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Food Control 34 (2013) 121e125

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Food Control
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Prevalence, characterisation, and antimicrobial resistance of Listeria


species and Listeria monocytogenes isolates from raw milk in farm bulk
tanks
Hossein Jamali a, b, Behrad Radmehr c, Kwai Lin Thong a, b, *
a
Microbiology Division, Institute of Biological Science, Faculty of Science, University of Malaya, 50603, Kuala Lumpur, Malaysia
b
Laboratory of Biomedical Science and Molecular Microbiology, Institute of Graduate Studies, University of Malaya, 50603, Kuala Lumpur, Malaysia
c
Department of Food Hygiene and Quality Control, Faculty of Veterinary Medicine, Islamic Azad University-Karaj Branch, Karaj, Iran

a r t i c l e i n f o a b s t r a c t

Article history: A total of 446 various raw milk samples were collected from numerous farm bulk milk tanks to examine
Received 19 January 2013 the presence of Listeria species. These isolates were further characterised by biochemical tests and
Received in revised form Polymerase Chain Reaction (PCR). Listeria spp. was isolated in 83 of the 446 samples (18.6%). The highest
8 April 2013
prevalence of Listeria spp. was detected in raw cow milk samples (22.5%), followed by raw sheep milk
Accepted 16 April 2013
(16.4%) and raw goat milk (4.9%). The most common species isolated was Listeria innocua (57.8%); the
remaining Listeria isolates were Listeria monocytogenes (21.7%), Listeria welshimeri (12%), and Listeria
Keywords:
seeligeri (8.4%). Based on PCR serotyping, the 18 L. monocytogenes isolates were distributed into three
Listeria spp.
Listeria monocytogenes
serogroups “1/2a, 3a” (n ¼ 11), “1/2c, 3c” (n ¼ 5), and “4b, 4d, 4e” (n ¼ 2). All the examined
Raw milk L. monocytogenes were positive for internalin genes (inlA, inlC, and inlJ). The Listeria spp. isolates were
PCR serogrouping resistant to tetracycline (49.4%) and penicillin G (43.4%) but remained susceptible to gentamicin,
Internalin genes vancomycin and rifampicin. The findings of this study show that consumption of raw milk could be a
Antimicrobial resistance potential risk of human listeriosis.
Ó 2013 Elsevier Ltd. All rights reserved.

1. Introduction dairy products (Rahimi, Ameri, & Momtaz, 2010). The high preva-
lence of Listeria spp. in foods and the high mortality rate associated
The genus Listeria is a Gram-positive, non-spore forming, and with its infection make listeriosis a public health concern (Farber &
facultatively anaerobic bacteria. It comprises ten species: Listeria Peterkin, 1991).
monocytogenes, Listeria ivanovii, Listeria seeligeri, Listeria innocua, Recently, several foodborne outbreaks of listeriosis due to the
Listeria welshimeri, Listeria grayi, Listeria marthii, Listeria rocourtiae, consumption of contaminated dairy products have been docu-
Listeria fleischmannii, and Listeria weihenstephanensis (Halter, mented (Fretz et al., 2010; Oliver, Boor, Murphy, & Murinda, 2009).
Neuhaus, & Scherer, 2013; Zhang et al., 2007). L. monocytogenes is Increased consumption of raw milk has contributed to the increase
an important foodborne pathogen in humans and animals (Nadon, in listeriosis outbreaks (Rahimi et al., 2010). In some countries, raw
Woodward, Young, Rodgers, & Wiedmann, 2001), however L iva- milk is sold as an RTE food after packaging (Vanegas, Vasquez,
novii is considered a pathogenic species for animals (Guillet et al., Martinez, & Rueda, 2009). Dairy products which are produced
2010). Pregnant women, new-born babies, elderly people and from unpasteurised milk such as cheese and ice cream (Brooks
immunocompromised individuals are grouped as high risk for et al., 2012) are frequently contaminated with the pathogen
listeriosis (McLauchlin, Mitchell, Smerdon, & Jewell, 2004). Also, (Swaminathan & Gerner-Smidt, 2007).
members of this group are considered the main consumers of dairy L. monocytogenes contains 13 serotypes (1/2a,1/2b, 1/2c, 3a, 3b, 3c,
products. L. monocytogenes has also been detected in raw and ready 4a, 4b, 4ab, 4c, 4d, 4e, and 7). Ninety-five percent of L. monocytogenes
to eat (RTE) foods (Jamali, Chai, & Thong, 2013) and in raw milk and strains associated with human listeriosis and food samples belong to
serotypes 1/2a, 1/2b, and 4b (Kathariou, 2002). Serotype 1/2a has
frequently been detected in different food matrices (Martins & Leal
Germano, 2011).
* Corresponding author. Microbiology Division, Institute of Biological Science,
Various Listeria determinants have been reported to mediate
Faculty of Science, University of Malaya, Jalan Pantai Dalam, 50603, Kuala Lumpur,
Malaysia. Tel.: þ60 3 79674437; fax: þ60 3 7967 5908. bacterial adherence into target cells. Internalin genes can increase
E-mail addresses: thongkl@um.edu.my, mordabenilofari@yahoo.com (K.L. Thong). the invasion or virulence of the pathogen in animal models or in

0956-7135/$ e see front matter Ó 2013 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.foodcont.2013.04.023
122 H. Jamali et al. / Food Control 34 (2013) 121e125

tissue cultures (Bierne & Cossart, 2002; Orsi, Ripoll, Yeung, The colonies from TSAYE were then subjected to biochemical tests
Nightingale, & Wiedmann, 2007; Sant’Ana, Igarashi, Landgraf, (Aygun & Pehlivanlar, 2006).
Destro, & Franco, 2012). L. monocytogenes needs inlA for internal-
isation of the intestinal epithelial cells (Hamon, Bierne, & Cossart, 2.3. Confirmation of Listeria spp. by Polymerase Chain Reaction
2006). On the other hand, the presence of inlC and inlJ in
L. monocytogenes could be a rapid method to differentiate virulent Further confirmation of Listeria spp. isolates was performed by
from avirulent strains of the pathogen (Liu, Lawrence, Austin, & Polymerase Chain Reaction (PCR). Crude DNA was prepared by
Ainsworth, 2007). direct boiling of a suspension of the cell lysates (Thong, Lai, Teh, &
Antimicrobials are increasingly used in feeds for the control and Chua, 2011). A duplex-PCR was used to detect the presence of
treatment of diseases in animals. However, the European Union Listeria spp. (U1/LI1) and L. monocytogenes (LM1/LM2) simulta-
(1998) prohibits the use of antimicrobials which are consumed as neously (Rossmanith, Krassnig, Wagner, & Hein, 2006). Primers
human medicine in animals’ foods. Increased antimicrobials con- U1/LI1 and LM1/LM2 amplified the 16S rRNA (938 bp) and Lister-
sumption by animals could be the cause of antimicrobial resistance iolysin O gene (702 bp), respectively.
in L. monocytogenes (Jansen, Koknen, Obst, & Schwartz, 2003). The
pathogen usually shows susceptibility to a variety of antimicrobials 2.4. Multiplex-PCR serogrouping
while some multidrug resistant L. monocytogenes strains have been
isolated from foods and human listeriosis cases (Marian et al., 2012; A multiplex-PCR to distinguish four major serotypes of
Safdar & Armstrong, 2003). Due to the high mortality rate and the L. monocytogenes (1/2a, 1/2b, 1/2c, and 4b) developed by Doumith,
increased multidrug resistance in the foodborne pathogen, anti- Buchrieser, Glaser, Jacquet, and Martin (2004) was adopted. Five
microbial susceptibility testing is done to understand changes in pairs of primers, ORF2819, ORF2120, lmo0737, lmo1118, and prs
the resistance patterns of L. monocytogenes strains (Harakeh et al., were used.
2009). Serogroup “1/2a, 3a” displays a 691 bp fragment with the
In Iran, there is limited data on the prevalence and resistance primers lmo0737. Serogroup “1/2c, 3c” shows two fragments, 691
patterns of Listeria spp. in foods. Hence, this study was carried out bp and 906 bp when amplified with the primers lmo0737 and
to determine the prevalence, serogroups, virulotypes and antimi- lmo1118, respectively. Serogroup “1/2b, 3b, 7” displays a 471 bp
crobial resistance status of Listeria spp. and L. monocytogenes iso- fragment with the primer ORF2819. Serogroup “4b, 4d, 4e” shows
lated from raw milk in Tehran province, Iran. two fragments with the primers ORF2819 (471 bp) and ORF2120
(597 bp). All members of the Listeria genus display a fragment of
370 bp with the prs primers.
2. Materials and methods

2.5. Virulence genes detection using a multiplex-PCR


2.1. Samples

Detection of inlA, inlC, and inlJ genes was performed by a


Between September 2008 and August 2010, 446 samples of raw
multiplex-PCR using primers and cycling conditions as described
milk (cow milk, n ¼ 240; sheep milk, n ¼ 165; goat milk, n ¼ 41)
by Liu et al. (2007). Representative amplicons of inlA, inlC and inlJ
were aseptically collected from farm bulk milk tanks in Tehran
were purified and sequenced to validate their identities.
province, Iran. The samples were transferred into sterile plastic
bags and transported in ice box to the laboratory within 4 h of
sampling. 2.6. Antimicrobial susceptibility testing

The KirbyeBauer disc diffusion method was applied to deter-


2.2. Isolation and detection mine the antimicrobial susceptibility of the isolates. Mueller Hinton
agar (Oxoid, Basingstoke, UK) supplemented with 5% defibrinated
The United States Department of Agriculture (USDA) method sheep blood was used according to the Clinical and Laboratory
was used in the isolation and detection of Listeria spp. in this study Standards Institute (CLSI, 2006). The following panel of antimi-
(McClain & Lee, 1988). Briefly, 25 ml of each raw milk sample was crobial agents and concentrations were used; amoxicillin-
added to 225 mL of Listeria enrichment broth (Oxoid, Basingstoke, clavulanic acid (20/10 mg), chloramphenicol (30 mg), clindamycin
UK), blended for 2 min and incubated for 24 h at 37  C. Then, 1 mL of (2 mg), erythromycin (15 mg), gentamycin (10 mg), kanamycin
Listeria enrichment broth was added to 9 ml of Fraser broth (Oxoid, (30 mg), penicillin G (10 unit), rifampicin (5 mg), streptomycin
Basingstoke, UK) as a second enrichment culture and incubated at (10 mg), tetracycline (30 mg), trimethoprim-sulfamethoxazole
37  C for 24 h. Finally, enriched Fraser broth-culture was streaked (1.25/23.75 mg), and vancomycin (30 mg).
onto Palcam agar (Oxoid, Basingstoke, UK) and Oxford agar (Oxoid,
Basingstoke, UK) and incubated for 48 h at 37  C. Three to five 2.7. Statistical analysis
presumptive Listeria colonies were sub-cultured onto Tryptic Soy
agar (Oxoid, Basingstoke, UK) with 0.6% yeast extract (Oxoid, The relationship between the contaminated samples and the
Basingstoke, UK) (TSAYE) and were then incubated for 24 h at 37  C. different kinds of raw milk was analysed using Chi-square analysis.

Table 1
Prevalence of Listeria spp. in raw milk samples.

No. Sample Listeria spp. L. monocytogenes L. welshimeri L. innocua L. seeligeri

Cow milk 240 54 (22.5%) 13 (5.4%) 6 (2.5%) 33 (13.8%) 2 (0.8%)


Sheep milk 165 27 (16.4%) 4 (2.4%) 4 (2.4%) 14 (8.5%) 5 (3%)
Goat milk 41 2 (4.9%) 1 (2.4%) e 1 (2.4%) e
Total 446 83 (18.6%) 18 (4%) 10 (2.2%) 48 (10.8%) 7 (1.6%)
H. Jamali et al. / Food Control 34 (2013) 121e125 123

Table 2 (8.4%). The isolates were resistant to tetracycline (49.4%), penicillin


Prevalence of L. monocytogenes serogroups in raw milk samples. G (43.4%), and amoxicillin-clavulanic acid (14.5%). All isolates of
Serogroups of L. monocytogenes Listeria spp. were susceptible to gentamicin, rifampicin and
“1/2a, 3a” “1/2c, 3c” “4b, 4d, 4e”
vancomycin.

Raw cow milk 8 (61.5%) 3 (23.1%) 2 (15.4%)


Raw sheep milk 2 (50%) 2 (50%) e 4. Discussion
Raw goat milk 1 (100%) e e
Total 11 (61.1%) 5 (27.8%) 2 (11.1%) Among the different kinds of raw milk tested in this study, cow
milk had the highest percentage rate of Listeria spp., particularly
L. innocua and L. monocytogenes. L. monocytogenes was isolated
All statistical and chi-square analyses were performed using SPSS from raw cow milk (1.1%), raw sheep milk (6.5%), and raw goat milk
18.0 (SPSS Inc., Chicago, IL, USA). (1.7%) in Isfahan province, Iran (Rahimi et al., 2010). In another
study, Mahmoodi (2010) isolated L. monocytogenes from 2.5% of raw
milk samples collected from two traditional dairy manufactures in
3. Results Noorabad, located in Southern Iran. In other studies,
L. monocytogenes was isolated in 3.2% of raw cow milk (Gelbícová &
In this study, a total of 446 raw milk samples were examined for Karpísková, 2012a) and 3.8% of raw goat milk samples (Abou-
Listeria spp. (Table 1). Out of 446 samples, 83 (18.6%) were Eleinin, Ryser, & Donnelly, 2000). Furthermore, 29% of soft cheese
contaminated with Listeria spp. More than half (57.8%) of isolated samples made from raw sheep milk were also contaminated with
Listeria spp. was L. innocua. The remaining isolates were L. monocytogenes (Pintado, Oliveira, Pampulha, & Ferreira, 2005).
L. monocytogenes (21.7%), L. welshimeri (12%), and L. seeligeri (8.4%). Both L. ivanovii and L. seeligeri were detected from 1.4% of raw cow
A total of 18 isolates of L. monocytogenes which were identified by milk samples in Egypt (El-Sherbini, Al-Agili, & Garbaj, 1998). In this
using biochemical tests were also confirmed using a duplex-PCR. study, L. innocua was the main Listeria spp. isolated from raw milk
Among the 446 samples, 54 raw cow milk (22.5%), 27 raw sheep which is in agreement with the earlier findings reported by
milk (16.4%), and two raw goat milk (4.9%) were naturally Dhanshree, Otta, Karunasagar, Goebel, and Karunasagar (2003),
contaminated with Listeria species. There was a significant differ- Jalali and Abedi (2008), and Rahimi et al. (2010).
ence between contaminated raw cow milk samples from other Infected animals and poor silage quality in dairy farms have
kinds of raw milk (P < 0.05). been considered the source of Listeria spp. in raw milk, as well as
The 18 L. monocytogenes isolated from raw milk samples were environmental contamination which could occur during milking
distributed into serogroups “1/2a, 3a” (61.1%); “1/2c, 3c” (27.8%); and storage (Bemrah, Sanaa, Cassin, Grifiths, & Cerf, 1998; Sagun,
and “4b, 4d, 4e” (11.1%) by PCR-serogrouping (Table 2, Fig. 1). Sancak, Isleyici, & Ekic, 2001). Therefore, in this study insufficient
L. monocytogenes of serogroup “4b, 4d, 4e” was isolated only from hygiene and as well as poor silage quality in dairy farms are likely
raw cow milk samples. However, serogroup “1/2a, 3a” was detected the most common causes of Listeria spp. in raw milk.
in all kinds of raw milk tested. In this study, serogroup “1/2a, 3a” was the predominant
All the 18 L. monocytogenes isolates showed the presence of L. monocytogenes serogroup. The serotype distribution of the raw
internalin genes, inlA, inlC, and inlJ (Fig. 2). milk isolates was predictable simply because the 1/2a has been
The resistance patterns of Listeria spp. to 10 antimicrobial agents reported dominant among strains isolated from food samples
examined is shown in Table 3. On the whole, 44 of 83 Listeria spp. (Gilbreth et al., 2005; Wieczorek, Dmowska, & Osek, 2012). The
isolates (53%) showed resistance to at least one antimicrobial agent. high percentage rate of serogroup “1/2a, 3a” in the current study is
Twenty (24.1%) and 17 (20.5%) of Listeria spp. isolates showed in agreement with earlier findings (Gelbícová & Karpísková, 2012a;
resistance to one and two antimicrobial agents, respectively. Waak, Tham, & Danielsson-Tham, 2002). Furthermore, Muraoka,
Multidrug resistance was observed in 7 isolates of Listeria spp. Gay, Knowles, and Borucki (2003) had detected 89.1% and 10.9%

Fig. 1. A representative gel of DNA amplicons generated by multiplex PCR for identification of L. monocytogenes serogroups. Serogroup “1/2a, 3a” is indicated by the amplicon of 691
bp, serogroup “1/2c, 3c” by two amplicons 691 bp and 906 bp, serogroup “1/2b, 3b, 7” by amplicon 471 bp and serogroup “4b, 4d, 4e” by two amplicons 471 bp and 597 bp. All
members of the Listeria genus give an amplicon of 370 bp with prs primers. Lanes 1 and 11, 100 bp molecular size marker; lanes 2 to 4, and 9, serogroup “1/2c, 3c”; lanes 5, 7, and 8,
serogroup “4b, 4d, 4e”; lane 6, serogroup “1/2a, 3a”; lane 10, negative control.
124 H. Jamali et al. / Food Control 34 (2013) 121e125

Fig. 2. Representative PCR-amplified products of three Listeria monocytogenes virulence genes: inlA, inlC, and inlJ. inlA, inlC, and inlJ are indicated by the amplicons of 800 bp, 517 bp
and 238 bp, respectively. Lanes 1 and 12, 100 bp molecular size marker; lanes 2 to 10, L. monocytogenes; lane 11; negative control.

serotypes 1/2a and 4b, respectively from bulk milk in the Pacific (2012) and Ayaz and Erol (2010). About half (53%) of all Listeria
Northwest. spp. isolates showed resistance to at least one antimicrobial agent
The human foodborne listeriosis is commonly caused by sero- however, 7 (8.4%) showed multidrug resistance. The multidrug
types 1/2a, 1/2b and 4b (Martins & Leal Germano, 2011). Although resistant isolates were separated into L. monocytogenes (71.4%) and
serotype 1/2a is the most isolated serotype from food samples, the L. innocua (28.6%). Our findings showed that food L. monocytogenes
majority of listeriosis in humans is linked to serotype 4b. The dif- isolates are sensitive to gentamicin, vancomycin and rifampicin
ference in presence of serotype 4b in food samples and human which are in agreement to previous studies (Arslan & Özdemir,
listeriosis cases could be due to the fact that serotype 4b is more 2008; Conter et al., 2009; Hof & Emmerling, 1984; Srinivasan
virulent. Serotypes 3a, 3b, 4d and 4e were seldom detected from et al., 2005). Recently Harakeh et al. (2009) also reported food
food matrices (Zhang et al., 2007). In this study, three serogroups L. monocytogenes isolates which showed high sensitivity to van-
“1/2a, 3a”; “1/2c, 3c”; and “4b, 4d, 4e” were identified which were comycin and gentamicin.
probably serotypes 1/2a, 1/2c, and 4b, respectively. A high prevalence of resistance to tetracycline was found by
The internalin genes (inlA, inlC and inlJ) tested in this study were Harakeh et al. (2009) and Conter et al. (2009), while in the earlier
present in all 18 isolates of L. monocytogenes. Our finding is in study a low number of Listeria showed resistance to tetracycline
agreement with earlier findings, whereby the internalin genes (Arslan & Özdemir, 2008). Since the previous decade, tetracycline
were present in almost all of the examined isolates of has been applied in animals’ food to treat infection diseases
L. monocytogenes isolated from different types of food categories particularly in dairy farms of Iran. The high resistance rate of Lis-
(Indrawattana et al., 2011; Lomonaco, Patti, Knabel, & Civer, 2012; teria spp. to tetracycline could be due to widespread use of the
Sant’Ana et al., 2012), animal (Marien et al., 2007), human listeriosis antimicrobial. The presence of antimicrobial resistance Listeria in
(Mammina et al., 2009), as well as environmental samples different food matrices and transmission of Listeria with contami-
(Gelbícová & Karpísková, 2012b). The presence of inlA, inlC and inlJ nated food can be an important public health concern.
genes showed the virulence potential of foods L. monocytogenes In summary, the presence of L. monocytogenes in raw milk sam-
isolates. ples showed that consumption of raw and unpasteurised milk could
In the current study, Listeria species were resistant to tetracy- be a potential risk of foodborne listeriosis especially at the high risk
cline and penicillin G, and to a lesser extent, to amoxicillin- groups. Continued surveillance on prevalence of L. monocytogenes
clavulanic acid, chloramphenicol, erythromycin, clindamycin, and and also on emerging antimicrobial resistance is needed to enable
kanamycin. Resistance of food Listeria spp. to tetracycline and the recognition of foods that may represent risks and also ensure the
penicillin G was reported by Rahimi et al. (2010), Marian et al. effective treatment of listeriosis.

Table 3
Resistance profiles of Listeria spp. isolated from raw milk samples.

Listeria spp. L. monocytogenes L. welshimeri L. innocua L. seeligeri

Penicillin G 36 (43.4%) 11 (61.1%) 4 (40%) 18 (37.5%) 3 (42.9%)


Amoxicillin-clavulanic acid 12 (14.5%) 4 (22.2%) e 7 (14.6%) 1 (14.3%)
Chloramphenicol 9 (10.8%) 5 (27.8%) e 3 (6.3%) 1 (14.3%)
Erythromycin 6 (7.2%) 2 (11.1%) e 4 (8.3%) e
Gentamicin e e e e e
Tetracycline 41 (49.4%) 13 (72.2%) 3 (30%) 24 (50%) 1 (14.3%)
Vancomycin e e e e e
Rifampicin e e e e e
Clindamycin 4 (4.8%) 1 (5.6%) e 3 (6.3%) e
Kanamycin 1 (1.2%) e e 1 (2.1%) e
Resistance to 1 Antimicrobial 44 (53%) 10 (22.7%) 5 (11.4%) 25 (56.8%) 4 (9.1%)
Resistance to 2 Antimicrobial 17 (20.5%) 2 (11.8%) 1 (5.9%) 15 (88.2%) 1 (5.9%)
Resistance to  3 Antimicrobial 7 (8.4%) 5 (71.4%) e 2 (28.6%) e
H. Jamali et al. / Food Control 34 (2013) 121e125 125

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