250000-25000-097-2.
Authors’ Contribution
Study concept and design: Hemmaty, M.; Fathi Najafi, M.
Acquisition of data: Hemmaty, M.; Zibaee, S
Analysis and interpretation of data: Fathi Najafi, M.; Navidmehr, J.; Hemmaty, M.
Drafting of the manuscript: Hemmaty, M.
Critical revision of the manuscript for important intellectual content: Fathi Najafi, M.; Hemmaty, M.;Farhoodi, M.
Statistical analysis:
Administrative, technical, and material support: Fathi Najafi, M.; Navidmehr, J.; Zibaee, S.; Hemmaty, M.
References
- ReferencesArdehali M, Darakhshan H. Production and standardization of polyvalent Clostridium perfringens vaccine in Iran. Dev Biol Stand. 1976; 32:31-4.
- Ballard J, Bryant A, Stevens D, Tweten RK. Purification and characterization of the lethal toxin (alpha-toxin) of Clostridium septicum. Infect Immun. 1992; 60(3):784-90.
- Ballard J, Sokolov Y, Yuan WL, Kagan BL, Tweten RK. Activation and mechanism of Clostridium septicum alpha toxin. Molecular microbiology. 1993; 10(3):627-34.
- Chakravorty A, et al. The Pore-Forming Α-Toxin from Clostridium septicum Activates the Mapk Pathway in a Ras-C-Raf-Dependent and Independent Manner. Toxins. 2015; 7(2): 516-534.
- Fathi Najafi M, Hemmati M. "Study for Toxicity of Hemolysin and Comparison of Its Gene for Different Clustridum septicum Strains Isolated from Orumiia with Vaccine Strain"; 2007.
- Gazioglu A, et al. Sudden Death Due to Gas Gangrene Caused by Clostridium septicum in Goats. BMC veterinary research. 2018; 14(1): 406.
- Gordon VM, Benz R, Fujii K, Leppla SH, Tweten RK. Clostridium septicum alpha-toxin is proteolytically activated by furin. Infect Immun. 1997; 65(10):4130-4.
- Hasan S, Hall J. Growth of Clostridium tertium and Clostridium septicum in Chemically Defined Media. Applied and environmental microbiology. 1976; 31(3): 442-443.
- Hemmati M, Morshedi A, Yosofbeigi G, Fathi Najafi M. Diagnosis of Clostridium Septicum Using Polymerase Chain Reaction (PCR). J Fac Vet Med Univ Tehran. 2006; 61(1):47-50.
- Kennedy C L, et al. The Alpha-Toxin of Clostridium septicum Is Essential for Virulence. Mol Microbiol. 2005; 57(5): 1357-1366.
- Ladomersky E, Petris MJ. Copper Tolerance and Virulence in Bacteria. Metallomics. 2015; 7(6): 957-964.
- Larson CM, Bubrick MP, Jacobs DM , West MA. Malignancy, mortality, and medicosurgical management of Clostridium septicum infection. Surgery. 1995; 118(4): 592-8.
- Mallozzi M J, Clark A E. Trusting Your Gut: Diagnosis and Management of Clostridium septicum Infections. Clinical Microbiology Newsletter. 2016; 38(23): 187-191.
- Mizrahi DJ, Halpern EJ. Clostridium septicum Aortitis and Colon Carcinoma. Journal of cardiovascular computed tomography. 2016; 10(3): 258-260.
- Nanjappa S, Shah S, Pabbathi S. Clostridium septicum Gas Gangrene in Colon Cancer: Importance of Early Diagnosis. Case reports in infectious diseases 2015; 2015.
- Ramphal W, et al. Mycotic Aneurysm Caused by Clostridium septicum in a Patient with Colorectal Cancer. Infection. 2018; 46(5): 711-716.
- Sedigh HS, Rajabioun M, Razmyar J, Mehrjerdi HK. An Unusual Necrotic Myositis by Clostridium perfringens in a German Shepherd Dog: A Clinical Report, Bacteriological and Molecular Identification. Veterinary Research Forum, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran; 2015.
- Sellman BR, Tweten RK. The Propeptide of Clostridium septicum Alpha Toxin Functions as an Intramolecular Chaperone and Is a Potent Inhibitor of Alpha Toxin-Dependent Cytolysis. Mol Microbiol. 1997; 25(3): 429-440.
- Smith DSL. Clostridium septicum, the Pathogenic Anaerobic Bacteria; 1975 pp 245-255.
- Takeuchi S, Hashizume N, Kinoshita T, Kaidoh T, Tamura Y. Detection of Clostridium septicum Hemolysin Gene by Polymerase Chain Reaction. Journal of veterinary medical science. 1997; 59(9): 853-855.
- Tweten RK. Clostridium perfringens Beta Toxin and Clostridium septicum Alpha Toxin: Their Mechanisms and Possible Role in Pathogenesis. Vet Mic. 2001; 82(1): 1-9.
- Vázquez-Iglesias L, et al. A Simple Electroelution Method for Rapid Protein Purification: Isolation and Antibody Production of Alpha Toxin from Clostridium septicum. PeerJ. 2017; 5: e3407.
- Wichroski MJ, Melton JA, Donahue CG, Tweten RK, Ward GE. Clostridium septicum alpha-toxin is active against the parasitic protozoan Toxoplasma gondii and targets members of the SAG family of glycosylphosphatidylinositol-anchored surface proteins. Infect Immun. 2002; 70(8):4353-61.