Schmallenberg Virus Infections in Ruminants

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Schmallenberg Virus Infections in Ruminants F. J. Conraths, B. Hoffmann, D. Höper, M. Scheuch, R. Jungblut, M. Holsteg, H. Schirrmeier, M. Eschbaumer, K. Goller, K. Wernike, M. Fischer, A. Breithaupt, M. Kramer, Y. Gall, C. Probst, C. Staubach, J. Sonnenburg, D. Höreth-Böntgen, W. van der Poel, L. van Wuyckhuise, P. Vellema, T. C. Mettenleiter and M. Beer

Susceptible Species SBV-infections detected only in ruminants so far Cattle Sheep Goats Bison Roe deer (antibody detection) Red deer (antibody detection)

Clinical picture

Clinical signs in adult cattle (DE) Since August 2011 increased number of requests to BTV reference laboratory to analyse samples; new BTV cases? In North Rhine-Westphalia cases of drastic milk drop and fever reported; similar symptoms in the Netherlands (?) In September first samples sent to FLI/Institute of Diagnostic Virology for further investigations (M. Holsteg, LWK NRW und R. Jungblut, VUA Arnsberg) All tests for classical diseases negative: BTV, EHDV, FMDV, BHV-1, MKFV, BVDV, RVFV, BEFV Virus isolation on bovine cells negative (no CPE) Metagenomic analysis of 3 pooled blood samples from diseased dairy cows fromschmallenberg

Map of first cattle cases in Germany - 12 positive samples - 6 cattle farms - 11 adult cattle - 1 stillborn twin calf - All in North Rhine-Westphalia - Close to Dutch border

Clinical signs in adult sheep No reports at the time of acute infection (DE) Unspecific, mild symptoms occasionally reported after detection of malformations in lambs Diarrhoea Causal relationship to SBV unclear Recall bias? Diarrhoea in Frisian Milksheep (NL) 4/5 holdings with SBV-affected lambs had reported diarrhoea in August/September

Clinical signs in lambs Ovine Congenital Malformation History 25.11.2011 first case (Maastricht) 5/40 dairy sheep holdings in NL affected Clinical picture Arthrogryposis, torticollis, brain hypoplasia, brachygnathia inferior, silly lambs (unable to suckle), skoliosis, little wool, hardly any muscles Lambs born live or dead Piet Vellema, GD Picture: Dr. Brügmann, LVI Oldenburg

Clinical picture in lambs Arthrogryposis, torticollis, brain hypoplasia, brachygnathia inferior, skoliosis Pictures: Courtesy of Dr. Brügmann, LVI Oldenburg

Clinical picture in calves Deformation of the vertebral column, torticollis, brachygnathia inferior in a calf Hydranencephaly and cerebellar hypoplasia Pictures: Courtesy of Dr. Martin Peters, SVUA Arnsberg, Germany

Case description Dairy sheep farm (53 ewes) No purchase of ewes for 2 years Ram purchased on 04.09.2010 well managed organic farming (Demeter) Heavy problems with insects until 11/2011 on pastures SBV suspicion since 18.01.2012 16/33 (48.5%) lambings produced at least one SBVsuspect lamb (AHS) 24 lambs affected (AHS, stillborn or too weak to survive) One stillbirth without AHS in 13.01.2012 One AHS-affected lamb survived (More information collected using standard questionnaire)

Experimental infections

Animal experiment SBV Experimental infection of cattle Animal R07 R08 R09 4ml blood from 4 different blood samples s.c. 4ml blood from 4 different blood samples i.v. KC-cell supernatant s.c. and i.v.

Animal trial SBV: body temperatures Body temperatures -3-2 -1 0 1 2 3 4 5 6 7 R07 38,8 38,7 38,7 38,8 38,8 39,0 39,2 40,5 39,0 39,3 38,8 R08 38,5 38,7 38,7 38,7 38,9 38,8 39,0 38,9 39,1 38,7 38,6 R09 39,0 38,6 38,9 39,1 39,1 38,7 39,3 38,4 39,0 39,3 38,8

Animal trial SBV: PCR dpi R07 R08 R09 RT-qPCR (Aka-like L1) -7 no Cq no Cq no Cq 0 no Cq 1 no Cq 2 29,75 34,57 28,36 3, 9 Uhr 23,61 26,20 24,43 3, 17 Uhr 22,17 24,38 4, 9 Uhr 20,47 24,50 22,53 4, 16 Uhr 24,99 25,60 5 28,17 27,34 29,52 6 no Cq no Cq no Cq 7 no Cq no Cq no Cq

Animal trial SBV: Serology Serum neutralisation assay 1/ND50 (L164) 1/ND50 (L228) Animal 07, 18dpi 15 15 Animal 08, 18dpi 20 20 Animal 07; 21dpi 15 15 Animal 08; 21dpi 15 15 After day 40 post inoculation: appr. 1:160 NC ref1 <5 <5 NC ref2 <5 <5 RT (KID50) 80 80

BV TV 02/12 2nd cattle experiment R10 bis 14: s.c. infection 2 animal orally inoculated 2 animals re-infected 3 Contact animals Inoculation material: KC/1P. BHK Material Short viremia of less than 6 days in naive cattle No viremia in re-infected or oronasally inoculated or contact cattle No infection in contact animals detected

Experimental Infections in Sheep Hyperimmunisation in seropositive sheep Experimental infection of lambs to start within a few weeks No clinical signs in adult sheep infected with virus derived from cell culture (Vero) Wim van der Poel

Pathogenesis

Transplacental infection

Course of the epidemic in ruminants

Epidemiological situation First cases in Germany Species Cattle Sheep First cases (Conception in January 2011) December 2011 Goats January 2012

SBV transplacental infections peaked at the same time of the year as BTV8 Spearman's rank correlation: Adjusted SBV outbreaks in sheep - BT 2006: rho = 0.894, p-value = 1.264e-11 Adjusted SBV outbreaks in sheep - BT 2007: rho = 0.857, p-value = 7.484e-10 Assumptions: Duration of pregnancy in sheep 150 d [145-155] days Risk period for SBV infection day 32 [25-38] of pregnancy. => Shift: 17 weeks

Summary SBV has so far affected primarily sheep, but also cattle, goats and bison. Roe deer and red deer seem to be susceptible and naturally infected. Mild disease in adult cattle (diarrhoea, milk drop, fever) for a few days Severe congenital malformations in SBV-positive lambs, calves and kids Evidence for vertical (transplacental) transmission from dam to progeny Experimental infections in cattle short viraemia (< 6 days) No viremia in re-infected or oronasally inoculated or contact cattle No infection in contact animals No evidence for direct horizontal transmission SBV transplacental infections peaked at the same time of the year as BTV8 Seasonal transmission pattern High correlation with BTV8 in 2006 Indirect evidence for vector transmission

Acknowlegdements Kathrin Teske Doris Kämer Dr. Andreas Fröhlich Dr. Jörn Gethmann Wim van der Poel, CVI Linda van Wuyckhuise, GD Piet Villema, GD Thank you