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Spongiform encephalopathy in a miniature zebu.


The first case of spongiform encephalopathy spongiform encephalopathy
n.
Encephalopathy characterized by progressive diffuse vacuolation of the cerebral cortex.
 in a zebu zebu (zē`by), domestic animal of the cattle family, Bos indicus, found in parts of E Asia, India, and Africa.  (Bos indicus) was identified in a zoo in Switzerland. Although histopathologic and immunohistochemical analyses of the central nervous system indicated a diagnosis of bovine spongiform encephalopathy bovine spongiform encephalopathy: see prion.  (BSE See Bombay Stock Exchange.

BSE

See Boston Stock Exchange (BSE).
), molecular typing showed some features different from those of BSE in cattle (B. taurus).

**********

Spongiform encephalopathies (SEs) are transmissible transmissible /trans·mis·si·ble/ (trans-mis´i-b'l) capable of being transmitted.

trans·mis·si·ble
adj.
Capable of being conveyed from one person to another.
 neurodegenerative diseases neurodegenerative diseases

diseases characterized by neurodegeneration. Lesions are microscopic only but in chronic disease with massive involvement there may be grossly visible atrophy of affected nervous tissue.
 characterized by spongiform spongiform /spon·gi·form/ (spun´ji-form) resembling a sponge.

spon·gi·form
adj.
Resembling a sponge, as in appearance or porosity.



spongiform

resembling a sponge.
 lesions and deposition of partially proteinase proteinase /pro·tein·ase/ (pro´ten-as?) endopeptidase.

pro·tein·ase
n.
A protease that begins the hydrolytic breakdown of proteins usually by splitting them into polypeptide chains.
 K-resistant prion prion (prī`ŏn), infectious agent thought to cause a group of diseases known as

prion diseases or transmissible spongiform encephalopathies.
 protein ([PrP.sup.sc]), a misfolded isoform of the normal host-encoded cellular prion protein ([PrP.sup.c]), in the central nervous system (CNS See Continuous net settlement.

CNS

See continuous net settlement (CNS).
). The oldest known SE is scrapie scrapie: see prion. , which occurs naturally in sheep and goats. Since the onset of the bovine spongiform encephalopathy (BSE) epidemic in British cattle (Bos taurus) in 1986, novel SEs emerged in other animal species including domestic cats (1), a goat (2), primates (3), and several members of the families Bovidae and Felidae in zoos (4,5). Experimental and epidemiologic evidence indicate that these animals were infected by ingesting BSE-infected carcasses or meat and bone meal Meat and bone meal (MBM) is a product of the rendering industry. It is typically about 50% protein, 35% ash, 8-12% fat, and 4-7% moisture. It is primarily used in the formulation of animal feed to improve the amino acid profile of the feed. .

Zebus (B. indicus) belong to the family Bovidae. In Asia they are raised mainly as productive livestock, but in Europe they live primarily in zoos. We describe clinical, pathologic, and molecular features of the first case of SE in a zebu and address the question whether this animal was infected with the BSE agent.

The Study

In 2004, a 19-year-old miniature zebu in a zoo in Basel, Switzerland, fell during mating, after which it had abnormal gait and posture. After 6 weeks it started to bump into obstacles and showed anxiety and loss of proprioceptive Proprioceptive
Pertaining to proprioception, or the awareness of posture, movement, and changes in equilibrium and the knowledge of position, weight, and resistance of objects as they relate to the body.
 control. Because of its old age and the progressive course of the disease, the animal was euthanized, and multiple organs were examined postmortem postmortem /post·mor·tem/ (post-mort´im) performed or occurring after death.

post·mor·tem
adj.
Relating to or occurring during the period after death.

n.
See autopsy.
 (Table 1). Histopathologic examination showed severe spongiform changes and a moderate gliosis in the brainstem (Figure 1A, nucleus of the solitary tract solitary tract
n.
A slender compact bundle of primary sensory fibers that accompany the vagus, glossopharyngeal, and facial nerves and convey information from stretch receptors and chemoreceptors in the walls of the cardiovascular, respiratory, and
), and many other CNS structures. Immunohistochemical analysis (6), which used the monoclonal antibodies (MAbs) F99/97.6.1 (VMRD VMRD Veterinary Medical Research and Development, Inc. , Pullman, WA, USA) and P4 (R-biopharm, Darmstadt, Germany), identified a marked deposition of [PrP.sup.sc] in the neuropil neuropil /neu·ro·pil/ (noor´o-pil) a feltwork of interwoven dendrites and axons and of neuroglial cells in the gray matter of the central nervous system.

neu·ro·pil or neu·ro·pile
n.
 (granular type) and the neurons (Figure 1B and 1C). The cerebral cortex cerebral cortex

Layer of gray matter that constitutes the outer layer of the cerebrum and is responsible for integrating sensory impulses and for higher intellectual functions.
 contained a moderately increased number of Alzheimer type 11 cells. Numerous nonnervous tissues, including the lymphoreticular system lymphoreticular system

consists of the lymphoid tissues and the tissues of the reticuloendothelial system. Therefore includes reticular supporting cells, lymphoid cells and cells of the monocyte-macrophage series.
 (Figure 1H), were analyzed by immunohistochemical techniques for the presence of [PrP.sup.sc], but none was found. Taken together, these findings led to the diagnosis of a severe SE in combination with a mild metabolic encephalopathy encephalopathy /en·ceph·a·lop·a·thy/ (en-sef?ah-lop´ah-the) any degenerative brain disease.

AIDS encephalopathy  HIV e.

anoxic encephalopathy  hypoxic e.
.

[FIGURE 1 OMITTED]

To assess the possibility that this animal was infected with the BSE agent, we compared the distribution of the SE-related histopathologic lesions and the [PrP.sup.sc] deposits in different brain structures of the zebu to those in the brain of a Swiss BSE-affected cow. In both animals, spongiform lesions were similarly distributed throughout the brain, but overall the lesions in the zebu were more severe than those in the cow (Table 2). The depositions of [PrP.sup.sc] in these structures, as determined by immunohistochemical analysis with MAb F99/97.6.1 and different commercial BSE screening tests (Check Western, Prionics, Zurich, Switzerland; TeSeE, Bio-Rad, Marnes-la-Coquette, France), were well associated with the histopathologic lesions in both animals (data not shown). In comparative Western immunoblot (WB) analysis that used MAb 6H4 (Prionics), the zebu CNS samples (Figure 2, lanes 3 and 5) showed a characteristic 3-band pattern representing un-, mono- and diglycosylated moieties of the proteinase K-resistant [PrP.sup.sc] fragment. In the zebu these 3 bands clearly showed a migration pattern at a higher molecular mass than that of BSE in the cow (Figure 2, lanes 4 and 6) but similar to a sample from a sheep with scrapie (Figure 2, lane 7). When samples of the same animals were analyzed by WB (Figure 2) and immunohistochemical analysis (Figure 1C-E C-E Communications-Equipment
C-E Communications-Electronics
C-E Combustion Engineering, Inc
) with P4, an MAb used to discriminate between BSE and scrapie in sheep (7), [PrP.sup.sc] was detectable in samples from the sheep with scrapie and the zebu under investigation but not in the cow with BSE. Sequencing of the open reading frame of the Prnp gene of the zebu confirmed that the encoded PrP protein was identical to the B. taurus PrP amino acid amino acid (əmē`nō), any one of a class of simple organic compounds containing carbon, hydrogen, oxygen, nitrogen, and in certain cases sulfur. These compounds are the building blocks of proteins.  sequence (as translated from GenBank accession no. AJ298878).

[FIGURE 2 OMITTED]

Conclusions

In 1990, the first case of BSE in cattle in Switzerland was diagnosed; since then, authorities have banned meat and bone meal in ruminant ruminant, any of a group of hooved mammals that chew their cud, i.e., that regurgitate and chew again food that has already been swallowed. Ruminants have an even number of toes on each foot and a stomach with either three or four chambers.  feed in Switzerland. The zebu was born in 1985 and until 1990 ate commercial pellets containing meat and bone meal. Consequently, it might have been exposed to the BSE agent at [less than or equal to] 5 years of age.

The clinical signs of the zebu were specific for an SE but could have been explained partially by other pathologic findings, e.g., the degenerative lesions of the spine and the metabolic encephalopathy (Table 1). However, prominent spongiform changes and marked depositions of [PrP.sup.sc] in the brain confirmed the clinical suspicion of an SE. The distribution and type of the lesions (Table 2) and [PrP.sup.sc] deposits in the brain of the zebu were very similar to those in the brain of the Swiss BSE-affected cow and to findings that have been described previously for BSE in cattle in Switzerland (8, 9) and elsewhere (10-12).

In contrast, molecular analysis of [PrP.sup.sc] clearly showed a difference between the zebu and the BSE cow regarding 1) the apparent molecular mass of the PK-resistant fragment of [PrP.sup.sc] on WB analysis and 2) the immunoreactivity with MAb P4 on WB and immunohistochemical analyses. Both observations can be explained by extended proteinase K cleavage at the N terminus of [PrP.sup.sc] in cattle compared with the zebu, resulting in removal of the P4 epitope epitope: see immunity.  (7). Recently, very similar molecular findings were reported from France (13) in 3 exceptionally old (8, 10, and 11 years) cattle. These animals had an atypical [PrP.sup.sc] WB profile, different from that traditionally seen in cattle with BSE but indistinguishable from those in sheep with natural scrapie and cattle with experimental scrapie. This molecular phenotype was retained after transmission of the disease to C57BL/6 mice (14). The authors speculated that their findings may reflect either an infection with another type of infectious agent distinct from BSE, e.g., scrapie, or a sporadic form of SE in cattle. For the zebu, the latter hypothesis is supported by the observation that the molecular features of [PrP.sup.sc] were similar to the ones observed in type 1 sporadic Creutzfeldt-Jakob disease (15), an SE in humans. On the other hand, consistent with the findings on WB, MAb P4 readily detected [PrP.sup.sc] by immunohistochemical analyses of the CNS of the zebu and in sheep with scrapie but not in bovine BSE under the conditions used. Extracellular and intracellular [PrP.sup.sc] was detected by Mab P4 in the zebu and the sheep with scrapie. By contrast, in BSE-affected sheep, [PrP.sup.sc] was detected by Mab P4 in extracellular but not intracellular space (16). However, further investigations that use comparative pathology and biologic strain typing would be required to characterize the phenotype of SE in this zebu and the infectious agent in more detail.

Whatever the origin of the disease, this case indicates that zebus are not naturally resistant to SE and, therefore, that B. indicus should be included in programs that monitor transmissible spongiform encephalopathies (TSEs) and in risk assessments in countries where these animals are part of the domestic livestock. Although the potential for this disease to cross the species barrier to other animals and humans is not known, zoos and veterinary services should be aware of the possibility of SEs in such animals so they can subsequently minimize the risk for foodborne SE infections in other animal species (especially Felidae) and humans by removing specified risk materials Specified risk materials (SRMs) are the parts of ruminant animal most likely to be contaminated with TSE prions. These can include brains, eyes, spinal cord, and other organs. The exact definition varies by jurisdiction. .

Acknowledgments

We thank Doris AmbOhl, Valdlie Juillerat, and Christoph Prisi for excellent technical support.

This work was financed with resources provided by the Swiss Federal Veterinary Office.

Dr Seuberlich is a veterinarian veterinarian /vet·er·i·nar·i·an/ (vet?er-i-nar´e-an) a person trained and authorized to practice veterinary medicine and surgery; a doctor of veterinary medicine.

vet·er·i·nar·i·an
n.
 and head of the TSE See Tokyo Stock Exchange.

TSE

1. See Tokyo Stock Exchange (TSE).

2. See Toronto Stock Exchange (TSE).
 rapid test division in the Swiss reference laboratory for TSE in animals. His major research interests include the diagnosis and molecular characterization of emerging TSE agents.

References

(1.) Wyatt JM, Pearson GR, Smerdon TN, Gruffydd-Jones TJ, Wells GA. Spongiform enccphalopathy in a cat [letter]. Vet Rec. 1990;125:513.

(2.) Eliot M, Adjou KT, Coulpier M, Fontaine JJ, Hamel Ham´el   

v. t. 1. Same as Hamble.
 R, Lilin T, et al. BSE agent signatures in a goat [letter]. Vet Rec. 2005;156:523-4. Erratum [Latin, Error.] The term used in the Latin formula for the assignment of mistakes made in a case.

After reviewing a case, if a judge decides that there was no error, he or she indicates so by replying, "In nollo est erratum
 in Vet Rec. 2005;156:620.

(3.) Bons N. Mestre-Frances N, Belli R Cathala F, Gajdusek DC, Brown P. Natural and experimental oral infection of nonhuman primates by bovine spongiform encephalopathy agents. Proc Natl Acad Sci U S A. 1999:96:4046-51.

(4.) Heim D, Geiser F, Perler L, Wyss R. Beyond BSE: Transmissible spongiform encephalopathies in other animal species. [Article in German]. Schweiz Arch Tierheilkd. 2002;144:664-73.

(5.) Kirkwood JK, Cunningham AA. Epidemiological observations on spongiform encephalopathies in captive wild animals in the British Isles. Vet Rec. 1994;135:296-303.

(6.) Organisation Mondiale de la Sante Animale. Manual of diagnostic tests and vaccines for terrestrial animals. 5th ed. 2004. [cited 2006 Oct 11].. Available from http://www.oie.int.

(7.) Stack MJ, Chaplin MJ, Clark J. Differentiation of prion protein glycoforms from naturally occurring sheep scrapie, sheep-passaged scrapie strains (CH1641 and SSBP SSBP Society for the Study of Behavioural Phenotypes (UK)
SSBP Supplemental Survivor Benefit Plan
1), bovine spongiform encephalopathy (BSE) cases and Romney and Cheviot breed sheep experimentally inoculated with BSE using two monoclonal antibodies. Acta Neuropathol (Berl). 2002;104:279-86.

(8.) Fatzer R, Graber HU, Meyer RK, Cardozo C, Vandevelde M, Zurbriggen A. Neuronal degeneration in brain stem nuclei in bovine spongiform encephalopathy. Zentralbl Veterinanned A. 1996;43: 23-9.

(9.) Graber HU, Meyer RK, Fatzer R, Vandevelde M, Zurbriggen A. In situ hybridization in situ hybridization A method for localizing a sequence of DNA, mRNA, or protein in a cell or tissue; the use of a DNA or RNA probe to detect a cDNA sequence in chromosome spreads or in interphase nuclei or an RNA sequence of cloned bacterial or cultured  and immunohistochemistry for prion protein (PrP) in bovine spongiform encephalopathy (BSE). Zentralbl Veterinarmed A. 1995;42:453-9.

(10.) Casalone C, Caramelli M, Crescio MI, Spencer YI, Simmons MM. BSE immunohistochemical patterns in the brainstem: a comparison between UK and ltalian cases. Acta Neuropathol (Bed). 2006;111:444-9.

(11.) Simmons MM, Harris P, Jeffrey M, Meek SC, Blamire IW, Wells GA. BSE in Great Britain: consistency of the neurohistopathological findings in two random annual samples of clinically suspect cases. Vet Rec. 1996;138:175-7.

(12.) Wells GA, Wilesmith JW. The neuropathology neuropathology /neu·ro·pa·thol·o·gy/ (-pah-thol´ah-je) pathology of diseases of the nervous system.

neu·ro·pa·thol·o·gy
n.
The study of diseases of the nervous system.
 and epidemiology of bovine spongiform encephalopathy. Brain Pathol. 1995;5:91-103.

(13.) Biacabe AG, Laplanche JL, Ryder S, Baron T. Distinct molecular phenotypes in bovine prion diseases. EMBO Rep. 2004;5:110-5.

(14.) Baron TG, Biacabe AG, Bencsik A, Langeveld JP. Transmission of new bovine prion to mice. Emerg Infect Dis. 2006;12:1125-8.

(15.) Parchi P, Castellani R, Capellari S, Ghetti B, Young K, Chen SG, et al. Molecular basis of phenotypic variability in sporadic Creutzfeldt-Jakob disease. Ann Neurol. 1996;39:767-78.

(16.) Jeffrey M, Martin S, Gonzalez L, Ryder SJ, Bellworthy SJ, Jackman R. Differential diagnosis of infections with the bovine spongiform encephalopathy (BSE) and scrapie agents in sheep. J Comp Pathol. 2001;125:271-84.

Torsten Seuberlich, * (1) Catherine Botteron, * (1) Christian Wenker, ([dagger]) Valeria Cafe-Marcal, * Anna Oevermann, * Bianca Haase, * Tosso Leeb, * Dagmar Heim, ([double dagger]) and Andreas Zurbriggen *

* University of Berne, Berne, Switzerland; ([dagger]) Zoo Basel, Basel, Switzerland; and ([double dagger])Federal Veterinary Office, Berne, Switzerland

(1) These authors contributed equally to this work.

Address for correspondence: Torsten Seuberlich, NeuroCenter, Reference Laboratory for TSE in Animals, University of Berne, Bremgartenstrasse 109a, CH-3001 Berne, Switzerland; email: torsten.seuberlich@ itn.unibe.ch
Table 1. Pathologic findings in a zebu with spongiform
encephalopathy, Switzerland, 2004

Site                      Finding

Vertebral column          Severe degeneration of intervertebral discs
                          with ankylosing spondylarthrosis

Joints of extremities     Degenerative joint disease

Liver                     Biliary cysts (affecting 60% of the liver)

Kidney                    Tubular cysts; mild interstitial nephritis
                          with glomerulosclerosis and tubular atrophy

Urinary bladder           Multiple papillomas

Abdominal cavity          Multiple foci of fat necrosis

Cardiovascular system     Mild coronary arteriosclerosis; mild
                          valvular endocardiosis (mitral valve)

Mediastinal lymph nodes   Focal metastatic neuroendocrine tumor
                          (origin unknown)

Central nervous system    Spongiform encephalopathy; metabolic
                          encephalopathy (hepatoencephalopathy)

Table 2. Histopathologic lesions in brain of zebu with spongiform
encephalopathy and cow with bovine spongiform encephalopathy,
Switzerland, 2004 *

Site                                          Cow           Zebu

Brainstem
  Dorsal motor nucleus of vagus nerve         (+)           (++)
  Nucleus of spinal tract of trigeminal      (++)           (+++)
  nerve
  Nucleus of hypoglossal nerve                (+)           (++)
  Reticular formation                        (++)           (++)
  Nucleus of solitary tract                  (++)           (+++)
  Vestibular nuclei                          (++)        (+) to (++)
  Olivary nuclei                             (++)           (++)
Cerebellar cortex                             (-)            (+)
Midbrain (substantia grisea centralis)    (+) to (++)   (++) to (+++)
Thalamus                                     (++)       (++) to (+++)
Hippocampus                                  n.d.            (+)
Basal nuclei (pallidum)                       (+)            (+)
Cerebral cortex                               (+)           (++)

* (-), absent; (+), mild; (++), moderate; (+++) severe;
n.d., not done.
COPYRIGHT 2006 U.S. National Center for Infectious Diseases
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2006, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Title Annotation:DISPATCHES
Author:Zurbriggen, Andreas
Publication:Emerging Infectious Diseases
Geographic Code:4EXSI
Date:Dec 1, 2006
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