1. Introduction
Piscirickettsiosis (SRS) is caused by
Piscirickettsia salmonis, a Gram-negative facultative intracellular bacterium that belongs to the subdivision of gamma-Proteobacteria [
1].
P. salmonis infection has been detected in the main salmon-producing countries worldwide but is notably more prevalent in farmed salmon in Chile [
2]. The most important factors of SRS prevalence are the number of infected farms in upstream waters, followed by seawater salinity and temperature [
3]. SRS was responsible for 10.2% of Atlantic salmon (
Salmo salar L.) and 8.4% of rainbow trout (
Oncorhynchus mykiss) total mortality production during the first half of 2022 [
4].
P. salmonis has been identified and described in different parts of the world since the early 1990s [
1], but while LF-89-like isolates are closely related to each other, the Chilean EM-90-like isolates are genetically divergent [
5,
6]. The accumulated evidence regarding genomic structures and phylogenetic relationships currently supports the existence of both
P. salmonis LF-89 and EM-90 genogroups [
7,
8,
9,
10,
11,
12]. Furthermore, it has been demonstrated that both
P. salmonis genogroups are widely spread throughout different geographic areas in Chilean salmon aquaculture [
9,
13,
14,
15]. In fact, reports demonstrate how the ecological balance of both genogroups changed over time from LF-89-like prevalence between 2010 and 2014, to EM-90-like dominance in 2015 [
15] and in 2019 [
13]. However, there is no factual evidence to date about the spatio-temporal dynamics of early infection of these genogroups under field conditions, nor any confirmation on the likelihood of co-infection by both genogroups simultaneously in the same fish and/or tissues. A tendency change of the positivity rate caused by both genogroups between 2015 and 2019 could potentially be the underlying reason for pharmaceutical laboratories to decide using only the EM-90-like genogroup in their commercial vaccines based on the assumption that these vaccines would generate cross-immunity also for both genogroups.
However, further evidence indicates that the pathogenesis of SRS in post-smolt Atlantic salmon infected with LF-89-like and EM-90-like isolates can be different [
16] when using an experimental model based on infection by cohabitation. Briefly, fish infected with the EM-90-like genotype showed higher and faster cumulative mortality compared to those infected with the LF-89-like genotype. Additionally, while the EM-90-like isolate induced a systemic and hemorrhagic disease characterized by injuries affecting several internal organs and skin ulcers, fish infected with LF-89 showed more classic SRS lesions in liver and kidneys. Furthermore, both LF-89-like and EM-90-like isolates modulated a similar immunological response based on a substantial activation of the innate immune response and a significant inhibition of the T cell-mediated adaptive response. This reaction was especially predominant in EM-90-like infected fish and could potentially explain the higher bacterial loads and more severe tissue lesions, resulting in a lower survival rate [
17,
18,
19]. It has been widely documented that commercially available vaccines for SRS control have demonstrated insufficient efficacy in field conditions [
2,
17,
20,
21,
22,
23,
24] and the only commercial live vaccine for SRS control, the current standard for vaccination strategy in the Chilean salmon industry, is based solely on a
P. salmonis EM-90-like isolate.
Despite all the aforementioned information, the official surveillance and control plan for SRS, which was implemented in 2012 [
25], is based only on the disease caused by
P. salmoni; it does not incorporate detection for either of the genogroups of the etiologic agent of this disease. The general aim of the official surveillance program is to minimize the SRS impact in the country through early detection, following up with infected farms and executing control measures at different stages of the disease in salmon farms. Due to widespread infection among salmon farms located in Los Lagos and Aysén, and the very high likelihood of SRS outbreaks during the production cycle for all farmed salmon species (>90%), epidemiological surveillance of
P. salmonis at the genogroup level is essential, not only for defining and evaluating vaccination strategies against SRS but also for early diagnosis, clinical prognosis in the field, and treatment and control of the disease.
It is possible that biological mechanisms of both P. salmonis genogroups could modulate the interaction with its host, thereby supporting our hypothesis that P. salmonis promotes a very complex co-infection that appears to be highly dynamic over time, which poses a major challenge for optimal treatment and control. Additionally, the vaccination strategy based on administrating vaccines formulated only with the EM-90-like genogroup could have caused an increase in the incidence and positivity rate of LF-89-like isolates in recent years. The objectives of this study were as follows: (a) prospective characterization of the spatio-temporal distribution and dynamics of P. salmonis genogroup presence within and between seawater farms, as well as individual fish and tissues during early infection in Atlantic salmon under field conditions; (b) retrospective estimation and characterization of the changes in abundance and the positivity rate of both P. salmonis genogroups considering laboratory case studies between 2017 and 2021; and (c) knowledge generation to improve the surveillance and control strategy for SRS in Chile.
4. Discussion
Government authorities and the salmon industry in Chile designed and implemented a specific surveillance and control program for piscirickettsiosis in 2012 [
25]. A critical aspect for control is to promote early detection of infection for timely treatment [
2,
31,
32]. Timely diagnosis and training in necropsies are fundamental aspects to reduce the incidence rate and severity of SRS and to optimize control of the disease [
33]. The current SRS surveillance program is based on risk-based sampling [
34] of five moribund or dead fish from two to three netpens, is cost-effective, and gives a high probability of detection of
P. salmonis in Atlantic salmon farms in Chile at both the netpen and farm levels [
27]. In addition, qPCR is fit for the purpose of presumptive diagnosis and surveillance for the detection of
P. salmonis cases in endemically infected regions of Chile [
28].
Our prospective results showed that the first detection of
P. salmonis by qPCR was recorded between 83 days (farm 4) and 197 days (farm 2) after the seawater phase started, which coincides with the interval between 30 and 180 days typically described in retrospective epidemiological studies [
23,
35,
36].
P. salmonis infection can settle early in the seawater phase, adversely affecting fish health and requiring early antibacterial treatment [
37]. However,
P. salmonis LF-89-like and EM-90-like field isolates have genomic differences that may induce different degrees of virulence [
7,
11], pathogenesis [
16], and immune response [
13,
17,
18,
19,
38,
39,
40]. Consequently, epidemiological surveillance of
P. salmonis should be complemented by the identification of the genogroup mainly involved, although both genogroups are probably concomitant in different organs of the same fish, or that genogroup might prevail at a specific time of infection reflecting a different phase of infection progression. Deeper knowledge is surely required regarding the co-infection of both genogroups, e.g., fish experimentally infected with EM-90-like and L-89-like at the same time and same tanks using the cohabitation model.
The current SRS surveillance and control program considers the 30 days for beginning sampling after the last sea-cage of the farm is completed, meaning that it could usually take up to 3 months to start surveillance. Although the salmon farmers are free to start surveillance voluntarily as early as they deem appropriate, several variables such as the increase in salinity and sea temperature, production scale-up and management, the increase in the incidence and prevalence of gill diseases and the increase in the immunological challenge of farmed fish, the increase in frequency of low-oxygen and microalgae bloom events, and the relative efficacy of the current vaccination strategy based solely on the EM-90-like isolates would support the idea of implementing the monitoring of P. salmonis and its genogroups as soon as possible after stocking fish at seawater farms. Indeed, the results of this study demonstrate that even early detection of P. salmonis genogroups in multiple organs/tissues is very likely in live, asymptomatic fish.
It is known that
P. salmonis LF-89-like isolates obtained from different parts of the world are closely related to each other, but the Chilean EM-90-like isolates are unique and genetically divergent from the others [
5,
6]. In addition, Rozas-Serri et al. [
16] demonstrated that the pathogenesis of SRS caused by EM-90-like or LF-89-like genogroup is different, and they have different incubation times under the same experimental conditions (15 and 20 days, respectively). Saavedra et al. [
15] showed that all EM-90-like isolates studied were susceptible to quinolones, florfenicol, and oxytetracycline, but most LF-89-like specimens showed resistances to at least one of the antibiotics tested. This correlates well with what we observed in field conditions, since the best therapeutic results for SRS are recorded when the infection is caused by EM-90-like. Taken together, we believe that early detection of the
P. salmonis genogroups in the seawater farms could work as an indicator of clinical prognosis of the disease and treatment efficacy.
Due to the importance of the species and the fact that it is susceptible to both genogroups of
P. salmonis [
16] we basically studied the field epidemiological situation of both genogroups in Atlantic salmon. While Aravena et al. [
13] described that 94.4% of the samples they studied were obtained from moribund fish, our results show that 75% of the positives samples were obtained from moribund fish and 25% from live fish, which is not only significantly lower but would also support that early diagnosis under a weekly monitoring program would provide valuable information from randomly sampled live fish. In addition, fish infected only with EM-90-like showed a higher percentage of liver nodules than those infected only with LF-89-like or co-infected fish, which is consistent with what was reported by Rozas-Serri et al. [
16] in Atlantic salmon experimentally infected with both genogroups, as they observed multifocal yellowish-white focal nodules approximately 1–2 mm in diameter in the liver in 6 and 14% of fish infected with LF-89-like and EM-90-like during the early phase of infection, respectively. Our results showed the detection of
P. salmonis genogroups in different organs/tissues, which confirmed the systemic nature of the infection described previously [
2].
Saavedra et al. [
15] described a significantly higher
P. salmonis EM-90-like positivity rate compared to LF-89-like in 2015, indicating a tendency change in comparison to the period 2010–2014, when LF-89-like genogroup isolates were predominant. According to Aravena et al. [
13],
P. salmonis EM-90-like was detected more frequently in the Chilean salmon industry in 2019, although only field samples collected in a short period of time were used, and they did not consider the comparative spatio-temporal aspect or the dynamics of infection in the field. On the contrary, these results do not agree with ours because in 2019 the ratio was 69 and 31% for LF-89-like and EM-90-like, respectively. We speculate that the main reason to explain these differences is that we considered a different number of isolates from geographic areas with different incidence rates and infection prevalences of both genogroups, and we considered only Atlantic salmon as the host.
Our results demonstrate not only that Atlantic salmon can be infected by both genogroups separately at a given time and in each farm, but that there is co-infection with isolates of both genogroups in the same and different tissues/organs of the same fish at the same time. To our knowledge, this is the first description to date of a complex co-infection with both genogroups of
P. salmonis at the farm, fish, and even tissue levels in farmed Atlantic salmon in Chile. Furthermore, our results demonstrate a change in the tendency of the positivity rate ratio of both genogroups, as LF-89-like diagnoses became significantly more frequent than EM-90-like diagnoses in 2020 and 2021. Then, three out of four “universal” positive qPCR results for
P. salmonis during 2020–2021 were LF-89-like when using the genogroup-specific PCR assays described here. Therefore, genogroup-specific PCR assays for
P. salmonis of the type described in this study could be of great practical utility for further epidemiological surveillance of
P. salmonis at the genogroup level in Chile. Indeed, there are previous reports of alternative laboratory assays that could also be used for the purposes described [
14,
15].
Precisely in the last two years we have found increased SRS susceptibility of farmed Atlantic salmon, basically in terms of time of first detection and outbreak, increases in the number of therapies, increases in associated mortality, increments in the frequency of therapeutic failures, among other indicators. Although we know that current vaccines do not activate the cell-mediated adaptive immune response necessary to protect and control a facultative intracellular bacterium such as
P. salmonis during the entire production cycle in the sea [
20,
21,
24,
39], we recognize that vaccines play an important role in the current relative control of the disease. The first live attenuated vaccine entered the market in 2016, but it was based solely on an EM-90-like isolate. From 2017 to date, the vaccination strategy based on this vaccine, used along a pentavalent vaccine whose
P. salmonis component is also EM-90-like but inactivated, has grown to become the current industry standard. Thereby, a biological process might have started in 2017 that could have promoted an increase in the infection pressure of LF-89-like isolates.
P. salmonis LF-89-like and EM-90-like belong to the same species but are different isolates that could even present different antigens [
11,
15].
Consequently, it is essential that all commercial vaccines available for SRS control in Chile be formulated with LF-89-like and EM-90-like isolates or their respective antigenic components to induce a “broad spectrum” immune response against P. salmonis. Then, knowledge of the spatio-temporal dynamics of P. salmonis genogroups in the industry is fundamental for an adequate design of the vaccination strategy for SRS control, and the best way to achieve this is to promote active and passive epidemiological surveillance of P. salmonis at the EM-90-like and LF-89-like genogroup levels that works as an early warning indicator regarding possible variation in the incidence and prevalence of both genogroups that supports timely interventions.