paramyxoviiruses september 21,22, 2010. rinderpest and the beginning of modern veterinary medicine...
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Paramyxoviiruses
September 21,22, 2010
rinderpest and the beginning of modern veterinary medicine
Giovanni Maria Lancisi
Viruses with -ve RNA genomes
Paramyxoviridae
Rhabdoviridae
Orthomyxoviridae
Filoviridae
Bunyaviridae
rabies virus
vesicular stomatitis virus
influenzaviruses
Ebola virus
Haantan virus
Paramyxoviruses
Pneumoviruses
Morbilliviruses
parainfluenza virus
respiratorysyncytial virus
canine distemper
Newcastle disease virus
HendraNipah
Henipah
Paramyxoviruses
• Enveloped
• Genome - single negative stranded RNA molecule
• Helical nucleocapsid with herring-bone appearance
A paramyxo virion
FusionProtein (F)(syncytia whenon cell)
“herring-bone”nucleocapsid
HN (paramyxo)H (morbilli)G(pneumo)
Receptor binding and penetration
Genus Receptor attachment
Main Penetration or Fusion protein
Paramyxovirus
(PI3)
HN F (cleaved by cellular proteases)
Pneumovirus
(BRSV)
G (no neuraminidase) F (cleaved by cellular proteases)
Morbillivirus
(CDV)
H (no neuraminidase) F (cleaved by cellular proteases)
Syncytium (pl. syncytia) formation
activatedfusion protein
buddingvirus
uninfectedcells
syncytium
Syncytiasyncytia
Eosinophilic cytoplasmic inclusion bodies
Importance of type of immunity
• neutralizing and fusion preventing antibodies are protective
• non-neutralizing antibodies can exacerbate disease (children vaccinated with formalin inactivated vaccine)
• Th1 better than Th2
• CMI
Respiratory disease by Paramyxo and Pneumoviruses
• bovine – parainfluenzavirus 3 (PI3)– respiratory syncytial virus (BRSV)
• dogs– PI2
• birds– Newcastle disease virus (clinical features depend on
strain)
Morbilliviruses• Rinderpest• Pestes des petit ruminants• Canine distemper virus• Morbilliviruses of marine mammals• Measles• Hendra virus (equine morbillivirus)• Nipah virus
canine distemper virus
• complex disease - enteric, respiratory, lymphoid, neural
• effects wide range of carnivore species– Canidae (main reservoir)– Procyonidae (raccoons)– Mustelidae (ferrets, mink)– Ailuronidae (pandas)– Felidae (Panthera not domestic cats)
• marine mammals
Pathogenesisinfection
asymptomatic incubation period (7-10 days)
GI and respiratory signs, infection of epithelial cells
recovery death
acute neurological signs
recovery death chronic neurological signs
death“old dog encephalitis”
Acute neurological disease
• Virus replicates in neurons and glial cells
• Demyelination in white matter in absence of inflammation
• No virus replication in oligodendroglial cells but suppression of myelin synthesis
• Immunological recovery - Lymphocytic infiltration, intrathecal antibody synthesis
Chronic disease
• With immunological recovery - inflammation in demyelinating lesions - progressive disease
Long-term persistence in CNS
Non-cytolytic replicationCell to cell spread without budding - no antigens on surface
Virus reactivation or immune-mediated damage
Clinical signs• asymptomatic (most dogs)
– partial immunity• general
– fever, depression, anorexia, discharge from eyes/nose, • enteric
– vomiting, diarrhoea• respiratory
– coughing, sneezing, dyspnea• neural
– weakness, ataxia, incoordination, epileptic seizures, myoclonus, “chewing gum fits”
• other– hyperkeratosis of nose and foot pads
• “old dog encephalitis”– visual defects, compulsive circling, head pressing
Diagnosis of distemper
• clinical signs
• Laboratory– PCR– Serology
• Serum + CSF (NO EDTA)
• Paired samples
– Immunohistochemistry
Ante-mortem diagnosis by immunohistochemistry (Haines
and Clark, WCVM)
Prevention of distemper
• Inactivated vaccines
• Modified live– USE ONLY IN DOMESTIC DOGS!
• Vectored vaccine (Recombitek, Merial)
• Heterotypic vaccine (measles)
A case of distemper in Saskatoon In December a 4-5 month old American Pitbull cross was brought to a Saskatoon animal shelter as a stray. The puppy was vaccinated with DA2PCPV and was adopted out on December 23. The puppy was returned to the shelter on December 29 as he was coughing. On January 3, the attendant described the pup as acting weird - head pressing, stumbling and twitching were observed. Within the next week several dogs at the shelter developed respiratory signs. For the next several days about 10 dogs a day were brought to the WCVM clinic with signs of distemper. All dogs at the shelter were euthanised and it was closed for traffic.
Other morbilliviruses
• Horse morbillivirus (Hendra virus)
• Nipah virus
• Rinderpest
• Pestes des petit ruminantes
Rinderpest
• Wild and domestic ruminants, pigs
• Direct contact or contaminated water
• High fever
• Purulent discharge
• Erosion of oral mucosa
• Bloody diarrhoea
A new disease in horses and people (1994)
MacKay
Brisbane
Queensland
(Hendra)
CairnsTownsville
At a stable in Hendra (1994)
• Two horses moved to stable
• “Drama Series” becomes sick and dies
• Within three weeks 13 horses die– Respiratory, CNS, haemorrhages in lung
• Stable hand and trainer become sick
• Trainer dies
Diagnostic investigation
• Rule out AHS, flu, EHV-1, bacteria, toxins• See syncytia in cultures - suspect
paramyxovirus• PCR for PI and pneumoviruses is negative• PCR for morbillivirus +ve• Sequence -> new virus• Cross reactivity between human and horse
sera
Diagnostic investigation
• More than 3,000 serum samples, horses and people negative
• 5,000 samples from 46 species - negative
• Antibodies in fruit bats
• Virus isolated
At a farm near MacKay (July 1994)
• Pregnant mare at pasture develops respiratory signs
• Moved to paddock• Mare develops respiratory distress, ataxia,
edema ->dies• Stallion in next paddock, neuro. Signs,
haemorrhages ->dies• Owner (vet) and husband perform necropsy
Possible causes
• Avocado poisoning
• Brown snake bite
MacKay August 1994
• Husband becomes sick– Sore throat, headaches, etc. – CSF - neutrophilia, no virus or bacteria
identified– Responds to antibiotics - recovers
MacKay September 1995• Husband readmitted
– Neuro signs, seizures– Treated with acyclovir, antibiotics, anticonvulsants,
corticosteroids– Coma - dies three weeks later
• Diagnostic– CSF from 1994 - 1/4 for EMV, virus by PCR– In 1995, increase in titre from 1/16 to 1/5792– Necrosis in neocortex, basal brain, brain stem,
cerebellum
Equine morbillivirus
• Horses, people, cats, guinea pigs infected
• Fruit bats can be infected but no disease
• Excreted in feces, urine, infection by eating shed virus
Nipah VirusOct ‘98 to April ‘99 - 257 cases of encephalitis (100 deaths)Similar disease in pigs
Nipah disease
• Fever, severe head aches, muscle pain
• Common - association with pigs
• Initially thought to be Japanese encephalitis
• Syncytia, paramyxovirus on EM
• Virus isolated, Univ. Malaya and CDC
• Similar to Hendra virus
• Serological confirmation that virus involved in outbreak.
Porcine respiratory encephalitis syndrome, barking pig syndrome
• Fever• Coughing• Respiratory distress• Trembling, head pressing, spasms• Abortions, still births
Nipah virus
• Pigs, humans, dogs, cats, rats and horses can be infected
• Serological evidence in fruit bats (reservoir?)• virus from fruit bats - 2002• 2004-5 - human cases in Bangladesh (no contact
with pigs or bats, contaminated fruit?)
Why?
Chou. Nipah virus outbreak in Malaysia. J Clin Virol April 2003
Control
1 million pigs killed
reduce pig-human contact
Nipah in BalgladeshPossible contamination of date-palm sap by
Nipah virus
Nipah human to human transmission