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Lack of detectable West Nile virus RNA in brains and kidneys of dogs and cats with immunohistological

precipitates using virus-specific antibodies

Dirk Schaudien, Stephanie Schwab, Sonja Linke, Frank Seeliger, Georg Pauli, Wolfgang Baumgärtner, Christiane Herden

To cite this version:

Dirk Schaudien, Stephanie Schwab, Sonja Linke, Frank Seeliger, Georg Pauli, et al.. Lack of de- tectable West Nile virus RNA in brains and kidneys of dogs and cats with immunohistological pre- cipitates using virus-specific antibodies. Veterinary Microbiology, Elsevier, 2008, 132 (1-2), pp.171.

�10.1016/j.vetmic.2008.05.007�. �hal-00532430�

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Accepted Manuscript

Title: Lack of detectable West Nile virus RNA in brains and kidneys of dogs and cats with immunohistological precipitates using virus-specific antibodies

Authors: Dirk Schaudien, Stephanie Schwab, Sonja Linke, Frank Seeliger, Georg Pauli, Wolfgang Baumg¨artner, Christiane Herden

PII: S0378-1135(08)00187-9

DOI: doi:10.1016/j.vetmic.2008.05.007

Reference: VETMIC 4035

To appear in: VETMIC Received date: 28-12-2007 Revised date: 24-4-2008 Accepted date: 5-5-2008

Please cite this article as: Schaudien, D., Schwab, S., Linke, S., Seeliger, F., Pauli, G., Baumg¨artner, W., Herden, C., Lack of detectable West Nile virus RNA in brains and kidneys of dogs and cats with immunohistological precipitates using virus-specific antibodies,Veterinary Microbiology(2007), doi:10.1016/j.vetmic.2008.05.007

This is a PDF file of an unedited manuscript that has been accepted for publication.

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Accepted Manuscript

Short communication 1

2

Lack of detectable West Nile virus RNA in brains and kidneys of dogs and cats with 3

immunohistological precipitates using virus-specific antibodies 4

5 6 7 8

Dirk Schaudiena, Stephanie Schwaba, Sonja Linkeb, Frank Seeligera, Georg Paulib, 9

Wolfgang Baumgärtnera*, Christiane Herdena 10

11 12

a Department of Pathology, University of Veterinary Medicine Hannover, Bünteweg 13

17, D-30559 Hannover, Germany 14

b Centre for Biological Safety (ZBS 1), Robert Koch-Institut, Nordufer 20, D-13353 15

Berlin, Germany 16

17 18 19

Keywords: immunohistology, molecular mimicry, RT-PCR, West Nile virus 20

21 22 23

*Corresponding author and reprint request 24

Wolfgang Baumgärtner 25

Department of Pathology 26

University of Veterinary Medicine Hanover 27

Bünteweg 17 28

D-30559 Hannover, Germany 29

Phone: ++49 (0)511 953 8620

30

Fax: ++49 (0)511 953 8675

31

E-mail: wolfgang.baumgaertner@tiho-hannover.de 32

Manuscript

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Accepted Manuscript

Abstract 33

Five dogs and four cats from Germany suffering from encephalitis revealed positive 34

immunoreactivity using two West Nile virus (WNV) specific monoclonal antibodies in 35

brain and in kidney. However, WNV infection could not be confirmed by additional 36

PCR analyses. This study indicated that positive immunoreactivity for WNV in dogs 37

and cats must be interpreted cautiously and should be confirmed by a second virus 38

specific technique.

39

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Accepted Manuscript

1. Introduction 40

West Nile virus (WNV), a flavivirus originally isolated in the West Nile destrict of 41

Uganda (Schmithburn et al., 1940), has become an important cause of disease in 42

birds, humans and horses (Eidson et al., 2001; Komar, 2000; Ostlund et al., 2001) in 43

Africa, Asia and the USA (Cantile et al., 2001). In Europe, cases of WNV-infection 44

have been described in humans and/or animals in Spain, France, Italy, 45

Romania, the Czech Republic and recently in Hungary (Cernescu et al., 1997;

46

Cantile et al., 2000; Durand et al., 2002, Del Giudice et al., 2004; Bankonyi et al., 47

2005; Bankonyi et al., 2006; Kaptoul et al., 2007). Though no cases of WNV have 48

been reported in Germany so far (Müller et al., 2006), an increasing incidence of 49

other emerging diseases has been noticed in central Europe in recent years 50

including Leishmaniasis and blue tongue virus infections (Ferroglio et al., 2006;

51

Wilson et al., 2007). Though dogs displayed rarely clinical signs they are 52

commonly infected in West Nile Virus endemic and epidemic regions as shown 53

by serological investigations (Komar et al., 2001). Therefore, WNV-infection in 54

dogs and maybe in cats must be considered as a differential diagnosis in cases of 55

unknown etiology.

56

2. Materials and methods 57

Five dogs (no. 1 to 5) and four cats (no. 6 to 9), between one and nine years of 58

age, displayed neurological disorders due to a meningoencephalitis (Table 1).

59

Morphological and clinical findings have been described in detail recently 60

(Schwab et al., 2007). Formalin-fixed and paraffin-embedded brain and kidney 61

tissue of these animals were available for further investigations. Equally 62

treated brain tissue from a WNV-infected daw (no. 10; kindly provided by Arno 63

Wünschmann, University of Minnesota, USA) served as positive control.

64

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Immunohistochemistry was performed using two different murine monoclonal 65

antibodies directed against the major envelope protein E (MEP-E; diluted 1 : 66

300; clone 3.67G; Millipore Corporation, Germany) and the non-structural 67

protein 1 (NSP-1; diluted 1 : 400; 3.1112G; Millipore Corporation) as described 68

(Hall, 2000; Schwab et al., 2007). Briefly, after pre-treatment with pronase E and 69

incubation with the primary antibody a biotin-conjugated goat-anti-mouse 70

antibody (Vector Laboratories Inc., Burlingame, USA) was applied. The antigen- 71

antibody complex was visualized using the avidin-biotin-complex (ABC) 72

method (Vector Laboratories Inc., Burlingame, USA). Tissue sections were 73

counterstained with Mayer´s hematoxylin.

74

Furthermore, two different RT-PCR techniques, a conventional PCR and a TaqMan 75

real-time RT-PCR assay, were performed. Briefly, RNA was extracted from 10 76

sections of 10 µm thickness of paraffin-embedded brain and kidney tissue of all 77

animals using Trizol® reagent as described (von Smolinski et al., 2005) and purified 78

using the RNeasy Minikit (Qiagen, Hilden, Germany) following the protocols of the 79

manufacturer. After a digestion step with DNase I (Qiagen, Hilden, Germany), RNA 80

was resuspended in 30µl of RNase-free water. For reverse transcription, the 81

Omniskript RT kit (Qiagen, Hilden, Germany) was used (Schaudien et al., 2007).

82

Polymerase chain reaction (PCR) was performed according to Lanciotti et al. (2000) 83

using WNV-specific primers (genebank accession nr.: AF196835; forward primer:

84

tcagcgatctctccaccaaag, position 1160-1180; reverse primer: gggtcagcacgtttgtcattg, 85

position 1209-1229) predominantly detecting the WNV-New York strain (WNV 86

lineage 1). As internal positive control for successful RNA extraction and reverse 87

transcription, the reference gene GAPDH was amplified with specific primers 88

(genebank accession nr.: AB038240; forward primer: gtcatcaacgggaagtccatctc, 89

position 196-218; reverse primer: aacatactcagcaccagcatcac, position 257-279; von 90

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Smolinski et al., 2005). In addition, real-time RT-PCR was performed to detect WNV 91

lineage 1 and 2 as recently described (Linke et al., 2007a).

92

3. Results and Discussion 93

Histologically, a moderate to severe granulomatous, pyogranulomatous or 94

lymphohistiocytic meningoencephalitis with occasionally associated necrosis 95

affecting the grey and white matter was observed (for details see Table 1).

96

Immunohistochemically, WNV specific immunoreactivity was found in the cytoplasm 97

of various cell types including neurons, macrophages, astrocytes and microglia 98

(Table 1; Fig. 1). Additionally, two cats (no. 6 and 7) showed a strong 99

immunoreaction in neutrophils. In all investigated dogs and cats, an 100

immunohistochemical reaction was observed using the anti-MEP-E-antibody (Table 101

1). Surprisingly, after application of the anti-NSP-1-antibody, the brain of one dog 102

(no. 1) remained negative. In one dog (no. 5) and three cats (no. 7 – 9), few positive 103

proximal tubular epithelial cells, glomerular cells and macrophages were found in the 104

kidney using one or both antibodies (Fig. 2). A positive immunoreactivity was also 105

found with both antibodies in the brain and kidney of the WNV-infected daw (no. 10;

106

Table 1).

107

Both WNV RT-PCR assays revealed negative results for all brain and kidney 108

samples of all dogs and cats (Table 1). However, the reference gene GAPDH was 109

successfully amplified in brain and kidney samples of all dogs and cats. As 110

expected a positive WNV signal of 70bp was amplified from the avian brain 111

sample by conventional RT-PCR and 174.4 copy numbers of WNV/5µl cDNA 112

were measured in the real-time RT-PCR (Table 1).

113

In summary, the animals used in this study showed a positive immunoreactivity for 114

WNV using two different virus specific monoclonal antibodies in the brain and kidney.

115

However, these findings could not be substantiated using two different WNV specific 116

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RT-PCR assays. Since it was possible to amply the housekeeping gene in all 117

brains and kidneys investigated it seems rather unlikely that the lack of WNV 118

RNA amplification is due to RNA decay in these samples. However, differential 119

decay of different RNA species and thereby causing a false negative result 120

cannot be excluded completely.

121

In WNV endemic regions, dogs and cats are occasionally infected without developing 122

clinical signs (Blackburn et al., 1989; Lichtensteiger et al., 2003). In Europe, only 123

time- and region-limited WNV outbreaks in Eastern and Southern Europe have been 124

noted so far (Cantile et al., 2000; Durand et al., 2000; Hubalek and Halouzka, 1999).

125

It is assumed that migrating birds are the responsible host for the introduction of 126

WNV to Europe (Rappole and Hubalek, 2003; Zeller and Schuffenecker, 2004). An 127

investigation of birds in Germany revealed a low number of serologically positive 128

avians (Linke et al., 2007b). Therefore, individual WNV-infections of other animals in 129

Germany might occasionally occur in principle. However, the risk for a WNV- 130

epidemic in Northern Europe remains low (Gould, 2003). Climatic changes leading to 131

different mosquito populations might nevertheless increase the risk of a WNV- 132

epidemic in these regions. Although it cannot be ruled out that the animals in this 133

report might represent the first cases of WNV-infection in Germany, findings must be 134

judged carefully and cautious interpretation is required due to the lack of WNV 135

specific RNA.

136

WNV RNA has been detected in other cases of WNV-infection in dogs using 137

formalin-fixed material (Lichtensteiger et al., 2003; Read et al., 2005). However, 138

surprisingly, WNV-antigen was not detected by immunohistochemistry in the brain by 139

applying a polyclonal WNV specific antibody in these reports. Polyclonal WNV- 140

specific antibodies often cross-react with other flaviviruses (Chvala et al., 2004;

141

Kelley et al., 2003; Steele et al., 2000), whereas the monoclonal antibodies specific 142

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for the MEP-E and NSP-1 antigen used in this study showed cross reactivity with 143

Kunjin virus, a subtype of the WNV lineage 1 (Hall, 2000; Scherret et al., 2001).

144

Both antibodies used in the present study are frequently used for diagnostic 145

purposes including the epitope-blocking enzyme-linked immunosorbent assay in 146

different investigations (Blitvich et al., 2003). However, we are not aware of any 147

report that mentions the potential cross-reactivity with tissue antigens. Moreover, the 148

affected animals did not react positively for tick-borne encephalitis virus antigen using 149

a polyclonal antibody which cross-reacts with other flaviviruses (Schwab et al., 2007).

150

Therefore, we assume that the immunohistochemical precipitates obtained by the 151

WNV-specific antibodies were most likely due to molecular mimicry, a phenomenon 152

reported for various viruses including Japanese encephalitis virus, which belongs to 153

the Flaviviridae (Oldstone, 1998; Sheshberadaran and Norrby, 1984). In addition, the 154

inflammatory changes of the affected animals in this study consisted of 155

granulomatous and pyogranulomatous reactions. The latter have not been described 156

in context with West Nile virus infection. However, similar changes are reported in 157

the dog as an entity termed idiopathic granulomatous meningoencephalitis (GME;

158

Kipar et al., 1998). A disease complex of unknown etiology. Pathogenetically a 159

delayed type hypersensitivity reactions has been assumed. This further underlines 160

the assumption that the immunohistologically recognizable precipitates are not due to 161

a viral antigen-antibody specific reaction but rather a sequel of molecular mimicry of 162

host derived antigens. However, it remains to be investigated whether both 163

antibodies targeting different peptides of WNV can bind to similar or different 164

cellular antigens. This could explain both similarities and differences in the 165

immunoreactivity pattern of both antibodies (Table 1).

166

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In conclusion, immunoreactivity obtained by WNV-specific monoclonal antibodies in 167

dogs and cats must be interpreted cautiously and needs to be substantiated by other 168

techniques such as RT-PCR.

169 170

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Figure Legends:

276 277

Fig. 1. Immunhistochemical reaction of West Nile virus specific non-structural protein 278

1 antibody in the brain of a dog (animal no. 4).

279

Positive precipitates in the cytoplasm of neurons (arrows), avidin-biotin- 280

complex (ABC) method, NSP- 1 antibody 281

282

Fig. 2. Immunhistochemical reaction of West Nile virus specific major envelope 283

protein E antibody in the kidney of a cat (animal no. 7).

284

Positive precipitates in cells of renal glomerula, avidin-biotin-complex (ABC) 285

method, MEP- E antibody 286

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Figure

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Figure

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Table 1: Summarized histological, immunohistological and RT-PCR findings in dogs and cats with immunoprecipitates in brain and kidneys after incubating with West-Nile specific antibodies

Immunohistochemistry RT-PCT

animal Histopathology MEP-E antibody NSP-1 antibody conventional real-time

no. species of brain brain kidney brain kidney brain kidney brain kidney

1 dog moderate, multifocal, lymphohistiocytic to granulomatous,

perivascular meningoencephalitis

cytoplasm of neurons and macrophages

/microglia

- - - - - - -

2 dog severe, multifocal, granulomatous to

necrotizing meningoencephalitis cytoplasm of

pyramidal cells - cytoplasm of pyramidal cells and macrophages

/microglia - - - - -

3 dog

severe, periventricular, granulomatous encephalitis and mild,

multifocal, lymphoplasmacytic chorioditis

cytoplasm of

pyramidal cells - cytoplasm of pyramidal cells and macrophages

/microglia - - - - -

4 dog severe, multifokal, granulomatous encephalitis in the brain stem with

mild, multifocal necrosis

cytoplasm of pyramidal cells

and macrophages

/microglia

- cytoplasm of

macrophages/microglia

and neurons - - - - -

5 dog severe, multifocal, perivascular, lymphohistiocytic encephalitis with

necrosis in the hippocampus

cytoplasm of

macrophages cytoplasm of tubular cells

cytoplasm of macrophages

/microglia and neurons - - - - -

Table

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6 cat

moderate, pyogranulomatous chorioditis and moderate, multifocal

to coalescing pyogranulomatous, periventricular encephalitis

cytoplasm of macrophages

and neutrophilic granulocytes

-

cytoplasm of macrophages,

neutrophilic granulocytes, astrocytes, microglia

and neuron

- - - - -

7 cat

mild, focal, lymphocytic polioencephalitis and severe vacuolization of the white substance of the cerebrum and severe neuronal

necrosis

cytoplasm of macrophages

and neutrophilic granulocytes

glomerula

cytoplasm of macrophages,

neutrophilic granulocytes and

pyramidal cells

- - - - -

8 cat severe, fokal, fibrinous to neutrophilic meningitis and severe, neuronal

necrosis in the hippocampus

cytoplasm of astrocytes

cytoplasm of macrophages

and in glomerula

cytoplasm of astrocytes, macrophages/microglia

and neurons

cytoplasm of

macrophages - - - -

9 cat

moderate to severe, multifocal, pyogranulomatous encephalitis predominantly in the brain stem and

mild, pyogranulomatous meningitis

cytoplasm of neutrophilic granulocytes

cytoplasm of macrophages

and in glomerula

cytoplasm of neurons, astrocytes and

macrophages /microglia

cytoplasm of

macrophages - - - -

10 daw n.d. cytoplasm of

neurons

cytoplasm of tubular cells

and in glomerula

cytoplasm of neurons

cytoplasm of tubular cells

and in glomerula

+ nd 174 nd

No.: animal number; conventional RT-PCR was performed according to Lanciotti et al., 2000; real-time RT-PCR was performed according to Linke et al., 2007a; n.d.: not determined; -: negative result; +: positive result; 174: 174.4 copy numbers of WNV/5µl cDNA

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Evidence of circulation of West Nile virus in Culex pipiens mosquitoes and horses in Morocco.. Najlaa Assaid, Laurence Mousson, Sara Moutailler, Soukaina Arich, Khadija Akarid,

We conducted extensive surveillance for West Nile virus infection in equines and chickens in Guadeloupe in 2003–2004.. We showed a high seroprevalence in equines in 2003 related

The results of the survey undertaken in December 2002 to January 2003 in equine centers where positive animals were detected in July 2002 indicated a high rate of WNV seroconversion

West Nile virus- related disease in humans and horses is still being reported from the USA and lately confirmed human cases have been reported from France [56].. Further- more,

Similarly, 6 (8.2%) of the 73 horses that were annually immu- nized with the inactivated vaccine that were seropositive in April were seroneg- ative in November, 2005, and 2 (50%) of