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Diagnostic notes
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Non refereed |
Defining swine influenza
virus
Marie R. Gramer,
DVM
Minnesota Veterinary
Diagnostic Laboratory, Veterinary Population Medicine, College of Veterinary
Medicine, University of Minnesota, 1333 Gortner Avenue, St Paul, MN 55108;
Tel:
800-605-8787; Fax: 612-624-8707; E-mail: grame003@umn.ed
Cite as: Gramer
MR. Defining swine influenza virus. J Swine Health
Prod. 2005;13(3):157-160.
Also
available as a PDF.
Swine influenza has evolved from a seasonal disease caused by a stable
genotype of swine influenza virus (SIV) to a year-round, endemic respiratory
disease caused by multiple SIV genotypes undergoing continuous
change.1 This article will describe the structure of influenza
viruses and provide information on how SIV isolates are defined by their antigenic and
genetic characteristics.
Swine influenza virus structure
Influenza viruses are enveloped, segmented, single-stranded, negative-sense RNA
viruses belonging to the family
Orthomyxoviridae.2 The Orthomyxoviridae family consists
of four genera - influenza A virus, influenza B virus, influenza C virus, and
thogotovirus.2 As influenza A viruses cause disease in
animals, birds, and humans,3 including
swine, this genus will be discussed in detail.
Eight RNA gene segments comprise the influenza A virus
genome.2 These eight genes are responsible for the translation
of 10 or 11 viral proteins.2,4,5 The highly
conserved genes, nucleoprotein (NP) and matrix (M1), are used to classify influenza
viruses as types A, B, and C. The hemagglutinin (HA) and neuraminidase (NA) genes
encode for surface glycoproteins that project from the viral envelope. These glycoproteins
possess distinct antigenic properties and nucleotide gene sequences and thus are used
to subtype influenza viruses into 16 HA types (types 1 to 16) and nine NA types (types
1 to 9).2 Influenza A viruses are named
by their HA and NA type, (eg, H1N1), and are often given "strain" names that
include their genus or type, host species if other than human, location of isolation,
arbitrary laboratory number, and year of isolation
(eg, A/Swine/Iowa/15/1930). The influenza A virus gene segments, with the name
of each gene, the protein encoded by it, and the function of the protein, are listed
in Table 1.
Appearance of reassortant swine influenza viruses
For 80 years, only one strain of SIV, classical H1N1, was endemic in North
America. Then, in 1998, a reassortant H3N2 SIV was detected in US
swine.6 During 1998, reassortant H3N2 strains of SIV
emerged in the swine population, that were either double reassortant, containing gene
segments from human and avian strains of influenza
(eg, A/Sw/NC/98) or triple reassortant, containing gene segments
from human, avian, and swine influenza strains (eg, A/Sw/TX/98).
In early 1999, classical H1N1 SIV reassorted with H3N2 SIV
virus to create another reassortant virus,
H1N2.7 Control was now further complicated,
as was evidenced by multiple outbreaks of swine influenza caused by H1N2
infection in herds that had been vaccinated
against classical H1N1 SIV.1,8 Further reassortment occurred in late
2002, wherein both the HA and NA genes of H3N2 SIV have been replaced by the
classical H1 and N1 genes, thereby creating a reassortant, novel H1N1 SIV with
avian internal genes (PA and PB2).9
These recently appearing influenza A viruses have complicated disease management
and control, in large part because endemic SIV continually infects susceptible
pigs,2 but also because several strains of SIV may
be circulating in the herd
concurrently.10 Some swine herds experience severe
influenza-induced respiratory disease despite
vaccination, with resulting poor growth
performance and mortality. These performance and death losses are frustrating to
producers and vaccine companies, both of which
have requested that diagnostic laboratories and researchers perform detailed influenza
characterization of SIVs isolated from pigs.
Virus characterization
Serotyping and antigenic characterization
Serological assays based on hemagglutination inhibition (HI) are historically the
most common way to determine antigenic characteristics of influenza A viruses, and
the HI test also serves as a functional assay for detection of anti-influenza antibodies
in sera.11
The HI test exploits the ability of influenza viruses to agglutinate red blood cells
(RBCs), a characteristic for which the HA gene was named. Thus, an influenza virus can
be identified as to its subtype in an HI assay. A standard concentration of influenza
virus (antigen) and serial dilutions of HA-subtype-specific antiserum are mixed, and after
a short incubation period, RBCs are added to the antigen-antibody
mixture.12 If the serum antibodies bind to the viral
hemagglutinin, hemagglutination is inhibited, and the
RBCs settle to the bottom of the test well. Hemagglutination reactions are
compared among the sets of antisera and viral
antigens in a test panel, and assumptions are made concerning the antigenic relatedness of
the viruses on the basis of these HI
reactions.12 For example, an HI reaction is observed
in a well containing a 1:640 dilution of A/Swine/TX/1998 H3-specific antiserum and
an unidentified SIV. Also in the test panel, there is an HI reaction in a well
containing a 1:20 dilution of A/Swine/CO/1999 H3-specific antiserum with the
unidentified virus, and no HI reaction in any of
the wells containing serial dilutions of A/Sw/Iowa/1973 H1-specific antiserum.
The homologous reaction between A/Sw/Texas/1998 H3-specific antiserum and
A/Sw/Texas/1998 reference antigen occurs at the 1:1280 dilution. The interpretation of
this HI assay results in the identification of the unidentified SIV as an
H3 subtype, more specifically as an A/Sw/Texas/1998
H3-like variant of the H3 subtype, because the reaction is within a twofold dilution of
homologous reaction and is fourfold greater than the reaction observed with the
other antisera in the HI test panel.
Hemagglutination inhibition tests can also be used to characterize virus variants
within a subtype. The above example demonstrated the ability of the HI test to
discern different variants of H3 SIV when there
are several reference sera in the panel. As a characterization or variant
identification tool, the HI test is highly dependent on
the number of reference antisera
available.13 Reference antisera are usually generated
by inoculation of ferrets, chickens, goats, or sheep with a specific subtype of
influenza field virus for the production and
collection of polyclonal antisera. For the production and collection of monospecific
antisera, the animals or birds are inoculated with a purified HA fraction of
influenza virus and postinoculation sera are then
collected.12 Monoclonal antibodies may
be generated using denatured fragments of HA, and the highly specific antibodies
can then be used in rapid identification.14
Hyperimmunized-pig polyclonal antiserum used in HI tests is produced by
inoculating pigs with the influenza virus of
interest, boostering with a second inoculation several weeks later, and collecting the
postinoculation antisera.15 In a study of the
antigenic characteristics of SIV field isolates in the Netherlands, hyperimmunized
or postinfection swine antisera used in HI panels appeared to crossreact with
more isolates than did ferret antisera.16
Nevertheless, the apparent broad reactivity and lack of discrimination of
hyperimmunized swine antisera can be overcome by
increasing the number of different antisera used
in the panel.17
Hemagglutination assays have several limitations. They require viable, cultivated
virus, which may take several days to
propagate.12 The virus, controls, and
antisera must be properly diluted and titered at
the beginning and end of every
experiment.12 Repeatability of tests among
experiments, technicians, and laboratories may
interfere with comparisons of different
experiments.17 The antisera used in the HI
assays may not be able to distinguish antigenic differences between some
viruses.17 Results of HI tests may also be disparate; for
example, a heterologous reaction may have a higher titer than the homologous
reaction.17 Finally, there may be a lack of
symmetry between HI reactions; for example, reaction of serum 1 and antigen 1
may have a titer of 1:1280; reaction of serum 1 and antigen 2 may have a titer of
1:1280; but reaction of serum 2 and antigen 1 may have a titer of only
1:320.17 For these reasons, HI testing should be coupled
with sequencing of the HA gene to correlate antigenic differences with genetic
differences;18 with inoculation and
challenge studies to compare in vivo results to the
HI test results;19 or with mathematical
and spatial analyses of antigenic relationships between viruses that may prove to be
very informative.13
Genotyping and genetic characterization
Influenza virus genotyping is usually directed at the HA and NA
genes,20 with additional information gained as
needed from the internal genes, especially PA, PB2, and
PB1.21 Reverse transcriptase-polymerase chain reaction (RT-PCR)
may be used for genetic analysis of an RNA gene with known sequence, and
RT-PCR tests are available for subtyping swine
influenza viruses as H1N1, H1N2, H3N2, or H3N1. There are also RT-PCR tests for
the internal genes, particularly PA and PB2. The advantages of PCR tests for HA
and NA typing are that they are more specific and faster than serotyping, do not
require viable virus or cultured virus, and can be automated. The disadvantages of
using PCR for HA and NA typing include their requirements for skilled technicians
and necessary equipment, and their inability to detect RNA if the HA or NA is
significantly different than expected or has
degraded beyond detection. Polymerase chain
reaction tests will become more commonplace as they are validated and as unique
variations of swine influenza virus, untypeable by serotyping, continue to occur.
Genetic sequence analyses of the HA and NA genes of circulating influenza
viruses can reveal more than just the subtype. When studied carefully, they can
reveal mutations in antigenic regions of the molecule that may have contributed to the
virus' ability to evade the immune system and
spread.22 Sequence analysis of any of the genes can provide epidemiological
information regarding origin of the virus and help to distinguish and identify
subtype variants of different influenza
viruses.23 Nucleotide sequencing, which
determines the genetic code for the entire virus or
a portion of it, is becoming more important as new and
changing SIVs continue to emerge. The genetic makeup
of the virus can be used to determine which
viruses share a similar origin and are related to each other. Genetic analyses of the
HA gene of the contemporary swine reassortant H1N1 viruses have revealed that these
H1N1 subtype variants contain significant genetic differences that are apparently related
to antigenic differences and escape from vaccinal immunity.
Subtyping and sequencing SIV isolates from disease outbreaks may provide
useful information to the swine practitioner and producer, who may be seeking to alter
vaccine strategies on the basis of the results. Figure 1 shows an example of a
dendrogram or phylogenetic tree of swine influenza
virus HA genes. In this dendrogram, several H1 SIVs are represented by their location
and date of isolation (eg, A/Sw/MN/4-2003 H1N1) and are compared to
reference strains (in bold). In red is the virus
currently included as the H1N2 fraction of the autogenous SIV vaccine used in a
production system that experienced an outbreak of swine influenza in vaccinated
pigs in October 2003. This autogenous vaccine virus and all previous H1N1 and
H1N2 isolates from this herd were of similar genotype and grouped with reference
strain A/Sw/MN/02 - reassortant H1N1. Strain A/Sw/MN/02 - reassortant H1N1 is a
contemporary SIV variant H1N1 that contains avian internal genes and differs in the
HA gene from both the classical H1N1 and the prototypic H1N2 swine influenza
virus isolated in Indiana in 2000 (A/Sw/IN/00 - H1N2). The virus isolated in the
outbreak was subtyped as an H1N2, but genetic sequencing of the HA gene revealed that
the outbreak strain (in blue) was more similar to A/Sw/IN/00 - H1N2 than to the
other field viruses or to the vaccine virus. While timing of vaccination delivery may
have also been an issue in this case, the presence of a genetically different virus was also
examined as a contributing factor, and both the vaccine content and the timing
issues were addressed.
,
Summary
While genetic analyses of influenza viruses have told us a great deal about the
epidemiology and origin of SIVs in our swine population, they do not provide us
with information as to whether SIVs with different genetic sequences will react the
same way in the pig or whether disease will be
prevented by administering the usual vaccine. Studies in
Europe20,24 and in the United
States25 have shown that even when antigenic (ie,
serologic) and genetic differences exist among several circulating
SIVs, vaccination with a single type of SIV vaccine may protect against the SIV variants
if the pigs have sufficiently high concentrations of serum antibodies. It is
important now, more than ever, to conduct
cross-protection and challenge studies with the
variant SIVs that are found in swine worldwide and to determine whether current
vaccines will continue to be effective in our US swine population.
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