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Investigation of the frequency and selected prevalence factors of equid alphaherpesvirus 4 viremia in horses with acute onset of fever and respiratory signs.

Abstract: Equid alphaherpesvirus 4 (EqAHV4; Orthoherpesviridae, Varicellovirus equidalpha4; equine rhinopneumonitis virus) has seldom been associated with complications such as abortion and myeloencephalopathy, given the low tendency of this virus to induce viremia. We investigated the frequency of EqAHV4 viremia in horses with fever and respiratory signs. Case selection included all equids with EqAHV4 quantitative real-time PCR (qPCR)-positive nasal secretions (defined as EqAHV4 qPCR-positive cases) submitted to a diagnostic laboratory. Controls consisted of each case submitted before and after each EqAHV4 qPCR-positive case. Purified nucleic acid from blood samples collected from EqAHV4 qPCR-positive horses and control cases was tested for EqAHV4 by qPCR. We selected 183 EqAHV4 qPCR-positive horses and 376 EqAHV4 qPCR-negative horses. In general, EqAHV4 qPCR-positive horses were younger, and had a lower rate of anorexia and a higher rate of nasal discharge compared to the EqAHV4 qPCR-negative horses. A total of 25 of 183 (13.7%) horses with EqAHV4 qPCR-positive nasal secretions tested qPCR-positive for EqAHV4 in blood. EqAHV4 viremic horses were significantly younger (p < 0.015 for group <1-y-old) and had a significantly higher occurrence of distal limb edema (p < 0.05) than EqAHV4 non-viremic horses. Our data support the observation that EqAHV4 viremia is rarely detected in EqAHV4-infected horses, which explains the low level of reported complications, such as abortion and myeloencephalopathy.
Publication Date: 2025-01-28 PubMed ID: 39876028PubMed Central: PMC11775911DOI: 10.1177/10406387241308080Google Scholar: Lookup
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  • Journal Article

Summary

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The study was focused on understanding the frequency and factors of equid alphaherpesvirus 4 (EqAHV4) viremia, which typically does not often result in complications, in horses with fever and respiratory issues. The research found that the virus is rarely detected in the blood of infected horses, aiding to explain the low complication rate.

Research Overview

The researchers studied the occurrence rate of EqAHV4 viremia (presence of EqAHV4 in the blood) in horses that showed symptoms of fever and respiratory problems. Even though EqAHV4 usually does not lead to severe complications like abortion or myeloencephalopathy (disease affecting the spinal cord and brain), the aim was to understand the causes of this rarity.

  • The sample size for the study comprised of all EqAHV4 qPCR-positive equids submitted to a diagnostic laboratory plus respective cases submitted before and after each EqAHV4 qPCR-positive case to serve as controls.
  • The chosen cases included 183 EqAHV4 qPCR-positive horses and 376 EqAHV4 qPCR-negative horses.

Finding Key Observations

  • In general, horses that tested positive for EqAHV4 were younger, less likely to be anorexic, and more likely to have nasal discharge versus the horses that tested qPCR-negative.
  • From the 183 horses that tested qPCR positive for EqAHV4 in nasal secretions, only 25 (or 13.7%) had qPCR-positive blood tests for EqAHV4.
  • The viremic (having EqAHV4 in the blood) horses were significantly younger and showed a significantly higher appearance of distal limb edema (swelling in the lower part of their limbs) compared to the non-viremic horses.

Conclusion

The findings of this study solidify the understanding that EqAHV4 viremia occurrence in infected horses is a rare phenomenon. This sparsity of the virus in the blood effectively explains why serious complications (abortion, myeloencephalopathy) associated with this virus infestation are not commonly seen in horses.

Cite This Article

APA
Pusterla N, Barnum S, Lawton K, Craig B, James K. (2025). Investigation of the frequency and selected prevalence factors of equid alphaherpesvirus 4 viremia in horses with acute onset of fever and respiratory signs. J Vet Diagn Invest, 37(2), 349-353. https://doi.org/10.1177/10406387241308080

Publication

ISSN: 1943-4936
NlmUniqueID: 9011490
Country: United States
Language: English
Volume: 37
Issue: 2
Pages: 349-353

Researcher Affiliations

Pusterla, Nicola
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
Barnum, Samantha
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
Lawton, Kaila
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
Craig, Bryant
  • Merck Animal Health, Madison, NJ, USA.
James, Kaitlyn
  • Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Hospital, Boston, MA, USA.

MeSH Terms

  • Animals
  • Horses
  • Horse Diseases / virology
  • Horse Diseases / epidemiology
  • Viremia / veterinary
  • Viremia / virology
  • Viremia / epidemiology
  • Herpesviridae Infections / veterinary
  • Herpesviridae Infections / virology
  • Herpesviridae Infections / epidemiology
  • Female
  • Prevalence
  • Fever / veterinary
  • Fever / virology
  • Male
  • Real-Time Polymerase Chain Reaction / veterinary
  • Varicellovirus / isolation & purification

Conflict of Interest Statement

Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

This article includes 24 references
  1. Afify AF. First isolation and identification of EHV-4 during abortion outbreak among Arabian horses in Egypt reflects an alteration in pathogenic potentiality of EHV-4. J Virol Sci 2017;2:92–101.
  2. Blunden AS. Replication of equid herpesvirus 4 in endothelial cells and synovia of a field case of viral pneumonia and synovitis in a foal. J Comp Pathol 1995;112:133–140.
    pubmed: 7769144
  3. Chappell DE. Voluntary surveillance program for equine influenza virus in the United States during 2008–2021. Pathogens 2023;12:192.
    pmc: PMC9961984pubmed: 36839464
  4. Crabb BS, Studdert MJ. Equine herpesviruses 4 (equine rhinopneumonitis virus) and 1 (equine abortion virus). Adv Virus Res 1995;45:153–190.
    pubmed: 7793324
  5. Lalueza A. Influence of viral load in the outcome of hospitalized patients with influenza virus infection. Eur J Clin Microbiol Infect Dis 2019;38:667–673.
    pmc: PMC7102091pubmed: 30820840
  6. Larska M. Kinetics of single and dual infection of calves with an Asian atypical bovine pestivirus and a highly virulent strain of bovine viral diarrhoea virus 1. Comp Immunol Microbiol Infect Dis 2012;35:381–390.
    pubmed: 22480455
  7. Li Y. Nasal and plasma severe acute respiratory syndrome coronavirus 2 RNA levels are associated with timing of symptom resolution in the ACTIV-2 trial of nonhospitalized adults with coronavirus disease 2019. Clin Infect Dis 2023;76:734–737.
    pmc: PMC9619579pubmed: 36210483
  8. Mapes S. Nucleic acid extraction methods for detection of EHV-1 from blood and nasopharyngeal secretions. Vet Rec 2008;162:857–859.
    pubmed: 18587063
  9. Meyer H. Characterization of two equine herpesvirus (EHV) isolates associated with neurological disorders in horses. Zentralbl Veterinarmed B 1987;34:545–548.
    pubmed: 2829471
  10. Mureşan A. An outbreak of equine herpesvirus-4 in an ecological donkey milk farm in Romania. Vaccines (Basel) 2022;10:468.
    pmc: PMC8953855pubmed: 35335100
  11. Patel JR. Equid herpesvirus (EHV-1) live vaccine strain C147: efficacy against respiratory diseases following EHV types 1 and 4 challenges. Vet Microbiol 2003;92:1–17.
    pubmed: 12488066
  12. Patel JR, Heldens J. Equine herpesviruses 1 (EHV-1) and 4 (EHV-4)—epidemiology, disease and immunoprophylaxis: a brief review. Vet J 2005;170:14–23.
    pubmed: 15993786
  13. Piccirilli G. Respiratory syncytial virus-load kinetics and clinical course of acute bronchiolitis in hospitalized infants: interim results and review of the literature. Pathogens 2023;12:645.
    pmc: PMC10221166pubmed: 37242316
  14. Pusterla N. Equine herpesvirus-4 kinetics in peripheral blood leukocytes and nasopharyngeal secretions in foals using quantitative real-time TaqMan PCR. J Vet Diagn Invest 2005;17:578–581.
    pubmed: 16475518
  15. Pusterla N. Use of viral loads in blood and nasopharyngeal secretions for the diagnosis of EHV-1 infection in field cases. Vet Rec 2008;162:728–729.
    pubmed: 18515763
  16. Pusterla N. Frequency of molecular detection of equine herpesvirus-4 in nasal secretions of 3028 horses with upper airway infection. Vet Rec 2017;180:593.
    pubmed: 28386031
  17. Pusterla N. Frequency of detection and prevalence factors associated with common respiratory pathogens in equids with acute onset of fever and/or respiratory signs (2008–2021). Pathogens 2022;11:759.
    pmc: PMC9317490pubmed: 35890002
  18. Smith KC. A survey of equine abortion, stillbirth and neonatal death in the UK from 1988 to 1997. Equine Vet J 2003;35:496–501.
    pubmed: 12875329
  19. Soboll-Hussey G. Relationship between equine herpesvirus-1 viremia and abortion or equine herpesvirus myeloencephalopathy in domesticated horses: a systematic review. J Vet Intern Med 2024;38:1872–1891.
    pmc: PMC11099755pubmed: 38069576
  20. Soria ME. High SARS-CoV-2 viral load is associated with a worse clinical outcome of COVID-19 disease. Access Microbiol 2021;3:000259.
    pmc: PMC8549390pubmed: 34712904
  21. Vandekerckhove AP. Equine alphaherpesviruses (EHV-1 and EHV-4) differ in their efficiency to infect mononuclear cells during early steps of infection in nasal mucosal explants. Vet Microbiol 2011;152:21–28.
    pubmed: 21536394
  22. van Maanen C. Equine herpesvirus 1 and 4 infections: an update. Vet Q 2002;24:55–78.
    pubmed: 12095082
  23. van Maanen C. Differentiation and genomic and antigenic variation among fetal, respiratory, and neurological isolates from EHV1 and EHV4 infections in The Netherlands. Vet Q 2000;22:88–93.
    pubmed: 10789516
  24. Verheyen K. Possible case of EHV-4 ataxia in warmblood mare. Vet Rec 1998;143:456.
    pubmed: 9823615