COMMON INFECTIOUS DISEASES IN LABORATORY RATS AND MICE Charles B. Clifford, DVM, PHD, DACVP Dir, Pathology and Technical Services Charles River Laboratories.
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COMMON INFECTIOUS DISEASES IN LABORATORY RATS AND MICE Charles B. Clifford, DVM, PHD, DACVP Dir, Pathology and Technical Services Charles River Laboratories What’s common? • MHV – 2% • Parvoviruses • Mouse – 2% • Rat – 4% • EDIM – 0.7% • Norovirus ~30% • RRV – 7% Charles River Laboratories •Helicobacter spp. – 15% •C. bovis – 3% •Pneumocystis carinii – 2% •Pinworms – Mouse – 0.3% Rat – 1.3% •Mites – 0.1% (mice only) What’s common in mice? Agent Assay # tested # pos. % pos. Parv NS-1 ELISA 445,255 8,481 1.9048% MPV ELISA 457,062 8,974 1.9634% MVM ELISA 458,931 1,789 0.3898% MHV ELISA 441,098 7,949 1.8021% EDIM ELISA 364,793 2,459 0.6741% GDVII ELISA 342,312 991 0.2895% MPUL ELISA 352,563 32 0.0091% REO ELISA 338,054 43 0.0127% SENDAI ELISA 361,118 10 0.0028% PVM ELISA 353,043 12 0.0034% Charles River Laboratories What’s common in rats? Agent Assay # tested # pos. % pos. RPV ELISA 73,289 1,324 1.8065% H-1 ELISA 67,594 1,128 1.6688% KRV ELISA 73,400 1,136 1.5477% RMV ELISA 29,110 437 1.5012% GDVII ELISA 28,203 264 0.9361% SDAV ELISA 68,445 159 0.2323% MPUL ELISA 67,951 127 0.1869% M pulmonis Culture 3,558 2 0.0562% PVM ELISA 66,450 98 0.1475% SENDAI ELISA 67,193 16 0.0238% REO ELISA 61,016 5 0.0082% Charles River Laboratories Mouse Hepatitis Virus (MHV) Coronavirus, ss RNA, enveloped – Very high evolutionary capacity (innumerable strains) Prevalence moderate Virus types grouped as enterotropic (intestinal) or polytropic (multiple tissue) – most field strains are enterotropic – Clinical signs very rare in immunocompetent mice after weaning – Wasting syndrome in many immunodeficient mice Charles River Laboratories MHV As enveloped virus – does not persist in environment. Probably not infective after 48 hrs. – Short-term transfer by fomites (sleeves, equipment, bedding) Highly contagious and can spread rapidly Charles River Laboratories Enterotropic MHV Strains: D, RI, Y, G, myriad others. Most wild type strains are enterotropic Clinical signs and gross lesions rare in immunocompetent adult mice Primary replication: – GI tract, especially distal ileum, cecum, ascending colon Secondary sites - uncommon Clearance mediated by B cells – Not cleared in μMT mice (anecdotally also in many GM lines) Dissemination prevented by T cells – Disseminates in TCR βδ- , IFN-γ - , RAG1, athymic nude mice Charles River Laboratories Research Impact of MHV Prolonged immunologic effects: – NK cells, T-cells, B-cells – Infects monocytes, macrophages, bone marrow dendritic cells – Delayed allogeneic graft rejection Alters course of concurrent infections, such as Helicobacter hepaticus Charles River Laboratories MHV Detection Serology – Excellent cross-reaction among strains MFIA or ELISA, with IFA for confirmation – Seroconversion within 2 weeks (often one week) Histopathology – Lesions should by confirmed by IHC, PCR or serology Charles River Laboratories MHV Diagnosis PCR – Sequencing of PCR product (nucleocapsid gene) for epidemiology – Fecal Shedding (quarantine, immunodeficient mice) – Environmental – Confirmation of serology by PCR of mesenteric lymph nodes Charles River Laboratories CONTROL OF MHV Immunocompetent mice self-cure Enveloped virus: not stable in environment, easy to disinfect Can eliminate from immunocompetent colonies by not breeding and no new mice for 6-8 weeks (test 1st) Infection persists in immunodeficient mice Charles River Laboratories Parvoviruses Are you getting mixed signals on parvoviruses? Parvoviruses in Mice ssDNA, non-enveloped – Virus remains active in environment Resistant to desiccation and many (nonoxidizing) disinfectants Fairly common Generally no clinical signs Cause persistent infection – no self-cure Need actively dividing cells to replicate Charles River Laboratories Parvoviruses of Mice Mice Minute Virus (MMV or MVM) – Multiple strains (i, p, c, m), MMVm is most prevalent and is persistent. Others are culture-adapted strains. MMVm reported to cause stunting, low reproduction and early deaths in NOD μ-chain KO mice. Experimentally, caused hronic progressive infection in scid mice. Charles River Laboratories Research Effects of MMV Cell culture – Can infect many mouse cell lines, as well as some rat embryo lines and transformed human cells (324K, EL-4) Immunity – In vitro reduction of T-cell response by MMVi and in vivo late reduction of cytotoxic memory cells by MMVp Cytoskeleton – In vitro (A9 cells) dysregulation of gelsolin (↑) and WASP (↓) by MMVp Tumor studies – MMVp is oncotropic and oncolytic in some human tumors (hemangiosarcoma) and mouse tumors Charles River Laboratories Parvoviruses of Mice Mouse Parvovirus (MPV-1, MPV-2, MPV-3, MPV-4) – – – – Prevalence higher than MMV Causes persistent infection No anatomic lesions, even in scid mice Different strains not very cross-reactive by ELISA, MFIA C57BL/6 mice and congenic strains partially resistant to infection – C57BL/6 mice require 10-100x infective dose – DBA/2 only slightly better Charles River Laboratories Research Effects of MPV MPV-1a (cell culture adapted) modulates immune response (McKisic et al, 1996) – Suppression of T cell response in vitro CD8+ T lymphocyte clones lose function and viability Cytokine- and antigen-induced T cell proliferation in vitro suppressed after exposure to MPV-1a – Potentiates allograft rejection in vivo GEM expressing B19 NS1 have altered immune system and high fetal mortality resembling non-immune hydrops fetalis Charles River Laboratories Detection of Parvoviruses Serology – Usually best for screening – MFIA or ELISA - Traditional or recombinant antigens – Use panel of antigens for each serotype, plus the generic NS-1 antigen Mice - MMV, MPV-1, MPV-2, and NS-1 Rats - RV, H-1, RPV, RMV and NS-1 – IFA – Good follow-up assay for positive/equivocal MFIA/ELISA – Be careful with MPV serology of C57BL/6 mice! Charles River Laboratories Detection of Mouse Parvoviruses PCR – Can be strain-specific (VP2) or generic (NS-1) – Mesenteric LN stay positive indefinitely – Pooled fecal samples to detect shedding (Beware of fecal inhibitors of PCR) – Biologicals and cell cultures – Environmental swabs Charles River Laboratories Detection of Mouse Parvoviruses Many Challenges (sentinel parvovirus) – Some strains partially resistant (C57BL/6, DBA/2) – Not all mice may seroconvert to all antigens (NS-1) – May have very low prevalence in IVC and filter-top caging (hard to sort out from false positives) – Seroconversion generally within 7 days, but may be slow in adults exposed to low infectious dose Charles River Laboratories Control of Parvoviruses Can not “burn out” because infection is persistent Can only eliminate by rederivation – If caesarian section, must carefully test offspring and foster dams. Primaparous dams more likely to be viremic. – Reported as detected from sperm and pre-implantation embryos No envelope, so it stays active in environment – Must thoroughly disinfect environment, materials and equipment with oxidizing agent (Clidox, ozone, etc.) Charles River Laboratories Exclusion of Parvoviruses Consider sources of research animals: – Vendors, GM animals, immunodeficient Wild rodents Biological materials Risk from personnel handling infected rodents (pets, snake food) Fomites (Feed, bedding, water, used/shared equipment etc.) Charles River Laboratories Noroviruses Type virus is Norwalk virus, “cruise ship virus” – Non-enveloped, RNA Cause >90% nonbacterial epidemic gastroenteritis worldwide, 23M cases/yr in US (per CDC) – Cruise ships, institutions, military Noroviruses MNV – Genetically distinct (genogroup V) from human noroviruses (I, II, IV), zoonotic spread unlikely – No evidence of clinical disease or lesions in immunocompetent mice No noroviruses yet reported in other lab rodents Charles River Laboratories MNV-1 No disease in immunocompetent mice High mortality in RAG (-/-) STAT (-/-)double KO mice, with disseminated infection and encephalitis and pneumonia – Encephalitis only with IC inoculation Charles River Laboratories MNV Many variants isolated at this point, > 50 at CRL MNV widespread in lab mouse research facilities No clinical disease reported in natural infections Most major vendors (including CRL) reporting all colonies negative for MNV by serology and/or PCR Charles River Laboratories MNV Research interference unknown, but: – MNV-1 was detected in macrophage-like cells in vivo and grew in vitro in dendritic cells and macrophages. Growth was inhibited by the interferon αβ receptor and by STAT-1 (Wobus et al., 2004) – Possible macrophage aggregates in RAG livers Charles River Laboratories MNV Diagnosis: – MFIA/ELISA – recombinant capsid protein selfassembles into VLP. Good cross-reaction among variants – PCR – Virus shed in feces for long periods, should persist in environment. PCR must be properly designed to be able to detect multiple strains. Charles River Laboratories MNV Management – Virus probably present in mice for a long time (so no hurry) Nonpathogenic Widely distributed Numerous strains – Noroviruses should not cross placenta, so c-section or ET rederivation should be successful – Must consider environmental decontamination Charles River Laboratories Rat Respiratory Virus (RRV) a.k.a. Idiopathic pneumonitis Biology – non-classified virus (apparently). Apparently enveloped. Prevalence: Common Epidemiology – Host range - rats are the only known host, all strains susceptible – Transmitted by aerosol and/or dirty bedding – Additional fomites transmission likely Charles River Laboratories Rat Respiratory Virus (RRV) Pathogenesis – If no previous exposure Lesions first seen about 4-5 weeks post-exposure Lesions reach peak severity at 7 weeks, then decline Lesions present for at least 13 weeks post-exposure – In chronically infected colony (young have maternal antibodies) Best time to screen is 8 - 12 weeks of age Charles River Laboratories Rat Respiratory Virus (RRV) Diagnosis – Gross Lesions: Scattered brown to grey areas on pleural surface – Histopathology Dense perivascular lymphoid cuffs distributed in lungs Interstitial pneumonia (lymphohistiocytic) Syncytial cells Lesions graded minimal to mild, rarely moderate – Serology: None available Charles River Laboratories RRV Control – Eliminate by rederivation – Persistent infection? -No definite answer If enveloped - Should be readily deactivated by disinfectants, drying Charles River Laboratories Helicobacter Infection in Laboratory Rodents Biology and Epidemiology Microaerophilic (H. ganmani is anaerobic) Does not persist in environment – sensitive to drying Transmission fecal-oral Many can infect multiple species Charles River Laboratories H. hepaticus Host range: Mice, rats (mostly experimental) Prevalence: High (12.7% in mice, 0.6% in rats by specific PCR) Infection acquired early, persistent in mice Chronic hepatitis in aging immunocompetent mice of some strains. – A/J inbred mice - hepatitis, increased hepatocellular carcinomas – C57BL/6 mice resistant to disease, but still get infected – Typhlocolitis in some strains Immunodeficient mice – Typhlocolitis and prolapsed rectum – Hepatitis, may be necrotizing Charles River Laboratories Helicobacter hepaticus Prolapsed rectum in immunodeficient mice Proliferative typhlocolitis Suggestive, but not diagnostic Helicobacter hepaticus Background Lesions Prolapsed rectum in immunodeficient mice can also be non-infectious (sporadic) H. bilis Host range: mice, rats, gerbils, dogs, cats, humans, others? Prevalence: high (3.5% in mice, 0.1% in rats) Overall, similar to H. hepaticus in immunodeficient mice Similar to, but less severe, in immunocompetent mice No lesions confirmed in immunocompetent rats – Typhlocolitis in immunodeficient rats Charles River Laboratories Additional lab rodent Helicobacter spp. – H. rodentium – mouse, rat – H. typhlonius – mouse, rat – H. ganmani - mouse – H. muridarum - mouse, rat – F. (H.) rappini - mouse, pig, sheep, dog, cat, human – H. trogontum – rat, mouse Charles River Laboratories – H. cinaedi - hamster, human, dog, macaque – H. cholecystus - hamster – H. aurati - hamster – H. mesocricetorum hamster – OTHERS? Research Interference H. hepaticus - causes inflammation of liver and large intestine. Increases inflammatory mediators (IP-10, MIP-1α, IL-10, IFN-γ, and MIG mRNA, Livingston et al., 2004), in A/JCr mice, with greater increases in females than in males. Coinfection of H. hepaticus and H. rodentium, exacerbated the inflammation and expression of inflammatory mediators, but infection with H. rodentium alone did not cause hepatitis or enteritis in A/JCr or SCID mice (Myles et al., 2004). H. hepaticus infection in A/J mice caused upregulation of putative tumor markers correlated temporally with increasing hepatocellular dysplasia (Boutin et al., 2004). Also leads to increased liver tumors Charles River Laboratories Helicobacter Detection Similar for all Helicobacter PCR – best. Generic or specific Sentinels on dirty bedding effective in as little as 2 weeks for H. hepaticus (Livingston, et al, Comp Med, 48:219 1998) – Less effective for H. bilis, H. rodentium (Whary, et al, Comp Med 50:436 2000) Culture (microaerophilic or anaerobic, Brucella agar, filtration) – Different species require different filter pore size, culture conditions Histopathology with silver stains (in tissue only) Serology Charles River Laboratories Control of Helicobacter Probably similar for all Helicobacter spp. Control (Elimination) – Oral antibiotics – perhaps for small groups of mice. Questionable efficacy. – Rederivation by caesarian section or embryo transfer – Cross-fostering pups onto “clean” dams Before 24 hrs of age (Singletary KB, Kloster CA, Baker DG, Comp Med 2003 Jun;53(3):259-64 ) Control (Containment) – Isolators – Microisolators Good review by Whary and Fox, Comp Med 54:128 2004 Charles River Laboratories Oxyuriasis (pinworms) Biology: – Oxyurid nematodes (Aspiculuris tetraptera, Syphacia obvelata, S. muris) – Direct life cycle A. tetraptera eggs shed in feces, embryonate in 6-7 days Syphacia eggs attached to perianal hairs, embryonate in a few hours Prepatent period 12-15 d for Syphacia, 23-25 d for Aspiculuris Charles River Laboratories Oxyuriasis Epidemiology: – Transmission by contact with infective materials – Eggs remain infective for months Significance – Old reports attributed colitis and rectal prolapse to heavy infestation – Newer reports describe changes in behavior and immune response Charles River Laboratories Syphacia sp. Aspiculuris tetraptera Tape test Fecal Exam Oxyuriasis Control – Rederivation – Exclusion Theoretically could be introduced by bedding, feed, other supplies. Practically, introduced by other rodents or shared equipment, then spread by fomites Charles River Laboratories Oxyuriasis Control (cont.) – Treatments Fenbendazole (150 ppm in feed for at least three 7 day periods over at least 5 weeks, combined with environmental decontamination) Excellent review by Pritchett and Johnston, Contemporary Topics, 2002, 41(2):36-46 Charles River Laboratories Gambian Giant Pouched Rat Cricetomys gambianus