Viruses and Lymphoid System Flashcards
Name a virus cause by Alpharetrovirus (2)
Avian leukosis virus
Rous sarcoma virus
What virus is caused by Betaretrovirus?
Jaagsiekte sheep retrovirus
Name a virus caused by Gammaretrovirus
Feline leukaemia virus
Name a virus caused by Deltaretrovirus
Bovine leukaemia virus
Name a virus caused by Epsionretorvirus
Fish tumour viruses
Name 3 viruses caused by Lentivirus (5)
Human immunodeficiency virus
Feline immunodeficiency virus
Equine infectious anaemia virus
Caprine arthritis-encephalitis virus
Maedi-visna virus
What is the prevalence of FeLV?
- Variable
- Much decreased due to vaccination and test/removal schemes
Strays!
What are the subtypes of FLV?
- FeLV can cause immunosuppression, tumours, anaemia, enteritis.
- Immunosuppression probably due to virus replication in cell progenitors in BM
–cytokine dysregulation? With how they mature and grow
•Different subtypes: A, B, C and T
–B, C and T less common
•Classified according to the viral envelope (gp70)
–Something about this
•FeLV B arises due to homologous recombination between A envelope and endogenous FeLV related DNA
–probably increases rate of tumour formation
•FeLV-C arises, rarely, de novo due to point mutations in the envelope
–causes severe rapid fatal aplastic anaemia
•FeLV-T targets T-lymphocytes
–causes severe immunosuppression
•FeLV-A isolated in all infected animals
How is FelV transmitted?
Virus is labile in the environment so close contact important for spread
Not stable for long in the environment once it dries out
Across placenta – tend to die in utero
Discuss FeLV disease
- transmission by close contact (saliva)
- occasional vertical transmission from infected queens (in utero or after birth via saliva or milk)
- following infection most cats clear virus and recover – some become persistently infected (PI<30%)
- PI cats will typically die within 3 - 4 years
- Clinical signs include leukaemia, lymphoma, anaemia, immunosupression, enteritis
- Young kittens more likely to become PI
- Most cats tend to die 1-2 years
What is the pathogenesis of FeLV?
- Oronasal infection
- Virus infects lymphocytes in oropharynx then spreads to local lymph nodes
- Virus infects local lymph nodes, travels to bone marrow and other lymphoid tissues, then to mucosal tissues
- Incubation period of 3-6 weeks until virus is found in the blood and is excreted in saliva
When should we test for FeLV?
•Signalment
–Younger cat, possible exposure (stray?)
•“Appropriate” clinical signs
–Anaemia
–Neoplasia
•lymphomas, leukaemia
–Immunosuppression
- co-infections e.g. stomatitis, respiratory, chronic illness
- Management of populations
–Multi-cat household, shelters
–Cant always test - ££
How do you diagnose FeLV?
Aim to identify cats that are persistently viraemic
By definition have NO antibody to the virus
- so need to detect VIRUS ANTIGEN (p27)
- or circulating virus
In house screening test kits
What are the pros and con of in house FeLV testing?
–Negative results reliable (NPV >99%)
–Very unlikely it wont have the disease
–If there a clinical signs grumbling on you can then re test
–False positive results are possible (PPV 70-90%)
–Blood haemolysis
–Incorrect test use
–Antigen cross reaction
–Any positive result should be tested by virus isolation or immunofluorescence
–Recent infections should be retested in 12wk
What is the value of qPCR in FeLV?
–Detects provirus in circulating WBCs not viraemia
–Negative predictive value very high
–Does not always correlate with viraemia
–Viral loads need consideration
How can we control and manage FeLV?
Correct diagnosis of PI cats
Test and removal (isolation)
Symptomatic and supportive treatment
Impact on chemotherapy of cancers
Antiviral drugs?
Interferons, Other?
Vaccination of at-risk cats e.g. Eurifel FeLV
What should you do with a PI diagnosis?
–Retest in 12 weeks
–Retest in reputable laboratory