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Journal of Clinical Microbiology, July 1999, p. 2262-2269, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Upper Respiratory Tract Disease in the Gopher
Tortoise Is Caused by Mycoplasma agassizii
M. B.
Brown,1,*
G. S.
McLaughlin,2,3
P. A.
Klein,4
B. C.
Crenshaw,1
I. M.
Schumacher,4
D. R.
Brown,1 and
E. R.
Jacobson2
Department of Pathobiology and Division of
Comparative Medicine1 and Department of
Small Animal Clinical Sciences,2 College of
Veterinary Medicine, Department of Wildlife Ecology and
Conservation, Institute of Food and Agricultural
Sciences,3 and Department of Pathology,
Immunology, and Laboratory Medicine, College of
Medicine,4 University of Florida, Gainesville,
Florida
Received 19 November 1998/Returned for modification 18 February
1999/Accepted 31 March 1999
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ABSTRACT |
Upper respiratory tract disease (URTD) has been observed in a
number of tortoise species, including the desert tortoise
(Gopherus agassizii) and the gopher tortoise
(Gopherus polyphemus). Clinical signs of URTD in gopher
tortoises are similar to those in desert tortoises and include serous,
mucoid, or purulent discharge from the nares, excessive tearing to
purulent ocular discharge, conjunctivitis, and edema of the eyelids and
ocular glands. The objectives of the present study were to determine if
Mycoplasma agassizii was an etiologic agent of URTD in the
gopher tortoise and to determine the clinical course of the
experimental infection in a dose-response infection study.
Tortoises were inoculated intranasally with 0.5 ml (0.25 ml/nostril) of
either sterile SP4 broth (control group; n = 10) or
108 color-changing units (CCU) (total dose) of M. agassizii 723 (experimental infection group;
n = 9). M. agassizii caused clinical signs
compatible with those observed in tortoises with natural
infections. Clinical signs of URTD were evident in seven of nine
experimentally infected tortoises by 4 weeks postinfection
(p.i.) and in eight of nine experimentally infected tortoises by 8 weeks p.i. In the dose-response experiments, tortoises were
inoculated intranasally with a low (101 CCU;
n = 6), medium (103 CCU;
n = 6), or high (105 CCU;
n = 5) dose of M. agassizii 723 or with
sterile SP4 broth (n = 10). At all time points p.i. in
both experiments, M. agassizii could be isolated from the
nares of at least 50% of the tortoises. All of the
experimentally infected tortoises seroconverted, and levels of
antibody were statistically higher in infected animals than in control
animals for all time points of >4 weeks p.i. (P < 0.0001). Control tortoises in both experiments did not
show clinical signs, did not seroconvert, and did not have detectable M. agassizii by either culture or PCR at any point in the
study. Histological lesions were compatible with those observed in
tortoises with natural infections. The numbers of M. agassizii 723 did not influence the clinical expression of URTD
or the antibody response, suggesting that the strain chosen
for these studies was highly virulent. On the basis of the
results of the transmission studies, we conclude that M. agassizii is an etiologic agent of URTD in the gopher tortoise.
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INTRODUCTION |
Gopher tortoises (Gopherus
polyphemus) are found in the southeastern United States, with the
major population concentrations found in Florida and southern Alabama
and Georgia and only remnant populations found in South Carolina,
Mississippi, and Louisiana (9). The gopher tortoise is
legally protected in all states within the range (Alabama, Mississippi,
Louisiana, Georgia, South Carolina, and Florida) and is listed in
Appendix II of the Convention on International Trade in Endangered
Species of Wild Fauna and Flora, which requires permits for the
exportation of the species from the United States to any signatory
nation or for reexportation (20). Gopher tortoises are an
important element in the ecosystems in which they are found and are
considered by many ecologists to be a keystone species. Gophers are the
most fossorial of the four North American species of tortoises, digging
burrows that may extend 5 m down from the surface and 15 m in
length (9, 12). The burrows provide a microclimatically
stable environment not only for the tortoises but also for numerous
commensal species. Approximately 60 vertebrate species, from snakes to
birds, and over 300 invertebrates including spiders, crickets, and
beetles have been found in tortoise burrows or have been observed using them as permanent homes or refuges from heat, cold, fire, and predators
(14, 22, 36). Several species that either exclusively or
frequently use tortoise burrows have legal protection in Florida and
other parts of their ranges (6). Thus, tortoises are of critical importance to the ecosystem.
Upper respiratory tract disease (URTD) has been observed in a number of
tortoise species (15, 16, 19), including the desert tortoise
(Gopherus agassizii) and the gopher tortoise. Clinical signs
of URTD have been observed in a number of imported captive tortoise
species (19) and in tortoises submitted to the Veterinary
Medical Teaching Hospital (VMTH), University of Florida (UF), including
the red-footed tortoise (Geochelone carbonaria), leopard
tortoise (Geochelone pardalis), Indian star tortoise
(Geochelone elegans), and radiated tortoise
(Geochelone radiata). Numerous wild and captive gopher
tortoises have been submitted to VMTH with clinical signs consistent
with URTD.
Clinical signs of URTD in gopher and desert tortoises are similar and
include serous, mucoid, or purulent discharge from the nares, excessive
tearing to purulent ocular discharge, conjunctivitis, and edema of the
eyelids and ocular glands (16, 31). Individual infected
tortoises vary in the suite of signs that they have, and the severity
can vary from day to day. Nares may become occluded with caseous
exudate, preventing externally visible nasal discharge. Tortoises may
become lethargic and anorectic, leading to dehydration, emaciation, and
eventual death from cachexia.
In a previous study, we fulfilled Koch's postulates and demonstrated
that an etiologic agent for URTD in the desert tortoise is
Mycoplasma agassizii proposed sp. novum (2, 4).
Histologically, the lesions from experimentally infected desert
tortoises were consistent with those seen in naturally infected
tortoises (4, 16). In the desert tortoise, we have shown
that the presence of clinical signs of URTD was positively related to
the presence of specific antibody to M. agassizii
(31). Additional work led to the development of a PCR test
for detection of the bacteria in nasal lavage and swab samples
(2).
We isolated M. agassizii from the nasal passages of
clinically ill gopher tortoises submitted to VMTH, UF. The similarity of the clinical signs and histological lesions between experimentally infected and naturally infected tortoises and the isolation of M. agassizii from naturally infected gopher tortoises suggested that
URTD in this species might also be of mycoplasmal origin. The
objectives of this study were to determine if M. agassizii was an etiologic agent of URTD in the gopher tortoise and to determine the clinical course of the experimental infection in a dose-response infection study.
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MATERIALS AND METHODS |
Tortoises.
Gopher tortoises were transferred under Florida
Game and Fresh Water Fish Commission permit nos. WX93227, issued to
E. R. Jacobson, and WX94037, issued to M. B. Brown, from a
development site in central Florida in April, July, and August 1994 and
April 1995 and were processed on the day following arrival. Tortoises were examined for clinical signs of URTD: nasal and ocular discharge, palpebral edema, and conjunctivitis. Tortoises were weighed to the
nearest 10 g, and ketamine hydrochloride (Ketaset; Fort Dodge Laboratories, Inc., Fort Dodge, Iowa) was administered at 20 mg/kg of
body weight. A blood sample (2 to 3 ml) was drawn from the jugular or
brachial vein and was placed in a Vacutainer tube (Becton Dickinson and
Company, Rutherford, N.J.) containing lithium heparin. Blood was
centrifuged, and an aliquot of plasma was removed for specific antibody
screening by an enzyme-linked immunosorbent assay (ELISA). After
cleansing of the area around the nares with alcohol-dampened gauze,
nasal lavage samples were collected by flushing with approximately 0.5 ml of sterile SP4 broth with a 1-ml syringe without a needle. Calcium
alginate-tipped swabs were gently inserted into the nares, and a sample
was obtained and streaked onto SP4 agar plates (33).
Husbandry.
Tortoises were housed individually in outdoor
pens at the UF Animal Resource Farm. There were four groups of 10 pens
in a larger enclosure surrounded by a chain-link fence. Individual pens
were approximately 21 m2, were constructed of a wooden
frame with sheet metal extending vertically approximately 0.7 m
above and below the ground, and were partially covered by shade cloth.
The tortoises were provided an artificial burrow, a water dish, and a
cement feeding stone. Because tortoises burrow, the risk of cross
contamination was too great to allow randomization of treatment groups
within pen groups. Each treatment group of 10 pens was separated from
the other treatment pens by >200 m. The tortoises were fed a salad of
mixed vegetables three times per week, and fruit was provided on an
occasional basis. Water was provided as needed. Husbandry personnel
wore gloves for all procedures requiring handling of food, feeding
stones, or water dishes. Entry into pens and handling of tortoises were
restricted to research personnel. Any person handling a tortoise wore
clean gloves, which were changed as necessary and before handling of a
different tortoise.
Infection groups.
Animals were allowed to acclimate for a
minimum of 1 month prior to initiation of the experimental transmission
trials. Tortoises were blocked on the basis of size and sex prior to
random assignment to experimental and control groups. Tortoises in the
control group (n = 10) were sham inoculated
intranasally with 0.5 ml (0.25 ml/nostril) of sterile SP4 broth.
Tortoises in the experimental infection group (n = 9)
were inoculated intranasally with 0.5 ml (0.25 ml/nostril; 108 color-changing units [CCU] [total dose]) of
M. agassizii 723. Isolate 723 was obtained from a clinically
ill tortoise from Sanibel Island, Lee County, Fla. M. agassizii 723 was grown in SP4 broth and was only two passages
from the primary isolation. Aliquots of strain 723 were frozen at
80°C, and all infections were done with a common stock of M. agassizii. The purity of the isolate was determined by growth
inhibition and 16S rRNA sequence analysis (2).
Dose-response study.
After the initial experiments which
demonstrated that M. agassizii caused URTD in the gopher
tortoise, an experiment was designed to determine the effect of dose on
clinical expression of disease and immune response. Tortoises were
inoculated intranasally with a low (101 CCU; n = 6), medium (103 CCU; n = 6), or high
(105 CCU; n = 5) dose of M. agassizii. Tortoises in the control group (n = 10)
were sham inoculated intranasally with 0.5 ml (0.25 ml/nostril) of
sterile SP4 broth. Monitoring and housing were identical to those in
the initial experimental infection study.
Postinfection monitoring of tortoises.
The tortoises were
observed from 3 to 7 days each week, with some days including multiple
observations. Because of individual behavior patterns, not every
tortoise was observed at each daily observation time point. At specific
time points (usually 2- to 4-week intervals, depending on the study),
tortoises were captured by hand or with wire cage-type traps (Tomahawk
Live Trap Company, Tomahawk, Wis.) that were covered with brown paper
to protect the animals from the weather. The traps were cleaned,
sprayed with bleach solution, and allowed to air dry following each
use. The paper was discarded, and fresh paper was used for the next trapping effort. Each tortoise was placed in a plastic, lidded container (LEWISystems; Menasha Corporation, Watertown, Wis.) for
transport and holding. Containers were bleached, scrubbed, and washed
in an automatic cage washer before reuse. Tortoises were examined for
clinical signs of URTD: nasal and ocular discharge, palpebral edema,
and conjunctivitis. A photographic record consisting of right, left,
and full face views was made for each tortoise at each time point when
the tortoises were captured. The signs were graded individually on a
scale of from 0 to 3, which indicated none, minimal, mild, and severe
signs, respectively. Visual grading of signs was confirmed by
independent observation of the photographic record. Serum was obtained
for quantitation of specific antibody. Nasal swabs and lavages were
obtained for culture and PCR testing.
Culture.
Mycoplasmal cultures were performed as described
previously (4). A 100-µl aliquot of the lavage sample was
used for PCR analysis; the remaining sample was serially diluted
10-fold to 10
2 and was incubated at 30°C for a maximum
of 3 weeks or until it was determined to be positive or contaminated.
In some cases, an aliquot of the broth culture of both lavages and
swabs was removed after 24 to 48 h and was used for PCR to confirm
growth of M. agassizii. Twenty microliters of each dilution
was placed on SP4 agar, and the plates were incubated at 30°C in 5%
CO2. The swabs were streaked onto the surface of an SP4
plate. The plates were examined regularly for a maximum of 6 weeks to
detect the growth of mycoplasma.
PCR.
Nasal aspirate lavage specimens were analyzed for the
presence of M. agassizii DNA on the basis of PCR
amplification of the 16S rRNA gene (2). Nasal lavage
specimens and selected culture samples obtained at between 24 and
48 h were centrifuged at 16,000 × g for 60 min at
4°C, and the supernatant was aspirated. The pellets were resuspended
in 3 to 4 µl of 20 mg of proteinase K (Sigma, St. Louis, Mo.) per ml
in 20 µl of lysis buffer (100 mM Tris [pH 7.5], 6.5 mM
dithiothreitol, 0.05% Tween 20), and the mixture was incubated at
37°C for 8 to 16 h. After denaturation of the proteinase K at
97°C for 15 min, 5 µl of each sample was removed and was added to
45 µl of a reaction solution containing two primers for the 16S rRNA
gene at 1 µM each, deoxynucleoside triphosphates at 200 µM, 2.0 mM
MgCl2, and 2.5 U of Taq polymerase (Promega,
Madison, Wis.). The primers were complementary to sequences found in
the V3 variable region of the 16S rRNA gene (sense strand nucleotides
[nt] 471 to 490 [5'-CCTATATTATGACGGTACTG-3']) and a
Mycoplasma genus-specific region (anti-sense strand nt 1055 to 1031 [5'-TGCACCATCTGTCACTCTGTTAACCTC-3']) (2,
34). The samples were subjected to 50 cycles of template
denaturation for 45 s at 94°C, primer annealing for 1 min at
55°C, and polymerization for 45 s at 72°C, followed by 10 min
at 72°C. Positive samples yielded 576-bp products that were
visualized by combining 15 µl of product with 2 µl of bromphenol
blue in 50% glycerol solution and electrophoresing on ethidium
bromide-stained 1.5% agarose gels in Tris-borate-EDTA buffer. Positive
control samples with 250 ng of purified M. agassizii DNA as
the template and negative control samples with water in place of a
template were included with each amplification run. A molecular weight
marker, an HaeIII digest of phage
X174 DNA, was included
on each gel.
Restriction fragment length polymorphism analysis was conducted with at
least one isolate from each tortoise in order to confirm conclusively
that the isolates obtained from naturally and experimentally infected
tortoises were M. agassizii (2).
Twenty-microliter samples of products from the amplification procedure
described above were incubated with 10 to 20 U of the endonuclease
AgeI (New England Biolabs, Inc., Beverly, Mass.), which cuts
the M. agassizii amplification product at nt 613, and 5 µl
of reaction buffer at 25°C for 1 h, and the products were
electrophoresed as described above. The procedure resulted in products
of 434 and 142 bp from M. agassizii-positive samples, and
all mycoplasmal isolates in the study were confirmed to be M. agassizii.
ELISA.
Specific antibody to M. agassizii was
determined by ELISA as described previously (30).
Ninety-six-well microliter plates (Maxisorp F96; Nunc, Kamstrup,
Denmark) were coated with 50 µl of a whole-cell lysate of M. agassizii 723 at 10 µg/ml in phosphate-buffered saline (PBS)
with 0.02% azide (PBS-AZ). The plates were incubated overnight at
4°C, washed four times with PBS-AZ plus 0.05% Tween 20 (PBST) in an
automatic plate washer (EL403; Bio-Tek Instruments, Inc., Winooski,
Vt.), and blocked overnight at 4°C with 250 µl of PBST containing
5% nonfat dry milk (PBS-TM) per well. Following washing, 50 µl of
plasma diluted appropriately for the specific study with PBS-TM was
added to individual wells in duplicate or triplicate, and the plates
were incubated at room temperature for 60 min. The plates were washed,
50 µl (per well) of a biotinylated monoclonal antibody (monoclonal
antibody HL673) against the light chain of desert tortoise
immunoglobulins Y and M at 1 µg/ml in PBS-TM was added, and the
plates were incubated for 60 min. Following washing, a conjugate of
alkaline phosphatase and streptavidin (Zymed Laboratories, Inc., San
Francisco, Calif.) at 1:2,000 in PBS-AZ was added at 50 µl/well, and
the plates were incubated for 60 min and washed. The substrate,
p-nitrophenyl phosphate disodium (pNPP; Sigma), was prepared
at 1 mg/ml in 0.01 M sodium bicarbonate (pH 9.6) with 2 mM
MgCl2 and was added to the wells at 100 µl/well. The
plates were incubated for 60 min in the dark and were then read at 405 nm on a microplate reader (EAR 400 AT; SLT Labinstruments, Salzburg,
Austria). The mean for two or three wells coated with antigen and
incubated with conjugate and substrate only was used as the blank.
Seroconversion was defined as an antibody level greater than 2 standard
deviations above the values for normal control serum. A positive
control, which consisted of plasma from a naturally infected gopher
tortoise from Sanibel Island, Fla., and a negative control, which
consisted of plasma from an uninfected tortoise from Orange County,
Fla., were included on each plate.
Pathology.
After a minimum of 16 weeks postinfection (p.i.),
all diseased and selected healthy tortoises were killed with a
combination of drugs. Ketamine was administered intramuscularly at 60 to 80 mg/kg followed by administration of a concentrated barbiturate solution (Socumb; The Butler Company, Columbus, Ohio) intracoelomically at 1 ml/kg. Once the tortoises showed complete muscle relaxation and
were unresponsive to painful stimulation, they were exsanguinated with
a 23-gauge butterfly catheter inserted into the carotid artery and then
decapitated. Lavage and swab samples were collected as described
previously, and then the head was bisected longitudinally with an
electric saw. Following bisection, the cartilage over each nasal cavity
was reflected aseptically, and lavage and swab specimens from both left
and right nasal cavities were collected.
For those tortoises selected for complete necropsy, the plastron was
removed from the carapace, and viscera within the coelomic cavity were
exposed. A gross necropsy was conducted. For histopathologic studies,
the heads were fixed in 10% neutral buffered formalin, decalcified,
embedded in paraffin, sectioned longitudinally at 5 to 6 µm, and
stained with hematoxylin and eosin. Sections were examined by light
microscopy and were classified on a scale of from 0 to 5, with 0 being
normal and 5 exhibiting severe inflammation and/or changes. Changes in
the epithelium and submucosa were recorded separately.
The following criteria were used for the grading of lesions: (i) normal
(score = 0), occasional small subepithelial lymphoid aggregates,
rare heterophils in the lamina propria, no changes in mucosal or
glandular epithelium, and no edema; (ii) mild (score = 1),
multifocal small subepithelial lymphoid aggregates; multifocally, small
numbers of heterophils, lymphocytes, and plasma cells in the
lamina propria; mild edema in the lamina propria; and minimal changes
in mucosal epithelium; (iii) moderate (score = 2 or 3), multifocal
to focally extensive lymphoid aggregates; diffusely, moderate numbers
of heterophils, lymphocytes, and plasma cells in the lamina propria,
occasionally infiltrating the overlying mucosal epithelium; moderate
edema in the lamina propria; and proliferation and disorganization of
the basal epithelium; (iv) severe (score = 4 or 5), focally
extensive to diffuse bands of lymphocytes and plasma cells subjacent to
and obscuring the overlying mucosal epithelium; large numbers of
heterophils in lamina propria and infiltrating the overlying mucosal
epithelium; marked edema of the lamina propria; degeneration, necrosis,
and loss of the mucosal epithelium with occasional erosion;
proliferation of the basal cells of the epithelium with metaplasia of
the mucous and olfactory epithelium to a basaloid epithelium; and
occasional squamous metaplasia.
Statistical analysis.
Binomial data were analyzed by the
chi-square test. Continuous data were analyzed by t test
(two-group comparisons) or analysis of variance (multiple comparisons),
followed by Fisher's least-squares-difference analysis. For clinical
sign score data, the nonparametric Mann-Whitney (two-group comparison)
or the Kruskal-Wallis (comparison of more than two groups) test was
used. A P value of <0.05 was accepted as significant.
 |
RESULTS |
Clinical disease outcome: experimentally infected tortoises.
M. agassizii caused clinical signs compatible with those
observed in animals with natural infection (Table
1; see also Fig. 2). Clinical signs of
URTD were evident in seven of nine experimentally infected tortoises by
4 weeks p.i. and in eight of nine experimentally infected tortoises by
8 weeks p.i. (Table 1). The one tortoise which failed to show clinical
signs did seroconvert, indicating that the animal had been colonized
sufficiently to stimulate a host immune response. At all time points
p.i., M. agassizii could be isolated from the nares of at
least 50% of the tortoises (Table 1). After 8 weeks p.i., the ELISA
was the most reliable method of detection, with 100% of the infected
tortoises testing positive for antibodies to M. agassizii
(Table 1). Control tortoises which were sham inoculated with sterile
broth did not show clinical signs and did not seroconvert, and M. agassizii was not detected in these tortoises by either culture or
PCR at any point in the study.
The cumulative scores for infected and control tortoises were different
at all time points p.i. (P < 0.001) (Fig.
1A). Nasal discharge was statistically
greater in infected tortoises than in control tortoises at 4 (P = 0.004), 8 (P = 0.01), 12 (P = 0.004), and 16 (P = 0.01) weeks p.i. (Fig. 1B). Ocular
discharge was statistically greater in infected tortoises than in
control tortoises at 4 (P = 0.01), 12 (P = 0.004),
and 16 (P = 0.005) weeks p.i. (Fig. 1B). Palpebral
edema was statistically greater in infected tortoises than in control
tortoises at 4 (P = 0.04), 8 (P = 0.004), and 12 (P = 0.04) weeks p.i. (Fig. 1B). Conjunctivitis was
statistically greater in infected tortoises than in control tortoises
at 12 (P = 0.04) weeks p.i. (Fig. 1B).

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FIG. 1.
Clinical signs of URTD in gopher tortoises
experimentally infected with M. agassizii. Tortoises
(n = 9) were infected intranasally with 108
CCU of M. agassizii. No clinical signs were seen for control
tortoises (n = 10), which received sterile broth. (A)
Results are expressed as the mean cumulative score, which was
calculated as the nasal discharge score plus the mean for the three
ocular scores. Infected tortoises ( ) had greater cumulative signs
than control tortoises ( ) at all time points p.i. (P = 0.001). (B) Results are expressed as the mean clinical sign
score + standard error on a scale of from 0 (none) to 3 (severe).
At 4 weeks p.i., nasal (P = 0.004) and ocular
(P = 0.01) discharges as well as palpebral edema
(P = 0.04) were greater in infected tortoises than in
control tortoises. At 8 weeks p.i., nasal discharge (P = 0.01) and palpebral edema (P = 0.004) were greater
in infected tortoises than in control tortoises. At 12 weeks p.i.,
nasal (P = 0.004) and ocular (P = 0.004) discharges as well as palpebral edema (P = 0.04) and conjunctivitis (P = 0.04) were greater
in infected tortoises than in control tortoises. No clinical signs were
seen for control tortoises (n = 10), which received
sterile broth (data not shown). The clusters of four bars for each week
represent palpebral edema, conjunctivitis, nasal discharge, and ocular
discharge from left to right, respectively.
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The overall cumulative severity of clinical signs increased and then
reached a relative plateau (Fig. 1A). However, the individual clinical
signs comprising the cumulative scores showed significantly more
variability (Fig. 1B). The severity of palpebral edema and conjunctivitis remained relatively constant throughout the 16-week observation period. The severity of nasal and, to a lesser extent, ocular discharge did increase with time following infection (Fig. 1B).
Considerable variability in the expression of clinical signs among
individual animals occurred (data not shown). Some animals showed a
classical plateau response, while others clearly demonstrated intermittent clinical signs. Some individual animals had very severe
clinical signs, while others (n = 3) had clinical signs which had relatively low scores and one animal showed no clinical signs.
Infection with M. agassizii resulted in detectable antibody
responses by week 8 p.i. (Fig. 2).
All of the experimentally infected tortoises seroconverted. Levels of
antibody were statistically higher in infected animals than in control
animals for all time points >4 weeks p.i. (P < 0.0001) (Fig. 2). No antibody response was detected in any control
animal at any time point.

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FIG. 2.
Specific antibody to M. agassizii in gopher
tortoises experimentally infected with M. agassizii ( )
and control gopher tortoises ( ). Levels of antibody were higher in
infected animals than in control animals for all times >4 weeks p.i.
(P < 0.0001).
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Clinical disease outcome: dose-response study.
The numbers of
M. agassizii used to infect the tortoises initially did not
influence the clinical expression of URTD. In most instances, the most
severe clinical signs were observed at 8 weeks p.i., regardless of the
infective dose. As was seen in the earlier infection trial, there was
considerable variability in the expression of clinical signs by
individual animals (data not shown). The antibody response (Fig.
3), like the expression of clinical
signs, was not affected by the infection dose used. The antibody
response in infected animals was first detectable at 6 weeks p.i. and
was statistically different from that in the control animals at all time points thereafter (P < 0.001).

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FIG. 3.
Specific antibody to M. agassizii in gopher
tortoises experimentally infected with different doses of M. agassizii ( , low dose; , medium dose; , high dose) and
control gopher tortoises ( ).
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Histology: experimentally infected tortoises.
The nasal
cavities of control tortoises consisted of a dorsal multilayered
olfactory epithelium (Fig. 4A) and a
ventral mucous epithelium consisting of mucus cells intercalated with
ciliated epithelial cells (Fig. 4B). Eight of nine experimentally
infected tortoises had changes in the nasal epithelia and submucosa
(Fig. 5). The epithelium was intact in
all nine tortoises, and no ulcerations were present. One tortoise had
mild to moderate changes, five tortoises had moderate changes, and
three tortoises had changes that were characterized as moderate to
severe.

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FIG. 4.
Photomicrograph of the nasal cavity of a control gopher
tortoise. (A) Area of mucous and ciliated epithelial cells (M)
overlying a lamina propria submucosa (S) primarily consisting of
connective tissue and small vessels. (B) Area of multilayered olfactory
mucosa (O) overlying a lamina propria submucosa (S) consisting of
connective tissue, vessels, and melanophores. Hematoxylin and eosin
stain was used.
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FIG. 5.
Representative moderate to severe changes observed in
the upper respiratory tracts of experimentally infected gopher
tortoises. The epithelium (E) is hyperplastic, and there are diffuse
accumulations of mixed inflammatory cells (IC) in the lamina propria.
Hematoxylin and eosin stain was used.
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Histology: dose-response study.
Changes were observed in the
nasal cavity epithelia of experimentally infected tortoises. Eight
tortoises were selected for full necropsy. The changes observed, like
the clinical signs, were variable and appeared to be independent of
infective dose. In at least one tortoise, changes were different in the
right versus left nasal cavity, suggesting that intra-animal variation also occurred. In the high-dose group (n = 2), one
animal had mild to moderate inflammatory changes; the other tortoise
showed moderate changes. Three tortoises in the medium-dose group were selected for necropsy. One tortoise that received the medium infective dose had moderate changes, and two tortoises in this group had moderate
to severe changes. Three tortoises in the low-dose group were selected
for necropsy. One tortoise that received the low infective dose had
moderate changes, one tortoise in this group had moderate to severe
changes, and the final tortoise in this group had severe changes.
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DISCUSSION |
The most stringent requirements for definitive proof of a
causative relationship between an infectious agent and a disease is the
fulfillment of the Henle-Koch-Evans postulates (10, 11). In
a free-ranging, wild animal which is also legally protected, this is a
daunting challenge. The M. agassizii isolate used in these
studies was obtained from an animal with clinical disease. In the
present experimental infection studies, this isolate was cultured in
vitro and was inoculated into clinically healthy animals which were
free of mycoplasma infection for a period of several months as
determined by culture, PCR, and serology. The experimentally infected
animals developed clinical signs of disease (eight of nine animals) and
produced specific antibody against the infectious agent (nine of nine
animals). Both the appearance of clinical disease and the
seroconversion occurred within reasonable time periods relative to the
time of inoculation of the infectious agent. The lesions observed in
the animals with the experimental infection were similar to those
observed both in desert tortoises with natural and experimental
infections (4, 16) and in gopher tortoises with natural
infections (unpublished data). M. agassizii was recovered
from the experimentally infected animals at various times p.i. Thus, we
have fulfilled the Henle-Evans-Koch's postulates and conclude that
M. agassizii causes URTD in the gopher tortoise.
In this study, the patterns of the experimental infections as well as
of the natural infections of gopher tortoises that were observed are
consistent with existing knowledge of mycoplasmal respiratory
infections in other species. The variability observed in the clinical
expression of disease among individual animals is common with other
mycoplasmal respiratory infections (32). In most animals,
respiratory mycoplasmosis is typified as a slowly progressing, chronic,
and seemingly clinically silent infection which may be exacerbated by
environmental factors, stress, or other microbial agents (5, 29,
32, 35). Most hosts have difficulty in eliminating the
mycoplasma, even in the presence of a strong immune response. In fact,
the host immune response is critical for the development of lesions
(32). Although overt clinical signs may be inapparent,
lesions can range from microscopic to gross, with eventual loss of the
normal respiratory epithelium architecture (4, 5, 16, 32).
The increased numbers of inflammatory cells, particularly in foci, and
the lymphoid hyperplasia observed in the lesions of experimentally
infected gopher tortoises are consistent with respiratory mycoplasmosis
in other species, including the desert tortoise (16, 32).
The relative insensitivity of PCR versus the sensitivity of culture was
somewhat surprising. Electron micrographic studies have identified
preferentially colonized sites on the mucosal surfaces of ventrolateral
depressions in tortoise upper respiratory passages, which may not be
accessible by swabbing or lavage (data not shown). Since a prolonged
incubation is required for culture, small numbers of M. agassizii may be expanded to a detectable level as a result of
microbial growth. Despite its relative insensitivity, PCR still can
play an important role in the diagnosis of URTD. A positive PCR result
can be obtained with broth cultures after 24 to 48 h of growth,
even though the initial PCR with the lavage specimen was negative. An
additional problem encountered in diagnosis is the quality of samples.
Since gopher tortoises are burrowing animals and many sample
collections are done in the field under less than ideal conditions, the
samples are often contaminated with bacteria and fungi. Many of these,
especially fungi, rapidly overgrow the cultures or alter the medium
beyond the pH range tolerated by mycoplasmas for growth. Culture in SP4
broth for 48 h before taking an aliquot for PCR enhances detection
of viable mycoplasma, and contamination with other sources of DNA does
not interfere with the PCR (data not shown). Isolation of M. agassizii from broth or agar can take up to 6 weeks. If broth
cultures are grown for 24 to 48 h and then tested by PCR, we can
detect positive culture samples faster, which may be of primary
importance if animals are being quarantined or held prior to relocation
as part of recommended health surveillance to prevent the spread of disease.
A wide variety of potential virulence factors have been suggested for
mycoplasmas, including superantigen production, surface antigenic
variation, and host immunomodulation (32). It is not uncommon to see a wide variety in the virulence of different strains of
the same species within a specific host (7, 8, 17, 28). The
strain selected for our studies was obtained from a very ill, naturally
infected tortoise. This particular strain appears to be highly
virulent, as evidenced by the fact that initial infective doses of only
10 CFU were capable of causing both clinical disease and severe
lesions. We have preliminary evidence that other strains of M. agassizii do not cause overt clinical disease, even when
relatively high infective doses are used. These observations of strain
variability are similar to those observed for respiratory mycoplasmosis
in rodents and poultry (7, 8, 28).
For the most part, any given mycoplasmal species has a relatively
limited range of host specificity. Because M. agassizii has
a limited temperature range for growth and does not grow at 35°C
(3a), it is highly unlikely that it represents a threat to
humans or other mammals. Conversely, evidence suggests that other
chelonians (turtles and tortoises) may be susceptible to M. agassizii (15, 16, 19, 31). In the past several years, we have seen clinical cases of URTD in tortoises and turtles from zoological collections as well as private collections. It is not uncommon for these reptiles to be housed together, without quarantine or determination of health status. In at least one instance,
confiscated star tortoises were sent to a zoo and were later found to
have URTD. We have demonstrated the presence of M. agassizii
in these animals by serology, culture, and PCR. Treatment with
antibiotics alleviates clinical signs but does not eliminate the
infection (14a). Appropriate quarantine, screening, and
health surveillance of reptiles in collections will be needed to
protect animals from URTD. This is particularly important when
confiscated shipments of animals with unknown health histories are
distributed to zoological settings. Both the gopher and desert
tortoises have, to various extents, legal protection due to their
decreasing populations. In many cases, the management tools used are
relocation of animals to wildlife sanctuaries or other suitable
habitats. Until recently, wildlife management decisions have not
included considerations of infectious diseases and the possible impact
of these diseases on population health. The full impact of relocation
efforts involving ill animals is yet to be determined and will require
long-term monitoring studies.
Research on the impact of mycoplasmosis on wildlife has been limited,
but reports of recent disease outbreaks in different wildlife species
are provoking interest in mycoplasmosis as a newly emerging (or at
least newly recognized) disease threat for wildlife. The most
publicized disease outbreak has been seen in Mycoplasma
gallisepticum infection of house finches, goldfinches, and blue
jays (21, 23, 27). In 1993 an epizootic of polyarthritis occurred in juvenile farmed crocodiles (Crocodylus
niloticus) in Zimbabwe (18, 25). A mycoplasma was
isolated from the joints and lungs of affected crocodiles, was
determined to be a previously unrecognized species, and was named
Mycoplasma crocodyli (18, 25). In 1995, a
systemic infection of captive adult American alligators at a private
facility in Florida was associated with a different species of
mycoplasma that had also been previously unrecognized. Unlike the
outbreak in crocodiles, the disease in alligators was characterized by
a very high mortality rate (>70%) and widespread dissemination of the
infectious agent within the tissues of infected animals (3).
Infectious diseases are an ever present risk to wildlife, particularly
during situations in which animals are removed from their natural
habitat for captive breeding programs or during conditions of stress
such as release into new habitats, translocation, ecosystem
perturbation, and encroachment on their habitats by urbanization
(13, 24, 26, 27). Infectious diseases, their implications
for population health, and their impact on the success of conservation
and management plans are rarely considered in management issues. URTD
is an excellent example of the importance of wildlife diseases in
population biology. Coupled with habitat destruction and environmental
stress factors such as drought, this disease is believed to be a major
factor in declines of desert tortoise populations in the Mojave Desert
(1, 15, 16). Increasing awareness of the role of infectious
diseases has resulted in inclusion of disease monitoring and assessment
of population health in management decisions in both the desert and
tortoise populations.
 |
ACKNOWLEDGMENTS |
This work was supported by a grant from the Walt Disney World Corporation.
We acknowledge the technical assistance of Diane Dukes, Michael Lao,
Alyssa Whitmarsh, John Hutchison, and Sylvia Tucker.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Pathobiology, Box 110880, College of Veterinary Medicine, University of
Florida, Gainesville, FL 32611-0880. Phone: (352) 392-4700, ext. 3970. Fax: (352) 846-2781. E-mail:
mbbrown{at}nersp.nerdc.ufl.edu.
Journal series article R-06916 of the Florida Agriculture
Experiment Station.
 |
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Journal of Clinical Microbiology, July 1999, p. 2262-2269, Vol. 37, No. 7
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