key: cord-1051481-9a01tvl0
authors: Gomes, D.E.; Hirata, K.Y.; Saheki, K.; Rosa, A.C.G.; Luvizotto, M.C.R.; Cardoso, T.C.
title: Pathology and Tissue Distribution of Turkey Coronavirus in Experimentally Infected Chicks and Turkey Poults
date: 2010-02-16
journal: J Comp Pathol
DOI: 10.1016/j.jcpa.2009.12.012
sha: 391d2d5c38aadfb671184a27d001bfb0cfc2bfa1
doc_id: 1051481
cord_uid: 9a01tvl0

Twenty 1-day-old specific pathogen free chicks and 20 1-day-old commercially derived turkey poults were inoculated with a Brazilian strain of turkey coronavirus (TCoV) to study the pathogenicity and virus distribution up to 14 days post-inoculation by histopathology, immunohistochemistry, reverse transcriptase polymerase chain reaction and sequencing. At 2–14 dpi, TCoV antigens were detected in the paranasal sinus and lachrymal accessory gland (Harderian gland) of infected chicks and in the ileum, ileocaecal junction and caecum of infected poults. Lymphocytic inflammation was present in these tissues. TCoV was re-isolated from pooled tissue suspensions of nasal concha, Harderian gland and paranasal sinus from chicks, as well as from the ileum, ileocaecal junction and caecum of poults, after three consecutive passages in 28-day-old embryonated turkey eggs. Viral RNA corresponding to the spike gene region (1178–2073 genome position) was amplified from the upper respiratory tract of chickens and from the intestinal tract of poults and phylogenetic analysis confirmed the identity as TCoV. This is the first description of TCoV antigens and mRNA in upper respiratory tissues in experimentally infected chickens.

The Brazilian turkey industry is the second highest producer in the world and in 2008 more than 187 million carcasses were produced. In 2006, an outbreak of poult enteritis mortality syndrome (PEMS) caused by a group III coronavirus was detected for the first time (Teixeira et al., 2007) . Since then, the respective virus has been isolated (BR/TCoV/2006) and a partial sequence of the spike gene has been published (Cardoso et al., 2008) .

The primary presentation of the poult enteritis complex (PEC) is diarrhoea, restlessness and poor body condition (Guy, 1998; Cavanagh et al., 2001) and where mortality and morbidity is high, the disease is classified as PEMS. PEMS has also been described in the UK and in the USA (Culver et al., 2006) . PEMS associated with turkey coronavirus (TCoV) infection has been characterized as an excess or 'spiking' mortality of turkey poults (Brown et al., 1997; Guy et al., 1997) , but it has been suggested that other undetected viruses or secondary infections may be associated with such high flock mortality under field conditions (Jindal et al., 2009) .

TCoV is closely related to infectious bronchitis virus (IBV) of chickens and TCoV has been propagated in both turkey and chicken embryos by inoculation via the amniotic route. Despite this, natural infection of chickens by TCoV has not been widely investigated. The aim of the present study was to describe the pathological changes and virus distribution in 1-day-old specific pathogen free (SPF) chicks and commercially derived turkey poults infected experimentally with a Brazilian isolate of TCoV.

The TCoV strain (TCoV/Brazil/2006 accession number FJ188401), isolated from field cases of PEMS in 2007 (Teixeira et al., 2007) and purified and characterized in 2008 (Cardoso et al., 2008) , was used for experimental inoculation of SPF chicks and commercially derived turkey poults. The virus was propagated in 24-day-old embryonated commercial turkey poults inoculated via the amniotic sac (Gough et al., 1988) . The intestines of the inoculated embryos were collected 48 h after inoculation, homogenized and clarified by centrifugation at 3,000 g for 30 min. The supernatants were filtered through 0.45 mm and then 0.22 mm syringe filters (Corning, Lowell, Massachusetts). Aliquots (1 ml) were frozen at À86 C and then thawed and used for titration before experimental inoculation. The SPF chicks were obtained from a flock that had been raised for vaccine production in Brazil (Biovet, Sao Paulo, Brazil) . The birds were kept in wire cages inside high-security isolation rooms and provided with feed and water ad libitum.

Twenty 1-day-old SPF chicks and 20 turkey poults were inoculated with 10 2.3 embryo infective doses (EID/ 50 ) of TCoV per bird by the oral route. The same number of birds was kept in a separate room and served as unexposed controls. The birds were observed twice daily for clinical signs of illness and five birds were killed at 2, 5, 7 and 14 days post-inoculation (dpi). After death, the bursa of Fabricius (BF), thymus, Harderian gland, nasal concha, paranasal sinus, larynx, cranial portion of the trachea, ileum, ileocaecal junction and caecum were collected and fixed in 4% paraformaldehyde, embedded in paraffin wax and sectioned (4 mm). Samples were also collected from the liver, kidney, spleen, pancreas, myocardium, lung, cerebrum and cerebellum.

Tissue suspensions were prepared from all organs from infected and uninfected chicks and poults at each dpi. All samples were homogenized with a twofold volume of minimal essential medium (MEM), clarified by centrifugation at 2,500 g for 20 min, and filtered twice through 0.45 mm and 0.22 mm syringe filters. Next, 28-day-old embryonated turkey eggs were inoculated with 300 ml of each tissue suspension via the amniotic sac and tissue from these embryos was harvested after 48 h. Harvested tissues were processed and propagated serially as described above for three consecutive passages. Tissue suspensions from the third passage were processed, homogenized, clarified and filtered, and a suspension of 200 ml was kept at À86 C for detection of viral RNA by reverse transcriptase polymerase chain reaction (RT-PCR), as described previously (Teixeira et al., 2007; Culver et al., 2008; Guy, 2008) .

Paraffin wax-embedded tissues were sectioned and stained with haematoxylin and eosin (HE). The examiner was unaware of the species of bird and scored the severity of inflammation of the lesions as: À, no lesion; +/À, minimal; +, mild; ++, moderate; +++, severe. The distribution of lesions was recorded as focal, multifocal or diffuse.

Immunohistochemistry (IHC) was performed with unstained sections following dewaxing, rehydration and repeated washes in buffered saline containing 0.1% Tween 80. Immediately before the procedure the slides were treated with 4% paraformaldehyde. The slides were washed five times for 10 min on each occasion in buffered saline between each stage of the process. The immunohistochemical procedure has been previously described (Cardoso et al., 2008) . Positive controls consisted of tissue sections from TCoV-infected poults in which the infection had been confirmed by RT-PCR amplification. Negative controls consisted of tissues collected from uninoculated poults, for which infection status had been confirmed to be negative. The intensity of labelling in each section was scored as follows: À, no detectable antigen; +/À, weak, antigen faintly detected; +, moderate, antigen readily detected; ++, strong, intense antigen labelled; +++, widespread labelling. Photomicrographs of positively infected cells were taken with an ultraviolet Axio Imager A.1 microscope connected to an AxioCam MRc3 (Carl Zeiss Oberkochen, Germany). The micrographs were processed with Axiovision 4.7 software (Carl Zeiss).

RNA was extracted from each tissue using the Pure Link Ò viral RNA/DNA extraction kit (Invitrogen, Carlsbad, California) following the manufacturer's instructions. The RT-PCR was performed as described previously (Teixeira et al., 2007) . A portion of the S2 gene was amplified using 10 pmol of primers: S2 + (1178 position in the genome) forward and S2 À (2,073 position in the genome) designed specifically for this study. The expected products were analyzed by 1.5% agarose gel electrophoresis and Turkey Coronavirus Infection visualized by staining with ethidium bromide and UV illumination.

The amplified products were purified by use of a commercial kit (Concert, Gibco-BRL, Grand Island, New York) and sequenced with both forward and reverse primers using the BigDyeÔ Terminator Kit (Applied Biosystems, Foster City, California) with an automated sequencer (ABI, model 377, Applied Biosystems), according to the manufacturer's instructions. Sequences were aligned using Lasergene DNASTAR (Version 7, Lasergene Corp., Madison, Wisconsin). The degree of identity among sequences at the nucleotide and amino acid levels was determined using BIOEDIT v.7.0.5. The trees were constructed using the neighbour-joining program and viewed using DNASTAR. Accession numbers for the sequences can be acquired from the GenBank public database.

No clinical signs or gross lesions were seen in the chicks infected with TCoV; however, virus antigen was detected by IHC in epithelial and glandular tissue closely related to the paranasal sinus (Harderian gland) at each dpi (Fig. 1) . No virus antigen was detected in the tissue of control birds. There was inflammation of moderate severity in these upper respiratory tract tissues (Fig. 1A) , but no microscopical changes were found in any other tissue (Table 1) . No viral RNA was detected in any tissue other than those from the respiratory tract.

Inoculated turkey poults developed depression and diarrhoea. The birds were stunted in growth and had 'frothy' droppings from 2e14 dpi. On post-mortem examination, the intestines were markedly enlarged and filled with loose yellow content. The intestinal walls were flaccid and pale. The microscopical lesions were mild multifocal enteritis, predominantly at the ileocaecal junction (Fig. 2) . There were differences in villus height and crypt depth between infected and uninfected poults at 2, 5, 7 and 14 dpi. IHC identified TCoV antigen at the tip and middle sections of affected villi (Table 1 ). Viral RNA was detected in the pooled intestinal contents and tissue suspensions of these poults at 2, 5, 7 and 14 dpi. The control poults remained negative for these parameters throughout the experiment. No microscopical alterations or viral RNA was found in any other tissue from the infected birds.

Viral RNA was recovered from positive tissue suspensions after the third consecutive passage in embryonated turkey embryos (Table 1 ). Confirmation of this was performed by amplification of 3 0 untranslated region of the TCoV region by RT-PCR (results not shown). After sequencing each individual positive amplified segment of S2 obtained from the upper respiratory tracts of infected chicks, no genetic difference was found between the re-isolated TCoV and 18 coronavirus sequences obtained from GenBank (Fig. 3) . The resultant phylogenetic tree showed that the sequence from the present analysis aligned with a clade where it had 100% identity with the original virus strain and to two isolates from the USA (AY342356; AY342357). The accession number assigned to the present isolate is FJ957898.

The present study has characterized the distribution of TCoV in the tissues of experimentally infected SPF chicks and commercial turkey poults and the microscopical lesions associated with virus infection. IHC and RT-PCR were used for detection of viral antigens and genomes, respectively. Of the tissues examined, only the upper respiratory tract of chicks and the alimentary tract of poults were consistently positive for the presence of TCoV. The pattern of virus spread and replication observed among the TCoV isolates in turkeys is different from that reported previously (Dea et al., 1991; Heggens et al., 1998; Ismail et al., 2001 Ismail et al., , 2003 . It has been reported that PEMS causes alterations in the cells of the immune system, including down-regulation of macrophage function and a reduction in expression of lymphocyte subpopulations in the thymus and spleen (Heggens et al., 1998) . However, in the present study there were no remarkable histological changes in the BF, thymus or spleen after infection, which is in accordance with a previous report (Teixeira et al., 2007) . Moreover, in a retrospective review of previous work, the propagation of TCoV in turkey and chicken embryos via the amniotic route was documented and it was suggested that TCoV is not pathogenic to chickens; however, replication of the virus in the gut of chickens raises a question about the potential role of chickens as carriers of the virus (Adams and Hofstad, 1971; Ismail et al., 2003) . The possibility of TCoV replication in cells other than those of the intestinal epithelium was not addressed by these previous studies.

The Harderian gland is an abundant source of immunocompetent cells in some vertebrates, especially birds, where the Harderian glands form part of the so-called head associated lymphoid tissue (Payne, 1994) . In spite of its localization (upper Table 1 Immunohistochemical and molecular detection of TCoV in infected birds BF À À À À À À À À À À À À À À À À Thymus À À À À À À À À À À À À À À À À Spleen À À À À À À À À À À À À À À À À Ileum À À À À À À À À +++ +++ +++ +++ + + + + Ileocaecal junction À À À À À À À À +++ +++ +++ +++ + + + + Caecum À À À À À À À À +++ +++ +++ +++ + + + + Liver À À À À À À À À À À À À + + + + Pancreas À À À À À À À À À À À À + + + + Nasal concha À À À À + + + + À À À À À À À À Paranasal sinus À À ++ ++ + + + + À À À À À À À À Larynx À À À À + + + + À À À À À À À À Trachea À À À À + + + + À À À À À À À À Harderian gland + ++ +++ +++ + + + + À À À À À À À À

The amount of immunohistochemical labelling is scored as: À, no detectable antigen; +, weak labelling with antigen faintly detected; ++, moderate labelling with antigen readily detected; +++, strong labelling with intense antigen detection. RT-PCR is recorded as positive or negative. Turkey Coronavirus Infection respiratory tract), there are large interstitial aggregates of B cells (Montgomery and Maslin, 1992) . The concentration of plasma cells in the Harderian gland has been considered higher than in other avian organs (Payne, 1994) . In the present study, the combination of IHC and RT-PCR demonstrated TCoV antigens and viral RNA in the Harderian gland of infected chicks. This observation supports the idea that TCoV has the ability to replicate at a low level, confirmed by virus re-isolation and subsequent sequencing of the partial spike gene; however, no clinical signs of a respiratory disorder were documented. Furthermore, no phylogenetic differences were observed between TCoV isolated in Brazil and the closely related American isolates (Breslin et al., 1999a,b; Pantin-Jackwood et al., 2008) . Although the avian intestinal tract is anatomically complete early in embryonic development and at hatch, the poult digestive system is still immature, which renders it vulnerable to various infectious and non-infectious agents that commonly bombard the digestive tract during brooding (Brown et al., 1997) . As reported previously, TCoV alone does not damage the integrity of the intestines (Guy, 2003) . Other organisms may contribute to the appearance and severity of clinical signs initiated, at least in experimental trials, by TCoV infections (Ismail et al., 2003) . This was observed in the present study by infecting poults with TCoV isolated in Brazil, with mild microscopical lesions being documented in the ileum, ileocaecal junction and caecum. Finally, this study contains the first description of TCoV detected in the upper respiratory tract of experimentally infected chicks. Fig. 3 . Phylogenetic analysis based on the amino acid sequence of the 809 bp fragment of the spike gene of TCoV used to orally infect chicks and poults in the present study. The tree was constructed by a neighbour-joining method using Kimura's two-parameter correction and bootstrap values calculated from 1,000 trees. The TCoV recovered from respiratory and intestinal tissue suspensions identified in the present study is shown (arrow).

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This research was carried out with co-operation of Biovet Laboratories (Sa˜o Paulo, Brazil), supported by FAPESP (grants 05/52994-3; 07/56041-6; 08/50380-6) and CNPq (grant 472226/2007-0).