Biological Control of Bovine Mastitis in Cows Using Bacteriophages Report on the Animal Trial Executive Summary The primary aim of this study was to identify lytic bacteriophages that are specific to mastitis causing S. aureus and to test these phages in an in vivo setting against mastitis infections in dairy cows. Three phages, SaBp1, SaBp2 and SaBp3, obtained from Dr. I. H. Basdew, were re-isolated and screened against four antibiotic- resistant S. aureus, all three phages showed to still have the potential and viable the four antibiotic-resistant S. aureus. The three potential phages were mixed into a cocktail, to make a concentration of 1.2 x 10 8 PFU/ml, and these concentration was applied to cows as treatment in the Southdown dairy farm. Six cows with mastitis were assigned for this experiment, three cows treated with phage cocktail in 40% glycerol, and three cows untreated cows with 40% glycerol. The treatment was applied by spraying in the teat of each cow during morning milking daily. Milk from each cow was collected daily before treatment, milk samples were sent to the laboratory for further analysis. The experiment was carried for 3 weeks. The treated cows showed to have higher Somatic cell count (SCC) compared to cows treated with 40% glycerol (Untreated). The treated cows with phages showed to have lower CFU/ml, which was declining during the period of 3 weeks (21 days). The untreated cows showed to have the higher CFU/ml compared to treated cows, this results indicate the presence of phages which were able inhibit and kill the targeted bacteria. The untreated cows showed to have lower PFU/ml compared to the treated cows, this results indicate that the phages were able to multiply and disperse to all mastitis infected areas with the cows and to the host bacterium to produce more phages. To test the presence of S. aureus in the collected milk samples, a total of 92 samples milk samples analysed and 61 were positive for S. aureus. A total of 122 potential isolates (2 per samples) were subcultured and further analysed, however, only 35 isolates satisfied all the identification criteria and were used for spot-testing and for subsequent analysis. Phage cocktail (1.2 x 108) was spot-plated on TSB plates containing one of the 35 positive identified isolates of S. aureus, this was done to check if the cocktail phages are able to inhibit the new isolated S. aureus. The phages were able to form zones of clearing in the spot-test plates, thus indicate the presence of plaques and that the phages are viable against the new S. aureus isolates, isolated from the experimental cows. In conclusion, phages were able to reduce or control S. aureus from Southdown dairy farm cows, but there are many factors that still need to be considered before making sure that phages can completely control S. aureus in herds. Materials and Methods Milk analysis. Milk samples were aseptically collected from individual quarters of the study cows. Samples were transported to the laboratory within 2 h after collection and stored in -80° C until analysis. Each quarter sample (10 µl) were plated onto TSA containing 5% sheep blood and incubated for overnight at 37°C. The plates were then examined for the presence of bacteria Staphylococcus aureus. Preliminary determinations of bacterial identity were made by colony morphology and hemolysis. The number and type of colonies found per 10 µl aliquot were counted and used to calculate the CFU/ml. Pre-trial. A preliminary trial was conducted (October – November 2015), with mastitis, lactating cows to assess the effects of phage infusion on milk quality. The animals were milked twice daily and housed in a tie-stall arrangement at the Southdown Dairy farm. Aseptic quarter milk samples were collected from candidate cows 3 days prior to treatment and will be examined for SCC and bacterial content, as described above. Treatments were administered by spraying at the cow’s normal milking time by the farm workers. At milking time, a milk samples were aseptically collected from each quarter to be treated. The cows were milked out normally and the teat end was disinfected with 70% Ethanol. The treatment was then aseptically sprayed to the teat canal using spray bottle. Following spraying, the mammary gland was massaged upwards briefly to distribute the treatment into the gland. Individual quarters of six mastitis, lactating cows will be randomly assigned to one of two treatments (Three per treatments): purified phage in 40% glycerol or 40% glycerol. The purified phage concentration was 1.2. X 108 PFU/ml. Treatments were randomized among cows. Each teats received a single 10-ml spray in the manner described above. Milk samples were collected aseptically immediately before treatment, at the following five days consecutive, and at 14 days post-spraying. Milk samples were then analyzed for SCC and bacteriology. All milk samples were also assayed for the presence and the amount of bacteriophage by spotting and plating the samples on a lawn of S. aureus, as described above. Results Prevalence of S. aureus in tested milk samples A total of 92 milk samples were analysed and 61 were positive for S. aureus (Table 1, 2, 3). A total of 122 potential isolates (2 per sample) were subcultured and further analysed. However, only 35 isolates satisfied all the identification criteria and were used for subsequent analysis. These constituted a total of 35 S. aureus isolates. S. aureus was obtained from each of the 61 samples taken in the farm, giving a prevalence of S. aureus of 67% for the 91 samples. The results demonstrated the presence of S. aureus in 61 milk samples, regardless of the farm setting. Table 4 and 5 show the average colony forming units and the average plaque forming units found in each isolate from each experimental animal. Table 1. Cow ID No. Streaking Results 9133 8029 11287 10255 Growth Growth No Growth Growth 10255 11129 8029 9133 11287 13537 Growth Growth No Growth Growth No Growth No Growth 10255 13537 11129 11287 9133 8029 Growth No Growth No Growth No Growth Growth Growth 11287 11129 13537 No Growth No Growth No Growth Somatic Cell Count x 103 Spot-Test Results (Phage assays) 23 October 2015 855 Clear Zones 685 No Clear Zones 448 No Clear Zones 439 Clear Zones 26 October 2015 247 Clear Zones 201 Clear Zones 222 No Clear Zones 964 Clear Zones 315 Clear Zones 28 No Clear Zones 27 October 2015 423 Clear Zones Clinical No Clear Zones Clinical No Clear Zones Clinical No Clear Zones 1675 Clear Zones 1296 Clear Zones 28 October 2015 Clinical No Clear Zones 228 No Clear Zones 6 No Clear Zones Presence of Staphylococcus aureus + + + + + + + + + - 8029 9133 10255 Growth Growth Growth 9133 10255 11287 13537 8029 11129 Growth Growth No Growth No Growth Growth No Growth 13537 10255 11129 9133 11287 8029 No Growth Growth No Growth Growth No Growth Growth 406 Clear Zones 661 Clear Zones 1109 Clear Zones 29 October 2015 1500 Clear Zones 588 Clear Zones 641 No Clear Zones 22 No Clear Zones 2235 Clear Zones 203 No Clear Zones 30 October 2015 32 No Clear Zones 4085 Clear Zones 1284 No Clear Zones 5374 Clear Zones 494 No Clear Zones 9999 Clear Zones + + + + + + + + Table 2. Cow ID No. Streaking 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 11129 8029 11287 10255 Growth Growth Growth Growth Somatic Cell Count (x103) Presence of Staphylococcus aureus 02 November 2015 3672 + 7056 + 1428 1413 + 2219 + 44 03 November 2015 2902 + 3081 + 66 3552 + 5338 + 71 04 November 2015 1487 + 1464 + 786 9999 + Spot-Test Results (Phage assays) Clear Zones Clear Zones No Clear Zones Clear Zones Clear Zones No Zones Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Zones Clear Zones Clear Zones No Clear Zones Clear Zones 9133 13537 Growth No Growth 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 1187 54 05 November 2015 4301 2446 523 1971 5220 37 06 November 2015 5830 9999 1333 7289 4251 102 + - Clear Zones No Zones + + + + + - Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Clear Zones + + + + - Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Clear Zones Table 3. Cow ID No. Streaking 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 11129 8029 11287 10255 9133 Growth Growth Growth Growth Growth Somatic Cell Count (x103) Presence of Staphylococcus aureus 09 November 2015 217 + 2661 + 566 + 76 + 3811 + 56 10 November 2015 1443 + 1345 + 1324 + 1892 + 823 + 33 11 November 2015 2437 + 5113 + 726 9694 + 2304 + Spot-Test Results (Phage assays) Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Zones Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Zones Clear Zones Clear Zones No Clear Zones Clear Zones Clear Zones 13537 No Growth 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 11129 8029 11287 10255 9133 13537 Growth Growth Growth Growth Growth No Growth 101 12 November 2015 1508 1145 1367 7968 1473 89 13 November 2015 6007 2568 763 6759 1822 161 - No Zones + + + + - Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Clear Zones + + + + + - Clear Zones Clear Zones Clear Zones Clear Zones Clear Zones No Clear Zones Table 4. Cow ID No. 9133 8029 11287 10255 10255 11129 8029 9133 11287 13537 10255 13537 11129 11287 9133 8029 11287 11129 13537 Colony forming units/ml 23 October 2015 275 125 43 >300 26 October 2015 296 21 298 267 53 0 27 October 2015 292 1 19 54 269 298 28 October 2015 35 15 3 Plaque forming units/ml 55 39 2 65 69 0 35 88 3 1 71 5 3 41 81 21 43 9 1 8029 9133 10255 9133 10255 11287 13537 8029 11129 13537 10255 11129 9133 11287 8029 >300 255 286 29 October 2015 264 273 21 2 >300 15 30 October 2015 3 244 53 182 18 285 12 75 82 Colony forming units/ml 02 November 2015 289 288 145 266 217 2 03 November 2015 222 245 120 251 214 2 04 November 2015 204 188 99 201 179 0 05 November 2015 177 168 Plaque forming units/ml 77 87 15 0 16 8 2 89 0 73 12 6 Table 5. Cow ID No. 11129 8029 11287 10255 9133 13537 11129 8029 11287 10255 9133 13537 11129 8029 11287 10255 9133 13537 11129 8029 21 33 51 92 69 0 25 15 43 98 76 2 11 14 48 101 66 1 16 9 11287 10255 9133 13537 11129 8029 11287 10255 9133 13537 90 154 155 0 06 November 2015 143 169 91 135 155 3 52 73 81 0 12 19 48 106 99 1 Figure 1. Graph showing treated (phages applied) and untreated cows (no phages) with the differences in their Somatic cell count (SCC). The treated cow have high somatic cell count compared to untreated and for the green line of untreated showed to have very low SCC compared to all cows, this is because this had no infection of mastitis. Figure 2. Graph show the CFU/ml (x106) of treated (+ phage) and untreated cows (- phage) for 21 days. The treated cows as seen on the graph has the lower CFU/ml compared to untreated cows, and as the time goes on the CFU/ml of the treated cows is declining, which indicates the presence of phages in the treated cows. Figure 3. This graph shows the PFU/ ml (x107) of the treated (+ phage) and untreated cows (- phage) from the Southdown dairy farm for 15 days. The untreated cows shows to have lower PFU/ml compared to treated cows. Even though there is presence of phages in the untreated cows, they indicate the presence of natural phages, which the tell us that S. aureus have it natural phages that need to isolated and numerated, which can contribute in treating the bacteria.