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Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario De Medici 4 th FOODSEG SYMPOSIUM 23 rd - 24 th of April 2015 - Istituto Superiore di Sanità Rome, ITALY Istituto Superiore di Sanità Department of Veterinary Public Health and Food Safety Unit of Microbiological Hazards National Reference Centre for Botulism Viale Regina Elena, 299 00161 Roma Phone. +39 06 4990 2254 Fax +39 06 4990 2045 [email protected] - [email protected]

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Page 1: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario De Medici

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Istituto Superiore di Sanità

Department of Veterinary Public Health and Food Safety

Unit of Microbiological Hazards

National Reference Centre for Botulism

Viale Regina Elena, 299 – 00161 Roma

Phone. +39 06 4990 2254 – Fax +39 06 4990 2045

[email protected] - [email protected]

Page 2: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

OUTLINE

Introduction Botulinum toxins - structure Botulinum toxins- mechanism of action BoNT-producing clostridia Measures for botulism prevention and therapy Forms of botulism

Findings of “New Inhibitors of Botulism”

Findings of “Setting up of Bio-competition and Decontamination Methods to Improve Technological Processes and Food Safety”

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 3: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 4: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

BoNTs

BoNTs are the most potent poisons yet known

Classified by the CDC as Tier One select agents

Human therapeutics against several neuromuscular disorders

The high potency depends on the enzymatic activity and on the selective affinity for binding neurons

7 types confirmed, 1 new type, 40 sub-types

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 5: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MECHANISM OF ACTION

Binding Endocytosis Translocation (low pH) Hydrolysis of SNARE proteins

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 6: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MEASURES AGAINST BOTULISM

Vaccination Undesirable because the

rarity of botulism Preclude the use of BoNTs

for their beneficial effects Some soldiers in USA are vaccinates

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 7: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

CURRENT TREATMENT

Artificial respiration Passive immunization Act only on circulating toxins First days after onset symptoms Adverse effects

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 8: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

BoNT-PRODUCING CLOSTRIDIA

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Clostridium butyricum tox type E

Clostridium baratii tox type F

Clostridium botulinum

tox types A-B-C-D-E-F-G-H

anaerobes, spore-forming, ubiquitous, different phenotypic and genotypic features

Page 9: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MEASURES AGAINST BoNT-PRODUCING CLOSTRIDIA

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Inhibition of spore germination, growth, toxinogenesis

Acidification Brine Use of preservatives

Destruction of spores

Page 10: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MEASURES AGAINST BoNT-PRODUCING CLOSTRIDIA

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Nowadays changed behaviors among people Fresh-like products Hurdles technologies

Bio-competition

Page 11: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

FORMS of BOTULISM

Toxin pre-formed in foods

Toxin produced in vivo in intestinal lumen of adults

Toxin produced in vivo in intestinal lumen of infants

Toxin produced in vivo in a wound

Un-correct use of toxin

Page 12: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 13: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

THE PROJECT

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Collaborative project funded by the Ministry of Defence

Dr FLORIGIO LISTA

Dr DARIO DE MEDICI Prof CESARE MONTECUCCO

Page 14: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

THE MAIN OBJECTIVES

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

1 Identification of some new inhibitors of BoNTs. Carried out by the University of Padua

2 Characterization of BoNT-producing clostridia

through WGS. Carried out by NRCB and Army Medical Research Centre

Page 15: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 1

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 16: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 1

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Thioredoxin reductase-thioredoxin is highly expressed in the motor neurons terminals and it is present on the synaptic vesicles cytosolic surface. The inhibition of this redox system can prevent the SNARE protein cleavage.

Page 17: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 1

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

This redox system is implicated in controlling a variety of cell functions altered in a number of diseases. Several drugs have been identified: anaurofin, curcumin, myricetin, juglone, ebselen, px-12. All of these molecules protect against BoNT/A, /E, C in vitro and also in vivo models.

Page 18: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 1

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Most of these substances are nontoxic and included in clinical trial for other diseases. Although these substance cannot reverse the paralysis, they may be use immediately after clinical diagnosis particularly in infant botulism cases. The use of these substances avoid the adverse effect of passive immunization with sera.

Page 19: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 1

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

The future perspective of this projects is the development of a clinical trial among human volunteers.

Page 20: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 2

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Characterization of BoNT producing clostridia strains. 350 tested strains were chosen among CNRB strain

collection (more than 600 strains). They were representative of all forms of botulisms, all Italian Regions and isolated during the period 1984-2013

Screened with MLVA

Page 21: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 2

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Ten main clusters were identified At least one representative strain for

each cluster were submitted to WGS using both Roche 454 and Illumina MiSeq platforms

2 paper published and an additional

paper submitted to Applied and Environmental Microbiology

Page 22: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 2

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 23: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 2

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Ten strains sequenced In 6 genomes 1 or 2 plasmids were found BoNT gene was carried out in plasmid 4 strains In the genome BoNT gene is located in

oppA/brnQ operon (4 type B strains) and in arsC operon (2 strains)

Page 24: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS OBJECTIVE 2

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Clonal phylogeny conducted on Italian strains and the other strains fully sequenced shows that Italian strains do not form a monophyletic unit (high variability of these strains)

A new sub-type of BoNT/F was detected

Page 25: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Page 26: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

THE PROJECT

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Collaborative project funded by the Ministry of Health 10 Italian Institutes

Dr ALFONSINA FIORE

Bio-competition LAB vs BoNT-producing clostridia

LAB vs Cronobacter sakazakii

Page 27: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

THE MAIN OBJECTIVE

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Evaluate bio-competition among Lactic-Acid-Bacteria and BoNT-producing clostridia with the aim of using LAB and/or bacteriocins as bio-preservative against botulism

Page 28: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MATERIAL AND METHODS

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Antimicrobial activity of: 6 strains of Lactococcus lactis sup. lactis (nisin) 9 strains of Streptococcus thermophilus

(thermophilin) 9 strains of Bacillus coagulans (nisin)

was evaluated against 35 group I BoNT-producing clostridia strains mainly isolated from infant botulism cases Spot on the lawn method was chosen to carry out

these activities

Page 29: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

100 % of tested BoNT-producing clostridia strains were sensitive to nisin and coagulin

86% were positive to thermophilin

These results were confirmed detecting genes

encoding for bacteriocins in LAB strains Results were submitted to BACTIBASE (the specific

database dedicated to bacteriocins)

Page 30: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MATERIAL AND METHODS

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Antimicrobial activity of: 6 strains of Lactococcus lactis sup. lactis (nisin) 7 strains of Streptococcus thermophilus

(thermophilin) 8 strains of Bacillus coagulans (nisin) 17 Bifidobacterium spp.

was evaluated against 2 group III Clostridium botulinum (1 type CD and 1 type DC) strains isolated from poultry and cattle faeces of botulism-affected aninals

Page 31: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

MAIN FINDINGS

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

All Lactococcus lactis, Bacillus subtilis and Steptococcus thermophilus tested strains are capable of inhibiting group III C. botulinum strains

Nisin showed the highest antimicrobial activity Of the 17 Bifidobacterium spp strains tested only

Bifidobacterium bifidum ATCC35014 exerted inhibition of group III C. botulinum strains

The use of feed containing probiotics could promote

beneficial flora to compete with pathogens such us group III C. botulinum.

Page 32: Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio, Dario ...foodseg.linux15.webhome.at/fileadmin/userdaten/presentations_symp... · Fabrizio Anniballi Alfonsina Fiore, Bruna Auricchio,

4 th FOODSEG SYMPOSIUM

23rd - 24th of April 2015 - Istituto Superiore di Sanità – Rome, ITALY

Thank you for your attention !