Viral testing of 18 consecutive cases of equine serum hepatitis: A prospective study (2014-2018).
Abstract: Three flaviviruses (equine pegivirus [EPgV]; Theiler's disease-associated virus [TDAV]; non-primate hepacivirus [NPHV]) and equine parvovirus (EqPV-H) are present in equine blood products; the TDAV, NPHV, and EqPV-H have been suggested as potential causes of serum hepatitis. Objective: To determine the prevalence of these viruses in horses with equine serum hepatitis. Methods: Eighteen horses diagnosed with serum hepatitis, enrolled from US referral hospitals. Methods: In the prospective case study, liver, serum, or both samples were tested for EPgV, TDAV, NPHV, and EqPV-H by PCR. Results: Both liver tissue and serum were tested for 6 cases, serum only for 8 cases, and liver only for 4 cases. Twelve horses received tetanus antitoxin (TAT) 4-12.7 weeks (median = 8 weeks), 3 horses received commercial equine plasma 6-8.6 weeks, and 3 horses received allogenic stem cells 6.4-7.6 weeks before the onset of hepatic failure. All samples were TDAV negative. Two of 14 serum samples were NPHV-positive. Six of 14 serum samples were EPgV-positive. All liver samples were NPHV-negative and EPgV-negative. EqPV-H was detected in the serum (N = 8), liver (N = 4), or both samples (N = 6) of all 18 cases. The TAT of the same lot number was available for virologic testing in 10 of 12 TAT-associated cases, and all 10 samples were EqPV-H positive. Conclusions: We demonstrated EqPV-H in 18 consecutive cases of serum hepatitis. EPgV, TDAV, and NPHV were not consistently present. This information should encourage blood product manufacturers to test for EqPV-H and eliminate EqPV-H-infected horses from their donor herds.
© 2018 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
Publication Date: 2018-12-05 PubMed ID: 30520162PubMed Central: PMC6335536DOI: 10.1111/jvim.15368Google Scholar: Lookup
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Summary
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This research article is a detailed study on the prevalence of four types of viruses in horses diagnosed with equine serum hepatitis.
Objective of the Study
The study sets out to determine the prevalence of three flaviviruses (equine pegivirus (EPgV), Theiler’s disease-associated virus (TDAV), non-primate hepacivirus (NPHV)) and equine parvovirus (EqPV-H) in horses diagnosed with equine serum hepatitis. The flaviviruses and parvovirus were previously suggested to potentially cause serum hepatitis.
Methodology
- The researchers carried out a prospective case study with 18 horses with serum hepatitis sourced from US referral hospitals.
- Specimens of both liver tissues and serum were tested for the presence of the four viruses (EPgV, TDAV, NPHV, and EqPV-H) through a method called Polymerase Chain Reaction (PCR).
- Where possible, their medicinal history relating to blood products was also considered for potential correlation.
Results
- The testing was comprehensive: for six cases both the liver tissue and serum were tested, eight were tested on serum only, and four were tested on liver tissue only.
- Twelve of the horses had received tetanus antitoxin, three horses had received commercial equine plasma, and three horses received allogenic stem cells to varying durations before the onset of hepatic failure.
- The findings revealed that all the tests were negative for TDAV while only two out of the 14 serum samples tested positive for NPHV.
- Meanwhile, six of the 14 serum samples were EPgV-positive while all liver samples were EPgV and NPHV negative.
- The EqPV-H virus was detected in all 18 cases, either in serum (8 cases), liver (4 cases), or both samples (6 cases).
- Furthermore, EqPV-H was found in the tetanus antitoxin of the same lot number for 10 out of 12 horses treated with the antitoxin.
Conclusions
- The prevalence of EqPV-H in all 18 successive cases of serum hepatitis implies a strong linkage and suggests that it could be the main causative agent among the examined viruses.
- EPgV, TDAV, and NPHV were not found to be consistently present, thus excluding them as primary suspects.
- The researchers therefore recommend that blood product manufacturers start testing for EqPV-H and remove EqPV-H-infected horses from the production line to prevent contamination.
Cite This Article
APA
Tomlinson JE, Kapoor A, Kumar A, Tennant BC, Laverack MA, Beard L, Delph K, Davis E, Schott Ii H, Lascola K, Holbrook TC, Johnson P, Taylor SD, McKenzie E, Carter-Arnold J, Setlakwe E, Fultz L, Brakenhoff J, Ruby R, Trivedi S, Van de Walle GR, Renshaw RW, Dubovi EJ, Divers TJ.
(2018).
Viral testing of 18 consecutive cases of equine serum hepatitis: A prospective study (2014-2018).
J Vet Intern Med, 33(1), 251-257.
https://doi.org/10.1111/jvim.15368 Publication
Researcher Affiliations
- Department of Microbiology and Immunology, Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, New York.
- Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
- Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
- New York State Animal Health Diagnostic Center, Cornell University, Ithaca, New York.
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas.
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas.
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas.
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois.
- Department of Veterinary Clinical Sciences, Oklahoma State University, Stillwater, Oklahoma.
- Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, Missouri.
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana.
- Department of Clinical Sciences, Oregon State University, Corvallis, Oregon.
- Oklahoma Equine Hospital, Washington, Oklahoma.
- Tryon Equine Hospital, Columbus, North Carolina.
- Equine Medicine Specialists of South Florida, Wellington, Florida.
- Oakridge Equine Hospital, Edmond, Oklahoma.
- Lloyd Veterinary Medical Center, Iowa State University, Ames, Iowa.
- Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
- Department of Microbiology and Immunology, Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, New York.
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
MeSH Terms
- Animals
- Female
- Flavivirus
- Flavivirus Infections / complications
- Flavivirus Infections / veterinary
- Flavivirus Infections / virology
- Hepacivirus
- Hepatitis C / complications
- Hepatitis C / veterinary
- Hepatitis C / virology
- Hepatitis, Viral, Animal / blood
- Hepatitis, Viral, Animal / pathology
- Hepatitis, Viral, Animal / virology
- Horse Diseases / blood
- Horse Diseases / pathology
- Horse Diseases / virology
- Horses
- Liver / pathology
- Liver / virology
- Male
- Parvoviridae Infections / complications
- Parvoviridae Infections / veterinary
- Parvoviridae Infections / virology
- Parvovirus
- Prospective Studies
- Real-Time Polymerase Chain Reaction / veterinary
- Theilovirus
Grant Funding
- Harry M. Zweig Memorial Fund for Equine Research
- 2016-67015-24765 / National Institute of Food and Agriculture
- Niarchos Family
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