New Parvovirus Associated with Serum Hepatitis in Horses after Inoculation of Common Biological Product.
Abstract: Equine serum hepatitis (i.e., Theiler's disease) is a serious and often life-threatening disease of unknown etiology that affects horses. A horse in Nebraska, USA, with serum hepatitis died 65 days after treatment with equine-origin tetanus antitoxin. We identified an unknown parvovirus in serum and liver of the dead horse and in the administered antitoxin. The equine parvovirus-hepatitis (EqPV-H) shares <50% protein identity with its phylogenetic relatives of the genus Copiparvovirus. Next, we experimentally infected 2 horses using a tetanus antitoxin contaminated with EqPV-H. Viremia developed, the horses seroconverted, and acute hepatitis developed that was confirmed by clinical, biochemical, and histopathologic testing. We also determined that EqPV-H is an endemic infection because, in a cohort of 100 clinically normal adult horses, 13 were viremic and 15 were seropositive. We identified a new virus associated with equine serum hepatitis and confirmed its pathogenicity and transmissibility through contaminated biological products.
Publication Date: 2018-01-20 PubMed ID: 29350162PubMed Central: PMC5782890DOI: 10.3201/eid2402.171031Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
- Research Support
- U.S. Gov't
- Non-P.H.S.
Summary
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The research paper is centered around the identification of a new parvovirus – Equine parvovirus-hepatitis (EqPV-H) – associated with serum hepatitis, commonly referred to as Theiler’s disease, in horses. Triggered by a biological product, tetanus antitoxin, this study explores the virus’ pathogenicity and transmissibility.
Introduction
- The research began following the death of a horse in Nebraska, USA, 65 days after treatment with an equine-origin tetanus antitoxin. The horse died from serum hepatitis, a form of Theiler’s disease—a serious, often life-threatening horse disease of unknown cause.
- The researchers suspected a link between the tetanus antitoxin and the sudden onset of the disease; thus, prompting further research.
Identification of Equine Parvovirus-Hepatitis (EqPV-H)
- The researchers discovered an unidentified parvovirus present in the serum and liver of the deceased horse and within the tetanus antitoxin administered to it.
- This newfound virus, named the “equine parvovirus-hepatitis” (EqPV-H), was found to share less than 50% protein identity with its closest genetic relatives belonging to the Copiparvovirus genus. This has led the researchers to conclude that they have found a new virus.
Experimental Infections
- Following the identification of EqPV-H, the researchers sought to confirm its pathogenicity and thus infected two horses with the same tetanus antitoxin contaminated with EqPV-H.
- As a result, both horses developed viremia (presence of viruses in the blood), experienced seroconversion (the period of time during which a specific antibody develops and becomes detectable in the blood), and developed acute hepatitis. This result was confirmed through clinical, biochemical, and histopathologic testing.
Prevalence and Transmissibility of EqPV-H
- Lastly, the scholars examined the prevalence of this new virus within the horse population; out of a sample of 100 seemingly healthy adult horses, 13 were found to be viremic and 15 were seropositive (tested positive for a particular serum antibody). This suggests that EqPV-H is an endemic infection—that is, it’s constantly present to some extent in the equine population.
- The research also suggested that EqPV-H could be transmitted through contaminated biological products, including the tetanus antitoxin used in this study.
Conclusion
- The article’s significant findings include the identification of a new virus—EqPV-H—associated with equine serum hepatitis, the verification of its pathogenicity, and the confirmation of its transmissibility through contaminated biological products.
Cite This Article
APA
Divers TJ, Tennant BC, Kumar A, McDonough S, Cullen J, Bhuva N, Jain K, Chauhan LS, Scheel TKH, Lipkin WI, Laverack M, Trivedi S, Srinivasa S, Beard L, Rice CM, Burbelo PD, Renshaw RW, Dubovi E, Kapoor A.
(2018).
New Parvovirus Associated with Serum Hepatitis in Horses after Inoculation of Common Biological Product.
Emerg Infect Dis, 24(2), 303-310.
https://doi.org/10.3201/eid2402.171031 Publication
Researcher Affiliations
MeSH Terms
- Animals
- Cardiovirus Infections / veterinary
- Cardiovirus Infections / virology
- Drug Contamination
- Female
- Hepatitis, Viral, Animal / virology
- Horse Diseases / virology
- Horses
- Parvoviridae Infections / veterinary
- Parvoviridae Infections / virology
- Parvovirinae / genetics
- Parvovirinae / isolation & purification
- Phylogeny
- Tetanus Antitoxin / adverse effects
- Vaccination / adverse effects
- Viremia
References
This article includes 40 references
- Theiler A. Acute liver atrophy and parenchymatous hepatitis in horses.. Reports of the Director of Veterinary Research 1918;5&6:7–99.
- Marsh H. Losses of undetermined cause following an outbreak of equine encephalomyelitis.. J Am Vet Med Assoc 1937;91:88–93.
- Hjerpe CA. Serum hepatitis in the horse.. J Am Vet Med Assoc 1964;144:734–40.
- Rose JA, Immenschuh RD, Rose EM. Serum hepatitis in the horse.. Proceedings of the Twentieth Annual Conference of the American Association of Equine Practitioners 1974. p. 175–85.
- Thomsett LR. Acute hepatic failure in the horse.. Equine Vet J 1971;3:15–9.
- Step DL, Blue JT, Dill SG. Penicillin-induced hemolytic anemia and acute hepatic failure following treatment of tetanus in a horse.. Cornell Vet 1991;81:13–8.
- Messer NT IV, Johnson PJ. Idiopathic acute hepatic disease in horses: 12 cases (1982-1992).. J Am Vet Med Assoc 1994;204:1934–7.
- Guglick MA, MacAllister CG, Ely RW, Edwards WC. Hepatic disease associated with administration of tetanus antitoxin in eight horses.. J Am Vet Med Assoc 1995;206:1737–40.
- Chandriani S, Skewes-Cox P, Zhong W, Ganem DE, Divers TJ, Van Blaricum AJ. Identification of a previously undescribed divergent virus from the Flaviviridae family in an outbreak of equine serum hepatitis.. Proc Natl Acad Sci U S A 2013;110:E1407–15.
- Panciera RJ. Serum hepatitis in the horse.. J Am Vet Med Assoc 1969;155:408–10.
- Aleman M, Nieto JE, Carr EA, Carlson GP. Serum hepatitis associated with commercial plasma transfusion in horses.. J Vet Intern Med 2005;19:120–2.
- Burbelo PD, Dubovi EJ, Simmonds P, Medina JL, Henriquez JA, Mishra N. Serology-enabled discovery of genetically diverse hepaciviruses in a new host.. J Virol 2012;86:6171–8.
- Kapoor A, Simmonds P, Cullen JM, Scheel TK, Medina JL, Giannitti F. Identification of a pegivirus (GB virus-like virus) that infects horses.. J Virol 2013;87:7185–90.
- Scheel TK, Simmonds P, Kapoor A. Surveying the global virome: identification and characterization of HCV-related animal hepaciviruses.. Antiviral Res 2015;115:83–93.
- Pfaender S, Cavalleri JM, Walter S, Doerrbecker J, Campana B, Brown RJ. Clinical course of infection and viral tissue tropism of hepatitis C virus-like nonprimate hepaciviruses in horses.. Hepatology 2015;61:447–59.
- Scheel TK, Kapoor A, Nishiuchi E, Brock KV, Yu Y, Andrus L. Characterization of nonprimate hepacivirus and construction of a functional molecular clone.. Proc Natl Acad Sci U S A 2015;112:2192–7.
- Ramsay JD, Evanoff R, Wilkinson TE Jr, Divers TJ, Knowles DP, Mealey RH. Experimental transmission of equine hepacivirus in horses as a model for hepatitis C virus.. Hepatology 2015;61:1533–46.
- Lyons S, Kapoor A, Schneider BS, Wolfe ND, Culshaw G, Corcoran B. Viraemic frequencies and seroprevalence of non-primate hepacivirus and equine pegiviruses in horses and other mammalian species.. J Gen Virol 2014;95:1701–11.
- Kapoor A, Kumar A, Simmonds P, Bhuva N, Singh Chauhan L, Lee B. Virome analysis of transfusion recipients reveals a novel human virus that shares genomic features with hepaciviruses and pegiviruses.. MBio 2015;6:e01466–15.
- Kapoor A, Hornig M, Asokan A, Williams B, Henriquez JA, Lipkin WI. Bocavirus episome in infected human tissue contains non-identical termini.. PLoS One 2011;6:e21362.
- Kapoor A, Mehta N, Dubovi EJ, Simmonds P, Govindasamy L, Medina JL. Characterization of novel canine bocaviruses and their association with respiratory disease.. J Gen Virol 2012;93:341–6.
- Kapoor A, Mehta N, Esper F, Poljsak-Prijatelj M, Quan PL, Qaisar N. Identification and characterization of a new bocavirus species in gorillas.. PLoS One 2010;5:e11948.
- Kapoor A, Lipkin WI. Virus discovery in the 21st century.. John Wiley & Sons 2014. Chichester (UK).
- Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: Molecular Evolutionary Genetics Analysis version 6.0.. Mol Biol Evol 2013;30:2725–9.
- Zuker M. Mfold web server for nucleic acid folding and hybridization prediction.. Nucleic Acids Res 2003;31:3406–15.
- Burbelo PD, Ragheb JA, Kapoor A, Zhang Y. The serological evidence in humans supports a negligible risk of zoonotic infection from porcine circovirus type 2.. Biologicals 2013;41:430–4.
- Burbelo PD, Ching KH, Morse CG, Alevizos I, Bayat A, Cohen JI. Altered antibody profiles against common infectious agents in chronic disease.. PLoS One 2013;8:e81635.
- Burbelo PD, Ching KH, Esper F, Iadarola MJ, Delwart E, Lipkin WI. Serological studies confirm the novel astrovirus HMOAstV-C as a highly prevalent human infectious agent.. PLoS One 2011;6:e22576.
- Hartlage AS, Cullen JM, Kapoor A. The strange, expanding world of animal hepaciviruses.. Annu Rev Virol 2016;3:53–75.
- Kapoor A, Simmonds P, Dubovi EJ, Qaisar N, Henriquez JA, Medina J. Characterization of a canine homolog of human Aichivirus.. J Virol 2011;85:11520–5.
- Li L, Giannitti F, Low J, Keyes C, Ullmann LS, Deng X. Exploring the virome of diseased horses.. J Gen Virol 2015;96:2721–33.
- Kailasan S, Agbandje-McKenna M, Parrish CR. Parvovirus family conundrum: what makes a killer?. Annu Rev Virol 2015;2:425–50.
- Bihari C, Rastogi A, Saxena P, Rangegowda D, Chowdhury A, Gupta N. Parvovirus B19 associated hepatitis.. Hepat Res Treat 2013;2013:472027.
- Hatakka A, Klein J, He R, Piper J, Tam E, Walkty A. Acute hepatitis as a manifestation of parvovirus B19 infection.. J Clin Microbiol 2011;49:3422–4.
- Caruso C, Gobbi E, Biosa T, Andra’ M, Cavallazzi U, Masoero L. Evaluation of viral inactivation of pseudorabies virus, encephalomyocarditis virus, bovine viral diarrhea virus and porcine parvovirus in pancreatin of porcine origin.. J Virol Methods 2014;208:79–84.
- Roberts PL, Hart H. Comparison of the inactivation of canine and bovine parvovirus by freeze-drying and dry-heat treatment in two high purity factor VIII concentrates.. Biologicals 2000;28:185–8.
- Mani B, Gerber M, Lieby P, Boschetti N, Kempf C, Ros C. Molecular mechanism underlying B19 virus inactivation and comparison to other parvoviruses.. Transfusion 2007;47:1765–74.
- Blümel J, Stühler A, Dichtelmüller H. Kinetics of inactivating human parvovirus B19 and porcine parvovirus by dry-heat treatment.. Transfusion 2008;48:790–1.
- Qualls CW, Gribble DH. Equine serum hepatitis: a morphologic study.. Lab Invest 1976;34:330.
- Robinson M, Gopinath C, Hughes DL. Histopathology of acute hepatitis in the horse.. J Comp Pathol 1975;85:111–8.
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