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Differential virulence of West Nile strains for American Crows.


Crow deaths were observed after West Nile virus West Nile virus, microorganism and the infection resulting from it, which typically produces no symptoms or a flulike condition. The virus is a flavivirus and is related to a number of viruses that cause encephalitis.  (WNV WNV West Nile Virus
WNV World Net Visions
) was introduced into North America North America, third largest continent (1990 est. pop. 365,000,000), c.9,400,000 sq mi (24,346,000 sq km), the northern of the two continents of the Western Hemisphere. , and this phenomenon has subsequently been used to monitor the spread of the virus. To investigate potential differences in the crow virulence of different WNV strains, American Crows were inoculated with Old World strains of WNV from Kenya and Australia (Kunjin) and a North American North American

named after North America.


North American blastomycosis
see North American blastomycosis.

North American cattle tick
see boophilusannulatus.
 (NY99) WNV genotype. Infection of crows with NY99 genotype resulted in high serum viremia viremia /vi·re·mia/ (vi-re´me-ah) the presence of viruses in the blood.

vi·re·mi·a
n.
The presence of viruses in the bloodstream.
 levels and death; the Kenyan and Kunjin genotypes elicited low viremia levels and minimal deaths but resulted in the generation of neutralizing antibodies capable of providing 100% protection from infection with the NY99 strain. These results suggest that genetic alterations in NY99 WNV are responsible for the crow-virulent phenotype and that increased replication of this strain in crows could spread WNV in North America.

**********

West Nile virus (WNV, Flaviviridae: Flavivirus) is maintained in nature by transmission between mosquitoes and birds and has an extensive geographic range, including Europe, Africa, the Middle East, southern Asia, and Australia (1). In 1999, WNV was identified in North America (2) and has become the leading cause of arboviral encephalitis encephalitis (ĕnsĕf'əlī`təs), general term used to describe a diffuse inflammation of the brain and spinal cord, usually of viral origin, often transmitted by mosquitoes, in contrast to a bacterial infection of the meninges  in humans and horses (3), as well as having been implicated im·pli·cate  
tr.v. im·pli·cat·ed, im·pli·cat·ing, im·pli·cates
1. To involve or connect intimately or incriminatingly: evidence that implicates others in the plot.

2.
 in deaths of members of at least 198 bird species (4). Corvids, including the American Crow (Corvus brachyrhynchos), appear to be most susceptible (5,6), and corvid deaths have subsequently been used as a sentinel to track the spread of the virus (7).

Experimental injection of American Crows with the North American genotype of WNV (NY99 strain) has confirmed its highly pathogenic phenotype. Mean peak viremia titers in American Crows exceed 9 [log.sub.10] PFU/mL in sera, with 100% deaths within 6 days postinfection (dpi) (5). With the exception of bird deaths in Israel (8), where a strain 99.8% similar to the NY99 genotype has circulated since 1997 (9), no bird deaths have been reported during numerous well-characterized WNV epidemics in North Africa (10), Europe (11-13), Russia (14), and South Africa (15). A closely related virus that circulates in Australia (Kunjin [KUN]) has never been associated with outbreaks of human or animal diseases, including bird diseases, nor have bird deaths been reported from enzootic en·zo·ot·ic
adj.
Prevalent among or restricted to animals of a specific geographic area. Used of a disease.

n.
An enzootic disease.



enzootic

peculiar to or present constantly in a location. See also endemic.
 transmission foci in Africa, where a virus that shares 96.5% nucleotide identity with the NY99 strain has previously been isolated (16,17). Possible explanations for the lack of reporting of bird deaths before 1998 include the following: failure to identify bird deaths in other regions, a higher susceptibility to WNV-induced disease among North American birds <onlyinclude> This list of North American birds is a comprehensive listing of all the bird species known from the North American continent north of Mexico. </onlyinclude> , or the fact that the North American WNV strain possesses increased avian virulence determinants. Additionally, the possible immunologic cross-protection of birds with lesser virulent strains could be a factor that has limited the identification of bird deaths outside the Middle East. Immunologically naive bird populations in North America could be at an increased risk of acquiring severe disease.

The close genetic relatedness of the North American WNV genotype with the bird-pathogenic Israeli WNV strain suggests differential avian pathogenicity among WNV strains (9). To evaluate whether WNV-associated deaths in American Crows was due to infection by a more virulent genotype, we injected American Crows with NY99, a closely related WNV strain from Kenya (KEN) and a more distantly related WNV strain from Australia (KUN) and monitored viremia titers and illness. In addition, birds that survived challenge with the KEN or KUN viruses were challenged with a lethal dose lethal dose
n. Abbr. LD
The dose of a chemical or biological preparation that is likely to cause death.
 of the NY99 strain to assess development of a cross-protective immunologic response.

Materials and Methods

Viral Strains and Birds Used

The lowest passage WNV available were used for crow virulence studies to avoid incorporating confounding confounding

when the effects of two, or more, processes on results cannot be separated, the results are said to be confounded, a cause of bias in disease studies.


confounding factor
 cell-culture-related genetic substitutions. The NY99 isolate used was originally isolated from an American Crow brain (strain NY99-4132) and was subsequently passaged once in Vero cells before being used for these studies. The Kenya-3829 (KEN) isolate was made from a pool of male Culex Culex /Cu·lex/ (ku´leks) a genus of mosquitoes found throughout the world, many species of which are vectors of disease-producing organisms.

Cu·lex
n.
 univittatus mosquitoes (16) and passaged twice in Vero cells. The Kunjin (KUN-6453) isolate was made from Cx. annulirostris mosquitoes and was passaged once in Vero cells and once in hamster hamster, Old World rodent, related to the voles, lemmings, and New World mice. There are many hamster species, classified in several genera. All are solitary, burrowing, nocturnal animals, with chunky bodies, short tails, soft, thick fur, and large external cheek  kidney cells (Table 1). After-hatch-year American Crows were obtained by using net traps with the assistance of the Kansas Department of Wildlife Resources. The crows were banded and transported to Fort Collins, Colorado The City of Fort Collins, a home rule municipality situated on the Cache la Poudre River along the Colorado Front Range, is the county seat and most populous city in Larimer County, Colorado. , where they were housed in the Colorado State University Colorado State University, at Fort Collins; land-grant with state and federal support; chartered 1870, opened 1879 as an agricultural college, assumed present name in 1957. There is a veterinary teaching hospital, an agricultural campus, and a research campus.  Animal Disease Laboratory in groups of two in 1-[m.sup.3] cages. Crows were led a combination of ground corn and dried cat food and dog food.

Detection of Preexisting pre·ex·ist or pre-ex·ist  
v. pre·ex·ist·ed, pre·ex·ist·ing, pre·ex·ists

v.tr.
To exist before (something); precede: Dinosaurs preexisted humans.

v.intr.
 Flaviviral Antibodies

To confirm that crows had not previously been exposed to WNV or another endemic flavivirus, St. Louis encephalitis St. Louis encephalitis

see St. Louis encephalitis.
 virus (SLEV SLEV Saint Louis Encephalitis Virus
SLEV Surround Level
), crows were bled before injection and serum-tested by plaque reduction neutralization neutralization, chemical reaction, according to the Arrhenius theory of acids and bases, in which a water solution of acid is mixed with a water solution of base to form a salt and water; this reaction is complete only if the resulting solution has neither acidic nor  assays (PRNTs) with WNV and SLEV viruses. Serum was diluted 1:5, heat inactivated inactivated

rendered inactive; the activity is destroyed.


inactivated viruses
treated so that they are no longer able to produce evidence of growth or damaging effect on tissue.
 at 56[degrees]C for 30 min, and incubated with an equal volume of virus (SLEV; strain TBH-28) and WNV (strain NY99-4132) to a final concentration of 100 PFU/0.1 mL. Samples were incubated at 37[degrees]C for 1 h, and 0.1 mL of each was added to a confluent con·flu·ent
adj.
1. Flowing together; blended into one.

2. Merging or running together so as to form a mass, as sores in a rash.
 monolayer mon·o·lay·er
n.
1. A film or layer one molecule thick formed at the interface between water and either oil or air by a substance such as a partially esterified fatty acid that contains both hydrophobic and hydrophilic groups in the same
 of Vero cells in 6-well plates (Costar Inc., Cambridge, MA). After incubation for 1 h, cell monolayers were overlaid with 0.5% agarose agarose

more highly purified form of agar with similar uses to agar and widely used in the separation of nucleic acid fragments.
; a second overlay containing 0.005% neutral red was added 48 h later. Plates were read 1-2 days after addition of the second overlay. A 90% reduction in PFU PFU

plaque-forming unit; in virology, areas of cell lysis (CPE) in monolayer cell culture, under overlay conditions, initiated by infection with a single virus particle.
, as compared to the serum-negative control, was used as the determinant of neutralization. Detection of any neutralizing activity to either SLEV or WNV within the serum of any crow precluded use for experimental inoculation inoculation, in medicine, introduction of a preparation into the tissues or fluids of the body for the purpose of preventing or curing certain diseases. The preparation is usually a weakened culture of the agent causing the disease, as in vaccination against .

Virus Injection

Viral stocks were diluted to 3.2 [log.sub.10] PFU/0.1 mL in minimal essential media (MEM (MicroElectroMechanical) See MEMS. ) containing no fetal bovine sera (FBS FBS
abbr.
fasting blood sugar


FBS Fasting blood sugar. See Fasting glucose.
). One hundred microliters of the diluted stocks was subcutaneously injected on the breast region of eight American Crows in four infection groups. Crows were injected with 1) NY99, 2) KEN, 3) KUN WNVs, or 4) with a media-only injection that served as a virus-negative control. In addition, a higher dose inoculum inoculum /in·oc·u·lum/ (-ok´u-lum) pl. inoc´ula   material used in inoculation.

in·oc·u·lum
n. pl.
 of 3.8 [log.sub.10] PFU/0.1 mL was prepared for injection of a fifth group of crows with KEN WNV. All crows were examined for signs of disease twice daily for 14 days after injection and bled once daily from 1 to 7 dpi for characterization of viremia. Blood samples were collected from the jugular jugular /jug·u·lar/ (jug´u-lar)
1. cervical.

2. pertaining to a jugular vein.

3. a jugular vein.


jug·u·lar
adj.
 or brachial vein brachial vein
n.
Either of two veins in either arm accompanying the brachial artery and emptying into the axillary vein.
 by using a 26-gauge needle; 0.2 mL of blood was added to 0.9 mL of MEM supplemented with 20% FBS to obtain approximately a 10I serum dilution. Coagulation coagulation (kōăg'ylā`shən), the collecting into a mass of minute particles of a solid dispersed throughout a liquid (a sol), usually followed by the precipitation or  was allowed to take place at room temperature for 30 min, at which point samples were placed on ice and spun at 3,700 x g for 10 min to pellet clotted cells. The supernatants from these samples were frozen at -80[degrees]C until samples were titrated ti·trate  
tr. & intr.v. ti·trat·ed, ti·trat·ing, ti·trates
To determine the concentration of (a solution) by titration or perform the operation of titration.
 for infectious units.

Assaying for Infectious Virus

Infectious virus was assayed by plaque formation on monolayers of Veto cells. Briefly, serial 10-fold dilutions of serum were added to Vero cells that were overlaid as described previously for PRNTs. PFU were enumerated This term is often used in law as equivalent to mentioned specifically, designated, or expressly named or granted; as in speaking of enumerated governmental powers, items of property, or articles in a tariff schedule.  at 3 dpi and multiplied by the dilution factor to determine viral titers per mL serum. Initial 1:10 dilution of serum as well as the use of 200 [micro]L of the lowest dilution, resulted in a limit of viral PFU detection of 1.7 [log.sub.10] PFU/mL serum. Inocula for all three viruses were back-titrated by plaque assay in order to confirm the uniformity of the doses administered.

Determination of Cross-Protection

Blood (0.6 mL) was drawn at 14 dpi to determine the levels of WNV-specific antibodies and cross-neutralization by using a 2-way [beta] PRNT with homologous homologous /ho·mol·o·gous/ (ho-mol´ah-gus)
1. corresponding in structure, position, origin, etc.

2. allogeneic.


ho·mol·o·gous
adj.
1.
 and heterologous heterologous /het·er·ol·o·gous/ (het?er-ol´ah-gus)
1. made up of tissue not normal to the part.

2. xenogeneic.


het·er·ol·o·gous
adj.
1.
 WNV strains. Briefly, twofold dilutions of bird serum samples were incubated at 56[degrees]C for 30 min and mixed with either NY99, KEN, or KUN viruses. Samples were allowed to incubate incubate /in·cu·bate/ (in´ku-bat)
1. to subject to or to undergo incubation.

2. material that has undergone incubation.


in·cu·bate
v.
1.
 for 1 h at 37[degrees]C, at which point the samples were injected onto Vero cells and overlaid as previously described for PRNT. Plaques were counted, and neutralization was reported as a 90% reduction in plaque formation as compared to the results for the serum-negative control.

Crows that survived through 14 dpi were subsequently challenged with 3.2 [log.sub.10] PFU of NY99 virus from the same seed that was used for the initial infection of the experimental NY99 infection group. Crows were bled daily through 7 dpi and were held through 11 dpi, at which point an additional 0.6 mL of blood was drawn to assess modulations in neutralizing activity after secondary challenge. Serum samples from the seven daily bleedings were diluted 1:10 in MEM diluent diluent /dil·u·ent/ (dil´oo-int)
1. causing dilution.

2. an agent that dilutes or renders less potent or irritant.


dil·u·ent
adj.
Serving to dilute.

n.
, spun, immediately assayed for the presence of infectious virus on Vero cells, and then stored at -80[degrees]C. Samples demonstrating virus were thawed and titrated on Vero cells as described above. Additionally, serum drawn at the end of the time course was assayed for antibody by PRNT.

Statistical Analyses

Statistical analyses were performed on peak viremia level, duration of viremia, day of viremia onset, and day of death. All analyses with the exception of day of death were performed by analyses of variance (ANOVA anova

see analysis of variance.

ANOVA Analysis of variance, see there
). Multiple comparisons, i.e., confidence intervals (CI) for the difference of means, were performed by using Tukey's highest significant difference (HSD HSD Human Services Department
HSD High Speed Data
HSD Hillsboro School District (Hillsboro, OR)
HSD Hybrid Synergy Drive (Toyota/Lexus)
HSD High School Diploma
HSD Historical Society of Delaware
) adjustment for comparisons of means. Because only two virus groups had birds that died, the day-of-death comparisons were analyzed by using a Student t test with Welch's modification for unequal variances. Proportions of illness and death were compared with the Fisher exact test.

Results

Flaviviral antibodies were not detected in any of the preinoculation serum samples assayed by PRNT. Therefore, all captured American Crows were used for experimental inoculation. Peak viremia titers ranging from 6.7 [log.sub.10] to 10.7 [log.sub.10] PFU/mL serum (mean peak viremia titers = 9.2 [log.sub.10] PFU/mL serum. 95% CI 8.2 [log.sub.10] PFU/mL serum-10.2 [log.sub.10] PFU/mL serum) developed in all crows injected with the NY99 WNV genotype (Figure 1). Onset of viremia occurred within 24 h for three of the eight crows injected with NY99 and was present in all eight birds within 48 h postinjection (mean onset of viremia = 1.8 dpi, 95% CI 1.4 dpi-2.1 dpi) (Table 2). Mean onset of viremia and mean peak viremia titers differed significantly among the virus groups (mean onset, F = 31.6, df = 3,22, p < 0.001; mean peak viremia, F = 74.9, df = 2,21, p < 0.001). In contrast to the NY99-infected crows, detectable viremia ([greater than or equal to] 1.7 [log.sub.10] PFU/mL sera) developed in two crows infected with the KEN WNV. The onset of viremia in these two birds was delayed until 3 dpi and 4 dpi, and the mean peak viremia level was lower than that of the NY99 infection group (7.5 [log.sub.10] PFU/mL) (difference of mean onset of viremia = 1.8 dpi, 95% CI 0.4-3.1). When the inoculum dose was increased to 3.8 [log.sub.10] PFU for the KEN strain, viremia developed in all eight of the crows, with peak titers ranging from 4.2 [log.sub.10] PFU/mL serum to 6.1 [log.sub.10] PFU/mL serum (mean = 4.9 [log.sub.10] PFU/mL serum, 95% CI 4.3-5.4 [log.sub.10] PFU/mL serum). The onset of viremia was delayed in the higher dose KEN group compared to the NY99 infection group (mean = 4.5 dpi, 95% CI 3.9-5.1 dpi; difference of mean onset of viremia = 2.8 dpi, 95% CI 1.9-3.6 dpi). In all eight crows inoculated with 3.2 [log.sub.10] PFU of KUN virus, peak viremia titers were 2.7-4.9 [log.sub.10] PFU/mL serum (mean = 4.2 [log.sub.10] PFU/mL, 95% CI 3.5-4.8 [log.sub.10] PFU/mL serum). Onset of viremia relative to the NY99-infected crows was slightly delayed, with a mean onset at 2.4 dpi (95% CI 1.9-2.8 dpi) (difference of mean onset of viremia = 0.6 dpi, 95% CI 0.2-1.5 dpi) (Figure 1). Viremia developed in KUN-infected crows, lasting from 1 to 5 days with a mean duration of 3 days (95% CI 1.9-4.1 days). This finding differs qualitatively from the NY99- and KEN-infected birds, which sustained viremia for at least 4 days; viremia levels ceased only when the bleeding time Bleeding Time Definition

Bleeding time is a crude test of hemostasis (the arrest or stopping of bleeding). It indicates how well platelets interact with blood vessel walls to form blood clots.
 course was halted or at time of death; the differences between the viremia durations for the KUN-infected crows and the NY99 and KEN groups were not statistically significant when adjustments were made for multiple comparisons.

[FIGURE 1 OMITTED]

All crows in the NY99 group died by dpi 6 (Figure 2). Signs of illness (unresponsiveness, anorexia, weight loss), signs of encephalitis (shaking, convulsion convulsion, sudden, violent, involuntary contraction of the muscles of the body, often accompanied by loss of consciousness. It is not known what causes the abnormal impulses from the brain that result in convulsive seizures, since the disturbance may arise in normal , ataxia ataxia (ətăk`sēə), lack of coordination of the voluntary muscles resulting in irregular movements of the body. Ataxia can be brought on by an injury, infection, or degenerative disease of the central nervous system, e.g. ), or both developed in all NY99-infected crows. In addition, hemorrhage from oral and cloacal cloacal

emanating from or pertaining to cloaca.


cloacal kiss
the contact which occurs during insemination in birds when the vent of the female is everted exposing the cloacal mucosa against which the phallus of the male is pressed.
 cavities was evident in five (62.5%) of the eight crows in the NY99 group. One crow died of infection with NY99 at 4 dpi, five at 5 dpi, and the remaining two at 6 dpi (Figure 1). Only one crow (12.5%) died of infection with the KEN virus with the 3.2 [log.sub.10] PFU injection. When the dose was increased to 3.8 [log.sub.10] PFU, 2 (25%) crows did not survive the infection. Regardless of the dose administered, the crows infected with the KEN virus demonstrated a reduced mortality rate (p < 0.001), compared to that of the NY99 virus. Virus was isolated from the brains of the small subset of crows that died of infection with the KEN strain (data not shown). In addition to the three deaths from the KEN WNV genotype, an additional two crows showed signs of illness, yet survived through 14 dpi (Table 2). No illness or death was identified within the KUN infection group, yielding a significant difference from the NY99 infection group (p < 0.001), but the KUN group was not statistically differentiated from the KEN WNV infection groups (p = 0.53).

[FIGURE 2 OMITTED]

None of the eight crows previously challenged with KUN virus had detectable illness after secondary challenge with 3.2 [log.sub.10] PFU of NY99 virus (Figure 3), which clearly indicates a cross-protective immune response immune response
n.
An integrated bodily response to an antigen, especially one mediated by lymphocytes and involving recognition of antigens by specific antibodies or previously sensitized lymphocytes.
 against NY99; the lower 95% confidence limit on cross-protection probability was 0.63. In fact, viremia was not detected in any of the eight crows rechallenged with the NY99 WNV on any of the 7 dpi (Figure 4). PRNTs demonstrated a homologous neutralization response in all eight of the crows for KUN virus (Table 3). Heterologous titers against NY99 virus were equal to or only twofold lower than those against KUN virus.

[FIGURES 3-4 OMITTED]

Only one of the seven crows from the lower dose (3.2 [log.sub.10] PFU) KEN WNV inoculation group survived rechallenge with the NY99 strain (Figure 3). Sera drawn before the NY99 rechallenge from all crows within this group demonstrated that an immune response had developed in one crow (the single survivor). This crow demonstrated illness after the original KEN WNV challenge and was one of the two crows that had detectable viremia levels and subsequently exhibited a homologous protective antibody titer antibody titer The amount of a specific antibody present in the serum, usually as a result of an acquired infection; titers for IgM usually rise abruptly at the time of infection–acute phase and fall slowly; during the 'convalescent' phase, IgG ↑ and is  that was indistinguishable from its heterologous titer titer /ti·ter/ (ti´ter) the quantity of a substance required to react with or to correspond to a given amount of another substance.  against the NY99 virus (1:640) (Table 4). The six KEN-infected survivors that did not become viremic from the original KEN viral challenge were devoid of detectable neutralizing antibody titers and had unmodified infections after the NY99 challenge. The viremia profile and clinical outcome (Figures 3 and 4) were indistinguishable from infection of naive birds: five crows died on 5 dpi and an additional crow died on 6 dpi. The single surviving crow that had demonstrated a 1:640 heterologous PRNT titer against NY99 WNV did not manifest a NY99 viremia level and had an unmodified 1:640 PRNT titer after the NY99 challenge. All crows from the group that received the higher dose of KEN generated KEN viremia titers and exhibited homologous PRNT titers (1:1,280-2,560) that were indistinguishable (less than fourfold difference) from heterologous titers against the NY99 virus. Neither clinical disease nor NY99 viremia levels were identified in these crows after secondary challenge with the NY99 virus, but neutralizing antibody titers increased up to 16-fold. The rise in PRNT titer was most likely the result of secondary infection or exposure; however, no control American Crows (to which a secondary challenge was not administered) were assayed for elevated PRNT titers at 24 dpi.

Sequence analyses of the coding differences between the NY99 and KEN viruses (Table 5) were performed on a NY99 virus (that had undergone an additional 2 Vero cell passages) to assess the possibility that limited cell-culture propagation could have resulted in attenuating genetic substitutions found between the KEN and NY99 genotype. These analyses did not demonstrate any genetic modification at any of the KEN or NY99 variable sites, further indicating that the genotype is stable for up to at least 3 passages and that the attenuated Attenuated
Alive but weakened; an attenuated microorganism can no longer produce disease.

Mentioned in: Tuberculin Skin Test


attenuated

having undergone a process of attenuation.
 phenotype of the KEN or KUN viruses was unlikely to be the result of an additional tissue culture passage.

Discussion

Viremia levels observed in these studies confirm previous observations that American Crows have the potential to serve as amplification hosts for the NY99 genotype of WNV but suggest that corvids may not be important hosts for alternative WNV genotypes because of substantially reduced viremia titers that would not favor efficient virus transmission. Furthermore, these results demonstrate that viral-encoded determinants of avian pathology that are absent from KEN and KUN viruses exist in the NY99 virus. The viremia levels observed in crows inoculated with the KEN or KUN viruses were significantly lower than and delayed in their onset compared to those seen after inoculation with the NY99 strain. These data demonstrate that the differential pathogenic phenotypes of the WNV strains are the result of viral genetic differences that encode particular virulence determinants. Despite the finding that mouse virulence of the NY99 and KUN WNV strains (18) correlates well with the virulence phenotype identified in crow experiments here, experimental infection of mice with the KEN WNV strain did not demonstrate an attenuated phenotype (D.W.C. Beasley and A.D.T. Barrett, pers. comm.). This observation indicates that differential pathogenic mechanisms could modulate virulence in disparate vertebrate hosts.

Elevated viremia level could be a predominant factor for severe clinical outcome. KUN and KEN WNV-infected crows in which clinical signs did not develop did not manifest peak viremia titers >6 [log.sub.10] PFU/mL; however, peripheral titers exceeded this level for the three crows in which neurologic symptoms and death occurred. Additionally, viremia levels of all crows injected with NY99 surpassed this level, which suggests that once a peripheral circulatory threshold titer is achieved, virus is capable of accessing the nervous system through a nonspecific nonspecific /non·spe·cif·ic/ (non?spi-sif´ik)
1. not due to any single known cause.

2. not directed against a particular agent, but rather having a general effect.


nonspecific

1.
 mechanism. Intracerebral in·tra·cer·e·bral
adj.
Existing within the cerebrum.
 injection of mice with WNV strains differing in neuroinvasive capacity has demonstrated uniform lethality, indicating that the ability to enter the nervous system and not neurovirulence, is instrumental for virulence of WNV strains (18,19). If this phenomenon is true for WNV strains in crows, then the mechanism by which the crow-virulent genotype achieves extremely high peripheral titers must be elucidated. Viruses capable of replicating to higher titers could result from a unique access to cell types that facilitate high-titer replication through more efficient receptor-envelope interactions, viral replicase replicase /rep·li·case/ (rep´li-kas)
1. a polymerase synthesizing RNA from an RNA template.

2. more generically, any enzyme that replicates nucleic acids, i.e., a DNA or RNA polymerase.
 differences that increase replication efficiency within host cells, decreased sensitivity to host innate immunologic responses, or by altering the physiological host responses such as lever.

Immunologic status of a host can play an important role in limiting disease expression. WNV that are capable of inducing substantial levels of viremia and neuroinvasion of immunodeficient mice do not necessarily cause viremia or enter the neural tissues of mice with competent immune systems (19). Studies have demonstrated that previous infection with heterologous flaviviruses redtices the incidence of encephalitis and can provide protection from fatal WNV challenge in a hamster model for WNV pathogenesis (20,21). In contrast, a neutralization study performed with WNV strains of different lineages demonstrated that neutralizing antibodies against an Indian WNV strain provided poor protection against a South African WNV strain (22). Our results demonstrated that prior hnmunization with KUN virus can provide protection from lethal NY99 challenge in crows. Crows in which a detectable level of viremia did not develop from the initial KEN viral challenge exhibited viremia levels and death rates indistinguishable flom NY99-infected naive crows. Crows injected with the higher doses, which led to productive infections with the KEN virus, produced neutralizing-antibody titers that were protective against lethal NY99 challenge. The cross-neutralization of WNV strains suggests that areas in which WNV virus is endemic could be lntich less susceptible to invasion by the crow-virulent NY99 genotype.

The effect that endemic flaviviruses such as SLEV has on the genetic stability of WNV in North America remains unclear: however, the fact that WNV and SLEV are distinguishable serologically through PRNT (23) and that WNV activity within the United States has occurred sympatrically within SLEV transmission loci loci

[L.] plural of locus.

loci Plural of locus, see there
 (3) suggest that SLEV seroprevalence seroprevalence Immunology The proportion of a population that is seropositive–ie, has been exposed to a particular pathogen or immunogen; the seropositivity of a population is calculated as the number of individuals who produce a particular antibody divided  in birds has little impact on WNV transmission. Previous studies have demonstrated in a flaviviral pathogenesis hamster model that previous exposure to SLEV can significantly reduce WNV viral titers (21). Future experiments are warranted to determine if such protection is afforded in avian species.

Experimental inoculation with an Egyptian WNV strain has demonstrated deaths in sparrows and crows (24), providing evidence that bird deaths could result from natural infection with alternative WNV genotypes. Despite this fact, no bird deaths were reported during a well-described Egyptian epidemic involving the same viral strain used to experimentally inoculate in·oc·u·late
v.
1. To introduce a serum, a vaccine, or an antigenic substance into the body of a person or an animal, especially as a means to produce or boost immunity to a specific disease.

2.
 these birds (10). Our results demonstrated that low numbers of deaths can occur from infection with alternative WNV strains, but the NY99 WNV genotype is significantly more virulent for American Crows. This result, coupled with the finding that similar pathogenicity was identified between the NY99 and KEN WNV in house sparrows (25), indicates the dual role of viral pathogenic phenotype and host susceptibility for the expression of virulence in a particular bird species. Differential susceptibility of mouse strains for WNV infection has been identified and correlated with immunologic gene expression (26). Future experimental inoculation of Old World corvids with differential WNV genotypes would be useful to assess the role that host susceptibility has on the emergence of WNV genotypes in different geographic regions.

The mutations that encode the determinants tbr differential crow virulence are currently unknown. In crows inoculated with a recombinant virus containing WNV structural genes and nonstructural (NS) genes of yellow lever virus (YFV YFV Yellow Fever Virus ), viremia did not develop (27). The fact that the parental YFV-17D vaccine strain did not replicate to detectable levels in chickens (28) indicates that flaviviral NS gene regions could modulate viral replication in birds. Analysis of the complete genomes of the NY99 and KEN WNV has identified a maximum of 11 amino acids (Table 5) and 22 nucleotides from the 3'NCR that could mediate this phenotype 117). Seven (64%) of the 11 amino acid differences between these viruses resided with the NS gene region. The close genetic identity between the KEN and NY99 WNV genotypes makes this an optimal system for the systematic identification of genetic elements that encode viral pathogenic determinants. Studies are under way to identify the specific viral genetic determinants of crow virulence through the use of infectious cDNAs generated from both the NY99 and KEN WNV genotypes.
Table 1. West Nile viral strains used for virulence studies in
American Crows

                                                    Passage
Virus          Strain            Source           history (a)

NY99          NY99-4132   American Crow (brain)       V1
KEN            KEN-3829     Culex univittatus         V2
Kunjin (KUN)   KUN-6453     Cx. annulirostris      V1, BHK1

                            Genetic
Virus         Location    lineage (b)

NY99             USA           I
KEN             Kenya          I
Kunjin (KUN)  Australia        I

(a) Viruses were propagated in Vero (V) or baby hamster kidney (BHK)
cells. Numbers following passage source represent the number of viral
passages.

(b) Genetic lineages as reported previously (9).

Table 2. Clinical profile of American Crows infected with WNV strains
NY99 (strain NY99-4132), KEN (strain KEN-3829), and KUN (strain
KUN-6453)

             Mortality:   Morbidity:       Mean day of
             no. died/N    no.ill/N          death
Virus group     (%)           (%)          [+ or -] SD

NY99         8/8 (100)     8/8 (100)    5.1 [+ or -] 0.6
KEN          1/8 (12.5)    2/8 (25)       9 [+ or -] NA
KEN-hd (b)   2/8 (25)      3/8 (38)    10.5 [+ or -] 2.1
KUN             0/8           0/8              NA
Control         0/8           0/8              NA

                      Mean peak viremia (a)            Mean day of peak
                       [+ or -] SD (mean                 viremia (a)
Virus group         duration [+ or -] SD) (n)            [+ or -] SD

NY99         9.2 [+ or -] 1.2 (4.2 [+ or -] 0.7) (8)   4.3 [+ or -] 0.9
KEN          7.5 [+ or -] 0 (4.5 [+ or -] 0.7) (2)     5.0 [+ or -] 1.4
KEN-hd (b)   4.8 [+ or -] 0.6 (3.1 [+ or -] 0.8) (8)   5.5 [+ or -] 0.9
KUN          4.2 [+ or -] 0.8 (1.8 [+ or -] 0.5) (8)   3.3 [+ or -] 0.7
Control                        NA                             NA

(a) Viral titers were expressed as the [log.sub.10] PFU/mL of crow sera
as determined by plaque assay on Vero cells.

(b) hd, high-dose group (6,000 [3.8 [log.sub.10]] PFU); NA, not
applicable.

Table 3. Cross-neutralization immune response of American Crows at 14
days postinfection with either KEN or KUN viruses

Sample no.   Incoculation    NY99       KEN     KUN   Difference

Crow 8           KEN        640 (a)   640 (b)   NT        0
Crow 1           KUN         80       NT (c)    160     2-fold
Crow 2           KUN         80         NT       80       0
Crow 3           KUN        160         NT      320     2-fold
Crow 4           KUN         40         NT       80     2-fold
Crow 5           KUN         40         NT       40       0
Crow 6           KUN         20         NT       20       0

Crow 7           KUN         80         NT       80       0
Crow 8           KUN         80         NT      160     2-fold

(a) Values represent the greatest reciprocal dillution in which
[greater than or equal to] 90% plaque inhibition was achieved as
compared to sera-negative control cultures.

(b) Homologous titers are depicted in bold print.

(c) NT, not tested; KEN, West Nile virus strain from Kenya; KUN
(Kunjin), West Nile virus strain from Australia.

Table 4. Cross-neutralization immune response of American Crows 24 days
postinfection (dpi) with either KEN or KUN viruses (a)

Sample no.    Inoculation     NY99        KEN       KUN     Difference

Crow 8            KEN        640 (b)    640# (c)     NT         0
Crow 1            KUN        160         NT (d)     320#      2-fold
Crow 2            KUN        320           NT       320#        0
Crow 3            KUN        160           NT       160#        0
Crow-4            KUN        160           NT       320#      2-fold
Crow 5            KUN        160           NT       160#        0
Crow 6            KUN        320           NT       320#        0
Crow-7            KUN        640           NT       640#        0
Crow 8            KUN        640           NT       640#        0

(a) Following secondary NY99 challenge at 14 dpi.

(b) Values represent the greatest reciprocal dilution in which [greater
than or equal to] 90% plaque inhibition was achieved as compared to
sera-negative control cultures.

(c) Homologous titers are depicted in bold print.

(d) NT, not tested; KEN, West Nile virus strain from Kenya; KUN
(Kunjin), West Nile virus strain from Australia.

Note: Homologous titers are indicated with #.

Table 5. Amino acid differences between the NY99 and KEN
West Nile virus strains (a,b)

Viral gene     Amino acid position    NY99    KEN

Capsid# (a)             3#            Leu#    Asn#
Capsid#                 8#            Val#    Ala#
Envelope#             126#            Ile#    Thr#
Envelope#             159#            Val#    Ile#
NS1                    70             Ala     Ser
NS2a                   52             Thr     Ala
NS2b                  103             Val     Ala
NS3                   249             Pro     Thr
NS3                   356             Thr     Ile
NS4a                   85             Ala     Val
NS4b                  249             Glu     Asp

(a) Source: (17).

(b) KEN, West Nile virus strain from Kenya; Leu, leucine; Val, valine;
Ile, isoleucine; Ala, alanine; Thr, threonine; Pro, proline; Glu,
glutamine; Asn, asparagine; Ser, serine; Asp, aspartic acid.

(c) Variable structural amino acid residues have been designated by
bold text.

Note: Variable structural amino acid residues have been indicated
with #.


Acknowledgments

We thank Robert B. Tesh and David Beasley for providing the low-passage Kunjin isolate used in this study, Max Tehee te·hee  
n.
Variant of tee-hee.
 and Paul Gordy for technical assistance, Charles Cope and Tom Janousek for invaluable assistance with crow trapping, and Ann M. Powers for critical review of the manuscript.

A.C.B. was supported by the American Society for Microbiology The American Society for Microbiology (ASM) is a scientific organization, based in the United States although with over 43,000 members throughout the world. It is the largest single life science professional organization and its members include those whose interests encompass basic  as a National Center tbr Infectious Diseases post-doctoral fellow. Trapping of American Crows was performed under U.S. Fish and Wildlife Scientific Collecting Permit number MB-032526. Experimental inoculations of crows were performed under Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center.  1ACUC ACUC Animal Care and Use Committee (aka Institutional Animal Care and Use Committee, IACUC)
ACUC Animal Care and Use Committee
ACUC Associació Catalana d'Uròlegs de Comarques
ACUC The American Canadian Underwater Certifications, Inc.
 protocol numbers 02-26-012-MSA and 03-13-013-MSA.

Dr. Brault is an assistant molecular arbovirologist in the Center for Vectorbome Diseases and assistant professor of pathology, microbiology and immunology in the School of Veterinary Medicine veterinary medicine, diagnosis and treatment of diseases of animals. An early interest in animal diseases is found in ancient Greek writings on medicine. Veterinary medicine began to achieve the stature of a science with the organization of the first school in the , University of California, Davis The University of California, Davis, commonly known as UC Davis, is one of the ten campuses of the University of California, and was established as the University Farm in 1905. . His main research interests include the identification of viral molecular determinants of pathogenesis and vector infectivity.

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Aaron C. Brault, * ([dagger]) Stanley A. Langevin, * ([dagger]) Richard A. Bowen, ([double dagger]) Nicholas A. Panella, * Brad J. Biggerstaff, * Barry R. Miller, * and Nicholas Komar *

* Centers for Disease Control and Prevention, Fort Collins, Colorado, USA: ([dagger]) University of California, Davis, California, USA; and ([double dagger]) Colorado State University, Fort Collins, Colorado, USA

Address for correspondence: Aaron C. Brault, Center for Vectorborne Diseases, Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA; fax: 530-752-3349; email: acbrault@ucdavis.edu
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Author:Komar, Nicholas
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Date:Dec 1, 2004
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