Background
Paratuberculosis, also known as Johne’s disease, caused by
Mycobacterium avium subspecies
paratuberculosis (Map), is an important and highly prevalent disease of domestic and wild ruminants manifest as a chronic granulomatous enteritis with decreased milk production and in more serious cases leading to progressive emaciation and death. The disease is transmitted via milk and colostrum to calves and by the fecal-oral route to animals of all ages. Intra-uterine transmission can also occur and Map can also be detected in the saliva of cows, indicating this as a potential further mode of transmission [
1,
2]. The disease is endemic in many parts of the world with serious economic losses which in the USA, for example, are estimated at between $200 and $250 million annually [
3].
Map belongs to the
M. avium complex [
4] and consists of three important types designated “Sheep-type” (type S) and “Cattle-type” (type C) which were originally isolated from sheep or cattle respectively [
5] and “Bison-type” (B-type) [
6] all of which can be differentiated by IS1311 restriction endonuclease genotyping. Despite designation of strains as B, S or C there is no host-species specificity [
7] and strains isolated from sheep or cattle can be either C or S type [
8]. Most of the ruminant population in India are infected by Map ‘B type’ strains [
9,
10].
The importance of Map as a zoonotic pathogen has not yet been clarified [
11,
12]. The clinical presentation and pathology of Crohn’s disease (CD) bears more than a superficial resemblance to paratuberculosis. Despite some studies indicating no absolute relationship between Map and CD [
13,
14] a proportion of individuals with CD contain Map or Map DNA in their blood or infected intestinal tissue [
15]. However, Map can be isolated from stool samples of individuals who are healthy or presenting with unrelated diseases [
16]. This latter observation indicates the general susceptibility of humans to Map infection. Map can be readily isolated from milk [
17], including pasteurized milk [
18] and may also be isolated from the muscles of infected cattle, consumption of which, may be an additional potential route of transmission to humans [
19].
Complete eradication of the disease from cattle, although desirable, is extremely difficult [
20]. Vaccination can be effective to control clinical disease, reducing faecal shedding and increasing productivity but it does not completely eliminate infection [
21,
22]. Various quarantine measures can be adopted at dairy farms for controlling this disease including the isolation of young calves from infected cattle. However, young stock may also excrete Map in their feces emphasizing current difficulties in disease control.
For molecular identification of Map by PCR a number of different targets have been used including f57 [
23], HspX [
24], genes 251 and 255 [
25], ISMav2 [
26], ISMpa1 [
27] and ISMAP02 [
28], some of which (f57, HspX and ISMAP02) are unique to Map but which are present in low (1–6) copy number with associated limited potential for differentiation [
29]. For this reason IS900, with 14–18 copies is a preferable PCR target [
30].
Additional PCR targets may be identified from Map genome sequences. Currently, the only fully annotated genome is that of Map strain K-10 [
31] although additional draft sequences from strains ATCC 19698, Map s397 and Map S5 from different countries have been published on NCBI. Despite the likely high prevalence of paratuberculosis in China, no genome sequences are available for any Chinese strains. Although Map has been isolated from Chinese farms in the past [
32], no information is available on the strain types and molecular characterisation present. The present study thus had the following objectives: (1) investigating the prevalence rate of Map infection in Chinese farms with clinical signs of diarrhoea, (2) typing of Map strains by PCR-restriction endonuclease analysis based on polymorphisms in IS1311 and, (3) to sequence the whole genome to contribute to a better understanding of the evolution of Map.
Discussion
The first study on paratuberculosis in China was recorded in Inner Mongolia in 1953, and then it was reported consistently in China [
38]. In Shandong province, there has been one previous study of the prevalence of paratuberculosis. This indicated a prevalence of 29.34 % in 2011 and 14.93 % in 2012, detected by the interferon gamma release assay [
39]. Detection by ELISA has indicated prevalences of between 2 and 4 % in Tibet, Shanghai and Guangxi provinces and highly variable values of 0–73.4 % in Inner Mongolia [
40‐
42].
By contrast levels of infection in Europe and other western countries appear to be equally high with individual positive rates in cattle in estimated at 20 % and the herd-level prevalence at >50 % according to the summary of Nielsen and Toft [
43]. Other studies showed seroprevalence rates of between 1.99 % in Asturias, Spain [
44], 16.1 % in the east of Canada [
45] and 29.8 % in Northern India [
46]. In Egypt in 26 Holstein dairy herds in 2010 and 2013 herd and individual level prevalence were recorded as 65.4 % and 13.6 % respectively. [
47]. No country claims that it is free on MAP.
Our studies showed a seroprevalence of 11.7 % in individual level in Shandong province of China, which is a little higher than most of provinces of China and a little lower than Europe, Indian and Canada. And the herd level prevalence was 57.9 % in 19 dairy herds we have investigated, indicated that Map has become a common pathogen in dairy farms in China. Among the 19 herds, there were more or less individuals behaved diarrhea, but the Map antibody positive rate were zero. Maybe these symptoms of diarrhea were caused by any other organisms than Map.
Two strains of Map were isolated from a farm showing heavy losses in their dairy cattle from diarrhoea resulting in weakness and reductions of milk production.
We successfully isolated two MAP from one serious loss of dairy farm in which many cattle behaved diarrhoea, weakness, reduction of milk production. Environmental bacteria such as streptococci were observed to be present in the samples (data not shown) but decontamination using an adaptation off two HPC methods ([
34]; Report, 2011) was clearly successful.
Several methods were used to detect the pathogen; fast-acid staining showed that the isolation rate of milk (9/19) was less than in faeces (14/19), but the difference is not significant (p = 0.184). The histological picture and bacillary morphology were consistent with paratuberculosis.
IS1311 PCR-REA provides similar information as IS900 RFLP analysis but is more useful than RFLP analysis where DNA is degraded or present in low concentrations [
48]. To further confirm identification we used the IS900 PCR-REA to confirm the identity of isolates as Map and IS1311 PCR-REA for strain typing use of which indicated that the isolates we obtained were Map and were C strains.
Most previous studies have indicated that C strains were the dominant strains in cattle in countries as different as Australia, New Zealand, South America, North America and Europe [
5,
48‐
50]. The exception appears to be that B strains are the most prevalent (82 %) genotype of Map in all domestic ruminants in India with C strains present as a minority strain [
51]. It was thus important to know which types existed in China. Although the present study involved two strains only these were both C strains, which is at least consistent with most other previous studies.
In terms of whole genome sequencing, our two isolates have less base pairs than Map K-10, but the same G + C content with Map K-10. Our two isolates have least number of SNPs (N = 292 for 2015WD-1 and 296 for 2015WD-2) and indels (N = 84 2015WD-1 and 96 for 2015WD-2) against Map K-10 when compared with Map s397 and Map s5, indicating that Chinese isolates are most likely originated from Map K-10 with few changes. From phylogenetic tree, we can also find that 2015WD-1and 2015WD-2 are most closely related to Map K-10, which further confirmed the identified strain type of our isolates.
Although there is no definite conclusion on the relationship between Map and CD, Map is detected sometimes in normal individuals, which less often than in Crohn’s patients [
16]. The fact that Map can be found in normal individuals does not exclude it as the cause of the disease, because the normal individuals maybe subclinically infected. Perhaps CD is caused by complex factors. Map is one of them and other element such as environmental stress, immunosuppressive conditions and so on are involved.
Authors’ contributions
RY carried out the isolation and molecular genetic studies and drafted the manuscript. CL and YC participated in the survey of the sera. PB participated in the modification of this paper. FL participated in the phylogenetic analysis. LY performed the statistical analysis. DZ and XZ conceived of the study, and participated in its design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.