Open Access
Research (Published online: 28-04-2017)
14. Exploring the potential hazard of Mycobacterium avium subspecies paratuberculosis as a cause for Crohn's disease
Sukumar Bharathy, Lakshmanasami Gunaseelan and Kannan Porteen
Veterinary World, 10(4): 457-460

Sukumar Bharathy: Department of Veterinary Public Health and Epidemiology, Madras Veterinary College, Chennai - 600 007, Tamil Nadu, India.
Lakshmanasami Gunaseelan: Department of Veterinary Public Health and Epidemiology, Madras Veterinary College, Chennai - 600 007, Tamil Nadu, India.
Kannan Porteen: Department of Veterinary Public Health and Epidemiology, Madras Veterinary College, Chennai - 600 007, Tamil Nadu, India.

doi: 10.14202/vetworld.2017.457-460

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Article history: Received: 06-12-2016, Accepted: 02-03-2017, Published online: 28-04-2017

Corresponding author: Sukumar Bharathy

E-mail: bharathy.vet@gmail.com

Citation: Bharathy S, Gunaseelan L, Porteen K (2017) Exploring the potential hazard of Mycobacterium avium subspecies paratuberculosis as a cause for Crohn's disease, Veterinary World, 10(4): 457-460.
Abstract

Background: Mycobacterium avium subspecies paratuberculosis (MAP) is the causative agent of Johne's disease (JD), or paratuberculosis in ruminants has been suspected to be implicated in the pathogenesis of Crohn's disease (CD) in humans with chronic inflammatory intestinal changes. As the hypothesis is now fast being recognized that MAP could possibly be the etiological agent of CD which is found to be excreted in milk of dairy animals subclinically or terminally ill with JD.

Aim: The present study was aimed to detect MAP in milk by polymerase chain reaction (PCR) targeting IS900 and to describe the excretion pattern of MAP in milk from asymptomatic lactating cows and does with relevance to the public health significance.

Materials and Methods: A total of 77 milk samples were collected randomly from lactating animals which include cows (45) and does (32). All the 77 milk samples were processed to identify the presence of MAP by employing the direct IS900 PCR as per the standard protocol.

Results: Out of 77 milk samples from asymptomatic lactating animals, 12 (15.58%) were showed positivity for IS900 PCR in which 5 (11.11%) were from lactating cows and 7 (21.87%) were from lactating does.

Conclusion: In our study, 15.58% of milk samples showed IS900 positivity which indicates the presence of subclinical MAP infection in lactating animals. Hence, there is a possibility for excretion of MAP through milk which can be a potential threat for CD in humans by raw milk consumption. Therefore, the prevention of MAP in the food chain need to be assured by sourcing raw products from animal herds free of MAP infection.

Keywords: Crohn's disease, excretion, food chain, IS900 polymerase chain reaction, Mycobacterium avium subspecies paratuberculosis, raw milk.

References

1. Thompson, D.E. (1994) The role of mycobacteria in Crohn's disease. J. Med. Microbiol., 41: 74-94. [Crossref] [PubMed]

2. Herrinton, L.J., Liu, L., Lewis, J.D., Griffin, P.M. and Alliso, J. (2008) Incidence and prevalence of inflammatory bowel disease in a Northern California managed care organization. Am. J. Gastroenterol., 103: 1998-2006. [Crossref] [PubMed]

3. Momotani, E., Ozaki, H., Hori, M., Yamamoto, S., Kuribayashi, T., Eda, S. and Ikegami, M. (2012) Mycobacterium avium subsp. paratuberculosis lipophilic antigen causes Crohn's disease - Type necrotizing colitis in mice. Springer Plus, 1: 47. [Crossref] [PubMed] [PMC]

4. Neuman, M.G. and Nanau, R.M. (2012) Inflammatory bowel disease: Role of diet, microbiota, life style. Transl. Res., 160(1): 29-44. [Crossref] [PubMed]

5. Naser, S.A., Sagramsingh, S.R., Naser, A.S. and Thanigachalam, S. (2014) Mycobacterium avium subspecies paratuberculosis causes Crohn's disease in some inflammatory bowel disease patients. World J. Gastroenterol., 20(23): 7403-7415. [Crossref] [PubMed] [PMC]

6. Singh, S. and Gopinath, K. (2011) Mycobacterium avium subsp. paratuberculosis and Crohn's regional ileitis: How strong is association? J. Lab. Physicians, 3(2): 69-74. [Crossref] [PubMed] [PMC]

7. Khan, I.A., Pilli, S., Rampal, A.S., Chauhan, S.K., Tiwari, V., Mouli, V.P., Kedia, S., Nayak, B., Das, P., Makharia, G.K. and Ahuja, V. (2016) Prevalence and association of Mycobacterium avium subspecies paratuberculosis with disease course in patients with ulcero-constrictive ileocolonic disease. PLOS One, 11(3): e0152063. [Crossref]

8. Patel, A. and Shah, N. (2011) Mycobacterium avium subsp. paratuberculosis-incidences in milk and milk products, their isolation, enumeration, characterization, and role in human health. J. Microbiol. Immunol. Infect., 44: 473-479. [Crossref] [PubMed]

9. Albuquerque, P.P.F., Santos, A.S., Souza, N., Orestes, L., Kim, P.C.P., Cavalcanti, E.F.T., de Oliveira, J.M.B., Mota, R.P. and Junior, J.W.P. (2017) Detection of Mycobacterium avium subsp. paratuberculosis in bovine milk from the state of Pernambuco, Brazil. Braz. J. Microbiol., 48(1): 113-117. [Crossref] [PubMed] [PMC]

10. Eisenberg, S.W.F., Rutter, V.P.M. and Koets, A.D.P. (2015) Dam Mycobacterium avium subspecies paratuberculosis (MAP) infection status does not predetermine calves for future shedding when raised in a contaminated environment: A cohort study. Vet. Res., 46: 70. [Crossref]

11. Pinedo, J., Joseph, E., Gilles, R.G., Rae, D.O. and Claus, D. (2008) Mycobacterium paratuberculosis shedding into milk: Association of ELISA seroreactivity with DNA detection in milk. Int. J. Appl. Res. Vet. Med., 6: 137-144.

12. Stabel, J.R. and Lambertz, A. (2004) Efficacy of pasteurization conditions for the inactivation of Mycobacterium avium subsp. Paratuberculosis in milk. J. Food Prot., 67(12): 2719-2726. [Crossref]

13. Slana, I., Liapi, M., Moravkova, M., Kralova, A. and Pavlik, I. (2009) Mycobacterium avium subsp. paratuberculosis in cow bulk tank milk in Cyprus detected by culture and quantitative IS900 and F57 real-time PCR. Prev. Vet. Med., 89: 223-226. [Crossref]

14. Sartor, R.B. (2005) Does Mycobacterium avium subspecies paratuberculosis cause Crohn's disease? Gut, 54: 896-898. [Crossref] [PubMed] [PMC]

15. Atreya, R., Bulte, M., Gerlach, G.F., Goethe, R., Hornef, M.W., Heike, K., Meens, J., Mobius, P., Roeb, E. and Weiss, S. (2014) Facts, myths and hypotheses on the zoonotic nature of Mycobacterium avium subspecies Paratuberculosis. Int. J. Med. Microbiol., 304: 858-867. [Crossref] [PubMed]

16. Pillai, S.R. and Jayarao, B.M. (2002) Application of IS900 PCR for detection of Mycobacterium avium subsp. paratuberculosis directly from raw milk. J. Dairy Sci., 85: 1052-1057. [Crossref]

17. Bharathy, S., Gunaseelan, L., Porteen, K. and Prabu, K. (2014) Goat milk as a non - Invasive sample for confirmation of Mycobacterium avium subspecies paratuberculosis by IS900 PCR. J. Adv. Vet. Anim. Res., 1(3): 136-139. [Crossref]

18. Selim, A., El-Haig, M., Galila, E.S. and Gaede, W. (2013) Direct detection of Mycobacterium avium subsp. paratuberculosis in bovine milk by multiplex real time PCR. Anim. Sci. Pap. Rep., 31(4): 291-301. [Crossref]

19. Carvalho, I.A., Silva, A., Campos, V.E. and Moreira, M.A. (2009) Short communication: Detection of Mycobacterium avium subspecies paratuberculosis by polymerase chain reaction in bovine milk in Brazil. J. Dairy Sci., 92: 5408-5410. [Crossref]

20. Prabu, K. ( 2015) Comparative Evaluation of Diagnostic Assays in Establishing Status of Chronic Bacterial Zoonoses. M.V.sc. Thesis Submitted to Tamil Nadu Veterinary and Animals Sciences University, Chennai.

21. Grant, J.R., Oriordan, L.M., Ball, H.J. and Rowe, M.T. (2001) Incidence of Mycobacterium avium subsp. paratuberculosis in raw sheep and goat's milk in England, Wales and Northern Ireland. Vet. Microbiol., 79: 123-131. [Crossref]

22. Corti, S. and Stephan, R. (2002) Detection of Mycobacterium avium subspecies paratuberculosis specific IS900 insertion sequences in bulk-tank milk samples obtained from different regions throughout Switzerland. BMC. Microbiol., 2(1): 15. [Crossref] [PubMed] [PMC]

23. Martinson, S., Hanna, P., Ikede, B., Lewis, J., Keefe, L.M. and McKenna, S. (2008) Comparison of bacterial culture, histopathology and immunohistochemistry for the diagnosis of Johne's disease in culled dairy cows. J. Vet. Diagn. Invest., 20: 51. [Crossref] [PubMed]

24. Dziedzinska, R.P., Slana, I., Lamka, J. and Pavlik, I. (2014) Influence of stress connected with moving to a new farm on potentially MAP infected mouflone. ISRN Microbiol. DOI: 10.1155/2014/450130. [Crossref]

25. Nielsen, S.S. and Toft, N. (2008) Ante mortem diagnosis of paratuberculosis: A review of accuracies of ELISA, interferon-gamma assay and faecal culture techniques. Vet. Microbiol., 129: 217-235. [Crossref]

26. Nielsen, S.S. (2008) Transition in diagnostic tests used for detection of Mycobacterium avium subspecies paratuberculosis infection in cattle. Vet. Microbiol., 132: 274-282. [Crossref] [PubMed]

27. Lucey, J.A. (2015) Raw milk consumption: Risk and benefits. Nutr. Today, 50(4): 189-193. [Crossref] [PubMed] [PMC]

28. Little, C.L., Rhoades, J.R., Sagoo, S.K., Harris, J., Greenwood, M., Mithani, V., Grant, K. and Lauchlin, J.M. (2008) Microbiological quality of retail cheeses made from raw, thermized or pasteurized milk in the UK. Food Microbiol., 25: 304-312. [Crossref] [PubMed]

29. Claeys, W.I., Cardoen, S., Daube, G., Block, J.D., Dewettinck, K., Dierickd, K., Zutter, L.D., Huyghebaert, A., Imberechts, H. and Thiange, P. (2013) Raw or heated cow milk consumption: Review of risks and benefits. Food Control, 31: 251-262. [Crossref]

30. Singh, A.V., Singh, S.V., Singh, P.K. and Sohal, J.S. (2010) Is Mycobacterium avium subsp. paratuberculosis, the cause of Johne's disease in animals, a good candidate for Crohn's disease in man? Indian J. Gastroenterol., 29(2): 53-58. [Crossref] [PubMed]

31. Shankar, H., Singh, S.V., Singh, P.K., Singh, A.V., Sohal, J.S. and Greenstein, R.J. (2009) Presence characterization and genotype profiles of Mycobacterium avium subspecies paratuberculosis from unpasteurized individual and pooled milk, commercial pasteurized milk and milk products in India by culture, ELISA, PCR and PCR-REA methods. Int. J. Infect. Dis., 14: e121-e126. [Crossref] [PubMed]