# A natural probioenzyme strategy as an effective alternative to antibiotics against multidrug-resistant Klebsiella pneumoniae in broilers: Benefits for growth, immunity, and organ health

**Authors:** Atef A. Salim, Nehal A. Naena, Mofid Y. Gouda, Safaa M. Shabana, Amr I. Zaineldin

PMC · DOI: 10.1371/journal.pone.0343093 · PLOS One · 2026-03-27

## TL;DR

A new probioenzyme supplement effectively fights antibiotic-resistant K. pneumoniae in chickens, improving growth and health without promoting resistance.

## Contribution

A novel probioenzyme formulation is introduced as an effective antibiotic alternative for broiler health.

## Key findings

- Probioenzyme improved growth performance comparable to antibiotics in broilers infected with K. pneumoniae.
- The supplement restored organ health and immune function as effectively as antibiotics.
- Probioenzyme enhanced antioxidant and immune markers without contributing to antimicrobial resistance.

## Abstract

The rise of multidrug-resistant Klebsiella pneumoniae poses a serious threat to poultry health and food safety, necessitating sustainable alternatives to antibiotics. Our investigation began with an epidemiological survey of broiler samples, which detected K. pneumoniae in 8.88% (8/90) of cases. Among these isolates, over 60% were multidrug-resistant. Antimicrobial susceptibility testing showed bacterial resistance to penicillin G (100%) but complete sensitivity to colistin sulphate (100%). Molecular analysis further revealed a high prevalence of key resistance genes (tet A [87.5%] and bla
TEM [100%]) and virulence factors (fim H [100%] and tra T [62.5%]), while all isolates were confirmed by amplification of the conserved 16S-23S ITS region. We then evaluated a novel probioenzyme formulation as a dietary intervention in a 35-day broiler trial. Birds challenged with K. pneumoniae were supplemented with either probioenzyme (1 g/kg feed) or treated with colistin sulfate (antibiotic control). Probioenzyme supplementation resulted in growth performance enhancement (final body weight, weight gain, specific growth rate) comparable or superior to, the antibiotic-treated group (P < 0.05). The probioenzyme in KPT restored FCR to levels matching the unchallenged (CT) and antibiotic-treated groups (KAT). Histopathological analysis showed complete restoration of intestinal villus architecture, pulmonary integrity, and hepatic cytoprotection in the probioenzyme group, matching antibiotic efficacy. Furthermore, probioenzyme enhanced systemic antioxidant capacity (catalase, superoxide dismutase, total antioxidant capacity) and innate immune response (lysozyme activity) by day 35 (P < 0.05). These findings demonstrate that dietary probioenzyme is a viable alternative to antibiotics, effectively mitigating K. pneumoniae infection while improving growth, organ health, and immune competence without contributing to antimicrobial resistance. This strategy supports sustainable poultry production and aligns with global efforts to reduce antibiotic reliance.

## Linked entities

- **Genes:** tet(A) (tetracycline efflux MFS transporter Tet(A)) [NCBI Gene 33941499], fimH (minor component of type 1 fimbriae) [NCBI Gene 913676], traT (complement resistance protein precursor TraT) [NCBI Gene 912825]
- **Chemicals:** penicillin G (PubChem CID 5904), colistin sulphate (PubChem CID 71457944)
- **Species:** Klebsiella pneumoniae (taxon 573)

## Full-text entities

- **Genes:** CAT [NCBI Gene 18262233], tet A [NCBI Gene 18262330], TraT [NCBI Gene 15152906], extended-spectrum beta-lactamase [NCBI Gene 13982007], beta-Lactamase [NCBI Gene 18262323]
- **Diseases:** bacterial diseases (MESH:D001424), Kidney congestion (MESH:D007674), K. pneumonia (MESH:D011014), depression (MESH:D003866), lethargy (MESH:D053609), antibiotic (MESH:D004761), watery diarrhea (MESH:D003969), respiratory infections (MESH:D012141), Infection (MESH:D007239), interstitial pneumonia (MESH:D017563), AMR (MESH:D060467), gastrointestinal infections (MESH:D005767), vacuolar degeneration (MESH:C536522), Klebsiella infection (MESH:D007710), dyspnea (MESH:D004417), PT (MESH:D006526), congestion (MESH:D002311), organ damage (MESH:D000092124), cytotoxic (MESH:D064420), H (MESH:D000848), retardation (MESH:D008607), weakness (MESH:D018908), fibrosis (MESH:D005355), tissue damage (MESH:D017695), weight loss (MESH:D015431), hepatic damage (MESH:D056486), birds infected (MESH:D001715), inflammation (MESH:D007249), lameness (MESH:D007794), multidrug (MESH:D018088), respiratory (MESH:D012131), enteritis (MESH:D004751), necrosis (MESH:D009336), Liver congestion (MESH:D017093), metabolic disturbances (MESH:D024821), anorexia (MESH:D000855), tract (MESH:D014570), diarrhea (MESH:D003967), bronchial epithelial hyperplasia (MESH:D017573), reduced appetite (MESH:D001068)
- **Chemicals:** B2 (MESH:C023970), AMX (MESH:D000658), Penicillin G (MESH:D010400), NA (MESH:D009268), ethanol (MESH:D000431), CP (-), Agarose (MESH:D012685), riboflavin (MESH:D012256), Sulphate (MESH:D013431), Mn (MESH:D008345), Ca (MESH:D002118), D3 (MESH:D002762), Streptomycin (MESH:D013307), H2S (MESH:D006862), MOS (MESH:D008982), I (MESH:D007455), pyridoxine (MESH:D011736), citrate (MESH:D019343), xylene (MESH:D014992), beta-lactam (MESH:D047090), biotin (MESH:D001710), Bouin's solution (MESH:C026239), alpha-tocopherol acetate (MESH:D024502), Zn (MESH:D015032), prebiotics (MESH:D056692), A (MESH:D001151), CTX (MESH:D002439), Fe (MESH:D007501), eosin (MESH:D004801), alcohol (MESH:D000438), ampicillin (MESH:D000667), heparin (MESH:D006493), pantothenic acid (MESH:D010205), E (MESH:D004540), glycogen (MESH:D006003), fluoroquinolone (MESH:D024841), penicillin (MESH:D010406), H&amp;E (MESH:D006371), paraffin (MESH:D010232), urate (MESH:D014527), folic acid (MESH:D005492), ROS (MESH:D017382), lactose (MESH:D007785), thiamine (MESH:D013831), Na (MESH:D012964), CIP (MESH:D002939), indole (MESH:C030374), saline (MESH:D012965), Se (MESH:D012643), Cu (MESH:D003300), beta glucan (MESH:D047071), P (MESH:D010758), Gentamycin (MESH:D005839), haematoxylin (MESH:D006416), TE (MESH:D013752), CO2 (MESH:D002245), carbohydrates (MESH:D002241), vitamin B12 (MESH:D014805), S (MESH:D013455), cellulose (MESH:D002482)
- **Species:** Lactiplantibacillus plantarum (species) [taxon 1590], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Lactobacillus acidophilus (species) [taxon 1579], Enterococcus faecium (species) [taxon 1352], Bifidobacterium bifidum (species) [taxon 1681], Homo sapiens (human, species) [taxon 9606], Gallus gallus (bantam, species) [taxon 9031], Aspergillus oryzae (species) [taxon 5062], Bacillus (genus) [taxon 55087], Bacillus subtilis (species) [taxon 1423], Klebsiella pneumoniae (species) [taxon 573]

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## Figures

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## References

105 references — full list in the complete paper: https://tomesphere.com/paper/PMC13028520/full.md

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Source: https://tomesphere.com/paper/PMC13028520