ABSTRACT
Digital dermatitis (DD) is the leading cause of lameness in cattle, posing major animal welfare and economic concerns. Effective prevention strategies are increasingly important given emerging antimicrobial resistance associated with common DD treatments. Supplementation with Saccharomyces cerevisiae fermentation postbiotics (SCFP) has been shown to enhance innate immunity and reduce DD lesion development. This study evaluated the effect of a commercial SCFP supplement on the microbial composition of DD lesions using shotgun metagenomic sequencing to characterize microbial communities and associated antimicrobial resistance genes. Beta diversity analysis revealed that stage M4 DD lesions from SCFP-supplemented cows had a trend for different microbial compositions compared with controls (P = 0.051). At the genus level, M2 lesions were found to have statistically significant lower abundance of the genera Desulfovibrio, Pseudomonas, Staphylococcus, Anaerotignum, Caproicibacterium, and Bacteroides in the SCFP treatment group compared with the control (P < 0.05). M2 lesions from the SCFP treatment group were also found to have statistically significant higher abundance of the genera Fusobacterium, Citricoccus, Listeria, and Fundicoccus as compared with the control (P < 0.05). M4 lesions were found to have statistically significant lower abundance of the genera Blautia and Petrimonas in the SCFP treatment group compared with the control (P < 0.05). At the species level, M2 lesions were found to have statistically significant lower abundance of the species Desulfovibrio sp. G11, Anaerotignum sp. MB30-C6, Caproicibacterium argilliputei, and Prevotella intermedia in the SCFP treatment group compared with the control (P < 0.05). M2 lesions from the SCFP treatment group were also found to have statistically significant higher abundance of the species Fundicoccus culcitae and Helcococcus ovis as compared with the control (P < 0.05). Metagenomic analysis identified antimicrobial resistance genes associated with multiple antibiotics commonly used for DD treatment, including tetracyclines, lincosamides, and pleuromutilins. These findings demonstrate the potential for SCFP supplementation to alter the microbial composition of DD lesions while highlighting the ongoing concerns regarding antimicrobial resistance in DD management.
IMPORTANCE
Digital dermatitis (DD) causes substantial economic loss and welfare concerns in cattle production systems worldwide. Our findings show that dietary supplementation with Saccharomyces cerevisiae fermentation postbiotics (SCFP) has the potential to alter the microbial ecology of DD lesions. Importantly, this work identifies antimicrobial resistance genes within DD lesions, underscoring the limitations of antibiotic-based control strategies. By linking nutritional supplementation to changes in microbial communities and resistance gene profiles, this study advances understanding of non-antibiotic approaches to disease mitigation and supports the development of sustainable, microbiome-informed management practices in food animal production.
KEYWORDS: antimicrobial resistance genes, metagenomic, dairy cattle, postbiotic, lameness
INTRODUCTION
Digital dermatitis (DD), an infectious disease of cattle feet, is the leading cause of lameness in dairy cattle (1, 2). While predominantly associated with cattle, DD has been identified in other ungulates, such as sheep, goats, elk, and caribou (3–7). This disease poses a significant welfare concern due to the pain caused by the characteristic circumscribed, ulcerative to papillomatous lesions located on the plantar aspect of the foot on or above the coronary band between the heel bulbs (8). Consequently, DD leads to decreased production (weight gain and milk yield), increased culling rates, and additional costs associated with treatment, which result in significant economic impacts for the industry (9–13).
Early detection and prompt treatment of DD is a crucial component of herd management; however, a strong focus should also be placed on the implementation of prevention strategies to reduce the prevalence of DD in a herd (14, 15). The use of chemical footbaths and topical antibiotics are common practice within the industry (16–18). However, these compounds can lead to environmental pollution, are a risk to human health, and contribute to antimicrobial resistance (19–21). Anecdotal evidence of reduced tetracycline and oxytetracycline efficacy in response to prolonged antimicrobial exposure had been noted in the treatment of bovine DD for years (22). However, the identification of antimicrobial resistance genes conferring resistance to various antimicrobials in bovine DD lesions occurred only more recently (23). To avoid these negative consequences of more traditional prevention practices, further research is necessary to develop alternative strategies.
One promising strategy for the prevention of DD is the development and use of nutritional feed supplements to enhance the diet. Saccharomyces cerevisiae fermentation postbiotics (SCFP), which consist of a complex blend of bioactive metabolites, including amino acids, organic acids, polyphenols, lipids, and B vitamins, have been widely used within the dairy industry to support cattle health and production (24, 25). Studies have indicated that SCFP supplementation increases average daily gain, increases body weight, and improves milk production (26, 27). Supplementation with SCFP has also been found to enhance the immune function of cattle through immunomodulation of the inflammatory response (28–30).
The specific SCFP blend used in this study has previously demonstrated immunomodulating properties during inflammatory challenges and stressors (30–33). Our group previously assessed the effectiveness of SCFP supplementation on controlling or preventing DD in lactating dairy cows on a commercial facility. Results showed a reduction in active DD lesions of cows supplemented with SCFP when compared with control cows (34). Our group also observed reduced rates of DD lesion development in SCFP-supplemented steers experimentally inoculated with a DD lesion homogenate, highlighting the protective effect of SCFP against DD infection (35).
Despite numerous studies investigating the effect of SCFP supplementation on the prevention of DD, many questions remain regarding the effect SCFP supplementation has on the microenvironment and varied microorganism populations of DD lesions. Studies investigating the etiology of DD have identified spirochetes belonging to the genus Treponema to be the primary bacterial agent associated with DD lesions (36–40). Despite the predominance of Treponema spp. in chronic DD lesions, additional studies have identified various other genera of organisms that may play a role in DD lesion development, commonly including Bacteroides, Campylobacter, Dichelobacter, Fusobacterium, Mycobacterium, Mycoplasma, Porphyromonas, and Prevotella (38–42).
This study aimed to investigate the effect of SCFP supplementation on the microbiota of DD lesions in lactating Holstein cows. The metagenomic analysis of DD lesion biopsy samples utilized shotgun metagenomic sequencing techniques to provide a complete genomic DNA analysis for all organisms and their antimicrobial resistance factors present in the DD lesion samples. We hypothesized that SCFP supplementation would alter the abundance of microbes present in DD lesions and their antimicrobial resistance factors.
MATERIALS AND METHODS
Study design
This study utilized a subset of data from a study previously described by Anklam et al. (34). A brief overview of the study is provided in the following sections.
The study was conducted between June and November 2018 for a total duration of 5 months following a randomized controlled field design. The initial 2.5 months served as a baseline for monitoring cattle health and allowing adaptation to the study diets. The final 2.5 months served as the test phase.
Experimental animals
A total of 968 lactating Holstein cows (15 primiparous and 953 multiparous) in mid-lactation were enrolled from a commercial dairy farm (Midwest, USA) milking 3,000 cows using Astronaut A4 milking systems (Lely North America, Pella, Iowa, USA). All enrolled cows were distributed among four pens, two pens per treatment group. All cows were housed in a freestall barn with sand-bedded stalls. The alleyways were scraped with an automated alley scraper system. Cows remained in their respective pens unless they were removed to be dried off, and new cows could enter after calving. All cows received hoof trimming by a trained hoof trimmer at least once every 6 months and went through a preventative footbath with 5% copper sulfate weekly.
Treatments
Cows were randomly split into control and SCFP supplementation groups (N = 484 per group, two pens per group). Cows received their respective supplementation throughout the duration of the study. Investigators were blinded as to which groups received the control or SCFP supplementation. Liquid molasses containing no supplement (control) or 19 g/day/cow of NutriTek (SCFP, Diamond V, Cedar Rapids, Iowa,USA) were mixed into the partial mixed ration based on the manufacturer recommendations and group fed to the respective pens. The ingredients and chemical composition of the partial mixed ration diet are indicated in Table 1.
TABLE 1.
Ingredient composition of the partial mixed rationa
| Percentage of dry matter | ||
|---|---|---|
| Control group | SCFP groupb | |
| Ingredient | ||
| Corn silage shredlage | 45.0 | 45.0 |
| Alfalfa hay | 4.5 | 4.5 |
| Wet corn gluten feed | 14.6 | 14.6 |
| Ground shelled corn | 8.5 | 8.5 |
| Soybean meal | 7.6 | 7.6 |
| Canola meal | 3.1 | 3.1 |
| Soy hulls | 3.6 | 3.6 |
| Commercial AAc | 2.0 | 2.0 |
| Commercial premixd | 4.9 | 4.9 |
| Control liquid molasses | 6.3 | 0.0 |
| SCFP liquid molasses | 0.0 | 6.3 |
| Formulated nutrient | ||
| Crude protein | 16.3 | 16.3 |
| Acid detergent fiber | 19.6 | 19.6 |
| Neutral detergent fiber | 31.5 | 31.5 |
| Ether extract | 3.6 | 3.6 |
| Starch | 21.6 | 21.6 |
| Sugars | 6.8 | 6.8 |
Corn gluten pellet fed at the robotic milker.
SCFP, Saccharomyces cerevisiae fermentation postbiotic (Diamond V, Cedar Rapids, Iowa, USA).
Dairy Amino Shot (Synergy Feeds LLC).
Formulated to provide 1.1% Ca, 0.8% Na, 0.5% Mg, 1.7% K, 0.3% S, 68 mg/kg Zn, 61 mg/kg Mn, 17 mg/kg Cu, 213 mg/kg Fe, 0.5 mg/kg I, 0.3 mg/kg Co, and 0.5 mg/ kg Se, 6,867 IU of vitamin A/kg, 1,717 IU of vitamin D3/kg, and 58 IU of vitamin E/kg.
Data collection
Lame cows were identified by herdsmen during pen walks once per day. Cows exhibiting signs of lameness were separated and examined for the presence of DD lesions. All DD lesions were graded using M-stages on a five-point scale. Lesions were classified as M0 if no lesion was observed at the coronary band; M1 if a focal lesion <2 cm in diameter was observed surrounded by healthy skin; M2 if an active lesion ≥2 cm in diameter was observed; M4 if the lesion was chronic hyperkeratotic (M4) or proliferative (M4P); or M4.1 if the lesion was chronic hyperkeratotic (M4.1) or proliferative (M4.1P) combined with M1 lesions within the lesion perimeter (43, 44). The most severe DD score per two hindfeet, cow, and timepoint was recorded using the following hierarchy of severity: M0 < M1 < M4.1 < M4.1P < M4 < M4P < M2. The chronicity of each lesion was also recorded, with chronicity level 1 representing hyperkeratotic lesions and chronicity level 2 representing proliferative lesions. Active DD lesions were treated with QuickHit Gel (SSI Corporation, Julesburg, Colorado, USA), a nonantibiotic chelated copper gel under a light wrap, which was removed after 1–2 days.
Skin biopsy collection
Biopsies of DD lesions were collected at the end of the study, 5 months post the start of control and SCFP supplementation. Using a convenience sampling approach, 20 cows (N = 10 per treatment group) with DD lesions were randomly selected from the four pens of cows enrolled in the study. DD lesion biopsy sample collection was performed under local anesthesia by subcutaneously administering 6 mL of 2% lidocaine hydrochloride (Sparhawk Laboratories Inc., Lenexa, KS, USA) with a 20-gauge needle. The biopsy area was rinsed with water to clean and remove any gross organic debris prior to collection. Samples were collected using a 6-mm biopsy punch. Following collection, samples were rinsed with sterile saline solution (Walgreens, Deerfield, IL, USA) and were placed in sterile 5.0-mL tubes, transported on ice, and stored at −80°C until further analysis. Table 2 is a summary of the collected DD lesion biopsy samples.
TABLE 2.
Summary of biopsy samples of digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP)a
| Sample number | Treatment group | Footb | M-stagec | Lesion chronicityd | Pen |
|---|---|---|---|---|---|
| 1 | Treatment | LR | M4 | 2 | B |
| 2 | Treatment | RR | M4 | 1 | A |
| 3 | Treatment | RR | M4 | 2 | A |
| 4 | Control | RR | M4 | 2 | D |
| 5 | Control | RR | M2 | 2 | C |
| 6 | Control | LR | M4 | 2 | C |
| 7 | Control | RR | M2 | 2 | C |
| 8 | Control | LR | M4 | 2 | C |
| 9 | Control | LR | M4 | 2 | D |
| 10 | Control | RR | M4 | 1 | D |
| 11 | Treatment | LR | M2 | 1 | B |
| 12 | Treatment | RR | M4 | 1 | B |
| 13 | Treatment | LR | M4 | 1 | B |
| 14 | Treatment | RR | M4 | 2 | B |
| 15 | Treatment | LR | M2 | 1 | B |
| 16 | Treatment | RR | M2 | 1 | B |
| 17 | Treatment | RR | M4 | 1 | B |
| 18 | Control | RR | M4 | 1 | C |
| 19 | Control | LR | M2 | 2 | C |
| 20 | Control | RR | M2 | 2 | C |
SCFP, Saccharomyces cerevisiae fermentation postbiotic (Diamond V, Cedar Rapids, Iowa, USA).
Foot: left rear (LF) or right rear (RR).
M-stage: an active lesion ≥2 cm in diameter (M2) or a chronic hyperkeratotic lesion without proliferation (M4).
Lesion chronicity: a hyperkeratotic lesion (1) or a proliferative lesion (2).
Metagenomic shotgun sequencing analysis
Biopsy samples were processed for DNA extraction by transferring the biopsy samples to 2.0 ml PowerBead tubes (Qiagen, Valencia, California, USA) containing buffer ATL and proteinase K (DNeasy blood and tissue kit, Qiagen, Valencia, California, USA), homogenized using a BeadBlaster24 (Benchmark Scientific, Edison, New Jersey, USA), and incubated overnight at 56°C. Following overnight incubation, biopsy samples were processed as directed by the manufacturer’s recommendations (DNeasy blood and tissue kit, Qiagen, Valencia, California, USA), and sample DNA was eluted in 100-µL buffer AE. Total DNA yield was quantified with the Nanodrop 2000c spectrophotometer (Thermo Fisher Scientific, Waltham, Massachusetts, USA) and stored at −80°C prior to downstream processing (45, 46).
Whole genome shotgun sequencing was performed on each sample by the University of Wisconsin Biotechnology Center DNA Sequencing Facility using the Novaseq platform. The sequence and statistical analysis were provided by the University of Wisconsin Bioinformatics Resource Center (47–53).
Statistical analysis
All statistical analyses were conducted using R version 4.4.3 software (54). The packages used were ANCOMBC (v2.10.1), dplyr (v1.1.4), ggh4x (v0.3.1), ggplot2 (v4.0.0), ggpubr (v0.6.1), phyloseq (v1.52.0), scales (v1.4.0), and vegan (v2.7-1) (55–64).
Alpha diversity metrics, including the Chao1, Shannon, and Inverse Simpson indices, were calculated using species level absolute count data, excluding bovine DNA, between treatment groups at the M-stage and pen levels (65–68). Statistical significance was determined using a Wilcoxon test. Beta diversity metrics were calculated using Bray-Curtis dissimilarity on relative abundance of species for each sample, excluding bovine DNA, between treatment groups at the M-stage and pen levels (69). The beta diversity dissimilarity matrix was visualized using principal coordinates analysis. Statistical significance was determined using permutational multivariate analysis of variance (PERMANOVA) and permutational multivariate analysis of dispersion (PERMDISP) tests.
To visualize the composition of the most abundant organisms present in the samples, the top 15 genera and 25 species, excluding bovine DNA, were identified from the total abundance values of all samples in the study. Relative abundance was calculated using values from the top 15 genera and 25 species for each individual sample. All other taxa were combined into a single category called “Other.” Stacked barplots were created to visualize the microbial composition at both the genus and species levels. Differential abundance analysis between absolute microbial abundances of all genera and species for each treatment group was calculated at each M-stage (M2 and M4) using analysis of compositions of microbiomes with bias correction (ANCOM-BC) (57). Given the limited sample size, statistical significance for the differential abundance was reported for both unadjusted and Benjamini-Hochberg adjusted P values at the 0.1 significance level to highlight potential patterns that may warrant future investigation. Benjamini-Hochberg adjustment corrects for multiple hypothesis tests being performed simultaneously to prevent increased false discovery rates, which are common in genomic analyses due to the large number of organisms being evaluated (70). Conclusions in this study were based only on results meeting the conventional 0.05 significance level.
Antimicrobial resistance genes (ARGs) were identified by aligning each DNA sequence to the comprehensive antibiotic resistance database (CARD) (71). Results were then normalized from the read counts to fragments per kilobase of transcript per million mapped reads (FPKM). Using the FPKM normalized data, a heatmap visualizing gene expression of resistance against antibiotic drugs for each biopsy sample was generated.
RESULTS
Microbial diversity
Alpha diversity
Alpha diversity metrics were calculated using the Chao1, Shannon, and Inverse Simpson indices to analyze the richness and evenness of the microbial composition among individual digital skin biopsy samples between treatment groups at the M-stage and pen levels. Metrics were visualized using box and whisker plots as shown in Fig. 1. Results of this analysis revealed no statistical difference between treatment groups for either M2 or M4 lesions. There was also no difference between pens of each respective treatment group. This suggests that there were similar richness and evenness in samples between treatment groups of both active (M2) and chronic (M4) DD lesions.
Fig 1.

Alpha diversity metrics (Chao1, Shannon, and Inverse Simpson) for biopsies of digital dermatitis (DD) lesions from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP). (A) Comparison between treatment groups for M2 lesions. (B) Comparison between treatment groups for M4 lesions. (C) Comparison between pens of each treatment group. ns: not significant (P > 0.05).
Beta diversity
Beta diversity metrics were calculated using Bray-Curtis dissimilarity to evaluate the microbial diversity among digital skin biopsy samples between treatment groups at the M-stage and pen levels. The dissimilarity matrices were visualized using principal coordinates analysis as shown in Fig. 2. PERMANOVA testing revealed a trend for significant difference in microbial composition between SCFP-supplemented cows and controls with M4 lesions (P = 0.051). There was no statistical difference between treatment groups with M2 lesions or between pens of each treatment group. PERMDISP testing revealed no differences between treatment groups with either M2 or M4 lesions and no differences between pens of each treatment group, suggesting that group dispersions were homogeneous. This indicates that the trend for difference between treatment groups with M4 lesions could be attributed to varied community structure rather than within-group variability.
Fig 2.

Bray-Curtis dissimilarity beta diversity metrics plotted using principal coordinates analysis for biopsies of digital dermatitis (DD) lesions from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP). (A) Comparison between treatment groups for M2 lesions. (B) Comparison between treatment groups for M4 lesions. (C) Comparison between pens of each treatment group.
Microbial composition
Genus level composition
Relative abundances of the top 15 genera for each treatment group, faceted by M-stage, were visualized in stacked barplots (Fig. 3). Genera outside the top 15 most abundant taxa were grouped into a sixteenth category labeled “Other.” A relative predominance of the Treponema genus was observed in the majority of samples (Fig. 3). Samples 1 and 2 had a higher relative abundance of the genus Dichelobacter than the other samples, whereas sample 18 had the highest relative abundance of other genera. These differences illustrated the complex and shifting microbial composition of DD lesions during progression to chronic M-stage (M4). Because no significant pen effect was detected in the alpha and beta diversity analyses, samples within each treatment group were analyzed together rather than separated by pen. Results of the associated ANCOM-BC statistical testing are shown in Tables 3 and 4, comparing treatment groups with M2 and M4 lesions respectively. Due to the limited sample size and abundance of genera present in the samples, both Benjamini-Hochberg adjusted and unadjusted P values were reported at the 0.1 significance level. Adjusted P values from the M2 lesion analysis revealed statistically significant lower abundance of the genera Desulfovibrio, Pseudomonas, Staphylococcus, Anaerotignum, Caproicibacterium, and Bacteroides in the SCFP treatment group compared with the control (P < 0.05). M2 lesions from the SCFP treatment group were also found to have statistically significant higher abundance of the genera Fusobacterium, Citricoccus, Listeria, and Fundicoccus as compared with the control (P < 0.05). Adjusted P values from the M4 lesion analysis revealed significantly lower abundance of the genera Blautia and Petrimonas in the SCFP treatment group compared with the control (P < 0.05). This suggests that SCFP supplementation may play a role in altering the presence of specific microbial genera within bovine digital skin in the case of both active (M2) and chronic (M4) DD lesions.
Fig 3.

Stacked barplot depicting the relative abundance of the top 15 microbial genera for biopsy samples of digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP), faceted by treatment group and M-stage. M-stages: M2 lesion (an active lesion ≥2 cm in diameter) and M4 lesion (a chronic hyperkeratotic lesion without proliferation). N = 20 (N = 10 per treatment group).
TABLE 3.
Genus level results of analysis of compositions of microbiomes with bias correction (ANCOM-BC) for the microbial composition of biopsy samples of stage M2 digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP)a,b,c
| Genus | Log fold change | P value | Adjusted P value |
|---|---|---|---|
| Desulfovibrio | −5.49211 | 2.22893E-21 | 4.79220E-19 |
| Fusobacterium | 0.99243 | 0.00006 | 0.00246 |
| Bradyrhizobium | 0.46350 | 0.07504 | 0.41370 |
| Porphyrobacter | 0.46350 | 0.07504 | 0.41370 |
| Sphingomonas | 0.69455 | 0.03519 | 0.26824 |
| Sphingobium | 0.46350 | 0.01203 | 0.13611 |
| Novosphingobium | 0.46350 | 0.07504 | 0.41370 |
| Variovorax | 0.46350 | 0.07504 | 0.41370 |
| Pseudomonas | −0.56206 | 0.00128 | 0.03048 |
| Parafannyhessea | −0.76480 | 0.03618 | 0.26824 |
| Thermomonospora | 0.59865 | 0.02252 | 0.19366 |
| Cutibacterium | 0.67916 | 0.04559 | 0.30633 |
| Dermabacter | 0.46350 | 0.01203 | 0.13611 |
| Leucobacter | 0.46350 | 0.01203 | 0.13611 |
| Agrococcus | 0.46350 | 0.07504 | 0.41370 |
| Microbacterium | 0.55505 | 0.05318 | 0.34648 |
| Citricoccus | 0.52126 | 0.00167 | 0.03591 |
| Kocuria | 0.46350 | 0.01203 | 0.13611 |
| Mobiluncus | 1.99820 | 0.02854 | 0.23004 |
| Trueperella | −1.92022 | 0.07495 | 0.41370 |
| Dialister | 0.65642 | 0.00716 | 0.11841 |
| Erysipelothrix | −1.20631 | 0.08560 | 0.42798 |
| Listeria | 0.69455 | 0.00002 | 0.00118 |
| Kurthia | 0.59865 | 0.08528 | 0.42798 |
| Staphylococcus | −1.75696 | 0.00041 | 0.01107 |
| Heyndrickxia | 1.16403 | 0.08206 | 0.42798 |
| Fundicoccus | 0.75231 | 0.00025 | 0.00912 |
| Dolosigranulum | −0.88491 | 0.01640 | 0.17629 |
| Filifactor | −1.55173 | 0.02081 | 0.19366 |
| Alkaliphilus | 0.69455 | 0.09573 | 0.43856 |
| Anaerotignum | −3.10276 | 0.00002 | 0.00118 |
| Mediterraneibacter | 0.59865 | 0.02252 | 0.19366 |
| Lachnoanaerobaculum | 0.69455 | 0.09573 | 0.43856 |
| Butyrivibrio | −1.97379 | 0.00285 | 0.05578 |
| Caproicibacterium | −1.08192 | 4.19014E-06 | 0.00045 |
| Dysosmobacter | 0.59865 | 0.08528 | 0.42798 |
| Mageeibacillus | 0.46350 | 0.01203 | 0.13611 |
| Tissierella | −0.63398 | 0.01914 | 0.18703 |
| Elizabethkingia | 0.46350 | 0.01203 | 0.13611 |
| Cruoricaptor | −1.14991 | 0.04362 | 0.30633 |
| Flavobacterium | 0.83651 | 0.02,889 | 0.23,004 |
| Petrimonas | −0.76480 | 0.00595 | 0.10654 |
| Prevotella | −1.04414 | 0.01735 | 0.17764 |
| Bacteroides | −2.10643 | 0.00038 | 0.01107 |
| Porphyromonas | −0.90289 | 0.04504 | 0.30633 |
SCFP, Saccharomyces cerevisiae fermentation postbiotic (Diamond V, Cedar Rapids, Iowa, USA).
Bolded values represent statistical significance at the 0.05 significance level (P < 0.05).
N = 7 (SCFP = 3; control = 4).
TABLE 4.
Genus level results of analysis of compositions of microbiomes with bias correction (ANCOM-BC) for the microbial composition of biopsy samples of stage M4 digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP)a,b,c
| Genus | Log fold change | P value | Adjusted P value |
|---|---|---|---|
| Sphingobium | 0.64347 | 0.01719 | 0.40824 |
| Haemophilus | 0.46226 | 0.06353 | 0.53847 |
| Psychrobacter | −0.80975 | 0.03461 | 0.46968 |
| Tessaracoccus | 0.42893 | 0.05154 | 0.51131 |
| Cutibacterium | 1.20510 | 0.00379 | 0.21492 |
| Janibacter | 0.47731 | 0.07881 | 0.54399 |
| Serinicoccus | 0.34641 | 0.09906 | 0.62741 |
| Leucobacter | 0.48685 | 0.08017 | 0.54399 |
| Rothia | 0.89944 | 0.00452 | 0.21492 |
| Flaviflexus | 0.99259 | 0.00976 | 0.30916 |
| Turicibacter | 0.63934 | 0.04035 | 0.47920 |
| Catenibacterium | −0.57356 | 0.03358 | 0.46968 |
| Solobacterium | −0.64962 | 0.05382 | 0.51131 |
| Gemella | 0.40433 | 0.07201 | 0.54399 |
| Ureibacillus | 0.32991 | 0.01185 | 0.32164 |
| Staphylococcus | 0.99585 | 0.03753 | 0.47539 |
| Alkalibacterium | 0.34641 | 0.05313 | 0.51131 |
| Trichococcus | 0.40433 | 0.06151 | 0.53847 |
| Granulicatella | 0.68376 | 0.06978 | 0.54399 |
| Lactococcus | 0.50335 | 0.00929 | 0.30916 |
| Coprococcus | −0.51908 | 0.03323 | 0.46968 |
| Blautia | −0.75666 | 0.00002 | 0.00319 |
| Symbiobacterium | 0.40433 | 0.02802 | 0.46968 |
| Acutalibacter | −0.54478 | 0.03282 | 0.46968 |
| Thermoclostridium | 0.40433 | 0.06518 | 0.53847 |
| Flavonifractor | −0.44889 | 0.07484 | 0.54399 |
| Anaerococcus | −0.59555 | 0.05178 | 0.51131 |
| Sphingobacterium | −0.61236 | 0.02444 | 0.46968 |
| Petrimonas | −0.79546 | 0.00024 | 0.02311 |
| Hoylesella | 1.50430 | 0.09,379 | 0.61,450 |
SCFP, Saccharomyces cerevisiae fermentation postbiotic (Diamond V, Cedar Rapids, Iowa, USA).
Bolded values represent statistical significance at the 0.05 significance level (P < 0.05).
N = 13 (SCFP = 7; control = 6).
Species-level composition
Relative abundances of the top 25 species for each treatment group, faceted by M-stage, were visualized in stacked barplots (Fig. 4). Species outside the top 25 most abundant taxa were grouped into a twenty-sixth category labeled “Other.” A relative predominance of Treponema phagedenis was observed in the majority of samples. Samples 1 and 2 had a higher relative abundance of Dichelobacter nodosus, whereas sample 18 had the highest relative abundance of other species, consistent with findings from the genus level analysis above. Due to no significant pen effect found in the alpha and beta diversity analyses, samples within each treatment group were analyzed together rather than separated by pen. Results of the associated ANCOM-BC statistical testing are shown in Tables 5 and 6, comparing treatment groups with M2 and M4 lesions respectively. Due to the limited sample size and abundance of species present in the samples, both Benjamini-Hochberg adjusted and unadjusted P values were reported at the 0.1 significance level. Adjusted P values from the M2 lesion analysis revealed statistically significant lower abundance of the species Desulfovibrio sp. G11, Anaerotignum sp. MB30-C6, Caproicibacterium argilliputei, and Prevotella intermedia in the SCFP treatment group compared with the control (P < 0.05). M2 lesions from the SCFP treatment group were also found to have statistically significant higher abundance of the species Fundicoccus culcitae and Helcococcus ovis as compared with the control (P < 0.05). Adjusted P values from the M4 lesion analysis revealed no statistically significant differences between treatment groups. This suggests that SCFP supplementation may play a role in altering the presence of specific microbial species within bovine digital skin in the case of active (M2) DD lesions.
Fig 4.

Stacked barplot depicting the relative abundance of the top 25 microbial species for biopsy samples of digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without saccharomyces cerevisiae fermentation postbiotic (SCFP), faceted by treatment group and M-stage. M-stages: M2 lesion (an active lesion ≥2 cm in diameter) and M4 lesion (a chronic hyperkeratotic lesion without proliferation). N = 20 (N = 10 per treatment group).
TABLE 5.
Species level results of analysis of compositions of microbiomes with bias correction (ANCOM-BC) for the microbial composition of biopsy samples of stage M2 digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without saccharomyces cerevisiae fermentation postbiotic (SCFP)a,b,c
| Species | Log fold change | P value | Adjusted P value |
|---|---|---|---|
| Desulfovibrio sp. G11 | −5.47104 | 6.18257E-21 | 2.35556E-18 |
| Fusobacterium animalis | 1.44090 | 0.06076 | 0.47244 |
| Fusobacterium necrophorum | 0.95018 | 0.01567 | 0.20581 |
| Devosia sp. MC521 | 0.66306 | 0.03906 | 0.34979 |
| Porphyrobacter sp. ULC335 | 0.43201 | 0.07816 | 0.48815 |
| Sphingomonas sp. AAP5 | 0.43201 | 0.00662 | 0.09992 |
| Novosphingobium sp. THN1 | 0.43201 | 0.07816 | 0.48815 |
| Denitrificimonas caeni | −0.63209 | 0.09374 | 0.53468 |
| Parafannyhessea umbonata | −0.79629 | 0.02575 | 0.27250 |
| Thermobifida fusca | −0.49219 | 0.09314 | 0.53468 |
| Thermomonospora curvata | 0.56716 | 0.02289 | 0.25654 |
| Cutibacterium acnes | 0.67963 | 0.04531 | 0.38360 |
| Leucobacter denitrificans | 0.43201 | 0.00662 | 0.09992 |
| Agrococcus beijingensis | 0.43201 | 0.07816 | 0.48815 |
| Glutamicibacter protophormiae | 0.48977 | 0.05336 | 0.43944 |
| Mobiluncus massiliensis | 1.86142 | 0.03948 | 0.34979 |
| Bifidobacterium choerinum | −0.54797 | 0.03867 | 0.34979 |
| Corynebacterium accolens | 0.43201 | 0.00662 | 0.09992 |
| Corynebacterium sp. Z-1 | 0.43201 | 0.00662 | 0.09992 |
| Corynebacterium camporealensis | 0.43201 | 0.00662 | 0.09992 |
| Corynebacterium freneyi | 0.43201 | 0.07816 | 0.48815 |
| Corynebacterium kefirresidentii | 0.43201 | 0.07816 | 0.48815 |
| Dialister pneumosintes | 0.79821 | 0.00114 | 0.06186 |
| Erysipelothrix sp. HDW6A | −1.13582 | 0.04065 | 0.35196 |
| Listeria monocytogenes | 0.43201 | 0.00662 | 0.09992 |
| Listeria innocua | 0.43201 | 0.07816 | 0.48815 |
| Ureibacillus thermophilus | 0.43201 | 0.00662 | 0.09992 |
| Heyndrickxia coagulans | 1.13254 | 0.09683 | 0.53468 |
| Fundicoccus culcitae | 0.72082 | 0.00011 | 0.00834 |
| Globicatella sp. PHS-GS-PNBC-21-1553 | −1.50295 | 0.00190 | 0.07242 |
| Aerococcus viridans | 0.43201 | 0.00662 | 0.09992 |
| Dolosigranulum pigrum | −0.80538 | 0.00805 | 0.11357 |
| Jeotgalibaca ciconiae | 0.43201 | 0.00662 | 0.09992 |
| Streptococcus ruminantium | 0.56716 | 0.02289 | 0.25654 |
| Streptococcus alactolyticus | 0.43201 | 0.07816 | 0.48815 |
| Streptococcus sp. Marseille-Q6470 | 0.43201 | 0.07816 | 0.48815 |
| Streptococcus agalactiae | 0.72082 | 0.08217 | 0.50494 |
| Streptococcus porcinus | 1.18405 | 0.08579 | 0.51071 |
| Streptococcus pneumoniae | 0.75160 | 0.06404 | 0.47843 |
| Filifactor alocis | −1.58322 | 0.01908 | 0.24234 |
| Anaerotignum sp. MB30-C6 | −3.12678 | 0.00001 | 0.00150 |
| Hungatella hathewayi | −0.31890 | 0.03,486 | 0.34058 |
| [Ruminococcus] lactaris | 0.56,716 | 0.02,289 | 0.25654 |
| Roseburia hominis | 0.66306 | 0.03906 | 0.34979 |
| Blautia coccoides | 0.43201 | 0.00662 | 0.09992 |
| Butyrivibrio fibrisolvens | −2.00528 | 0.00227 | 0.07855 |
| Caproicibacterium argilliputei | −0.94013 | 2.92983E-06 | 0.00056 |
| Dysosmobacter welbionis | 0.56716 | 0.09620 | 0.53468 |
| Mageeibacillus indolicus | 0.43201 | 0.00662 | 0.09992 |
| Clostridium intestinale | 0.56,716 | 0.02289 | 0.25654 |
| Clostridium kluyveri | −0.78100 | 0.00151 | 0.07205 |
| Clostridium sp. BJN0013 | 0.43,201 | 0.07816 | 0.48815 |
| Tissierella sp. MB52-C2 | −0.66548 | 0.00454 | 0.09992 |
| Anaerococcus prevotii | 0.68269 | 0.06345 | 0.47843 |
| Helcococcus ovis | 1.08124 | 0.00014 | 0.00871 |
| Helcococcus kunzii | −1.06151 | 0.05421 | 0.43944 |
| Peptoniphilus genitalis | −0.54797 | 0.02438 | 0.26534 |
| Cruoricaptor ignavus | −1.18140 | 0.02849 | 0.29334 |
| Flavobacterium ammonificans | 0.58576 | 0.05607 | 0.44503 |
| Parabacteroides distasonis | 0.43201 | 0.07816 | 0.48815 |
| Prevotella intermedia | −1.18336 | 0.00002 | 0.00150 |
| Bacteroides zhangwenhongii | −1.43285 | 0.08435 | 0.51012 |
| Bacteroides thetaiotaomicron | −1.67480 | 0.00616 | 0.09992 |
| Porphyromonas pogonae | −1.33515 | 0.00459 | 0.09992 |
| Porphyromonas gingivalis | −1.99303 | 0.00171 | 0.07221 |
| Porphyromonas asaccharolytica | −1.10914 | 0.00682 | 0.09992 |
| Porphyromonas somerae | −0.84846 | 0.02929 | 0.29364 |
| Treponema denticola | −1.73409 | 0.01410 | 0.19186 |
SCFP, Saccharomyces cerevisiae fermentation postbiotic (Diamond V, Cedar Rapids, Iowa, USA).
Bolded values represent statistical significance at the 0.05 significance level (P < 0.05).
N = 7 (SCFP = 3; control = 4).
TABLE 6.
Species level results of analysis of compositions of microbiomes with bias correction (ANCOM-BC) for the microbial composition of biopsy samples of stage M4 digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP)a,b,c
| Species | Log fold change | P value | Adjusted P value |
|---|---|---|---|
| Desulfovibrio desulfuricans | 0.36621 | 0.03278 | 0.63708 |
| Fusobacterium nucleatum | 0.40731 | 0.02738 | 0.63708 |
| Fusobacterium pseudoperiodonticum | −0.78145 | 0.01987 | 0.62238 |
| Brucella pseudintermedia | 0.40731 | 0.05631 | 0.81067 |
| Psychrobacter sp. van23A | −1.05321 | 0.00296 | 0.30719 |
| Cutibacterium acnes | 1.25053 | 0.00537 | 0.33396 |
| Rothia dentocariosa | 0.46523 | 0.01850 | 0.62238 |
| Rothia mucilaginosa | 0.56425 | 0.09183 | 0.81067 |
| Glutamicibacter arilaitensis | 0.71053 | 0.05522 | 0.81067 |
| Flaviflexus ciconiae | 1.12847 | 0.00284 | 0.30719 |
| Corynebacterium marinum | 0.43223 | 0.08805 | 0.81067 |
| Catenibacterium sp. co 0103 | −0.57449 | 0.02648 | 0.63708 |
| Solobacterium moorei | −0.68774 | 0.03606 | 0.65974 |
| Staphylococcus epidermidis | 0.69402 | 0.08350 | 0.81067 |
| Jeotgalicoccus sp. ATCC 8456 | 0.48725 | 0.05256 | 0.81067 |
| Jeotgalicoccus saudimassiliensis | 0.74166 | 0.07572 | 0.81067 |
| Bacillus paranthracis | 0.19276 | 0.07646 | 0.81067 |
| Alkalibacterium putridalgicola | 0.30829 | 0.06561 | 0.81067 |
| Trichococcus flocculiformis | 0.36621 | 0.06010 | 0.81067 |
| Granulicatella elegans | 0.64564 | 0.07541 | 0.81067 |
| Lactococcus raffinolactis | 0.46523 | 0.00742 | 0.38485 |
| Coprococcus catus | −0.65623 | 0.00072 | 0.22318 |
| Blautia producta | −0.51689 | 0.02972 | 0.63708 |
| Symbiobacterium thermophilum | 0.36621 | 0.03278 | 0.63708 |
| Acutalibacter muris | −0.58290 | 0.02290 | 0.63708 |
| Thermoclostridium stercorarium | 0.36621 | 0.08,67 | 0.81067 |
| Flavonifractor plautii | −0.48701 | 0.06065 | 0.81067 |
| Acidilutibacter cellobiosedens | −0.56776 | 0.09051 | 0.81067 |
| Anaerococcus prevotii | −0.50457 | 0.05909 | 0.81067 |
| Prevotella bivia | −0.81867 | 0.02001 | 0.62238 |
SCFP, Saccharomyces cerevisiae fermentation postbiotic (Diamond V, Cedar Rapids, Iowa, USA).
Bolded values represent statistical significance at the 0.05 significance level (P < 0.05).
N = 13 (SCFP = 7; control = 6).
Antimicrobial resistance
The abundance of antimicrobial drug resistance, using FPKM normalized data, for all samples is shown in Fig. 5. Resistance was detected against chlortetracycline, demeclocycline, doxycycline, lincomycin, minocycline, oxytetracycline, pleuromutilin, and tetracycline for both the SCFP treatment and control groups. Wilcoxon rank sum testing for each individual antibiotic revealed no significant differences in antibiotic resistance between treatment groups.
Fig 5.

Heatmap depicting the gene expression of antimicrobial drug resistance, using fragments per kilobase of transcript per million mapped reads (FPKM) normalized data, for biopsy samples of digital dermatitis (DD) lesions collected from Holstein cows supplemented with or without Saccharomyces cerevisiae fermentation postbiotic (SCFP), faceted by treatment group and M-stage. M-stages: M2 lesion (an active lesion ≥ 2 cm in diameter) and M4 lesion (a chronic hyperkeratotic lesion without proliferation). N = 20 (N = 10 per treatment group).
DISCUSSION
Although the complete etiology of DD remains under investigation, strong associations have been established with bacteria from the genus Treponema and several other bacterial species (36–42). The bacterial composition of DD lesions has also been observed to change significantly over time as the lesion develops (38–40). The constantly shifting and highly diverse bacterial composition of DD hinders the host’s immune system from developing a strong and targeted response against the disease (39–42). Previous studies have demonstrated that SCFP was associated with immunomodulating properties and reduced rates of active DD lesion development, however, the effect on the microenvironment of DD lesions is mainly unknown (31–35). Results from this study suggest that SCFP supplementation was associated with potential differences in the microbial diversity and composition of DD lesions between Holstein cows supplemented with and without SCFP, warranting further investigation. This study additionally aimed to further investigate the presence of antimicrobial resistance genes within organisms associated with DD. This was accomplished through metagenomic shotgun sequencing, which provided a complete genomic DNA analysis for all organisms present in the samples and their antimicrobial resistance factors. The identification of ARGs for antibiotics within both the tetracycline and lincosamide drug classes is consistent with the findings of (23, 23). Years of anecdotal reports within the dairy industry have suggested the possible emergence of antimicrobial resistance against the most common antibiotic DD treatments, notably tetracyclines (22). Identification of ARGs against tetracycline within DD lesions highlights a connection between untreatable, recurrent cases of DD and the overwhelming use of tetracycline-based antimicrobials as a primary treatment against the disease. Such findings have a strong clinical importance in the treatment of DD in dairy cattle that should be carefully considered.
Interpretation of the results of this study, it is important to consider the small sample size (N = 10 biopsies per treatment group) limits statistical power and may reduce the generalizability of the findings to the broader dairy cattle population. However, the metagenomic analyses performed in this study provide valuable, exploratory and hypothesis-generating insights into the effects of SCFP supplementation on the microbial communities of DD lesions that should be further investigated. An additional important consideration is that all samples were collected exclusively from M2 and M4 DD lesions. No healthy (M0) lesions were included, as previous attempts to sequence M0 lesion biopsies did not yield sufficient microbial reads to support comparative analysis. Consequently, the data set represents only DD affected feet, either active (M2) or chronic (M4) lesions, and cannot be directly compared with healthy feet, as in previous studies (38–41).
Microbial diversity
Results of the alpha diversity analysis in this study found no significant differences between treatment groups with either M2 or M4 lesions and no significant differences between pens of the same treatment group when using the Chao1, Shannon, and Inverse Simpson indices. This indicated that upon development of a DD lesion (M2 or M4), SCFP supplementation did not alter the richness or evenness of the microbial species identified within the lesion. Similarly, there was no statistically significant difference in beta diversity between treatment groups with either M2 or M4 lesions and no significant differences between pens of the same treatment group as assessed by Bray-Curtis dissimilarity. However, PERMANOVA testing found a trend for potential differences in beta diversity between SCFP-supplemented and control cows with M4 DD lesions (P = 0.051). PERMDISP testing of M4 lesions between treatment groups found no differences, indicating the trend for potential differences in microbial composition was not driven by within-group variability. While this difference was only a potential trend associated with SCFP supplementation, this could indicate that variations in management practices, such as diet, may contribute to the variation in microbial species depicted in DD lesions of different studies (38–42).
Microbial composition
The microbial composition of DD lesions in this study was overwhelmingly comprised of Treponema species, which was consistent with multiple studies investigating the primary etiology of DD (36–40). This study also found a notable prevalence of other species, including Bacteroides spp., Campylobacter spp., Dichelobacter spp., and Porphyromonas spp., which have been noted in other studies to be associated with the development of DD (38–42). In Fig. 3 and 4, samples 1 and 2 visually appeared to lack such a prominent relative abundance for Treponema species. This difference highlights the complexity of microbial populations within DD lesions throughout various stages of development and the need for further research.
Upon investigation into the differences in microbial composition between cows supplemented with or without SCFP, this study identified multiple significant differences in the abundance of specific microorganisms between treatment groups with either M2 or M4 DD lesions. Active M2 DD lesions in SCFP-supplemented cows were found to have significantly lower abundance of the genera Desulfovibrio, Pseudomonas, Staphylococcus, Anaerotignum, Caproicibacterium, and Bacteroides. More specifically, at the species level, SCFP-supplemented M2 lesions had significantly lower abundance of the species Desulfovibrio sp. G11, Anaerotignum sp. MB30-C6, Caproicibacterium argilliputei, and Prevotella intermedia. In contrast, M2 lesions of SCFP-supplemented cows were found to have significantly higher abundance of the genera Fusobacterium, Citricoccus, Listeria, and Fundicoccus. More specifically, at the species level, SCFP-supplemented M2 lesions had significantly higher abundance of the species Fundicoccus culcitae and Helcococcus ovis. Chronic M4 DD lesions in SCFP-supplemented cows were found to have significantly low abundance of the genera Blautia and Petrimonas. No differences were found between treatment groups for M4 lesions at the species level. These taxa represent a wide range of bacteria with various characteristics such as aerobic/anaerobic status, Gram classification, inflammatory potential, opportunistic behavior, and host versus environmental association, among other characteristics. Further investigation is needed to determine clear patterns in these microbial changes; however, this study may provide potential areas of focus.
One area that should be further investigated is the pro-inflammatory effects associated with shifts in microbial populations. Fusobacterium and Helcococcus ovis have been associated with bovine interdigital skin and mammary gland inflammation, respectively (72, 73). Elevated abundance of these taxa may suggest that SCFP supplementation is associated with a pro-inflammatory environment upon active (M2) DD lesion development. Such a finding is supported by Henige et al., which found that SCFP-supplemented cattle had a faster increase in IL-1β production upon transition from M0 DD lesion to M2 DD lesion when compared with control cattle (31).
Another area of focus should be the presence of secondary opportunistic microbes that have been identified in cases of bovine DD. This study did not find any differences in the presence of Treponema species, the primary pathogen associated with DD etiology, but changes in secondary pathogens may reveal broader changes in bovine health and more nuanced alterations in the development of DD. For example, Bacteroides and Fusobacterium, two genera that were found to be altered by SCFP supplementation in this study, are known to inhabit the bovine gastrointestinal tract (74, 75). Changes in their abundance could suggest that altered gut microbiomes, associated with dietary supplementation, have wider implications for bovine health that ultimately affect the development of more specific diseases such as DD. Future studies tracking changes in secondary pathogens may also uncover more clear patterns such as preferences toward bacteria with specific environmental preferences that could highlight the potential effect SCFP supplementation may have on the microenvironment of bovine digital skin.
Antimicrobial resistance
Results of this study found ARGs associated with antimicrobials belonging to three drug classes: lincosamide (lincomycin), pleuromutilin (pleuromutilin), and tetracycline (chlortetracycline, demeclocycline, doxycycline, minocycline, oxytetracycline, and tetracycline). The presence of ARGs associated with numerous tetracycline antibiotics and a lincosamide antibiotic is consistent with findings from Beyi et al. (23). Resistance to pleuromutilin in a case of DD has not been reported prior to this study, though such resistance has been observed in both human and livestock-associated environments (76). Pleuromutilin is primarily used to treat pneumonia and skin infections and has a similar mechanism of action with macrolide and lincosamide antibiotics (76, 77). The detection of pleuromutilin resistance in this study may be attributed to the similarity to lincosamide antibiotics and the frequent use of the drug to treat skin infections in livestock. This additional evidence confirming the presence of ARGs against common antimicrobials used to treat DD in biopsies of DD lesions further amplifies the concern for emergence of antimicrobial resistance in cases of DD. The clinical implications of such findings are extremely important and should be carefully considered during the treatment of bovine DD.
Conclusions
Results of this study reveal SCFP supplementation has an association with distinct microbial populations found within DD lesions. While the small sample size limits the statistical strength and generalizability of the findings, this study highlights the potential for SCFP supplementation to alter the microenvironment of DD lesions at various stages of development and could serve as a promising alternative to antimicrobials in the prevention and treatment of bovine DD. Published literature suggests that SCFP supplementation may protect against the development of DD through multiple mechanisms, including immunomodulation, changes in microbial populations, a decreased prevalence of lesions, and delayed onset of DD outbreaks (31, 34, 35). Studies with increased sample sizes subjected to metagenomic sequencing and the collection of DD lesions belonging to more M-stages of development should be conducted to further quantify associations between SCFP supplementation and changes in microbial populations within DD lesions.
This study also identifies antimicrobial resistance genes conferring resistance to multiple antibiotics in samples from both the SCFP-supplemented and control groups. Such findings support previous studies and years of anecdotal evidence suggesting the emergence of antimicrobial resistance in bovine DD. The results of the current study may have major implications for clinical management and treatment of DD in cattle and should be carefully considered. In addition, future studies should aim to characterize the presence of specific resistance genes and their association with commonly used antibiotics for the treatment of DD. Informed topical treatment of DD along with dietary intervention, such as SCFP, has the potential to reduce the use of antimicrobials, emergence of antimicrobial resistance, and promote improved antimicrobial stewardship.
ACKNOWLEDGMENTS
The authors gratefully acknowledge the collaborators at the UW Biotechnology Center: Bioinformatics Resource Center for their support with this study.
Contributor Information
Kelly Anklam, Email: kelly.anklam@wisc.edu.
Haifeng Zhao, South China University of Technology, Guangzhou, China.
DATA AVAILABILITY
Data may be available from the corresponding author upon reasonable request and subject to the terms of the study agreement.
ETHICS APPROVAL
The animal care and management procedures for the study were approved by the University of Wisconsin-Madison Institutional Animal Care and Use Committee (A005122-R01-A02).
REFERENCES
- 1. DeFrain JM, Socha MT, Tomlinson DJ. 2013. Analysis of foot health records from 17 confinement dairies. J Dairy Sci 96:7329–7339. doi: 10.3168/jds.2012-6017 [DOI] [PubMed] [Google Scholar]
- 2. Fenster LL, Ruchti LL, Credille BC. 2023. Retrospective evaluation of the causes and distribution of lameness in beef and dairy cattle evaluated by ambulatory and in-house clinical services at a North American veterinary teaching hospital. J Am Vet Med Assoc 261:989–994. doi: 10.2460/javma.22.11.0506 [DOI] [PubMed] [Google Scholar]
- 3. Clegg SR, Mansfield KG, Newbrook K, Sullivan LE, Blowey RW, Carter SD, Evans NJ. 2015. Isolation of digital dermatitis treponemes from hoof lesions in Wild North American Elk (Cervus elaphus) in Washington State, USA. J Clin Microbiol 53:88–94. doi: 10.1128/JCM.02276-14 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Collighan RJ, Naylor RD, Martin PK, Cooley BA, Buller N, Woodward MJ. 2000. A spirochete isolated from a case of severe virulent ovine foot disease is closely related to a Treponeme isolated from human periodontitis and bovine digital dermatitis. Vet Microbiol 74:249–257. doi: 10.1016/s0378-1135(00)00190-5 [DOI] [PubMed] [Google Scholar]
- 5. Dias AP, Aguilar XF, De Buck J, Kutz S, Arrazuria R. 2024. Digital dermatitis-associated Treponema species detection and quantification in migratory tundra caribou (Rangifer tarandus). Res Vet Sci 171:105210. doi: 10.1016/j.rvsc.2024.105210 [DOI] [PubMed] [Google Scholar]
- 6. Han S, Mansfield KG. 2014. Severe hoof disease in free-ranging Roosevelt elk (Cervus elaphus roosevelti) in southwestern Washington, USA. J Wildl Dis 50:259–270. doi: 10.7589/2013-07-163 [DOI] [PubMed] [Google Scholar]
- 7. Sullivan LE, Evans NJ, Clegg SR, Carter SD, Horsfield JE, Grove-White D, Duncan JS. 2015. Digital dermatitis treponemes associated with a severe foot disease in dairy goats. Vet Rec 176:283–283. doi: 10.1136/vr.102858 [DOI] [PubMed] [Google Scholar]
- 8. Read DH, Walker RL. 1998. Papillomatous digital dermatitis (footwarts) in California dairy cattle: clinical and gross pathologic findings. J Vet Diagn Invest 10:67–76. doi: 10.1177/104063879801000112 [DOI] [PubMed] [Google Scholar]
- 9. Archer SC, Green MJ, Huxley JN. 2010. Association between milk yield and serial locomotion score assessments in UK dairy cows. J Dairy Sci 93:4045–4053. doi: 10.3168/jds.2010-3062 [DOI] [PubMed] [Google Scholar]
- 10. Bicalho RC, Warnick LD, Guard CL. 2008. Strategies to analyze milk losses caused by diseases with potential incidence throughout the lactation: a lameness example. J Dairy Sci 91:2653–2661. doi: 10.3168/jds.2007-0744 [DOI] [PubMed] [Google Scholar]
- 11. Booth CJ, Warnick LD, Gröhn YT, Maizon DO, Guard CL, Janssen D. 2004. Effect of lameness on culling in dairy cows. J Dairy Sci 87:4115–4122. doi: 10.3168/jds.S0022-0302(04)73554-7 [DOI] [PubMed] [Google Scholar]
- 12. Cha E, Hertl JA, Bar D, Gröhn YT. 2010. The cost of different types of lameness in dairy cows calculated by dynamic programming. Prev Vet Med 97:1–8. doi: 10.1016/j.prevetmed.2010.07.011 [DOI] [PubMed] [Google Scholar]
- 13. Green LE, Hedges VJ, Schukken YH, Blowey RW, Packington AJ. 2002. The impact of clinical lameness on the milk yield of dairy cows. J Dairy Sci 85:2250–2256. doi: 10.3168/jds.S0022-0302(02)74304-X [DOI] [PubMed] [Google Scholar]
- 14. Åkerström F, Bergsten C, Nyman A-K. 2024. Association between hoof trimming frequency in primiparous cows and hoof health and survival in second lactation. J Dairy Sci 107:9676–9693. doi: 10.3168/jds.2023-24543 [DOI] [PubMed] [Google Scholar]
- 15. Dolecheck KA, Overton MW, Mark TB, Bewley JM. 2019. Estimating the value of infectious or noninfectious foot disorder prevention strategies within dairy farms, as influenced by foot disorder incidence rates and prevention effectiveness. J Dairy Sci 102:731–741. doi: 10.3168/jds.2018-14996 [DOI] [PubMed] [Google Scholar]
- 16. Cook NB, Rieman J, Gomez A, Burgi K. 2012. Observations on the design and use of footbaths for the control of infectious hoof disease in dairy cattle. Vet J 193:669–673. doi: 10.1016/j.tvjl.2012.06.051 [DOI] [PubMed] [Google Scholar]
- 17. Laven RA, Logue DN. 2006. Treatment strategies for digital dermatitis for the UK. The Veterinary Journal 171:79–88. doi: 10.1016/j.tvjl.2004.08.009 [DOI] [PubMed] [Google Scholar]
- 18. Relun A, Guatteo R, Auzanneau MM, Bareille N. 2013. Farmers’ practices, motivators and barriers for adoption of treatments of digital dermatitis in dairy farms. Animal 7:1542–1550. doi: 10.1017/S1751731113000803 [DOI] [PubMed] [Google Scholar]
- 19. Cook NB. 2017. A review of the design and management of footbaths for dairy cattle. Vet Clin North Am Food Anim Pract 33:195–225. doi: 10.1016/j.cvfa.2017.02.004 [DOI] [PubMed] [Google Scholar]
- 20. Doane M, Sarenbo S. 2014. Exposure of farm laborers and dairy cattle to formaldehyde from footbath use at a dairy farm in New York state. Sci Total Environ 487:65–71. doi: 10.1016/j.scitotenv.2014.04.007 [DOI] [PubMed] [Google Scholar]
- 21. Williams O, Clark I, Gomes RL, Perehinec T, Hobman JL, Stekel DJ, Hyde R, Dodds C, Lester E. 2019. Removal of copper from cattle footbath wastewater with layered double hydroxide adsorbents as a route to antimicrobial resistance mitigation on dairy farms. Sci Total Environ 655:1139–1149. doi: 10.1016/j.scitotenv.2018.11.330 [DOI] [PubMed] [Google Scholar]
- 22. Shearer JK, Hernandez J. 2000. Efficacy of two modified nonantibiotic formulations (victory) for treatment of papillomatous digital dermatitis in dairy cows. J Dairy Sci 83:741–745. doi: 10.3168/jds.S0022-0302(00)74936-8 [DOI] [PubMed] [Google Scholar]
- 23. Beyi AF, Hassall A, Phillips GJ, Plummer PJ. 2021. Tracking reservoirs of antimicrobial resistance genes in a complex microbial community using metagenomic hi-c: the case of bovine digital dermatitis. Antibiotics (Basel) 10:221. doi: 10.3390/antibiotics10020221 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24. Coleman DN, Jiang Q, Lopes MG, Ritt L, Liang Y, Aboragah A, Trevisi E, Yoon I, Loor JJ. 2023. Feeding a Saccharomyces cerevisiae fermentation product before and during a feed restriction challenge on milk production, plasma biomarkers, and immune function in Holstein cows. J Anim Sci 101:skad019. doi: 10.1093/jas/skad019 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25. Tun HM, Li S, Yoon I, Meale SJ, Azevedo PA, Khafipour E, Plaizier JC. 2020. Saccharomyces cerevisiae fermentation products (SCFP) stabilize the ruminal microbiota of lactating dairy cows during periods of a depressed rumen pH. BMC Vet Res 16:237. doi: 10.1186/s12917-020-02437-w [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26. Klopp RN, Centeno-Martinez RE, Yoon I, Johnson TA, Boerman JP. 2022. Effects of feeding Saccharomyces cerevisiae fermentation products on the health and growth performance of Holstein dairy calves. JDS Communications 3:174–179. doi: 10.3168/jdsc.2021-0172 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27. Thomas M, Serrenho RC, Puga SO, Torres JM, Puga SO, Stangaferro M. 2023. Effect of feeding a Saccharomyces cerevisiae fermentation product to Holstein cows exposed to high temperature and humidity conditions on milk production performance and efficiency—A pen-level trial. J Dairy Sci 106:4650–4665. doi: 10.3168/jds.2022-22516 [DOI] [PubMed] [Google Scholar]
- 28. Harris TL, Liang Y, Sharon KP, Sellers MD, Yoon I, Scott MF, Carroll JA, Ballou MA. 2017. Influence of Saccharomyces cerevisiae fermentation products, SmartCare in milk replacer and Original XPC in calf starter, on the performance and health of preweaned Holstein calves challenged with Salmonella enterica serotype Typhimurium. J Dairy Sci 100:7154–7164. doi: 10.3168/jds.2016-12509 [DOI] [PubMed] [Google Scholar]
- 29. Jensen GS, Patterson KM, Yoon I. 2008. Yeast culture has anti-inflammatory effects and specifically activates NK cells. Comp Immunol Microbiol Infect Dis 31:487–500. doi: 10.1016/j.cimid.2007.08.005 [DOI] [PubMed] [Google Scholar]
- 30. Volman JJ, Ramakers JD, Plat J. 2008. Dietary modulation of immune function by beta-glucans. Physiol Behav 94:276–284. doi: 10.1016/j.physbeh.2007.11.045 [DOI] [PubMed] [Google Scholar]
- 31. Henige M, Anklam K, Aviles M, Buettner J, Henschel S, Yoon I, Wheeler J, Dawson G, McGill J, Döpfer D. 2024. The effect of Saccharomyces cerevisiae fermentation product supplementation on pro-inflammatory cytokines in holstein friesian cattle experimentally inoculated with digital dermatitis. Animals (Basel) 14:3260. doi: 10.3390/ani14223260 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32. Mahmoud AHA, Slate JR, Hong S, Yoon I, McGill JL. 2020. Supplementing a Saccharomyces cerevisiae fermentation product modulates innate immune function and ameliorates bovine respiratory syncytial virus infection in neonatal calves. J Anim Sci 98:skaa252. doi: 10.1093/jas/skaa252 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33. Vailati-Riboni M, Coleman DN, Lopreiato V, Alharthi A, Bucktrout RE, Abdel-Hamied E, Martinez-Cortes I, Liang Y, Trevisi E, Yoon I, Loor JJ. 2021. Feeding a Saccharomyces cerevisiae fermentation product improves udder health and immune response to a Streptococcus uberis mastitis challenge in mid-lactation dairy cows. J Anim Sci Biotechnol 12:62. doi: 10.1186/s40104-021-00560-8 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34. Anklam K, Cernek P, Yoon I, Wheeler J, Birkle T, Döpfer D. 2022. Effects of supplementing a Saccharomyces cerevisiae fermentation product on the prevention and control of digital dermatitis in lactating dairy cows. Applied Animal Science 38:98–109. doi: 10.15232/aas.2021-02229 [DOI] [Google Scholar]
- 35. Anklam K, Aviles M, Buettner J, Henschel S, Sanchez R, Ordaz S, Yoon I, Wheeler J, Dawson G, Doepfer D. 2025. Evaluation of Saccharomyces cerevisiae fermentation product on the prevention of digital dermatitis using an experimental infection model in cattle. Applied Animal Science 41:47–64. doi: 10.15232/aas.2024-02567 [DOI] [Google Scholar]
- 36. Evans NJ, Brown JM, Demirkan I, Murray RD, Vink WD, Blowey RW, Hart CA, Carter SD. 2008. Three unique groups of spirochetes isolated from digital dermatitis lesions in UK cattle. Vet Microbiol 130:141–150. doi: 10.1016/j.vetmic.2007.12.019 [DOI] [PubMed] [Google Scholar]
- 37. Klitgaard K, Boye M, Capion N, Jensen TK. 2008. Evidence of multiple Treponema phylotypes involved in bovine digital dermatitis as shown by 16S rRNA gene analysis and fluorescence in situ hybridization. J Clin Microbiol 46:3012–3020. doi: 10.1128/JCM.00670-08 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38. Krull AC, Shearer JK, Gorden PJ, Cooper VL, Phillips GJ, Plummer PJ. 2014. Deep sequencing analysis reveals temporal microbiota changes associated with development of bovine digital dermatitis. Infect Immun 82:3359–3373. doi: 10.1128/IAI.02077-14 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39. Marcatili P, Nielsen MW, Sicheritz-Pontén T, Jensen TK, Schafer-Nielsen C, Boye M, Nielsen M, Klitgaard K. 2016. A novel approach to probe host-pathogen interactions of bovine digital dermatitis, a model of a complex polymicrobial infection. BMC Genomics 17:987. doi: 10.1186/s12864-016-3341-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40. Zinicola M, Lima F, Lima S, Machado V, Gomez M, Döpfer D, Guard C, Bicalho R. 2015. Altered microbiomes in bovine digital dermatitis lesions, and the gut as a pathogen reservoir. PLoS One 10:e0120504. doi: 10.1371/journal.pone.0120504 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41. Caddey B, De Buck J. 2021. Meta-analysis of bovine digital dermatitis microbiota reveals distinct microbial community structures associated with lesions. Front Cell Infect Microbiol 11:685861. doi: 10.3389/fcimb.2021.685861 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42. Wilson-Welder JH, Alt DP, Nally JE. 2015. The etiology of digital dermatitis in ruminants: recent perspectives. Vet Med (Auckl) 6:155–164. doi: 10.2147/VMRR.S62072 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43. Berry SL, Read DH, Famula TR, Mongini A, Döpfer D. 2012. Long-term observations on the dynamics of bovine digital dermatitis lesions on a California dairy after topical treatment with lincomycin HCl. Vet J 193:654–658. doi: 10.1016/j.tvjl.2012.06.048 [DOI] [PubMed] [Google Scholar]
- 44. Döpfer D, Koopmans A, Meijer FA, Szakáll I, Schukken YH, Klee W, Bosma RB, Cornelisse JL, van Asten AJ, ter Huurne AA. 1997. Histological and bacteriological evaluation of digital dermatitis in cattle, with special reference to spirochaetes and Campylobacter faecalis. Vet Rec 140:620–623. doi: 10.1136/vr.140.24.620 [DOI] [PubMed] [Google Scholar]
- 45. Mason KL, Erb Downward JR, Mason KD, Falkowski NR, Eaton KA, Kao JY, Young VB, Huffnagle GB. 2012. Candida albicans and bacterial microbiota interactions in the cecum during recolonization following broad-spectrum antibiotic therapy. Infect Immun 80:3371–3380. doi: 10.1128/IAI.00449-12 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46. QIAGEN . 2023. DNeasy blood & tissue handbook. QIAGEN. [Google Scholar]
- 47. Bolger AM, Lohse M, Usadel B. 2014. Trimmomatic: a flexible trimmer for Illumina sequence data. Bioinformatics 30:2114–2120. doi: 10.1093/bioinformatics/btu170 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48. Langmead B, Salzberg SL. 2012. Fast gapped-read alignment with Bowtie 2. Nat Methods 9:357–359. doi: 10.1038/nmeth.1923 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49. Li H, Handsaker B, Wysoker A, Fennell T, Ruan J, Homer N, Marth G, Abecasis G, Durbin R, 1000 Genome Project Data Processing Subgroup . 2009. The sequence Alignment/Map format and SAMtools. Bioinformatics 25:2078–2079. doi: 10.1093/bioinformatics/btp352 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50. Andrews S. 2026. GitHub - s-andrews/FastQC: a quality control analysis tool for high throughput sequencing data. GitHub. https://github.com/s-andrews/FastQC. [Google Scholar]
- 51. Wood DE, Lu J, Langmead B. 2019. Improved metagenomic analysis with Kraken 2. Genome Biol 20:257. doi: 10.1186/s13059-019-1891-0 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52. McArthur AG, Waglechner N, Nizam F, Yan A, Azad MA, Baylay AJ, Bhullar K, Canova MJ, De Pascale G, Ejim L, et al. 2013. The comprehensive antibiotic resistance database. Antimicrob Agents Chemother 57:3348–3357. doi: 10.1128/AAC.00419-13 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53. Beghini F, McIver LJ, Blanco-Míguez A, Dubois L, Asnicar F, Maharjan S, Mailyan A, Manghi P, Scholz M, Thomas AM, Valles-Colomer M, Weingart G, Zhang Y, Zolfo M, Huttenhower C, Franzosa EA, Segata N. 2021. Integrating taxonomic, functional, and strain-level profiling of diverse microbial communities with bioBakery 3. eLife 10:e65088. doi: 10.7554/eLife.65088 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54. R Core Team . 2025. R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Available from: https://www.R-project.org/ [Google Scholar]
- 55. Kassambara A. 2025. ggpubr: “ggplot2” based publication ready plots. R package version 0.6.1. https://CRAN.R-project.org/package=ggpubr.
- 56. Lin Huang, Eggesbø M, Peddada SD. 2022. Linear and nonlinear correlation estimators unveil undescribed taxa interactions in microbiome data. Nat Commun 13:1–16. doi: 10.1038/s41467-022-32243-x [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57. Lin H, Peddada SD. 2020. Analysis of compositions of microbiomes with bias correction. Nat Commun 11:1–11. doi: 10.1038/s41467-020-17041-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58. Lin H, Peddada SD. 2024. Multigroup analysis of compositions of microbiomes with covariate adjustments and repeated measures. Nat Methods 21:83–91. doi: 10.1038/s41592-023-02092-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59. Oksanen J, Simpson GL, Blanchet FG, Kindt R, Legendre P, Minchin PR, O’Hara RB, Solymos P, Stevens MHH, Szoecs E, et al. 2025. Vegan: community ecology package. R package version. https://CRAN.R-project.org/package=vegan.
- 60. McMurdie PJ, Holmes S. 2013. Phyloseq: an R package for reproducible interactive analysis and graphics of microbiome census data. PLoS One 8:e61217. doi: 10.1371/journal.pone.0061217 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61. van den Brand T. 2025. ggh4x: hacks for “ggplot2”. R package version 0.3.1. Available from: https://CRAN.R-project.org/package=ggh4x
- 62. Wickham H. 2016. ggplot2: elegant graphics for data analysis. Springer-Verlag New York. [Google Scholar]
- 63. Wickham H, François R, Henry L, Müller K, Vaughan D. 2023. dplyr: a grammar of data manipulationlyr. R package version 1.1.4. https://CRAN.R-project.org/package=dplyr.
- 64. Wickham H, Pedersen T, Seidel D. 2025. scales: scale functions for visualization. R package version 1.4.0. Available from: https://CRAN.R-project.org/package=scales
- 65. Chao A. 1987. Estimating the population size for capture-recapture data with unequal catchability. Biometrics 43:783–791. [PubMed] [Google Scholar]
- 66. Hill MO. 1973. Diversity and evenness: a unifying notation and its consequences. Ecology 54:427–432. doi: 10.2307/1934352 [DOI] [Google Scholar]
- 67. Shannon CE. 1948. A mathematical theory of communication. Bell System Technical Journal 27:379–423. doi: 10.1002/j.1538-7305.1948.tb01338.x [DOI] [Google Scholar]
- 68. Simpson EH. 1949. Measurement of diversity. Nature 163:688–688. doi: 10.1038/163688a0 [DOI] [Google Scholar]
- 69. Bray JR, Curtis JT. 1957. An ordination of the upland forest communities of Southern Wisconsin. Ecol Monogr 27:325–349. doi: 10.2307/1942268 [DOI] [Google Scholar]
- 70. Benjamini Y, Hochberg Y. 1995. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B (Methodological) 57:289–300. doi: 10.1111/j.2517-6161.1995.tb02031.x [DOI] [Google Scholar]
- 71. Alcock BP, Huynh W, Chalil R, Smith KW, Raphenya AR, Wlodarski MA, Edalatmand A, Petkau A, Syed SA, Tsang KK, et al. 2023. CARD 2023: expanded curation, support for machine learning, and resistome prediction at the comprehensive antibiotic resistance database. Nucleic Acids Res 51:D690–D699. doi: 10.1093/nar/gkac920 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 72. Liu K, Deng Z, Zhang L, Gu X, Liu G, Liu Y, Chen P, Gao J, Han B, Qu W. 2022. Biological characteristics and pathogenicity of Helcococcus ovis isolated from clinical bovine mastitis in a Chinese dairy herd. Front Vet Sci 8:756438. doi: 10.3389/fvets.2021.756438 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 73. Yue Y, Zhang A, Liu M, Ge Y, Xu E, Zheng J. 2025. Fusobacterium necrophorum mediates the inflammatory response in the interdigital skin and fibroblasts of dairy cows via the TNF-α/TNFR1/NF-κB pathway. Vet Microbiol 304:110483. doi: 10.1016/j.vetmic.2025.110483 [DOI] [PubMed] [Google Scholar]
- 74. Kilama J, Dahlen CR, Abbasi M, Shi X, Nagaraja TG, Crouse MS, Cushman RA, Snider AP, McCarthy KL, Caton JS, Amat S. 2025. Characterizing the prevalence of Fusobacterium necrophorum subsp. necrophorum, Fusobacterium necrophorum subsp. funduliforme, and Fusobacterium varium in bovine and ovine semen, bovine gut, and vagino-uterine and fetal microbiota using targeted culturing and qPCR. Microbiol Spectr 13:e0314524. doi: 10.1128/spectrum.03145-24 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 75. Young JD, Pinnell LJ, Wolfe CA, Doster E, Valeris-Chacin R, Lawrence TE, Richeson JT, Morley PS. 2024. The biogeography of gastrointestinal mucosal microbiota of beef cattle at harvest. Front Microbiol 15:1490882. doi: 10.3389/fmicb.2024.1490882 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 76. Paukner S, Riedl R. 2017. Pleuromutilins: potent drugs for resistant bugs-mode of action and resistance. Cold Spring Harb Perspect Med 7:a027110. doi: 10.1101/cshperspect.a027110 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 77. Hampson DJ, Lugsomya K, La T, Phillips ND, Trott DJ, Abraham S. 2019. Antimicrobial resistance in Brachyspira - An increasing problem for disease control. Vet Microbiol 229:59–71. doi: 10.1016/j.vetmic.2018.12.019 [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
Data may be available from the corresponding author upon reasonable request and subject to the terms of the study agreement.
