Tubular Glands of the Isthmus Are the Predominant Colonization Site of Salmonella Enteritidis in the Upper Oviduct of Laying Hens J. De Buck,1 F. Pasmans, F. Van Immerseel, F. Haesebrouck, and R. Ducatelle Department of Pathology, Bacteriology and Avian Diseases, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B-9820 Merelbeke, Belgium tion of the invasiveness of S. enteritidis in the oviduct of laying hens. Loops in the isthmus and magnum of laying hens were made under anaesthesia. S. enteritidis was inoculated into each loop. After 1 h, tubular gland cells were isolated from the infected tissue under gentamicin. S. enteritidis invasiveness was measured as the ratio of isolated bacteria per isolated tubular gland cell. This ratio was higher (P < 0.01) in the isthmus (1.3 × 10−3) than in the magnum (5.3 × 10−5). In a third experiment, laying hens were intravenously infected with 5 × 107 cfu S. enteritidis bacteria. The number of intracellular bacteria was counted in the tubular gland cells of the isthmus and magnum after isolation under gentamicin. The ratio of isolated bacteria per isolated tubular gland cell was again significantly higher in the isthmus as compared with in the magnum. In all 3 assays, the tubular gland cells of the isthmus were more heavily invaded than those of the magnum. ABSTRACT Salmonella enterica serovar Enteritidis is the serovar most frequently isolated from chicken eggs. Colonization of the upper oviduct of hens is believed to play an important role in egg contamination. The interaction of S. enteritidis with gland epithelial cells of the isthmus and the magnum was, therefore, studied in vitro and in vivo. In the first experiment, S. enteritidis bacteria were added to confluent monolayers of primary cultures of chicken tubular epithelial cells of the isthmus (ICTEC) or magnum (MCTEC). Intracellular bacteria in ICTEC and MCTEC were confirmed by a gentamicin protection assay. Internalization in the glandular cells was corroborated by confocal scanning microscopy. Although S. enteritidis was able to invade and proliferate intracellularly during 24 h in the cell culture of both segments, this was significantly more so in the ICTEC. In a second experiment, an in vivo loop model was developed for investiga- (Key words: cell culture, isthmus, magnum, proliferation, Salmonella enteritidis) 2004 Poultry Science 83:352–358 chicken eggs through the upper oviduct (Gast and Beard, 1990b; Shivaprasad et al., 1990; Hoop and Pospischil, 1993; Humphrey, 1994; Keller et al., 1995). S. enteritidis can be isolated from the reproductive tissues of artificially and naturally infected hens (Humphrey et al., 1989; Hoop and Pospischil, 1993; Withanage et al., 1999; Kinde et al., 2000; Okamura et al., 2001b). To date, little attention has been paid to the localization of Salmonella bacteria in infected oviducts. The infection of the oviducts in several infection models has been described in terms of colony-forming units per gram of oviductal tissue (Hassan and Curtiss, 1997; Miyamoto et al., 1997; Okamura et al., 2001a,b) or merely as percentage of positive samples (Timoney et al., 1989; Gast and Beard, 1990a; Barrow and Lovell, 1991; Baskerville et al., 1992; Barnhart et al., 1993; Hoop and Pospischill, 1993; Keller et al., 1995, 1997; Reiber et al., 1995; Withanage et al., 1998; Withanage et al., 1999; Kinde et al., 2000). However, there are some INTRODUCTION Table eggs are the most important source of Salmonella enterica serovar Enteritidis (S. enteritidis) infection in humans (Hogue et al., 1997; Hald et al., 1998; Humphrey, 1999; Meyer, 1999; Palmer et al., 2000; Van Loock et al., 2000). Understanding the mechanism that leads to S. enteritidis colonization of eggs is essential to reduce the public health risk associated with consumption of infected eggs. However, the pathogenesis of egg contamination is still not completely understood. The current concept of vertical transmission of S. enteritidis in chickens considers contamination of the shell surface as the egg passes through the vagina and cloaca, contamination of the yolk in the ovary, or contamination during passage through a colonized oviduct. Several studies have suggested that S. enteritidis most frequently migrates into 2004 Poultry Science Association, Inc. Received for publication July 16, 2003. Accepted for publication October 20, 2003. 1 Correspondence should be addressed: [email protected]. Abbreviation Key: BGA = brilliant green agar; HBSS = Hanks’ buffered salt solution; ICTEC = chicken tubular epithelial cells of the isthmus; MCTEC = chicken tubular epithelial cells of the magnum; MEM = minimum essential medium; TBS = Tris-buffered saline. 352 SALMONELLA INVASION IN OVIDUCTAL GLAND CELLS reports in the literature that mention an association of serovar Enteritidis with tubular gland cells of the oviduct, both after natural infection (Hoop and Pospischil, 1993) and after experimental infection (Keller et al., 1995). In a previous study we showed that serovar Enteritidis isolates can adhere to isthmus gland secretions (De Buck et al., 2003), which led us to the hypothesis that serovar Enteritidis may selectively colonize the isthmus glands of the oviduct. The bacteria could then be transported to the lumen of the oviduct with the isthmus secretions and thus become incorporated into the eggshell membranes, which could explain the bacteriological finding of shell association of the serotype. In this study, we aimed to find the predominant site in the upper oviduct where the invasion and proliferation of S. enteritidis takes place to elucidate the colonization of the oviduct, which possibly leads to egg contamination. MATERIALS AND METHODS Bacteria Experiments were carried out with the Salmonella enteritidis phage type 4 (PT4) strain NIDO 76Sa88 (Desmidt et al., 1998). The strain was cultured overnight at 37°C on Isosensitest agar2 plates. Ten colonies were transferred into brain heart infusion broth3 and cultured for 20 h at 37°C while shaking. The suspensions were checked for purity and the number of colony-forming units was determined by plating 10-fold dilutions on Isosensitest agar. The suspensions were stored overnight at 4°C and were then used in the experiments. The minimal inhibitory concentration for gentamicin was lower than 0.5 µg/mL. Isthmus and Magnum Tubular Gland Cell Isolation and Culture Isthmus and magnum tubular gland cells were obtained following the method of Jung-Testas et al. (1986) with minor modifications. Seven-day-old chicks were given daily subcutaneous injections of 1 mg of estradiol benzoate in 0.5 mL of sesame oil for 10 d. After 4 wk the chicks received a second stimulation by reinjection for 7 consecutive d with the same daily amount of estradiol benzoate. The oviducts of the estrogen-treated chicks were aseptically removed. The magnum and isthmus were separated, slit open longitudinally, and washed 3 times in Hanks’ buffered salt solution (HBSS). Both segments of the oviduct were minced into very small pieces. The tissue was then dissociated for 1 h at 37°C in minimum essential medium (MEM4) containing collagenase 1 mg/mL (180 U/mg solid) and penicillin-streptomycin. 2 Oxoid, Basingstoke, UK. Biolife, Milan, Italy. 4 Life Technologies, Paisley, Scotland, UK. 5 BD Falcon, San Jose, CA. 6 Sigma, St. Louis, MO. 3 353 Tissue pieces were allowed to sediment, and then the supernatant was removed, and 10 mL of HBSS without Ca2+ and Mg2+, containing trypsin (0.25%) and EDTA (3 mM), was added. The tissue was allowed to dissociate for 10 min. The supernatant was removed and pooled with the supernatant of a second trypsin/EDTA dissociation. The resulting cell suspension was filtered, using a cell strainer5 (∅ 70 µm) and centrifuged at 300 × g. The cell pellets were rinsed twice with MEM containing 10% fetal calf serum (FCS). The cells were planted at 1 × 106 cells/mL in Petri dishes in MEM supplemented with 15% FCS, insulin (0.12 IU/mL), penicillin-streptomycin (50 µg/mL), and estradiol (50 nM). The dishes were placed in the cell incubator at 37°C and 5% CO2. After 1.5 to 2 h, fibroblasts were attached to the Petri dishes. The epithelial cells in the supernatant were seeded into tissue culture 96-well plates. Invasion Assay At d 2 postisolation, the cells were rinsed 3 times with HBSS and fresh medium without antibiotics was added to the wells. At d 3 postisolation the wells were checked for confluence and the culture medium was replaced with medium containing 5 × 106 cfu/mL Salmonella bacteria. The plates were then centrifuged at 1,500 × rpm for 10 min at 37°C to sediment the bacteria onto the confluent cell layer. The plates were incubated for 1 h at 37°C, and the wells were then rinsed 3 times with MEM medium. MEM medium with 50 µg gentamicin was added, and the plates were incubated for 1, 4, or 24 h. The wells were rinsed 5 times with HBSS, and the cells were lysed by adding 100 µL of 1% Triton X-100 in aqua dest to the wells. After 10 min, 100 µL of HBSS was added to the wells. Ten-fold dilutions were made of the resulting suspension and plated onto brilliant green agar (BGA2) plates. Intracellular bacteria were measured by calculating the colony-forming units per milliliter of culture medium after an overnight incubation at 37°C. Percentage of invasion was calculated as the number of intracellular bacteria compared with the number of bacteria brought in contact with the cultured cells. The reported values are the means of 3 independent experiments with 3 replicates per experiment. Immunofluorescent Staining of Intracellular Bacteria An invasion assay was performed on isthmus glandular cells, grown in 50-mm Petri dishes as described above. The cells, however, were not lysed but fixed in ice-cold methanol for 10 min. A rabbit anti-S. enteritidis polyclonal antiserum was diluted 1/1,000 in PBS with 2.2% skim-milk powder, added to the fixed cells, and incubated for 1 h at 37°C. The cells were washed 4 times with PBS. A tetramethyl rhodamine isothiocyanate (TRITC)-labeled goat anti-rabbit IgG6 was diluted 1/100 in PBS with 2.2% skim-milk powder and incubated in the dark for 1 h at 37°C. The cells were again washed 4 times. For fluorescent 354 DE BUCK ET AL. staining of the secretion granules, fluorescein isothiocyanate (FITC)-labeled Lens culinaris lectins6 at 25 µg/mL in PBS were added, and the cells were incubated in the dark for 1 h at 37°C (De Buck et al., 2003). The cells were washed 4 times and dried. The cells were examined under a confocal laser scanning microscope.7 Anesthesia and Loop Construction Commercial Salmonella-free chickens (checked by serology and bacteriology) of 20 wk old were premedicated intramuscularly with 0.05 mg/kg buprenorphine hydrochloride (Temgesic8) and 0.05 mg/kg atropine. Anesthesia was induced by administration of isoflurane8 through a mask. Following intubation with a 3.0 uncuffed tracheal tube,9 a continuous oxygen flow of 1.5 to 2.0 L/min was administered carrying 1.5 to 3% isoflurane, depending on the depth of the anesthesia desired. The hens were kept under anesthesia until they were euthanized at the end of the experiment. The birds were covered with a sterile surgical blanket and defeathered at the abdominal surface. After disinfection of the incision area with a polyvidone iodine solution,10 the abdomen was opened through a midline incision avoiding perforation of the ventral air sacs, and the oviduct segments of interest were carefully exposed. Loops of the oviductal segments were ligated using surgical suture (Vicryl 3.011) in the magnum and isthmus. A control loop was constructed between the magnal and isthmal loops. The loops were 1.5 to 2.0 cm long. Sufficient blood supply was ensured to all separate loops. Oviduct Loop Assay An overnight culture of S. enteritidis PT4 76Sa88 was washed 2 times in HBSS, and a 5 × 107 cfu/mL bacterial suspension was prepared in HBSS. The loops were inoculated with 1 mL of the bacterial suspension or with pure HBSS (for the control loop) using a 27-ga needle. After dosing, 2 mL of HBSS containing 400 µg/mL of gentamicin was sprayed over the loops, and the loops were reintroduced into the abdomen, and the abdominal wall was sutured. After 1 h, 1 mL of HBSS containing gentamicin (400 µg/mL) was injected into each loop to obtain a final concentration in the loop of approximately 200 µg/mL. After 5 min the hen was euthanized by intravenous injection with a solution of mebenzoniumiodide (50 g/mL), embutramide (200 mg/mL), and tetracaine hydrochloride (5 mg/mL) (T6112). This loop assay was performed on 3 hens. Cell Isolation and Bacteriological Counts from Oviduct Loops The loops were immediately aseptically removed from the abdominal cavity and slit open longitudinally. The tissue pieces were rinsed 3 times in HBSS containing 100 µg/mL gentamicin. Tissue samples from the loops were frozen in Tissue-Tek13 for immunohistochemistry or fixed in 10% buffered formalin for hematoxylin-eosin staining. The control loops were rinsed 5 additional times in fresh HBSS to remove the gentamicin. The control loop was bacteriologically examined for the presence of Salmonella by a preenrichment-enrichment procedure in buffered peptone water (BPW) and tetrathionate brilliant green broth.2 Tubular gland cells were isolated from the infected loops by a modified protocol of Jung-Testas et al. (1986), as described above, but with an additional 50 µg/mL of gentamicin in all dissociating solutions and without penicillin and streptomycin. The cells were counted and then lysed in 5 mL 1% triton X-100 aqua dest solution. After 5 min of lysis, 5 mL HBSS was added. The number of Salmonella bacteria in the resulting lysate was counted by plating 10-fold dilutions in HBSS onto BGA. The bacterial load is given as the ratio of isolated bacteria per isolated gland cell, because it cannot be excluded that a cell is occupied by more than one bacterium. Immunohistochemistry Thin sections (6 µm) of the frozen loop samples were mounted onto glass slides coated with 3-aminopropyltriethoxysilane. They were rinsed with Tris-buffered saline (TBS) (pH 7.5). The sections were incubated at 37°C for 30 min in a 1/4,000 (TBS pH 7.2) dilution of rabbit antiS. enteritidis antiserum and again rinsed with TBS. Peroxidase-labeled goat anti-rabbit IgG, diluted 1/400 (TBS pH 7.2) was added. After an incubation of 30 min at 37°C, the sections were rinsed with PBS, stained with 3,3′-diaminobenzidine, and counterstained with hematoxylin. Isolation of Intracellular Salmonella Bacteria After Intravenous Infection Three commercial Salmonella-free laying hens (checked by serology and bacteriology), 20 wk of age, were intravenously infected with 5 × 107 cfu of S. enteritidis 76Sa88 bacteria in 0.5 mL of PBS. Tubular gland cells from the magnum and the isthmus of all 3 hens were isolated at 4 d postinfection in the same way as was done for the ligated oviductal loops. Intracellular Salmonella bacteria were counted by plating 10-fold dilutions of the lysed cells in HBSS onto BGA. The infection ratio was calculated as described above. 7 Leica TCS SP2, Wetzlar, Germany. Schering-Plough, Kenilworth, NJ. Hudson RCI, Temecula, CA. 10 B. Braunol Medical, Prague, Czech Republic. 11 Johnson-Johnson, New Brunswick, NJ. 12 Intervet, Bedrijvenlaan, Belgium. 13 Sakura finetek Europe, Zoeterwoude, The Netherlands. 8 9 Statistics The infection ratios in the loop model and after intravenous infection between isthmus and magnum were analyzed with the paired Student t-test after log10 transforma- SALMONELLA INVASION IN OVIDUCTAL GLAND CELLS FIGURE 1. Invasion and proliferation of Salmonella enterica serovar Enteritidis in primary cell cultures of tubular gland cells of the isthmus (white bar) and magnum (grey bar), expressed as percentage of invaded bacteria relative to the inoculum after 1, 4, or 24 h of incubation. All bars represent the mean value of 3 independent experiments in triplicate. Stars indicate significant differences (P < 0.05) in the percentage of invasion between the isthmus and magnum for each separate time point. The error bars indicate the standard error of the mean. tion (Neter et al., 1996).14 Differences in intracellular bacteria in the cell cultures between the isthmus and the magnum were analyzed with the Student t-test. RESULTS Invasion, Proliferation, and Replication of S. Enteritidis in Cultured Isthmus and Magnum Glandular Cells S. enteritidis bacteria were isolated from isthmus and magnum glandular cells (Figure 1). The amount of intracellular bacteria in the isthmus and magnum glandular cells was significantly increased after 4 and 24 h compared with the first time point. Differences (P < 0.05) in the percentage of intracellular bacteria occurred between magnum and isthmus after 1, 4, and 24 h of incubation. 355 FIGURE 2. Confocal scanning microscopic image of invaded Salmonella enterica serovar Enteritidis 76Sa88 bacteria in the tubular gland cells of the isthmus and magnum. The bacteria were immunochemically labeled with tetramethyl rhodamine isothiocyanate (TRITC) (red); granules of the isthmal tubular glands were labeled by fluorescein isothiocyanate (FITC)-labeled Lens culinaris lectines (green). Z-Y and Z-X sections through a 3-dimensional stack of confocal images show the bacteria between the secretion granules. hematoxylin-eosin of formol-fixed thin section of all loops. The control loops were negative for Salmonella. The S. enteritidis bacteria were able to invade the oviductal tissue of the loops of all 3 hens (Table 1). The mean count (log10 cfu) of intracellular bacteria in the isthmal (4.48 ± 0.20) and the magnal (2.97 ± 0.65) loops differed (P < 0.01). The ratio of isolated Salmonella bacteria per isolated tubular gland cell of the isthmus (1.3 ± 0.37 × 10−3) was Immunofluorescent Staining of S. Enteritidis in Isthmal Tubular Gland Cells The presence of the bacteria inside the cells was confirmed by confocal laser scanning microscopy. After 1 h of incubation with the cells, S. enteritidis 76Sa88 was detected inside the chicken tubular ICTEC by immunofluorescent labelling (Figure 2). The Z-X and Z-Y sections through a stack of confocal laser scanning microscope images showed that the S. enteritidis bacteria were localized intracellularly between the secretion granules, which were stained by FITC-labeled Lens culinaris lectins. Invasion of S. Enteritidis in Loops in the Isthmus and the Magnum The tissue of the loops remained intact during incubation with S. enteritidis as demonstrated by staining with 14 SPSS 9.0, SPSS Inc., Chicago, IL. FIGURE 3. Immunohistochemical staining of Salmonella enterica serovar Enteritidis in an infected isthmal loop. The Salmonella enteritidis bacteria are indicated by arrows. Counterstaining was done with hematoxylin. Bar = 10 µm. 356 DE BUCK ET AL. TABLE 1. Isolation of intracellular Salmonella enterica serovar Enteritidis bacteria from the tubulary gland cells of inoculated loops of the isthmus and magnum of anesthetized laying hens Segment Experiment Isthmus 1 2 3 Mean Magnum Cells1 (n) Infection ratio2 × × × × × × × × 1.7 × 10−3 1.3 × 10−3 9.9 × 10−4 1.3 ± 0.4 × 10−3* 2.4 3.1 1.8 2.4 2.7 3.1 4.9 3.6 1 2 3 Mean 107 107 107 107 107 107 107 107 8.2 × 10−5 7.3 × 10−5 3.4 × 10−6 5.3 ± 4.3 × 10−5* 1 Total number of isolated gland cells. Ratio of the number of isolated intracellular Salmonella bacteria per isolated tubular gland cell. *Statistically significant difference (P < 0.05) between the isthmal and magnal loop. 2 significantly greater from that of the magnum (5.28 ± 4.30 × 10−5). In Table 1 the total number of isolated cells and the infection ratio are given. The S. enteritidis bacteria were demonstrated inside the tubular glands by immunohistochemistry (Figure 3). Few bacteria were observed in association with the surface epithelium. Isolation of S. Enteritidis from the Isthmal and Magnal Tubular Gland Cells After an Intravenous Infection The load of intracellular bacteria in the isthmus and in the magnum, measured as the ratio of isolated S. bacteria per isolated tubular gland cell, called the infection ratio, is shown in Table 2. The mean infection ratio of isthmus (2.1 × 10−4) was significantly higher than that of the magnum (4.8 × 10−5). DISCUSSION In the present study, invasion and replication of S. enteritidis was demonstrated in the primary cell cultures of tubular gland cells of the isthmus and magnum of laying hens. Furthermore, an in vivo loop model was developed for studying the invasion of oviductal tissue in laying hens. This in vivo model confirmed the observations in the in vitro cell cultures. Also in the intravenous inoculation model the invasion of oviductal tissues was confirmed. Depending on the model, invasiveness was 3 to 25 times higher in the isthmus glandular epithelial cells as compared within magnum gland epithelial cells. In the loop model, most of the S. enteritidis bacteria were associated with tubular gland cells. Few bacteria were observed attached to the surface epithelium, which predominantly consists of ciliated cells (Bakst and Howarth, 1975). Previously, we have been unable to demonstrate adhesion to the surface epithelium of explants of the magnum and isthmus by scanning electron microscopy (unpublished results). When the tubular gland cells were isolated from the intravenously infected laying hens, in an identical manner as for the preparation of primary cultures, S. enteritidis bacteria were detected intracellularly. Therefore, the primary cultures of tubular gland cells of the oviduct are a useful model to further investigate the intracellular colonization of oviduct glandular epithelial cells. In the present study, we showed that the isthmus has higher numbers of intracellular S. enteritidis after an intravenous infection and after inoculation into ligated oviductal loops and that the tubular epithelial cells of the isthmus are more readily invaded in vitro. These observations are in accordance with observations of others after experimental infections (Keller et al., 1995; Miyamoto et al., 1997; Okamura et al., 2001b), where the isthmus is TABLE 2. Isolation of intracellular Salmonella enterica serovar Enteritidis bacteria from the magnum and isthmus of intravenously inoculated laying hens Segment Experiment Isthmus 1 2 3 Mean Magnum Mean 1 1 2 3 Cells1 (n) 7.2 5.3 9.9 7.4 1.2 6.0 2.1 6.7 × × × × × × × × 106 106 106 106 108 107 107 107 Number of isolated tubular gland cells. Ratio of the number of isolated intracellular Salmonella bacteria per isolated tubular gland cell. *Statistically significant difference (P < 0.05) between the isthmus and magnum. 2 Infection ratio2 1.4 4.2 1.8 2.1 4.6 7.3 6.7 4.8 × × × × × × × × 10−5 10−4 10−4 10−4* 10−6 10−5 10−5 10−5* SALMONELLA INVASION IN OVIDUCTAL GLAND CELLS more frequently or heavily contaminated. Analysis of eggs laid by infected hens has shown that the shell, containing the eggshell membranes and produced by the isthmus, is often the most heavily infected site of surface decontaminated eggs (Bichler et al., 1996; Miyamoto et al., 1997; Okamura et al., 2001b). Thus, from the results of bacterial culturing of oviduct segments and eggs after experimental infections and from the results of this study, S. enteritidis is suggested to have adapted best to the isthmus segment of the chicken oviduct. In the present study we showed that S. enteritidis could be located intracellularly in a colonized oviduct. After 24 h of incubation in the primary cell cultures, replication of the bacteria inside the cells was observed. Further studies are needed to show if indeed a persistent infection can be established in the tubular glands of the upper oviduct. The clustered and intermittent production of infected eggs (Humphrey et al., 1989) could be explained by the capacity of Salmonella bacteria to proliferate intracellularly in the oviduct during long periods, wait for an undefined stimulus to come out of the cells, and colonize the forming egg, as previously suggested by Keller et al. (1995). Following such stimulus, the bacteria may egress from the glandular cells, together with the glandular secretions. The high affinity of S. enteritidis isolates for the isthmal secretions, which contributes to the production of the eggshell membranes (De Buck et al., 2003), could enable the bacteria to become incorporated into the forming egg. 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