Industrial Lecture 8

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    BIO 425

    Industrial Microbiology

    Lecture 8

    Pathogenic microorganisms in foodindustry

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    Content outline

    Foodborne intoxications

    Exotoxins Serotypes ofE.coli

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    Foodborne intoxications

    occurs when a person gets sick by eating

    food:

    that has been contaminated with an

    unwanted m/o or toxin.

    Often called food poisoning.

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    Most common symptoms of

    foodborne illnesses

    Stomach cramps

    Nausea

    Vomiting

    Diarrhoea

    Fever

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    Causes of food poisoning

    inadequate control of temperature during

    cooking, cooling and storage,

    poor personnel hygiene,

    cross-contamination of raw and processed

    products,

    inadequate monitoring of processes.

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    Members of normal intestinal flora

    Bacteroides spp. (B.fragilis), G(-) non-spore

    former rods-dominant m/o

    produce volatile & non-volatile fatty acids,

    acetic, succinic, lactic etc.

    Bifidobacterium spp. (B.bifidum) - G(+)

    non-spore former rods

    produce acetic & lactic acids

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    Members of normal intestinal flora-2

    Clostridium spp.(C.innocuum)-G(+) sporeforming rods.

    Enterococcus spp.(E. faecalis) G(+) cocci,aerotolerant.

    Eubacterium spp.-G(+) non-spore forming

    rods, produce butyric, formic & aceticacids.

    Fusobacterium spp. G(-) non-spore formingrods, produce N-butyric acid.

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    Members of normal intestinal flora-3

    Peptostreptococcus spp., G(+) cocci,

    degrade peptone & amino acids.

    Ruminococcus spp., G(+) cocci, produce

    acetic, succinic and lactic acids, ethanol,

    CO2 & H2 from CH4.

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    Other genera of organisms present:

    A minimum of 400 species,

    includes:

    Lactobacillus spp.

    Proteus spp.

    Klebsiella spp. E.coli spp.

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    Pathogenic strains involved in major

    outbreaks of food poisoning:

    E.coli

    G(-),

    Catalase(+),

    Oxidase(-),

    facultatively anaerobic short rods. members of the familyEnterobacteriaceae.

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    More about E.coli

    Most isolates ferment lactose,

    majority ofE.coli serotypes: not pathogenic

    are part of the normal intestinal flora, about106 organisms / g.

    used as an indicator:

    as one of the coliforms to indicate faecalpollution of water,

    raw ingredients and foods.

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    Non-pathogenicE.coli colonize the infant gastrointestinal tract

    within a few hours after birth,

    its presence suppresses the growth of

    harmful bacteria;

    important for synthesizing appreciable

    amounts of B-vitamins.

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    Toxic strains ofE.coli

    Three major types:

    Exotoxins,

    Enterotoxins,

    Endotoxins.

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    Exotoxins ofE.coli

    Same as the bacterial protein toxins,

    also called secreted toxins;

    exert their biological activity (often lethal) in

    minute doses.

    extracellular,

    excretory, heat-labile,

    antigenic.

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    Exotoxins ofE.coli

    Exotoxins which result in extremely waterydiarrhoea:

    act as:

    directly on gut tissue, causing biochemical and /orstructural lesions which lead to diarrhoea.

    causing specific action (e.g. net fluid loss) in thegut.

    elevate cAMP levels, causing ion-flux changesand excess fluid secretion.

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    Enterotoxins ofE.coli

    Two types:

    Cytotonic enterotoxins,

    Cytotoxic enterotoxins.

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    Cytotonic enterotoxins

    E.g. Cholera toxin

    Induce net fluid secretion:

    by interfering with biochemical regulatory

    mechanisms;

    without causing overt histological damage.

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    Cytotoxic enterotoxins

    Induce actual damage to intestinal cells as a

    necessary prelude to onset of net fluid secretion;

    can be protein or lipopolysaccharide; invasive, kill target cells.

    Mode of action: intracellular or by formation of

    pores within cells.

    Result: inflammatory diarrhoea which often

    contains blood and leucocytes.

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    Endotoxins ofE.coli Heat-stable, cell associated,

    complex lipopolysaccharide (LPS)

    structure;

    Lipid A: Part of LPS which is responsible

    for toxicity.

    cause toxic shock, inflammation and fever.

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    Cytolethal distending toxins (

    CLD

    T)

    Affect host cell cycle regulation,

    found in a variety of unrelated organisms.

    Campylobacter jejuni

    E.coli

    Shigella dysenteriae Haemophilus ducreyi

    Actinobacillus actinomycetemcomitans

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    Cytolethal distending toxins (

    CLD

    T)

    Blocks cells in G2phase:

    inhibits the dephosphorylation of the protein

    kinase cdc2;

    and this prevents entering into mitosis.

    Belongs to a variety of exotoxin family.

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    Cytolethal distending toxins (

    CLD

    T)

    Exotoxins:

    If they attack a specific organ, they are

    named as;

    Neurotoxins,

    Leukotoxin;

    Hepatotoxin;

    Cardiotoxin;

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    Specific examples for exotoxins: Cholera toxin by Vibrio cholerae

    Shiga toxin by Shigella spp.

    cause bacterial dysentery.

    Shiga toxin:E.coli O 157: H7

    called also verotoxin, as it affectsmammalian Vero cell culture line.

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    Groups of exotoxins Act at the cell membrane, type I,E.coli

    stable toxin, B.cereus emetic toxin.

    attack the membrane: type II;

    Listeriolysin O (Listeria monocytogenes)

    Perfringolysin O (Clostridium perfringens)

    Cereolysin O (B.cereus)

    E.coli heat labile toxin & shiga toxin.

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    Groups of exotoxins

    Penetrate the membrane to act inside the cell: type

    III.

    e.g. Botulinum toxins type A-F & tetanus toxin,cholera.

    directly transported from the bacterium into the

    target eucaryotic cell by type III secretion.

    e.g. Toxins of Salmonella, Shigella & Yersinia.

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    Campylobacter jejuni &

    C.coli

    Colonises the distal ileum and colon of the

    human intestinal tract;

    after colonizing the mucus;

    and adhering to intestinal surfaces.

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    Campylobacter jejuni &

    C.coli

    The organisms perturb the normal

    absorptive capacity of the intestine;

    by damaging epithelial cell function;

    by cell invasion & production of heat labile

    enterotoxin & cytotoxin,

    and cytoskeletal altering toxin.

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    Campylobacter jejuni &

    C.coli

    can easily cross-contaminate processed

    food.

    A contaminated piece of raw meat can leave

    10000 Campylobactercells per cm2 on a

    work surface.

    G(-), thin rod, microaerophilic.

    42-43 C-optimum T.

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    Campylobacter jejuni &

    C.coli

    Symptoms:

    Flu-like illness,

    abdominal pain,

    fever,

    diarrhea.

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    Campylobacter jejuni &

    C.coli

    Potential for spreading the infection:

    Water,

    milk,

    meat,

    poultry.

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    Salmonella Member ofEnterobacteriaceae,

    G(-),

    facultatively anaerobic,

    non-spore former,

    Motile with peritrichious flagella-flagellainserted at many places around the cell

    surface.

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    Salmonella Over 2324 strains are defined.

    Symptoms of food poisoning:

    Diarrhoea,

    nausea,

    abdominal pain mild fever and chills

    sometimes vomiting and headache.

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    Major species ofSalmonella Salmonella typhimurium

    Salmonella enteritidis

    Salmonella paratyphii

    Salmonella typhii

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    Major sources ofSalmonella Raw meat,

    Poultry,

    Milk & dairy products,

    Fish,

    Shrimp, Sauces,

    Salad dressings.

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    PathogenicE.coli

    EnterotoxigenicE.coli (ETEC):

    common cause of travellers diarrhoea.

    watery diarrhoea, rice-water like:

    low grade fever,

    colonizes the proximal small intestine.

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    EnteropathogenicE.coli (EPEC)

    Cause watery diarrhoea of infants,

    no blood,

    colonizes the microvilli over the entire

    intestine.

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    EnterohaemorrhagicE.coli (EHEC)

    cause bloody diarrhoea,

    cause haemorrhagic colitis,

    cause haemolytic uremic syndrome(HUS),

    cause thrombotic thrombocytopenic

    purpurea (TTP).

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    EnterohaemorrhagicE.coli (EHEC)

    Includes the verotoxigenicE.coli (VTEC):

    also known as shiga-toxin producingE.coli(or STEC) serotypes 0157, 026 and 0111.

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    EnteroaggregativeE.coli (EAggEC)

    Cause persistent watery diarrhoea;

    especially in children, lasting more than 14

    days.

    produce a heat labile toxin, antigenically

    related to haemolysin,

    but not haemolytic and a plasmid-encoded

    heat stable toxin (EAST1), unrelated to the

    heat stable enterotoxin of ETEC.

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    EnteroaggregativeE.coli (EAggEC)

    Adhere to the intestinal mucosa and

    elaborate the enterotoxins and cytotoxins,

    which result in secretory diarrhoea and

    mucosal damage.

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    EnteroinvasiveE.coli (EIEC

    ) Cause fever and diarrhoea,

    containing mucus and blood.

    colonizes in the colon and carries a 120-140

    mDa plasmid(Invasiveness plasmid),

    carrying all the genes necessary for

    virulence.

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    Most important one fromE.coli EnterohaemorrhagicE.coli (EHEC);

    E.coli O157: H7 with common outbreaks;

    O157 and H7 refers to the serotyping of the

    strains O and H antigens, respectively.

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    E.coli O157: H7 Differs from the majority ofE.coli strains

    that it does not grow,

    or grows poorly at 44 C. and does not ferment sorbitol or produce -

    glucuronidase.

    cause severe damage to the lining of theintestine by verotoxin (VT) & shigatoxin(ST).

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    Thrombotic thrombocytopenic

    purpurea(TT

    P) Blood platelets surround internal organs

    leading to:

    kidney damage,

    and central nervous system damage.

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    Thrombotic thrombocytopenic

    purpurea(TTP) The most vulnerable of the population-

    children and the elderly

    develop haemorrhagic colitis (HC);

    which may lead to haemolytic uraemic

    syndrome (HUS).

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    Haemorrhagic colitis (HC

    ) Less severe form of E.coli O157:H7

    infection than HUS.

    associated with:

    sudden onset of severe crampy abdominal

    pains.

    non-bloody (watery) diarrhoea,

    vomiting.

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    Haemolytic Uremic

    Syndrome(HUS) Patient suffers from bloody diarrhoea;

    haemolytic anemia;

    kidney disorder;

    renal failure (somehow requires dialysis &

    blood transfusions).

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    Haemolytic Uremic

    Syndrome(HUS)

    Myocarditis,

    other cardiovascular complications that mayresult in death.

    central nervous system involvement,

    hypertension.

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    Reservoir ofE.coli

    Raw or undercooked meat products,

    raw milk,

    fresh pressed apple juice or cider,

    yogurt,

    cheese,

    salad vegetables,

    transmission through direct contact betweenpeople and faecal contamination of water.

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    LITERATURE CITED

    Forsythe, S.J. The Microbiology of Safe

    Food, Blackwell Science, Cambridge, 2000.

    Wood, B. J. B., Microbiology of Fermented

    Foods, Vol.1 and 2, Blackie Academic and

    Professional, London, Second edition, 1998.