1. Introduction
Campylobacter jejuni (
C. jejuni) is a gram-negative, microaerophilic bacterium that colonizes the gastrointestinal tract of various hosts (incl. monogastric species and ruminants) and can effectively survive in organic matter and environmental waters [
1,
2,
3]. Since 2007, the microorganism has been recognized as the major cause of human bacterial foodborne gastroenteritis worldwide with the annual number of confirmed human cases in the European Union being approximately 130,000 for 2021 [
4], resulting in an estimated cost of EUR 2.4 billion a year, due to the public health impact and lost productivity [
5].
Poultry products, especially broiler meat, are considered the most important route for human infection by
C. jejuni. Epidemiological surveys revealed that 60–80% of the analyzed poultry flocks are positive for this pathogenetic microorganism at slaughter age [
6]. It is suggested that the naturally high body temperature of birds is favourable for the growth of the thermophilic
C. jejuni, which colonizes birds’ gastrointestinal tracts, especially the region of the ceca, forming populations as high as 10
9 CFU/gr of content [
2]. Carcasses are subsequently contaminated at the slaughterhouse, especially during the evisceration process, which results in the augmentation of the pathogen in the food-production chain and, finally, its frequent isolation from retail poultry products [
7].
The rise in annually reported human infections and the evermore frequent isolation of antimicrobial-resistant
C. jejuni strains from humans, animals, and the environment [
8,
9] emphasize the urgent demand for the development of “alternative-to-antibiotics” biocides [
10] and for the establishment of control strategies in line with the “One Health” approach [
11]. Health organizations are showing an increased interest in alternative biocides, including organic acids, phytogenics, probiotics, and prebiotics. These substances have been found to have antimicrobial properties that can combat a variety of zoonotic pathogens. Additionally, they have positive effects on animal health, welfare, and productivity [
12,
13,
14]. Overall, these compounds are deemed safe for both consumers and the environment and are in compliance with organic poultry production regulations [
15,
16].
According to the European Food Safety Authority (EFSA), Panel on Biological Hazards (BIOHAZ) 2020 for the update and review of the control options for
Campylobacter spp., the addition of organic acids, chlorine-based biocides, or hydrogen peroxide to the drinking water of broilers could reduce the risk of
Campylobacter-positive flocks up to 55% [
13]. This recommendation is fully supported by previous epidemiological investigations in Great Britain, France, and Spain, which reveal that the sanitation of drinking water by organic or inorganic acids is strongly correlated with a lower percentage of
Campylobacter-positive flocks [
17,
18,
19].
Organic acids can act either as a source of carbon and energy for microorganisms or as inhibitory agents depending on the concentration of the acid, its ability to enter the cell, and the capacity of the organism to metabolize the acid [
20]. The antibacterial action of organic acids involves several mechanisms. Organic acids lower the pH, creating an acidic environment hostile to bacteria. In addition, organic acids can penetrate the bacterial cell membrane and disrupt its integrity, leading to a loss of essential nutrients, or interfering with cellular metabolic processes, such as respiration and energy production, thus leading to the inhibition of specific enzymes and eventually to cell death [
21].
Organic acids are traditionally used in livestock as preservatives or flavouring agents in feedstuff [
20,
21]. Moreover, it is reported that organic acids, such as butyric, formic, propionic, or acetic, could enhance growth, feed intake, feed efficiency, and egg production when applied to the feed or drinking water of poultry. In addition, organic acids have been linked with various physiological benefits, including immunological modulation and energy supply for intestinal cells [
20,
22]. Organic acids have also been reported to lower the pH of the gastrointestinal content of birds, creating a hostile microenvironment for the growth of pathogenic, pH-sensitive, bacteria [
23] and thereby promoting the growth of beneficial microorganisms, such as
Lactobacillus spp. and
Bifidobacterium spp. Additionally, a reduction of the pH boosts the proteolytic activity of the gastric enzymes and, finally, enhances the digestion and absorption of nutrients [
20,
22,
23].
The effect of water acidification on
C. jejuni colonization in poultry has been investigated in only a few studies [
24,
25]. However, despite the promising findings from the in vitro and field data, in the in vivo experimental studies, no product was found to effectively prevent or reduce the counts in the ceca of birds to a degree that could reduce the incidence rate of human infection. In particular, Szott et al. [
24] reported that adding the organic acids consistently reduced
C. jejuni loads in cloacal swabs during the early stage of infection, whereas there were no significant differences in the
C. jejuni loads of cecal and colon contents compared to the positive control group at the end of the study. Similarly, Mortada et al. [
25], reported that an organic acid-based commercial product (consisting of formic acid and cinnamaldehyde) reduced the proliferation of
Campylobacter spp. under the in vitro tests but it did not alter the
Campylobacter spp. loads in the ceca of birds at 42 days of age. However, in a current systematic literature review of products with potential application for use in the control of
Campylobacter spp. in organic and free-range broilers, Lassen et al. [
26] concluded that a blend of organic acids could be a promising candidate for reducing
Campylobacter spp. in broilers.
Thus, the aim of the present study was to investigate the effect of three commercial water acidifiers (ProPhorce™ SA Exclusive; Premium acid, and Salgard® Liquid), which contain a blend of organic acids on the performance, gut health, and C. jejuni colonization in experimentally challenged broiler chicks.
4. Discussion
This study investigated the effect of three commercial water acidifiers (ProPhorce™ SA Exclusive, Premium acid, and Salgard® Liquid) on the performance, gut health, and C. jejuni colonization in broiler chicks which were experimentally challenged by the C. jejuni. Our results demonstrated that continuous acidification of the drinking water did not affect the transmission of C. jejuni from the seeder to sentinel birds, under the conditions used in this study. In addition, the continuous use of certain products from the first days of life evoked undesirable effects on the broilers’ performance, leading to the need for modifying the dosage scheme in future investigations.
Several factors can affect the pathogenicity of
C. jejuni in poultry, including the bird’s genetic background, overall health, management, strain type, infectious dosage, and age of infection [
39,
40]. These factors can cause variations among experimental studies and finally make it difficult to determine whether
C. jejuni is a pathogen or a commensal bacterium for poultry [
41]. In the present study, birds were infected at the 18th day of age by oral ingestion of 1 mL of 10
6 CFU of
C. jejuni reference strain KC40. In both samplings, 7- and 21-days post-infection,
C. jejuni was detected in the ceca of infected birds in populations of ∼7 log
10 CFU/g and ∼8 log
10 CFU/g content (
Table 11), which is in accordance with previous investigators demonstrating that the
C. jejuni K40 is efficient in colonizing chickens to a high level [
32,
33,
42].
Certain
C. jejuni strains, such as INN-1-179, C101, ATCC 33291, and NCTC 12744, have been previously reported to adversely affect the performance of broilers in terms of reduced ADFI and ADWG [
39]. Infection by
C. jejuni K40 did not significantly alter the performance parameters in this study. However, at slaughter age, the final mean BW of the only challenged birds was numerically lower, by 100 g, compared to that of the nonchallenged birds. In addition, a statistical trend for lower ADFI over the total experimental period was recorded in the challenged birds, compared to their nonchallenged counterparts. Previous investigators demonstrated that infection of broilers by
C. jejuni can lead to decreased growth rates due to poor nutrient absorption in the intestines, changes in the structure of the gut, shifts in the gut microbiota, and abnormal behaviour in affected birds [
39,
43,
44].
It is reported that
C. jejuni colonization may induce shifts in the composition of the gut microbiome of the infected birds by affecting the development and complexity of the microbial communities [
39]. In some previous studies, infection of broilers by
C. jejuni resulted in an increased abundance of
Clostridium spp. and a decreased abundance of
E. coli in multiple areas of the intestine [
45,
46]. In agreement with the above studies, infection of broilers by
C. jejuni KC40 in the present study increased
C. perfringens counts in the ceca of birds at the 38th day of age. It is suggested that
C. jejuni acts as a hydrogen sink, which enhances the growth of
Clostridia through increased fermentation and organic acid production [
47], which
C. jejuni can also utilize as an energy source.
C. jejuni infection in this study significantly increased the pH of intestinal contents in the ceca of birds. It is reported that
C. jejuni infection modulates the profile of metabolic end products derived from the intestinal microbiota in broilers. Awad et al. [
48] conducted a study that revealed how
C. jejuni infection lowers the amount of certain SCFAs in the intestine of the infected birds, suggesting that the metabolic activity of some bacteria in the gut is altered. As a result, the pH levels in the jejunum and caecum digesta of infected birds in the above study increased to a level that is ideal for the growth of
C. jejuni.
The viscosity of the intestinal digest is mainly affected by the presence of water-soluble non-starch polysaccharides (NSP), which are mostly found in cereal grain, as well as by the ability of goblet cells to produce mucin 2, a glycoprotein that is crucial for intestinal epithelial mucus-layer formation [
49,
50,
51]. Higher intestinal viscosity has been associated with poor gut health and broiler performance [
52]. The higher viscosity of the intestinal content leads to the increased retention time of the digesta, which allows more time for the pathogens to colonize the gastrointestinal tract. The higher viscosity also reduces conjugated bile acids, affecting fat emulsification and digestibility [
51], while simultaneously increasing the gut passage time and, therefore, the amount of undigested materials in the intestines of birds.
Previous research has shown that changes in the viscosity of the intestinal digesta are strongly associated with intestinal diseases such as necrotic enteritis and coccidiosis [
53]. For
C. jejuni, such a relationship still needs to be elucidated. In the study of Fernandez et al. [
54], lower
C. jejuni numbers were associated with lower jejunal viscosity. Additionally, Molnár et al. [
55] found that
C. jejuni infection induces excess mucus production in the intestine, as indicated by the higher viscosity of the intestinal digest of infected birds. While the mucus layer in the intestine of birds represents a significant barrier for the attachment and invasion of several bacteria into the epithelial cells [
50], it seems that, for
C. jejuni, this mechanism is not applicable. Actually, the presence of the flagella and the darting motility of
C. jejuni are important advantages, facilitating the movement of this bacterium in a highly viscous environment such as intestinal mucus [
56]. In addition, the microaerophilic environment and the nutrients in the intestinal mucus seem to enhance the growth and adhesion of
C. jejuni to the epithelial cells.
In the present study, infection of broilers by
C. jejuni did not significantly affect the viscosity of the contents in various anatomical parts of the birds. However, at the 38th day of age (21 days post-infection), the viscosity in the positive control group was numerically lower compared to that of the negative control. This could be attributed to the osmotic and absorptive alterations induced by the
C. jejuni infection in the birds’ gastrointestinal tract [
57,
58]. Moreover, reduced viscosity could be associated with watery diarrhoea observed during the clinical examination of some infected birds in this study.
In this study, water acidifiers were applied in a continuous dosage scheme to investigate their efficiency in controlling
C. jejuni colonization dynamics. It is suggested that broilers receiving acidified water from the first days of their life would be less susceptible to colonization by enteric pathogens after exposure, due to alterations in the host gut microenvironment and the host immune system [
59]. However, various parameters, including the type of acidic agents employed, dosage scheme, water quality, feed buffering capacity, feed ingredients, host microbiota composition, and general health of birds, as well as general farm management, might all have an impact on the efficacy of commercial formulas and, thereby, occasionally lead to unfavourable outcomes [
60,
61,
62,
63].
In the present study, the continuous water acidification by both ProPhorce™ SA Exclusive and Premium acid has resulted in the desired augmentation in the mean BW of birds, as early as the 15th day of age. In addition, while
C. jejuni challenge did not significantly affect the BW of birds at any timepoint of this trial, its combination with ProPhorce™ SA Exclusive or Premium acid resulted in significantly lower BW of birds on the 20th, 23rd, and 25th days, compared to the negative control group. Our results are in agreement with previous studies that also reported adverse effects on the performance of birds being subjected to a continuous water acidification program [
61,
62,
63].
It is reported that the overuse of organic acids in the drinking water of birds may cause lower water consumption and, subsequently, lower feed intake due to changes in the odour and taste of the drinking water [
62,
63]. Generally, birds prefer water to be slightly acidic [
64]. According to the broiler management guide of Aviagen
®, the preferred pH for optimal performance is between 5.0–6.0 [
27]. pH values greater than 8.0 may cause unsatisfactory bacterial growth and biofilm formation, whereas pH values lower than 4.0 may result in poor performance, damage to the equipment, and fungal overgrowth [
27]. Açıkgöz et al. [
63] reported that the continuous addition of formic acid in the drinking water of broilers resulted in a pH of 4.5 that significantly decreased the BW of birds at the 21st and 42nd day of age. In the present study, both products are highly concentrated in formic acid, whereas their application at the tested dosages induced an extremely low pH below 4.0 (3.18–3.82). However, water intake could not be evaluated statistically due to the absence of replicates. Nevertheless, no remarkable fluctuations in water consumption as a whole were recorded among the experimental groups (
Table 6).
On the other hand, the ADFI for the period 1–15 days was reduced in the groups where water acidifiers (ProPhorce™ SA Exclusive, Premium acid, and Salgard
® Liquid) were applied continuously at the concentration of 0.1%
v/
v. On the 15th day of age, the post mortem examination revealed that in the groups where the drinking water was treated by ProPhorce™ SA Exclusive and Premium acid, gross lesions (erosions and/or ulcers) in the oral cavity and/or esophagus (
Figure 4A,B) were recorded in a higher percentage (
p ≤ 0.05) of birds (
Table 8). Similar lesions can be caused by foreign-body injury, toxic ingestion (including mycotoxins), parasitic infections (e.g.,
Trichomonas gallinae), or due to treatment with ulcerogenic drugs [
65,
66,
67,
68]. The feed analysis ruled out mycotoxins as the cause of the lesions observed. Moreover, the increased biosecurity applied in the experimental facilities and the quality of the feed ingredients could not support the association between the recorded lesions and foreign items or other toxic substances. Additionally, the histopathological findings were not compatible with parasitic or fungal infection (
Figure 4C,D). The ulcers and erosions found in this study appear to be strongly connected to the drinking water’s extremely low pH levels (ranging from 3.18 to 3.82) caused by ProPhorce™ SA Exclusive and Premium acid.
ProPhorce™ SA Exclusive and Premium acid did not significantly affect the pH of the birds’ crop contents, likely due to the feed’s buffering ability [
20]. This could also explain why gross lesions occurred only in the oral cavity and the upper esophageal area, whereas no lesions were seen in the crop and the lower part of the esophagus. Finally, despite the fact that the drinking water was so acidic in terms of inducing gross lesions in birds, it is unclear that the water consumption was not extremely reduced in these animal groups. However, for birds, it is reported that the taste glands are primarily distributed in the epithelium of the upper beak (palate) and to a lesser extent in the region of the anterior tongue, where they are mainly found in other animals [
69]. Thus, when a bird can taste something, it is too late to change its response about swallowing [
64,
70].
Neither gross lesions nor extreme reduction in the water pH were noted for the Salgard
® Liquid, which is an acidic blend based on organic acid salts (ammonium formate and propionate). Several advantages have been reported for the salts of organic acids compared to their free acid forms. Specifically, organic acid salts are easier to handle, less corrosive to processing equipment, and odourless to the birds. In addition, the free organic acids can be absorbed in the upper gastrointestinal tract or buffered in the acidic pH of the stomach; instead, their salt forms can effectively bypass into the intestine and they can be subsequently converted into their free forms in the lower parts of the gastrointestinal tract where colonization by bacterial pathogens, such
C. jejuni, usually takes place [
71]. However, an essential disadvantage of the salt forms is that they do not reduce the pH value to the same extent as the free acids due to the replacement of the H+ ion by other cations, such as NH
+, as in the case of salts of the Salgard
® Liquid in our study. Ragaa et al. [
72] reported that adding an acidifier blend of free organic acids and salts significantly reduced
Clostridium spp. counts in the intestine. In the present study, the continuous application of Salgard
® Liquid reduced
Clostridium spp. counts in the ceca of birds.
Individual organic acids or blends of organic acids have shown promising anti-
Campylobacter activity in previous in vitro studies; however, only a few data are available for the anti-
Campylobacter activity of commercially available formulas. Mantzios et al. [
10] reported that Premium acid at a concentration of 0.07%
v/
v efficiently inhibited the growth of tested
Campylobacter spp. strains, whereas at higher concentrations (0.142%
v/
v), the product efficiently inhibited the growth of other important zoonotic bacteria such as
S. Typhimurium,
Listeria spp.,
E. coli, and
S. aureus. Likewise, the antimicrobial activity of ProPhorce™ SA Exclusive in vitro has been previously highlighted by Kovada et al. [
73] who reported that the product was efficient in inhibiting the growth of tested
C. jejuni strains in concentrations of 700–1000 mg/Lt (0.07–0.10%
v/
v), whereas higher concentrations of the product were required for the inhibition of the tested
E. coli and
S. Typhimurium strains 2000–2200 mg/Lt (0.20–0.22%
v/
v). For Salgard
® Liquid, no previous data are available regarding its antibacterial activity in vitro; however, individual compounds, such as ammonium formate and formic acid, which are highly concentrated in the products, were previously described as efficient anti-
Campylobacter agents [
16,
73].
Despite the in vitro potential of the tested products, none of these have prevented the transmission of
C. jejuni from the seeder to sentinel birds in the present work. In all the challenged groups, the transmission rate of
C. jejuni from seeder to sentinel birds was 100% seven days post-infection, which concurs with the findings of previous investigations [
74]. The exact route of transmission is yet to be determined. Litter, feed, or drinking water contaminated by faeces are only a few of the possible routes that may be involved in the transmission of
C. jejuni to sentinel birds in the challenged groups of this study. It is reported that a single dose of 40 CFU-viable
C. jejuni can effectively colonize the chicken intestinal tract [
39].
Although water acidification may not be the golden standard to prevent
C. jejuni transmission among birds, reducing the
C. jejuni counts in their gastrointestinal tracts can still be helpful in promoting the One Health approach. In particular, it is reported that reducing
C. jejuni counts in the ceca of broilers by 3 log
10 could reduce the incidence of human infection attributed to broiler meat consumption by 58% [
13]. In our case, all the products revealed a potential anti-
Campylobacter activity by reducing the
C. jejuni counts in birds’ gastrointestinal tracts by 0.15 to 1.51 log
10 CFU/g depending on the product and the examined anatomical part.
For
C. jejuni, the optimum pH range for growth is 6.5–7.5, whereas bacterial cells are killed at a pH under 2.3 [
75]. It is important here to note that even when the drinking water in some treatments had a pH of 3.0–3.5, the crop’s content’s pH was not significantly affected, indicating the high buffering capacity of the feed [
76]. Moreover, even when the pH in the crop is significantly reduced, it has been reported by previous investigators that despite their high susceptibility,
Campylobacters have been observed to recover effectively within 24 h, even after being exposed to pH values as low as 3.8 [
75]. These facts could explain why the
C. jejuni counts in the crop of the birds in some groups were not significantly affected (
Table 11), even when, in this anatomical part, the tested products are less modified.
Free organic acids such as those included in the tested commercial formulas of the acidifiers can be readily absorbed by the upper gastrointestinal tract of birds and incorporated into the muscles [
20,
21], thus, not being in high-enough concentrations to reduce
C. jejuni counts in the ceca of birds. To that end, novel formulas for acidifiers are being designed with, e.g., with esterification and/or microencapsulation, to ensure the safe bypass of the ingredients through the stomach’s acidic environment and to exert their antimicrobial activities in the intestines of birds [
77,
78].
Finally, organic acids and their derivates could be used in poultry feed or water as antimicrobial agents, preservatives, pH regulators, antioxidants, and flavouring agents. However, according to the category used, organic acids must comply with the maximum levels established by the EU legislation and be authorized by the EU Commission. The use of organic acids as feed additives for poultry is regulated by EU Regulation 1831/2003. It is important to note that organic and inorganic acids are not antibiotics. However, accompanied by excellent nutrition, management, and biosecurity procedures, they can help poultry to maintain intestinal health, as well as to enhance the livability and final productivity of the broilers, strengthen the immune system, improve gut microbiota composition, and, finally, combat intestinal diseases [
20,
23,
78].
The results of the present study are only indicative of the activity of products classified as acidifiers in poultry nutrition. However, it is important to note that the efficacy of commercial formulas in this field can be affected by several factors described above [
20]. Therefore, the farmers need to consult a veterinarian or nutritionist in order to design the appropriate, for each farm, dosage scheme.