None available yet. However, an N based ELISA would be a good option, since all animals infected with BRSV develop Abs against this protein, whereas it is not essential for efficient vaccine preparations such as MVA based subunit vaccines.
For a live, attenuated BRSV mutant vaccine, non-essential viral proteins like SH, M2, G, NS1 and NS2, are possibly suitable for DIVA test development, depending on their capacity to induce antibodies in the BRSV infected host.
Research into the antibody inducing aspects of all these BRSV proteins would be the needed to be able to decide on the available options for BRSV DIVA vaccine-test combinations.
A DIVA approach is not only interesting for eradication programs but it will also enable monitoring the vaccine efficacy.
In addition, vaccination makes us blind regarding the monitoring of the epidemiological situation, and a DIVA will enable to get a better understanding of the epidemiological situation in vaccinated areas.
• Immunity conferred by BRSV infections or vaccination is probably short lived and may only last 3 or 4 months. However, host resistance increases following repeated infection. The reason for short lived immunity in BRSV, and its human counterpart HRSV, is not known, but may explain the common occurrence of recurrent infections in vaccinated and unvaccinated individuals. Therefore, frequent vaccination may be necessary to control disease. • Some inactivated vaccines have induced exacerbated disease following BRSV infection. • As young calves are at greatest risk of severe BRSV disease, calves should be vaccinated when maternally-derived antibodies (MDA) are still present. However, MDA suppress immune responses to vaccination and infection.• Current vaccines induce poor or variable protection against viral shedding allowing the virus circulation to continue.• Intranasal vaccination with live attenuated BRSV vaccine induces rapid protective immunity, which is useful when disease occurs in very young calves (3 to 6 weeks old). However, live virus is excreted and could revert to virulence.
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• Comment: The European Pharmacopoeia could be improved by including that all vaccines should demonstrate efficacy against clinical disease and should not induce enhanced disease. Studies should include a control vaccine that enhances clinical disease following BRSV challenge.A highly effective BRSV vaccine with documented effect on calf pneumonia in general would have a good market
Live vaccines with gene deletions and/or recombinant virus vectors.
Vaccines able to induce a Th1 response in young cattle (adjuvants) and overcoming the inhibitory effect of maternal antibodiesAs with other viruses, antibiotics have no affect on the BRSV infection. However, antibiotic treatment is indicated in attempts to control the secondary bacterial infections. As there is a need to reduce antibiotic usage, antibiotic treatment should be linked to development of diagnostic tools to show presence of bacteria in the lungs.
Anti-inflammatory compounds are used in some countries but the effect are questionable
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• Larger studies on clinical effect of corticosteroids, which are commonly used in BRSV outbreaks in the fieldNone
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• Improvement of NSAIDs, eg. by preserving the protective effect of prostaglandin in the lung?• An increased understanding of the pathogenesis of BRSV infection would lead to the development of therapeutics that specifically target BRSV-induced pathologyG and F protein antibody Elisa’s are available (see above).
Lab-based (real time) PCR’s have been described by several research groups. Real time RT-PCR kit (LSI, Lissieu, France) is available in France for vet labs
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• Potential for a DIVA vaccine and accompanying diagnostic test.• Assays to detect multiple pathogens at the penside are needed – especially those that can distinguish bacterial from viral infections.If enough samples for validation of tests are available, costs are low. If field experiments are necessary for sample generation development may get costly.
Some difficulties to obtain a challenge model able to reproduce severe clinical signs of BRSV infection.
Hard to estimate, but can be high, especially for GMO’s; mainly depends on safety study requirements of EMEA
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• Vaccine efficacy will need to be evaluated on calves with MDA• Good BRSV challenge models that induce clinical disease should be used to evaluate vaccine efficacyinactivated virus, it has been proposed that a live, attenuated virus administered intranasally would make a safer and more effective vaccine.
Recent advances in the molecular biology of negative-sense RNA viruses have provided a means to manipulate the genome of BRSV and opened the way for producing genetically stable, attenuated BRSV vaccine candidates.
Development of gene deleted or recombinant BRSV vaccines would have the advantages of allowing the development of diagnostic kits which could differentiate infected form vaccinate cattle.
Specific research requirements include:-
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• Good model to evaluate both vaccine efficacy and safety.None apart form the generic approach to antivirals for most viral disease. Most effort is currently directed at development of antivirals effective against HRSV. Such products could be validated against BRSV in calves.
Use of antivirals could cause problems with emergence of antiviral resistance
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• A greater understanding of the role of the host response in the pathogenesis of BRSV could lead to the development of immunomodulators to treat diseaseBRSV exist as a single serotype, with four antigenic subtypes and six genotypes based on the G protein-coding gene, which cluster temporally and spatially. BRSV is species specific although sheep may be infected experimentally with BRSV. Natural infections of sheep and goat occur with closely related RS viruses. BRSV is also structurally and antigenically related to human (H)RSV, which is the single most important cause of bronchiolitis and pneumonia in infants. The high degree of similarity between HRSV and BRSV indicates that comparative studies of the immunobiology of these viruses will yield important insights that should benefit both man and cattle
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• What is the role of genetic variation in calves on disease severity?• What aspects of the virus determine virulence?BRSV does not survive very long in the environment. The fragility of the virus makes it difficult to isolate in the laboratory; therefore, BRSV infection is difficult to diagnose by virus isolation. However, by the use of antigen detection (IIF, ELISA) conventional or real time RT-PCR, the virus can be detected in clinical specimens such as nasopharyngeal swabs, bronchoalveolar lung lavage or lungs.
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• How long can BRSV persist in the environment?The survival of BRSV in the environment is not really known i.e. water, teats, even if it is probably short. Nevertheless outbreaks can occur without animal introduction suggesting that the virus is resistant enough to enable indirect transmission.In additional to cattle, sheep and goats can also be infected by respiratory syncytial viruses. BRSV infections associated with respiratory disease occur predominantly in young beef and dairy cattle. BRSV can be detected in cattle with mild to severe respiratory signs. Virus has been isolated from lymph nodes of calves 71 days after experimental infection. However, viral excretion from persistently infected animals has not been documented. BRSV can also be isolated from cattle without clinical signs of disease.
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· Existence of carrier and can they excrete BRSV.
Although there are many similarities in antigenic epitopes, epidemiology and disease pathogenesis with HRSV, BRSV is not known to be infectious to humans. Although calves can be experimentally infected with HRSV, replication of BRSV in chimpanzees is highly restricted.
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• Better understanding of the species barrier.
The virus may persist from outbreak to outbreak in a herd through subclinical or mild infections in a few infected animals that may transmit virus to younger susceptible cattle, but this has not been definitely proved. Neither can excretion by persistently infected animals be excluded. BRSV also circulates between herds, probably by indirect as well as direct transmission to susceptible animals. The existence of a wild-life reservoir cannot be excluded but has not been confirmed to play a major role in the epidemiology
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• How long does BRSV circulate in closed herds after an outbreak?• At the individual level, how long does virus excretion persist after natural infection in animals of different age and immunity?• Do BRSV reservoirs exist?The transmissibility of BRSV is high: the spread of the virus between immunologically naive animals within herds and between herds is very rapid. BRSV gains entry to susceptible cattle through the respiratory tract where it replicates and causes disease
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• How does BRSV spread? An understanding of the mode of transmission will aid the development of biosecurity measures.
Major respiratory pathogen in young calves, causing severe bronchiolitis, pneumonia, and upper- and lower respiratory tract disease. The clinical signs range from hyperthermia +/- cough with serous nasal and ocular discharge to severe bronchopneumonia with abdominal dyspnoea, raised temperature, and death following acute respiratory distress caused directly by the virus or by bacterial superinfection.
• Morbidity is highest in calves 1 to 6 months of age. However, the severity of the disease is variable among calves in one herd.• In feed lots, BRSV may cause severe respiratory diseases in cattle between 6 mths to 1 year, with or without superinfection by other viruses, mycoplasmas &/or bacteria. This justifies the wide range of BRSV vaccination in this type of production. • A primary infection in older cattle is also associated with high morbidity. • Re-infection of older cattle is associated with little clinical disease.
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• What determines differences in disease severity? (HRSV disease severity in infants is influenced by host genetics)- Influence of host genetics?- Role of co-infection- Genetic background of virusUsually less than 5% in young calves. Deaths may result from BRSV infection alone or as a result of secondary bacterial pneumonia. However, severe outbreaks of BRSV with 15-20% mortality can be seen.
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• What is the role of co-infections and differences in virulence of BRSV isolates in severity of disease?Much like HRSV, BRSV replicates predominantly in ciliated airway epithelial cells and type II pneumocytes inducing an array of pro-inflammatory chemokines and cytokines that recruit neutrophils, macrophages and lymphocytes to the respiratory tract resulting in respiratory disease. In tissue outside the respiratory tract and regional lymph nodes neither BRSV antigen nor replication of BRSV could be demonstrated.
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• A greater understanding of the mechanisms of pathogenicity is needed.Does not infect humans
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• Better understanding of the species barrier is neededWorldwide/ubiquitous-endemic character of infection in dairy and especially beef cattle
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• Up-to-date prevalence studies based on sensitive detection methods in animals at the acute stage of disease, (when BRSV is present as primary pathogen) are needed• Although BRSV is already considered as a major pathogen in the respiratory disease complex of calves, prevalence studies based on virus isolation and chronic cases might give an underestimation of BRSV importance.Outbreaks of the disease occur seasonally especially in autumn and winter. Although the number of clinical cases are less during summer, BRSV outbreaks are sometimes detected also in this season. This shows that at least in some areas, the virus continues to circulate the year around.
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• Is there a relation between outbreaks of disease and the length of day light, as suggested for influenza viruses, change in environmental temperature, &/or absolute humidity?Transmission from one animal to another is thought to be via aerosol droplets from the nose and throat. However, aerosol transmission has also been described. Due to the mode of transmission, the length of time for the disease to progress through an exposed herd depends upon the confinement status of the herd. In feed yards and dairies, where cattle are in close confinement, the disease can spread rapidly through the cattle in 3 to 10 days. However, in pastured cattle it may take several weeks or months to move through the entire herd. Once exposed, it requires 2-4 days for a susceptible animal to begin showing clinical signs of the disease. In susceptible herds undergoing a BRSV outbreak, you can expect 100% of the animals to become infected with the virus, 20-50% to show clinical signs, and generally less than 5% to die. Indirect transmission between herds via humans or other passive vectors is likely to occur but has never been documented. Transmissibility (and consequently disease progress) also depends on the immune status of animals, since immunity is known to reduce the nasal BRSV excretion
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• What is the route of transmission of BRSV within and between herds? • What is the importance of passive vectors? • What are the biosecurity measures needed to prevent introduction of BRSV in herds that are closed with regard to animal introduction?Close confinement of animals and close contact between calves and older animals. Mixing of animals from multiple origins.
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• What is the effect of specific immunity on spread?• How does vaccination influence spread?Both cell-mediated and antibody–mediated immune responses contribute to efficient protection of animals. Antibody to the F and G proteins are important in mediating protection. However, antibody to the G protein is mainly sub-type specific. MHC class I restricted CD8+ CTL’s play an important role in clearing the virus from lungs and nasopharynx. Bovine CD8+ T cells recognise predominantly the N and P proteins, although other viral proteins are also recognised in cattle with different MHC class I haplotypes. In addition to the F and G proteins, the N protein can also induce some protection against challenge.
There is evidence of vaccine-augmented disease, possibly related to a Th2-biased immune response.
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• Immunological basis of vaccine-augmented disease in cattle needs clarifying further.• What is the role of the immune response in the pathogenesis of primary infection?• What is the duration of immunity?• What influences the duration of immunity?Antibody detection using paired samples. However, the high levels of maternally-derived antibodies in young calves can mask antibody response.
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• Development of an immunological test based on detection of BRSV-specific IgM or IgA antibodiesIntroduction of animals into herds through quarantine. Hygiene of visitors and material that are in contact with several herds. Keeping the density of animals and calf group size low. Ensuring adequate colostrum-intake. Separating young naive calves from older cattle is a simple management tool that can be used to reduce BRSV exposure and disease in calves that are usually most susceptible to severe BRSV infections. However, this is often not practical.
BRSV is also diagnosed in feedlots, where it is difficult to apply sanitary policies. In the veal production industry, calves are collected at 10-14 days of age and taken to a farm where they will be fattened together with a few hundred calves. A “system innovation” instead of a technical innovation to prevent calves being brought together in a period when they are most vulnerable may reduce respiratory disease.
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• Designing efficient and applicable biosecurity measure to limit the spread of the virus.The clinical and epidemiological picture in major BRSV outbreaks is quite distinctive; however, the symptoms and lesions noted are generally not specific enough for diagnostic purposes. Diagnosis must be based on laboratory findings.Virus detectionA diagnosis of BRSV requires laboratory confirmation. BRSV has proved to be a difficult virus to detect by isolation procedures. Chances of isolation may improve by sampling animals that are in the incubation or acute phase of infection (hyperthermia phase). Antigen detection enzyme immunoassay has been developed and is useful in detecting BRSV antigen and establishing an ante mortem or post-mortem diagnosis. Other procedures that have proved useful in detection of BRSV virus antigen are fluorescent antibody and immunoperoxidase staining. Furthermore, PCR-based tests are used in routine diagnostics as well as for research purposes.Identification of antibodiesPaired serum samples can be used to establish a diagnosis of BRSV infection. However, the antibody titre of animals with well-developed clinical disease may be higher in the acute sample than in the sample taken 2-3 weeks later. This is because the antibody response often develops rapidly, and clinical signs follow virus infection by up to 7-10 days. Single serum samples showing high antibody titres from a number of animals in a respiratory outbreak may be useful in making a diagnosis if coupled with clinical signs. Calves that become infected with BRSV in the presence of passively derived antibody may not seroconvert, and serum antibody titres may even decrease between sampling. . The duration of BRSV maternal antibodies in calves is usually between 3 to 6 months.
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• Penside tests• Tests to detect multiple pathogens in a single sample• Tests to detect BRSV-specific antibody response in calves with high levels of maternally-derived serum antibodiesInactivated single component and combination BRSV vaccines are available. These induce different responses depending upon the route of vaccination, dose and adjuvant.• Modified live virus (MLV) vaccines generally induce high virus neutralizing antibody levels. In contrast, inactivated vaccines induce significantly lower levels of virus neutralizing antibodies and some stimulate Th-2 responses, which may have a disease enhancing effect following exposure to live virus.• BRSV infections are often recurrent despite the presence of neutralizing antibodies, suggesting the importance of CTL responses in protection and/or (significant) field strain variation.• Young calves (<6 mths) are difficult to immunise effectively and maternally-derived antibodies may compromise vaccine efficacy• Young calves may need a different type of vaccine than older calves.
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• An effective BRSV DIVA vaccine that will:- be safe and rapidly induce clinical and virological protection when administered to calves with maternal antibodies- induce a long duration of protection- require a minimum number of dose administration- enable the distinction between vaccinated and infected animals (DIVA)- be suitable for large scale production and have a cost compatible with its use in livestock production- be compatible with vaccines against other respiatory pathogens• Identification of mmune correlates of protectionNone specifically for BRSV and only the use of antibiotics to control secondary bacterial infection. In case of respiratory distress syndrome, corticoids and bronchodilators are currently used in the field. Efficacy of these treatments is not proved to date.
The excipient some long lasting antibiotic preparations might precipitate the death.
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• Identify efficient therapeutic to limit animal losses and impact on the welfare. Identification through a better understanding of the pathogenesis of BRSV infection?Since disease caused by BRSV and secondary bacterial infections can be difficult to treat, especially in young calves, control of the disease should be aimed at prevention. Due to the widespread occurrence and lack of detailed knowledge of disease transmission and persistence of virus in the population, eradication is not realistic in high cattle density areas. However, eradication in such areas might be possible if a vaccine that induces full virological protection with long duration was developed and used in combination with biosecurity measures.
No
BRSV is a major cause of respiratory disease in calves resulting in a substantial economic loss for the cattle industry worldwide. No specific figures are available, but must be significant given BRSV infection is the major respiratory disease in cattle below 6 months of age. Approximately 1.9 million calves in the UK affected by respiratory disease each year, at a cost of £54 million. Furthermore, approximately 160,000 calves, which have a potential market value of £100 million, die annually as a result of pneumonia and related illnesses in the U.K. BRSV is the single most important respiratory viral pathogen of calves.Worldwide infection with
BRSV is a major contributor to the multi-pathogen disease, bovine respiratory disease complex.
There is some evidence that climatic conditions may affect the occurrence of BRSV infections, which tend to be more prevalent in the autumn and winter. It is speculated that BRSV outbreaks may be precipitated by changes in the weather, such as a drop in temperature or a decrease in atmospheric pressure
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• Is there a link with day-light length, change in environmental temperature, &/or absolute humidity?
BRSV is still a major cause of respiratory disease in calves and causes considerable economic losses worldwide. More effective vaccines, especially of the DIVA type, combined with biosecurity measures based on identified routes of virus introduction in herds are needed to combat the disease successfully in a well controlled manner in endemic areas.
However, BRSV infections are not notifiable to the OIE and there is no compulsory eradication program being considered.
Large volumes of antibiotics are used in the veal production sector to try and control respiratory disease. Governments have requested that the use of antibiotics in livestock should be reduced by 50% in the next few years, in order to reduce the risk of emergence of antibiotic resistant organisms that may spread to man.
Increased funding for research and development is needed, as the level of funding for endemic diseases is decreasing in many EU countries.
BRSV in calves is an excellent model for development of HRSV vaccines and pharmaceutical products.
Expert group members are inlcuded where permission has been given
Geraldine Taylor, Institute for Animal Health, Newbury. - [Leader]Sarah Hagglund, Swedish University of Agricultural Sciences, SwedenBirgit Makoschey, MSD Animal Health, The NetherlandsGilles Meyer, National Veterinary School of Toulouse, FranceJean-Francois Valarcher, Swedish University of Agricultural Sciences, Sweden Adriaan Antonis, Central Veterinary Institute of Wageningen UR, The Netherlands