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Preview 2016 Molecular Detection of Animal Viral Pathogens __ Bovine Coronavirus

317 35 Bovine Coronavirus Dongyou Liu 35.1 INTRODUCTION Bovine coronavirus (BCoV) is a single-stranded, positive- sense RNA virus implicated in three distinct clinical syn- dromes in cattle: (1) calf diarrhea (CD), (2) winter dysentery (WD) with hemorrhagic diarrhea in adults, and (3) bovine respiratory disease complex (BRDC) or shipping fever of feedlot cattle. Given its common occurrence in dairy and beef cattle farms worldwide and its negative impact on milk pro- duction in dairy herds and weight gain in calves and adult cattle, considerable efforts have been made in recent years toward the elucidation of BCoV’s genetic characteristics, epidemiology, transmission, clinical features, pathogenesis, diagnosis, treatment, and prevention. 35.1.1 ClassifiCation Coronaviruses are enveloped, single-stranded, positive- sense RNA viruses classified in the family Coronaviridae, order Nidovirales. Of the two subfamilies within the family Coronaviridae, the subfamily Coronavirinae is separated into four genera, Alphacoronavirus and Betacoronavirus naturally occur- ring in bats and Deltacoronavirus and Gammacoronavirus resid- ing primarily in birds and pigs, while the subfamily Torovirinae is divided into two genera, Bafinivirus and Torovirus, being present in fish and mammals (causing gastroenteritis in mammals such as cattle, horses, and pigs, but rarely humans), respectively [1]. Currently, the genus Alphacoronavirus consists of at least 16 species: transmissible gastroenteritis virus, porcine respira- tory CoV, canine CoV, feline infectious peritonitis virus, mink CoV, rhinolophus bat CoV HKU2, miniopterus bat CoV 1A, miniopterus bat CoV 1B, miniopterus bat CoV HKU8, human CoV 229E (HCoV-229E), human CoV NL63 (HCoV-NL63), porcine epidemic diarrhea virus (see Chapter 37), scotophi- lus bat CoV 512, hipposideros bat CoV HKU10, rousettus bat CoV HKU10, and mystacina tuberculata bat CoV [2]. The genus Betacoronavirus is divided into four lineages (A–D). Lineage A includes rabbit CoV HKU14, human CoV-OC43 (HCoV-OC43), porcine hemagglutinating encephalomyelitis virus (PHEV), dromedary camel corona- virus HKU23, canine respiratory CoV, bovine CoV, giraffe CoV, sable antelope CoV, equine CoV (ECoV), human CoV- HKU1 (HCoV-HKU1), murine hepatitis virus, rat CoV, and China Rattus coronavirus HKU24. Lineage B contains severe acute respiratory syndrome (SARS)-related palm civet CoV, SARS-associated human CoV, SARS-related Chinese ferret badger CoV, and SARS-related rhinolophus bat CoV HKU3. Lineage C comprises Middle East respiratory syndrome CoV (MERS-CoV), pipistrellus bat CoV HKU5, and tylonycteris bat CoV HKU4. Lineage D consists of rousettus bat corona- virus HKU9 [2–5]. The genus Deltacoronavirus contains wigeon CoV HKU20, common moorhen CoV HKU21, night heron CoV HKU19, bulbul CoV HKU11 (type species), munia CoV HKU13, mag- pie–robin CoV HKU18, thrush CoV HKU12, white-eye CoV HKU16, porcine CoV HKU15, and sparrow CoV HKU17 [2]. The genus Gammacoronavirus consists of infectious bron- chitis virus (IBV), partridge CoV (IBV-partridge), turkey CoV, peafowl CoV (IBV-peafowl), beluga whale CoV SW1, and bottlenose dolphin CoV HKU22 [2]. CONTENTS 35.1 Introduction ......................................................................................................................................................................317 35.1.1 Classification.........................................................................................................................................................317 35.1.2 Morphology and Genome Organization...............................................................................................................318 35.1.3 Biology and Epidemiology ...................................................................................................................................318 35.1.4 Clinical Features and Pathogenesis ......................................................................................................................319 35.1.4.1 CD (calf scours) .....................................................................................................................................319 35.1.5 Diagnosis ..............................................................................................................................................................319 35.1.6 Treatment and Prevention.................................................................................................................................... 320 35.2 Methods ........................................................................................................................................................................... 320 35.2.1 Sample Preparation.............................................................................................................................................. 320 35.2.2 Detection Procedures........................................................................................................................................... 320 35.2.2.1 Conventional RT-PCR........................................................................................................................... 320 35.2.2.2 Real-Time RT-PCR............................................................................................................................... 321 35.3 Conclusion ....................................................................................................................................................................... 321 References................................................................................................................................................................................. 321 318 Molecular Detection of Animal Viral Pathogens The genus Bafinivirus contains a single species white bream virus and the genus Torovirus consists of equine toro- virus (type species; formerly Berne virus), human torovirus, porcine torovirus, and bovine torovirus (BoTV; formerly Breda virus, BRV). Of particular relevance, BoTV is a kidney-shaped virus associated with diarrhea in calves world- wide (see Chapter 38) [1]. Interestingly, although coronaviruses in the subfamily Coronavirinae do not usually produce clinical symptoms in their natural hosts (bats and birds), accidental transmission of these viruses to humans and other animals may result in respiratory, enteric, hepatic, or neurologic diseases of variable severity. Coronaviruses that have been shown to cause dis- eases in humans include HCoV-229E (alphacoronavirus 1b), HCoV-NL63 (alphacoronavirus 1b), HCoV-OC43 (betacoro- navirus 2a), HCoV-HKU1 (betacoronavirus 2a), SARS-HCoV (betacoronavirus 2b), and MERS-CoV (betacoronavirus 2c) [2]. Belonging to Lineage A, genus Betacoronavirus, subfamily Coronavirinae, and family Coronaviridae, BCoV consists of a single serotype that encompasses a diversity of strains/isolates (e.g., BCoV Bubalus, BCoV cow, BCoV alpaca, bovine enteric coronavirus, bovine respiratory coronavirus, human enteric coronavirus 4408, sambar deer coronavirus, waterbuck coro- navirus, and white-tailed deer coronavirus) that demonstrate genetic and antigenic proximities to HCoV-OC43, PHEV, and ECoV. Besides inducing diarrhea in newborn calves, WD with hemorrhagic diarrhea in adult cattle, and respiratory tract infections in calves and feedlot cattle, BCoV has the capacity to cause transboundary infection/disease in buffalos, lamas, alpacas, deer, and giraffes [6]. Phylogenetic examination of BoCV isolates reveals the existence of two genomic clades (1 and 2). While reference enteric BoCV strains and a vaccine strain belong to clade 1, BCoV from respiratory tract, nasal swab, and bronchoalveolar washing fluids belongs to clade 2. In addition, the respiratory isolates from Oklahoma are further separated into three sub- clades, 2a, 2b, and 2c [7,8]. 35.1.2 Morphology and genoMe organization BCoV possesses an enveloped, pleomorphic/spherical virion of 65–210 nm in diameter, with a double layer of short (hem- agglutinin) and long (spike) surface projections, the lat- ter of which appear club-shaped and measure about 20 nm in length. The lipoprotein envelope carries four structural proteins: membrane (M) glycoprotein, spike (S) glycoprotein, hemagglutinin–esterase (HE) glycoprotein, and small enve- lope (E) protein. Beneath the envelope is a flexible and helical nucleocapsid formed by nucleoprotein (N) in association with the viral genome. The genome of BCoV is a linear, nonsegmented, single- stranded, positive-sense RNA of 31,028 nt and includes 13 open reading frames (ORFs) flanked by 5′- (nt 1–210) and 3′- (nt 30,740–31,028) untranslated regions (UTRs). Its 5′-UTR is capped, and its 3′-UTR contains a polyadenylated tail. Some over- lappings are observed in ORF1a (nt 211–13,362, including stop codon) and ORF1b (13,332–21,494); ORF4 (S, 23,641–27,732) and ORF5 (Ns “4.9 kDa”, 27,722–27,811); ORF7 (Ns “12.7 kDa”, 28,106–28,435) and ORF8 (E, 28,422–28,676); and ORF10 (N, 29,393–30,739) and ORF11 (I, 29,454–30,077). Intergenic sequences are identified in ORF1b and ORF2 (Ns 32 kDa, 21,504–22,340); ORF2 and ORF3 (HE, 22,352–23,626); ORF3 and ORF4; ORF5 and ORF6 (Ns “4.8 kDa”, 27,889–28,026); ORF6 and ORF7; ORF8 and ORF9 (M, 28,691–29,383); and ORF9 and ORF10] [9]. Comparison of genome sequences of two field isolates of BCoV, representing respiratory (BCoV-R) and enteric (BCoV-E) strains, respectively, revealed differences in 107 out of 31,028 positions, scattered throughout the genome except the 5′-UTR. Differences in 25 positions are nonsyn- onymous, leading to 24 amino acid changes in all proteins except pp1b. The remaining 82 nucleotide differences do not cause amino acid changes, although they might modu- late phenotypic properties by affecting the RNA structure and/or RNA interaction(s). Six replicase mutations are identi- fied within or immediately downstream of the predicted larg- est pp1a-derived protein, p195/p210. It is possible that single amino acid changes within p195/p210 as well as within the S glycoprotein may have contributed to the different pheno- types of the BCoV isolates [9]. Of the five structural proteins (nucleocapsid [N], trans- membrane, small envelope [E], hemagglutinin–esterase [HE], and spike [S] proteins) encoded by the BCoV genome, the N protein (50 kDa) is highly conserved and offers an ideal target for molecular diagnostic application; the surface HE gly- coprotein (120–140 kDa) acts a receptor destroying enzyme (esterase) to reverse hemagglutination; and the outer surface S glycoprotein (190 kDa, 1363 aa) forms large club (petal)- shaped spikes on the surface of the virion. Cleavage of the S protein by an intracellular protease between aa 768 and 769 results in a variable S1 N-terminal domain (subunit) and a more conserved S2 C-terminal domain (subunit). The S1 subunit is involved in virus binding to host–cell receptors, induction of neutralizing antibody expression, and hemagglu- tinin activity. With a highly variable/mutable sequence, the S1 is associated with changes in antigenicity, tissue tropism, viral pathogenicity, and host range [10]. Indeed, a single amino acid change (A528V) within the BCoV S1 subunit has been shown to confer resistance to VN [11]. The S2 is the transmembrane subunit with a critical role in the mediation of fusion between viral and cellular membranes. Interestingly, no consistent differences are observed in the full-length S gene between BCoV strains causing respiratory and enteric diseases [12]. 35.1.3 Biology and epideMiology BCoV has a predilection for intestinal and pulmonary epi- thelial cells. First recognized as enteric pathogens (BCoV-E) in association with CD and WD in adult cattle, BCoV was also identified as respiratory pathogens (BCoV-R) in associa- tion with BRDC or shipping fever of feedlot cattle. Although BCoV strains causing enteric (BCoV-E) or respiratory (BCoV-R) infection may show distinct biological properties and host cell tropism, they are closely related antigenically Downloaded by [Swinburne University of Technology - Australia] at 12:13 02 October 2016 319 Bovine Coronavirus and genetically [13–17]. In fact, some BCoV strain may cause simultaneous enteric and respiratory tract infections. Transmission of BCoV is mainly through fecal–oral and respiratory (aerosol) routes. As in the case of BRDC, BCoV may enter the host via aerosol and undergo initial and exten- sive replication in the nasal mucosa. Following ingestion of mucus secretions containing large quantities of infectious virus with protective coating, cattle with respiratory infec- tion may develop gastrointestinal symptoms such as diarrhea. Clinically or subclinically infected calves and young adult cattle function as reservoirs for BCoV in the herd, with spo- radical shedding of the virus in feces and nasal secretions [18]. BCoV has a widespread presence in both dairy and beef cattle. WD has been described in Europe, North America, and East Asia, with a peak incidence in winter, while CD and ship- ping fever are found in various regions of the world [19–21]. Although BCoV outbreaks typically occur in autumn and win- ter, severe cases of infection in adult cattle may also emerge in warmer seasons. Economic losses due to BCoV infection are attributable to dramatic reduction in milk yield in dairy herds and loss of body condition in both calves and adults, with death being a not uncommon outcome for affected calves. Unlike many other coronaviruses that have restricted host ranges, BCoV has the ability to cause transboundary infec- tions. This is evidenced by the findings that bovine-like CoV is present in sambar deer (Cervus unicolor), white-tailed deer (Odocoileus virginianus), waterbuck (Kobus ellipsiprymnus), elk (Cervus elephus), caribou (Rangifer tarandus), giraffe, water buffalo calves, alpacas, and dogs [22–27], and that bovine-like CoV is implicated in deer and waterbuck with bloody diarrhea resembling WD in cattle. Furthermore, isolation of a BCoV- like human enteric coronavirus-4408/US/94 from a child with acute diarrhea highlights the public health impact of BCoV. As an enveloped virus, BCoV is sensitive to detergents and lipid solvents such as ether and chloroform. It is also inacti- vated by conventional disinfectants, formalin, and heat [28]. 35.1.4 CliniCal features and pathogenesis With an incubation of 3–8 days, BCoV is implicated in enteric disease in newly born calves (CD) and adult cattle (WD) as well as respiratory tract infections of growing calves and shipping fever pneumonia in feedlot cattle. Although BCoV infection rarely causes death, its morbidity can be as high as 100%, contributing to sudden and dramatic reduction in milk production and loss of body weight. 35.1.4.1 CD (calf scours) BCoV infection in calves between the ages of 1 and 3 weeks often produces gastrointestinal signs such as profuse diarrhea (watery yellow, gray, or greenish containing blood or mucus), dehydration, depression, weakness, weight loss, anorexia, con- vulsions, and sometimes death. Notable lesions include colon villous atrophy. Some calves (2–6 months of age) may develop respiratory infection with a serous to purulent nasal dis- charge, coughing, rhinitis, pneumonia, fever, and inappetence, often with concurrent diarrhea. Sporadic shedding of virus in nasal secretions and feces may begin 5 days after infection. Secondary bacterial infections with other common respiratory viruses (e.g., bovine rotavirus A), bacteria, and mycoplasms may exacerbate clinical signs [2,29]. WD with hemorrhagic diarrhea in adults: BCoV infec- tion in adults is normally subclinical, although it may cause WD outbreaks in housed cattle over the winter months, with a sudden onset of semiliquid, often hemorrhagic diarrhea, leading to severe anemia, marked drop in milk production in dairy herds, and death. Histopathologically, loss of surface epithelial cells and necrosis of crypt epithelial cells in the large intestine containing detectable virus particles are noted [30–32]. BRDC or shipping fever: BCoV infection in young adult feedlot cattle (6–10 months of age) may develop fever, cough- ing, dyspnea, rhinitis, bronchopneumonia, anorexia, diarrhea, and weight loss, accompanied by necrotizing lung lesions (e.g., interstitial emphysema, bronchiolitis, and alveolitis). Death of infected cattle may occur as a result of necrotizing pneumonia. Shedding of respiratory BCoV in nasal secre- tions and feces begins 4–10 days after infection, with nasal shedding consistently preceding fecal shedding. Interestingly, cattle with relatively high respiratory BCoV antibody ELISA titers or neutralizing antibodies in serum are less likely to shed respiratory BCoV [33,34]. The pathogenesis of BCoV-induced diarrhea lies in its ability to destroy surface epithelial cells of the intestinal villi in both the small and large intestines, with remarkable loss of absorptive capacity, increase in the gut fluid volume, and osmotic imbalance. This contributes to rapid loss of water and electrolytes, hypoglycemia, lactic acidosis, hypervol- emia, acute shock, cardiac failure, and death. The severity of the disease is influenced by the host age, nutritional and immune status, virus load, stresses, and copresence of other pathogenic organisms. For example, the onset of BRDC may be linked to coinfection with bovine respiratory syncytial virus, parainfluenza-3 virus, bovine herpesvirus, and bovine viral diarrhea virus that have the capacity to sabotage host’s immune mechanisms. In addition, long-distance shipping with cattle from multiple feedlots may create physical stresses that compromise host’s immune defense against BCoV and other pathogens, and also increase exposure of cattle to high concentrations of new pathogens not previously encountered. Chemotherapy (e.g., corticosteroids and dexamethasone) may reduce the numbers of cells (CD4 and CD8 T cells) and levels of cytokines that directly impact on host immune fitness. 35.1.5 diagnosis BCoV is associated with CD, WD in adults, and BRDC (ship- ping fever). Diagnosis of BCoV infection requires differentia- tion from other diseases with similar symptoms. For example, bovine rotavirus A (BRV), Escherichia coli, Salmonella enterica, Giardia intestinalis, and Cryptosporidium parvum are known to cause diarrhea in calves, while Mannheimia haemolytica, Pasteurella multocida, Histophilus somni, Downloaded by [Swinburne University of Technology - Australia] at 12:13 02 October 2016 320 Molecular Detection of Animal Viral Pathogens Arcanobacterium pyogenes, and Mycoplasma are often involved in bovine respiratory disease [35,36]. Although a presumptive diagnosis can be made on the basis of history and clinical signs, definitive diagnosis of BCoV infection relies on laboratory confirmation of the pres- ence of virus particles/antigens and antiviral antibodies in nasal secretions, feces, and tissues. Virus isolation using the G clone of human rectal tumor (HRT)-18 cells, or Vero cells, provides a useful way to diag- nose BCoV infection [37]. Electron microscopy allows direct observation of BCoV particles in feces and other samples. Typically, 5 g of feces is resuspended in 25 mL of phosphate buffered saline (PBS) and centrifuged at 5000 × g for 20 min. The clarified super- natant (12 mL) is centrifuged again at 100,000 × g for 1 h, and the resultant pellet is resuspended in 1 mL of water. Then, 5 µL of sample is mixed with 5 µL of 2% phosphotungstic acid (pH 6.9), and 1 µL of the mixture is applied to the center of a 300-mesh grid. The sample is side blotted with a piece of torn filter paper to remove the majority of the sample, thus leaving a fine layer to air dry. Samples are examined under a microscope at 30,000× magnification [10]. Serological assays such as direct fluorescent antibody test, virus neutralization (VN), hemagglutination inhibition, and enzyme-linked immunosorbent assay (ELISA) enable detec- tion of viral antigens and antiviral antibodies in nasal secre- tions, feces, serum, and frozen or paraffin-embedded tissues (trachea, lung, ileum, and colon) [10]. Nucleic acid amplification techniques such as PCR allow sensitive detection of viral nucleic acids directly from clinical specimens [38–46]. In particular, real-time reverse transcription (RT)-PCR targeting conserved regions of the BCoV genome (polymerase or N protein) facilitates rapid detection of divergent strains [47,48]. In addition, sequence analysis of the S gene facilitates subtyping of BCoV strains causing intestinal and respiratory infections [49–53]. 35.1.6 treatMent and prevention Treatments of animals with BCoV infections are largely aimed at alleviation of clinical symptoms, including intravenous fluid therapy and provision of adequate colostrum intake in newborn calves. In addition, isolation of calves with diarrhea and ventila- tion of housing are helpful in reducing disease incidence. Control of BCoV-related diarrhea is possible by vaccinating calves on farm prior to shipping to auction barns or feedlots with a live vaccine (ATCvet code QI02). Although no vaccines are currently available to prevent BCoV-associated pneumonia in young calves or in the BRDC of feedlot cattle, there is evi- dence that intranasal (IN) vaccination of feedlot calves with a modified live BCoV calf vaccine on entry to a feedlot reduces the risk of treatment for BRDC in calves. In addition, IN administration of a BCoV CD strain induces cross-protection against field exposure to a respiratory BCoV [54,55]. Future research on the combined use of strains representing CD, WD, and respiratory isolates may open a way for a single broad- spectrum BCoV vaccine against BCoV infections [10]. 35.2 METHODS 35.2.1 saMple preparation Samples (feces, fecal swabs, and nasal swabs) are collected from suspected cases of gastrointestinal and/or respiratory tract infections. Swabs are placed immediately after collec- tion in 2 mL minimum essential media (MEM) containing 1000 U penicillin and 1 mg streptomycin. After transporta- tion on dry ice, samples are mixed by pulse-vortexing for 15 s, and swabs are discarded. Sample suspensions are diluted 1:10 in MEM and centrifuged at 5000 rpm for 15 min at 4°C. The clarified supernatants are transferred to sterile vials, and aliquots of 140 μL are separated for RNA extraction using QIAamp Viral RNA Extraction Kit (Qiagen). Fecal suspensions (approximately 0.1 g of feces or 100 µL in 1 mL 1× PBS, pH 7.5–8.0) are mixed for 1 min at 15 Hz on a tissue lyser. Fecal suspension of 50 µL is mixed with 400 µL of lysis solution, 1 µL of carrier RNA (1 µg/µL), and 1 µL of exogenous internal positive control (XIPC) RNA (at 10,000 copies/µL) for 5 min at 15 Hz and centrifuged at 20,000 × g for 3 min to generate the clarified lysate. The clarified lysate (350 µL) is transferred to a 96-well, deep-well plate containing 20 µL of magnetic bead mix (10 µL of lysis/ binding enhancer and 10 µL of RNA binding beads), and 200 µL of isopropa- nol is added. The plate is loaded onto an automated magnetic particle processor for nucleic acid purification: lysis/binding for 5 min, one 2 min wash 1, one 2 min wash 2, 1 min dry step, and a 3 min heated elution step at 70°C. Purified nucleic acid is then denatured at 95°C for 5 min in a thermal cycler to denature the double-stranded BRV RNA for RT-PCR. Alternatively, feces are diluted in nuclease-free water (Promega) at a ratio of 3:1 (v/v), and suspensions are centrifuged at 5000 × g for 10 min at 4°C. RNA is extracted from 250 μL of supernatant recovered using the TRIzol Reagent (Invitrogen), and the RNA pellet is diluted in 30 μL of nuclease-free water (Promega). Tissues from the upper respiratory tract (nasal, pharyngeal tissues, trachea) and lung, and tissues from the distal small intestine and colon may be collected from suspect necropsied disease cases. RNA is extracted from these tissues by using Qiagen RNeasy Kit. 35.2.2 deteCtion proCedures 35.2.2.1 Conventional RT-PCR Erles et al. [56] reported a gel-based RT-PCR for the detection of BCoV RNA in clinical samples with prim- ers from the spike-protein gene (Sp1: 5′-CTTATAAGT GCCCCCAAACTAAA-3′, nt 25,277–25,300 and Sp2: 5′-CC TACTGTGAGATCACATGTTTG-3′, nt 25,876–25,898), which generate a specific product of 622 bp. RT-PCR is conducted with SuperScript™ One-Step RT-PCR Kit (Invitrogen) using the following cycling pro- gram: RT at 50°C for 30 min, inactivation of Superscript II RT at 94°C for 2 min, and 45 cycles of 94°C for 30 s, 55°C for 30 s, and 68°C for 30 s, with a final extension at 68°C Downloaded by [Swinburne University of Technology - Australia] at 12:13 02 October 2016 321 Bovine Coronavirus for 10 min. PCR products are separated by electrophoresis in 1.5% agarose gels and visualized under UV light after ethid- ium bromide staining [56,57]. 35.2.2.2 Real-Time RT-PCR Cho et al. [58] utilized primers BCVF and BCVR from the spike (S) gene sequence for specific detection of BCoV. The TaqMan probe BCVPb is labeled with 6-carboxyfluorescein (FAM) at the 5′ end and with a nonfluorescent quencher 1 (NFQ1) at the 3′ end (Table 35.1). RT-PCR mixture (25 μL) is prepared with AgPath-ID™ Multiplex RT-PCR Kit (Applied Biosystems), containing 5 μL extracted template, 500 nM each of BCVF and BCVR, and 150 nM BCVPb. Amplification and detection are carried out on an auto- mated real-time PCR system (Smart Cycler® II, Cepheid, Inc.) with the following cycling parameters: 50°C for 30 min, 95°C for 15 min, and 35 cycles of 94°C for 15 s and 60°C for 60 s. Samples with a Ct of 35 cycles or less are considered positive. 35.3 CONCLUSION With a specific tropism for intestinal and pulmonary epithe- lial cells, BcoV is associated with CD, WD in adult cattle, and respiratory distresses in cattle of all ages. 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