Adsorptive effects of di-tri-octahedral smectite on Clostridium perfringens alpha, beta, and beta-2 exotoxins and equine colostral antibodies

Jacquelin Boggs Lawler Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523.

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Diana M. Hassel Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523.

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Roberta J. Magnuson Animal Population Health Institute, Colorado State University, Fort Collins, CO 80523.

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Ashley E. Hill Animal Population Health Institute, Colorado State University, Fort Collins, CO 80523.

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Patrick M. McCue Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523.

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Josie L. Traub-Dargatz Animal Population Health Institute, Colorado State University, Fort Collins, CO 80523.

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Abstract

Objective—To determine the adsorptive capability of di-tri-octahedral smectite (DTOS) on Clostridium perfringens alpha, beta, and beta-2 exotoxins and equine colostral antibodies.

Sample Population—3 C perfringens exotoxins and 9 colostral samples.

Procedures—Alpha, beta, and beta-2 exotoxins were individually co-incubated with serial dilutions of DTOS or bismuth subsalicylate, and the amount of toxin remaining after incubation was determined via toxin-specific ELISAs. Colostral samples from healthy mares were individually co-incubated with serial dilutions of DTOS, and colostral IgG concentrations were determined via single radial immunodiffusion assay.

Results—Di-tri-octahedral smectite decreased the amount of each C perfringens exotoxin in co-incubated samples in a dose-dependent manner and was more effective than bismuth subsalicylate at reducing exotoxins in vitro. Decreases in the concentration of IgG were detected in samples of colostrum that were combined with DTOS at 1:4 through 1:16 dilutions, whereas no significant decrease was evident with DTOS at the 1:32 dilution.

Conclusions and Clinical Relevance—Di-tri-octahedral smectite effectively adsorbed C perfringens exotoxins in vitro and had a dose-dependent effect on the availability of equine colostral antibodies. Results suggested that DTOS may be an appropriate adjunctive treatment in the management of neonatal clostridiosis in horses. In vivo studies are necessary to fully assess the clinical efficacy of DTOS treatment.

Abstract

Objective—To determine the adsorptive capability of di-tri-octahedral smectite (DTOS) on Clostridium perfringens alpha, beta, and beta-2 exotoxins and equine colostral antibodies.

Sample Population—3 C perfringens exotoxins and 9 colostral samples.

Procedures—Alpha, beta, and beta-2 exotoxins were individually co-incubated with serial dilutions of DTOS or bismuth subsalicylate, and the amount of toxin remaining after incubation was determined via toxin-specific ELISAs. Colostral samples from healthy mares were individually co-incubated with serial dilutions of DTOS, and colostral IgG concentrations were determined via single radial immunodiffusion assay.

Results—Di-tri-octahedral smectite decreased the amount of each C perfringens exotoxin in co-incubated samples in a dose-dependent manner and was more effective than bismuth subsalicylate at reducing exotoxins in vitro. Decreases in the concentration of IgG were detected in samples of colostrum that were combined with DTOS at 1:4 through 1:16 dilutions, whereas no significant decrease was evident with DTOS at the 1:32 dilution.

Conclusions and Clinical Relevance—Di-tri-octahedral smectite effectively adsorbed C perfringens exotoxins in vitro and had a dose-dependent effect on the availability of equine colostral antibodies. Results suggested that DTOS may be an appropriate adjunctive treatment in the management of neonatal clostridiosis in horses. In vivo studies are necessary to fully assess the clinical efficacy of DTOS treatment.

Contributor Notes

Dr. Lawler's present address is Colorado Equine Veterinary Services, 16850 Murphy Road, Peyton, CO 80831.

Supported in part by Platinum Performance Incorporated, Buellton, Calif, and the USDA's Cooperative State Research Education and Extension Services for the Colorado State University Program for Economically Important Animal Diseases (PEIIAD).

Presented in part as an abstract at the 24th Annual Meeting of the American College of Veterinary Internal Medicine, Louisville, June 2006.

The authors thank Cindy Hirota for technical assistance.

Address correspondence to Dr. Hassel.
  • 1.

    East LM, Dargatz DA, Traub-Dargatz JL, et al. Foaling-management practices associated with the occurrence of enterocolitis attributed to Clostridium perfringens infection in the equine neonate. Prev Vet Med 2000;46:6174.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Jones RL. Clostridial enterocolitis. Vet Clin North Am Equine Pract 2000;16:471485.

  • 3.

    Traub-Dargatz JL, Jones RL. Clostridia-associated enterocolitis in adult horses and foals. Vet Clin North Am Equine Pract 1993;9:411421.

  • 4.

    East LM, Savage CJ, Traub-Dargatz JL, et al. Enterocolitis associated with Clostridium perfringens infection in neonatal foals: 54 cases (1998–1997). J Am Vet Med Assoc 1998;212:17511756.

    • Search Google Scholar
    • Export Citation
  • 5.

    Netherwood T, Wood JN, Townsend HGG, et al. Foal diarrhoea between 1991 and 1994 in the United Kingdom associated with Clostridium perfringens, rotavirus, Strongyloides westeri and Cryptosporidium spp. Epidemiol Infect 1996;117:375383.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Traub-Dargatz JL, Gay CC, Evermann JF, et al. Epidemiologic survey of diarrhea in foals. J Am Vet Med Assoc 1988;192:15531556.

  • 7.

    Tillotson K, Traub-Dargatz JL, Dickinson CE, et al. Population-based study of fecal shedding of Clostridium perfringens in broodmares and foals. J Am Vet Med Assoc 2002;220:342348.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Songer JG. Clostridial enteric diseases of domestic animals. Clin Microbiol Rev 1996;9:216234.

  • 9.

    Howard-Martin M, Morton RJ, Qualls CW Jr. Clostridium perfringens type C enterotoxemia in a newborn foal. J Am Vet Med Assoc 1986;189:564565.

    • Search Google Scholar
    • Export Citation
  • 10.

    Asha NJ, Wilcox MH. Laboratory diagnosis of Clostridium perfringens antibiotic-associated diarrhoea. J Med Microbiol 2002;51:891894.

  • 11.

    Waters M, Savoie A, Garmory HS, et al. Genotyping and phenotyping of beta2-toxigenic Clostridium perfringens fecal isolates associated with gastrointestinal diseases in piglets. J Clin Microbiol 2003;41:35843591.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Lebrun M, Filee P, Mousset B, et al. The expression of Clostridium perfringens consensus beta2 toxin is associated with bovine enterotoxaemia syndrome. Vet Microbiol 2007;120:151157.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Chanter N, Netherwood T, Wood JLN. Clostridum perfringens is a prevalent cause of foal diarrhoea—a review of a 5 year study, in Proceedings. 8th Int Conf 1998;187190.

    • Search Google Scholar
    • Export Citation
  • 14.

    Manteca C, Daube G, Jauniauz T. A role for the Clostridium perfringens beta-2 toxin in bovine enterotoxemia. Vet Microbiol 2002;86:191202.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Garmory HS, Chanter N, French NP, et al. Occurrence of Clostridium perfringens beta-2-toxin amongst animals, determined using genotyping and subtyping PCR assays. Epidemiol Infect 2000;124:6167.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Herholz C, Miseriz R, Nicolet J, et al. Prevalence of beta-2-toxigenic Clostridium perfringens in horses with intestinal disorders. J Clin Microbiol 1999;37:358361.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Guarino A, Bisceglia M, Castellucci G, et al. Smectite in the treatment of acute diarrhea: a nationwide randomized controlled study of the Italian Society of Pediatric Gastroenterology and Hepatology (SIGEP) in collaboration with primary care pediatricians. J Pediatr Gastroenterol Nutr 2001;32:7175.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Herthel D. Preventing and treating colitis with DTO smectite. J Equine Vet Sci 2000;20:432.

  • 19.

    Madkour AA, Madina EMH, El-Azzouni OEZ, et al. Smectite in acute diarrhea in children: a double-blind placebo-controlled clinical trial. J Pediatr Gastroenterol Nutr 1993;17:176181.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Rateau JG, Morgant G, Droy-Priot MT, et al. A histological, enzymatic and water-electrolyte study of the action of smectite, a mucoprotective clay, on experimental infectious diarrhea in the rabbit. Curr Med Res Opin 1982;8:233241.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Szajewska H, Dziechciarz P, Mrukowicz J. Meta-analysis: smectite in the treatment of acute infectious diarrhoea in children. Aliment Pharmacol Ther 2006;23:217227.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Yao-Zong Y, Shi-Rong L, Delvaux M. Comparative efficacy of dioctahedral smectite (Smecta) and a probiotic preparation in chronic functional diarrhoea. Dig Liver Dis 2004;36:824828.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Martirosian G, Rouyan G, Zalewski T, et al. Dioctahedral smectite neutralization activity of Clostridium difficile and Bacteroides fragilis toxins in vitro. Acta Microbiol Pol 1998;47:177183.

    • Search Google Scholar
    • Export Citation
  • 24.

    Weese JS, Cote NM, DeGannes RVG. Evaluation of in vitro properties of di-tri-octahedral smectite on clostridial toxins and growth. Equine Vet J 2003;35:638641.

    • Search Google Scholar
    • Export Citation
  • 25.

    Figueroa-Quintanilla D, Salazar-Lindo E, Sack RB, et al. A controlled trial of bismuth subsalicylate in infants with acute watery diarrheal disease. N Engl J Med 1993;328:16531658.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Plumb DC. Veterinary drug handbook. 5th ed. Saint Paul: Iowa State Press, 2005;9091.

  • 27.

    Soriano-Brucher H, Avendano P, O'Ryan M, et al. Bismuth subsalicylate in the treatment of acute diarrhea in children: a clinical study. Pediatrics 1991;87:1827.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Steffen R. Worldwide efficacy of bismuth subsalicylate in the treatment of traveler's diarrhea. Rev Infect Dis 1990;12:S80S86.

  • 29.

    Wilson JH, Cudd TA. Common gastrointestinal diseases. In: Koterba AM, Drummon WA, Kosch CP, eds. Equine clinical neonatology. Philadelphia: Lea & Febiger, 1990;428429.

    • Search Google Scholar
    • Export Citation
  • 30.

    Knottenbelt DC, Holdstock N, Madigan JE. Neonatal syndromes. In: Equine neonatology: medicine and surgery. Edinburgh: WB Saunders Co, 2004;224.

    • Search Google Scholar
    • Export Citation
  • 31.

    Clement F, Duvaux-Ponter C, Arnaud G, et al. Efficiency of IgG absorption in the foal. Theriogenology 2002;58:805808.

  • 32.

    Kohn CW, Knight D, Heuston W, et al. Colostral and serum IgG, IgA, and IgM concentrations in Standardbred mares and their foals at parturition. J Am Vet Med Assoc 1989;195:6468.

    • Search Google Scholar
    • Export Citation
  • 33.

    Lunn PD, Horohov DW. The equine immune system. In: Reed SM, Bayly WM, Sellon DC, eds. Equine internal medicine. 2nd ed. St Louis: WB Saunders Co, 2004;2426.

    • Search Google Scholar
    • Export Citation
  • 34.

    Dennison AC, Van Metre DC, Morley PS, et al. Comparison of the odds of isolation, genotypes, and in vivo production of major toxins by Clostridium perfringens obtained from the gastrointestinal tract of dairy cows with hemorrhagic bowel syndrome or left-displaced abomasum. J Am Vet Med Assoc 2005;227:132138.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Madigan JE. Fluid and electrolyte balance. In: Manual of equine neonatal medicine. 3rd ed. Woodland, Calif: Live Oak Publishing, 1997;96.

    • Search Google Scholar
    • Export Citation
  • 36.

    Knottenbelt DC, Holdstock N, Madigan JE. Perinatal review. In: Equine neonatology: medicine and surgery. Edinburgh: WB Saunders Co, 2004;20.

    • Search Google Scholar
    • Export Citation
  • 37.

    Fioramonti J, Droy-Lefaix MT, Bueno L. Changes in gastrointestinal motility induced by cholera toxin and experimental osmotic diarrhoea in dogs: effects of treatment with an argillaceous compound. Digestion 1987;36:230237.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 38.

    Yen Z-S, Lai M-S. Best evidence topic report. Smectite for acute diarrhoea in children. Emerg Med J 2006;23:6566.

  • 39.

    Gonzalez R, de Medina FS, Martinez-Augustin O, et al. Antiinflammatory effect of diosmectite in hapten-induced colitis in the rat. Br J Pharmacol 2004;141:951960.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 40.

    Rateau JG, Blayac M, Morgant G, et al. Infectious diarrhoeas: weakening of mucosa protection induced in rabbit ileal loops by a pathogenic Escherichia coli. Curr Med Res Opin 1982;8:224232.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Mahraoui L, Heyman M, Plique O, et al. Apical effect of diosmectite on damage to the intestinal barrier induced by basal tumour necrosis factor-alpha. Gut 1997;40:339343.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 42.

    Lexomboon U, Harikul S, Lortholary O. Control randomized study of rehydration/rehydration with dioctahedral smectite in ambulatory Thai infants with acute diarrhea. Southeast Asian J Trop Med Public Health 1994;25:157162.

    • Search Google Scholar
    • Export Citation
  • 43.

    LeBlanc MM, Tran T, Baldwin JL, et al. Factors that influence transfer of immunoglobulins in foals. J Am Vet Med Assoc 1992;200:179183.

    • Search Google Scholar
    • Export Citation
  • 44.

    Madigen JE. Colostrum—assesment of and sources for foals. In: Manual of equine neonatal medicine. 3rd ed. Woodland, Calif: Live Oak Publishing, 1997;3234.

    • Search Google Scholar
    • Export Citation
  • 45.

    Robinson JA, Allen GK, Green EM, et al. A prospective study of septicaemia in colostrum-deprived foals. Equine Vet J 1993;25:214219.

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