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<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2024.1468783</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Development and application of a quadruplex <italic>TaqMan</italic> real-time fluorescence quantitative PCR assay for four porcine digestive pathogens</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Wang</surname>
<given-names>Haojie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Sun</surname>
<given-names>Yue</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Jianxing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Wei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Yu</surname>
<given-names>Haibo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Gao</surname>
<given-names>Caixia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2664447"/>
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<contrib contrib-type="author">
<name>
<surname>An</surname>
<given-names>Tongqing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Yue</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Hongyan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Liangquan</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Jin</surname>
<given-names>Zhimin</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yu</surname>
<given-names>Changqing</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xia</surname>
<given-names>Changyou</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>He</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>State Key Laboratory for Animal Disease Control and Prevention, Harbin Veterinary Research Institute, Chinese Academy of Agricultural Sciences</institution>, <addr-line>Harbin</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>College of Life Sciences and Technology, Mudanjiang Normal University</institution>, <addr-line>Mudanjiang</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>China Institute of Veterinary Drug Control</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>School of Advanced Agricultural Sciences, Yibin Vocational and Technical College</institution>, <addr-line>Yibin</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Rui Miguel Gil Da Costa, Federal University of Maranh&#xe3;o, Brazil</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Ricardo Oliveira, National Institute for Agrarian and Veterinariay Research (INIAV), Portugal</p>
<p>Yigang Xu, Zhejiang A&amp;F University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: He Zhang, <email xlink:href="mailto:zhanghe01@caas.cn">zhanghe01@caas.cn</email>; Changyou Xia, <email xlink:href="mailto:xiachangyou@caas.cn">xiachangyou@caas.cn</email>; Changqing Yu, <email xlink:href="mailto:ycq_1926@126.com">ycq_1926@126.com</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>11</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1468783</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>10</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Wang, Sun, Chen, Wang, Yu, Gao, An, Wang, Chen, Zhu, Jin, Yu, Xia and Zhang</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Wang, Sun, Chen, Wang, Yu, Gao, An, Wang, Chen, Zhu, Jin, Yu, Xia and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p><italic>Salmonella</italic>, <italic>Escherichia coli</italic>, <italic>Lawsonella intracellularis</italic>, and <italic>Brachyspira hyodysenteriae</italic> are the primary pathogens responsible for gastrointestinal diseases in pigs, posing a significant threat to the health and productivity of pig production systems. Pathogen detection is a crucial tool for monitoring and managing these infections.</p>
</sec>
<sec>
<title>Methods</title>
<p>We designed primers and probes targeting the <italic>invA</italic> gene of <italic>Salmonella</italic>, the 23S <italic>rRNA</italic> gene of <italic>Escherichia coli</italic>, the <italic>aspA</italic> gene of <italic>Lawsonella intracellularis</italic>, and the <italic>nox</italic> gene of <italic>Brachyspira hyodysenteriae</italic>. We developed a quadruplex TaqMan real-time quantitative PCR assay capable of simultaneously detecting these four pathogens.</p>
</sec> <sec>
<title>Results</title>
<p>This assay demonstrated high sensitivity, with detection limits of 100 copies/&#x3bc;L for the recombinant plasmid standards pEASY-23S rRNA, pEASY-aspA, and pEASY-<italic>nox</italic>, and 10 copies/&#x3bc;L for pEASY-<italic>invA</italic>. The standard curves exhibited excellent linearity (R<sup>2</sup> values of 0.999, 0.999, 1, and 0.998, respectively) and high amplification efficiencies (93.57%, 94.84%, 85.15%, and 81.81%, respectively). The assay showed high specificity, with no cross-reactivity detected against nucleic acids from Streptococcus suis, porcine epidemic diarrhoea virus (PEDV), porcine transmissible gastroenteritis virus (TGEV), <italic>Pasteurella multocida</italic>, <italic>Clostridium perfringens</italic>, <italic>Gracilaria parapsilosis</italic>, porcine delta coronavirus (PDCoV), porcine group A rotavirus (GARV), and porcine teschovirus (PTV). The assay also exhibited excellent repeatability, with inter- and intra-assay coefficient of variation (CV) ranging from 0.15% to 1.12%. High concentrations of nucleic acids did not interfere with the detection of low concentrations, ensuring robust performance in complex samples. Among 263 diarrhoeic samples, the assay detected <italic>Salmonella</italic> in 23.95%, <italic>Escherichia coli</italic> in 26.24%, <italic>Lawsonella intracellularis</italic> in 33.84%, and <italic>Brachyspira hyodysenteriae</italic> in 22.43%.</p>
</sec>
<sec>
<title>Discussion</title>
<p>This quadruplex TaqMan qPCR assay offers a rapid, sensitive, and specific tool for the simultaneous detection of <italic>Salmonella</italic>, <italic>Escherichia coli</italic>, <italic>Lawsonella intracellularis</italic>, and <italic>Brachyspira hyodysenteriae</italic> in pigs.</p>
</sec>
</abstract>
<kwd-group>
<kwd>bacterial gastrointestinal diseases</kwd>
<kwd>Salmonella</kwd>
<kwd>Escherichia coli</kwd>
<kwd>Lawsonella intracellularis</kwd>
<kwd>Brachyspira hyodysenteriae</kwd>
<kwd>Quadruplex TaqMan real-time fluorescence quantitative PCR</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="6"/>
<equation-count count="0"/>
<ref-count count="46"/>
<page-count count="10"/>
<word-count count="3923"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Veterinary and Zoonotic Infection</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>With the increasing density of pig farming, porcine digestive diseases have become progressively more complex (<xref ref-type="bibr" rid="B11">Choi Y. et&#xa0;al., 2024</xref>). The misuse of antibiotics, along with the rise in drug-resistant bacteria, has made monitoring bacterial digestive diseases even more critical (<xref ref-type="bibr" rid="B38">Subramani et&#xa0;al., 2023</xref>). Notably, pathogens such as <italic>Salmonella</italic> (SE), <italic>Escherichia coli</italic> (<italic>E. coli</italic>), <italic>Lawsonia intracellularis</italic> (<italic>L. intracellularis</italic>, LI), and <italic>Brachyspira hyodysenteriae</italic> (<italic>B. hyodysenteriae</italic>, B.h) can induce symptoms like diarrhea, enteritis, growth retardation, and depression in pigs. These symptoms are often difficult to differentiate clinically. Moreover, these four pathogens are prone to causing mixed infections, which lead to increased morbidity and mortality, contributing to substantial economic losses in the pig industry (<xref ref-type="bibr" rid="B7">Chanam&#xe9; Pinedo et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B12">Collins and Collins, 2024</xref>; <xref ref-type="bibr" rid="B29">P&#xe9;rez-P&#xe9;rez et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B27">Parihar et&#xa0;al., 2024</xref>). Additionally, SE and <italic>E. coli</italic> are zoonotic pathogens that can infect humans through contaminated food or water, causing gastrointestinal illnesses. This poses a significant risk to public health, as these infections can result in widespread transmission (<xref ref-type="bibr" rid="B10">Choi N. et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B42">Wang Z. et&#xa0;al., 2024</xref>).</p>
<p>Porcine salmonellosis, also known as porcine paratyphoid fever, is caused by SE, a Gram-negative, ovoid, facultatively anaerobic, non-budding, non-spore-forming, flagellated, and motile bacterium (<xref ref-type="bibr" rid="B44">Yoon et&#xa0;al., 2024</xref>). Over 2000 serotypes of Salmonella have been identified, with more than 200 found in China (<xref ref-type="bibr" rid="B45">Zhang et&#xa0;al., 2024</xref>). The serotypes primarily responsible for this disease include <italic>Salmonella Choleraesuis</italic>, <italic>Salmonella typhimurium</italic>, and <italic>Salmonella enteritidis</italic>, with <italic>Salmonella Choleraesuis</italic> and <italic>Salmonella typhimurium</italic> being the most significant (<xref ref-type="bibr" rid="B26">Ojha et&#xa0;al., 2024</xref>). Acute cases of the disease often present as septicemia, while chronic cases result in necrotizing inflammation of the large intestine (<xref ref-type="bibr" rid="B18">Fl&#xf3;rez-Delgado et&#xa0;al., 2023</xref>). The disease predominantly affects piglets between 1 to 4 months of age, with cases in adult pigs being rare worldwide (<xref ref-type="bibr" rid="B4">Bearson, 2022</xref>). In the United States, an estimated 1.3 million SE infections and 420 associated deaths occur annually, with an economic burden of approximately $3.7 billion. Moreover, more than 50% of US hog farms test positive for SE (<xref ref-type="bibr" rid="B4">Bearson, 2022</xref>).</p>
<p>Porcine colibacillosis is an enteric disease primarily affecting piglets, caused by pathogenic <italic>E. coli</italic> (<xref ref-type="bibr" rid="B33">Siddi et&#xa0;al., 2024</xref>). Pathogenic <italic>E. coli</italic> can be classified into diarrheagenic <italic>E. coli</italic> and extraintestinal pathogenic <italic>E. coli</italic> (<xref ref-type="bibr" rid="B24">Li X. et&#xa0;al., 2024</xref>). Diarrheagenic <italic>E. coli</italic> is further subdivided into six categories: enteropathogenic <italic>E. coli</italic>, enterotoxigenic <italic>E. coli</italic>, enteroinvasive <italic>E. coli</italic>, enterohemorrhagic <italic>E. coli</italic>, enteroaggregative <italic>E. coli</italic>, and diffusely adherent <italic>E. coli</italic> (<xref ref-type="bibr" rid="B39">Thystrup et&#xa0;al., 2024</xref>). Extraintestinal pathogenic <italic>E. coli</italic> includes strains such as uropathogenic <italic>E. coli</italic> (<xref ref-type="bibr" rid="B22">Klemberg et&#xa0;al., 2024</xref>). This disease predominantly affects newborn piglets within their first week of life (<xref ref-type="bibr" rid="B22">Klemberg et&#xa0;al., 2024</xref>) and is clinically characterized by yellow, watery diarrhea and rapid onset of death (<xref ref-type="bibr" rid="B40">Wang F. et&#xa0;al., 2024</xref>). <italic>E. coli</italic> is currently the most prevalent bacterium in pig farms, with the highest isolation rates. Studies indicate that the isolation rate of porcine <italic>E. coli</italic> in northeastern China reaches 88% (176/200) (<xref ref-type="bibr" rid="B9">Cheng et&#xa0;al., 2021</xref>).</p>
<p>Porcine proliferative enteropathy (PPE) is caused by LI, a Gram-negative, weakly aerobic, curved or S-shaped, non-ciliated, non-spore-forming bacterium (<xref ref-type="bibr" rid="B28">Park et&#xa0;al., 2024</xref>). The pathogen primarily infects the ileum and colon (<xref ref-type="bibr" rid="B31">Salazar et&#xa0;al., 2023</xref>). The chronic form of the disease is the most common, characterized by diarrhea, soft brown feces, a rough coat, and reduced feed intake and weight gain (<xref ref-type="bibr" rid="B31">Salazar et&#xa0;al., 2023</xref>). A survey of 47 farms in China reported a clinical sample positivity rate of 37.3% (332/891) and a farm positivity rate of 93.6% (<xref ref-type="bibr" rid="B41">Wang L. et&#xa0;al., 2024</xref>). Although PPE has a low direct mortality rate (1%&#x2013;10%), it significantly reduces growth rates, and mortality can reach 40%&#x2013;50% when secondary infections occur (<xref ref-type="bibr" rid="B3">Barbosa et&#xa0;al., 2023</xref>). The presence of other enteric pathogens, such as B.h, colonic spirochetes, and SE, may exacerbate PPE when co-infections occur on the same farm (<xref ref-type="bibr" rid="B15">de Groot et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B13">Daniel et&#xa0;al., 2023</xref>).</p>
<p>Swine dysentery is a severe hemorrhagic disease of the intestinal mucosa in pigs caused by B.h (<xref ref-type="bibr" rid="B16">Dors et&#xa0;al., 2019</xref>). Clinically, the disease manifests as severe hemorrhagic dysentery in acute cases, while subacute and chronic cases are characterized by mucosal diarrhea that persists over time. B.h is a Gram-negative, serpentine, spiral-shaped, strictly anaerobic bacterium from the spirochete family (<xref ref-type="bibr" rid="B20">Hakimi et&#xa0;al., 2024</xref>). Under natural conditions, pigs of all ages and breeds are susceptible to infection, though piglets aged 2 to 3 months are most commonly affected (<xref ref-type="bibr" rid="B32">Scherrer and Stephan, 2021</xref>). Morbidity and mortality rates are higher in younger pigs compared to older ones. A survey conducted in six European countries reported that the prevalence of B.h in herds with a history of diarrhea ranged from 4.2% to 45.8% (<xref ref-type="bibr" rid="B1">Arnold et&#xa0;al., 2023</xref>).</p>
<p>In summary, the four aforementioned pathogenic bacteria exhibit high prevalence and cause significant damage in porcine gastrointestinal diseases. They are prone to mixed or secondary infections, making clinical differentiation challenging (<xref ref-type="bibr" rid="B15">de Groot et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B27">Parihar et&#xa0;al., 2024</xref>). Traditional microbiological and serological methods are cumbersome, time-consuming, labor-intensive, and often lack sufficient sensitivity and specificity (<xref ref-type="bibr" rid="B37">Song et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B2">Barac et&#xa0;al., 2024</xref>). Moreover, single conventional PCR and single fluorescent quantitative PCR methods are limited to detecting only one pathogen at a time, making them unsuitable for differential diagnosis in cases of mixed infections (<xref ref-type="bibr" rid="B41">Wang L. et&#xa0;al., 2024</xref>). To address these challenges, we targeted the <italic>invA</italic> gene of SE, the <italic>23s rRNA</italic> gene of <italic>E. coli</italic>, the <italic>aspA</italic> gene of LI, and the <italic>nox</italic> gene of B.h to design specific primers and probes. We developed a quadruplex TaqMan fluorescence quantitative PCR assay to simultaneously detect SE, <italic>E. coli</italic>, LI, and B.h, providing an efficient and convenient tool for the prevention and control of swine gastrointestinal diseases.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Bacteria and viruses</title>
<p>This laboratory maintains strains of <italic>Escherichia coli O157, Salmonella Choleraesuis, Brachyspira hyodysenteriae, Lawsonia intracellularis, Streptococcus suis (S. suis, SS)</italic>, Porcine epidemic diarrhea virus (PEDV), Swine transmissible gastroenteritis virus (TGEV), <italic>Pasteurella multocida (P. multocida, Pm), Clostridium welchii, Gracilaria parapsilosis (G. parapsilosis, GPS)</italic>, Porcine delta coronavirus (PDCoV), Porcine group A rotavirus (PoRVA), and Porcine teschovirus (PTV).</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Primer and probe design and recombinant plasmid synthesis</title>
<p>The sequences of the <italic>invA</italic> gene from SE (GenBank ID: CP053865), the <italic>23s rRNA</italic> gene from <italic>E. coli</italic> (GenBank ID: CP136755.1), the <italic>aspA</italic> gene from LI (GenBank ID: CP107054.1), and the <italic>nox</italic> gene from B.h (GenBank ID: KU215621.1) were aligned with target sequences using BLASTN in BLAST. Sequences showing high similarity or consistency with the target genes were downloaded and analyzed for specific and conserved regions using Geneious Primer and Oligo 7 software. The conserved regions were selected for the synthesis of plasmid standards: pEASY-<italic>invA</italic>, pEASY-23s rRNA, pEASY-<italic>aspA</italic>, and pEASY-<italic>nox</italic>. Specific primers and probes for quantitative PCR were designed, with the 5&#x2032; end labeled with FAM, VIC, Texas Red, and Cy5 fluorescent reporter dyes, and the 3&#x2032; end labeled with the corresponding MGB fluorescence quenching groups. Primers and probes demonstrating strong specificity and high sensitivity were identified through experimental screening (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Fluorescence quantitative PCR primers and probes.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Pathogens</th>
<th valign="middle" align="center">Gene</th>
<th valign="middle" align="center">Sequence(5&#x2032;-3&#x2032;)</th>
<th valign="middle" align="center">Product size(bp)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">
<italic>Salmonella</italic>
</td>
<td valign="middle" align="center">
<italic>invA</italic>
</td>
<td valign="middle" align="center">F: CATTTACGCGGGTCACGATA<break/>R:CAGATCCCCGCATTGTTGA<break/>Probe: FAM-CGGCACTAATCGCA-MGB</td>
<td valign="middle" align="center">58</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Escherichia coli</italic>
</td>
<td valign="middle" align="center">
<italic>23s rRNA</italic>
</td>
<td valign="middle" align="center">F: GGCAGTCAGAGGCGATGAAG<break/>R: TTCGGAAATCGCCGGTTATA<break/>Probe: VIC- TAAGCGTCGGTAAGGTGATA -MGB</td>
<td valign="middle" align="center">85</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Lawsonia intracellularis</italic>
</td>
<td valign="middle" align="center">
<italic>aspA</italic>
</td>
<td valign="middle" align="center">F:ATCCACAGCGAGGACCACTT<break/>R: CGGGTGCTTATGTTCAGCTTT<break/>Probe: Texas Red - AACTGTAACTCTTTTAAGAACAC-MGB</td>
<td valign="middle" align="center">105</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Brachyspira hyodysenteriae</italic>
</td>
<td valign="middle" align="center">
<italic>nox</italic>
</td>
<td valign="middle" align="center">F:ATAGAAGCATTCAAAAACCATGGTAA<break/>R:TTTCAGCTTCATCAGTGATTTCTTTATC<break/>Probe: Cy5-TTATCTTAATGGAAGCTATGCC-MGB</td>
<td valign="middle" align="center">103</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Reaction system optimization</title>
<p>First, single-target fluorescence quantitative PCR amplification was performed, using the lowest cycle threshold (Ct value) and the highest &#x394;Rn as indicators for optimization. The annealing temperature was optimized within a range of 58&#xb0;C to 62&#xb0;C, while the primer and probe concentrations were optimized between 0.1 &#x3bc;M and 0.5 &#x3bc;M. The cycle numbers were tested at 35, 40, 45, and 50. Based on the optimized conditions from the single-target fluorescence quantitative PCR, the reaction system and conditions for the quadruplex fluorescence quantitative PCR assay were established.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Standard curves and minimum detection limits</title>
<p>The recombinant plasmid standards pEASY-invA, pEASY-23s rRNA, pEASY-aspA, and pEASY-nox were diluted from 4 &#xd7; 10<sup>10</sup> copies/&#x3bc;L to 4 &#xd7; 10<sup>0</sup> copies/&#x3bc;L using a gradient of TE buffer. These dilutions were then mixed in equal volumes to achieve final concentrations ranging from 1 &#xd7; 10<sup>10</sup> copies/&#x3bc;L to 1 &#xd7; 10<sup>0</sup> copy/&#x3bc;L. The assay was subsequently performed using the optimized quadruplex fluorescence quantitative PCR assay.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Specificity test</title>
<p>DNA/RNA was extracted from SS, PEDV, TGEV, Pm, <italic>Clostridium welchii</italic>, GPS, PDCoV, PoRVA, and PTV as non-target genes. The recombinant plasmid standards pEASY-invA, pEASY-23s rRNA, pEASY-aspA, and pEASY-nox served as positive controls, while sterile water was used as a blank control. These samples were detected using the established quadruplex TaqMan real-time fluorescence quantitative PCR assay.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Interference and repeatability tests</title>
<p>Plasmid concentrations of 10<sup>7</sup> and 10<sup>3</sup> copies/&#xb5;L were selected, and standard plasmid concentrations of SE, <italic>E. coli</italic>, LI, and B.h were randomly combined. Three parallel samples were prepared for each experiment to observe changes in threshold values at low concentrations, assessing whether high concentrations affected amplification at low concentrations. The recombinant plasmids of SE, <italic>E. coli</italic>, LI, and B.h were used as templates for both inter- and intra-batch experiments, and the standard deviation and coefficient of variation of the Ct values were calculated.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Clinical sample testing</title>
<p>From June 2023 to February 2024, a total of 263 samples (including anal swabs, feces, intestines, etc.) exhibiting symptoms of swine digestive tract disease were collected from various pig farms in Heilongjiang Province. Nucleic acids were extracted from these samples using commercially available kits and subsequently analyzed using the established quadruplex TaqMan real-time fluorescence quantitative PCR assay. Additionally, the extracted nucleic acids were assessed using a previously reported standard method to compare compliance rates (<xref ref-type="bibr" rid="B14">DB34/T2162-2014</xref>; <xref ref-type="bibr" rid="B34">SN/T1207-2003</xref>; <xref ref-type="bibr" rid="B35">SN/T3488-2013</xref>; <xref ref-type="bibr" rid="B36">SN/T5439.5-2022</xref>).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results and analysis</title>
<sec id="s3_1" sec-type="results">
<label>3.1</label>
<title>Results of optimization of reaction system and reaction conditions</title>
<p>Following the optimization of primers, probes, annealing temperature, and cycle number for single fluorescence quantitative PCR, the optimal annealing temperature was established at 59&#xb0;C. The final concentrations of the primers and probes are detailed in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>, which correspond to the lowest Ct values and the highest fluorescence signals. At cycle numbers of 20, 45, and 50, insufficient amplification of the target DNA or non-specific amplification was observed. In contrast, a cycle number of 40 yielded optimal amplification. Building on the optimization of the single fluorescence quantitative PCR reaction conditions, further adjustments were made to the concentrations of primers and probes, leading to the finalization of the quadruplex TaqMan real-time fluorescence quantitative PCR reaction system (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>) and the corresponding reaction conditions (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Optimization of primers and concentrations for single heavy fluorescent quantitative PCR.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="center">Pathogens</th>
<th valign="middle" colspan="2" align="center">Final concentration (&#x3bc;M)</th>
</tr>
<tr>
<th valign="middle" align="center">Forward and reverse primer</th>
<th valign="middle" align="center">TaqMan probe</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">
<italic>Salmonella</italic>
</td>
<td valign="middle" align="center">0.2</td>
<td valign="middle" align="center">0.1</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Escherichia coli</italic>
</td>
<td valign="middle" align="center">0.3</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Lawsonia intracellularis</italic>
</td>
<td valign="middle" align="center">0.2</td>
<td valign="middle" align="center">0.4</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Brachyspira hyodysenteriae</italic>
</td>
<td valign="middle" align="center">0.15</td>
<td valign="middle" align="center">0.2</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>The quadruplex <italic>TaqMan</italic> real-time fluorescence quantitative PCR reaction system.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Reagent</th>
<th valign="middle" align="center">Volume(&#x3bc;L)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">2 &#xd7; Animal Detection U + Probe qPCR Super PreMix</td>
<td valign="middle" align="center">12.5</td>
</tr>
<tr>
<td valign="middle" align="center">invA-F(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">invA-R(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">invA-Probe(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.2</td>
</tr>
<tr>
<td valign="middle" align="center">23s rRNA-F(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">23s rRNA-R(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">23s rRNA- Probe(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">aspA-F(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">aspA-R(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">aspA-Probe(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">nox-F(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.4</td>
</tr>
<tr>
<td valign="middle" align="center">nox- R(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.4</td>
</tr>
<tr>
<td valign="middle" align="center">nox- Probe(10 &#x3bc;M)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">50 &#xd7; ROX Reference Dye 2</td>
<td valign="middle" align="center">0.5</td>
</tr>
<tr>
<td valign="middle" align="center">Template DNA</td>
<td valign="middle" align="center">2</td>
</tr>
<tr>
<td valign="middle" align="center">ddH<sub>2</sub>O</td>
<td valign="middle" align="center">6.6</td>
</tr>
<tr>
<td valign="middle" align="center">Total</td>
<td valign="middle" align="center">25</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>The quadruplex <italic>TaqMan</italic> real-time fluorescence quantitative PCR reaction program.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Step</th>
<th valign="middle" align="center">Time</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">contamination digestion 37&#xb0;C</td>
<td valign="middle" align="center">2min</td>
</tr>
<tr>
<td valign="middle" align="center">Premutability 95&#xb0;C</td>
<td valign="middle" align="center">30s</td>
</tr>
<tr>
<td valign="middle" align="center">Denaturation 95&#xb0;C<break/>Annealing and collection of fluorescent signals 59&#xb0;C</td>
<td valign="top" align="center">10s<break/>}40<break/>30s</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Standard curves</title>
<p>The recombinant plasmid standards pEASY-invA and pEASY-23s rRNA were prepared at concentrations ranging from 1 &#xd7; 10<sup>10</sup> to 1 &#xd7; 10<sup>4</sup> copies/&#x3bc;L, while the pEASY-nox standards were prepared from 1 &#xd7; 10<sup>8</sup> to 1 &#xd7; 10<sup>2</sup> copies/&#x3bc;L to construct standard curves. As shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>, fluorescence signals were detected in three parallel samples for each concentration gradient. Four standard curves were plotted, with the logarithm of the number of starting templates on the x-axis and the Ct values on the y-axis. The amplification efficiencies were 93.573%, 94.844%, 85.147%, and 81.827%, with corresponding R&#xb2; values of 0.999, 0.999, 1.000, and 0.998, respectively.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Standard curve of the quadruplex <italic>TaqMan</italic> real-time fluorescence quantitative PCR. <bold>(A)</bold> <italic>Lawsonia intracellularis</italic>; <bold>(B)</bold> <italic>Escherichia coli</italic>; <bold>(C)</bold> <italic>Salmonella</italic>; <bold>(D)</bold> <italic>Brachyspira hyodysenteriae</italic> <bold>(E)</bold> All standard curves.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1468783-g001.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Sensitivity and positive/negative determination results</title>
<p>The minimum detection concentrations of the established quadruplex TaqMan real-time fluorescence quantitative PCR assay for the pEASY-aspA, pEASY-23s rRNA, and pEASY-nox recombinant plasmid standards were 100 copies/&#x3bc;L, while the lowest detection limit for pEASY-invA was 10 copies/&#x3bc;L (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). Typical S-shaped amplification curves were observed for SE, <italic>E. coli</italic>, LI, and B.h (FAM, VIC, Texas Red, and Cy5), while negative controls (FAM, VIC, Texas Red, and Cy5) showed no amplification curves and Ct values &#x2265; 40 or no value at all. The test is considered valid if these conditions are met. If the Ct value of the test sample is &lt; 34 and a typical amplification curve is present, it is deemed positive; if 34 &#x2264; Ct value &lt; 40, the result is classified as suspicious, and the sample should be retested. A Ct value &#x2265; 40 or no value, along with the absence of a typical amplification curve, indicates a negative result.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Sensitivity testing. <bold>(A)</bold> Lawsonia intracellularis; <bold>(B)</bold> Escherichia coli; <bold>(C)</bold> Salmonella; <bold>(D)</bold> Brachyspira hyodysenteriae.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1468783-g002.tif"/>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Specificity validation results</title>
<p>DNA/RNA was extracted from SS, PEDV, TGEV, Pm, <italic>Clostridium welchii</italic>, GPS, PDCoV, PoRVA, and PTV as templates. The recombinant plasmid standards pEASY-invA, pEASY-23s rRNA, pEASY-aspA, and pEASY-nox were used as positive controls, with sterile water serving as a blank control. These samples were analyzed using the established quadruplex TaqMan real-time fluorescence quantitative PCR assay. As shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>, the positive controls produced typical amplification curves, while no amplification curves or Ct values were observed for the nucleic acids extracted from sterile water and non-target pathogens, demonstrating the high specificity of the method.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Specificity validation.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1468783-g003.tif"/>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Anti-interference and repeatability test results</title>
<p>The recombinant plasmids of SE, <italic>E. coli</italic>, LI, and B.h were selected for quadruplex TaqMan real-time fluorescence quantitative PCR amplification at high concentrations of 10<sup>7</sup> copies/&#x3bc;L and low concentrations of 10<sup>3</sup> copies/&#x3bc;L. Changes in the thresholds of the amplification curves were observed to assess any potential interference. As shown in <xref ref-type="table" rid="T5">
<bold>Table&#xa0;5</bold>
</xref>, no interference was detected in the amplification of any one high-concentration pathogen against the other three low-concentration pathogens, nor among any three high-concentration pathogens against the low-concentration pathogens. Statistical analysis of the Ct values from the quadruplex TaqMan real-time fluorescence quantitative PCR amplification curves revealed that the coefficients of variation for the Ct values of SE, <italic>E. coli</italic>, LI, and B.h were all less than 1.5% (<xref ref-type="table" rid="T6">
<bold>Table&#xa0;6</bold>
</xref>), indicating good reproducibility in the current experiment.</p>
<table-wrap id="T5" position="float">
<label>Table&#xa0;5</label>
<caption>
<p>Anti-interference test results.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left"/>
<th valign="middle" align="left">LI</th>
<th valign="middle" align="left">
<italic>E.coli</italic>
</th>
<th valign="middle" align="left">SE</th>
<th valign="middle" align="left">B.h</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">1</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">19.66</td>
<td valign="middle" align="center" style="">33.87</td>
<td valign="middle" align="center" style="">31.82</td>
<td valign="middle" align="center" style="">31.70</td>
</tr>
<tr>
<td valign="middle" align="center">2</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">33.61</td>
<td valign="middle" align="center" style="">20.10</td>
<td valign="middle" align="center" style="">31.08</td>
<td valign="middle" align="center" style="">31.65</td>
</tr>
<tr>
<td valign="middle" align="center">3</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">33.52</td>
<td valign="middle" align="center" style="">33.99</td>
<td valign="middle" align="center" style="">16.87</td>
<td valign="middle" align="center" style="">31.71</td>
</tr>
<tr>
<td valign="middle" align="center">4</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">33.01</td>
<td valign="middle" align="center" style="">32.76</td>
<td valign="middle" align="center" style="">31.56</td>
<td valign="middle" align="center" style="">16.316</td>
</tr>
<tr>
<td valign="middle" align="center">5</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">32.88</td>
<td valign="middle" align="center" style="">19.98</td>
<td valign="middle" align="center" style="">16.64</td>
<td valign="middle" align="center" style="">16.54</td>
</tr>
<tr>
<td valign="middle" align="center">6</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">19.87</td>
<td valign="middle" align="center" style="">34.01</td>
<td valign="middle" align="center" style="">16.85</td>
<td valign="middle" align="center" style="">16.85</td>
</tr>
<tr>
<td valign="middle" align="center">7</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">20.01</td>
<td valign="middle" align="center" style="">19.52</td>
<td valign="middle" align="center" style="">31.61</td>
<td valign="middle" align="center" style="">16.34</td>
</tr>
<tr>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
</tr>
<tr>
<td valign="middle" align="center">Ct value</td>
<td valign="middle" align="center" style="">19.24</td>
<td valign="middle" align="center" style="">19.64</td>
<td valign="middle" align="center" style="">17.01</td>
<td valign="middle" align="center" style="">31.13</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T6" position="float">
<label>Table&#xa0;6</label>
<caption>
<p>Reproducibility of the quadruplex real time quantitative PCR method.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="center">Standard plasmid</th>
<th valign="middle" rowspan="2" align="center">Concentration of template<break/>(copies/&#x3bc;L)</th>
<th valign="middle" colspan="2" align="center">Intra-coefficient of variation</th>
<th valign="middle" colspan="2" align="center">Inter-coefficient of variation</th>
</tr>
<tr>
<th valign="middle" align="center">X &#xb1; SD</th>
<th valign="middle" align="center">CV (%)</th>
<th valign="middle" align="center">X &#xb1; SD</th>
<th valign="middle" align="center">CV (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="3" align="center" style="">pEASY-aspA</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">19.657 &#xb1; 0.041</td>
<td valign="middle" align="center" style="">0.21</td>
<td valign="middle" align="center" style="">19.234 &#xb1; 0.057</td>
<td valign="middle" align="center" style="">0.30</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>5</sup>
</td>
<td valign="middle" align="center" style="">26.629 &#xb1; 0.080</td>
<td valign="middle" align="center" style="">0.30</td>
<td valign="middle" align="center" style="">26.610 &#xb1; 0.056</td>
<td valign="middle" align="center" style="">0.21</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">33.601&#xb1; 0.052</td>
<td valign="middle" align="center" style="">0.15</td>
<td valign="middle" align="center" style="">33.337 &#xb1; 0.102</td>
<td valign="middle" align="center" style="">0.31</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="center" style="">pEASY-23s rRNA</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">20.077 &#xb1; 0.071</td>
<td valign="middle" align="center" style="">0.35</td>
<td valign="middle" align="center" style="">20.150 &#xb1; 0.131</td>
<td valign="middle" align="center" style="">0.65</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>5</sup>
</td>
<td valign="middle" align="center" style="">26.981 &#xb1; 0.108</td>
<td valign="middle" align="center" style="">0.40</td>
<td valign="middle" align="center" style="">26.864 &#xb1; 0.143</td>
<td valign="middle" align="center" style="">0.53</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">33.885 &#xb1; 0.215</td>
<td valign="middle" align="center" style="">0.63</td>
<td valign="middle" align="center" style="">33.645 &#xb1; 0.316</td>
<td valign="middle" align="center" style="">0.94</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="center" style="">pEASY-invA</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">16.860 &#xb1; 0.180</td>
<td valign="middle" align="center" style="">1.07</td>
<td valign="middle" align="center" style="">17.010 &#xb1; 0.143</td>
<td valign="middle" align="center" style="">0.84</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>5</sup>
</td>
<td valign="middle" align="center" style="">24.350 &#xb1; 0.169</td>
<td valign="middle" align="center" style="">0.69</td>
<td valign="middle" align="center" style="">24.011 &#xb1; 0.113</td>
<td valign="middle" align="center" style="">0.47</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">31.819 &#xb1; 0.323</td>
<td valign="middle" align="center" style="">1.01</td>
<td valign="middle" align="center" style="">30.899 &#xb1; 0.215</td>
<td valign="middle" align="center" style="">0.70</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="center" style="">pEASY-nox</td>
<td valign="middle" align="center" style="">10<sup>7</sup>
</td>
<td valign="middle" align="center" style="">16.320 &#xb1; 0.183</td>
<td valign="middle" align="center" style="">1.12</td>
<td valign="middle" align="center" style="">16.850 &#xb1; 0.103</td>
<td valign="middle" align="center" style="">0.61</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>5</sup>
</td>
<td valign="middle" align="center" style="">21.054 &#xb1; 0.100</td>
<td valign="middle" align="center" style="">0.47</td>
<td valign="middle" align="center" style="">24.544 &#xb1; 0.213</td>
<td valign="middle" align="center" style="">0.87</td>
</tr>
<tr>
<td valign="middle" align="center" style="">10<sup>3</sup>
</td>
<td valign="middle" align="center" style="">31.720 &#xb1; 0.138</td>
<td valign="middle" align="center" style="">0.44</td>
<td valign="middle" align="center" style="">31.641 &#xb1; 0.350</td>
<td valign="middle" align="center" style="">1.12</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Clinical sample results</title>
<p>The quadruplex TaqMan real-time fluorescent quantitative PCR assay developed in this study, along with the previously reported fluorescent quantitative PCR assay, was used to simultaneously test 263 clinical samples collected. The results indicated that 210 samples were positive and 56 were negative. The positive rates for the pathogens were as follows: SE at 23.95% (63/263), <italic>E. coli</italic> at 26.24% (69/263), LI at 33.84% (89/263), and B.h at 22.43% (59/263). The details of specific mixed infections are presented in <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Infection of 227 positive specimens.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1468783-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>Bacterial gastrointestinal diseases pose a significant and prevalent challenge in pig farming, particularly when mixed bacterial infections occur, complicating treatment and leading to substantial economic losses for producers (<xref ref-type="bibr" rid="B1">Arnold et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B23">Li L. et&#xa0;al., 2024</xref>). For instance, a survey conducted by Zhang et&#xa0;al. found that SE and <italic>E. coli</italic> had a mixed infection rate of 3.64% in pigs (<xref ref-type="bibr" rid="B46">Zhang et&#xa0;al., 2022</xref>). Additionally, a study of diarrheal pigs in Germany revealed that 61% of LI and 82.6% of B.h positive herds were affected by mixed infections (<xref ref-type="bibr" rid="B16">Dors et&#xa0;al., 2019</xref>). While traditional bacterial isolation and identification methods are considered the &#x201c;gold standard,&#x201d; isolating certain bacteria, particularly LI&#x2014;which is an intracellular parasite with stringent growth requirements&#x2014;can be extremely challenging in clinical settings (<xref ref-type="bibr" rid="B6">Campillo et&#xa0;al., 2021</xref>). Therefore, establishing a rapid, efficient, and simultaneous identification method for these four pathogens is essential for analyzing the epidemiological and pathogenic characteristics of these bacteria, providing a scientific foundation for the development of targeted prevention and control strategies.</p>
<p>In this study, we established a quadruplex TaqMan real-time fluorescent quantitative PCR assay targeting the <italic>invA</italic> gene from SE, the <italic>23S rRNA</italic> gene from <italic>E. coli</italic>, the <italic>aspA</italic> gene from LI, and the <italic>nox</italic> gene from B.h. This assay is both sensitive and specific enough to differentiate between these four pathogens simultaneously. The selection of target genes is crucial for the accuracy of the established method. Given the numerous SE and <italic>E. coli</italic> serotypes that infect pig herds, we chose the <italic>invA</italic> gene, which encodes invasive proteins for SE, and the <italic>23S rRNA</italic> gene for <italic>E. coli</italic> as our targets (<xref ref-type="bibr" rid="B46">Zhang et&#xa0;al., 2022</xref>). Both the <italic>invA</italic> and <italic>23S rRNA</italic> genes are species-specific markers for SE and <italic>E. coli</italic>, respectively. Previous molecular biology assays have successfully utilized these genes for detection; for instance, Zhang et&#xa0;al. developed a fluorescent quantitative PCR assay targeting these genes with minimum detection limits of 85.5 copies/&#x3bc;L for SE and 582 copies/&#x3bc;L for <italic>E. coli</italic> (<xref ref-type="bibr" rid="B46">Zhang et&#xa0;al., 2022</xref>). In contrast, our method demonstrates enhanced sensitivity, achieving minimum detection limits of 10 copies/&#x3bc;L for SE and 100 copies/&#x3bc;L for <italic>E. coli</italic>.</p>
<p>For LI, traditional antigen detection methods typically employ the <italic>16S rRNA</italic> gene (<xref ref-type="bibr" rid="B41">Wang L. et&#xa0;al., 2024</xref>). Wang et&#xa0;al. established a single fluorescent quantitative PCR assay for LI detection, reporting a minimum detection limit of 6.73 &#xd7; 10<sup>3</sup> copies/&#x3bc;L (<xref ref-type="bibr" rid="B41">Wang L. et&#xa0;al., 2024</xref>). However, the aspartate ammonia lyase gene (<italic>aspA</italic>) of LI is known to be highly conserved (<xref ref-type="bibr" rid="B43">Willems and Reiner, 2010</xref>), prompting our selection of this gene as a target; we achieved a minimum detection limit of 100 copies/&#x3bc;L for LI. While <italic>16S rDNA</italic> sequencing has been a common approach for differentiating bacterial species, it has been noted that distinguishing between members of the genus <italic>Brachyspira</italic> based solely on gene sequences can be challenging (<xref ref-type="bibr" rid="B5">Borgstr&#xf6;m et&#xa0;al., 2017</xref>). Therefore, we targeted the NADH oxidase (<italic>nox</italic>) gene of B.h (<xref ref-type="bibr" rid="B30">Rohde et&#xa0;al., 2018</xref>), which provided a minimum detection limit of 100 copies/&#x3bc;L.</p>
<p>This study utilized MGB probes in the quadruplex TaqMan real-time fluorescence quantitative PCR assay, which incorporate a 3&#x2019;-end conjugate that enhances the melting temperature of the probe and stabilizes the probe-target complex. MGB probes are typically shorter than conventional probes, offering improved assay specificity and sensitivity (<xref ref-type="bibr" rid="B25">Li W. et&#xa0;al., 2024</xref>). Consequently, the sensitivity of the quadruplex TaqMan real-time fluorescence quantitative PCR assay developed in this study surpasses that of existing fluorescence quantitative PCR assays.</p>
<p>On the other hand, the method established in this study demonstrates high specificity, showing no cross-reactivity with the nucleic acids of nine pathogens, including SS, PEDV, TGEV, Pm, <italic>Clostridium weichii</italic>, GPS, PDCoV, PoRVA, and PTV. The assay exhibits excellent repeatability, with coefficients of variation both between and within batches being less than 1.5%. Furthermore, the four templates do not interfere with one another, regardless of whether they are present at high or low concentrations.</p>
<p>Clinical sample testing revealed positive rates of 23.95% for SE, 26.24% for <italic>E. coli</italic>, 33.84% for LI, and 22.43% for B.h. Notably, the occurrence of double, triple, and quadruple infections suggests that single infections are no longer the primary source of economic loss in the swine industry; rather, mixed infections involving two or more pathogens represent the main epidemiological trend (<xref ref-type="bibr" rid="B21">Ito et&#xa0;al., 2020</xref>). The 36 diarrheal samples in which target pathogens were not detected may have been attributed to non-infectious factors or other pathogens, such as PEDV and TGEV (<xref ref-type="bibr" rid="B17">Du et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B8">Chen et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B19">Garcias et&#xa0;al., 2024</xref>). Therefore, it is essential for clinical practices to consider a range of factors comprehensively and implement effective measures to prevent and control related diseases.</p>
</sec>
<sec id="s5" sec-type="conclusion">
<label>5</label>
<title>Conclusion</title>
<p>In summary, this study has developed a sensitive, specific, rapid, and efficient quadruplex TaqMan real-time fluorescence quantitative PCR assay for the simultaneous identification of <italic>Salmonella enterica</italic>, <italic>Escherichia coli</italic>, <italic>Lawsonella intracellularis</italic>, and <italic>Brachyspira hyodysenteriae</italic>. The goal is to provide technical support for the development of effective measures aimed at preventing and treating gastrointestinal diseases in pigs.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>HW: Conceptualization, Writing &#x2013; original draft. YS: Investigation, Writing &#x2013; original draft. JC: Software, Writing &#x2013; original draft. WW: Methodology, Project administration, Writing &#x2013; original draft. HY: Project administration, Visualization, Writing &#x2013; review &amp; editing. CG: Project administration, Visualization, Writing &#x2013; review &amp; editing. TA: Project administration, Writing &#x2013; review &amp; editing. YW: Writing &#x2013; review &amp; editing. HC: Formal analysis, Writing &#x2013; review &amp; editing. LZ: Methodology, Writing &#x2013; review &amp; editing. ZJ: Formal analysis, Project administration, Writing &#x2013; review &amp; editing. CY: Conceptualization, Investigation, Writing &#x2013; review &amp; editing. CX: Conceptualization, Data curation, Supervision, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. HZ: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The research was supported by grants from the National Key R&amp;D Program of China (2023YFF0724604); National Key R&amp;D Program Young Scientist Project (2021YFF0703100); Natural Science Foundation of China (32072898);Cultivation, Quality Control and Detection technology of high grade agricultural experimental animal Pig (GZ20210010); Research on Improving the quality of Breeding and testing of experimental animal Resources (1610302022018); Basic research on quality control and genetic resistance of experimental pigs (SKLVBP202120); Basic research on quality control and genetic resistance of experimental pigs (SKLVBP202101).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Arnold</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Swam</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Crienen</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Sch&#xfc;pbach-Regula</surname> <given-names>G.</given-names>
</name>
<name>
<surname>von Berg</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Nathues</surname> <given-names>H.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Prevalence and risk factors of Brachyspira spp. in pig herds with a history of diarrhoea in six European countries</article-title>. <source>Prev. Vet. Med</source> <volume>213</volume>, <fpage>105862</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.prevetmed.2023.105862</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Barac</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Abdel-Mawgood</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Awad</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Ghazy</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Mansour</surname> <given-names>H.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Multiplex PCR-based genotyping of <italic>Salmonella Enteritidis</italic> and <italic>Salmonella Typhimurium</italic> from food sources and assessment of their antimicrobial resistance profiles in Egypt</article-title>. <source>Mol. Biol. Rep</source> <volume>51</volume>, <fpage>794</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11033-024-09704-1</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Barbosa</surname> <given-names>J. C. R.</given-names>
</name>
<name>
<surname>Nicolino</surname> <given-names>R. R.</given-names>
</name>
<name>
<surname>Gabardo</surname> <given-names>M. P.</given-names>
</name>
<name>
<surname>Gon&#xe7;alves</surname> <given-names>J. P. M.</given-names>
</name>
<name>
<surname>Suarez-Duarte</surname> <given-names>M. E.</given-names>
</name>
<name>
<surname>Laub</surname> <given-names>R. P.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Subsistence swine farming: seroprevalence and risk factors associated with <italic>Lawsonia intracellularis</italic> infection in the state of Minas Gerais Brazil in 2016</article-title>. <source>Trop. Anim. Health Prod</source> <volume>55</volume>, <fpage>314</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11250-023-03755-5</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bearson</surname> <given-names>S. M. D.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>
<italic>Salmonella</italic> in swine: prevalence, multidrug resistance, and vaccination strategies</article-title>. <source>Annu. Rev. Anim. Biosci</source> <volume>10</volume>, <fpage>373</fpage>&#x2013;<lpage>393</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev-animal-013120-043304</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Borgstr&#xf6;m</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Scherrer</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Kirchg&#xe4;ssner</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Schmitt</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Frei</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Wittenbrink</surname> <given-names>M. M.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>A novel multiplex qPCR targeting 23S rDNA for diagnosis of swine dysentery and porcine intestinal spirochaetosis</article-title>. <source>BMC Vet. Res</source> <volume>13</volume> (<issue>1</issue>), <fpage>42</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12917-016-0939-6</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Campillo</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Smith</surname> <given-names>S. H.</given-names>
</name>
<name>
<surname>Gally</surname> <given-names>D. L.</given-names>
</name>
<name>
<surname>Opriessnig</surname> <given-names>T.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Review of methods for the detection of <italic>Lawsonia intracellularis</italic> infection in pigs</article-title>. <source>J. Vet. Diagn. Invest</source> <volume>33</volume>, <fpage>621</fpage>&#x2013;<lpage>631</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/10406387211003551</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chanam&#xe9; Pinedo</surname> <given-names>L. E.</given-names>
</name>
<name>
<surname>Meijs</surname> <given-names>A. P.</given-names>
</name>
<name>
<surname>Deng</surname> <given-names>H.</given-names>
</name>
<name>
<surname>de Greeff</surname> <given-names>S. C.</given-names>
</name>
<name>
<surname>van Duijkeren</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Dierikx</surname> <given-names>C. M.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Temporal association of antimicrobial use in livestock with antimicrobial resistance in non-typhoid <italic>Salmonella</italic> human infections in the Netherlands, 2008-2019</article-title>. <source>One Health</source> <volume>19</volume>, <fpage>100844</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.onehlt.2024.100844</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Cai</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Molecular characterization and phylogenetic analysis of porcine epidemic diarrhea virus in Xinjiang, China, from 2020 to 2022</article-title>. <source>Arch. Virol</source> <volume>169</volume>, <fpage>96</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00705-024-06029-z</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cheng</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Prevalence and Characteristic of Swine-Origin mcr-1-Positive <italic>Escherichia coli</italic> in Northeastern China</article-title>. <source>Front. Microbiol</source> <volume>12</volume>, <elocation-id>712707</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2021.712707</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Choi</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Cho</surname> <given-names>Y. J.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>M. J.</given-names>
</name>
<name>
<surname>Choi</surname> <given-names>H. W.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>E. J.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>A shared mechanism of multidrug resistance in laboratory-evolved uropathogenic Escherichia coli</article-title>. <source>Virulence</source> <volume>15</volume>, <fpage>2367648</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21505594.2024.2367648</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Kwak</surname> <given-names>M. J.</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>M. G.</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>A. N.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Mun</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Molecular characterization and environmental impact of newly isolated lytic phage SLAM_phiST1N3 in the Cornellvirus genus for biocontrol of a multidrug-resistant <italic>Salmonella Typhimurium</italic> in the swine industry chain</article-title>. <source>Sci. Total Environ</source> <volume>922</volume>, <fpage>171208</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.scitotenv.2024.171208</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Collins</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Collins</surname> <given-names>C.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Epidemiology tools to evaluate the control of proliferative enteropathy in commercial pig herds</article-title>. <source>Anim. (Basel)</source> <volume>14</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ani14091357</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Daniel</surname> <given-names>A. G. S.</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>C. E. R.</given-names>
</name>
<name>
<surname>Dorella</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>F. L.</given-names>
</name>
<name>
<surname>Laub</surname> <given-names>R. P.</given-names>
</name>
<name>
<surname>Andrade</surname> <given-names>M. R.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Synergic Effect of Brachyspira hyodysenteriae and <italic>Lawsonia intracellularis</italic> Coinfection: Anatomopathological and Microbiome Evaluation</article-title>. <source>Anim. (Basel)</source> <volume>13</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ani13162611</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="book">
<person-group person-group-type="author">
<collab>DB34/T 2162-2014</collab>
</person-group>. <source>Technical regulations for prevention and control of porcine salmonellosis [S]</source>.</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>de Groot</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Meneguzzi</surname> <given-names>M.</given-names>
</name>
<name>
<surname>de Souza</surname> <given-names>B.</given-names>
</name>
<name>
<surname>de</surname> <given-names>O. C. M.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>In Vitro Screening of Non-Antibiotic Components to Mitigate Intestinal Lesions Caused by Brachyspira hyodysenteriae, <italic>Lawsonia intracellularis</italic> and <italic>Salmonella enterica Serovar Typhimurium</italic>
</article-title>. <source>Anim. (Basel)</source> <volume>12</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.21203/rs.3.rs-1758247/v1</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dors</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Czy&#x17c;ewska-Dors</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Wo&#x17a;niakowski</surname> <given-names>G.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>A survey on the occurrence of Brachyspira pilosicoli and Brachyspira hyodysenteriae in growing-finishing pigs</article-title>. <source>F1000Res</source> <volume>8</volume>, <fpage>1702</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.12688/f1000research.20639.3</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>B.</given-names>
</name>
<name>
<surname>He</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Mao</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>L-Leucine Promotes STAT1 and ISGs Expression in TGEV-Infected IPEC-J2 Cells via mTOR Activation</article-title>. <source>Front. Immunol</source> <volume>12</volume>, <elocation-id>656573</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2021.656573</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fl&#xf3;rez-Delgado</surname> <given-names>N. Y.</given-names>
</name>
<name>
<surname>Ubillus</surname> <given-names>E. N.</given-names>
</name>
<name>
<surname>Perez-Sepulveda</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Ospina-R&#xed;os</surname> <given-names>E. L.</given-names>
</name>
<name>
<surname>Carrascal-Camacho</surname> <given-names>A. K.</given-names>
</name>
<name>
<surname>Chamorro-Tobar</surname> <given-names>I. C.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Class 1 integrons in clinical and swine industry isolates of Salmonella Typhimurium from Colombia, dating 1997 to 2017</article-title>. <source>J. Med. Microbiol</source> <volume>72</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/jmm.0.001704</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garcias</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Migura-Garcia</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Giler</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Mart&#xed;n</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Darwich</surname> <given-names>L.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Differences in enteric pathogens and intestinal microbiota between diarrheic weaned piglets and healthy penmates</article-title>. <source>Vet. Microbiol</source> <volume>295</volume>, <fpage>110162</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2024.110162</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hakimi</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Stinman</surname> <given-names>C. C.</given-names>
</name>
<name>
<surname>Sahin</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Burrough</surname> <given-names>E. R.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Antimicrobial susceptibility of U.S. porcine Brachyspira isolates and genetic diversity of B. hyodysenteriae by multilocus sequence typing</article-title>. <source>J. Vet. Diagn. Invest</source> <volume>36</volume>, <fpage>62</fpage>&#x2013;<lpage>69</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/10406387231212189</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ito</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Hosokawa</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Kawamura</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Ito</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Abeto</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Matsubayashi</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Swine multifocal ulcerative colitis and crypt abscesses associated with Entamoeba polecki subtype 3 and Salmonella Typhimurium</article-title>. <source>J. Vet. Med. Sci</source> <volume>82</volume>, <fpage>463</fpage>&#x2013;<lpage>466</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1292/jvms.19-0682</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Klemberg</surname> <given-names>V. S.</given-names>
</name>
<name>
<surname>Pavanelo</surname> <given-names>D. B.</given-names>
</name>
<name>
<surname>Houle</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Dhakal</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Pokharel</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Iahnig-Jacques</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>The osmoregulated metabolism of trehalose contributes to production of type 1 fimbriae and bladder colonization by extraintestinal <italic>Escherichia coli</italic> strain BEN2908</article-title>. <source>Front. Cell Infect. Microbiol</source> <volume>14</volume>, <elocation-id>1414188</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcimb.2024.1414188</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Han</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Mao</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Oral phages prophylaxis against mixed Escherichia coli O157:H7 and <italic>Salmonella Typhimurium</italic> infections in weaned piglets</article-title>. <source>Vet. Microbiol</source> <volume>288</volume>, <fpage>109923</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2023.109923</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Lu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Population structure and antibiotic resistance of swine extraintestinal pathogenic <italic>Escherichia coli</italic> from China</article-title>. <source>Nat. Commun</source> <volume>15</volume>, <fpage>5811</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-024-50268-2</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Dang</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Establishment of an A/T-Rich Specifically MGB Probe digital droplet PCR Assays Based on SNP for Brucella wild strains and vaccine strains</article-title>. <source>Diagn. Microbiol. Infect. Dis</source> <volume>110</volume>, <fpage>116432</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.diagmicrobio.2024.116432</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ojha</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Thakur</surname> <given-names>K. K.</given-names>
</name>
<name>
<surname>Ojasanya</surname> <given-names>R. A.</given-names>
</name>
<name>
<surname>Saab</surname> <given-names>M. E.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Retrospective study on the occurrence of <italic>Salmonella</italic> serotypes in veterinary specimens of Atlantic Canada (2012-2021)</article-title>. <source>Vet. Med. Sci</source> <volume>10</volume>, <fpage>e1530</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/vms3.v10.4</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Parihar</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Deb</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Niharika</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Thakur</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Pegu</surname> <given-names>S. R.</given-names>
</name>
<name>
<surname>Sengar</surname> <given-names>G. S.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Development of triplex assay for simultaneous detection of <italic>Escherichia coli</italic>, methicillin resistant and sensitive <italic>Staphylococcus aureus</italic> in raw pork samples of retail markets</article-title>. <source>J. Food Sci. Technol</source> <volume>61</volume>, <fpage>1516</fpage>&#x2013;<lpage>1524</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s13197-023-05917-7</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Park</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Cho</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Senevirathne</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Chung</surname> <given-names>H. J.</given-names>
</name>
<name>
<surname>Ha</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>C. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Salmonella vector induces protective immunity against <italic>Lawsonia</italic> and <italic>Salmonella</italic> in murine model using prokaryotic expression system</article-title>. <source>J. Vet. Sci</source> <volume>25</volume>, <fpage>e4</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4142/jvs.23219</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>P&#xe9;rez-P&#xe9;rez</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Carvajal</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Puente</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Peres Rubio</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Cer&#xf3;n</surname> <given-names>J. J.</given-names>
</name>
<name>
<surname>Rubio</surname> <given-names>P.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>New insights into swine dysentery: faecal shedding, macro and microscopic lesions and biomarkers in early and acute stages of <italic>Brachyspira hyodysenteriae</italic> infection</article-title>. <source>Porcine Health Manage</source> <volume>10</volume>, <fpage>24</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s40813-024-00375-9</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rohde</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Majzoub-Altweck</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Falkenau</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Hermanns</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Burrough</surname> <given-names>E. R.</given-names>
</name>
<name>
<surname>Ritzmann</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>Occurrence of dysentery-like diarrhoea associated with Brachyspira suanatina infection on a German fattening pig farm</article-title>. <source>Vet. Rec</source> <volume>182</volume>, <fpage>195</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/vr.104705</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salazar</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Starck</surname> <given-names>M. F.</given-names>
</name>
<name>
<surname>Villegas</surname> <given-names>M. F.</given-names>
</name>
<name>
<surname>Acosta</surname> <given-names>J.</given-names>
</name>
<name>
<surname>S&#xe1;nchez</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Ramos</surname> <given-names>E.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>New Formulation of a Subunit Vaccine Candidate against <italic>Lawsonia intracellularis</italic> Increases Humoral and Cellular Immune Responses</article-title>. <source>Vaccines (Basel)</source> <volume>11</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/vaccines11121817</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Scherrer</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Stephan</surname> <given-names>R.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Novel multiplex TaqMan assay for differentiation of the four major pathogenic Brachyspira species in swine</article-title>. <source>Microbiologyopen</source> <volume>10</volume>, <fpage>e1169</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/mbo3.v10.1</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddi</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Piras</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Gymoese</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Torpdahl</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Meloni</surname> <given-names>M. P.</given-names>
</name>
<name>
<surname>Cuccu</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Pathogenic profile and antimicrobial resistance of <italic>Escherichia coli</italic>, <italic>Escherichia marmotae</italic> and <italic>Escherichia ruysiae</italic> detected from hunted wild boars in Sardinia (Italy)</article-title>. <source>Int. J. Food Microbiol</source> <volume>421</volume>, <fpage>110790</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ijfoodmicro.2024.110790</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="book">
<person-group person-group-type="author">
<collab>SN/T 1207-2003</collab>
</person-group>. <source>Operating procedures for isolation and cultivation of Brachyspira hyodysenteriae[S]</source>.</citation>
</ref>
<ref id="B35">
<citation citation-type="book">
<person-group person-group-type="author">
<collab>SN/T 3488-2013</collab>
</person-group>. <source>Quarantine protocol for real-time PCR of <italic>Lawsona intracellularis</italic>[S]</source>.</citation>
</ref>
<ref id="B36">
<citation citation-type="book">
<person-group person-group-type="author">
<collab>SN/T 5439.5-2022</collab>
</person-group>. <source>Rapid detection of foodborne pathogens from exported food by PCR-Lateral flowdipstick method-Part 5:<italic>Shiga</italic> toxin-producing <italic>Escherichia coli</italic> and <italic>Escherichia coli</italic> 0 157[S]</source>.</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Song</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>La</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Phillips</surname> <given-names>N. D.</given-names>
</name>
<name>
<surname>Hampson</surname> <given-names>D. J.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Development of a serological ELISA using a recombinant protein to identify pig herds infected with Brachyspira hyodysenteriae</article-title>. <source>Vet. J</source> <volume>206</volume>, <fpage>365</fpage>&#x2013;<lpage>370</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.tvjl.2015.08.021</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Subramani</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Menichincheri</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Pirolo</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Arcari</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Kudirkiene</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Polani</surname> <given-names>R.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Genetic background of neomycin resistance in clinical <italic>Escherichia coli</italic> isolated from Danish pig farms</article-title>. <source>Appl. Environ. Microbiol</source> <volume>89</volume>, <fpage>e0055923</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/aem.00559-23</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thystrup</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Majowicz</surname> <given-names>S. E.</given-names>
</name>
<name>
<surname>Kitila</surname> <given-names>D. B.</given-names>
</name>
<name>
<surname>Desta</surname> <given-names>B. N.</given-names>
</name>
<name>
<surname>Fayemi</surname> <given-names>O. E.</given-names>
</name>
<name>
<surname>Ayolabi</surname> <given-names>C. I.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Etiology-specific incidence and mortality of diarrheal diseases in the African region: a systematic review and meta-analysis</article-title>. <source>BMC Public Health</source> <volume>24</volume>, <fpage>1864</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12889-024-19334-8</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Genomic island-encoded regulatory proteins in enterohemorrhagic <italic>Escherichia coli</italic> O157:H7</article-title>. <source>Virulence</source> <volume>15</volume>, <fpage>2313407</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21505594.2024.2313407</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Fan</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Fecal PCR survey and genome analysis of <italic>Lawsonia intracellularis</italic> in China</article-title>. <source>Front. Vet. Sci</source> <volume>11</volume>, <elocation-id>1324768</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fvets.2024.1324768</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Siddique</surname> <given-names>A.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Nationwide trends and features of human salmonellosis outbreaks in China</article-title>. <source>Emerg. Microbes Infect</source> <volume>13</volume>, <fpage>2372364</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/22221751.2024.2372364</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Willems</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Reiner</surname> <given-names>G.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>A multiplex real-time PCR for the simultaneous detection and quantitation of Brachyspira hyodysenteriae, Brachyspira pilosicoli and Lawsonia intracellularis in pig faeces</article-title>. <source>Berl Munch Tierarztl Wochenschr</source> <volume>123</volume> (<issue>5-6</issue>), <fpage>205</fpage>&#x2013;<lpage>209</lpage>.</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yoon</surname> <given-names>K. N.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>H. G.</given-names>
</name>
<name>
<surname>Yeom</surname> <given-names>S. J.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>S. S.</given-names>
</name>
<name>
<surname>Park</surname> <given-names>J. H.</given-names>
</name>
<name>
<surname>Song</surname> <given-names>B. S.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Lactiplantibacillus argentoratensis AGMB00912 alleviates salmonellosis and modulates gut microbiota in weaned piglets: a pilot study</article-title>. <source>Sci. Rep</source> <volume>14</volume> (<issue>1</issue>), <fpage>15466</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-024-66092-z</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Jiao</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Q.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Prevalence and genetic characteristics of <italic>Salmonella enterica</italic> serovar Meleagridis from animals and humans</article-title>. <source>Vet. Microbiol</source> <volume>290</volume>, <fpage>109993</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2024.109993</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>X.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Development of multiplex TaqMan qPCR for simultaneous detection and differentiation of eight common swine viral and bacterial pathogens</article-title>. <source>Braz. J. Microbiol</source> <volume>53</volume>, <fpage>359</fpage>&#x2013;<lpage>368</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s42770-021-00633-w</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>