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porcine adenovirus PAV猪腺病毒
Etiology• Porcine adenovirus (PAdV) is a non-enveloped DNA virus in the genus Mastadenovirus, familyAdenoviridae. There are currently three porcine species and five serotypes recognized: PAdV-A(serotypes 1-3); PAdV-B (serotype 4); and PAdV-C (serotype 5).Cleaning and Disinfection• PAdVs can survive in the environment for days to weeks.• Bleach, formaldehyde, alcohol and phenolic compounds are effective disinfectants for PAdV.PAdV-5 (belonging to PAdV-C), has been successfully inactivated using 0.85% salt solution or1M MgCl2 solution heated at 50°C for 1 hour. Heating to 56°C for greater than ten minutes canalso inactivate adenoviruses.Epidemiology• Adenoviruses are relatively host-specific and pigs are the only known hosts for PAdV.Experimentally, human AdVs are able to infect pigs.• PAdVs are not known to infect humans.• The geographic distribution of PAdVs is not fully known, although the virus is suspected to bewidespread in domestic swine populations.• Serological surveys from Canada and England in the 1960s–1970s indicated that up to 60% ofswine test positive for anti-PAdV antibodies. However, current seroprevalence data is lacking.The virus rarely causes death.Transmission• The major routes of PAdV transmission are fecal-oral and inhalation. Virus has also beendetected in swine kidneys post-mortem, making exposure to urine a suspected route oftransmission. Because PAdV is stable in the environment, fomites are also a potential source ofvirus.Infection in Swine/Pathogenesis• PAdV generally causes subclinical infections, and is commonly isolated from the gastrointestinaltract of normal swine. However, PAdV can induce enteritis and has been isolated in associationwith encephalitis, nephritis, respiratory disease, and reproductive disorders.Diagnosis• PAdV is easily cultured. PAdV can be detected in fecal and intestinal culture using negativelystained, transmission electron microscopy (TEM). Immunofluorescence antibody (IFA) assays,complement fixation, direct fluorescence antibody (FA), and gel diffusion precipitation tests areall capable of detecting PAdV antigen and can be useful in confirming infection.• A rise in anti-PAdV antibody in the presence of clinical disease is suggestive of clinical disease.Serological methods include virus neutralization or indirect fluorescent antibody testing.Immunity• Most adult swine are seropositive to adenovirus and antibodies are presumably protective.• There is no vaccine for PAdV. Information on cross-protection between strains is unavailable.Prevention and Control• There is no treatment for PAdV infection.• Standard industry biosecurity practices should be in place to limit fecal contamination and virustransmission.Gaps in Preparedness• PAdV is not thought to be a major threat to the United States swine industry. However, recentseroprevalence data is lacking and further studies could help determine the potential impact ofPAdVs on swine production.OVERVIEWPorcine adenovirus (PAdV) is a ubiquitous virus with a worldwide distribution and is considered a lowgrade pathogen in domestic swine. PAdV is a non-enveloped, DNA virus in the genus Mastadenovirus ofthe family Adenoviridae. PAdV can be isolated from intestines during cases of moderate enteric disease,but more commonly results in subclinical infections. Most adult swine are seropositive for anti-PAdVantibodies, indicating that the virus is widespread but has a low incidence of disease. PAdV has also beenisolated in cases of nephritis and respiratory disease, and is thought to contribute to reproductivedisorders.Currently, there are three porcine species and five serotypes in the Mastadenovirus genus. Porcineadenovirus A is composed of porcine adenovirus serotypes 1-3 (PAdV 1-3). Serotype 4 (PAdV-4)belongs to porcine adenovirus B and serotype 5 (PAdV-5) belongs to porcine adenovirus C. PAdV-4 isthe most commonly isolated serotype and has been associated with enteritis, nephritis, encephalitis andpneumonia. Serotypes can be differentiated using cross-neutralization assays. PAdV is stable in theenvironment for ten days. It is resistant to ether and chloroform but can be inactivated using 0.85% saltsolution or 1M MgCl2 solution heated to 50°C for 1 hour. Beach, formaldehyde, alcohol and phenoliccompounds are also effective disinfectants for PAdV.PAdV is endemic in most conventional swine herds throughout the world and infection is mostlyasymptomatic. Swine are the only known hosts of porcine adenoviruses and there have been no reports ofzoonotic transmission from swine to humans; however, human adenoviruses have been able toexperimentally infect swine. Adenovirus was first isolated in swine in 1964 from a rectal swab of a pigwith diarrhea. Through the remainder of the 1960s and the 1970s, serological surveys in Canada andEngland indicated many adult swine have anti-PAdV antibodies. However, the serologic prevalence ofPAdV has not recently documented and the current distribution of PAdV is unclear. PAdV-inducedclinical disease has been documented in several states in the United States, Belgium, Japan and the UnitedKingdom.Fecal-oral or fecal-nasal transmission of PAdV is most common. PAdV is stable in the environment, sotransmission via fomites is also likely. Once ingested, PAdV undergoes intranuclear replication, primarilyin the short blunt villous enterocytes and lymphoid tissue located in the distal jejunum and ileum. Themost common clinical sign associated with PAdV infections is intermittent, yellow, watery diarrhea.Animals appear depressed, emaciated, and severely dehydrated. Occasionally diarrhea is accompanied byvomiting. Post-mortem findings include thin walled distal small intestine and enlarged mesenteric lymphnodes. Yellow, watery contents may be present in the small and large intestines. Upon histologicexamination, the villi are short and blunt in the distal jejunum and ileum. Intranuclear inclusion bodies arepresent in the enterocytes of the affected villi.PAdV is easily cultured in cell lines of porcine origin; primary and continuous kidney cells, primarythyroid cells, and primary testicular cells are most commonly used. PAdV can be identified from fecaland intestinal culture using negatively stained, transmission electron microscopy (TEM),immunohistochemical staining or virus isolation. Alternatively, immunofluorescence antibody (IFA)assays, complement fixation, direct fluorescence antibody (FA), and gel diffusion precipitation tests areall capable of detecting PAdV antigen and can be useful in confirming infection. Although polymerasechain reaction (PCR) assays have been developed for detection of PAdV in the environment, they are notcurrently utilized in the clinical diagnosis of PAdV.As PAdV rarely results in clinical illness, little information is available on immunity post-infection.PAdV not considered to be a major threat to the United States swine industry; it is a low grade pathogenand infections are generally asymptomatic. There is no specific treatment for PAdV-induced disease andno vaccine is available.LITERATURE REVIEW1. Etiology1.1 Key CharacteristicsPorcine adenovirus (PAdV) is a non-enveloped, DNA virus with an icosahedral capsid, belonging to thefamily Adenoviridae in the genus Mastadenovirus.1 Adenovirus was first isolated in swine from a rectalswab of a pig with diarrhea in 1964.21.2 Strain VariabilityThere are currently three recognized porcine species and five serotypes within the Mastadenovirus genus.Serotypes can be differentiated using cross-neutralization assays.3• Porcine adenovirus A is composed of porcine adenovirus 1-3 (PAdV 1-3). PAdV-1 and PAdV-3have been isolated from diarrheic swine, and PAdV-2 and PAdV-3 have been isolated fromnormal swine.• Porcine adenovirus B has only one serotype, porcine adenovirus 4 (PAdV-4), 1 the mostcommonly isolated serotype. PAdV-4 has been isolated from pigs with enteritis, nephritis,encephalitis and pneumonia.4• Porcine adenovirus C is comprised of porcine adenovirus 5 (PAdV-5).1 PAdV-5 has been isolatedfrom the brain of a newborn pig and from nasal secretions from pigs with respiratory disease.5,6Recently, two novel PAdVs have been identified. Strain PAdV-WI was identified in swine facility penwash water and has been proposed as a prototype of a new Mastadenovirus species.7 A second strain,PAdV-SVN1, was isolated in cultures of normal porcine urothelial cells (from the bladders of domesticpigs), and has genetic similarity to PAdV-WI.8Experimentally PAdVs have also been used in gene transfer research and as vectors in vaccine research.5For example, a recombinant PAdV-3 vector has been generated for potential gene transfer to humancells.9 PAdV-3 and -5 have been investigated as vectors for transmissible gastroenteritis virus andclassical swine fever virus vaccines.102. Cleaning and Disinfection2.1 SurvivalAdenoviruses are able to survive in the environment for at least ten days.11 Following a manure spill,porcine adenovirus was detectable 18 days later 5.6 km downstream.12 Heating to 56°C for greater thanten minutes can inactivate adenoviruses.12.2 DisinfectionPAdV is stable in acidic conditions (pH 3–4) and not susceptible to ether or chloroform. Bleach,formaldehyde, alcohol and phenolic compounds are effective disinfectants for PAdV. 2,6,11 PAdV-5 hasbeen successfully inactivated using 0.85% salt solution or 1M MgCl2 solution heated at 50°C for 1 hour.63. Epidemiology3.1 Species AffectedAdenoviruses are relatively host-specific. Swine are the only known hosts for PAdV.5 Humanadenoviruses have been able to experimentally infect swine.13,14 The Mastadenovirus genus also includesadenovirus species that infect humans, bovines, canines, equines, murines, ovines, and tree shrews. 163.2 Zoonotic PotentialThere is no known zoonotic transmission of PAdV to humans.5Adenoviruses generally have a specificand restrictive host range.13.3 Geographic DistributionIn the 1960s–1970s, several serological surveys showed that PAdVs were widespread in Canada andEngland. However, the serologic prevalence of PAdV has not documented recently and the currentdistribution of PAdV is unclear.5 Natural PAdV-induced infections associated with nephritis have beendocumented in the United States (Georgia and South Dakota)4 and Belgium.15 Natural PAdV-inducedinfections associated with respiratory disease have been reported in Japan,6 and clinical enteritis has beenseen in the United States (Kentucky and Tennessee)16 and the United Kingdom.23.4 Morbidity and MortalityThere is little data on adenovirus-related morbidity and mortality rates. Studies from England in the 1960sreported seroprevalence rates of 25–53% and 50–60%.17,18 Serological surveys of swine in Quebec foundlower prevalence rates ranging from about 15% to 18%.19,20 In one documented PAdV-induced diseaseoutbreak, a morbidity rate of 30% was reported. Animals 14 days of age experienced diarrhea withoccasional vomiting and no sows showed clinical signs of infection.21 PAdV-induced infections rarelyresult in death.164. TransmissionTransmission of PAdV is primarily through fecal ingestion or inhalation.5 However, as PAdV has beendetected in kidneys post-mortem, urinary-oral and urinary-nasal should also be considered as viableroutes of transmission.4 PAdV is stable in the environment, so transmission via fomites is likely.55. Infection in Swine/PathogenesisOnce ingested, PAdV undergoes intranuclear replication, primarily in the short blunt villous enterocytesand lymphoid tissue located in the distal jejunum and ileum.3,5 In an experimental study, PAdV-3 viralparticles were detected 24 hours to 16 days post-inoculation in enterocytes. It was determined thatdestruction of the epithelium and shortening of the villi correlated with the presence of PAdV-3 in thenucleus of these cells. Viral antigen was found 24 hours and up to 45 days in some animals. However,antigen detection at day 45 post-inoculation did not coincide with morphologic changes in the epithelium.Tonsils were sporadically infected, and frequently at later stages, indicating a possible viremia of PAdV3.22In experimental studies, diarrhea ensues three to four days post-inoculation and persists for three to sixdays.21,22 During natural infection, diarrhea has been documented in some instances for three to five daysand others persisted for one to three weeks.16,21 Pre-weaned piglets one to four weeks of age are primarilyaffected.165.1 Clinical SignsThe most common clinical sign associated with PAdV infections is intermittent, yellow, waterydiarrhea.16,21 Animals appear depressed, emaciated, and severely dehydrated.16 Occasionally diarrhea isaccompanied by vomiting.21 Natural infection usually occurs in piglets one to four weeks of age andsows are not clinically affected by PAdV. Generally, PAdV-induced gastrointestinal disease is foundsecondary to other clinical signs.5Rarely, nephritis is documented in association with PAdV. In reported cases, affected animals were fourto eight months of age. The presenting problem on these farms was chronic, purulent bronchopneumoniaand PAdV nephritis was an incidental finding that likely did not contribute to the clinical presentation.47PAdV-5 has been isolated in cases of respiratory disease with sneezing, nasal discharge and coughing.6PAdV is also thought to contribute to reproductive disorders, primarily those resulting in abortion.115.2 Postmortem LesionsIn clinical cases of PAdV-induced diarrhea, the wall of the distal small intestine is thin and mesentericlymph nodes enlarged.16,21 Yellow, watery contents can be present in the small and large intestines. 21Upon histologic examination, the villi are short and blunt in the distal jejunum and ileum. Intranuclearinclusion bodies are present in the enterocytes of the affected villi. Infiltration of the lamina propria inthese areas is made up of histiocytes, plasma cells, and lymphocytes.16,21Animals experimentally infected with PAdV-3 strain 6618 had similar gross lesions as those found innatural infections. This included thin intestinal walls with yellow watery contents. Mesenteric lymphnodes were also enlarged and edematous. Occasionally, pulmonary lesions were found on apical lobes.Similar lesions as those found in natural infections were also seen histologically including intranuclearbodies in enterocytes of affected villi with infiltration of the lamina propria. Focal gliosis and nonpurulent perivasculitis was observed in the brain of some animals. The liver revealed some hepatocytevacuolization with neutrophilic infiltration. Lungs were congested with interstitial pneumonia and somehydropic degeneration of bronchial epithelium.21In documented cases of PAdV-induced nephritis, the connective tissue surrounding renal tubulescontained multifocal accumulations of lymphocytes and plasma cells. Some eosinophilic, necroticepithelial cells were present in the lumen of medullary tubules, and sloughed tubular epithelial cellscontained intranuclear bodies.46. Diagnosis6.1 Clinical HistoryPAdV should be considered as a differential in cases of diarrhea in pre-weaning aged piglets.166.2 Tests to Detect Nucleic Acids, Virus, or AntigensPAdV is easily cultured in cell lines of porcine origin; primary and continuous kidney cells, primarythyroid cells, and primary testicular cells are most commonly used.5 Cytopathic effects can be seen two tofive days post-inoculation.3,5 Intranuclear bodies can be seen in infected tissue samples; however, PAdVidentification techniques should be used to confirm diagnosis.5,21 PAdV can be detected in fecal andintestinal culture using negatively stained, transmission electron microscopy (TEM).4Immunofluorescence antibody (IFA) assays, complement fixation, direct fluorescence antibody (FA), andgel diffusion precipitation tests are all capable of detecting PAdV antigen and can be useful in confirminginfection.2-5,11 Although polymerase chain reaction (PCR) assays have been developed for detection ofPAdV in the environment, they are not currently utilized in the clinical diagnosis of PAdV.56.3 Tests to Detect AntibodyA rise in anti-PAdV antibody in the presence of clinical disease is suggestive of causation of clinicaldisease.5 Serological methods include virus neutralization or indirect fluorescent antibody testing.6.4 Samples6.4.1 Preferred SamplesPreferred samples from diarrheic animals are the distal ileum and the jejunum.16,22 PAdV antigen has alsobeen successfully identified using fecal samples of infected animals.56.4.2 Oral Fluids8The use of oral fluids as a diagnostic specimen has not been evaluated for PAdV.7. Immunity7.1 Post-exposureViral antigen has been found in enterocytes up to 45 days post-infection, which is suggestive of long-termshedding. PAdV has been successfully isolated from the brain, nasal tissue, pharynx, lung and intestine 48days after experimental inoculation. Most adult serum and rectal swabs are positive for anti-PAdVantibodies. 5,167.2 VaccinesThere is no vaccine for PAdV.7.3 Cross-protectionInformation on cross-protection between strains is unavailable.58. Prevention and ControlThere is no specific treatment or vaccine for PAdV-induced infection.11 PAdV is a low grade pathogenand rarely results in mortality. Swine industry biosecurity practices, including cleaning and disinfection,should be in place to limit transmission of the virus.9. World Organization for Animal Health (OIE) Terrestrial Animal Health CodePAdV is not included in the 2015 OIE Terrestrial Animal Health Code. There are no restrictions forimportation of animals from countries or zones infected with PAdV.10. Gaps in PreparednessPAdV is a low grade pathogen that likely presents little threat to the swine industry. However, recentseroprevalence data is lacking and further studies could help elucidate the potential impact of PAdVs onswine production.
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Etiology• Porcine adenovirus (PAdV) is a non-enveloped DNA virus in the genus Mastadenovirus, familyAdenoviridae. There are currently three porcine species and five serotypes recognized: PAdV-A(serotypes 1-3); PAdV-B (serotype 4); and PAdV-C (serotype 5).Cleaning and Disinfection• PAdVs can survive in the environment for days to weeks.• Bleach, formaldehyde, alcohol and phenolic compounds are effective disinfectants for PAdV.PAdV-5 (belonging to PAdV-C), has been successfully inactivated using 0.85% salt solution or1M MgCl2 solution heated at 50°C for 1 hour. Heating to 56°C for greater than ten minutes canalso inactivate adenoviruses.Epidemiology• Adenoviruses are relatively host-specific and pigs are the only known hosts for PAdV.Experimentally, human AdVs are able to infect pigs.• PAdVs are not known to infect humans.• The geographic distribution of PAdVs is not fully known, although the virus is suspected to bewidespread in domestic swine populations.• Serological surveys from Canada and England in the 1960s–1970s indicated that up to 60% ofswine test positive for anti-PAdV antibodies. However, current seroprevalence data is lacking.The virus rarely causes death.Transmission• The major routes of PAdV transmission are fecal-oral and inhalation. Virus has also beendetected in swine kidneys post-mortem, making exposure to urine a suspected route oftransmission. Because PAdV is stable in the environment, fomites are also a potential source ofvirus.Infection in Swine/Pathogenesis• PAdV generally causes subclinical infections, and is commonly isolated from the gastrointestinaltract of normal swine. However, PAdV can induce enteritis and has been isolated in associationwith encephalitis, nephritis, respiratory disease, and reproductive disorders.Diagnosis• PAdV is easily cultured. PAdV can be detected in fecal and intestinal culture using negativelystained, transmission electron microscopy (TEM). Immunofluorescence antibody (IFA) assays,complement fixation, direct fluorescence antibody (FA), and gel diffusion precipitation tests areall capable of detecting PAdV antigen and can be useful in confirming infection.• A rise in anti-PAdV antibody in the presence of clinical disease is suggestive of clinical disease.Serological methods include virus neutralization or indirect fluorescent antibody testing.Immunity• Most adult swine are seropositive to adenovirus and antibodies are presumably protective.• There is no vaccine for PAdV. Information on cross-protection between strains is unavailable.Prevention and Control• There is no treatment for PAdV infection.• Standard industry biosecurity practices should be in place to limit fecal contamination and virustransmission.Gaps in Preparedness• PAdV is not thought to be a major threat to the United States swine industry. However, recentseroprevalence data is lacking and further studies could help determine the potential impact ofPAdVs on swine production.OVERVIEWPorcine adenovirus (PAdV) is a ubiquitous virus with a worldwide distribution and is considered a lowgrade pathogen in domestic swine. PAdV is a non-enveloped, DNA virus in the genus Mastadenovirus ofthe family Adenoviridae. PAdV can be isolated from intestines during cases of moderate enteric disease,but more commonly results in subclinical infections. Most adult swine are seropositive for anti-PAdVantibodies, indicating that the virus is widespread but has a low incidence of disease. PAdV has also beenisolated in cases of nephritis and respiratory disease, and is thought to contribute to reproductivedisorders.Currently, there are three porcine species and five serotypes in the Mastadenovirus genus. Porcineadenovirus A is composed of porcine adenovirus serotypes 1-3 (PAdV 1-3). Serotype 4 (PAdV-4)belongs to porcine adenovirus B and serotype 5 (PAdV-5) belongs to porcine adenovirus C. PAdV-4 isthe most commonly isolated serotype and has been associated with enteritis, nephritis, encephalitis andpneumonia. Serotypes can be differentiated using cross-neutralization assays. PAdV is stable in theenvironment for ten days. It is resistant to ether and chloroform but can be inactivated using 0.85% saltsolution or 1M MgCl2 solution heated to 50°C for 1 hour. Beach, formaldehyde, alcohol and phenoliccompounds are also effective disinfectants for PAdV.PAdV is endemic in most conventional swine herds throughout the world and infection is mostlyasymptomatic. Swine are the only known hosts of porcine adenoviruses and there have been no reports ofzoonotic transmission from swine to humans; however, human adenoviruses have been able toexperimentally infect swine. Adenovirus was first isolated in swine in 1964 from a rectal swab of a pigwith diarrhea. Through the remainder of the 1960s and the 1970s, serological surveys in Canada andEngland indicated many adult swine have anti-PAdV antibodies. However, the serologic prevalence ofPAdV has not recently documented and the current distribution of PAdV is unclear. PAdV-inducedclinical disease has been documented in several states in the United States, Belgium, Japan and the UnitedKingdom.Fecal-oral or fecal-nasal transmission of PAdV is most common. PAdV is stable in the environment, sotransmission via fomites is also likely. Once ingested, PAdV undergoes intranuclear replication, primarilyin the short blunt villous enterocytes and lymphoid tissue located in the distal jejunum and ileum. Themost common clinical sign associated with PAdV infections is intermittent, yellow, watery diarrhea.Animals appear depressed, emaciated, and severely dehydrated. Occasionally diarrhea is accompanied byvomiting. Post-mortem findings include thin walled distal small intestine and enlarged mesenteric lymphnodes. Yellow, watery contents may be present in the small and large intestines. Upon histologicexamination, the villi are short and blunt in the distal jejunum and ileum. Intranuclear inclusion bodies arepresent in the enterocytes of the affected villi.PAdV is easily cultured in cell lines of porcine origin; primary and continuous kidney cells, primarythyroid cells, and primary testicular cells are most commonly used. PAdV can be identified from fecaland intestinal culture using negatively stained, transmission electron microscopy (TEM),immunohistochemical staining or virus isolation. Alternatively, immunofluorescence antibody (IFA)assays, complement fixation, direct fluorescence antibody (FA), and gel diffusion precipitation tests areall capable of detecting PAdV antigen and can be useful in confirming infection. Although polymerasechain reaction (PCR) assays have been developed for detection of PAdV in the environment, they are notcurrently utilized in the clinical diagnosis of PAdV.As PAdV rarely results in clinical illness, little information is available on immunity post-infection.PAdV not considered to be a major threat to the United States swine industry; it is a low grade pathogenand infections are generally asymptomatic. There is no specific treatment for PAdV-induced disease andno vaccine is available.LITERATURE REVIEW1. Etiology1.1 Key CharacteristicsPorcine adenovirus (PAdV) is a non-enveloped, DNA virus with an icosahedral capsid, belonging to thefamily Adenoviridae in the genus Mastadenovirus.1 Adenovirus was first isolated in swine from a rectalswab of a pig with diarrhea in 1964.21.2 Strain VariabilityThere are currently three recognized porcine species and five serotypes within the Mastadenovirus genus.Serotypes can be differentiated using cross-neutralization assays.3• Porcine adenovirus A is composed of porcine adenovirus 1-3 (PAdV 1-3). PAdV-1 and PAdV-3have been isolated from diarrheic swine, and PAdV-2 and PAdV-3 have been isolated fromnormal swine.• Porcine adenovirus B has only one serotype, porcine adenovirus 4 (PAdV-4), 1 the mostcommonly isolated serotype. PAdV-4 has been isolated from pigs with enteritis, nephritis,encephalitis and pneumonia.4• Porcine adenovirus C is comprised of porcine adenovirus 5 (PAdV-5).1 PAdV-5 has been isolatedfrom the brain of a newborn pig and from nasal secretions from pigs with respiratory disease.5,6Recently, two novel PAdVs have been identified. Strain PAdV-WI was identified in swine facility penwash water and has been proposed as a prototype of a new Mastadenovirus species.7 A second strain,PAdV-SVN1, was isolated in cultures of normal porcine urothelial cells (from the bladders of domesticpigs), and has genetic similarity to PAdV-WI.8Experimentally PAdVs have also been used in gene transfer research and as vectors in vaccine research.5For example, a recombinant PAdV-3 vector has been generated for potential gene transfer to humancells.9 PAdV-3 and -5 have been investigated as vectors for transmissible gastroenteritis virus andclassical swine fever virus vaccines.102. Cleaning and Disinfection2.1 SurvivalAdenoviruses are able to survive in the environment for at least ten days.11 Following a manure spill,porcine adenovirus was detectable 18 days later 5.6 km downstream.12 Heating to 56°C for greater thanten minutes can inactivate adenoviruses.12.2 DisinfectionPAdV is stable in acidic conditions (pH 3–4) and not susceptible to ether or chloroform. Bleach,formaldehyde, alcohol and phenolic compounds are effective disinfectants for PAdV. 2,6,11 PAdV-5 hasbeen successfully inactivated using 0.85% salt solution or 1M MgCl2 solution heated at 50°C for 1 hour.63. Epidemiology3.1 Species AffectedAdenoviruses are relatively host-specific. Swine are the only known hosts for PAdV.5 Humanadenoviruses have been able to experimentally infect swine.13,14 The Mastadenovirus genus also includesadenovirus species that infect humans, bovines, canines, equines, murines, ovines, and tree shrews. 163.2 Zoonotic PotentialThere is no known zoonotic transmission of PAdV to humans.5Adenoviruses generally have a specificand restrictive host range.13.3 Geographic DistributionIn the 1960s–1970s, several serological surveys showed that PAdVs were widespread in Canada andEngland. However, the serologic prevalence of PAdV has not documented recently and the currentdistribution of PAdV is unclear.5 Natural PAdV-induced infections associated with nephritis have beendocumented in the United States (Georgia and South Dakota)4 and Belgium.15 Natural PAdV-inducedinfections associated with respiratory disease have been reported in Japan,6 and clinical enteritis has beenseen in the United States (Kentucky and Tennessee)16 and the United Kingdom.23.4 Morbidity and MortalityThere is little data on adenovirus-related morbidity and mortality rates. Studies from England in the 1960sreported seroprevalence rates of 25–53% and 50–60%.17,18 Serological surveys of swine in Quebec foundlower prevalence rates ranging from about 15% to 18%.19,20 In one documented PAdV-induced diseaseoutbreak, a morbidity rate of 30% was reported. Animals 14 days of age experienced diarrhea withoccasional vomiting and no sows showed clinical signs of infection.21 PAdV-induced infections rarelyresult in death.164. TransmissionTransmission of PAdV is primarily through fecal ingestion or inhalation.5 However, as PAdV has beendetected in kidneys post-mortem, urinary-oral and urinary-nasal should also be considered as viableroutes of transmission.4 PAdV is stable in the environment, so transmission via fomites is likely.55. Infection in Swine/PathogenesisOnce ingested, PAdV undergoes intranuclear replication, primarily in the short blunt villous enterocytesand lymphoid tissue located in the distal jejunum and ileum.3,5 In an experimental study, PAdV-3 viralparticles were detected 24 hours to 16 days post-inoculation in enterocytes. It was determined thatdestruction of the epithelium and shortening of the villi correlated with the presence of PAdV-3 in thenucleus of these cells. Viral antigen was found 24 hours and up to 45 days in some animals. However,antigen detection at day 45 post-inoculation did not coincide with morphologic changes in the epithelium.Tonsils were sporadically infected, and frequently at later stages, indicating a possible viremia of PAdV3.22In experimental studies, diarrhea ensues three to four days post-inoculation and persists for three to sixdays.21,22 During natural infection, diarrhea has been documented in some instances for three to five daysand others persisted for one to three weeks.16,21 Pre-weaned piglets one to four weeks of age are primarilyaffected.165.1 Clinical SignsThe most common clinical sign associated with PAdV infections is intermittent, yellow, waterydiarrhea.16,21 Animals appear depressed, emaciated, and severely dehydrated.16 Occasionally diarrhea isaccompanied by vomiting.21 Natural infection usually occurs in piglets one to four weeks of age andsows are not clinically affected by PAdV. Generally, PAdV-induced gastrointestinal disease is foundsecondary to other clinical signs.5Rarely, nephritis is documented in association with PAdV. In reported cases, affected animals were fourto eight months of age. The presenting problem on these farms was chronic, purulent bronchopneumoniaand PAdV nephritis was an incidental finding that likely did not contribute to the clinical presentation.47PAdV-5 has been isolated in cases of respiratory disease with sneezing, nasal discharge and coughing.6PAdV is also thought to contribute to reproductive disorders, primarily those resulting in abortion.115.2 Postmortem LesionsIn clinical cases of PAdV-induced diarrhea, the wall of the distal small intestine is thin and mesentericlymph nodes enlarged.16,21 Yellow, watery contents can be present in the small and large intestines. 21Upon histologic examination, the villi are short and blunt in the distal jejunum and ileum. Intranuclearinclusion bodies are present in the enterocytes of the affected villi. Infiltration of the lamina propria inthese areas is made up of histiocytes, plasma cells, and lymphocytes.16,21Animals experimentally infected with PAdV-3 strain 6618 had similar gross lesions as those found innatural infections. This included thin intestinal walls with yellow watery contents. Mesenteric lymphnodes were also enlarged and edematous. Occasionally, pulmonary lesions were found on apical lobes.Similar lesions as those found in natural infections were also seen histologically including intranuclearbodies in enterocytes of affected villi with infiltration of the lamina propria. Focal gliosis and nonpurulent perivasculitis was observed in the brain of some animals. The liver revealed some hepatocytevacuolization with neutrophilic infiltration. Lungs were congested with interstitial pneumonia and somehydropic degeneration of bronchial epithelium.21In documented cases of PAdV-induced nephritis, the connective tissue surrounding renal tubulescontained multifocal accumulations of lymphocytes and plasma cells. Some eosinophilic, necroticepithelial cells were present in the lumen of medullary tubules, and sloughed tubular epithelial cellscontained intranuclear bodies.46. Diagnosis6.1 Clinical HistoryPAdV should be considered as a differential in cases of diarrhea in pre-weaning aged piglets.166.2 Tests to Detect Nucleic Acids, Virus, or AntigensPAdV is easily cultured in cell lines of porcine origin; primary and continuous kidney cells, primarythyroid cells, and primary testicular cells are most commonly used.5 Cytopathic effects can be seen two tofive days post-inoculation.3,5 Intranuclear bodies can be seen in infected tissue samples; however, PAdVidentification techniques should be used to confirm diagnosis.5,21 PAdV can be detected in fecal andintestinal culture using negatively stained, transmission electron microscopy (TEM).4Immunofluorescence antibody (IFA) assays, complement fixation, direct fluorescence antibody (FA), andgel diffusion precipitation tests are all capable of detecting PAdV antigen and can be useful in confirminginfection.2-5,11 Although polymerase chain reaction (PCR) assays have been developed for detection ofPAdV in the environment, they are not currently utilized in the clinical diagnosis of PAdV.56.3 Tests to Detect AntibodyA rise in anti-PAdV antibody in the presence of clinical disease is suggestive of causation of clinicaldisease.5 Serological methods include virus neutralization or indirect fluorescent antibody testing.6.4 Samples6.4.1 Preferred SamplesPreferred samples from diarrheic animals are the distal ileum and the jejunum.16,22 PAdV antigen has alsobeen successfully identified using fecal samples of infected animals.56.4.2 Oral Fluids8The use of oral fluids as a diagnostic specimen has not been evaluated for PAdV.7. Immunity7.1 Post-exposureViral antigen has been found in enterocytes up to 45 days post-infection, which is suggestive of long-termshedding. PAdV has been successfully isolated from the brain, nasal tissue, pharynx, lung and intestine 48days after experimental inoculation. Most adult serum and rectal swabs are positive for anti-PAdVantibodies. 5,167.2 VaccinesThere is no vaccine for PAdV.7.3 Cross-protectionInformation on cross-protection between strains is unavailable.58. Prevention and ControlThere is no specific treatment or vaccine for PAdV-induced infection.11 PAdV is a low grade pathogenand rarely results in mortality. Swine industry biosecurity practices, including cleaning and disinfection,should be in place to limit transmission of the virus.9. World Organization for Animal Health (OIE) Terrestrial Animal Health CodePAdV is not included in the 2015 OIE Terrestrial Animal Health Code. There are no restrictions forimportation of animals from countries or zones infected with PAdV.10. Gaps in PreparednessPAdV is a low grade pathogen that likely presents little threat to the swine industry. However, recentseroprevalence data is lacking and further studies could help elucidate the potential impact of PAdVs onswine production.
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