NE112: Mastitis Resistance to Enhance Dairy Food Safety
- Duration:
- October 01, 1997 to September 30, 2002
- Administrative Advisor(s):
-
Kirklyn M. Kerr
(CONS)
- NIFA Reps:
-
Henry Tyrrell
Statement of Issue(s) and Justification:
Bovine mastitis is one of the most costly diseases currently affecting dairy cattle. Mastitis is basically a bacterial infection of the mammary glands. This disease affects about 38% of all dairy cattle in the United States and costs milk producers about $180 dollars per cow, or ~$2 billion annually. These losses are primarily due to lost milk production, increased veterinary costs, increased cow mortality and discarded milk. There is also some concern that current herd treatment or preventative measures using antibiotics may introduce these unwanted substances into the nations food supply.
Related, Current, and Previous Work:
A CRIS search revealed that the majority of the research being conducted in the United States on bovine mastitis continues to be done by members of the NE-112 Regional Project. The following is a brief review by objective of previous and related research taken from CRIS and other sources.Objective 1: Characterize host responses or factors that affect resistance of the mammary gland to mastitis.
While the teat surface is commonly contaminated with pathogenic bacteria, intramammary infection (IMI) is relatively infrequent. This is a consequence of various defense systems collectively referred to as "resistance of the mammary gland to mastitis". Knowledge of these systems is incomplete and their interactions often unknown. Their effectiveness is subject to genetic, nutritional, physiological, and environmental influences. The research under Objective 1 of NE- 112 investigates these systems and the factors that influence their effectiveness.
The initial barrier to IMI is the teat duct. The teat duct acts as a mechanical barrier to infection. But antibacterial mechanisms are also associated with lipids or proteins in the keratin layer. Teat skin condition is also an important initial barrier to infection. Lesions on the teat surface or damage to the teat end serve as reservoirs of infection and may assist the entry of bacteria (Fox, 1992).
Once bacteria penetrate the teat duct and enter the mammary gland, they encounter other components of the host defense system. The cells of the immune system constitute the major intramammary barrier to infection, with the polymorphonuclear neutrophilic leucocyte (PMN) being the main cell type responsible for the elimination of intramammary bacteria. The PMN operate interdependently with other cells of the immune system and with a variety of humoral components, particularly cytokines and antibodies (Paape et al., 1991'). The antibacterial activity of the PMN increases during migration and surface receptor expression is unregulated (Worku et al., 1994). Migration of PMN is stimulated by chemotactic compounds elicited during the infection. The ability of the PMN from different cows to migrate in response to chemotaxins and then to phagocytose and kill bacteria is variable. Some of the factors known to affect these PMN processes are antibiotics (Paape et al., 1991') and nutritional factors, e.g., selenium and copper (Hogan et al., 1992).
PMN have two killing mechanisms, one of which is oxygen dependent while the other is oxygen independent. The generation of superoxide by PMN, and the milk and tissue levels of antioxidants may also be important in host resistance. Superoxide dismutase activity increases during mammary inflammation, and heat stress lowers milk antioxidant activity (Raamesh et al., 1993). While PMN do demonstrate bactericidal activity anaerobically, their efficiency is lowered. During inflammation, oxygen tension in milk falls to extremely low or undetectable levels. Even in the healthy lactating gland, dissolved oxygen levels are substantially below those normally employed by in vitro assay systems (Goldberg et al., 1995). A consequence is that PMN function may be substantially down regulated during inflammation.
Other immune cells are also critical to mammary cellular defenses. The macrophage initiates the inflammatory response in the mammary gland following microbial invasion. Uptake of invading microbes by macrophages leads to the production of key signals, including C5a, IL-1, and leukotrine B4, which function as bovine PMN chemoattractants, and other cytokines that modify lymphocyte proliferation and function (Paape et al., 1991'). Lymphocytes modulate and effect cellular immune responses in the body, but their role in the bovine mammary gland is poorly characterized. Several studies indicate that lymphocyte blastogenesis is depressed during mammary infections (Paape et al., 19916). The significance of this is unclear, although it has been postulated that it may be a factor in chronicity of Staphylococcus aureus infection (Park et al., 1993). A better understanding of the role of mammary lymphocytes in modulating mammary immune function is a key objective in NE-112 research (see Objective 3) because of the potential for stimulating immune function.
Immunoglobulins neutralize toxins, and opsonize and kill bacteria (Paape et al., 19916). IgG2 is the preferred antibody class for opsonization of bacteria, although IgM is also opsonic; IgM and IgG2 are additive in their phagocytic roles. IgG1 inhibits opsonization by either isotype (Guidry et al., 1993). IgG1 is the predominant immunoglobulin isotype in milk and mediates phagocytosis of bacteria by macrophages. IgA acts to neutralize toxins or block attachment of bacteria to mucosal surfaces. Microbial toxins play a part in pathogenesis of staphylococcal infections (Zavizion et al., 1995) and attachment and invasion of mammary epithelial cells by mastitis pathogens has been demonstrated (Cifrian et al. 1994; Matthews et al., 1994). Enhanced antibody responses to bacterial toxins or adhesins or against antiphagocytic capsular components may prove important to future strategies for stimulating host defense mechanisms.
Several nonspecific defense mechanism have been identified in mills. The two subjected to the greatest study have been the lactoperoxidase (LP) system and lactoferrin (LF). ]LF is an iron binding protein that may influence susceptibility of the non-lactating gland to gram-negative infections. LF also binds many other molecules such as immunoglobulins, DNA, and glycosaminoglycans into immune complexes, which may modify LF activity or in turn be modified by the complexing (Hurley, 1993).
Objective 2: Characterization of virulence factors of mammary gland pathogens.
Over 140 different bacterial species have been reported to cause mastitis (Watts 1988). Most cases, however, are caused by a relatively small number of organisms, most of which belong to either the streptococci, staphylococci, or Enterobacteriacae (coliforms). Work under this objective has concentrated on bacterial species that are responsible for the majority of bovine mastitis cases.
A variety of virulence mechanisms have been identified that allow bacteria to enter and persist in the mammary gland and cause mastitis. These include adherence to bovine skin and mammary epithelial cells, elaboration of various toxins that destroy host tissues and immune functions, production of capsule and slime layers that protect bacteria from host defenses, and antibiotic resistance. Mammary epithelial cell culture techniques have been used to show that in the early stages of infection, Streptococcus uberis, S. dysgalactiae, and S. aureus invade mammary epithelial cells and adhere to and enter bovine epithelial and myoepithelial cells in culture (Cifrian et al., 1994; Matthews et al., 1994'). Streptococcus uberis was shown to elaborate unique proteins in culture and to possess a capsule that contributes to its virulence (Matthews et al., 1994'; Almeida and Oliver, 1993; Cifrian et al., 1994; Matthews et al., 1994) Staphylococcal a and toxins were shown to be synergistic and to inhibit proliferation of a bovine mammary epithelial cell line (MAC-T) (Cifrian et al., 1994).' Rapid PCR identification techniques have been developed for Streptococcus species, staphylococci (Jayarao and Oliver, 1994), and for Escherichiae coli. The goal is to rapidly identify pathogens from milk samples without the need for time consuming and labor intensive culture techniques. Coagulase gene polymorphism in S. aureus is also being utilized to subtype and identify S. aureus isolates for epidemiologic studies (Aarestrup et al., 1994; Aarestrup et al., 1995; Matthews et al., 1994').
Mastitis in heifers is a new important area of research. Studies have shown that as high as 90% of heifers are infected in some herds, (Nickerson, 1994). Dry cow therapy prepartum has been shown to be highly effective in eliminating these infections, with cure rates greater than 90% observed. The etiology of these infections is unknown, and it was initially suspected that infected cows could be the primary source of S. aureus infections in heifers. However, preliminary evidence from coagulase gene typing, RNA ribotyping, and biochemical finger printing indicate that the organisms infecting heifers probably arise from the environment.
The poor success of lactating therapy for IMI caused by organisms other than S. agalactiae and S. dysgalacliae has prompted studies on different therapy regimens and alternative therapy products. The dynamics of environmental streptococcal mastitis in Ohio for a 7-year period were summarized. Primary reasons for elimination of IMI included spontaneous cures (45.7%) and lactation antibiotics (33.2%). Of the IMI treated with lactation antibiotics, 71.5% cured (Todhunter et al., 1995). The postantibiotic effect of selected antibiotics was evaluated against mastitis pathogens, and the effect of milk on antibiotic activity against mastitis pathogens in vitro was determined (Owens and Ray, 1994; Owens et al., 1994).
Objective 3: Development and evaluation of techniques for modulation of host responses to mastitis pathogens.
Strategies aimed at enhancing resistance of the mammary gland to bacterial infection will have a major impact on the abatement of bovine mastitis. During the last five years, significant advances were made in several areas including the nutritional control of immunity, vaccine development, cytokine immunoregulation, and the evaluation of antimicrobial substances.
The nutritional status of dairy cattle is related directly to overall health, and proper nutrition has long been associated with the ability to fight disease. Considerable research effort has focused on the role of certain micronutrients in mammary gland immunity. Copper levels fall to their lowest levels at a time when cows are most vulnerable to mastitis (Yin et al. 1993). Copper deficiency results in lower bactericidal capabilities of bovine neutrophils and reduced production of important immunoregulatory cytokines (Torre et al., 1995). Cows supplemented with copper had lower clinical scores and reduced SCC following LPS challenge compared with unsupplemented cows. Copper status did not affect the outcome of S. aureus challenges. However, Cu supplementation reduced the prevalence of major pathogen IMI at calving in heifers (Harmon, 1994).
Vaccination is designed to potentiate the host's immune system toward a unique, specific antigen. Significant advances were made during the last five years in the development of effective mastitis vaccine protocols. Controlled studies have shown that an E. coli J5 bacterin was effective in reducing the duration of IMI and local signs of clinical mastitis in experimental challenge studies. Results from several field trials showed that although the vaccine had little impact on the prevalence of coliform infections, immunization with gram-negative core antigens decreased the incidence and severity of clinical disease (Hogan et al., 1992).
Vaccines for S. aureus mastitis have also been explored. A vaccine formulated of two encapsulated strains, a-and fl-toxoid, and a proprietary adjuvant has been offered to a commercial company, and APHIS approval is being sought. Immunization protocols were developed that elicited antibodies to S. aureus capsule antigens as well. These antibodies promoted phagocytosis of encapsulated organisms.
Several studies have attempted to enhance bovine mammary gland defenses with recombinant bovine cytokines. In vitro and in vivo studies indicate that IL-2 enhances the functional capabilities of mammary gland mononuclear cell populations. Exposure to IL-2 markedly enhanced responses of local mononuclear cell populations to suboptimal mitogen concentrations that normally do not elicit a proliferative response (Torre et al., 1992). Lymphocyte populations isolated from lactating bovine mammary tissues also had increased cytotoxic and bactericidal activities following in vitro culture with IL-2 (Shafer-Weaver, 1996). Others have shown that IL-2 may be an effective adjuvant with mastitis vaccine protocols (Pighetti and Sordillo, 1995). Administration of IL-2 in late lactation animals was effective in accelerating involution and stimulating local antibody production (Nickerson et al., 1993). However, intramammary IL-2 was . ineffective as an adjunct to standard antibiotic dry cow therapy. When administered in doses that far exceed the documented maximum tolerable dose, IL-2 plus antimicrobials did not improve cure rates and was associated with abortions at 3-5 d post-treatment (Hogan et al., 1995). Experimental results clearly indicate the ability of other recombinant cytokines to modify host defenses during instances when the immune system is compromised or during the pathogenesis of mastitis causing bacteria. Several cytokines (TNF, IL-1, and IL-6) are released during the early stages of coliform mastitis. Elevated levels of these cytokines were. correlated to acute inflammatory reactions in the mammary gland (Shuster et al., 1993) and mortality associated with endotoxic mastitis (Sordillo and Peel, 1992). Subsequent studies showed that mammary gland macrophage populations have an enhanced ability to produce TNF-alpha during the periparturient period, and that prophylactic treatment with IFN-alpha may modify the production of TNF-alpha (Pighetti and Sordillo, 1994).
The possibility of using other novel immunomodulators to modify the pathophysiology of mastitis also was studied. Intravenous infusion of sodium salicylate was antipyretic during intramammary inflammation, but did not substantially reduce inflammation (Morkoc et al., 1993). Recombinant human IL-1 receptor antagonist was evaluated in vivo as a therapy for endotoxic mastitis in cows. Although the biological activity of IL-1 in mastitic whey was blocked, treatment with IL-1 receptor antagonist did not have any clinical benefit (Shuster and Kerli, 1995).
New approaches for the use of antimicrobial substances in the prevention and treatment of mastitis was researched extensively during the last five years. Work on non-antibiotic methods of controlling mastitis included an evaluation of a nisin-based teat dip formulation. Ambicin N also was evaluated in the treatment of S. aureus infections (Sears et al., 1992).
Antibiotic combinations and treatment regimens also were assessed for efficacy against IMI. Systemic oxytetracycline in combination with intramammary antimicrobials did not improve cure rates for S. aureus IMI over the dry period (Erskine et al., 1994). Intramuscular ceftiofur was not effective in eliminating S. agalactiae compared with intramammary penicillin-novobiocin (Erskine et al., 1995). Pirhmycin "blitz" treatment of two herds with a high percentage of chronic S. aureus cows resulted in low cure rates post-treatment (Timms, 1995). Intramammary cephapirin and amoxicillin were ineffective in treatment of mild clinical mastitis caused by environmental pathogens.
Objective 4: Characterize the effect of mastitis and mastitis control practices on dairy food safety.
Current methods for the control and prevention of bovine mastitis have the potential for creating human health hazards both from antibiotics used to treat mastitis and from chemicals used to sanitize teats and equipment. There is a potential for pathogenic bacteria present in infected mammary glands to contaminate milk and meat, resulting in human illness. The heightened public awareness concerning human health issues gives added emphasis to these potential areas of concern.
In recent years, dairy foods have been implicated in several outbreaks of illness in children and adults. Pathogens that have been implicated in human illness that have been isolated from the mammary gland include Listeria monocytogenes, Salmonella species, E. coli, and Campylobacter species. No clear link between such outbreaks and bovine mastitis have been made, and insufficient information is currently available to determine the potential risk. There is a need for studies to evaluate appropriate measures that reduce or eliminate organisms and chemical contamination from the food supply.
Antibiotics in milk pose a potential human health hazard to allergic individuals, and research areas that emphasize prevention rather than treatment can help reduce this risk. Surveillance methods to detect antibiotic residues in. milk and meat are currently being evaluated to improve their specificity and enhance the ease of their use on the farm. Improved accuracy is. needed in this area to both prevent unnecessary waste of saleable milk and protect the public from exposure to antibiotic residues.
Food safety is an important issue to consumers, producers, and government agencies. The increased public and political interest that this area is receiving indicates its potential impact. Very little information is available concerning the relationship between bovine mastitis and these human and food safety issues; therefore, a need exists to answer these questions and determine what steps, if any, need to be taken to insure that mastitis control and treatment procedures do not adversely impact public safety.
While this proposed new objective includes some new areas of research to the project, it is important to note that some research topics have been in progress for several years that would fall under this new objective. Ongoing research topics that would be covered by this new objective include the study of residues in milk and the evaluation of residue detection assays, the identification of mastitis pathogens that may also cause human disease, and the determination of antibiotic resistance patterns of mastitis pathogens.
Areas of research pertaining to this new objective that are planned or in progress include the effects of BST on clinical mastitis and the relationship to antibiotic use (Louisiana, Michigan), rapid detection methods for E. cola 0157:H7 and L. monocytogenes (Vermont, Tennessee), human and animal safety concerns with persistent teat dips (Iowa), antibiotic residues in milk (California, Maryland), environmental impact of mastitis pathogens -(California), impact of raw milk consumption on human health (California), and mastitis organisms associated with human food-borne illness (California).
Objectives
- Characterize host responses or factors which affect resistance of the mammary gland to mastitis.
- Characterize virulence factors of mammary gland pathogens.
- Develop and evaluate techniques for modulation of host responses to mastitis pathogens.
- Characterize the effects of mastitis and mastitis control practices on dairy food safety.
