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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">1511380</article-id>
<article-id pub-id-type="doi">10.3389/fphys.2024.1511380</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A comparative evaluation of antibiotic and synbiotic supplementation on production performance and necrotic enteritis severity in broilers during an experimental necrotic enteritis challenge</article-title>
<alt-title alt-title-type="left-running-head">Shah et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphys.2024.1511380">10.3389/fphys.2024.1511380</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Shah</surname>
<given-names>Bikas Raj</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Al Hakeem</surname>
<given-names>Walid Ghazi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Shanmugasundaram</surname>
<given-names>Revathi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Selvaraj</surname>
<given-names>Ramesh K.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Poultry Science</institution>, <institution>University of Georgia</institution>, <addr-line>Athens</addr-line>, <addr-line>GA</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Toxicology and Mycotoxin Research Unit</institution>, <institution>Agriculture Research Service</institution>, <institution>United States Department of Agriculture</institution>, <addr-line>Athens</addr-line>, <addr-line>GA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/15604/overview">Krystyna Pierzcha&#x142;a-Koziec</ext-link>, University of Agriculture in Krakow, Poland</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/65032/overview">Khan Md. Shaiful Islam</ext-link>, Bangladesh Agricultural University, Bangladesh</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/77819/overview">Tagang Aluwong</ext-link>, Ahmadu Bello University, Nigeria</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1915854/overview">&#x141;ukasz Jarosz</ext-link>, University of Life Sciences of Lublin, Poland</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Ramesh K. Selvaraj, <email>selvaraj@uga.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>15</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1511380</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Shah, Al Hakeem, Shanmugasundaram and Selvaraj.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Shah, Al Hakeem, Shanmugasundaram and Selvaraj</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>
<p>The ban on antibiotics in the poultry diet resulted in re-emergence of several infectious diseases including necrotic enteritis (NE). These infectious diseases are leading to poor health and welfare as well as production and economic loss. Synbiotic could be a potential candidate to replace the antibiotics in poultry diet. Therefore, a 35-day study was conducted to compare the efficacy of synbiotic (PoultryStar<sup>&#xae;</sup>ME) and antibiotic (Stafac<sup>&#xae;</sup>50, Virginiamycin) supplementation during an experimentally induced necrotic enteritis infection. A total of 360 day-old chicks were randomly assigned to four treatment groups: Antibiotic, Challenge &#x2b; Antibiotic, Synbiotic, and Challenge &#x2b; Synbiotic, each with 6 replicates. The treatment groups referred as &#x201c;Challenge &#x2b; Antibiotic&#x201d; and &#x201c;Challenge &#x2b; Synbiotic&#x201d; were challenged, while their respective non-challenged treatment groups were &#x201c;antibiotic&#x201d; and &#x201c;synbiotic&#x201d;. NE in birds was induced by gavaging 1 &#xd7; 10<sup>4</sup> oocysts of <italic>Eimeria maxima</italic> on day 14 <bold>(D14)</bold> and 1 &#xd7; 10<sup>8</sup>&#xa0;CFU/mL of <italic>Clostridium perfringens</italic> on D19, 20, and 21. Both synbiotic and antibiotic supplementation during the NE challenge did not improve BW gain, feed intake, and feed conversion ratio at the end of the experiment (D0-35). However, antibiotic supplementation reduced mortality during the week of the challenge (D14-21) <italic>(P &#x3c; 0.001)</italic>. At D21, both synbiotic and antibiotic supplementation during the NE challenge did not decrease the intestinal lesion score <italic>(P &#x3c; 0.001)</italic> compared to their respective non-challenged treatment groups. At D21, synbiotic supplementation during the NE challenge did not decrease intestinal permeability <italic>(P &#x3d; 0.04)</italic> compared to the synbiotic group. At D21, antibiotic supplementation during the NE challenge increased the CD4&#x2b;:CD8&#x2b; T cells <italic>(P &#x3c; 0.001)</italic> in the cecal tonsil. It can be concluded that synbiotic supplementation elicited an immune response, decreasing the inflammatory response in the intestine and ameliorating the NE infection. Therefore, synbiotic could be a potential alternative to replace antibiotics in the poultry industry, but their efficacy needs to be improved through blending additional probiotics and prebiotics, and further exploration is required.</p>
</abstract>
<kwd-group>
<kwd>AGP</kwd>
<kwd>antibiotic</kwd>
<kwd>immune response</kwd>
<kwd>necrotic enteritis</kwd>
<kwd>performance</kwd>
<kwd>synbiotic</kwd>
<kwd>Broilers</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Avian Physiology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Necrotic enteritis <bold>(NE)</bold> is an infectious disease in poultry which is characterized by depression, reluctance to move, ruffled feathers, diarrhea, loss of appetite, and anorexia (<xref ref-type="bibr" rid="B11">Ficken, 1991</xref>). The etiological agent of NE is <italic>Clostridium perfringens</italic>, an anaerobic, spore-forming, gram-positive bacterium (<xref ref-type="bibr" rid="B25">Porter, 1998</xref>). Usually, there are five toxinotypes of <italic>C. perfringens</italic> (A-E), producing at least 21 toxins or potentially toxic exo-proteins (<xref ref-type="bibr" rid="B5">Brynestad and Granum, 2002</xref>). However, a study suggested that the necrotic enteritis type B <bold>(netB)</bold> toxin, produced by <italic>C. perfringens</italic> type G, is responsible for the etiology of NE (<xref ref-type="bibr" rid="B16">Keyburn et al., 2008</xref>). Additionally, coccidial infection caused by <italic>Eimeria brunetti</italic> or <italic>E. maxima</italic> has also been found to be associated with the induction of NE (<xref ref-type="bibr" rid="B12">Helmboldt and Bryant, 1971</xref>). Several other factors predispose to NE infection, including dietary factors, stress, stocking density, dysbiosis, and changes in immunological and physiological aspects of the intestine (<xref ref-type="bibr" rid="B1">Adhikari et al., 2020</xref>). While <italic>C. perfringens</italic> is commensal to poultry intestine (<xref ref-type="bibr" rid="B20">Lu et al., 2003</xref>), mild infection is insufficient to produce the disease. Predisposing factors play a critical role in the development of NE infection by damaging intestinal epithelium, increasing mucus production, and altering food transit time in gut (<xref ref-type="bibr" rid="B21">Moore, 2016</xref>).</p>
<p>Previously, antimicrobial growth promoters <bold>(AGPs)</bold> were used to control the incidence of NE and other infectious diseases in poultry. However, the overuse of AGPs in poultry diets resulted in increased bacterial resistance and the presence of antimicrobial residues in animal product as well as ultimately in the environment. Consequently, AGPs have been banned in poultry diets, necessitating an immediate alternative with similar infection controlling properties (<xref ref-type="bibr" rid="B10">Dibner and Richards, 2005</xref>). A potential alternative to AGPs could be a synbiotic, which is defined as the combination of probiotics and prebiotics, that interacts synergistically to benefit the host (<xref ref-type="bibr" rid="B26">Schrezenmeir and de Vrese, 2001</xref>). Synbiotic supplementation emerges as a promising alternative to AGPs, as it has been shown to ameliorate sub-clinical NE infections in poultry through improved production performance, decreased <italic>C. perfringens</italic> load in ceca, immunomodulation, and improved mucosal immune response (<xref ref-type="bibr" rid="B28">Shanmugasundaram et al., 2020a</xref>).</p>
<p>Several mechanisms regarding functions of synbiotic are proposed in the literature, as synbiotic supplementation can provide a prebiotic (food for probiotic bacteria), that can aid probiotic bacteria in proliferating and protecting the gut against pathogenic bacteria (<xref ref-type="bibr" rid="B27">Shah et al., 2023</xref>; <xref ref-type="bibr" rid="B29">Shanmugasundaram et al., 2020b</xref>). Additionally, synbiotic supplementation can enhance the gut barrier function by enhancing the tight junction&#x2019;s integrity (<xref ref-type="bibr" rid="B36">Villagr&#xe1;n-de la Mora et al., 2019</xref>). Synbiotic supplementation can also decrease gut inflammation by modulating cytokine production and promoting anti-inflammatory pathways (<xref ref-type="bibr" rid="B34">Song et al., 2022</xref>). This leads to an improvement in nutrient utilization and production performance of broilers.</p>
<p>Numerous studies are being conducted to discover an alternative to AGPs, among which synbiotic is emerging as a supplement of interest due to their synergistic effects. However, very few studies have compared the efficacy of synbiotic when supplemented in feed from day 0 of age, similar to AGPs. Therefore, we hypothesized that synbiotic supplementation form day 0 of age will provide better protection and faster recovery during experimentally induced NE challenge compared to AGP. This study aims to investigate and compare the effects of synbiotic and AGP supplementation on production performance, intestinal integrity, mucosal humoral immune response, and mucosal cell-mediated immune response in broiler birds during <italic>C. perfringens</italic>-induced experimental NE infection.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<p>All animal protocols were approved by the Institutional Animal Care and Use Committee <bold>(IACUC)</bold> at the University of Georgia (IACUC protocol &#x23; A2021 06-002-A5). Researchers involved in this study received training from the University of Georgia in animal care and handling. Throughout the <italic>in-vivo</italic> experiment, the researchers monitored the birds for any signs of sickness at least twice a day. In case of any adverse event, euthanasia was performed through cervical dislocation.</p>
<sec id="s2-1">
<title>2.1 Birds, diets, and NE infection</title>
<p>A total of 360 day-old chicks were randomly assigned to four treatment groups: Antibiotic <bold>(A)</bold>, Challenge &#x2b; Antibiotic <bold>(C &#x2b; A)</bold>, Synbiotic <bold>(S)</bold>, and Challenge &#x2b; Synbiotic <bold>(C &#x2b; S)</bold>. Among these groups, C &#x2b; A and C &#x2b; S are challenged treatment groups, while A and S are their respective non-challenged treatment groups. Each treatment has six replicate pens (n &#x3d; 6) with 15 birds per pen. All birds in the treatment groups were fed with corn and soybean meal-based basal diet (<xref ref-type="table" rid="T1">Table 1</xref>) meeting the minimum requirements outlined by the National Research Council (<xref ref-type="bibr" rid="B23">NRC, 1994</xref>). The diet of birds in S and C &#x2b; S treatment groups was supplemented with synbiotic (0.5&#xa0;g/kg) (PoultryStar<sup>&#xae;</sup>ME, Biomin America, Inc.) from D0. This synbiotic included 2 &#xd7; 10<sup>11</sup>&#xa0;CFU/kg of four live strains of probiotic bacteria from the adult chickens (<italic>L</italic>. <italic>reuteri</italic>, <italic>E</italic>. <italic>faecium</italic>, <italic>B</italic>. <italic>animalis</italic>, and <italic>P</italic>. <italic>acidilactici</italic>) along with prebiotic, Fructooligosaccharide <bold>(FOS)</bold>. Similarly, the diet of birds in A and C &#x2b; A treatment groups was supplemented with antibiotic (0.18&#xa0;g/kg) (Stafac<sup>&#xae;</sup>50, Virginiamycin) from D0. The birds in the C &#x2b; S and C &#x2b; A treatment groups were orally gavaged with 1 &#xd7; 10<sup>4</sup> <italic>E. maxima</italic> oocysts on D14, followed by 1 &#xd7; 10<sup>8</sup>&#xa0;CFU/mL of <italic>C. perfringens</italic> (CP6) on D19, D20, and D21, to experimentally induce NE infection. Conversely, non-challenged birds in S and A treatment groups were orally gavaged with 1&#xa0;mL of 1X PBS on above mentioned time points. On D21, D28, and D35, one bird from each pen was euthanized through cervical dislocation, and samples were collected for further analysis.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Basal diets; Starter and Finisher with ingredients and nutrient composition.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Ingredients</th>
<th colspan="2" align="center">Basal diet</th>
</tr>
<tr>
<th align="left"/>
<th align="left">Starter (D0-D14) %</th>
<th align="left">Finisher (D15-D35) %</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Corn</td>
<td align="left">55.25</td>
<td align="left">64.35</td>
</tr>
<tr>
<td align="left">Soybean meal</td>
<td align="left">38.18</td>
<td align="left">29.29</td>
</tr>
<tr>
<td align="left">Soybean oil</td>
<td align="left">2.07</td>
<td align="left">2.5</td>
</tr>
<tr>
<td align="left">Dical</td>
<td align="left">1.62</td>
<td align="left">1.32</td>
</tr>
<tr>
<td align="left">Limestone</td>
<td align="left">1.34</td>
<td align="left">1.17</td>
</tr>
<tr>
<td align="left">NaCl</td>
<td align="left">0.43</td>
<td align="left">0.38</td>
</tr>
<tr>
<td align="left">D.L. Methionine</td>
<td align="left">0.42</td>
<td align="left">0.4</td>
</tr>
<tr>
<td align="left">L Lysine</td>
<td align="left">0.26</td>
<td align="left">0.19</td>
</tr>
<tr>
<td align="left">Choline chloride</td>
<td align="left">0.25</td>
<td align="left">0.22</td>
</tr>
<tr>
<td align="left">Vitamins premix<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="left">0.1</td>
<td align="left">0.1</td>
</tr>
<tr>
<td align="left">Trace mineral premix<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="left">0.08</td>
<td align="left">0.08</td>
</tr>
<tr>
<td align="left">Total</td>
<td align="left">100</td>
<td align="left">100</td>
</tr>
<tr>
<td colspan="3" align="left">Calculated nutrient composition</td>
</tr>
<tr>
<td align="left">ME, kcal/kg</td>
<td align="left">3,050</td>
<td align="left">3,168</td>
</tr>
<tr>
<td align="left">Crude protein, %</td>
<td align="left">21.44</td>
<td align="left">18.94</td>
</tr>
<tr>
<td align="left">Crude fat, %</td>
<td align="left">4.55</td>
<td align="left">4.05</td>
</tr>
<tr>
<td align="left">Lysine, %</td>
<td align="left">1.31</td>
<td align="left">1.05</td>
</tr>
<tr>
<td align="left">Calcium, %</td>
<td align="left">0.95</td>
<td align="left">0.76</td>
</tr>
<tr>
<td align="left">TSAA, %</td>
<td align="left">0.91</td>
<td align="left">0.82</td>
</tr>
<tr>
<td align="left">Threonine, %</td>
<td align="left">0.87</td>
<td align="left">0.71</td>
</tr>
<tr>
<td align="left">Methionine, %</td>
<td align="left">0.56</td>
<td align="left">0.55</td>
</tr>
<tr>
<td align="left">Available phosphorus, %</td>
<td align="left">0.45</td>
<td align="left">0.38</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="Tfn1">
<label>
<sup>a</sup>
</label>
<p>Vitamin mix provided the following per kg of diet: 2.4&#xa0;mg thiamin-mononitrate, 44&#xa0;mg nicotinic acid, 4.4&#xa0;mg riboflavin, 12&#xa0;mg D-Ca pantothenate, 12&#xa0;g vitamin B12, 2.7&#xa0;mg pyridoxine-HCl, 0.11&#xa0;mg D-biotin, 0.55&#xa0;mg folic acid, 3.34&#xa0;mg menadione sodium bisulfate complex, 220&#xa0;mg choline chloride, 1,100 IU, cholecalciferol, 2,500 IU, trans-reinyl acetate, 11 IU, all-rac-tocopherol acetate, and 150&#xa0;mg ethoxyquin.</p>
</fn>
<fn id="Tfn2">
<label>
<sup>b</sup>
</label>
<p>Trace mineral mix provided the following per kg of diet: 101&#xa0;mg MnSO<sub>4</sub>.H<sub>2</sub>O, 20&#xa0;mg FeSO<sub>4</sub>.7H<sub>2</sub>O, 80&#xa0;mg Zn, 3&#xa0;mg CuSO<sub>4</sub>.5H<sub>2</sub>O, 0.75&#xa0;mg ethylene diamine dihydroiodide, 20&#xa0;mg MgO, and 0.3&#xa0;mg sodium selenite.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2-2">
<title>2.2 Intestinal permeability</title>
<p>On D21, D28, and D35 of the study, one bird from each pen was orally gavaged with 2.2&#xa0;mg/mL of fluorescein isothiocyanate-dextran (<bold>FITC-d</bold>; 100&#xa0;mg, MW 4,000; Sigma-Aldrich, Canada). Two hours later, the birds were euthanized, and blood was collected from the heart and placed in opaque tubes. After couple of hours serum was separated and 100&#xa0;&#x3bc;L of serum from each bird was added in duplicates to a 96-well black plate. The concentration of FITC-d in the blood serum was measured using a microplate reader at a wavelength of 485&#xa0;nm and an emission wavelength of 528&#xa0;nm. The concentration of FITC-d/mL in blood serum was calculated using a standard curve, where a higher concentration of FITC-d indicates greater gut permeability.</p>
</sec>
<sec id="s2-3">
<title>2.3 Mid-gut lesion score</title>
<p>On D21 of the study, three birds from each pen were randomly selected, sacrificed, and their mid-gut was inspected for any visible necrotic lesions. Lesion scoring was recorded on a scale of 0&#x2013;3, where 0 indicates normal intestine and 3 indicates most severe condition of the intestine. Specifically, a score of 1 indicates thin-walled or friable lesions, 2 indicates focal necrosis or ulceration, and 3 indicates large patches of necrosis (<xref ref-type="bibr" rid="B37">Zhang et al., 2010</xref>).</p>
</sec>
<sec id="s2-4">
<title>2.4 CD4<sup>&#x2b;</sup> and CD8<sup>&#x2b;</sup> T Cells isolation and flowcytometry</title>
<p>On D21, D28, and D35 of the study, one cecal tonsil <bold>(CT)</bold> and half of the spleen were collected from one bird per pen in a 5&#xa0;mL tube containing 3&#xa0;mL of incomplete RPMI-1640 medium. These samples were then stored on ice and transported to the laboratory. In this experiment, sample preparation and flowcytometry was conducted following previously described method (<xref ref-type="bibr" rid="B31">Shanmugasundaram and Selvaraj, 2012a</xref>) with minor modifications. Cecal tonsil was cut longitudinally and placed on a cell strainer (Catalog number 431750, Corning, New York, NY) with mucosa layer facing downwards. Similarly, section of spleen was also placed on a cell strainer. Then tissue section was gently crushed using syringe plunger using incomplete RPMI-1640 to obtain a single cell suspension. Single cell suspension was centrifuged to obtain a cell pellet by discarding the supernatant. Cell pellet was resuspended in incomplete RPMI-1640, and cell was counted using trypan blue exclusion method. Approximately 1 &#xd7; 10<sup>6</sup> cells were mixed with FITC conjugated mouse anti-chicken CD4 cells (Catalog number 8210-90, Southern Biotech, Birmingham, AL) at a 1:250 dilution, or FITC conjugated mouse anti-chicken CD8 cells (Catalog number 8220-02, Southern Biotech) at a 1:450 dilution, along with unlabeled mouse IgG at a 1:100 dilution. The cell cocktails were incubated for 20&#xa0;min at 4&#xb0;C. Unbound primary antibodies were eliminated by centrifuging at 400 xg at 10&#xb0;C for 5&#xa0;minutes. The percentages of CD4<sup>&#x2b;</sup> and CD8<sup>&#x2b;</sup> T cells were determined for both the CT and spleen by using the 96-well plates in the flow cytometer (Guava EasyCyte, Millipore, Billerica, MA). The CD4<sup>&#x2b;</sup> and CD8<sup>&#x2b;</sup> T cell percentages were measured by gating cells based on the forward-scatter and side-scatter plot for lymphocytes, and the CD4&#x2b;:CD8&#x2b; T cell ratio was calculated.</p>
</sec>
<sec id="s2-5">
<title>2.5 Quantification of anti <italic>C. perfringens</italic> IgA in the bile</title>
<p>On D21, D28, and D35 of the study, bile was aseptically collected from one bird per pen in a 2&#xa0;mL Eppendorf tube, kept in ice, and then transported to the laboratory. In this experiment, ELISA was conducted following previously described methods (<xref ref-type="bibr" rid="B28">Shanmugasundaram et al., 2020a</xref>) with minor modifications. The pure culture of <italic>C. perfringens</italic> underwent six successive freeze-thaw-lyse cycles to produce the <italic>C. perfringens</italic> protein, which will act as antigen for coating ELISA plate. Glass beads of size 425-600&#xa0;mm in diameter were used in a tissue lyser to mechanically lyse the culture for 5&#xa0;min at 50&#xa0;Hz. 10&#xa0;mg/mL of <italic>C. perfringens</italic> protein, diluted in 0.1M carbonate buffer (pH 9.6) was coated to a 96-well ELISA plate and incubated overnight at 4&#xb0;C. The plate was washed the next day, and the coating was blocked using 1X PBS containing 8% non-fat dry milk and a 0.05% tween. Bile samples were diluted in 1X PBS containing 8% non-fat dry milk and 0.05% tween at 1:800 and then added to the wells. Then, anti-chicken IgA conjugated with horseradish peroxidase was diluted in 1X PBS containing 5% non-fat dry milk and 0.05% tween at 1:100,000 and added to the wells. Furtherly, 3,3,5,5-tetramethylbenzidine substrate was added to the wells leading to a reaction causing color change, and the reaction was halted using 1N HCl. The OD values were determined using a microplate ELISA reader (BioTek, VT, United States) at 450&#xa0;nm, and the anti <italic>C. perfringens</italic> IgA antibody levels were reported as mean OD values.</p>
</sec>
<sec id="s2-6">
<title>2.6 Expression of tight junction proteins in the jejunum and expression of cytokine genes in the cecal tonsil</title>
<p>On D21, D28, and D35 of the study, the jejunal section and a CT were aseptically collected and preserved in RNA later. After 5 days, the tissue sections were removed from the RNA later and stored at &#x2212;20&#xb0;C. Tri reagent was used to extract the total RNA from the tissue sections. A nanodrop spectrophotometer was used to assess the quantity and quality of RNA. The RNA was reverse transcribed into cDNA using oligodt primers and was then analyzed for gene expression of IL-10, Interferon-gamma <bold>(IFN-&#x3b3;)</bold>, Transforming growth factor-beta <bold>(TGF-&#x3b2;)</bold>, Zonula occludens-1 <bold>(ZO-1)</bold>, and Claudin-1 <bold>(CL-1)</bold> by real-time rtPCR (CFX96 Touch Real-Time System, BioRad) using SyBr green after normalizing for ribosomal protein S13 <bold>(RPS13)</bold>. The relative fold change of target genes was calculated, as previously mentioned (<xref ref-type="bibr" rid="B30">Shanmugasundaram et al., 2019</xref>). <xref ref-type="table" rid="T2">Table 2</xref> provides the primer sequences for the housekeeping gene and the target genes.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Primer sequences of the housekeeping gene, cytokines, and tight junction proteins for real-time PCR.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Gene name</th>
<th align="center">Primer sequence (5&#x2032;-3&#x2032;)</th>
<th align="center">T<sub>a</sub>
</th>
<th align="center">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="center">RPS-13</td>
<td align="left">F: CAAGAAGGCTGTTGCTGTICG</td>
<td rowspan="2" align="center">55.50&#xb0;C</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B13">Hutsko et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">R: GGC&#x200b;AGA&#x200b;AGC&#x200b;TGT&#x200b;CGA&#x200b;TGA&#x200b;TT</td>
</tr>
<tr>
<td rowspan="2" align="center">IL-10</td>
<td align="left">F: GAG&#x200b;GAG&#x200b;CAA&#x200b;AGC&#x200b;CAT&#x200b;CAA&#x200b;GC</td>
<td rowspan="2" align="center">57.50&#xb0;C</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B33">Shanmugasundaram et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left">R: CTC&#x200b;CTC&#x200b;ATC&#x200b;AGC&#x200b;AGG&#x200b;TAC&#x200b;TCC</td>
</tr>
<tr>
<td rowspan="2" align="center">TGF- &#x3b2;</td>
<td align="left">F: CAG&#x200b;AGC&#x200b;ATT&#x200b;GCC&#x200b;AAG&#x200b;AAG&#x200b;C</td>
<td rowspan="2" align="center">59.00&#xb0;C</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B32">Shanmugasundaram and Selvaraj (2012b)</xref>
</td>
</tr>
<tr>
<td align="left">R: GCA&#x200b;CGC&#x200b;AGC&#x200b;AGT&#x200b;TCT&#x200b;TCT&#x200b;C</td>
</tr>
<tr>
<td rowspan="2" align="center">IFN- &#x3b3;</td>
<td align="left">F: GTG&#x200b;AAG&#x200b;AAG&#x200b;GTG&#x200b;AAA&#x200b;GAT&#x200b;ATC&#x200b;ATG&#x200b;GA</td>
<td rowspan="2" align="center">57.00&#xb0;C</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B15">Kaiser et al. (2000)</xref>
</td>
</tr>
<tr>
<td align="left">R: GCT&#x200b;TTG&#x200b;CGC&#x200b;TGG&#x200b;ATT&#x200b;CTC&#x200b;A</td>
</tr>
<tr>
<td rowspan="2" align="center">ZO-1</td>
<td align="left">F: TGT&#x200b;AGC&#x200b;CAC&#x200b;AGC&#x200b;AAG&#x200b;AGG&#x200b;TG</td>
<td rowspan="2" align="center">55.00&#xb0;C</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B24">Oxford and Selvaraj (2019)</xref>
</td>
</tr>
<tr>
<td align="left">R: CTG&#x200b;GAA&#x200b;TGG&#x200b;CTC&#x200b;CTT&#x200b;GTG&#x200b;GT</td>
</tr>
<tr>
<td rowspan="2" align="center">CL-1</td>
<td align="left">F: CAT&#x200b;ACT&#x200b;CCT&#x200b;GGG&#x200b;TCT&#x200b;GGT&#x200b;TGG&#x200b;T</td>
<td rowspan="2" align="center">57.50&#xb0;C</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B8">Chen et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">R: GAC&#x200b;AGC&#x200b;CAT&#x200b;CCG&#x200b;CAT&#x200b;CTT&#x200b;CT</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Primer sequence: F, forward; R, reverse &#x7c; T<sub>a</sub>, Annealing temperature</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2-7">
<title>2.7 Statistical analysis</title>
<p>The data were analyzed using Jmp<sup>&#xae;</sup> Pro 16 (JMP Statistical Discovery LLC) and figures were made using Prism 10 (GraphPad Software). Parametric data were analyzed through one-way ANOVA to identify differences between treatments followed by the Student&#x2019;s T-test for mean comparison. Non-parametric data (lesion score) were analyzed using the Kruskal&#x2013;Wallis test followed by the Dunn test for pairwise comparison. Each pen was considered an experimental unit. The level of significance was set at P &#x3c; 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Effect of synbiotic vs. antibiotic supplementation on production parameters and mortality</title>
<p>Till D14 of age (pre-challenge), no significant differences were observed in BW gain, feed intake <bold>(FI)</bold>, and feed conversion ratio <bold>(FCR)</bold> across all the treatment groups (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Effect of Synbiotic vs. Antibiotic Supplementation on Production Parameters and Mortality.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center"/>
<th align="center">Antibiotic</th>
<th align="center">Challenge &#x2b; antibiotic</th>
<th align="center">Synbiotic</th>
<th align="center">Challenge &#x2b; synbiotic</th>
<th align="center">SEM</th>
<th align="center">
<italic>P-value</italic>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td colspan="7" align="left">Before challenge (0&#x2013;14&#xa0;days)</td>
</tr>
<tr>
<td align="left">&#x2003;BW gain (kg)</td>
<td align="center">0.33</td>
<td align="center">0.34</td>
<td align="center">0.35</td>
<td align="center">0.33</td>
<td align="center">0.01</td>
<td align="center">
<italic>0.68</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;Feed intake (kg)</td>
<td align="center">0.50</td>
<td align="center">0.49</td>
<td align="center">0.51</td>
<td align="center">0.51</td>
<td align="center">0.06</td>
<td align="center">
<italic>0.26</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;FCR</td>
<td align="center">1.54</td>
<td align="center">1.45</td>
<td align="center">1.49</td>
<td align="center">1.55</td>
<td align="center">0.05</td>
<td align="center">
<italic>0.44</italic>
</td>
</tr>
<tr>
<td colspan="7" align="left">After Challenge (14&#x2013;35&#xa0;days)</td>
</tr>
<tr>
<td colspan="7" align="left">&#x2003;BW gain (kg)</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;21&#xa0;days</td>
<td align="center">0.78<sup>a</sup>
</td>
<td align="center">0.66<sup>b</sup>
</td>
<td align="center">0.8<sup>a</sup>
</td>
<td align="center">0.65<sup>b</sup>
</td>
<td align="center">0.03</td>
<td align="center">
<bold>
<italic>&#x3c;0.001</italic>
</bold>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;28&#xa0;days</td>
<td align="center">1.46<sup>a</sup>
</td>
<td align="center">1.32 <sup>ab</sup>
</td>
<td align="center">1.45<sup>a</sup>
</td>
<td align="center">1.20<sup>b</sup>
</td>
<td align="center">0.05</td>
<td align="center">
<bold>
<italic>&#x3c;0.001</italic>
</bold>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;35&#xa0;days</td>
<td align="center">2.03</td>
<td align="center">1.96</td>
<td align="center">2.06</td>
<td align="center">1.91</td>
<td align="center">0.06</td>
<td align="center">
<italic>0.29</italic>
</td>
</tr>
<tr>
<td colspan="7" align="left">&#x2003;Feed intake (kg)</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;21&#xa0;days</td>
<td align="center">1.33</td>
<td align="center">1.24</td>
<td align="center">1.3</td>
<td align="center">1.27</td>
<td align="center">0.04</td>
<td align="center">
<italic>0.42</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;28&#xa0;days</td>
<td align="center">2.21</td>
<td align="center">2.09</td>
<td align="center">2.23</td>
<td align="center">2.12</td>
<td align="center">0.06</td>
<td align="center">
<italic>0.26</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;35&#xa0;days</td>
<td align="center">3.15</td>
<td align="center">3.13</td>
<td align="center">3.27</td>
<td align="center">3.19</td>
<td align="center">0.07</td>
<td align="center">
<italic>0.56</italic>
</td>
</tr>
<tr>
<td colspan="7" align="left">&#x2003;FCR</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;21&#xa0;days</td>
<td align="center">1.75</td>
<td align="center">1.87</td>
<td align="center">1.64</td>
<td align="center">1.99</td>
<td align="center">0.09</td>
<td align="center">
<italic>0.05</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;28&#xa0;days</td>
<td align="center">1.53<sup>b</sup>
</td>
<td align="center">1.58<sup>b</sup>
</td>
<td align="center">1.54<sup>b</sup>
</td>
<td align="center">1.79<sup>a</sup>
</td>
<td align="center">0.06</td>
<td align="center">
<bold>
<italic>0.03</italic>
</bold>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;0&#x2013;35&#xa0;days</td>
<td align="center">1.56</td>
<td align="center">1.6</td>
<td align="center">1.59</td>
<td align="center">1.68</td>
<td align="center">0.04</td>
<td align="center">
<italic>0.27</italic>
</td>
</tr>
<tr>
<td colspan="7" align="left">&#x2003;Mortality (%)</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;14&#x2013;21&#xa0;days</td>
<td align="center">3.33<sup>b</sup>
</td>
<td align="center">7.78<sup>b</sup>
</td>
<td align="center">0.00<sup>b</sup>
</td>
<td align="center">35.56<sup>a</sup>
</td>
<td align="center">4.29</td>
<td align="center">
<bold>
<italic>&#x3c;0.001</italic>
</bold>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;21&#x2013;28&#xa0;days</td>
<td align="center">0.00<sup>b</sup>
</td>
<td align="center">7.6<sup>a</sup>
</td>
<td align="center">0.00<sup>b</sup>
</td>
<td align="center">1.67<sup>b</sup>
</td>
<td align="center">1.63</td>
<td align="center">
<bold>
<italic>0.001</italic>
</bold>
</td>
</tr>
<tr>
<td align="left">&#x2003;&#x2003;28&#x2013;35&#xa0;days</td>
<td align="center">0.00</td>
<td align="center">0.00</td>
<td align="center">0.00</td>
<td align="center">0.00</td>
<td align="center">-</td>
<td align="center">
<italic>-</italic>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Day-old chicks were distributed into four treatment groups. On days 14, 21, 28, and 35, average body weight and feed weight were recorded to evaluate production parameters. Mortality was recorded throughout the experiment and analyzed at D35. Values with no common superscript differ significantly (P &#x3c; 0.05). Bold P-values indicates the significance.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>At D21 of age, both synbiotic and antibiotic supplementation during the NE challenge did not result in increased BW gain (P &#x3c; 0.001) in birds compared to their respective non-challenged treatment groups (<xref ref-type="table" rid="T3">Table 3</xref>). The C &#x2b; S treatment group exhibited a 150&#xa0;g lower BW gain, while the C &#x2b; A treatment group showed a 120g lower BW gain when compared to the S and A treatment groups respectively. However, at D21 of age, no significant differences were observed in FI and FCR across all the treatment groups.</p>
<p>At D28 of age, synbiotic supplementation during the NE challenge did not result in increased BW gain (P &#x3c; 0.001) in birds compared to the respective non-challenged treatment group. In contrast, antibiotic supplementation during the NE challenge resulted in comparable BW gain when compared to the respective non-challenged treatment group (<xref ref-type="table" rid="T3">Table 3</xref>). Birds in the C &#x2b; S treatment group exhibited a 250&#xa0;g lower BW gain compared to the S treatment group. However, no significant difference was observed in FI on D28 across all treatment groups. At D28 of age, synbiotic supplementation during the NE challenge did not decrease the FCR (P &#x3d; 0.03) of birds compared to the respective non-challenged treatment group. On the other hand, antibiotic supplementation during the NE challenge showed a comparable FCR when compared to the respective non-challenged treatment group. Birds in the C &#x2b; S treatment group had a 0.25 points higher FCR when compared to the S treatment group.</p>
<p>At D35 of age, no significant differences were observed in BW gain, FI, and FCR across all the treatment groups (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<p>During D14-21 of age (week of challenge), synbiotic supplementation did not result in a decrease in mortality, while antibiotic supplementation showed comparable mortality (P &#x3c; 0.001) when compared to the respective non-challenged treatment group (<xref ref-type="table" rid="T3">Table 3</xref>). The percentage mortality of birds in the C &#x2b; S treatment group was 35.56% higher when compared to the S treatment group. However, during D21-28 of age (1-week post challenge), synbiotic supplementation resulted in comparable mortality, while antibiotic supplementation did not decrease mortality (P &#x3d; 0.00) compared to the respective non-challenged treatment groups. The percentage mortality of birds in the C &#x2b; A treatment group was 7.6% higher when compared to the A treatment group. At D28-35 of age (two-weeks post challenge), no mortality was observed across all the treatment groups.</p>
</sec>
<sec id="s3-2">
<title>3.2 Effect of synbiotic vs. antibiotic supplementation on mid-gut lesion score</title>
<p>At D21 of age, both synbiotic and antibiotic supplementation during the NE challenge did not result in a significant decrease in the lesion scores (P &#x3c; 0.001) in the mid-gut of birds when compared to their respective non-challenged treatment groups (<xref ref-type="table" rid="T4">Table 4</xref>). The birds in C &#x2b; S and C &#x2b; A treatment groups exhibited 36.19- and 25.81- points higher rank score mean when compared to S and A treatment groups respectively.</p>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>Effect of Synbiotic vs. Antibiotic supplementation on mid-gut lesion score.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="center">Treatments</th>
<th colspan="4" align="center">Lesion score</th>
<th rowspan="2" align="center">Rank score means</th>
<th rowspan="2" align="center">n</th>
<th rowspan="2" align="center">ChiSq <italic>P-value</italic>
</th>
</tr>
<tr>
<th align="center">0</th>
<th align="center">1</th>
<th align="center">2</th>
<th align="center">3</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Antibiotic</td>
<td align="center">18</td>
<td align="center">0</td>
<td align="center">0</td>
<td align="center">0</td>
<td align="center">21<sup>b</sup>
</td>
<td align="center">18</td>
<td rowspan="4" align="center">
<italic>&#x3c; 0.001</italic>
</td>
</tr>
<tr>
<td align="left">Challenge &#x2b; Antibiotic</td>
<td align="center">5</td>
<td align="center">6</td>
<td align="center">1</td>
<td align="center">6</td>
<td align="center">46.81<sup>a</sup>
</td>
<td align="center">18</td>
</tr>
<tr>
<td align="left">Synbiotic</td>
<td align="center">18</td>
<td align="center">0</td>
<td align="center">0</td>
<td align="center">0</td>
<td align="center">21<sup>b</sup>
</td>
<td align="center">18</td>
</tr>
<tr>
<td align="left">Challenge &#x2b; Synbiotic</td>
<td align="center">0</td>
<td align="center">6</td>
<td align="center">5</td>
<td align="center">7</td>
<td align="center">57.19<sup>a</sup>
</td>
<td align="center">18</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Day-old chicks were distributed into four treatment groups. On day 21, 3 birds/pen were sacrificed, and the mid-gut was inspected for determining the lesion scores. Rank Score Means, and the difference in rank score means were calculated using the Wilcoxon/Kruskal&#x2013;Wallis Test. Values with no common superscript differ significantly (P &#x3c; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-3">
<title>3.3 Effect of synbiotic vs. antibiotic supplementation on intestinal permeability</title>
<p>At D21 of age, synbiotic supplementation during the NE challenge did not result in a significant reduction in intestinal permeability (P &#x3d; 0.04) compared to the respective non-challenged treatment group. In contrast, antibiotic supplementation during the NE challenge showed comparable intestinal permeability compared to the respective non-challenged treatment group (<xref ref-type="fig" rid="F1">Figure 1</xref>). Birds in the C &#x2b; S treatment group exhibited a 0.26&#xa0;mg/mL higher serum FITC-d concentration compared to the S treatment group.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Effect of synbiotic vs. antibiotic supplementation on intestinal permeability of broiler birds under an experimental NE challenge. Day-old chicks were distributed into four treatment groups. At days 21, 28, and 35, gut permeability was measured by serum FITC-d assay. Bars connected with star/s differ significantly (&#x2a;<italic>P &#x3c; 0.05</italic>; &#x2a;&#x2a;<italic>P &#x3c; 0.01</italic>; &#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.001</italic>; &#x2a;&#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.0001</italic>). <italic>D21: P-value &#x3d; 0.04; D28: P-value &#x3d; 0.85; D35: P-value &#x3d; 0.94</italic>.</p>
</caption>
<graphic xlink:href="fphys-15-1511380-g001.tif"/>
</fig>
<p>At D28 and D35 of age, no significant differences were observed in serum FITC-d concentration across all the treatment groups.</p>
</sec>
<sec id="s3-4">
<title>3.4 Effect of synbiotic vs. antibiotic supplementation on CD4&#x2b;:CD8&#x2b; T Cells in the Cccal Ttnsil</title>
<p>At D21 of age, synbiotic supplementation during the NE challenge resulted in comparable CD4&#x2b;:CD8&#x2b; T cells in the CT compared to the respective non-challenged treatment group. Meanwhile, antibiotic supplementation during the NE challenge increased the CD4&#x2b;:CD8&#x2b; T cells in the CT when compared to the respective non-challenge treatment group (<xref ref-type="fig" rid="F2">Figure 2</xref>). Birds in the C &#x2b; A treatment group exhibited a 0.8-point higher CD4&#x2b;:CD8&#x2b; T cells in the CT compared to the A treatment group.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Effect of synbiotic vs. antibiotic supplementation on CD4&#x2b;:CD8&#x2b; T cells in CT of broiler birds under an experimental NE challenge. Day-old chicks were distributed into four treatment groups. At days 21, 28, and 35, flowcytometry was performed to identify the percentage of CD4<sup>&#x2b;</sup> and CD8<sup>&#x2b;</sup> T cells in the cecal tonsil. Bars connected with star/s differ significantly (&#x2a;<italic>P &#x3c; 0.05</italic>; &#x2a;&#x2a;<italic>P &#x3c; 0.01</italic>; &#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.001</italic>; &#x2a;&#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.0001</italic>). <italic>D21: P-value &#x3c; 0.001; D28: P-value &#x3d; 0.06; D35: P-value &#x3d; 0.86</italic>.</p>
</caption>
<graphic xlink:href="fphys-15-1511380-g002.tif"/>
</fig>
<p>At D28 and D35 of age, no significant differences were observed in CD4&#x2b;:CD8&#x2b; T cells in the CT of birds across all the treatment groups.</p>
</sec>
<sec id="s3-5">
<title>3.5 Effect of synbiotic vs. antibiotic supplementation on CD4&#x2b;:CD8&#x2b; T Cells in the spleen</title>
<p>No significant differences were observed in CD4&#x2b;:CD8&#x2b; T cells in the spleen of birds across all treatment groups at any time point (<xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Effect of synbiotic vs. antibiotic supplementation on CD4&#x2b;:CD8&#x2b; T cells in the spleen of broiler birds under an experimental NE challenge. Day-old chicks were distributed into four treatment groups. At days 21, 28, and 35, flowcytometry was performed to identify the percentage of CD4<sup>&#x2b;</sup> and CD8<sup>&#x2b;</sup> T cells in the spleen. Bars connected with star/s differ significantly (&#x2a;<italic>P &#x3c; 0.05</italic>; &#x2a;&#x2a;<italic>P &#x3c; 0.01</italic>; &#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.001</italic>; &#x2a;&#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.0001</italic>). <italic>D21: P-value &#x3d; 0.23; D28: P-value &#x3d; 0.55; D35: P-value &#x3d; 0.17.</italic>
</p>
</caption>
<graphic xlink:href="fphys-15-1511380-g003.tif"/>
</fig>
</sec>
<sec id="s3-6">
<title>3.6 Effect of synbiotic vs. antibiotic supplementation on anti <italic>C. perfringens</italic> IgA in the bile</title>
<p>No significant differences were observed in anti <italic>C. perfringens</italic> IgA levels in the bile of birds across all treatment groups at any time point (<xref ref-type="fig" rid="F4">Figure 4</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Effect of synbiotic vs. antibiotic supplementation on anti <italic>C. perfringens</italic> IgA production in the bile of broiler birds under an experimental NE challenge. Day-old chicks were distributed into four treatment groups. At days 21, 28, and 35, indirect ELISA was performed to measure the anti <italic>C. perfringens</italic> IgA in the bile. Bars connected with star/s differ significantly (&#x2a;<italic>P &#x3c; 0.05</italic>; &#x2a;&#x2a;<italic>P &#x3c; 0.01</italic>; &#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.001</italic>; &#x2a;&#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.0001</italic>). <italic>D21: P-value &#x3d; 0.07; D28: P-value &#x3d; 0.13; D35: P-value &#x3d; 0.46</italic>.</p>
</caption>
<graphic xlink:href="fphys-15-1511380-g004.tif"/>
</fig>
</sec>
<sec id="s3-7">
<title>3.7 Effect of synbiotic vs. antibiotic supplementation on expression of tight junction proteins in the jejunum and expression of cytokine genes in the cecal tonsil</title>
<p>No significant differences were observed in the relative expression of tight junction proteins in the jejunum and the relative expression of cytokine genes in the CT across all treatment groups at any time point (<xref ref-type="fig" rid="F5">Figures 5</xref>, <xref ref-type="fig" rid="F6">6</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Effect of synbiotic vs. antibiotic supplementation on relative gene expression of tight junction proteins in the jejunum of broiler birds under an experimental NE challenge. Day-old chicks were distributed into four treatment groups. At days 21, 28, and 35, real-time PCR was performed to measure the relative expression of tight junction proteins in the jejunum. Bars connected with star/s differ significantly (&#x2a;<italic>P &#x3c; 0.05</italic>; &#x2a;&#x2a;<italic>P &#x3c; 0.01</italic>; &#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.001</italic>; &#x2a;&#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.0001</italic>). <bold>(A)</bold> Relative Expression of ZO-1 in the jejunum. <italic>D21: P-value &#x3d; 0.68; D28: P-value &#x3d; 0.21; D35: P-value &#x3d; 0.81.</italic> <bold>(B)</bold> Relative Expression of CL-1 in the jejunum. <italic>D21: P-value &#x3d; 0.76; D28: P-value &#x3d; 0.27; D35: P-value &#x3d; 0.58.</italic>
</p>
</caption>
<graphic xlink:href="fphys-15-1511380-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Effect of synbiotic vs. antibiotic supplementation on relative gene expression of cytokines in the cecal tonsil of broiler birds under an experimental NE challenge. Day-old chicks were distributed into four treatment groups. At days 21, 28, and 35, real-time PCR was performed to measure the relative expression of cytokines in the cecal tonsil. Bars connected with star/s differ significantly (&#x2a;<italic>P &#x3c; 0.05</italic>; &#x2a;&#x2a;<italic>P &#x3c; 0.01</italic>; &#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.001</italic>; &#x2a;&#x2a;&#x2a;&#x2a;<italic>P &#x3c; 0.0001</italic>). <bold>(A)</bold> Relative Expression of IL-10 in the jejunum. <italic>D21: P-value &#x3d; 0.61; D28: P-value &#x3d; 0.68; D35: P-value &#x3d; 0.65.</italic> <bold>(B)</bold> Relative Expression of TGF-&#x3b2; in the jejunum. <italic>D21: P-value &#x3d; 0.58; D28: P-value &#x3d; 0.3; D35: P-value &#x3d; 0.71.</italic> <bold>(C)</bold> Relative Expression of IFN-&#x3b3; in the jejunum. <italic>D21: P-value &#x3d; 0.61; D28: P-value &#x3d; 0.81; D35: P-value &#x3d; 0.25.</italic>
</p>
</caption>
<graphic xlink:href="fphys-15-1511380-g006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>The re-emergence of NE in poultry production, following the transition to antimicrobial-free feed, has increased the need for effective antimicrobial alternatives. This study aims to assess synbiotic supplementation&#x2019;s efficacy in improving broilers&#x2019; health in NE-induced experiments and compare whether its efficacy withstand the efficacy of antimicrobials.</p>
<p>During the first 2&#xa0;weeks of age (before challenge), synbiotic and antibiotic groups demonstrated similar body weight gain, feed consumption, and feed conversion ratios. Similar results were observed when the same synbiotic was compared against the antibiotic-supplemented group, indicating that neither product provided a significant advantage over the other (<xref ref-type="bibr" rid="B6">Cason et al., 2023</xref>).</p>
<p>Birds were challenged with <italic>E. maxima</italic> on D14 and then with <italic>C. perfringens</italic> on D19, D20, and D21 to induce clinical NE, which resulted in high mortality within the challenged treatment groups. On D21 of age, challenged treatment groups supplemented with either antibiotic or synbiotic showed a decrease in body weight gain compared to their respective non-challenged treatment groups. The decrease in performance parameters following the induced NE challenge was previously reported (<xref ref-type="bibr" rid="B2">Akerele et al., 2022</xref>; <xref ref-type="bibr" rid="B27">Shah et al., 2023</xref>). In our study, the reduction in performance parameters was associated with increased intestinal permeability and high lesion scores, indicating extensive damage to the intestine. <italic>C</italic>. <italic>perfringens</italic> produces various toxins and enzymes that primarily target the cell membrane of enterocytes (<xref ref-type="bibr" rid="B22">Navarro et al., 2018</xref>), as well as also produces an enterotoxin (CPE) capable of binding to the claudin family, namely, claudin-3 and claudin-4. This binding increases the paracellular passage of <italic>C</italic>. <italic>perfringens</italic> through the enterocytes, exacerbating inflammation and ultimately damaging the gut barrier (<xref ref-type="bibr" rid="B3">Black et al., 2015</xref>).</p>
<p>Despite the comparable decreases in performance parameters and intestinal damage between the challenged treatment groups, the C &#x2b; S treatment group exhibited a higher mortality percentage (35%) compared to the C &#x2b; A treatment group, indicating that the synbiotic failed to protect against the challenge on D21. The high mortality and compromised performance in challenged treatment groups indicates that the induced NE infection was clinical in nature. Antibiotics are well-documented to target pathogenic bacteria within hours of administration (<xref ref-type="bibr" rid="B38">Zheng et al., 2017</xref>). Constant supplementation of antibiotics in the feed provided broilers with protection against the rapid proliferation of <italic>C. perfringens</italic>, whereas the synbiotic could not adapt to the rapid bacterial increment. The ratio of CD4&#x2b;/CD8&#x2b; T cells is used to assess immune competency in various animals, including chickens (<xref ref-type="bibr" rid="B7">Char et al., 1990</xref>). According to studies, healthy individuals typically exhibit a higher percentage of CD4<sup>&#x2b;</sup> T cells than CD8<sup>&#x2b;</sup> T cells, resulting in a CD4&#x2b;:CD8&#x2b; T cell ratio greater than 1. However, multiple factors such as age, breed, nutrition, and diseases, can influence CD4&#x2b;:CD8&#x2b; T cells in chickens (<xref ref-type="bibr" rid="B4">Bridle et al., 2006</xref>; <xref ref-type="bibr" rid="B9">Dalgaard et al., 2010</xref>; <xref ref-type="bibr" rid="B19">Leshchinsky and Klasing, 2003</xref>; <xref ref-type="bibr" rid="B35">TA et al., 2017</xref>). At D21 of age, antibiotic supplementation resulted in decreased CD4&#x2b;:CD8&#x2b; T cells compared to other treatment groups. Previous studies have reported a similar decrease in the CD4&#x2b;:CD8&#x2b; T cells ratio following antibiotic supplementation in chickens (<xref ref-type="bibr" rid="B17">Klaudia and Alina, 2015</xref>; <xref ref-type="bibr" rid="B18">Lee et al., 2012</xref>). In mice, antibiotic therapy has been indicated to have a suppressive effect on Stat1 signaling, a major transcription factor related to pro-inflammatory cytokines that leads to T-cell activation, and something similar could be happening in our chicken model (<xref ref-type="bibr" rid="B14">Josefsdottir et al., 2017</xref>). On the other hand, no significant differences were observed in the humoral immune response, as indicated by IgA levels in the bile, between the different treatment groups. IgA is the major component of humoral immune response in the gut, and it is responsible for protecting the gut barrier against pathogenic bacteria. The lack of B cell activation, coupled with increased intestinal permeability and lesion scores, could potentially explain the high mortality and poor performance in the challenged treatment groups.</p>
<p>On D28 of age, the challenged treatment groups exhibited comparable levels of serum FITCd to their respective non-challenged treatment groups. A previous study highlighted that the intestinal barrier of broilers challenged with <italic>E. maxima</italic> on D14 and <italic>C. perfringens</italic> on D19, D20, and D21 showed similar serum FITCd levels on D28 of age, indicating a rapid recovery of the enterocytes following the induced-NE challenge (<xref ref-type="bibr" rid="B2">Akerele et al., 2022</xref>; <xref ref-type="bibr" rid="B27">Shah et al., 2023</xref>). All treatment groups had comparable CD4&#x2b;:CD8&#x2b; ratio, IgA, cytokines (IL-10, TGF-&#x3b2;, and IFN-&#x3b3;) and tight junction proteins (ZO-1 and CL-1) relativegene expression. However, C &#x2b; A group showed comparable body weight and feed conversion ratios to their respective non-challenged treatment groups, while the C &#x2b; S group failed to exhibit a similar recovery rate. The difference in recovery speed may be attributed to the antibiotic&#x2019;s ability to reduce induced gut inflammation. Nevertheless, by D35 of age, all treatment groups displayed comparable performance parameters, serum FITCd levels, ratios of CD4<sup>&#x2b;</sup> and CD8<sup>&#x2b;</sup> T cells, IgA levels, and tight junction proteins and cytokine expression, indicating a possible complete recovery of the gut from the induced NE challenge.</p>
<p>In conclusion, both synbiotic and antibiotic supplementation supported the recovery of broiler&#x2019;s performance following the induced NE challenge. However, synbiotic supplemented birds was not able to withstand the mortality caused by clinical necrotic enteritis. Therefore, supplementing synbiotic from the day of hatch can be considered a viable alternative to antibiotics for improving performance and combating the re-emergence of NE. Further study is required for improvement of the efficacy of synbiotic which might be achieved by blending additional probiotic bacteria and prebiotics. We also need to explore how mortality in chickens could be prevented by studying the in-depth immunomodulation properties of synbiotic during NE.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>Publicly available datasets were analyzed in this study. This data can be found here: <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov">https://www.ncbi.nlm.nih.gov</ext-link> and accessed with following gene accession numbers; RPS-13: NM_001001783.2, IL-10: NM_001004414.4, TGF-&#x03b2;: HE646744.1, IFN-G: NM_205149.2, ZO-1: XM_004934975.5, and CL-1: NM_001013611.2.</p>
</sec>
<sec sec-type="ethics-statement" id="s6">
<title>Ethics statement</title>
<p>The animal study was approved by Institutional Animal Care and Use Committee. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>BS: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Software, Visualization, Writing&#x2013;original draft, Writing&#x2013;review and editing. WA: Data curation, Investigation, Resources, Writing&#x2013;review and editing. ReS: Investigation, Methodology, Supervision, Writing&#x2013;review and editing. RaS: Conceptualization, Data curation, Funding acquisition, Investigation, Project administration, Resources, Supervision, Validation, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was supported by the United States Department of Agriculture cooperative grant 58-6040-2-016 and 2024-67015-42413, and the hatch grant awarded to RKS.</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<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 sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<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>
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