Clinical manifestations of Senecavirus a infection in neonatal pigs, Brazil, 2015.
SVA infection was associated with porcine idiopathic vesicular disease (PIVD) in pigs in Canada (2), the United States (1), and Brazil (3,4). The clinical manifestations of PIVD are indistinguishable from those of other vesicular virus infections, including foot-and-mouth disease virus (FMDV), vesicular stomatitis virus, swine vesicular disease virus (SVDV), and vesicular exanthema of swine virus (2,3). These clinical signs include fluid-filled and ruptured vesicles and ulcerative lesions at the coronary band, hooves, and/or snout (1-4). In 2015, we identified new clinical manifestations associated with SVA infections in piglets in Brazil.
Since early 2015, increased numbers of deaths were recorded in pig herds from different geographic regions of Brazil. Piglets during their first week of life demonstrated clinical signs such as muscular weakness, lethargy, excessive salivation, cutaneous hyperemia, neurologic manifestations, and diarrhea; some died suddenly. Clinical signs lasted for 3-10 days and then disappeared in piglets that survived.
To determine the cause of these illnesses, we investigated 5 farms (A-E). Pig populations per farm varied from 10,000 to 23,000 animals, and piglet death rates during the first week of life ranged from 20% to 30%. Ten piglets that died spontaneously were examined (Table 1).
Farms A, B, D, and E had gestating and/or farrowing sows with fluid-filled or ruptured vesicles at the coronary bands, hooves, or snouts; reproductive disorders were not observed. We had identified SVA RNA from sows at farms A and B (3) a week before the onset of clinical manifestations in these piglets.
Routine necropsies of all piglets were conducted soon after death. Tissues were fixed by immersion in 10% buffered formalin solution and processed for histopathologic evaluation. Selected tissue fragments were used in an immunohistochemical (IHC) assay designed with monoclonal antibodies to detect SVA (5). Duplicate sections of the organs and scrapings from oral vesicles and cutaneous lesions were collected for molecular diagnostics. From piglets at farms C, D, and E, we collected diarrheic fecal samples to investigate the possibility of enteric viruses. We analyzed 81 tissue samples and 6 diarrheic fecal samples during this study by a combination of pathologic and molecular diagnostic methods.
Molecular assays were conducted to identify viruses that might be associated with the reported clinical signs; these included SVA (3); FMDV, vesicular stomatitis virus, and SVDV (6); teschovirus A, sapelovirus A, and enterovirus G (7); porcine parvovirus (8); and porcine circovirus type 2 (9). Feces and fragments of the small intestine from piglets of farms C, D, and E were evaluated for porcine rotavirus species A, B, C (10), and H (11); porcine epidemic diarrhea virus (12); swine deltacoronavirus (13); and transmissible gastroenteritis virus (12).
Seventeen amplified products were submitted for sequencing. We conducted sequence identity matrix using BioEdit software version 7.1.11 (http://www.mbio.ncsu. edu/bioedit/bioedit.html). A phylogenetic tree based on nucleotide sequences was obtained using MEGA6 software (http://www.megasoftware.net).
The most frequent gross manifestations observed were petechial hemorrhages of the kidney (7 piglets) and ulcerative lesions at the tongue (6 piglets) and coronary bands (4 piglets) (Figure 1, panels A, B). Interstitial pneumonia, the predominant histopathologic alteration, occurred in all the piglets; other frequent lesions were diphtheric glossitis (6 piglets), lymphocytic myocarditis (6 piglets), ballooning degeneration of the transitional epithelium of the urinary bladder (Figure 1, panel C) and the ureters (4 piglets), and lymphoplasmacytic encephalitis (3 piglets).
Consistent SVA IHC staining occurred at the transitional epithelium of the renal pelvis and the urinary bladder (Figure 1, panel D) of 4 piglets; within epithelial cells of the choroid plexus of the cerebrum (8 piglets) and the tongue (5 piglets); and at the ependymal cells of the choroid plexus, vascular endothelium, and the enterocytes of the villi of the small intestine (2 piglets) (Table 2, http://wwwnc.cdc.gov/EID/article/22/7/15-1583-T2.htm).
The expected SVA RNA fragment was amplified by reverse transcription PCR from 77.8% (63/81) of all organs; all tissues from piglet 4 were positive for SVA and only 1 tissue sample from 3 piglets (nos. 2, 3, and 10) yielded negative results. Moreover, the nucleic acids of all other viruses investigated during this study were not amplified.
Sequence analysis from the 17 amplicons showed 98.8%-100% nt and aa similarities between each other and other isolates from Brazil available in GenBank (accession nos. KR075677 and KR075678). The SVA isolates we identified had similarities that varied from 87.4% nt (GenBank accession no. EU271760) to 98.5% nt (GenBank accession no. KC667560) and 94.4% aa (GenBank accession nos. EU271759 and EU271760) to 99.4% aa (GenBank accession no. KC667560) for isolates identified ir North America. Phylogenetic analysis showed that the strains from this study (GenBank accession no. KT445973KT445977) clustered with other known isolates of SVA and were distant from other picornaviruses associated with vesicular diseases (Figure 2).
SVA has been associated with PIVD in pigs with vesicular lesions at the snout, coronary band, and hooves (1-3). However, findings from our investigation suggest a new clinical syndrome associated with SVA infection that resulted in disease to multiple tissues and organs of these piglets.
The patterns of the cutaneous lesions identified in this study might be similar to those of other vesicular infections of picornavirus (FMDV and SVDV), in which ballooning degeneration of epithelial cells and the formation of microvesicles are hallmarks (14,15). In addition, FMDV anc SVDV affect different organs of susceptible animals--the heart, lungs, lymph nodes, bone marrow, and central nervous system (14,15)--suggesting a wide organ tropism ol these viruses.
An interesting feature during this study was the constant immunolabelling of SVA within epithelial cells ol the choroid plexus of the brain and the surrounding endothelia of blood vessels in piglets with neurologic disease On the basis of the IHC results and molecular findings h different tissues of the brain, we theorized that the neurologic manifestations of SVA observed during this investigation might be due to early infection of the choroid plexus through alteration of the integrity of the vascular epithelium and subsequent dissemination to the adjacem neuropil. The IHC detection of SVA within the urinary epithelium of all piglets suggests that urine might be a mode of dissemination and a possible source of contamination within affected pig farms.
Another unusual finding associated with SVA infection during this study was the occurrence of diarrhea in piglets. Molecular screening did not detect any of the commor enteric viral pathogens of suckling piglets. However, the IHC and reverse transcription PCR identified SVA in the small intestine of piglets with diarrhea, demonstrating the ability of SVA to replicate within the enteric epithelium.
Our results suggest that SVA is a pantropic virus that produces a multisystemic disease entity in pigs infected at an early age. The constant immunolabelling of the uroepithelium of all piglets with SVA antigens might indicate that in-pen contamination, through urine should be considered as a possible route for the dissemination of this virus.
The following Brazilian institutes provided financial support: National Council of Scientific and Technological Development, Brazilian Federal Agency for Support and Evaluation of Graduate Education, Financing of Studies and Projects, and Araucaria Foundation. R.A.L., S.A.H., A.F.A., and A.A.A. received National Council of Scientific and Technological Development fellowships and grants.
Author affiliations: Universidade Estadual de Londrina, Parana, Brazil (R.A. Leme, T.E.S. Oliveira, B.K. Alcantara, S.A. Headley, A.F. Alfieri, A.A. Alfieri); National Centre for Foreign Animal Disease, Winnipeg, Manitoba, Canada (M. Yang)
Dr. Leme is PhD fellow at Laboratory of Animal Virology and Multi-User Animal Health Laboratory, Molecular Biology Unit, Department of Veterinary Preventive Medicine, Universidade Estadual de Londrina, Brazil. Her research interests include molecular epidemiology surveillance of emerging and reemerging viruses of swine.
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Address for correspondence: Amauri A. Alfieri, Laboratory of Animal Virology, Department of Veterinary Preventive Medicine, Universidade Estadual de Londrina, PO. Box 10011, 86057-970, Londrina, Parana, Brazil; email: email@example.com
Raquel A. Leme,  Thalita E.S. Oliveira,  Brigida K. Alcantara, Selwyn A. Headley, Alice F. Alfieri, Ming Yang, Amauri A. Alfieri
 These authors contributed equally to this article.
Table 1. Geographic locations and other charactereristics of pig farms affected by Senecavirus A, Brazil, 2015 Farm State/region Month of Animal Age, d collection no. A Parana/Southern February 1 2 Brazil 2 1 B Parana/Southern February 3 2 Brazil 4 1 C Mato Grosso do March 5 3 Sul/Midwest Brazil D Santa Catarina/ March 6 2 Southern Brazil E Santa Catarina/ July 7 2 Southern Brazil 8 2 9 4 10 5 Farm Principal clinical manifestations A Weakness at birth, sudden death at 1-3 d of age B Weakness at birth, sudden death at 1-3 d of age C Cutaneous hyperemia, diarrhea, excessive salivation, lethargy, death D Acute diarrhea and/or wasting, death E Diarrhea, neurologic manifestations, sudden death
Please note: Some tables or figures were omitted from this article.
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|Author:||Leme, Raquel A.; Oliveira, Thalita E.S.; Alcantara, Brigida K.; Headley, Selwyn A.; Alfieri, Alice F|
|Publication:||Emerging Infectious Diseases|
|Date:||Jul 1, 2016|
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