Molecular Characterization of Bacteria, Detection of Enterotoxin Genes, and Screening of Antibiotic Susceptibility Patterns in Traditionally Processed Meat Products of Sikkim, India

The lesser-known traditionally processed meat products such as beef kargyong, pork kargyong, satchu, and khyopeh are popular food items in the Himalayan state of Sikkim in India. The present study aimed to assess the microbiological safety of traditional meat products by identifying the potential spoilage or pathogenic bacteria, detecting the enterotoxins, and screening the antibiotic susceptibility patterns. The pH and moisture contents of the meat products varied from 5.3 to 5.9 and from 1.5 to 18%, respectively. The microbial loads of aerobic bacteria were 105 to 107 cfu/g, Staphylococcus 103 to 106 cfu/g, Bacillus 104 to 106 cfu/g, and total coliform 102 to 107 cfu/g, respectively. Based on 16S rRNA gene sequencing, the bacterial species isolated from traditionally processed meat products were Staphylococcus piscifermentans, Citrobacter freundii, Enterococcus faecalis, Salmonella enterica, Staphylococcus aureus, Citrobacter werkmanii, Klebsiella pneumoniae, Macrococcus caseolyticus, Klebsiella aerogenes, Staphylococcus saprophyticus, Pseudocitrobacter anthropi, Citrobacter europaeus, Shigella sonnei, Escherichia fergusonii, Klebsiella grimontii, Burkholderia cepacia, and Bacillus cereus. The enzyme-linked immunosorbent assay (ELISA) tests detected Salmonella spp. and enterotoxins produced by B. cereus well as Staphylococcus in a few tested samples. However, the PCR method did not detect the virulence genes of B. cereus and Salmonella in the isolates. Virulence gene (sea) was detected in S. piscifermentans BSLST44 and S. piscifermentans BULST54 isolated from beef kargyong and in S. aureus PSST53 isolated from pork kargyong. No enterotoxins were detected in khyopeh samples. The antibiotic sensitivity test showed that all bacterial strains were susceptible toward gentamicin, cotrimoxazole, norfloxacin, and trimethoprim. Gram-positive bacteria showed 100% sensitivity against clindamycin and erythromycin; however, 50% of the resistance pattern was observed against oxacillin followed by penicillin (33%) and ampicillin (27%).


INTRODUCTION
Meat and meat products are important dietary cultures of many communities in the world, among which some popular meat products such as sausages, hams, salami, etc. have been extensively studied in terms of microbiological safety, health benefits, and process technology (Petit et al., 2014;Santiyanont et al., 2019;Tamang et al., 2020). Culturally and organoleptically acceptable meat products are produced by traditional methods of preservation of perishable animal flesh through fermentation , sun drying (Aksoy et al., 2019), smoking (Plavsic et al., 2015), and salting (Uguz et al., 2011). Fermented meat products are usually considered safe for consumption due to low water activity (aw) and low pH, which prevent the growth of pathogenic organisms during fermentation (Holck et al., 2017). Moreover, the presence of some dominant lactic acid bacteria in fermented meat products such as Lactobacillus sakei, Lb. plantarum, Lb. curvatus, Enterococcus faecium, Pediococcus pentosaceus, Leuconostoc carnosum, Leuc. gelidum, Leuc. pseudomesenteroides, and Weissella spp. (Dias et al., 2015;Laranjo et al., 2017) also inhibit the populations of pathogenic organisms in the final products. However, there is a probability of occurrence of pathogenic organisms such as Shiga toxin-producing enterohemorrhagic Escherichia coli, Staphylococcus aureus, Salmonella, Campylobacter spp., and Listeria monocytogenes in meat products (Morales-López et al., 2019).
In this study, four different types of traditionally processed meat products of Sikkim in India were selected viz. kargyong ( Figure 1A), a traditional sausage-like product prepared from beef and pork meat; satchu ( Figure 1B), a smoked beef meat product; and khyopeh ( Figure 1C), a fermented yak meat product. Kargyong is produced by mixing lean meats of beef or pork with salt, garlic, and ginger, and then mixtures are stuffed into the intestine of animals as natural casings. Both ends of casings are then tied up with a rope, put into utensil, and boiled for 30 min, strained out, hooked in a bamboo stick, and smoked above an earthen oven for 10-15 days (Rai et al., 2009). No nitrates and nitrites are added during the preparation of kargyong. Satchu is prepared by slicing red meat of beef or yak into long threadlike strips; mixed with turmeric, salt, and oil; and smoked for 7-10 days (Rai et al., 2009;Rai and Tamang, 2017). Khyopeh is a naturally fermented yak meat product of Sikkim. During its preparation, chopped meats and innards of yak are mixed with salt, and the mixtures are stuffed into the rumen, which is previously removed from the slaughtered yak. Filled up rumen is tied up with twine and hung into bamboo stripes for natural fermentation for 4-6 months above an earthen oven (Bhutia et al., 2020). Kargyong and satchu are commonly eaten as fried side dish or curry, while khyopeh is eaten as soup or curry. However, the presence of pathogenic bacteria in these traditionally processed meat products has not been assessed as food safety measures. Hence, the present study is aimed to isolate and identify the pathogenic and spoilage bacteria, to detect enterotoxin genes, and also to screen antibiotic resistance patterns.

Sample Collection
A total of 27 samples of traditionally processed meat products viz. beef kargyong (eight samples), pork kargyong (eight), satchu (six), and khyopeh (five) were collected from different households of Sikkim in India (Table 1). Collected samples were kept in sterile polybags and put into an ice-box carrier and transported to the laboratory. Samples were stored at kept at 4 • C for further analysis.

pH and Moisture
The pH was determined with a pH meter (Thermo Scientific, United States) and the moisture contents of samples were measured by a Moisture Analyzer (Ohaus MB, United States). The measurement was taken in triplicates and average values were considered.

Food Sample Preparation
About 25 g of sample was weighed and homogenized with 225 ml buffered peptone water for 2-3 min at medium speed in a Stomacher 400 (Seward, United Kingdom) to obtain 10 −1 dilution. Serial dilutions were made by pipetting 1 ml of homogenized samples into 9 ml of sterile diluent. Up to 10 9 decimal dilutions were made from the previous dilution. An aliquot (0.1 ml) of the diluents was further plated on specific media by the spread plate method (Andrews and Hammack, 2003).

Enumeration of Microbial Load
About 0.1 ml of the homogenized sample in Butterfield's phosphate-buffered water was inoculated into Plate Count Agar (M091, HiMedia, India), Nutrient Agar (M001, HiMedia, India), Baird Parker agar (M043, HiMedia, India), Bacillus cereus agar (M833, HiMedia, India), and Violet Red Bile Agar (M049, HiMedia, India) using the surface spread method (Feng et al., 2002). The plates were incubated at 35 • C for 24 to 48 h and the colonies were counted and results were expressed as colonyforming units per gram (cfu/g). The 3M TM Petrifilm TM aerobic count plate (6400, 3M, United States) was also used to enumerate the microbial load from the collected meat samples, which contained modified standard nutrients, a soluble gelling agent, and a tetrazolium indicator (Nelson et al., 2013). Frontiers in Microbiology | www.frontiersin.org FIGURE 2 | Molecular phylogenetic analysis of 19 bacterial isolates recovered from traditional processed meat products based on 16S rRNA region sequencing. Neighbor-joining phylogenetic tree representation by MEGA 7 with Halobacterium noricence AJ548827 as the outgroup with the evolutionary history (Kumar et al., 2016). The optimal tree with a sum of branch length = 1.13658194 and the percentage of replicate trees in which the clustered associated taxa in the bootstrap test (1,000 replicates) are shown next to the branches. The trees are drawn to scale, with branch lengths in the same units as those of the evolutionary distances used to infer the phylogenetic tree (Tamura et al., 2004), and are expressed in units of the number of base substitutions per site. Analysis involved 25 nucleotide sequences with a total of 569 positions in the final dataset.

Enumeration of Staphylococcus
The presence or absence of Staphylococcus in each sample was assessed according to the Food and Drug Administration (FDA) standard method (Tallent et al., 2016). Baird-Parker agar plates were supplemented with Egg Yolk Tellurite Emulsion (FD046L, HiMedia, India). Plates were incubated at 37 • C for 36-48 h. Convex, black, shiny colonies with narrow white margin surrounded by a clear zone were regarded as Staphylococcus (Tallent et al., 2016).

Enumeration of Enterococcus
Ten grams of each sample was diluted in 90 ml of peptone water (0.1% w/v) for homogenization by mechanic stirring. In products with high-fat content, 1% v/v Tween 80 (P1754, Merck, Germany) was added. Then, 0.1 ml aliquots of diluents from homogenized food were spread in Bile Esculin Azide Agar (M493, HiMedia, India) plates and incubated for 24 h at 35 • C. Colonies that showed black pigmentation on the BEA agar were regarded as Enterococcus (Delpech et al., 2012).

Enumeration of Bacillus
Ten grams of each sample was blended in 90 ml of 0.85% sterile saline in using Stomacher 400 (Seward, United Kingdom) for 3 min followed by serial dilution. Aliquots of 0.1 ml of the appropriate dilutions were surface plated on prepoured plates of B. cereus agar (M833, HiMedia, India). Blue colonies with positive precipitation were regarded as Bacillus (Rai et al., 2010).

Enumeration of Escherichia and Coliform Bacteria
Ten grams of each sample was homogenized in a Stomacher 400 (Seward, United Kingdom) for 3 min in 90 ml buffered peptone water and serial dilution was prepared. An aliquot (0.1 ml) of the homogenate was transferred to Violet Red Bile Agar  (Feng et al., 2002).

Enumeration of Salmonella
The method for isolation of Salmonella was followed as per the protocol described by Santos et al. (2020). About 25 g of the sample was aseptically homogenized and inoculated into 225 ml of buffered peptone water (M614, HiMedia, India) in a sterile jar. The pre-enrichment culture was incubated at 37 • C for 18-24 h. Then, 0.1 ml of pre-enrichment culture was inoculated into 10 ml Rappaport-Vassiliadis (RV) medium (M880, HiMedia, India) and incubated at 42 • C for 24 h in a circulating, thermostatically controlled water bath (1322, Remi, India). A loopful of cultured broth was streaked onto Xylose-Lysine Deoxycholate Agar (M031, HiMedia, India) plates and incubated at 37 • C for 18-24 h. Pink colonies with or without black color were regarded as Salmonella. Each isolate was streaked onto Nutrient Agar (M001, HiMedia, India), incubated at 37 • C for 24 h, and phenotypically characterized.

Enzymatic Tests
Catalase test was performed by placing a loopful of bacterial isolates into the test tube containing five to six drops of 3% hydrogen peroxide. A positive reaction was represented by the presence of bubbles and no bubble formation represented catalase negative (Reiner, 2010). For the urease test, a heavy inoculum from 24 h pure culture was streaked into the entire slant surface of a tube containing Christensen's medium and incubated at 35 • C. The slant was observed for a color change up to 6 days. Urease production was indicated by a bright pink color on the slant that extends into the butt (Brink, 2010). A gelatin hydrolysis test was performed by stab-inoculating a 24-h culture into the tubes containing nutrient gelatin. The inoculated tubes and uninoculated control tubes were incubated at 25 • C for up to 1 week and checked every day for gelatin liquefaction. Liquefaction due to gelatinase activity was confirmed by immersing tubes in an ice bath for 15-30 min, and then tubes were tilted to observe if the gelatin was hydrolyzed. The positive test of hydrolyzed gelatin resulted in a liquid medium after exposure to cold temperature, whereas the negative tests remained solid (dela Cruz and Torres, 2012). For the nitrate reduction test, bacterial cultures were grown in 5 ml nitrate broth for 12-24 h at 35 • C. One milliliter of the culture was mixed with three drops of reagents (reagent A and reagent B) and observed for the development of a red/yellow color, indicating the presence/absence of nitrate. A small amount of zinc dust was added to the tube for 5 days to observe for the development of a red color, indicating the absence of nitrate reduction (Buxton, 2011). Coagulase and DNA hydrolysis tests were specifically performed for the characterization of Staphylococcus. For the coagulase test, about three to four isolated colonies of suspected Staphylococcus were emulsified in 0.3 ml of Brain Heart Infusion Broth (LQ210D, HiMedia, India) and incubated at 35-37 • C for 18-24 h. Then, 0.5 ml of reconstituted plasma was added into the BHI culture, mixed thoroughly, and incubated at 37 • C. The culture was observed for clot formation at intervals for over the next 46 h. The positive cultures exhibited clotting by the end of 24 h and negative cultures showed the absence of clot formation (Bennett et al., 1986). For the DNA hydrolysis test, pure culture of suspected Staphylococcus was streaked on DNase Test Agar w/Methyl Green (M1419, HiMedia, India) and incubated at 37 • C for 24 h. A positive result was indicated by a clear halo around the growth (Kateete et al., 2010).

Carbohydrate Fermentation
Aseptically, two to three drops of the test organism from 18 to 24 h BHI broth culture was inoculated in a Phenol Red Carbohydrate Broth containing Durham's tube and incubated at 37 • C for 24 h. A yellow color indicated fermentation of the sugar with lowering of pH to 6.8 or less. A delayed fermentation produces an orange color and bubble trapped within the Durham tube indicated gas production. A reddish or pink color indicated a negative reaction (Reiner, 2012

Methyl Red and Voges-Proskauer Test
The fresh tested culture was inoculated in 5 ml Methyl Red-Voges-Proskauer (MR-VP) broth (LQ082, HiMedia, India) and incubated for 48 h at 35 • C. Then, 2.5 ml of culture was transferred into a new sterile tube and five drops of Methyl Red (MR) Reagent (I007, HiMedia, India) was added. The MR-positive test organism showed red coloration of the medium and the negative test organisms showed yellow coloration of the medium due to low acid production (McDevitt, 2009). In the remaining culture grown in MR-VP broth, 0.6 ml of Barritt's reagent A (R029, HiMedia, India) and 0.2 ml of Barritt's reagent B (R030, HiMedia, India) were added. The tubes were then shaken for 30 s to 1 min and the tubes were allowed to stand for 30 min to 1 h. The VP-positive organism showed red coloration on top of the culture and the VP-negative organism showed yellowish color (McDevitt, 2009).

Citrate Test
A Simmon citrate medium (M099, HiMedia, India) was prepared in a tube slant and the fresh pure test organism was inoculated on the surface of the slant, incubated at 37 • C for 18-24 h. A positive organism was represented by growth on the surface and change in color from the original green to blue (MacWilliams, 2009).

DNA Extraction
DNA was extracted from each bacterial isolate by the standard phenol/chloroform method of Cheng and Jiang (2006). The quality of DNA was checked by electrophoresis in 0.8% agarose gel and quantified using Nano-Drop ND-1000 spectrometer (Eppendorf, Germany).

PCR Amplification
The PCR of 16S rRNA gene from isolated DNA was amplified using a universal oligonucleotide primer pair 27F (5 -AGAGTTTGATCCTGGCTCAG-3 ) and 1492R (5 -TACGGTTACCTTGTTACGACTT-3 ) (Lane, 1991) in a thermal cycler (Thermo Fisher, United States). The reaction mixture, conditions, and protocol for the polymerase chain reaction amplification were done following the method of Chagnaud et al. (2001). The PCR amplification was performed in a mixture containing a final volume of 50 µl of GoTaq Green Master Mix (2×) (M7122, Promega, United States), 10 µM of F primer, 10 µM of R primer, and nuclease-free water (NEB). The PCR reaction program was set under the following PCR conditions: 94 • C for 10 min; 94 • C for 1 min, 65 • C for 1 min, and 72 • C for 30 s for 35 cycles; and 72 • C for 7 min. The PCR products were detected by electrophoresis using 1% agarose, and the bands were stained with 7 µl/100 ml of ethidium bromide and visualized using Gel Doc EZ Imager (Bio-Rad, United States). A standard 100-base pair DNA ladder was used for the verification of amplicon size. The amplified PCR products were purified using the PEG (polyethylene glycol)-NaCl (sodium chloride) (20% w/v of PEG, 2.5 M NaCl) precipitation method of Schmitz and Riesner (2006).

16S rRNA Gene Sequencing
The PCR products were set up in 5 µl volume for a single primer amplification with the same universal primers 27F (5 -AGAGTTTGATCCTGGCTCAG-3 ) and 1492R (5 -TACGGTTACCTTGTTACGACTT-3 ) (Lane, 1991) for separate reactions of each primer. The PCR reaction was set as follows: denaturation (96 • C, 10 s), annealing (50 • C, 5 s), and elongation (60 • C, 2 min) with a stop reaction at 4 • C. The amplicons were then precipitated with 1 µl sodium acetate (3 M, pH 5.2) and 24 µl of absolute alcohol, mixed briefly in vortex, and incubated at room temperature for 15 min, centrifuged at 12,000 rpm for 20 min, further washed with 70% ethanol, airdried, and suspended in 10 µl formamide. Sequencing of the amplicons was performed by the Sanger sequencing method of Heather and Chain (2016) which was carried out in an automated DNA Analyzer (ABI 3730XL Capillary Sequencers, Applied Biosystems, Foster City, CA, United States).

Data Analysis
The quality of sequences was analyzed by Sequence Scanner v.1.0 (Applied Biosystems, Foster City, CA, United States) followed by DNA sequence assembly using ChromasPro 2.1.8 1 . The contigs were subjected to BLAST (Basic Local Alignment Search Tool) (Benson et al., 2014) for nucleotide similarity search. The sequences were then aligned by pairwise alignment using ClustalW and the phylogenetic tree was constructed by the neighbor-joining method using MEGA7.0 software (Kumar et al., 2016). The genera and species were identified based on the lowest E-value in BLAST.

Detection of Enterotoxin by ELISA
Samples were analyzed for detection of staphylococcal enterotoxin, Bacillus diarrheal enterotoxin, and Salmonella.
For the extraction of Bacillus diarrheal enterotoxin, 25 g of the sample was added into 50 ml of 0.25 M Tris buffer (pH 8) and blended for 3 min. The slurry was transferred to a centrifuge bottle and centrifuged for 10 min at 5,000 rpm. The supernatant was then filtered through a prepared syringe and the eluate was adjusted to pH 7.0-8.0. Then, 5 ml of the eluate was mixed thoroughly with 50 µl of the sample additive (Rahmati and Labbe, 2008). The sample was then subjected to an enzymelinked immunosorbent assay (ELISA) test using Tecra Bacillus diarrheal enterotoxin visual immunoassay (BDEVIA48, 3 M, United States) according to the manufacturer's instructions. For the extraction of staphylococcal enterotoxin, 10 g of the sample was added into 15 ml PBS (pH 7.4) and homogenized for about 3 min in a blender. The test sample was centrifuged at 5,000 rpm for 10 min at 10 • C and 100 µl of the supernatant was tested with a RIDASCREEN staphylococcal enterotoxin assay (SET Total) kit (R4105, R-Biopharm, Germany) for bulk detection of the enterotoxins SEA, SEB, SECl, SEC2, SEC3, SED, and SEE (Bennett, 2005

Detection of Enterotoxin Genes by PCR
The identified bacterial isolates were tested for the detection of few enterotoxin genes viz. Staphylococcus (sea), B. cereus (nhea, nheb), and Salmonella (invA, stn) by PCR analysis. These enterotoxin genes were selected based on their prevalence associated with foodborne illness (Kérouanton et al., 2007;Wallin-Carlquist et al., 2010;Tekale et al., 2015;Amor et al., 2019). The PCR amplification was performed in a total volume of 25 µl and the reaction mixture contained GoTaq Green Master Mix (Taq DNA polymerase, dNTPs, MgCl 2 , and reaction buffers), 10 µM of each primer [Imperial Life Sciences (P) Ltd, India], and nuclease-free water (P1193, Promega, United States). The amplification target genes, amplicon size in bp, primer sequences, and reaction conditions used in this experiment are given in Table 1

Antibiotic Sensitivity Test
Nineteen bacterial isolates were evaluated for antimicrobial sensitivity test using the Kirby-Bauer disk diffusion method according to Clinical and Laboratory Standard Institute (CLSI) guidelines (Patel et al., 2017). The inoculum suspension was n = number of sample; results were consistent in duplicate tests with each of the enterotoxins in the tested samples. prepared by selecting four to five pure isolated colonies from overnight growth (16-24 h of incubation) on a non-selective medium with a cotton swab and suspending the colonies into sterile 0.85% physiological saline water. The density of the suspension was compared to a 0.5 McFarland Standard (R092, HiMedia, India), and turbidity was adjusted to McFarland 0.5 by adding saline or more organisms. Another sterile cotton swab was dipped into an inoculum suspension and the excess fluid was removed to avoid overinoculation of plates by pressing against the wall of the inside of the tube above the fluid level. The inoculum was spread evenly over the entire surface of Mueller-Hinton Agar (M173, HiMedia, India) plates by swabbing in three directions and allowed to stand for 3 to 5 min for drying. The standard antibiotic disks (HiMedia, India) containing amoxicillin/clavulanate (30 µg), ceftazidime (30 µg), cefuroxime (30 µg), cefepime (30 µg), trimethoprim (5 µg), nitrofurantoin (300 µg), nalidixic acid (30 µg), tobramycin (10 µg), ciprofloxacin (5 µg), erythromycin (15 µg), chloramphenicol (30 µg), penicillin G (10 µg), ampicillin (10 µg), streptomycin (10 µg), tetracycline (30 µg), gentamicin (10 µg), vancomycin (30 µg), oxacillin (1 µg), rifampicin (5 µg), cefoxitin (30 µg), aztreonam (30 µg), clindamycin (2 µg), cotrimoxazole (25 µg), norfloxacin (10 µg), cefotaxime/clavulanic acid (30 µg), and ceftriaxone (30 µg) were dispensed onto inoculated MHA plates using the disk dispenser. The antibiotic disks used were based on their availability at the laboratory at the time of study. The plates were allowed to stand for a few minutes and were incubated for 24 h at 37 • C. Antibiotic sensitivity was checked by measuring the zone of inhibition from the back of the plate to the nearest millimeter using a ruler. The zone of inhibition was recorded and compared with the zone diameter interpretative chart to determine whether the bacterial isolates were susceptible, intermediate, or resistant by referring to the CLSI Performance Standards for Antimicrobial Susceptibility Testing (Patel et al., 2017) and journals (Gao et al., 2018;Thung et al., 2018). The bacteria were reported as sensitive (

Microbial Population
A high pH was recorded in khyopeh with 5.9 and a lower pH in satchu with a mean pH of 5.5, indicating a slightly acidic nature of the meat samples ( Table 2). We observed a very low percentage of moisture content in khyopeh with an average value of 2.5% (1.5-3.5%), and a higher moisture content was observed in beef kargyong with a mean value of 14.1%. A higher mean value of aerobic bacterial count was observed in beef kargyong with 9.3 × 10 6 cfu/g and a lower mean value of 1.2 × 10 6 cfu/g was found in khyopeh, respectively. Staphylococcal count was found highest in satchu with an average value of 1.8 × 10 6 cfu/g and least in khyopeh with a mean value of 1.0 × 10 3 cfu/g, whereas Bacillus count was found highest in beef kargyong with a mean value 4.1 × 10 5 cfu/g and lowest in satchu (2.2 × 10 5 cfu/g). Interestingly, growth of Bacillus was not observed in khyopeh. Total coliform count was found highest in satchu with a mean value of 1.2 × 10 7 cfu/g and lowest in khyopeh (2.1 × 10 2 cfu/g) ( Table 2).

Identification
Selective media were used to isolate some foodborne bacterial pathogens and spoilage bacteria. A total of 128 bacteria were isolated from traditional meat samples. On the basis of cultural characteristics, cell morphology, and carbohydrate fermentation tests, bacterial genera were preliminarily identified using a taxonomical key (Holt et al., 1994) as Enterobacter, Klebsiella, Escherichia, Salmonella, Enterococcus, Bacillus, Staphylococcus, Citrobacter, and Pseudomonas ( Table 3). Out of the 128 bacterial isolates, 19 representative isolates were selected from each grouped strain having similar phenotypic characteristics (data not shown) for molecular identification. Based on 16S rRNA gene sequencing (Figure 2 and Table 4), bacterial species were taxonomically confirmed as Staphylococcus piscifermentans, Citrobacter freundii, S. aureus, Enterococcus faecalis, S. enterica, Citrobacter werkmanii, Klebsiella pneumoniae, Macrococcus caseolyticus, Klebsiella aerogenes, Staphylococcus saprophyticus, Pseudocitrobacter anthropi, Citrobacter europaeus, Shigella sonnei, Escherichia fergusonii, Klebsiella grimontii, Burkholderia cepacia, and B. cereus. The percentile compositions of bacterial species in various meat products of Sikkim are shown in Figure 3.

Occurrence of Bacterial Enterotoxins
Enzyme-linked immunosorbent assay tests were performed on 27 samples of meat products, out of which two samples of beef kargyong tested positive for Bacillus diarrheal enterotoxins and staphylococcal enterotoxins ( Table 5), two samples of pork kargyong tested positive for Salmonella spp. as well staphylococcal enterotoxins, and two samples of satchu tested positive for Bacillus diarrheal enterotoxins and Salmonella spp. However, all the tested enterotoxins were absent in the khyopeh sample. The overall prevalence of enterotoxins in the meat products detected by ELISA test is shown in Figure 4. The optical densities for each extracted sample were also measured at 450 nm with a microtiter reader. The minimum amount of detection limit (LOD) is 0.2 ng/ml of the sample according to the manufacturer's recommendations. We found varied detectable limits with extracts of beef/pork/yak kargyong, satchu, and khyopeh ranging from 0.08 ng/ml in yak kargyong to 0.35 ng/ml in beef kargyong for Bacillus diarrheal enterotoxins, 0.06 to 0.36 ng/ml in satchu for Salmonella, and 0.08 ng/ml in khyopeh to 0.38 ng/ml in beef kargyong for staphylococcal enterotoxins (Table 6). Additionally, from cultural isolates, molecular detection of a few enterotoxin genes was also performed by the PCR technique using strain-specific primers. S. piscifermentans BSLST44 and S. piscifermentans BULST54 isolated from beef kargyong and S. aureus PSST53 isolated from pork kargyong were found positive for the sea virulent gene ( Figure 5A). B. cereus BSMB16 isolated from beef kargyong was found negative for nhea and nheb genes (Figure 5B), and S. enterica SMX21 isolated from satchu was also tested negative for stn and invA virulence genes ( Figure 5B).

Prevalence of Antimicrobial Resistant Bacteria
Bacteria isolated from traditionally processed meat products showed 100% susceptibility against gentamicin, cotrimoxazole, norfloxacin, and trimethoprim. However, a variable resistance pattern was also observed (Supplementary Tables 1-3). Overall, the highest level of resistance was observed in amoxicillinclavulanate (58%) followed by ampicillin (27%). All Grampositive bacteria were found sensitive against clindamycin and erythromycin, but a resistance pattern was observed in oxacillin (50%) followed by penicillin (33%) and ampicillin (27%) (Supplementary Tables 3, 4). Nitrofurantoin was found resistant to K. pneumoniae (BSE27) isolated from beef kargyong. Cotrimoxazole was found resistant to E. faecalis KHE57 isolated from khyopeh. The bacterial isolates from different meat samples showed variable patterns of being sensitive, intermediate, and resistant toward various classes of antibiotics which are shown in Figure 6.

DISCUSSION
In the present study, we collected four types of traditionally processed meat products (beef kargyong, pork kargyong, satchu, and khyopeh) from different places of Sikkim, and they were analyzed for pH, moisture, microbial load, spoilage/pathogenic bacteria, enterotoxins, and antibiotic susceptibility test. The pH value of the samples varied from 5.3 to 5.9 which was similar to the pH value found in traditional dry-cured lacon (5.0-6.0) (Lorenzo et al., 2015), beef and pork jerky (5.5-6.07) (Yang et al., 2018), and biltong (5.0-6.2) (Petit et al., 2014). Preservation of meat by drying has been practiced for centuries and the traditional meat products of Sikkim are preserved either by sun drying or smoking. Among the tested samples, we observed a very less moisture content in khyopeh with 2.5 to 18% in beef kargyong. The quality and stability of meat products are greatly affected by pH and moisture content (Frazier and Westhoff, 2014). Phenotypic characterization of the 128 bacterial isolates was performed for presumptive identification followed by molecular characterization of representative strains (19) targeting the 16S rRNA gene. The identified bacteria include S. piscifermentans, C. freundii, E. faecalis, S. enterica, S. aureus, C. werkmanii, K. pneumoniae, M. caseolyticus, K. aerogenes, S. saprophyticus, P. anthropi, C. europaeus, S. sonnei, E. fergusonii, K. grimontii, B. cepacia, and B. cereus. S. aureus is usually considered as a food-poisoning bacterium (Hennekinne et al., 2012), but it is frequently underreported since the illness caused by it is mild (Paparella et al., 2018). Foodborne illness caused by S. aureus is often associated with the consumption of meat and meat products (Madahi et al., 2014;Hasanpour Dehkordi et al., 2017). The prevalence of S. aureus in meat and dairy products has been reported earlier (Guven et al., 2010;Momtaz et al., 2013;Hasanpour Dehkordi et al., 2017;FIGURE 5 | Agarose gel analysis of target strains after PCR amplification of DNA (A) Staphylococcus enterotoxin gene (sea), (B) Bacillus cereus enterotoxin genes (nhea, nheab) and Salmonella (inv, stn) enterotoxin genes isolated from traditional meat products. Rahi et al., 2020). Coagulase-negative staphylococci (CoNS) like S. saprophyticus and S. piscifermentans have been reported as flavoring microorganisms capable of reducing nitrite, enhancing color stability, and preventing rancidity by inhibiting the oxidation of unsaturated free fatty acids (Talon and Leroy, 2006). Many dried/salted/fermented meat products are often reported to be dominated by coagulase-negative staphylococci (Lorenzo et al., 2015), which may contribute to bioprotection against foodborne pathogens by producing bacteriocins (Mainar et al., 2017). We found sea enterotoxin gene from isolated strains of S. aureus and a few CoNS. Similar studies were reported in ground beef where enterotoxin and biofilm genes in coagulasenegative Staphylococcus were detected, indicating it as a potential pathogen (Pavan et al., 2019). Although Staphylococcus produces different types of enterotoxins like the classical enterotoxins (seasee) and the newer enterotoxins (seg-sely) (Fisher et al., 2018), however, strains producing sea are implicated in the majority of cases of staphylococcal food poisoning (Kérouanton et al., 2007;Wallin-Carlquist et al., 2010). The presence of sea virulent gene in a few samples of kargyong advocates the concern for food safety of the product, which might have been contaminated during traditional processing; however, there has been no official report of food-poisoning cases in Sikkim after the consumption of kargyong.
We also identified various bacteria belonging to the family Enterobacteriaceae, which are commonly present in the intestines of human (Martinson et al., 2019) and animal (Schierack et al., 2007) that may survive in diverse environments (Martinson et al., 2019). However, they may also cause a variety of community-acquired (foodborne) and nosocomial infections (Bereket et al., 2012). Klebsiella has often been reported in meat products as a contaminant from water, containers, and feces of animal or human origin (Gundogan et al., 2013). Foods are commonly contaminated with Salmonella and Shigella by an infected food handler who practices poor hygiene and inadequate cooking (Garedew et al., 2016;Liu et al., 2018;Ranjbar et al., 2020). Salmonella is one of the most common bacterial pathogens in laboratory-confirmed foodborne illness cases causing gastroenteritis, typhoid fever, and bacteremia (Eng et al., 2015). The major identified virulence genes like inv, stn, fimA, and spv responsible for salmonellosis are linked to a combination of plasmid and chromosomal factors (Chaudhary et al., 2015). Dry meat products are traditionally considered as safe food; however, the outbreak of foodborne illness caused by S. enterica is often reported due to its ability to withstand the adverse environment leading to cross-protection against abiotic stress (Mutz et al., 2020). Although the ELISA test detected Salmonella spp. in a few tested samples, the PCR method showed the absence of invA and stn virulence genes in the isolated strain. The invA gene is primarily targeted for the identification of Salmonella in food of animal origin, since it is present in pathogenic serovars and has been demonstrated to be a rapid and effective method for diagnosis of salmonellosis (Karmi, 2013;Carraturo et al., 2016). However, there are few reports on the absence of invA gene in certain Salmonella strains, which indicate that they are not invasive or may have other invasive mechanisms (Kaushik et al., 2014;Sharma and Das, 2016;Buehler et al., 2019;Kadry et al., 2019;Yanestria et al., 2019).
Enterococci isolated from meat products have the ability to produce enterocins harboring antimicrobial activity against L. monocytogenes (da Costa et al., 2019). B. cereus is an endospore-forming bacterium responsible for foodborne illness in humans and is frequently involved in foodborne outbreaks (Tewari et al., 2015). Bacillus enterotoxins have been reported from fermented legume products like soumbala and bikalga of Africa (Ouoba et al., 2008); doenjang, a fermented soybean food of Korea ; dairy milk (Saleh-Lakha et al., 2017); some street food of Indian Himalayas (Kharel et al., 2016); and meat products (Soleimani et al., 2018). B. cepacia is identified as a spoilage microorganism in food (Cunningham-Oakes et al., 2019).
The widespread use of antibiotics in animals for the treatment of diseases and other purposes may develop antibiotic resistance in bacteria resulting into cross-transmission of resistance genes from animals to humans through food Tang et al., 2017). The antibiogram of bacterial isolates showed a maximum rate of sensitivity against gentamicin and trimethoprim, which is in accordance with a similar report where 90% of sensitivity was observed in bacterial isolates from street foods (Amor et al., 2019). The majority of isolated strains showed the highest resistance pattern against amoxicillinclavulanate followed by ampicillin. Amoxicillin-clavulanateresistant bacteria were also reported from retail sausage in Malaysia which exhibited 100% resistance along with penicillin followed by ampicillin (83.3%) and cefotaxime (71.4%) (Tew et al., 2016). The increasing prevalence of amoxicillin-clavulanate resistance has been reported due to the continued spread of β-lactamase-mediated resistance (White et al., 2004). We also found a strain of bacteria identified as K. pneumoniae that showed resistance against nitrofurantoin which is a broadspectrum antibiotic used for the treatment of uncomplicated urinary tract infections (UTI) (Osei Sekyere, 2018). Most of the Gram-positive cocci were oxacillin resistant; however, the resistance pattern was not observed in any cephalosporin class of antibiotics except for B. cereus. Overall, the majority of the isolated strains from traditionally processed meat products of Sikkim showed a maximum percentage of sensitivity against the tested antibiotics.

CONCLUSION
The traditional processing of perishable meat into flavorenhanced products by drying, smoking, and fermentation is culturally and organoleptically accepted by ethnic people of Sikkim in India. This study showed the prevalence of some spoilage and pathogenic bacteria; however, enterotoxin virulent genes were not detected in bacterial strains isolated from traditional meat products except for the sea virulent gene which tested positive from two samples of kargyong. It was interesting to find out the absence of pathogenic bacteria and enterotoxins in khyopeh, which is a fermented yak meat product found only in the north district of Sikkim. Most of the bacterial strains in traditionally processed meat products of Sikkim showed a maximum percentage of sensitivity against the tested antibiotics. Some samples of meat products showed the prevalence of spoilage bacteria probably as contaminants during the traditional processing method. Hence, proper monitoring of hygienic conditions during preparation practices is highly recommended for the safety of these culturally acceptable meat products.

DATA AVAILABILITY STATEMENT
The datasets generated for this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/ Supplementary Material.

AUTHOR CONTRIBUTIONS
NT and JT: conceptualization, resources, supervision, and writing-review and editing. MB: data curation, formal analysis, methodology, software, visualization, and roles/writing-original draft. JT: funding acquisition and project administration. MB and NT: investigation. MB, NT, and JT: validation. All authors contributed to the article and approved the submitted version.