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Pathogenesis of veterinary respiratory viruses
PETER H. RUSSELL, BVSc, PhD, FRCPath, MRCVS Department of Pathology and Infectious Diseases, The Royal Veterinary College, Royal College Street, London NW1 OTU. Web site
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Objectives Students should be able to:
1. explain how some viruses spread within the respiratory tract whereas others leave it to cause disease elsewhere. 2. describe in outline how host responses, vaccines and maternal antibody influence pathogenesis. 3. evaluate how to determine whether a respiratory tract virus is a primary pathogen or whether it exacerbates bacterial disease or does nothing. 4. compare and contrast acute and chronic virus infections of the respiratory tract.
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Objective 1. explain why some viruses spread within the respiratory tract whereas others leave it to cause disease elsewhere. Many viruses first replicate in the upper respiratory tract (URT) Almost all viruses enter the body via the oropharynx as droplet or by licking contaminated surfaces. They then replicate in the URT. Some which replicate only in respiratory epithelial cells can only spread down the tract e.g. Respiratory Syncytial virus. The invasiveness of the virus determines how far it goes down eg FCV remains in the URT and FVR extends to the bronchioles. Other viruses which can replicate in the reticulendothelial system use the URT as an entry port eg canine distemper. EHV 1 and 4) cause a transient rhinopneumonitis with cough necessitating rest and antibiotic cover. The more virulent abortigenic strains of equine herpes 1 can also infect vascular endothelial cells and lymphocytes. They thrombose blood vessels to cause either a placentitis in the 3rd trimester)- the feared abortion storm- or hemorrhages in the spinal cord (posterior paresis). Avirulent NDV and Fowl Plaque isolates replicate in the URT. Virulent NDV and FP are able to replicate in the viscera and neurones; the cleavage site which enables their spike proteins to uncoil and attach is broken in a wide range of cells.
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Lesions and location Lesions are erosions and inflammation. Secondary bacterial infection of the erosions causes mucopurulent exudate. Locations (i) The URT includes the conjunctiva and harderian /lacrymal gland, nasal turbinates, nasopharyx, tonsils and mandibular LN, trachea, sinuses. and (ii) Bronchi and bronchioles, loss of ciliated cells and mucociliary blanket and exposure of the basement membrane for the lodgement of bacteria. There may be an production of proinflammatory cytokines (IL-1, TNF-alpha) with local ingress of neutrophils and fibrinous exudates and pyrexia. These block the bronchioles and thicken their walls. (iii)Alveoli, thickening of alveolar walls, interstitial pneumonia, fluid production, secondary bacterial pneumonia.eg porcine respiratory and reproductive syndrome. (iv) Draining lymph nodes, T lymphocytes are the site of latency of respiratory herpesviruses. The herpesvirus genome is integrated into host DNA w/o being translated until the host is stressed.
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Disease is compounded by stress whether crowding, transport or social
Disease is compounded by stress whether crowding, transport or social. The contact allows more interchange of viruse eg Battersea dogs home. The stress reactivates viruses eg herpesviruses or increases virus excretion eg feline caliciviruses. Think of examples for calves, pets, horses. Many resp diseases involve more than one virus and intercurrent bacteria. In pigs resp disease is complex and multifactorial, eg circovirus causes a general immunosuppression, PRRS causes a resp tract necrotising pnemonia and then Haemophilus parasuis finally kills the pigs. You will learn about examples for calves, pets, horses in the next 2 weeks.
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Objective 2. describe in outline how host responses, vaccines and maternal antibody influence pathogenesis. Host responese. Nonspecific: The infected cells produce interferon curtails virus replication in the adjacent respiratory epithelial cells. Interferon also spreads enters to the circulation for 2-4 day and activates splenic NK cells. Specific and memory: Local cytotoxic T cells abort the production of virus and neutralising antibody prevents virus spread so the infection may be stopped by 6 days. The viruses which depend much on Tc to clear them eg RSV and herpesviruses are those for which vaccination has been least successful. With RSV it is been difficult to induce local cytotoxic T cell immunity w/o DTH-type T cells worsening the lung lesion. This is why no human anti-RSV vaccines are licensed.
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Antigenic variation can explains vaccine failures when a new isolate of the same virus arrives eg when the 1998 USA-like strain of equine influenza II (H3N8)entered the UK. Variation can mean vaccines partially protect eg with feline calicivirus. These cats can be silent carriers of the antigenically-distinct FCV and then can enter a cattery undetected and cause lesions in unvaccinated cats (cf FMDV). Examples of live intranasal vaccine viruses which induce secretory antibody IgA (or IgG in bovines). Bovines, temp-sensitive bovine IBR and PI3. These are genetically-selected and cannot spread down to the bronchioles, why? Cats Live intranasal feline herpes and caliciviruses . These are no longer listed in IVS for UK, perhaps because they have caused disease when given to kittens of less than 12w old or in kittens with FeLV, FIV. Live viruses by the subcutaneous route can also cause disease in kittens if they enter the URT inadvertently e.g. by grooming Poultry Eyedrop/aerosol/water vaccines are widely used in the poultry industry in the UK. Interestingly we found that the eyedrop route was much better than the intranasal route because the conjunctiva is continuous with the duct of the lympho-acinar Harderian gland (HG). Virus infects the surface of the duct wall to enter a region full of many IgA-producing cells. 60% of all USA chicks are now injected in-ovo (18d of embryonation) with live vaccines and Newcastle disease by conveyor belt to avoid handling chicks on arrival at the farms.
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How do dead subcut vaccines protect
How do dead subcut vaccines protect? Via circulating IgG which leaks into the inflamed resp tract Maternal antibody IgG enters via Fc receptors and then becomes systemic with some leakage into the resp tract. This is why chickens need to be repeatedly vaccinated against NDV. In an endemic situation maternal antibody , IgG, will delay virus replication in animals. The animals develop subclinical disease when a few weeks old instead of clinical disease when a few days old e.g. Porcine respiratory and reproductive syndrome (PRRS).
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Objective 3. evaluate how to determine whether a respiratory tract virus is a primary pathogen or whether it exacerbates bacterial disease or does nothing Your ideas please! Key words, Koch postulates, germ free animals, avirulent viruses (adeno and reovirusea) or those with a range of virulence eg feline calicivirus, intercurrent infections, stress
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Objective 4. Compare and contrast acute and chronic virus infections of the respiratory tract.
Acute disease Example 1) Equine influenza /bovine parainfluenza virus 3 without intercurrent infection. The animal is virus-positive for 2-7 days and the damaged epithelium then regenerates Example 2) Acute virulent avian influenza- the virus replicates fast in the URT and spreads to the viscera and the birds can die within a few days.
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Objective 4. Compare and contrast acute and chronic virus infections of the respiratory tract (Cont.) Chronic disease Virus AND disease persists and animal does not recover for several weeks or never Example 1) Visna Maedi virus causes a slow immune complex disease with cellular infiltration of the lungs (or brain and joints) following repeated bouts of replication in macrophages by antigen variants of this lentivirus (cf HIV). Example 2) Sheep pulmonary adenomatosis virus, (Jaagsieke) causes slow large tumours of the alveolar lining cells with death at 3-4y, common, no diagnostic test apart from the wheel barrow test. Example 3) Sendai virus of mouse colonies, (parainfluenza virus1) causes chronic lung lesions which interfere with slide reading of carcinogenecity tests. Only use rodents from colonies that are certified free of antibodies to Sendai Now you compare and contrast them
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Further reading Refs. and website
Allan and Ellis, 2000, Porcine circoviruses: a review, J Vet Invest, 12(1), 3-14 Bryson, 1999, Update on Calf Pneumonia, CPD Vet Med 1(3) pp 90-94, Rila publications. Bryson et al, 1999, Calf vaccines, Vet Rec 145,33-39 Carter, Chengappa and Roberts (The virologist absent from 4th ed) Essentials of Veterinary Microbiology, Vth ed, Section V on respiratory infections by species Current index of veterinary specialities (IVS) for details of vaccines, (I checked to find no intranasal feline vaccines now listed) Dawson, Gaskell and Jarrett, Vaccination in cats-an update,. In Practice, Feb 1999
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Further reading (Cont.)
Refs. and website Gaskell and Bennett, Feline and canine infectious diseases 1996 Blackwell Loeffen et al Survey of infectious agents involved in respiratory diseases in finishing pigs (Netherlands),., Vet Rec, 145, Newton et al., 1999, Equine influenza in the UK in 1998, Vet Rec, 145(16) Radford and Sommerville, 1999, Feline infectious URT disease, Waltham Focus, 9 (3), pp18-23, Russell and Edington,Veterinary Viruses, still useful after 15y! excellent on much else, USA, sponsored by Bayer
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Objective 1. explain how some viruses spread within the respiratory
tract whereas others leave it to cause disease elsewhere. Disease is compounded by stress whether crowding, or what else……………………………
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Objective Objective 2. describe in outline how host responses, vaccines and maternal antibody influence pathogenesis.
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Click for larger picture
Host responses Vaccines Maternal antibody Click for larger picture
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Your ideas please! Key words, Koch postulates, germ free animals,
Objective 3. evaluate how to determine whether a respiratory tract virus is a primary pathogen or whether it exacerbates bacterial disease or does nothing
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) Objective 4. Compare and contrast acute and chronic virus
infections of the respiratory tract. Us these examples to do your answer PI3= para influenza 3;(FP=fowl plaque= acute avian influenza).
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Click for larger picture
Us these examples to do your answer PI3= para influenza 3;(FP=fowl plaque= acute avian influenza) Click for larger picture
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Us these examples to do your answer PI3= para influenza 3;(FP=fowl plaque= acute avian influenza)
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