Abdel Fatah Ali1, Mervat EI Radwan2*,
Mohamed GoudaAbdelwahed3, Ahlam F
Hamoda4
1Department
of clinical Pathology, Veterinary Teaching Hospital, Banha University, Egypt
2,3Department
of Veterinary Medicine, Veterinary Teaching Hospital, Banha University, Egypt
4Department
of Forensic Medicine and Toxicology, Veterinary Teaching Hospital, Banha
University, Egypt
*Corresponding author: Mervat EI Radwan, Department of Veterinary Medicine,
Veterinary Hospital, Benha University, Egypt. Tel: +201223523271; Email: dr_mervat19@yahoo.com
Received Date: 12 August, 2017; Accepted Date: 23 September, 2017; Published
Date: 29 September, 2017
1. Introduction
Brucella spp. are facultative intracellular bacteria that cause brucellosis in a
variety of animals and undulant fever in humans. The disease is one of the most
widespread common diseases in the world, especially in developing countries. Six
species have been described, but only Brucella
melitensis, B.
abortus, and B. suis pose that
threat public health. Brucella causes serious economic losses as abortion
and infertility in cattle [1,2]. Therefore,
these species have been classified as category B agents that can be used as
biological arms. Brucellosis called thousand faces diseases because it has long
lasting side effects, Brucella has developed various strategies to evade
innate and adaptive immune response so became the commonest chronic bacterial
diseases worldwide, which can establish intercellular for long term survival
and replication [3-6]. From
previous we concluded that clinical signs alone are not sufficient for
brucellosis diagnosis but we need to sensitive, specific, rapid and inexpensive
method to detect infection early because early accurate diagnosis of disease
give good prognosis and eradication of disease [7]. As we explained above Brucella stimulates both humeral and cellular immunity but the
main mechanism of recovery is cellular immunity science elimination of
brucellosis depend on conjunction with activated macrophages which induced by
the cell mediate immunity cytokines that release during this stimulation [8,9]. The immune response against Brucella
depend on activating of macrophages by bacterial infections and potentiates the
apoptotic death of infected macrophages this immune response was considered the
pivotal role of macrophages, Pathogenesis is the
product of a complex series from interaction between bacteria and different
components of immune system special macrophages
that is
considered the main cell of Brucella residence in the host [3,10,11-13]. Highlight on Brucella infection, it associated
with acute inflammatory reaction, which represents the principal local defense
against spread of infection, many of the severe complications of bacterial
infections result from excessive immune activation so we can say the maximal
pathogen control does not necessarily lead to the minimal disease for example
free radicals by-products which produced continuously during many normal cellular
reactions can cause various damages in the organisms [14-16].Protective response against Brucella infection requires Th1-type
cytokines such as Inter Feron-gamma (IFN-Y),Tumor Necrotic Factor (TNF-µ))and activated
macrophages [5,17] Interleukin-1
beta (IL-1β) also known as leukocytic pyrogenic, mononuclear
cell factor, lymphocyte activating factor and other names. The synthesis of IL-1β precursor
is induced by stimulation of innate and cellular immunity by exposure of
macrophages cells to pathogen-associated molecular pattern wherever IL-1β is synthesized as a precursor form protein only, which
is considered as another group of appalling [18].
2. Material and Methods
2.1 Animals
This study was performed on cattle farm in Egypt which
was endemic with Brucella,
these animals were suffered from abortion in late three months of pregnancy with
retained placenta. Study group of cattle consisted of 18 cows aged between 2-3
years, all animals of this farm were exposed to serological test to determine
the infected animals. Field diagnosis Rose Bengal test and confirmed by ELISA
IgG test to determine type of Brucella, serological test detected12 animals were
positive to Brucella
abortus and 6 out of 18 were negative by all serological tests so
considered the negative cows control (Figure 1).
This experiment was performed in Vet. Hosp. Moshtohor Benha
University. Biochemical tests were performed to determine biochemical change
associated with B.
abortus infection. ELISA Kit which was performed to measure Bovine Brucella Ab
IgG(BAL) ELISA Kit Cat No: MBS753249. Serum
samples were evaluated for various parameters, namely tumor necrosis
factor-alpha (TNF-α) ELISA kits were utilized is
Cat. No. E11-807, interleukin IL-10 the kits were utilized is Cat. No. MBS 703712 and interleukin IL-B the kits were utilized
is Cat. No. MBS 703996 while Lactate Dehydrogenase (LDH) measured by using kit of SPINREACT, S.A.U. Ctra.
Santa Coloma, 7 E-171716 SANT ESTEVE DE BAS (GI) SPAIN, moreover spectrophotometric
method using commercial kits (bio-diagnostic, Egypt) was used for measuring
oxidative and anti-oxidative biomarkers as serum Malondialdehyde (MDA), Nitric Oxide (NO), Total protein, Albumin and Total Antioxidant
Capacity (TAC) to determine the role of these parameters in regulation of
intracellular bacterial infection and response of body immunity system.
3. Results
In
this study animals positive to infection from animals suffered from clinical
signs suggested Brucella
and positive stereological testes were 12 with Rose Bengal and ELISA
tests while the remain six were negative and considered as control negative group.
(Table 1) showed that infection with brucellosis
had significant increase in NO, MDH and LDH in another side notice
non-significant change in TP, AL and TAC. Table 2 were
showed that significant increase in IL-10 and IL1β in infected group while TNF was showed non-significant
change between infected and non-infected animals.
4. Static
The statistics was applied by means of SPSS software
(SPSS ver. 16, Inc., Chicago, IL). T-test was used for each group at a
significant value at p<0.05 [19].
5. Discussion
Bovine brucellosis is mainly caused by Brucella abortus
which is clinically characterized
by abortion in the three late months of gestation period and infertility in
cows while caused orchitis and inflammation of the accessory sex organs in
bulls. Natural B.
abortus infection in cattle occurs primarily through penetration of
mucosal membrane of the oropharynx followed by uptake with macrophages (MQ) and
transport to the regional lymph nodes [20]. Macrophages are the primary target cells in
which Brucella organisms multiply and
cause persistent infection, the bacteria also invade trophoblast cells and
cause abortion in ruminants as the front line
of the innate immune response; macrophages ingest and kill invading pathogens,
produce various cytokines, and perform antigen presentation to develop adaptive
immunity [21]. In
our study we used field diagnosis rose Bengal test to determine infected animals
because clinical signs only insufficient to detect positive animals after that
use ELISA test to confirm the result of positive Brucella infected animals
this came agree with Molavi [7]. who reported that
Using new methods such as ELISA has higher sensitivity and specificity than
positive complement fixation, which can show both G and M immunoglobulins. It
is also suitable for examining certain class of immunoglobulin and added that
It can also prevent the complexity created by glucan or incomplete antibodies
therefore, acute brucellosis can be easily diagnosed from chronic brucellosis
using ELISA method so when interpreting agglutination test is met with
confusion, the result can be confirmed using ELISA test. It should be noted that IgG, IgM (IgG1, IgG2), IgA and
partial amount of IgE are produced in Brucellosis humoral immunity response.
IgG is particularly involved in serological tests. IgM appears on the fifth to
seventh day of brucellosis infection and reaches the final amount during 13 to
21 days after bacteria penetrated the body. Low amount of IgA is also generated
in the interval between emergences of above two immunoglobulins. IgG titer is
higher and more durable during the disease. This is significant in serological
survey of brucellosis when the serum is tested. If infected serum in the first
week was tested, no immunoglobulin may be observed. Thus, the test result will
be negative. IgM level increases in second week. IgG is generated between the
second and third weeks. IgG reaches the maximum level after three weeks. This level
is still high during infection all this fact support our studies that have
shown ELISA is a complete method in vitro for detection of chronic samples,
especially when other tests results are negative. In addition to this method,
all unique and specific immunoglobulin in tested serum appear with high speed
and accuracy. In current investigation we recorded significant increase
in NO in infected animals group than control negative group because toxic
effects of pathogens produce activation of oxidative bactericidal activity which
protect the host, this result came in
agreement [16,22,23-26]. Who concluded that nitric oxide (NO) is an important free radical
molecule which is a general characteristic of activated macrophages, fundamentally,
NO is a substantial factor in the elimination of Brucella infection. Immediately
after engulfment of the bacteria, inducible nitric oxide synthase enzyme is
expressed in the phagocytic cells and the levels of NO sharply increase. In
fact, production of nitric oxide contributes to Impairment of Brucella
growth in macrophages [27,28]. Gross
A [29] presumed that the chronicity of infection lead to
inability of macrophages to produce NO during Brucella infection.NO is a cytotoxic effector molecule which regulate of
apoptosis and lymphocyte migration, it modulates the Th1/Th2 balance and is
involved in the regulation of vascular tone, wound repair and other processes. In our study we noticed
significant increase in Malondialdehyde
(MDA) in infected group than control negative one which is considered as a
by-product of lipid peroxidation and used as an index of the rate of tissue
reaction chain since it presents in membrane of cells this result came in
contact with McCord JM [30], Marnett LJ [31]
and Czuczejko J [32], Jimenez de Bagues MP [33], Couper KN [15], Madebo T [34]. Who concluded that increased oxygen free
radical is related to antioxidant
consumption causes oxidative stress production and increase Malondialdehyde (MDA) which has been reported as one of the major
products of lipid peroxidation that promote cross-linking bonds in the cell
membrane and leads to unfavorable effects such as changes in ion permeability
and enzyme activity due to lipid peroxidation react with biological structures
such as proteins, lipids, carbohydrates and DNA and cause damage to them. In
this study we aimed to investigate the changes in NO and MDA levels in cattle
infected with B. abortus this results came in contact with Cevat Nisbet [35] who
reported that the increase in serum NO levels in cattle infected with B. abortus
is due to the increased NO synthesis in the macrophages by bacterial
lipopolysaccharides. On the other hand, increased MDA may be a result of
excessive production of radical secondary to brucellosis itself acting upon
membrane lipids. The results have lead to us believe that these can be used as
indicators of tissue damage. In our study we found significant different in LDH in two groups this
result came in agree with Pagana, &Pagana [36] founded that elevated levels of LD usually indicate some type of tissue damage. LD levels typically will elevate due to
cellular damage start reached peak after some time period, and then begin to
fall. LD levels are rised in a wide difference of conditions, reflecting its
spread tissue distribution. Lactate dehydrogenase (LD or LDH) is an enzyme entail in energy
production that is present in most all of the body's cells, with the highest levels
found in the cells of the heart, liver, muscles, kidneys, lungs, and in blood
cells; bacteria also produce LD. This
test measures the level of LD in the blood or sometimes other body fluids. Only
a small amount of LD is ordinary detectable in the fluid portion of the blood (serum or plasma). LD is produce from the cells into the serum when
cells are breaked down, it may be used, in incorporation with other blood
tests, to help controlling cases that lead to tissue damage, such as liver or
blood diseases or cancer. In this study we used high `significant rise of a
cytokine IL-10 in infected animals when contrast with healthy animals as
another diagnostic method, interleukin is cytokine that regulates the balances
between pathogen and clearance and immunopathology. Brucella aborts is an intracellular
bacterium that causes chronic disease in human and domestic animals. Here we
evaluate the concentration of IL-10 in host immune response and pathology
during B. abortus,
our investigation demonstrated that IL-10 modulates the proinflammatory immune
response to B. abortus
infection and the lack of IL-10 increase resistance to Brucella infection, this result came
parallel [7,37]. Who concluded that IL-10
inactivates macrophages that infected with brucellosis Therefore,
identification of different forms of IL-10 gene, which effect on production of
these cytokines, is considered as effective method for diagnosis of the disease
from the above we concluded that limitations of serological methods, which are
consuming to time and expensive, as well as importance of early detection of
bacteria in epidemic cases, it is recommended to use this new and effective
method because many of these methods can overcome limitations of traditional
methods. The bactericidal efficiency of IFNY activated macrophages against Brucella,
TNF-α strong enhancement of the bactericidal activity of
phagocytes is controlled by the cytokine IL-10. Neutrophils encounter and kill
microbes intracellular upon phagocytosis when antimicrobial granules fuse with
the phagosome furthermore release lytic enzymes and Reactive Oxygen s Species (ROS)
that destroy pathogen. Brucella doesn’t replicate within neutrophils [12].Our study pointed to there is no significant change between
healthy and infected group in TNF-α concentration because cell death by members of TNFR
occurs by apoptotic cell ,unique feature of apoptic cells is that they retain
cell membrane integrity even after they have disintegrated into characteristic
apoptotic bodies .Apoptotic cells and bodies are phagocytized by active
macrophages, thus preventing inflammatory reaction that can result from cell
lysis this result came agree with Ming Li and Amer [21], Baldwin
CL [3], Jimenez de Bagues MP [4], Martirosyan A [6]. Who recorded that Brucella inhibit host
cell apoptosis to produce favoring bacterial survival by escaping from host
immune surveillance when cells dying by necrosis can lead to inflammation because Brucella
alter the maturation and function of DCs (critical component of adaptive immunity)
prevent infected cell from engaging in their maturation process, impair
capacities and failed to release TNF. Jianwupei
et al. [38] added that tumor necrotic
factor (TNF-α) is cytotoxic for many tumoral cell lines, whereas
normal cells generally are considered resistant to this action so it is well accepted that survival of Brucella in host macrophages considered virulence
and contributes to disease pathogenesis, cytoxic cell death induced by Brucella requires healthy macrophage to uptake
it, so the previous sections reveal that macrophage killing induced by
infection due to requirement of bacteria to synthesis its protein from
components of this cell but not due to TNF-α and
nitric oxide, Cytotoxicity of Brucella is macrophage specific and resembles oncosis and necrosis,
not apoptosis the mechanism by which Brucella killing macrophage
by pore formation-mediated lysis due to require of bacteria to synthesis its
protein through direct interaction between live bacteria and macrophages
[39-41].
Insignificant differences in TNF-α levels compared to control group were related
to short half-life of TNF, while high TNF level were associated with proinflammatory
mediating features of this cytokine IL-10 an inhibitor of activated macrophages
, by acting on macrophages , they inhibit both cytokine release and expression
through co-stimulators. Our study pointed to there is significant increase IL-1βconcentration in infected group than healthy group and
this result came agree with Dinarello [18]. Who
concluded that IL-1βis considered as cytokine produce from activated
macrophages as proprotein. This cytokine is an essential moderator of the inflammatory reaction, and is entail in a different of
cellular activities, ensure cell proliferation, discrimination, and apoptosis
so considered as an individual of the interleukin 1 family of cytokines.
6.
Conclusion
This study explains the
essential role for immune regulatory components of immune response in limiting
pathology among the immune regulatory components IL-10 which is related to
prevent the exacerbated proinflammatory response against gram-negative bacteria
and considered a control immune regulator antagonizing the excessive Th1 and
CD8+T-cell responses. Evaluation of antibodies
against Brucella by serological
tests were considered probable diagnosis of Brucella infection. Elisa
has higher sensitivity and specificity which can show both G and M
immunoglobulins
7. Acknowledgment
All members of Vet.Teaching Hospital Benha
University which the work was performed in it

Figure 1: Rose Bengal test showing negative and positive agglutination sample.
.
Figure 2: Rose Bengal test showing negative and positive agglutination sample.
Group Parameter
|
Control negative
|
Infected
|
|
|
|
|
Albumin
|
2.508±0.1537
|
2.082±0.1346
|
|
TAC
|
66.91±10.0 8
|
56.86±9.517
|
|
T. protein
|
5.590±0.3721
|
5.113± 0.2807
|
|
MDA
|
60.69±9.447
|
117.2.6±17.17***
|
|
NO
|
53.45±9.109
|
88.8±9.865***
|
|
LDH
|
349.9±20.32
|
355.9±20.05**
|
|
** Value of p < 0.01 and *** value of p< 0.001.
|
|
Table 1: Serum MDA and NO and some antioxidants levels in infected animals with Brucella abortus and healthy cattle.
Group Parameter
|
IL-10
|
IL-1β
|
TNF-α
|
Control
|
58.62± 12.79
|
62.65±2.05
|
0.120±0.02
|
Infected
|
25.31±4.88***
|
176.01±34.55***
|
0.19±0.015
|
** Value of p < 0.01 and *** value of p< 0.001.
|
Table 2: IL10, TNF and IL1β in healthyand infected animals with Brucella abortus.
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