Clostridium perfringens as Foodborne Pathogen in Broiler Production: Pathophysiology and Potential Strategies for Controlling Necrotic Enteritis

SIMPLE SUMMARY: Clostridium perfringens (Cp.) is an important microorganism from a clinical, food and veterinary point of view. In humans, it is the causal agent of foodborne diseases, commonly associated with the consumption of chicken meat, while, in broilers, it causes clinical or subclinical necrotic enteritis. Cp. has the ability to synthesize toxins, bacteriocins, and enzymes of different nature, which modify the anatomical structure of the intestinal mucosa, enterocytes, and the cellular matrix altering the physiological activities of the gastrointestinal tract, resulting in gastrointestinal disorders, diarrhea, and if it is not attended, death, resulting in significant economic losses for the poultry industry. Food additives such as probiotics, prebiotics, synbiotics, essential oils, organic acids, and enzymes have been presented as alternatives to mitigate the incidence of necrotic enteritis (NE) in broilers, by improving the overall intestinal health and producing healthy birds for consumption. It is imperative to conduct further research on alternatives and efficient products to modulate the intestinal microbiota, and to know the role they play in the immune system, complementing the current demand, economic gain, and keeping the ecology. ABSTRACT: Clostridium perfringens (Cp.) is the cause of human foodborne desease. Meat and poultry products are identified as the main source of infection for humans. Cp. can be found in poultry litter, feces, soil, dust, and healthy birds’ intestinal contents. Cp. strains are known to secrete over 20 identified toxins and enzymes that could potentially be the principal virulence factors, capable of degrading mucin, affecting enterocytes, and the small intestine epithelium, involved in necrotic enteritis (NE) pathophysiology, also leading to immunological responses, microbiota modification and anatomical changes. Different environmental and dietary factors can determine the colonization of this microorganism. It has been observed that the incidence of Cp-associated to NE in broilers has increased in countries that have stopped using antibiotic growth promoters. Since the banning of such antibiotic growth promoters, several strategies for Cp. control have been proposed, including dietary modifications, probiotics, prebiotics, synbiotics, phytogenics, organic acids, and vaccines. However, there are aspects of the pathology that still need to be clarified to establish better actions to control and prevention. This paper reviews the current knowledge about Cp. as foodborne pathogen, the pathophysiology of NE, and recent findings on potential strategies for its control.