Severe Liver Abscesses Research Articles

Entamoeba histolytica Cyclooxygenase-Like Protein Regulates Cysteine Protease Expression and Virulence.

The intestinal protozoan parasite Entamoeba histolytica (Eh) causes amebiasis associated with severe diarrhea and/or liver abscess. Eh pathogenesis is multifactorial requiring both parasite virulent molecules and host-induced innate immune responses. Eh-induced host pro-inflammatory responses plays a critical role in disease pathogenesis by causing damage to tissues allowing parasites access to systemic sites. Eh cyclooxygenase (EhCox) derived prostaglandin E2 stimulates the chemokine IL-8 from mucosal epithelial cells that recruits neutrophils to the site of infection to exacerbate disease. At present, it is not known how EhCox is regulated or whether it affects the expression of other proteins in Eh. In this study, we found that gene silencing of EhCox (EhCoxgs) markedly increased endogenous cysteine protease (CP) protein expression and virulence without altering CP gene transcripts. Live virulent Eh pretreated with arachidonic acid substrate to enhance PGE2 production or aspirin to inhibit EhCox enzyme activity or addition of exogenous PGE2 to Eh had no effect on EhCP activity. Increased CP enzyme activity in EhCoxgs was stable and significantly enhanced erythrophagocytosis, cytopathic effects on colonic epithelial cells and elicited pro-inflammatory cytokines in mice colonic loops. Acute infection with EhCoxgs in colonic loops increased inflammation associated with high levels of myeloperoxidase activity. This study has identified EhCox protein as one of the important endogenous regulators of cysteine protease activity. Alterations of CP activity in response to Cox gene silencing may be a negative feedback mechanism in Eh to limit proteolytic activity during colonization that can inadvertently trigger inflammation in the gut.

Population genomics of hypervirulent Klebsiella pneumoniae clonal-group 23 reveals early emergence and rapid global dissemination

Severe liver abscess infections caused by hypervirulent clonal-group CG23 Klebsiella pneumoniae have been increasingly reported since the mid-1980s. Strains typically possess several virulence factors including an integrative, conjugative element ICEKp encoding the siderophore yersiniabactin and genotoxin colibactin. Here we investigate CG23’s evolutionary history, showing several deep-branching sublineages associated with distinct ICEKp acquisitions. Over 80% of liver abscess isolates belong to sublineage CG23-I, which emerged in ~1928 following acquisition of ICEKp10 (encoding yersiniabactin and colibactin), and then disseminated globally within the human population. CG23-I’s distinguishing feature is the colibactin synthesis locus, which reportedly promotes gut colonisation and metastatic infection in murine models. These data show circulation of CG23 K. pneumoniae decades before the liver abscess epidemic was first recognised, and provide a framework for future epidemiological and experimental studies of hypervirulent K. pneumoniae. To support such studies we present an open access, completely sequenced CG23-I human liver abscess isolate, SGH10.

Effect of alpha-tocopherol acetate and ascorbic acid on performance, carcass traits, and incidence and severity of liver abscesses in feedlot cattle.

Liver abscesses (LA) in cattle negatively affect feedlot performance by decreasing ADG, feed intake, and G:F ratio. Abscessed livers are condemned and abdominal adhesions associated with LA can result in extensive carcass trimming during harvest, further compounding adverse economic impact. Given regulatory changes pertaining to the use of in-feed antibiotics in cattle production, there is growing interest in alternatives to antibiotics for LA control. The objective of this study was to evaluate the use of antioxidants, crystalline ascorbate (AOX), and alpha-tocopherol acetate, for mitigation of LA in feedlot cattle. Yearling crossbred heifers (n = 392; initial BW 481 ± 9.4 kg) were blocked by previous treatment and allocated randomly to 24 dirt-surfaced feedlot pens (10 m × 35 m) with 14 heifers/pen. Heifers were weighed, implanted with Component TE-200 implants, and placed into feeding pens. Finishing diets consisted of 60% steam-flaked corn, 30% wet corn gluten feed, 8% alfalfa, and 2% supplement (DM basis) that provided 300 mg/d monensin, and either 200 IU/d alpha-tocopherol acetate (CTL) or 2,000 IU/d alpha-tocopherol acetate plus 500 mg/d crystalline AOX. Heifers were fed once daily ad libitum for 94 d, then weighed and transported 450 km to a commercial abattoir for harvest. Hot carcass weight and incidence/severity of LA were determined the day of harvest, and carcass traits were evaluated following 36 h of refrigeration. Compared to CTL, feeding AOX tended to decrease DMI (10.66 vs. 10.31 kg/d; P = 0.08) and improve G:F (0.1204 vs. 0.1254; P = 0.12), but did not impact ADG, incidence of LA (25.6 vs. 23.5% for CTL and AOX, respectively), HCW (828.4 vs. 830.5 kg for CTL and AOX, respectively), or other carcass traits (P > 0.20). In conclusion, feeding antioxidants are not a viable alternative to decrease incidence of LA in finishing cattle.

Effects of intermittent feeding of tylosin phosphate during the finishing period on feedlot performance, carcass characteristics, antimicrobial resistance, and incidence and severity of liver abscesses in steers.

Liver abscesses (LA) are a source of economic loss for feedlot cattle feedlots, and the 2017 veterinary feed directive has restricted further use of tylosin phosphate to prevention and control of LA. Our objective was to evaluate effects of intermittent tylosin phosphate feeding on incidence and severity of LA in feedlot cattle and presence of total antimicrobial-resistant Enterococcus spp. Steers (n = 312, 411.4 ± 6.71 kg) were blocked by initial BW and randomly assigned to a treatment group. Treatments included a negative control group (no tylosin phosphate throughout the finishing period), a positive control group (tylosin phosphate fed continuously throughout the finishing period), and a group that received tylosin phosphate off-label by feeding the drug on a repeated intermittent basis (1 wk on, 2 wk off). Steers were housed in 24 soil-surfaced pens with 13 steers per pen. Body weights of cattle were obtained every 28 d and at the end of 119 d the steers were weighed and harvested at a commercial abattoir. Fecal samples were collected on days 0, 21, and 118 to characterize antimicrobial-resistant Enterococcus spp. Total LA percentage was greater (P = 0.012) for the no tylosin phosphate treatment compared with the other treatments, but did not differ between the continuous tylosin phosphate treatment and the intermittently fed tylosin phosphate treatment (P = 0.716). No difference was observed among treatments for ADG (P = 0.21), DMI (P = 0.28), or G:F (P = 0.75). Marbling score was lower (P = 0.022) for tylosin phosphate treatment when compared with both intermittent treatment and continuous tylosin phosphate treatment. Enterococcus spp. bacterial counts did not differ by treatment group over time (P > 0.05); however, there was a strong period effect for macrolide resistance among all groups (P < 0.01), suggesting an important environmental component as cattle were first placed in pens and then progressed through the feeding period. We conclude that feeding tylosin phosphate intermittently during the finishing phase decreases the total percentage of LA and maintains feedlot performance and carcass characteristics to the same extent as feeding tylosin phosphate throughout the finishing phase; furthermore, we hypothesize that enteric antimicrobial resistance is a result of longer term antibiotic usage in a particular environment rather than a direct short-term result of the treatment during any given feeding period.

Effects of liver abscess severity and quality grade on meat tenderness and sensory attributes in commercially finished beef cattle fed without tylosin phosphate

The objective of this study was to determine the effects of liver abscess severity in beef cattle at slaughter on meat tenderness and sensory attributes of steaks from USDA Low Choice and Select quality grades. Liver abscesses at the time of slaughter have been shown to decrease hot carcass weight, dressing percentage, yield grade, and marbling scores. However, little research has focused on the effects of animal health and disease parameters, including liver abscesses, on meat tenderness and sensory attributes.

Effects of liver abscess severity and quality grade on meat tenderness and sensory attributes in commercially finished beef cattle fed without tylosin phosphate.

Strip loin steaks (n = 119) were used to evaluate the association between liver abscess severity and USDA quality grade and meat tenderness and sensory attributes of steaks from finished feedlot cattle. Steaks were used in a 3 × 2 factorial treatment structure using a completely randomized design and were collected at a commercial abattoir located in northwest Texas. All cattle were sourced from a single feedlot and fed a common diet that did not include tylosin phosphate. Treatments were USDA quality grades of Select (SEL) and Low Choice (LC) and liver abscess scores of normal (NORM; healthy liver, no abscesses), mild (M; 1 abscess less than 2 cm in diameter to 4 abscesses less than 4 cm in diameter), and severe (SV; 1 abscess greater than 4 cm in diameter or greater than 4 small abscesses). All steak samples were collected on the same day, approximately 36-h post-mortem and were cut from the left side of the carcass at the 13th rib by a trained abattoir employee. Steaks were vacuum-packaged, and aged at 3 ± 1°C for 14-d post-mortem. Warner-Bratzler Shear Force (WBSF) and Slice Shear Force (SSF) analyses were conducted and cook-loss percentage was measured. A trained sensory panel analyzed samples for juiciness, tenderness, and flavor attributes. There were no differences among liver abscess scores for WBSF or SSF (P > 0.52). Warner-Bratzler Shear Force was lower for LC-SV than SEL-SV (P = 0.04). Sensory attributes of initial and sustained juiciness, and overall tenderness were all greater for LC than for SEL steaks (P < 0.04) and connective tissue amount was less for LC steaks when compared to SEL (P = 0.03). Liver abscess score had no effect on any sensory attributes (P > 0.70); however, there was an interaction between quality grade and liver score for myofibillar tenderness (P = 0.03). Within LC steaks, liver abscess score had no effect on myofibrillar tenderness (P > 0.05), however, in SEL steaks, M steaks were more tender than SV steaks (P < 0.03). These results indicate that within quality grades, meat tenderness or sensory attributes were not influenced by liver abscess score but that mild liver abscesses may affect the myofibrillar tenderness of SEL steaks.

Bacterial flora of liver abscesses in crossbred beef cattle and Holstein steers fed finishing diets with or without tylosin1,2

Holstein steers raised for beef production consistently have a higher prevalence and more severe form of liver abscesses than cattle of beef breeds. A study was conducted to compare bacterial flora of liver abscesses collected from multiple abattoirs from 4 groups of cattle, arranged in a 2 × 2 factorial design, consisting of crossbred cattle and Holstein steers, and each group fed a finishing diet supplemented with or without tylosin. A total of 383 liver abscess samples, consisting of 94 and 81 from crossbred cattle and 89 and 119 from Holstein steers fed finishing diets with or without tylosin, respectively, were subjected for anaerobic and aerobic bacterial isolations. The minimum inhibitory concentrations (MIC) of tylosin to the predominant bacterial species were determined. The likelihood chi-square test was performed to assess unadjusted differences in bacterial prevalence proportions between the 2 types of cattle (crossbred and Holstein steers) and feed type (tylosin or no tylosin). There was no interaction between cattle type and tylosin inclusion on the prevalence of any of the bacterial species isolated. Liver abscesses from Holstein steers yielded a higher total number of isolates compared to liver abscesses from crossbred cattle (1060 vs. 788). subsp. was isolated from all abscesses. The prevalence of subsp. was 19.1% and was not affected by the cattle type or tylosin. The prevalence of was higher ( < 0.01) in crossbred cattle (73.7%) compared to Holstein steers (29.8%). Also, the prevalence of was higher in abscesses from tylosin-fed (66.1%) cattle than no tylosin-fed cattle (35%). The overall prevalence of was 25.3% and was similar ( = 0.58) between cattle type, but the prevalence was lower ( < 0.01) in tylosin-fed (16.9%) compared to no tylosin-fed group (33%). Mean MIC of tylosin for and were similar across both cattle types and tylosin inclusion. Although bacterial flora of liver abscesses from Holstein steers appeared to be more diverse than that of crossbred cattle, there was no difference in the prevalence of the and and in fact, prevalence of was higher in crossbred than Holstein steers. Therefore, the difference in bacterial flora is not the likely reason for higher prevalence and severity of liver abscesses in Holstein steers than crossbred beef cattle.

A Lethal Complication of Transarterial Chemoembolization: Severe Liver Necrosis and Abscesses

A Lethal Complication of Transarterial Chemoembolization: Severe Liver Necrosis and Abscesses

Liver Abscess Severity at Slaughter Does Not Affect Meat Tenderness and Sensory Attributes in Commercially Finished Beef Cattle Fed Without Tylosin Phosphate

Liver Abscess Severity at Slaughter Does Not Affect Meat Tenderness and Sensory Attributes in Commercially Finished Beef Cattle Fed Without Tylosin Phosphate

0245 Effect of α tocopherol acetate and ascorbic acid on performance, carcass traits, and incidence and severity of liver abscesses in finishing cattle

0245 Effect of α tocopherol acetate and ascorbic acid on performance, carcass traits, and incidence and severity of liver abscesses in finishing cattle

Effect of diastatic power and processing index on the feed value of barley grain for finishing feedlot cattle.

The objective of this study was to assess the nutritional value of barley grain differing in diastatic power (DP; high vs. low; a malt trait) and processing index (PI; 75 vs. 85). One hundred sixty Angus × Hereford crossbred yearling steers (467 ± 38 kg; 144 intact and 16 rumen cannulated) were used in a complete randomized 2 × 2 factorial experiment. Steers were assigned to 16 pens, 8 of which were equipped with the GrowSafe system to measure individual feed intake. Cannulated steers (2 per pen) were randomly assigned to the 8 GrowSafe pens. Diets consisted of high- or low-DP barley grain (80.0% of diet DM) processed to an index of either 75 or 85% (PI-75 and PI-85, respectively). Ruminal pH in cannulated steers was measured over four 5-d periods using indwelling electrodes. Fecal samples were collected every 28 d from the rectum of each steer to assess digestibility using AIA as a marker. No differences ( > 0.10) in rumen pH were observed among cattle as measured by the indwelling pH meters. However, lower ( < 0.05) rumen pH was observed for steers fed low- as opposed to high-DP barley in rumen samples collected just prior to feeding and measured in the laboratory. Intake of DM and OM were not affected ( ≥ 0.24) by DP but were lower ( < 0.01) with more severe processing (PI-75 vs. PI-85). Low-DP barley tended to exhibit higher ( = 0.09) total tract DM digestibility than high-DP barley. Steers fed PI-75 barley also had higher ( = 0.06) G:F and NEg. Digestibility of DM, OM, CP, NDF, and starch was higher ( < 0.05) for PI-75 barley than for PI-85 barley. Low-DP barley increased ( < 0.05) carcass dressing percentage by 0.5% compared with high-DP barley, with a lower PI tending to increase ( = 0.06) rib eye area. Compared with steers fed high-DP diets, steers fed low-DP diets had more ( = 0.01) total (41.7 vs. 19.4%) and severe liver abscesses (22.2 vs. 9.7%). Results suggest that although low-DP barley increased liver abscesses, differences in DP did not alter digestion or growth performance but low-DP barley did improve dressing percentage. Barley with different DP responded similarly to processing, with more intensive processing (PI-75) of barley improving starch digestion, feed efficiency, and NEg without negatively affecting rumen pH.

Effects of yeast combined with chromium propionate on growth performance and carcass quality of finishing steers.

A combination of yeast and chromium propionate (Y+Cr) was added to the diets of crossbred finishing steers ( = 504; 402 kg ± 5.76 initial BW) to evaluate impact on feedlot performance and carcass traits. We hypothesized supplementation of Y+Cr would increase growth of feedlot steers. Steers with initial plasma glucose concentrations ≤6.0 m were stratified by initial BW and randomly allocated, within strata, to receive 0 (control) or 3.3 g/d Y+Cr. Steers were further divided into heavy and light weight blocks with 6 pens/diet within each weight block. Cattle were housed in dirt-surfaced pens with 21 steers/pen and had ad libitum access to feed. Body weights were measured at 21-d intervals. Blood samples were collected on d 49 and 94 from a subset of steers (5/pen) for analyses of plasma glucose and lactate concentrations. At the end of the finishing phase, animals were weighed and transported 450 km to an abattoir in Holcomb, KS. Severity of liver abscesses and HCW were collected the day of harvest, and after 36 h of refrigeration, USDA yield and quality grades, LM area, and 12th rib subcutaneous fat thickness were determined. There were no treatment × time × weight block interactions ( > 0.05) and no treatment × block interaction for ADG, DMI, or final BW ( ≥ 0.06), but a treatment × block interaction ( = 0.03) was observed for G:F, in which control, light cattle had poorer efficiency compared with other groups. Treatment × weight group interactions were observed for overall yield grade and carcasses that graded yield grade 1 ( ≤ 0.04). Light steers supplemented with Y+Cr had decreased overall yield grade and increased percentage of carcasses grading yield grade 1 compared with their control counterparts, with no differences observed for heavy steers. Regardless of weight group, a greater percentage of carcasses from steers supplemented with Y+Cr graded yield grade 2 ( = 0.03) and fewer carcasses from steers supplemented Y+Cr graded yield grade 3 ( < 0.01) than control steers. No interactions or effects of treatment were detected for other carcass measurements ( ≥ 0.07). There were no treatment × weight group interactions or effects of treatment for plasma glucose or lactate concentrations on d 49 or 94 ( > 0.10). Overall, yeast in combination with chromium propionate may improve feed efficiency and decrease yield grade of light cattle but had no effect on remaining carcass traits and blood constituents.

Feeding subtherapeutic antimicrobials to low-risk cattle does not confer consistent performance benefits

Stanford, K., Gibb, D. J., Schwartzkopf-Genswein, K. S., Van Herk, F. and McAllister, T. A. 2015. Feeding subtherapeutic antimicrobials to low-risk cattle does not confer consistent performance benefits. Can. J. Anim. Sci. 95: 589–597. Two-hundred and forty steers were obtained from the same ranch in each of 2 yr. Growth performance, health status and carcass characteristics from steers fed subtherapeutic antimicrobials were compared with those of control steers without antimicrobial metaphylaxis. Experimental groups included Control, not fed antimicrobials; CTCS-700, fed 350 mg head−1 d−1 chlortetracycline (CTC) and 350 mg head−1 d−1 sulfamethazine; CTC-11, fed 11 mg kg−1 CTC; TYL, fed 11 mg kg−1 tylosin phosphate; and CTC-350, fed 350 mg head−1 d−1 CTC. Steers were housed in pens of 10 steers and fed antimicrobials during both backgrounding and finishing periods. The incidence of bovine respiratory disease, pinkeye and bloat did not differ among experimental groups, although the incidence of foot rot was lower in Control steers (P&lt;0.05) than in steers receiving TYL. In both years of the study, overall performance (backgrounding+finishing) was not improved by subtherapeutic antimicrobials. Similarly, carcass characteristics and the incidence and severity of liver abscesses were not improved compared with Control steers by feeding subtherapeutic antimicrobials. The results of the present study demonstrate that low-risk steers may be managed in small pens with equivalent growth performance, carcass characteristics and health status to steers fed subtherapeutic antimicrobials.

Effect of corn particle size with moderate amounts of wet distillers grains in finishing diets on starch digestibility and steer performance

Five hundred yearling steers (370 ± 30.0 kg, SD) were used to determine the effect of corn particle size in diets containing 35% wet distillers grains plus solubles (WDGS) on steer performance, carcass characteristics, and apparent total-tract starch digestibility (TTSD). Treatments included 45% cracked corn (CON; 2,350 μm) or finely ground corn (FIN; 500 μm) with 35% WDGS and were replicated in 4 pens per treatment with 60 or 64 steers per pen. Fecal samples were collected on d 71 and 72 (F-1) and d 102 and 103 (F-2). Final BW and HCW were heavier (P ≤ 0.01) for steers finished on CON compared with steers finished on FIN. Whereas G:F was not different (P = 0.22) between treatments, DMI and ADG were greater (P ≤ 0.01) for CON-fed steers than FIN-fed steers. Liver abscess scores were not influenced (P ≥ 0.39) by treatment. Liver abscess scores tended (P = 0.10) to influence ADG over the experiment, with steers having severe liver abscess scores gaining less compared with steers with no or mild liver abscess scores. A treatment × time effect (P < 0.01) was observed for TTSD. Whereas TTSD of steers fed CON decreased over time (90.28 and 85.74% for F-1 and F-2, respectively), TTSD of steers finished on FIN did not differ across the 2 sampling dates (97.95 and 97.55% for F-1 and F-2, respectively). Apparent starch digestibility was improved for steers fed finely ground corn with 35% WDGS; however, cattle performance was less compared with steers fed cracked corn with 35% WDGS.

Combined Encephalopathies in Severe Malnutrition and Liver Abscess Treated with Metronidazole

Combined Encephalopathies in Severe Malnutrition and Liver Abscess Treated with Metronidazole

Immunization with the Entamoeba histolytica surface metalloprotease EhMSP-1 protects hamsters from amebic liver abscess.

Diarrhea and amebic liver abscesses due to invasive Entamoeba histolytica infections are an important cause of morbidity and mortality in the developing world. Entamoeba histolytica adherence and cell migration, two phenotypes linked to virulence, are both aberrant in trophozoites deficient in the metallosurface protease EhMSP-1, which is a homologue of the Leishmania vaccine candidate leishmanolysin (GP63). We examined the potential of EhMSP-1 for use as a vaccine antigen to protect against amebic liver abscesses. First, existing serum samples from South Africans naturally infected with E. histolytica were examined by enzyme-linked immunosorbent assay (ELISA) for the presence of EhMSP-1-specific IgG. Nine of 12 (75%) people with anti-E. histolytica IgG also had EhMSP-1-specific IgG antibodies. We next used a hamster model of amebic liver abscess to determine the effect of immunization with a mixture of four recombinant EhMSP-1 protein fragments. EhMSP-1 immunization stimulated a robust IgG antibody response. Furthermore, EhMSP-1 immunization of hamsters reduced development of severe amebic liver abscesses following intrahepatic injection of E. histolytica by a combined rate of 68% in two independent animal experiments. Purified IgG from immunized compared to control animals bound to the surface of E. histolytica trophozoites and accelerated amebic lysis via activation of the classical complement cascade. We concluded that EhMSP-1 is a promising antigen that warrants further study to determine its full potential as a target for therapy and/or prevention of invasive amebiasis.

Effects of monensin and tylosin in finishing diets containing corn wet distillers grains with solubles with differing corn processing methods1

A total of 3,632 crossbred steers were used in 3 separate randomized complete-block designed finishing experiments. Data from Exp. 1 were analyzed separately whereas data were combined for Exp. 2 and 3, based on corn processing method used [Exp.1 = equal combination of dry-rolled and high-moisture (DRC:HMC); Exp. 2 and 3 = steam-flaked (SFC)]. Steers were fed 1 of 5 treatments to evaluate the effects of monensin and tylosin in feedlot diets containing 25% corn wet distillers grains with solubles (WDGS; DM basis). Treatments included: 1) corn-based diet (no WDGS) with 360 mg/d monensin and 90 mg/d tylosin (CORN+MT), 2) 25% wet distillers grains with solubles (WDGS-CON), 3) 25% WDGS with 360 mg/d monensin (WDGS+M), 4) WDGS with monensin and tylosin at same levels as treatment 1, and 5) WDGS with 480 mg/d monensin and 90 mg/d tylosin (WDGS+HIMT). In Exp. 1, WDGS+MT increased (P < 0.01) ADG (6.5%), G:F (6.9%), and HCW (3.0%) compared with CORN+MT. Alternatively, in Exp. 2 and 3, WDGS+MT had no effect on ADG (P = 0.18), decreased (P < 0.01) G:F by 3.2%, and did not affect HCW (P = 0.57) compared with CORN+MT. In Exp. 1, addition of monensin to a WDGS diet increased G:F by 3.1% (P = 0.03) and tended to increase G:F in Exp. 2 and 3 (P = 0.09) compared with WDGS-CON. For all experiments, addition of monensin and tylosin in a diet containing WDGS increased G:F (P < 0.01) and reduced total and severe liver abscesses (P < 0.01) compared with WDGS-CON. Additionally, HCW was increased in Exp. 2 and 3 (P < 0.01) and tended to increase in Exp. 1 (P = 0.09) when monensin and tylosin were fed in a WDGS diet compared with WDGS-CON. Feeding WDGS+MT reduced total liver abscesses by 79.3% (Exp. 1) and 57.6% (Exp. 2 and 3) compared with WDGS-CON. Compared with WDGS+MT, minimal differences were observed when monensin was fed at 480 mg/steer daily with tylosin in diets containing WDGS. Inclusion of WDGS in finishing steer diets did not alter effectiveness of monensin with tylosin in improving G:F and reducing prevalence of liver abscesses, regardless of corn processing method. Corn processing method appears to be an important factor in performance response to WDGS with feeding value of WDGS, measured as an increase in feed efficiency, being greater in a DRC:HMC-based diet compared with a SFC-based diet.

HepG2 cells infected with Klebsiella pneumoniae show DNA laddering at apoptotic and necrotic stages

Virulent Klebasiella pneumoniae (KP) inflicts severe liver abscesses in infected patients. This study investigated how the bacterial infection affected cell survival at the molecular level, in a cultured cell model. A strain of KP highly virulent in mice was isolated from a patient with liver abscess, and was used to infect HepG2 cells. The infected cells were examined for their viability, DNA fragmentation, and proteins involved in apoptosis or necrosis. We found that the infection decreased the viability of HepG2 cells at 4hours (h) to 12h post infection (pi). DNA ladders appeared 6-16h pi and flow cytometry analysis showed apoptosis at 3-5h pi, secondary necrosis at 6-9h pi and primary necrosis at 8-9h pi. Cleavages of Caspase 7, Caspase 9, α-Fodrin, and PARP were evident at 2-4h pi. At 7h pi, we observed the following: increased nuclear AIF, the release from mitochondria of cytosolic Apaf-1 and Cyt c, increased DFF40 expression, decreased DFF45, decreased BcL-xL and the release of Endo G from mitochondria to nucleus. Cellular ATP concentration decreased at 4-8h pi, accompanied by increased Calpain-2 expression. In summary, infected HepG2 cells underwent apoptosis early after infection and progressed to secondary necrosis and primary necrosis. Nuclear fragmentation corresponded to Caspase 7 activation and the appearance of Endo G and DFF40 in the nucleus, with a concomitant decrease in DFF45. Mitochondrial release of Cyt c together with activation of Caspase 9 and Apaf-1 in cytosol was also observed. Early-hour cleavage of poly(ATP-ribose) polymerase (PARP) followed by the later activation of PARP corresponded to the appearance of DNA laddering, and the depletion of cellular ATP was associated with the appearance of necrosis.

Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man

The causes of pyogenic liver abscess has been known as biliary tract disease or intrabadominal infection but the large proportions of the patients has no apparent underlying disorders. Recently colonic mucosal lesions were reported in patients with cryptogenic liver abscess and it has been suggested that colonic mucosal break may play a role in developing liver abscess in otherwise healthy patients. We experienced a patient of severe recurrent liver abscess complicated with endophthalmitis only 3 months after successful treatment of initial cryptogenic liver abscess and a polypoid colon cancer was discovered by chance. It seems prudent to proceed colonoscopic examination in patients with cryptogenic liver abscess especially when it is recurrent. (Ewha Med J 2011;34(2):60-63)

Comparison of two vaccines to reduce liver abscesses in natural-fed beef cattle

A blinded interventional clinical trial was conducted to evaluate the efficacy of two liver abscess vaccines in natural-fed beef cattle. Feedlot cattle (n=1,307 head, initial body weight=613±71 lb; or 279±32 kg) were randomly assigned to one of three vaccine treatments: no vaccine (control); vaccination with a Fusobacterium necrophorum bacterin (Fusogard?, Novartis Animal Health US, Inc, Greensboro, NC); or vaccination with an Arcanobacterium pyogenes-Fusobacterium necrophorum toxoid (CenturionTM, Intervet/Schering-Plough Animal Health, DeSoto, KS). Cattle were fed a finishing diet consisting of 73% steam-flaked corn arid 13% roughage (as-fed basis). At harvest, livers were scored using the Elanco Liver Scoring System. Incidence of liver abscesses (56%) and severe liver abscesses (39%) was relatively high in this study. Vaccine treatment did not affect incidence of liver abscesses or severe liver abscesses, nor did it affect liver abscess score. Initial body weight, 60-day body weight, 60-day average daily gain (ADG), total days-on-feed (DOF), hot carcass weight, yield grade, and quality grade were not different among vaccine treatments. Cattle with abscessed livers at harvest tended to have lower 60-day ADG than those without abscesses. Presence of liver abscesses increased (P=0.02) total DOF, but only by two days. Presence of severe liver abscesses was associated with reduced (P&lt;0.01) hot carcass weight, and more cattle that graded USDA Select rather than USDA Choice (P=0.01).