Introduction
Brucellosis is an endemic disease in most of developing countries that affects not only domesticated and wild animals but also humans. The disease is highly endemic among animals and humans in Iran. It is prevalent nationwide in this country and is on an increasing trend ( Leylabadlo et al., 2015 ). As in most of endemic countries, the disease is affecting the people who have direct contact with animals. The highest rate of infection has been reported in the cities located in the west and north-west of the country ( Pakzad et al., 2018 ). The eradication of brucellosis in Iran is a big challenge. In recent years, no well-designed control program has been implemented ( Leylabadlo et al., 2015 ). In livestock, the disease induces severe economic losses as a result of infertility, abortion, and reduced milk production ( McDermott and Arimi, 2002 ; Dadar et al., 2018 ). Brucella melitensis biovar 1 and B. abortus biovar 3 are the most frequently etiological agents among sheep and cattle in Iran, respectively ( Pishva et al., 2015 ). It is important to note that the prevalence of brucellosis in humans is strongly related to the incidence of the disease in animals. To reduce the incidence of brucellosis in Iran, four strategies are applied, including passive surveillance, examination and removal of positive animals, certification of disease-free farms, and control of animal movements ( Cárdenas et al., 2018 ). The surveillance of brucellosis in cattle is carried out by testing and slaughtering of positive animals in combination with vaccinating all negative non-pregnant cows and heifers older than 8 months and/or less than 3 months of gestation with B. abortus Iriba live attenuated vaccine ( Esmaeili, 2015 ). However, some vaccine-related reproductive problems are still seen. With this background in mind, the current study was conducted to investigate if Brucella is implicated in the onset of abortion that occurred in a supposedly Brucella-free dairy cattle herd after vaccination with B. abortus Iriba vaccine.
Material and Methods
Evaluation of health status, serology, and vaccination of the herd. The present study was performed following an outbreak of abortion in a dairy cattle farm with 2,000 animals located in Shahre Rey, Tehran province, Iran. This farm was described as Brucella-free based on the results of two serological tests performed one month before vaccination. The screening of the farm was carried out under the supervision of Iranian veterinary services using the Rose Bengal test (RBT), serum agglutination test (SAT), wright test, and 2-mercaptoethanol (2ME) test as routine serological assays. Briefly, serum was separated from blood samples that were collected every 6 months for one year and transformed to a laboratory for serology. All non-pregnant cows and heifers aged ≥ 8 months (n=300) and pregnant cows with the gestational age of ≤ 3 months (n=187) were vaccinated subcutaneously with 1-3.4×1010 CFU/dose of B. abortus Iriba vaccine (IRIBA vaccine, Iran). There was no injection site reaction after vaccination. The first case of abortion was reported 4 months post-vaccination. The screening of the farm by RBT, 2ME, and wright tests after the incidence of abortion revealed positive Brucella results in 19 pregnant and 30 non-pregnant cows. Abortions occurred later in all seropositive pregnant cases (n=19) at the 5th months of gestation. Other animals, such as dogs, cats, and wild birds, were in the vicinity of the infected animals. Cow fertilization in the farm was performed by artificial insemination using local sperms, which were not totally tested for possible Brucella infection. This study was approved by the Ethics Committee of Razi Vaccine and Serum Research Institute (RVSRI), Iran.
Bacteriological examination. Vaginal swabs and uterine discharges were collected from all cows that had abortions, as well as from the animals in contact with the infected ones. Fetal placenta and organs were collected from all aborted fetuses (n=20). All samples were collected under aseptic conditions, stored on ice, and examined via bacteriological tests under appropriate protection strategies with safety hoods at the Department of Brucellosis of the RVSRI. The primary isolation of Brucella species was performed by inoculating the samples on Brucella selective agar media supplemented with polymyxin B (2,500 IU), bacitracin (12,500 IU), nystatin (50,000 IU), cycloheximide (50.0 mg), nalidixic acid (2.5 mg), and vancomycin (10.0 mg) (Oxoid, UK), as well as inactivated 5% horse serum in Brucella agar (HiMedia, India). Then, they were incubated for 10 days at 37 °C with 10% CO2. After 10 days of incubation, the typical colonies of Brucella species were subjected to further analysis for more identification and biotype analyses. Following Alton et al. ( Alton et al., 1988 ), the identification and classical biotyping of Brucella isolates were performed based on colony morphology, biochemical reactions (oxidase, catalase, and urease), CO2 dependence, H2S production, agglutination with specific Brucella monospecific antisera A and M, growth in media containing thionin and basic fuchsin, and agglutination by acriflavine and phage lysis (Iz, Tb). The results were interpreted according to the OIE manual (http://www.oie.int/en/animal-health-in-the-world/animal-diseases/Brucellosis/2018).
Molecular identification. Genomic DNA was extracted from the heat-inactivated colonies. A loopful of bacterial biomasses was dissolved in 300 µl of molecular biology-grade water and then kept at 100°C for 15 min ( Probert et al., 2004 ). The multiplex polymerase chain reaction (AMOS-PCR) was performed and confirmed the presence of Brucella species ( Ewalt and Bricker, 2000 ). Multiplex Bruce-ladder PCR was performed for all strains as previously described (Lopez-Goñi et al., 2008). The DNA integrity was checked by 1% agarose gel. In addition, the concentration of DNA was evaluated at 260/280 nm by the Nanodrop Spectrophotometer (Wilmington, DE, USA) and stored at -20 °C until further analysis. The extracted DNA was subjected to IS711-based PCR for Brucella species. The PCR conditions consisted of five steps, including 95 °C for 5 min (step 1), 95 °C for 30 sec (step 2), 55 °C for 60 sec (step 3),72 °C for 3 min (step 4), and 72 °C for 10 min (step 5). Steps 2, 3, and 4 were repeated in 35 cycles ( Ewalt and Bricker, 2000 ). In addition, the species-level molecular identification was performed using multiplex PCR (Bruce-ladder). This PCR was also composed of five steps, including 95 °C for 5 min (step 1), 95 °C for 30 sec (step 2), 56 °C for 90 sec (step 3), 72 °C for 3 min (step 4), and 72 °C for 10 min (step 5). Steps 2, 3, and 4 were repeated in 30 cycles (Lopez-Goñi et al., 2008). The amplified products were resolved by electrophoresis using 1 % agarose gel. All applied primers are described in Table 1.
Strain amplicon | Primer set | Primer sequence (5-3’) | DNA target | Size (bp) | References |
---|---|---|---|---|---|
B. abortus | IS711 | TGCCGATCACTTTCAAGGGCCTTCAT | IS711 | 498 | (Ewalt and Bricker, 2000) |
AB | GACGAACGGAATTTTTCCAATCCC | ||||
B. melitensis | IS711 | TGCCGATCACTTTCAAGGGCCTTCAT AAATCGCGTCCTTGCTGGTCTGA | IS711 | 731 | (Ewalt and Bricker, 2000) |
BM | |||||
B.ovis | IS711 | TGCCGATCACTTTCAAGGGCCTTCAT | IS711 | 976 | (Ewalt and Bricker, 2000) |
B.ovis | CGGGTTCTGGCACCATCGTCG | ||||
B.suis | IS711 | TGCCGATCACTTTCAAGGGCCTTCAT | IS711 | 285 | (Ewalt and Bricker, 2000) |
B.suis | GCGCGGTTTTCTGAAGGTTCAGG | ||||
B. abortus | BMEI0998f | ATC CTA TTG CCC CGATAA GG | Glycosyltransferase, gene wboA | 1,682 | (López-Goñi et al., 2008) |
B. melitensis | BMEI0997r | GCT TCG CAT TTT CACTGT AGC | |||
B. melitensis Rev.1 | |||||
B. abortus | BMEI0535f | GCG CAT TCT TCG GTTATG AA | Immunodominant antigen, gene bp26 | 450 | (López-Goñi et al., 2008) |
B. melitensis | BMEI0536r | CGC AGG CGA AAA CAGCTA TAA | |||
B. melitensis Rev.1 | |||||
Deletion of 25,061 bp in BMEII826–BMEII0850 in B. abortus | BMEII0843f | TTT ACA CAG GCA ATCCAG CA | Outer membrane protein, gene omp31 | 1071 | (López-Goñi et al., 2008) |
BMEII0844r | GCG TCC AGT TGT TGTTGA TG | ||||
B. abortus | BMEI1436f | ACG CAG ACG ACC TTCGGTAT | Polysaccharide deacetylase | 794 | (López-Goñi et al., 2008) |
B. melitensis | |||||
B. melitensis Rev.1 | BMEI1435r | TTT ATC CAT CGC CCTGTCAC | |||
B. abortus | BMEII0428f | GCC GCT ATT ATG TGGACT GG | Erythritol catabolism, gene eryC (Derythrulose-1-phosphate dehydrogenase) | 587 | (López-Goñi et al., 2008) |
B. melitensis | |||||
B. melitensis Rev.1 | BMEII0428r | AAT GAC TTC ACG GTCGTT CG | |||
Deletion of 2,653 bp in BR0951–BR0955 in B. melitensis and B. abortus | BR0953f | GGA ACA CTA CGC CACCTT GT | ABC transporter binding protein | 272 | (López-Goñi et al., 2008) |
BR0953r | GAT GGA GCA AAC GCTGAA G | ||||
Point mutation in BMEI0752 in B. melitensis Rev.1 | BMEI0752f | CAG GCA AAC CCT CAG AAG C | Ribosomal protein S12, gene rpsL | 218 | (López-Goñi et al., 2008) |
BMEI0752r | GAT GTG GTA ACG CAC ACC AA | ||||
B. abortus | BMEII0987f | CGC AGA CAG TGA CCATCA AA | Transcriptional regulator, CRP family | 152 | (López-Goñi et al., 2008) |
B. melitensis | BMEII0987r | GTA TTC AGC CCC CGTTAC CT | |||
B. melitensis Rev.1 |
Results
The serological evaluation of the herd was performed after the incidence of the first case of abortion. The screening of the farm using RBT, SAT, and 2ME tests revealed a positive reaction in 50 cows. In addition to the cows with abortion, 30 cows from the non-pregnant vaccinated group showed a seropositive reaction; therefore, they were sent to a slaughterhouse for condemnation. Bacteriological examination facilitated the isolation of 13 and 3 B. abortus isolates from fetal organs and placenta, respectively. The isolated bacteria showed common phenotypic features typical for Brucella species. The isolated strains were Gram-negative and produced small honey-colored, translucent, and shiny colonies with a smooth surface. The isolates were characterized at the biovar level, and their identity was confirmed at the species level using the Bruce-ladder multiplex PCR and AMOS PCR, respectively. According to our results, all isolates were identified as B. abortus biovar 3. The results of AMOS PCR were indicative of the lack of Brucella-specific bands (Figure 1). Biovars 1, 2, and 4 can only result in 498-bp B. abortus-specific bands ( Bricker and Halling, 1994 ). The use of the Bruce-ladder method led to the detection of B. abortus gene with the PCR products of 1682, 794, 587, 450, and 152 bp (Table 1) in fetal organs and fetal placenta samples (Figure 2). Molecular assays confirmed all 16 strains as B. abortus biovar 3. None of the isolates in the farm were confirmed as B. abortus Iriba vaccine strain.
Discussion
Brucella abortus strain RB51, also called Iriba in Iran, is a genetically stable and attenuated mutant of rough morphology that is currently used for the production of the official vaccine applied against bovine brucellosis in Iran ( Schurig et al., 1991 ; Leylabadlo et al., 2015 ). The safety and immunogenicity of RB51 vaccine for cattle and pregnant cows have been confirmed in numerous studies ( Singh et al., 2012 ; Barbosa et al., 2017 ). However, B. melitensis and B. abortus field strains have been reported in both goats and cows vaccinated with RB51 ( Herrera et al., 2011 ; Arellano-Reynoso et al., 2013 ). Our results demonstrated the occurrence of abortion in a subgroup of Holstein dairy cattle herd after immunization with B. abortus Iriba vaccine in Shahre Rey. The farm had a Brucella-free status based on two serological tests performed one month before vaccination under the supervision of government veterinary services. Brucella abortus Iriba vaccine strain is a rough mutant of B. abortus that does not show the O-side chain of bacterium lipopolysaccharide in the surface, thereby producing no antibody reaction by serology ( Singh et al., 2012 ). The results of the RBT, SAT, and 2ME tests demonstrated seropositive reactions in 20 pregnant and 30 non-pregnant cows.
According to bacteriology and molecular tests, abortions in the cultivated positive cases had been induced by B. abortus biovar 3. These findings are consistent with the results obtained in another study revealing the isolation of B. abortus from the uterine discharges of seronegative cows either vaccinated with RB51 ( Wareth et al., 2016 ) or having no history of vaccination ( 9 )(El-Diasty et al., 2018). In addition, the DNA of Brucella species has been reported to be extracted from the semen of seronegative bulls ( Junqueira Junior et al., 2013 ) and milk of seronegative cows ( Islam et al., 2018 ; Sabrina et al., 2018 ). Brucella abortus strains were also isolated from the vaginal exudate samples of a vaccinated cattle herd in Mexico using PCR and bacteriological tests ( Arellano-Reynoso et al., 2013 ). Although ( Poester et al. (2000) ) reported no RB51 strain isolation from the milk or vaginal secretions of vaccinated animals, other studies performed on vaccinated cows revealed the isolation of this strain from the vaginal exudate and milk samples ( Uzal et al., 2000 ; Leal-Hernandez et al., 2005 ). In another study, a Brucella species was also reported in the milk samples of serologically nonreactive buffaloes ( Samaha et al., 2008 ). Likewise, the results of a study performed on 5,686 seronegative cows from Iran demonstrated 119 isolates of B. abortus in the milk samples ( Zowghi et al., 1990 ).
Brucella melitensis field strain was also isolated from the vaginal discharge of an RB51 vaccinated goat that had aborted in the third trimester and showed a seronegative reaction for brucellosis ( Herrera et al., 2011 ). Furthermore, in a study performed in Damietta Governorate in Egypt, Wareth et al. reported seropositive reactions in the Holstein dairy cattle farms after vaccination with B. abortus RB51, using the SAT, complement fixation test, and RBT ( Wareth et al., 2016 ). In the mentioned study, the farms were infected with a Brucella field strain that caused the majority of abortions. Culture-positive seronegativity is a serious problem resulting in the failure of control programs and further spread of infection to healthy herds. Based on the evidence, infected animals with a low antibody level or no circulating antibody could not be identified; therefore, they may have false-negative results ( Bercovich et al., 1990 ) despite their infection with Brucella species. A low immunity condition in the animal during gestation can increase bacterial multiplication, thereby leading to the appearance of the clinical signs of brucellosis. Following vaccination, the clinical sign observed in our study was abortion in 20 pregnant cows; however, 30 non-pregnant cows were seropositive without any clinical manifestations. The presence of false-negative cases might be due to the low levels of bacteria that are insufficient to induce humoral immunological activity. Therefore, the serodiagnosis of brucellosis should be accompanied by molecular diagnosis before vaccination ( Dadar et al., 2019 ). In the current study, the source of infection was not clear. However, other animals, such as dogs, cats, and wild birds, were seen in the vicinity of the infected animals and could also be contaminated with Brucella species. Furthermore, cow fertilization in the farm under investigation was performed by artificial insemination using local sperms, which were not tested for possible Brucella infection before use. It was not clear if the infection occurred before or after vaccination or whether the source of infection was infected animals as mentioned above and/or the uncontrolled introduction of the agent via farmers, infected semen, or other vectors. Serological tests prior to vaccination are not sufficient to diagnose brucellosis in endemic countries and have to be accompanied by isolation and molecular identification. Our results also suggested that the vaccination of cows with B. abortus Iriba vaccine could not be sufficient to eradicate and control brucellosis in cattle and should be accompanied by the implementation of continuous preventive programs to limit the new sources of infections.
Ethics
All procedures performed on animals were in accordance with the ethical standards established by the Ethics Committee of RVSRI, Agricultural Research, Education, and Extension Organization.
Conflict of Interest
The authors declare that they have no conflict of interest.
Grant Support
This study was supported by the RVSRI, Agricultural Research, Education, and Extension Organization (grant No. 2-18-18-036-960504).
Authors’ Contribution
Study concept and design: Alamian, S., Dadar, M.
Acquisition of data: Alamian, S., Dadar, M.
Analysis and interpretation of data: Dadar, M., Wareth, G.
Drafting of the manuscript: Alamian, S., Dadar, M., Wareth, G
Critical revision of the manuscript for important intellectual content: Dadar, M.
Statistical analysis: Alamian, S., Dadar, M., Wareth, G.
Administrative, technical, and material support: Alamian, S., Dadar, M., Wareth, G.
References
- Alton G, Jones L, Angus R, Verger J. Techniques for the Brucellosis laboratory: Paris: Institute National de la Recherdie Agrononique; 1988.
- Arellano-Reynoso B, Suárez-Güemes F, Estrada FM, Michel-GómezFlores F, Hernández-Castro R, Acosta RB, Díaz-Aparicio E. Isolation of a field strain of Brucella abortus from RB51-vaccinated- and brucellosis-seronegative bovine yearlings that calved normally. Trop Anim Health Prod. 2013; 45(2):695-7.
- Barbosa AA, Figueiredo ACS, Palhao MP, Viana JHM, Fernandes CAC. Safety of vaccination against brucellosis with the rough strain in pregnant cattle. Trop Anim Health Prod. 2017; 49(8):1779-1781.
- Bercovich Z, Haagsma J, ter Laak EA. Use of delayed-type hypersensitivity test to diagnose brucellosis in calves born to infected dams. Vet Q. 1990; 12(4):231-7.
- Bricker BJ, Halling SM. Differentiation of Brucella abortus bv. 1, 2, and 4, Brucella melitensis, Brucella ovis, and Brucella suis bv. 1 by PCR. PCR J Clin Microbiol. 1994; 32: 2660-2666.
- Cárdenas L, Melo O, Casal J. Evolution of bovine brucellosis in Colombia over a 7-year period (2006–2012). Trop Anim Health Prod. 2018; 50: 19-27.
- Dadar M, Alamian S, Behrozikhah AM, Yazdani F, Kalantari A, Etemadi A, Whatmore AM. Molecular identification of Brucella species and biovars associated with animal and human infection in Iran. Vet Res Forum. 2019; 10(4):315-321.
- Dadar M, Shahali Y, Whatmore AM. Human brucellosis caused by raw dairy products: A review on the occurrence, major risk factors and prevention. Int J Food Microbiol. 2019; 292:39-47.
- El-Diasty M, Wareth G, Melzer F, Mustafa S, Sprague LD, Neubauer H. Isolation of Brucella abortus and Brucella melitensis from Seronegative Cows is a Serious Impediment in Brucellosis Control. Vet Sci. 2018; 5(1):28.
- Esmaeili H. Brucellosis in Islamic republic of Iran. J Med Bacteriol. 2015; 3: 47-57.
- Ewalt DR, Bricker BJ. Validation of the Abbreviated Brucella AMOS PCR as a Rapid Screening Method for Differentiation of Brucella abortus Field Strain Isolates and the Vaccine Strains, 19 and RB51. J Clin Microbiol. 2000; 38: 3085-3086.
- Herrera E, Rivera A, Palomares EG, Hernández-Castro R, Díaz-Aparicio E. Isolation of Brucella melitensis from a RB51-vaccinated seronegative goat. Trop Anim Health Prod. 2011; 43(6):1069-70.
- Islam MS, Islam MA, Khatun MM, Saha S, Basir MS, Hasan MM. Molecular Detection of Brucella spp. from Milk of Seronegative Cows from Some Selected Area in Bangladesh. J Pathog ; 2018:9378976.
- Junqueira Junior DG, Rosinha GM, Carvalho CE, Oliveira CE, Sanches CC, Lima-Ribeiro AM. Detection of Brucella spp. DNA in the semen of seronegative bulls by polymerase chain reaction. Transbound Emerg Dis. 2013; 60(4):376-7.
- Leal-Hernandez M, Díaz-Aparicio E, Pérez R, Andrade LH, Arellano-Reynoso B, Alfonseca E, Suárez-Güemes F. Protection of Brucella abortus RB51 revaccinated cows, introduced in a herd with active brucellosis, with presence of atypical humoral response. Comp Immunol Microbiol Infect Dis. 2005; 28(1):63-70.
- Leylabadlo HE, Bialvaei AZ, Samadi Kafil H. Brucellosis in Iran: Why Not Eradicated?. Clin Infect Dis. 2015; 61(10):1629-30.
- López-Goñi I, García-Yoldi D, Marín CM, de Miguel MJ, Muñoz PM, Blasco JM, et al. Evaluation of a multiplex PCR assay (Bruce-ladder) for molecular typing of all Brucella species, including the vaccine strains. J Clin Microbiol. 2008; 46(10):3484-7.
- McDermott JJ, Arimi S. Brucellosis in sub-Saharan Africa: epidemiology, control and impact. Vet Microbiol. 2002; 90: 111-134.
- Pakzad R, Pakzad I, Safiri S, Shirzadi MR, Mohammadpour M, Behroozi A, et al. Spatiotemporal analysis of brucellosis incidence in Iran from 2011 to 2014 using GIS. Int J Infect Dis. 2018; 67:129-136.
- Pishva E, Salehi R, Hoseini A, Kargar A, Taba FE, Hajiyan M, et al. Molecular typing of Brucella species isolates from Human and livestock bloods in Isfahan province. Adv Biomed Res. 2015; 4:104.
- Poester FP, Ramos ET, Gomes MJ, Chiminazzo C, Schurig G. The serological response of adult cattle after vaccination with Brucella abortus strain 19 and RB51. Braz J Vet Res Anim Sci. 2000; 37(1): .
- Probert WS, Schrader KN, Khuong NY, Bystrom SL, Graves MH. Real-time multiplex PCR assay for detection of Brucella spp., B. abortus, and B. melitensis. J Clin Microbiol. 2004; 42(3):1290-3.
- Sabrina R, Mossadak HT, Bakir M, Asma M, Khaoula B. Detection of Brucella spp. in milk from seronegative cows by real-time polymerase chain reaction in the region of Batna, Algeria. Vet World. 2018; 11(3):363-367.
- Samaha H, Al-Rowaily M, Khoudair RM, Ashour HM. Multicenter study of brucellosis in Egypt. Emerg Infect Dis. 2008; 14(12):1916-8.
- Schurig GG, Roop RM 2nd, Bagchi T, Boyle S, Buhrman D, Sriranganathan N. Biological properties of RB51; a stable rough strain of Brucella abortus. Vet Microbiol. 1991; 28(2):171-88.
- Singh R, Basera SS, Tewari K, Yadav S, Joshi S, Singh B, Mukherjee F. Safety and immunogenicity of Brucella abortus strain RB51 vaccine in cross bred cattle calves in India. Indian J Exp Biol. 2012; 50(3):239-42.
- Uza FA, Samartino L, Schurig G, Carrasco A, Nielsen K, Cabrera RF, Taddeo HR. Effect of vaccination with Brucella abortus strain RB51 on heifers and pregnant cattle. Vet Res Commun. 2000; 24(3):143-51.
- Wareth G, Melzer F, Böttcher D, El-Diasty M, El-Beskawy M, Rasheed N, et al. Molecular typing of isolates obtained from aborted foetuses in Brucella-free Holstein dairy cattle herd after immunisation with Brucella abortus RB51 vaccine in Egypt. Acta Trop. 2016; 164:267-271.
- Zowghi E, Ebadi A, Mohseni B. Isolation of Brucella organisms from the milk of seronegative cows. Rev Sci Tech. 1990; 9: 1175-1178.