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Journal of Clinical Microbiology, September 2006, p. 3178-3188, Vol. 44, No. 9
0095-1137/06/$08.00+0 doi:10.1128/JCM.02667-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Biotherapy Human Resources Center, College of Veterinary Medicine, Chonnam National University, Gwangju 500-757,1 Pathology Division, National Veterinary Research and Quarantine Service, Anyang, Kyunggi 430-824,2 Genome Research Center for Enteropathogenic Bacteria, Chonnam National University Medical College, Gwangju 501-746, South Korea,3 Food Animal Health Research Program, Department of Veterinary Preventive Medicine, Ohio Agricultural Research and Development Center, The Ohio State University, Wooster, Ohio 446914
Received 23 December 2005/ Returned for modification 15 February 2006/ Accepted 11 June 2006
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BCoV causes severe diarrhea in newborn calves (CD), winter dysentery (WD) in adult cattle, and respiratory tract infections in calves and feedlot cattle (7, 8, 22, 29, 39). WD is characterized by a sudden onset of semiliquid, often bloody diarrhea, which rapidly affects many adult cattle and can cause a marked reduction in milk production in dairy herds (32). Winter dysentery has been reported in most cattle-producing countries, including those in Europe, North America, and East Asia (30, 31). Winter dysentery has a peak incidence in winter, presumably because BCoV is moderately sensitive to heat (31). In South Korea, WD-BCoV appears to cause nationwide diarrhea outbreaks in the winter (19). In this study, we identified WD-like diarrhea in adult dairy and beef herds in the warmer seasons in South Korea, resulting in enormous economic losses from a marked reduction in milk production by dairy herds. However, the causative agents and the precise epidemiology of this type of diarrhea have not been determined. In this study, we examined the incidence of BCoV excretion in adult cattle with diarrhea from herds in South Korea by using enzyme-linked immunosorbent assays (ELISA), reverse transcription-PCR (RT-PCR), and nested PCR, and we compared this with the excretion of other enteric pathogens, including bovine rotavirus groups A, B, and C (BRV A to BRV C), bovine torovirus (BToV), bovine enteric Nebraska-like calicivirus (BEC-NBV), bovine norovirus (BNoV), bovine viral diarrhea virus (BVDV), Salmonella spp., Clostridium spp., Campylobacter spp., Mycobacterium paratuberculosis, Coccidium spp., and Cryptosporidium spp. In addition, the previously isolated WD-BCoVs and other known BCoVs were compared biologically and genetically to the BCoV isolates recovered during the warmer seasons in this study.
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Detection of BCoV antigen by ELISA. An indirect antigen capture ELISA employing monoclonal antibodies (MAbs) to BCoV as the capture antibodies was used to detect BCoV in the fecal suspensions, as previously described (6, 37). Briefly, 96-well microtiter plates were coated with a mixture of the three MAbs developed against BCoV structural proteins (HE, N, and S proteins) of the CD DB2 strain of BCoV (antibody-positive coating) or with BCoV antibody-negative mouse ascitic fluids (antibody-negative coating). After overnight incubation of wells at 4°C, 5% (wt/vol) nonfat dry milk in a solution of PBS (pH 7.4) and 0.05% Tween 20 was applied as a blocking reagent for 1 h at 20 to 22°C. Fecal suspensions (1:25 dilution) were added to duplicate wells coated with the BCoV capture MAbs or BCoV antibody-negative ascites. Fecal samples from calves positive and negative for BCoV and unknown test samples were added to duplicate wells that had antibody-positive or antibody-negative coatings and were incubated for 1 h at 20°C. After plates were washed with a solution of PBS (pH 7.4) and 0.05% Tween 20, optimally diluted guinea pig anti-BCoV hyperimmune serum was added to each well. Plates were incubated for 1 h at 25°C, and an indicator antibody consisting of optimally diluted sheep anti-guinea pig immunoglobulin G conjugated to horseradish peroxidase was added to each well. The chromogen substrate was 2,2'-azino-di-3-ethylbenzthiazoline sulfonic acid with a final concentration of 0.03% hydrogen peroxide. Plates were read at 414 nm using an ELISA reader, and the absorbances were saved as an ASCII file. A spreadsheet program was used to calculate the ELISA values for the samples by subtracting the average absorbance of the paired wells with BCoV antibody-negative coatings from the average absorbance of the paired wells with BCoV antibody-positive coatings. Samples with absorbances of 0.1 or greater were considered positive for the BCoV antigen.
RNA extraction. RNA was extracted from 200-µl starting volumes of the centrifuged 10% fecal suspensions by using the Trizol-LS (Gibco-BRL Life Technologies, Grand Island, NY) procedure. The recovered total RNA was suspended in 50 µl of RNase-free water and stored at 80°C.
RT-PCR and nested PCR. RT-PCR assays with different primer sets (Table 1) for the detection of BCoV, BRV A to BRV C, BEC-NBV, BNoV, BToV, and BVDV were performed using a standard one-step RT-PCR, as described by Cho et al. (6). Briefly, 5 µl of RNA was added to a tube containing 45 µl of the RT-PCR mixture, comprising 5 µl of 10x PCR buffer (100 mM Tris-HCl [pH 8.3], 500 mM KCl, 15 mM MgCl2, 0.01% gelatin), 5 µl of MgCl2 (25 mM), 1 µl of 10 mM deoxynucleoside triphosphates, 1 µl of the upstream primer (50 pmol), 1 µl of the downstream primer (50 pmol), 0.5 µl of avian myeloblastosis virus reverse transcriptase (5.0 U; Promega Corp., Madison, Wis.), 0.5 µl of RNasin RNase inhibitor (10 U; Promega Corp.), 0.5 µl of Taq polymerase (2.5 U; Promega Corp.), and 30.5 µl of water.
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TABLE 1. RT-PCR and nested-PCR primers for detection of target viruses in fecal samples from adult cattle with diarrhea
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As a negative control, RNA was extracted from normal feces of a mock-infected, colostrum-deprived calf. The amplification products were analyzed by 1.5 or 2% agarose gel electrophoresis and visualized by UV irradiation of the ethidium bromide-stained samples.
BCoV isolation. Monolayers of human rectal tumor (HRT-18G) cell cultures grown in 6-well plates were used to isolate the virus, as described elsewhere (3, 43). Briefly, the cells were washed with Eagle's minimal essential medium and inoculated into duplicate wells along with the selected filtered (pore size, 0.20 µm) fluids from fecal suspensions that had been found positive for BCoV by RT-PCR, nested PCR, or ELISA. The fluids from the fecal suspensions were adsorbed for 1 h with occasional rocking, and Eagle's minimal essential medium containing pancreatin (5 µg/ml) was added. The cultures were incubated for 3 to 4 days at 37°C under a 5% CO2 atmosphere and were examined daily for any evidence of cytopathic effects (CPE). Isolated BCoVs were cloned by liquid-limiting dilution, and the highest dilution of the virus that caused any CPE was passaged an additional three times in the HRT-18G cells. The isolated BCoV was confirmed by direct immunofluorescence tests (31), ELISA, and RT-PCR, as described above.
HA, RDE activity, and HI tests. HA tests were conducted using the microtiter method in V-bottom plates, as described elsewhere (33, 42). The HA titers were expressed as the reciprocal of the highest dilution of the virus showing complete HA of 0.4% and 0.2% suspensions of mouse and chicken erythrocytes, respectively, after 1 h of incubation at 4°C or 37°C. The plates incubated at 4°C were then incubated at 37°C for 2 h in order to determine the level of receptor inactivation reflected by the disaggregation of the BCoV-erythrocyte complexes mediated by the RDE activity. The hemagglutination inhibition (HI) test was performed using 96-well U-bottom plates (42). The MAb to the prototype strain, Mebus, was serially diluted 20-fold with veronal-buffered saline and mixed with the same volume of 8 HA units of purified BCoV, followed by incubation at 22°C for 1 h. After incubation, a 1% mouse erythrocyte suspension was added and incubated for a further 2 h at 22°C. The HI titers were expressed as the reciprocal of the highest dilution of the MAb that completely inhibited HA (pellet formation).
DNA sequencing.
The oligonucleotide primers used in the RT-PCR were designed from the published sequences of the S, HE, M, and E genes of strain Mebus (GenBank accession no. U00735). Table 2 shows the primer sequences and predicted product sizes. A one-step RT-PCR assay was performed as described above. The RT-PCR products were purified using a GeneClean II kit (Bio 101, Inc., La Jolla, CA) according to the manufacturer's instructions. DNA sequencing was carried out using an automated DNA sequencer (ABI system 3700; Applied Biosystems Inc., Foster City, CA). By using the DNA Basic module (DNAsis MAX, Alameda, CA), the S, HE, M, and E gene sequences of our BCoV isolates were compared with those of the other known BCoVs. The gene sequences compared are listed in Table 3. The deduced amino acid sequences were then assembled and analyzed using the Amino Acid Basic module (DNAsis MAX, Alameda, CA). A sequence similarity search was performed for the BCoV S, HE, M, and E proteins using the LALIGN Query program of the GENESTREAM network server at the Institut de Génétique Humaine, Montpellier, France (http://www.eng.uiowa.edu/
tscheetz/sequence-analysis/examples/LALIGN/lalign-guess.html). Phylogenetic and bootstrap (1,000 replicates) analyses based on nucleotide and amino acid alignments were constructed by the neighbor-joining method and the unweighted-pair group method using average linkages of Molecular Evolutionary Genetics Analysis (MEGA, version 3.1) with pairwise distance (20).
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TABLE 2. Oligonucleotide primers designed from the S, HE, M, and E genes of BCoV strain Mebus and used for DNA sequencing
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TABLE 3. GenBank accession numbers of reference strains of genogroup 2 coronaviruses used in phylogenetic analysis
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TABLE 4. Summary of enteric pathogens found in fecal samples from adult cattle with diarrhea
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FIG. 1. Representative RT-PCR and nested-PCR results for the detection of each BCoV, BRV A, BRV B, BRV C, BToV, BNoV, BEC-NBV, and BVDV in fecal samples from adult cattle with diarrhea. Lanes: M, 100-bp marker; 1, BCoV RT-PCR product; 2, BCoV nested-PCR product; 3, BRV A RT-PCR product; 4, BRV A nested-PCR product; 5, BRV B RT-PCR product; 6, BRV C RT-PCR product; 7, BToV nested-PCR product; 8, BNoV nested-PCR product; 9, BEC-NBV nested-PCR product.
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HA, RDE, and HI titers of the KWD BCoV strains. Table 5 summarizes the HA, RDE, and HI titers of the purified KWD BCoV strains. All the KWD BCoV strains that were isolated year round agglutinated mouse and chicken erythrocytes at 4°C, with HA titers ranging from 4 to 256 for mouse erythrocytes and from 2 to 64 for chicken erythrocytes. This diversity influenced the diversity in the M/C ratio (the ratio of HA titers for mouse erythrocytes to HA titers for chicken erythrocytes) at 4°C: higher M/C ratios were observed for some of the KWD BCoVs isolated in the autumn and summer. At 37°C, the KWD BCoVs agglutinated mouse erythrocytes with almost the same HA titers as those observed at 4°C. However, some of the KWD BCoVs (KWD12 to -16) did not agglutinate chicken erythrocytes. Remarkably, no KWD BCoV strains isolated in the autumn, summer, or spring appeared to have RDE activity against mouse erythrocytes; there was no reduction in their HA titers when the incubation temperature was shifted to 37°C. In contrast, the 10 WD-BCoVs isolated in winter showed higher RDE activity against mouse erythrocytes. All KWD BCoVs, regardless of the season, had low HI titers against the hyperimmune guinea pig serum raised against strain Mebus. On the other hand, relatively lower HI titers were detected in the KWD BCoVs isolated in autumn, summer, and spring, except for KWD11 and -13 in autumn.
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TABLE 5. Comparison of HA, RDE activity, and HI titers between BCoV strains isolated in warmer seasons and WD-BCoV strains
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The N-terminal region of the S1 subunit (aa 1 to 330) (22), which was shown to function as a receptor-binding domain in mouse hepatitis virus, had a total of 21 amino acid changes compared with strain Mebus. Within this region, a unique amino acid substitution was observed at aa 149 in all the KWD strains (data not shown). The S1A and S1B immunoreactive domains identified within aa 351 to 403 and aa 517 to 621 had a total of three amino acid changes in comparison with strain Mebus (data not shown). Compared with all the known BCoVs, the sequence KRRSRR at the predicted proteolytic cleavage site was conserved in all KWD strains. The amino acid sequences of the S2 subunit of the present KWD strains were comparatively well conserved in comparison with the S1 subunit of strain Mebus. The only remarkable finding for the S2 subunit was found in the first hydrophobic region, in which all known virulent BCoVs, including the respiratory BCoV (RBCoV) strains LSU and OK, EBCoV strains LY and F15, and all KWD strains, had markedly higher hydrophobicity due to the amino acid substitution at aa 965 than the avirulent strains Vacc, L9, and Mebus (data not shown). All KWD strains showed several conserved features of the HE, M, and E genes with all the BCoVs, such as a hydrophobic putative signal sequence of 18 aa at the N terminus of HE, 9 potential N-linked glycosylation sites of HE, and the putative active site for neuraminate-O-acetylesterase activity, FGDS, at the N terminus of HE.
Based on the total number of amino acid substitutions, a phylogenetic comparison of the entire S gene sequence was constructed using the neighbor-joining method of Molecular Evolutionary Genetics Analysis (20) with the CD, RBCoV, EBCoV, and WD strains or isolates. The alignment indicated that the amino acid sequences of the nine KWD strains isolated in the warmer seasons were more homologous to each other and were closely related to the Korean WD strains isolated in winter as well as to the virulent RBCoV strain OK and EBCoV strain LY-138 among the other known BCoVs examined in the paired comparisons (Fig. 2). Moreover, a phylogenetic tree of the hypervariable region of the S1 subunit showed that all Korean WD strains isolated in the warmer seasons were also clustered in groups with the Korean WD strains isolated in the winter season as well as with the virulent RBCoV strains OK and BCQ3994 and EBCoV strain LY-138 (Fig. 3A). The Canadian CD and WD BCQ strains, the American RBCoV strain LSU, the French EBCoV strain F15, and the avirulent strains Vacc, L9, and Mebus are clustered on a separate major branch (Fig. 3A).
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FIG. 2. The phylogenetic tree of the S genes of RBCoV, EBCoV, a CD strain, WD strains, the BCoV strains isolated in this study, avirulent strains or isolates, and human antigenic II coronavirus strain HCoV-OC43 was made using the neighbor-joining method of Molecular Evolutionary Genetics Analysis (20). KWD1 to KWD10, Korean WD strains; KWD11 to KWD19, Korean BCoV isolates recovered from adult cattle with diarrhea in the spring, summer, and autumn; ENT, F15, and LY-138, EBCoV strains; LSU and OK, RBCoV strains; L9 and Vaccine, avirulent vaccine strains; Mebus, prototype CD strain; HCoV-OC43, human antigenic II coronavirus strain.
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FIG.3. The phylogenetic trees of the hypervariable region of the S protein (A) and of the HE (B), M (C), and E (D) proteins of RBCoV, EBCoV, CD strains, WD strains, and avirulent strains or isolates were made using the neighbor-joining method of Molecular Evolutionary Genetics Analysis (20). KWD1 to KWD10, Korean WD strains; KWD11 to KWD19, Korean BCoV isolates recovered from adult cattle with diarrhea in the spring, summer, and autumn; BCQ7373 and BCQ2590, WD strains; Mebus, BCQ20, BCQ571, BCQ701, BCQ1523, BCQ2070, and BCQ3708, CD strains; ENT, F15, and LY-138, EBCoV strains; BCQ3994, LSU, OK, LUN, BCO43277, and BCO44175, RBCoV strains; L9, avirulent strain.
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FIG. 3 Continued.
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FIG. 3 Continued.
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Bovine coronavirus infections of adult cattle with epizootic diarrhea occur in the winter as a result of cold stress, e.g., chilling due to low temperatures, with predisposing events including drinking cold water or wide temperature fluctuations, which is an important risk factor for winter dysentery (30, 46). Like other enveloped viruses, BCoV is moderately sensitive to heat (8, 31). Therefore, the occurrence of epizootic diarrhea in adult cattle in the warmer seasons has not been studied in detail. To our knowledge, there is only one report of detection of BCoV in fecal samples from adult cows during an outbreak of epizootic diarrhea in Japan in August (12). In the present study, there were no predisposing events such as chilling or wide fluctuations in temperature (data not shown). Therefore, cold stress might not always be required to initiate the adult cow diarrhea associated with BCoV. This is also compatible with findings showing that experimental WD could be successfully reproduced in adult cattle by inoculating them with WD-BCoV in the warm seasons (41). Although BCoV might play a key role in the occurrence of epidemic diarrhea in herds of adult cattle in the warmer seasons in South Korea, its precise role in the epizootic diarrhea of adult cattle is unclear. One possible explanation is the high prevalence of BCoV infections in adult cattle with WD in South Korea (19), which could precipitate continued exposure to BCoV during the warmer seasons. A similar seasonal incidence pattern has been also reported in the epidemic occurrence of porcine epidemic diarrhea (PED) caused by the group 1 coronavirus, which causes PED all year round in the countries with high prevalences of PED (17, 40).
Another factor is alteration of the biological properties of the BCoV, which might improve the survival of the virus in the warmer seasons and cause diarrhea in adult cattle. From the present biological comparisons among the BCoV strains, the most striking observation was that the BCoV strains isolated in the warmer seasons had no RDE activity against mouse erythrocytes. In contrast, the BCoV isolated in the winter season had higher RDE activity against mouse erythrocytes. HE is known to have acetylesterase (AE) activity, which cleaves the acetyl groups from 9-O-acetylated neuraminic acid, thereby preventing or reversing the hemagglutination or hemadsorption induced by S or HE (26, 35, 45). In addition, RDE activity could enhance the virulence of the BCoV by facilitating the elution of mature virions from the surfaces of infected cells. This might create a higher potential for rapid dissemination of the virus (higher shedding) in herds (9). Although the lack of RDE activity against mouse erythrocytes was conspicuous for our BCoV strains isolated in the warmer seasons, it is still not clear whether the lack of RDE activity affects the survival rate of the BCoV in the warmer seasons.
From the present phylogenetic analysis of the S gene, the amino acid sequences of the Korean BCoV strains, irrespective of season, were closer to each other than to those of the other known BCoVs. Moreover, the most notable finding for the sequence of the hypervariable region of the S1 subunit was the distribution of the BCoVs in highly related distinct clusters: the BCoV strains isolated in this study, regardless of season, were clustered together, whereas the Canadian and the American BCoVs were clustered on a separate major branch. Considering the results of the phylogenetic analysis of the S gene, the BCoV strains isolated in this study had genetic similarities based on their geographical origin. Because the BCoV strains isolated in this study were more closely related to the virulent RBCoV strain OK and the virulent EBCoV strain LY-138, these results support and extend the previous hypothesis that recently isolated BCoVs may be diverging over time from an enteric tropism to a dual respiratory and enteric tropism via intermediates (15, 18). Also, the BCoV strains isolated in this study tended to be distant from the ancestral enteric strain, Mebus, lending further support to the hypothesis that the genetic differences may be more in accordance with the time of the appearance of an outbreak (15, 18).
Phylogenetic data of amino acid sequences of the HE gene revealed that all Korean BCoV strains, regardless of season, were more homologous to each other and were distinct from the other known BCoVs. This supports our hypothesis that the Korean BCoV has a distinct evolutionary pathway. However, the relative conservation of the M and E proteins of all BCoVs, including the BCoV strains isolated in this study, suggests that the structural constraints on these proteins are rigid, resulting in more limited evolution of these proteins than of the S proteins. In addition, the putative site (FGDS) for the AE domain was well conserved in all BCoVs, including the BCoV strains isolated in this study, as well as in mouse hepatitis virus and influenza virus C. It has previously been suggested that an alteration of the RDE activity of WD-BCoV strains could be attributed in part to conformational changes in the HE protein due to a proline substitution near the putative AE domain of the HE protein (47). However, a previous report (13) and the present data do not support this hypothesis, because a proline substitution was identified in all the virulent BCoV strains studied, including those characterized by other investigators (47).
Coronaviruses are believed to mutate at a high frequency, like most RNA viruses, because of the high error frequencies of RNA polymerases (21). The most striking example of the biological importance of coronavirus mutants is the emergence of porcine respiratory coronavirus from transmissible gastroenteritis virus (23, 24, 28). Therefore, an attempt was made to identify genetic differences, responsible for the clinical occurrence of the BCoV strains isolated in this study in warmer seasons, between these strains and other known BCoV strains (including the BCoVs isolated in this study in the winter). Although there appear to be differences in RDE activity between the BCoV strains isolated in this study, sequence analyses failed to find any distinct divergences in the HE, S, M, and E genes, which are common to all field isolates. The factors involved in the occurrence of adult cattle diarrhea in the warmer seasons need to be established.
Although BCoV is believed to be the main causative agent of diarrhea in adult cattle in the warmer seasons, other bovine enteric pathogens might play a role in the clinical and pathological presentation of this disease, because many other enteric viruses were found to be associated with diarrhea in cattle and to cause lesions of villous atrophy (Breda virus, rotaviruses, enteric calicivirus, etc.). Increases in the severity of clinical and pathological findings after natural coinfection with BCoV and other enteric pathogens have been reported (1, 4, 11, 16, 29). Therefore, an etiologic diagnosis is needed for BCoV and other enteric pathogens (1, 4, 11, 16, 29). In accordance with these findings, 18.2% of the BCoV-positive farms (61.6%) included in this investigation tested positive for other pathogens, including rotavirus groups A, B, and C, sapovirus, norovirus, torovirus, Salmonella, M. paratuberculosis, and Coccidium. Although a coinfection with BCoV might play a role in the increased severity of the clinical and pathological presentation of diarrhea in adult cattle, its influence on the development of diarrhea in adult cattle cannot be estimated.
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FIG. 3 Continued.
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