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Bull Vet Inst Pulawy 57, 311-317, 2013

DOI: 10.2478/bvip-2013-0054

Evaluation of diagnostic methods to distinguish


between calves persistently and transiently infected
with bovine viral diarrhoea virus in respect
to the presence of maternal antibodies

Magdalena Larska, Aleksandra Kuta, Mirosław P. Polak


Department of Virology,
National Veterinary Research Institute, 24-100 Pulawy, Poland
m.larska@piwet.pulawy.pl

Received: May 24, 2013 Accepted: August 12, 2013

Abstract

Two issues concerning virus detection and identification of persistently infected (PI) cattle were analysed in the study: 1)
interference by maternal antibodies and 2) discrimination between PI and transiently infected (TI) animals. Antigen ELISA and
RT-PCR based methods were compared using serum samples from natural and experimental PI and TI calves. RT-PCR and real-
time RT-PCR using primers within 5’UTR region were more sensitive in detecting PI animals than Erns and NS3 antigen capture
ELISAs, and they were not influenced by the presence of colostral antibodies in serum or by bovine viral diarrhoea virus
genotype. The serum samples with Ct values ≤ 29.10 (corresponding to 10 4.87 viral RNA copies/µL) identified PI animals with
100% probability, while all samples with Ct values > 32.06 (corresponding to viral RNA load below 104 copies/µL) indicated TI
status. The samples with Ct values between 29.10 and 32.06 (17.2% of PI and 11.5% of TI) should be considered as PI suspect
and retested.

Key words: cattle, bovine viral diarrhoea virus, persistent infection, transient infection, ELISA, RT-PCR.

Introduction to the infecting virus (22). Most PI animals develop


mucosal disease after superinfection with a
Bovine viral diarrhoea virus (BVDV), a ruminant homologous cytopathic BVDV strain and die within 24
pestivirus within the Flaviviridae family, is one of the months of age (6). Successful eradication requires the
most important pathogens of cattle with significant detection and elimination of persistently infected
economic impact on dairy and beef production animals (PIs) prior to breeding season (28). Currently,
worldwide (12). BVDV infection can be manifested by methods for detecting PI animals include antigen
a variety of clinical signs including gastrointestinal capture ELISAs and RT-PCR on pooled samples,
disorders, respiratory problems, reduced milk followed by testing of individual samples using an
production, mucosal disease, and immunosuppression antigen capture ELISA (9). However, this strategy has
leading to secondary infections (2). BVDV can spread been shown to be not completely reliable for the
horizontally, usually by a direct contact with identification of PI calves (14). The presence of
persistently infected (PI) animals. The acute or colostral antibodies in serum samples from young
transient infection, which is usually subclinical, lasts up animals (Fig. 1B) can interfere with the antigen capture
to two weeks before the animal clears out the virus and ELISA and may lead to false negative results (4, 11,
becomes immune for many months or even for a life 18, 28). Ear-notch samples instead of serum have been
(Fig. 1A). Vertical infection of the foetus during the proposed as samples for the antigen capture ELISA to
early pregnancy, before it reaches immunocompetency avoid false negative results in seropositive PI animals
may result in persistent infection of newborn calves (5). (8). In contrast, the RT-PCR assay is not influenced by
PI animals shed virus in high concentrations throughout the presence of maternal antibodies but has the
their entire life without mounting an antibody response disadvantage of being more expensive and laborious

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312 M. Larska et al. / Bull Vet Inst Pulawy / 57 (2013) 311-317

(28). Some of the eradication schemes are mainly based monitoring and were confirmed negative 3 weeks later
on the identification of PIs by individual serological on the second testing by real-time RT-PCR test
testing followed by virus detection in seronegative confirming the TI status. The remaining 43 real-time
animals because PIs are usually devoid of antibodies RT-PCR positive serum samples came from 3 to 5
(26). However, this assumption is not always true, and months old calves experimentally infected with BVDV-
the presence of antibody positive PIs may lead to the 1a as described previously (17). Samples were
failure in BVDV eradication scheme. Another problem collected between 2nd and 28th d post-infection. Serum
is the differentiation between PI and transiently samples from 50 animals free of BVDV infection and
infected (TI) animals when virological test result is antibodies were used for the specificity evaluation.
positive (10). RNA extraction and conventional RT-PCR.
Total RNA was extracted from 500 μL serum samples
using TRI Reagent (Sigma-Aldrich, USA), according to
the manufacturer’s instructions. The RNA was eluted in
20 μL of DEPC water and stored at –70 C until testing.
RT-PCR was carried out using a commercial kit (Titan
One Tube RT–PCR System, Roche Biochemicals,
Germany) following the manufacturer’s protocol and
panpestivirus primers 324F/326R flanking the 5’
untranslated region (5’UTR) were used (27). The final
volume of RT-PCR mixture was 25 μL comprising: 14
μL of RNase-free water; 5 μL of reaction buffer; 0.5 μL
of dNTP mixture (10 mM); 1 μL of each primer (10
μM); 1.25 μL of DTT solution (100 mM); 0.5 μL of
enzyme mix, and 2 μL of RNA template. Amplification
was performed in 40 cycles of denaturation at 94 C for
15 s, annealing at 53 C for 30 s, and extension at 68 C
for 30 s. The reaction products were evaluated in
ethidium bromide-stained 1.5% agarose gel and the size
of the amplicons was compared with the molecular
weight standard.
Real-time RT-PCR. In-house real-time RT-PCR
was performed using AgPath-ID kit reagents (Life
Technologies, USA) according to the manufacturer’s
protocol in the StepOnePlus real-time PCR system
Fig. 1. Persistent (A) and transient (acute) (B) BVDV infections (Life Technologies, Republic of Singapore) with
presented schematically
primers and probes designed by Baxi et al. (3). The
primers: Pesti-F (5’-CTAGCCATGCCCTTAGTAG-3’)
The purpose of the study was to compare and to
and Pesti-R (5’-CGTCGAACCAGTGACGACT-3’) allow
evaluate the reliability of commonly used diagnostic
the detection of both genotypes of BVDV, namely
methods to detect BVDV PI cattle in the presence of
BVDV-1 and BVDV-2, while the probes BVDV-1:
maternal antibodies. The reliability of selected
5’TAGCAACAGTGGTGAGTTCGTTGGATGGCT-3’
diagnostic methods was evaluated in order to reduce
and BVDV-2: 5’-TAGCGGTAGCAGTGAGTTCGT
the risk of spreading the virus in the herd through the
TGGATGGCC-3’ are genotype-specific. The probes
effective detection of PI animals at an early age, thus
were produced and labelled with fluorescent reporter
avoiding the diagnostic gap due to the presence of
FAM and VIC at the 5’ ends and a quencher BHQ-1 at
maternal antibodies.
the 3’ ends (Metabion International, Germany). Ten-
fold serial dilutions of in vitro transcribed 5’UTR RNA
Material and Methods from Polish BVDV-1d isolate, cloned in the plasmid
were included as the quantity standards as described
Persistently and transiently infected calves. previously (16, 17).
Serum samples were collected from 29 calves 6 month Antigen ELISA. The presence of BVDV antigen
aged from 12 different herds in Poland. Persistent was tested with two enzyme-linked immunosorbent
infection of these animals with BVDV was confirmed assay (ELISA) kits. Erns–based Ag ELISA (HerdChek
by two consecutive positive results using conventional Ag/Serum Plus test kit, IDEXX, Switzerland) was used
RT-PCR assay performed on serum samples collected for the detection of BVDV specific antigen. All
2–3 weeks apart. Samples from the first collection were samples with optical density (O.D.) values equal to, or
used. Additionally, serum samples from 52 animals above 0.3 were considered positive according to the
transiently infected with BVDV were used. Nine of manufacturer’s guidelines. The second antigen ELISA
these samples were collected during the herd was NS3-based Ag ELISA (SERELISA BVD p80 Ag

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Mono Indirect, SYNBIOTIC, France) used for the < 0.05 was considered as the level of statistical
detection of BVDV p80 (non-structural NS3 protein). significance. Receiver operating characteristic (ROC)
The test was performed with ten-fold diluted serum analysis was used to calculate the optimal cut-off for
samples. The samples with O.D. values above cut–off the real-time RT-PCR and for antigen ELISA that
values corresponding to ≥ 70%, and ≤ 40% competition would be able to distinguish between PI and TI
of the positive control O.D. value were considered animals. The PI/TI status provided reference variable,
positive and negative, respectively. while Ct value, copy number, and Erns Ag ELISA O.D.
Antibody ELISA. A commercial indirect ELISA value were considered as classification variables.
was used for the detection of BVDV specific Erns – Persistent infection variable (PI = 1, TI = 0) was
antibodies (HerdCheck BVDV Ab, IDEXX, considered the reference variable, while Ct value, log
Switzerland). The 10-fold prediluted serum samples viral RNA copy number, and Ag ELISA O.D. value
were tested and those with corrected O.D. values ≥ 0.3 were the classification variables. The areas under curve
were classified as positive. In a blocking ELISA (AUC), which indicated the probability of correct
referred to as NS3 Ab ELISA (SERELISA BVD p80 random ranking of positive sample by the classifier
Ab Mono Blocking, SYNBIOTICS, France), the were presented below the graph. ROC curves were
samples with O.D. values corresponding to ≥50%,and created by plotting the fraction of true positives out of
<30% competition of the positive control O.D. value all positives (sensitivity) versus the fraction of false
were considered positive and negative, respectively. All positives out of the true negatives (specificity), at
ELISA tests were performed according to the protocols various threshold settings. Statistical analyses were
provided by the manufacturers and the O.D. values performed using STATA v.11 (Stata Corp., USA).
were read at 450 nm wavelength.
Virus neutralisation test (VNT). Two-fold serial
Results
dilutions (from 1:5 up to 1:320) of serum samples heat-
inactivated at 57 C for 30 min were loaded in duplicate Distinction between PI and TI calves. The Ct
rows of 96-well microtitre plates. One hundred to 300 values and corresponding viral loads expressed as the
TCID50 of cytopathic BVDV-1a Singer strain and 50 copy number per microlitre (calculated using BVDV-
μL of media was added to each well and the plates were 1d standard) established for PI and TI groups differed
incubated for 1 h at 37 C. One hundred microlitres of significantly (P < 0.00001) (Table 1). The means and
bovine turbinate (BT) cells suspension (3 × 105/mL) confidence intervals presented in Table 1 refer to the
were added and the plates were incubated for 4–5 d at values obtained for the samples positive in the
37 C in an atmosphere of 5% CO2. The cells were corresponding test. The percentage of positive and O.D.
observed for cytopathic effect (CPE) and the antibody values in Erns Ag ELISA was also significantly
titres were determined as the reciprocal of the highest different (P = 0.001) between the two groups. The E rns
serum dilution, which neutralised the virus in at least Ag ELISA detected 26 out of 29 PI animals, while only
50% of wells (1 well). one PI animal was detected by NS3 Ag ELISA.
Virus genotyping. The 5’UTR amplicons were Transient BVDV infection was also detected in over a
purified and sequenced in both directions using the half of calves using Erns Ag ELISA. However, the O.D.
same primers as for the conventional RT-PCR using values of this ELISA were significantly related (P =
Big Dye Terminator v3.1 Cycle Sequencing kit (Life 0.004) to the type of infection (persistent vs. transient).
Technologies, Canada) on a 3730XL Genetic Analyzer NS3 Ab ELISA failed to identify 87.5% (14/16)
(Applied Biosystems, USA). The alignments were and 25% (3/12) of antibodies found by Erns Ab ELISA
performed using ClustalW from MEGA software in PI and TI animals, respectively. No correlation
version 5.05 (the Biodesign Institute, USA) with between seropositivity and the age of PI animals was
reference sequences of BVDV-1 subgenotypes found (P = 0.11), although seropositive PIs constituted
retrieved from GenBank as described elsewhere (15). 100% of calves under the age of one month and 57% of
Statistical analysis. The distribution of calves below the age of 6 months. Neutralising
continuous variables was assessed by the normality and antibodies were detected only in one PI animal with the
probability plots as well as the Shapiro-Wilk test. titre of 40. On the other hand, VNT showed higher
Continuous variables were presented as mean or sensitivity in detecting antibodies in TI animals when
median with the 95% interquartile range and compared with Erns and NS3 Ab ELISA results (16
dichotomous variables as percentages. Comparison positive samples versus 12 and 9, respectively).
between the groups was performed by unpaired t or Therefore, the differences observed for two groups in
Mann-Whitney tests. Continuous variables among the VNT results were statistically significant (P = 0.004).
two groups (PI and TI) in correlation to the presence or Influence of the presence of ELISA detectable
the absence of detectable antibodies were compared by antibodies on the Ct values and virus load in the real-
Anova or Kruskal-Wallis test, when appropriate. time RT-PCR, with respect to the type of infection is
Categorical variables were compared using the chi presented in Figs 2A and 2B. Data is presented as box
square test. Correlations were analysed by Pearson or plots with medians and interquartile range.
Spearman test, when appropriate. A two-tailed P-value

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Table 1. Positive results for serum samples collected from BVDV PI and TI cattle using different diagnostic methods
Method PI TI
RT-PCRa 29/29 (100%) ndb

Real-time RT-PCR 29/29 (100%) 52/52 (100%)


Mean Ct value (95% CIc) 26.70 (25.65–27.74) 35.44 (34.76–36.11)
Mean log copy number/μL 5.59 (5.27–5.90) 2.97 (2.77–3.18)

Erns Ag ELISA 26/29 (89.7%) 28/52 (53.8%)


Mean O.D. (95% CI) 3.07 (2.63–3.52) 0.77 (0.48–1.05)

NS3 Ag ELISA 1/29 (3.4%) nd

Erns Ab ELISA 16/29 (55.2%) 12/52 (23.1%)


Mean O.D. (95%) 0.55 (0.36–0.74) 0.23 (0.11–0.34)

NS3 Ab ELISA 2/29 (6.9%) 9/52 (17.3%)

VNT 1/29 (3.4%) 16/52 (28.9%)


Mean titre (95% CI) 40 98.88 (24.2–173.6)
a
conventional RT-PCR using the 5’UTR primers; bnot done; cconfidence interval

Statistically significant differences are indicated by


brackets and corresponding P-values are included.
No differences of Ct values and virus load were
found between seropositive and seronegative PI
animals (P = 0.45); whereas, the difference between the
mean Ct value for seronegative TI (35.13; 95% CI:
34.31–35.96) and seropositive TI animals (36.44; 95%
CI: 35.50–37.11) was statistically significant (P =
0.0291), and the variance between the means was
below zero (P = 0.05). The viral load correlated with
the presence or absence of antibodies in TI animals;
however, the relationship was not strong (P = 0.03).
The antigen ELISA results were antibody-independent
for PI animals, while the difference in the variances of
seronegative and seropositive TI animals was highly
significant (P = 0.002) (Fig. 2C). Highly significant
differences were observed between seropositive and
seronegative PI and TI animals (P < 0.00001) when all
the methods directed at virus detection were compared.
The agreement between real-time RT-PCR results
and Erns Ag ELISA was only 53.8%. However, PI
animals were detected by Erns Ag ELISA (89.7%) more
frequently than TIs (53.85%). The O.D. values were
independent from the Ct values and viral copy numbers
(Spearman ρS = -0.4 and ρS = 0.4; P = 0.002).
Influence of BVDV subtype on the PI detection.
Nucleotide sequencing of amplified 5’UTR fragment of
viruses detected in PI animals resulted in
approximately 288 nucleotide long sequences, which
were genotyped by comparison to the reference
sequences retrieved from GenBank (NCBI, USA). All
viruses represented BVDV type 1 and were subgrouped
into BVDV-1b (n = 11), BVDV-1d (n = 9) and BVDV-
1f (n = 9) subtypes. Two out of nine samples collected
from field TI cases were successfully sequenced and
the viruses were classified as BVDV-1d and BVDV-1f
Fig. 2. Threshold cycle (Ct) values in real-time RT-PCR (A), viral
subtypes. No correlations between Ct (ρS = 0.32; P = load expressed as log value of number of copies/μL calculated using
0.1), viral load values (ρS = -0.33; P = 0.09), and BVDV-1 RNA standard (B) and BVDV antigen ELISA O.D. values
BVDV subtypes were found. (C) in serum samples collected from PI and TI cattle in respect to the
antibody absence (Ab-) or antibody presence (Ab+)

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M. Larska et al. / Bull Vet Inst Pulawy / 57 (2013) 311-317 315

Similarly, O.D. values in Erns Ag ELISA (ρS=-0.34; P = specificity with respect to PI detection. Independently
0.53) and in Erns Ab ELISA (ρS = 0.44; P = 0.1) were to the ROC optimised cut off value and the presence of
independent from virus genotype. antibodies, the sensitivity of PI detection did not reach
100%.

Discussion

Eradication of bovine viral diarrhoea virus is


based on the identification and elimination of PI
animals. The rapid identification and removal of such
animals minimises the risk of BVDV transmission to
the herdmates, particularly pregnant females. The loads
of virus shed by the PIs into the environment are so
high that even short contact with such animals may
lead to infection in the herd (20). BVDV persistent
infection is observed in 1%–2% of cattle population
(13, 18, 19, 24). In Poland, prevalence of PI animals is
Fig. 3. Receiver operating characteristic (ROC) curves illustrating the similar to other geographic regions of Europe. In the
variation in the sensitivity and specificity of real-time RT-PCR and
antigen ELISA with the different threshold values for the late 1990s’, 0.9% of bulls in artificial insemination
discrimination between PI and TI centres in Poland were persistently infected with
BVDV (23), while at the moment all the bulls at the
Optimal cut off to detect PI animals. Real-time stations are free from the virus after introducing the
RT-PCR, with the area under the ROC curve (AUC) for compulsory testing.
the Ct values and viral RNA copies/μL equal to 0.995, A failure to detect PI animals may have serious
gave the highest probability of classifying a PI animal consequences for the health of the cattle and
correctly, while AUC for Erns Ag ELISA OD values epidemiological status of the herd. The BVDV
was 0.91 (Fig. 3). The optimal Ct cut off value for infections cause also socio-economical problems due to
PI/TI differentiation by real-time RT-PCR established the financial losses and reduced trust of farmers in
by ROC analysis Ct ranged between 29.01 and 32.06 veterinary service. The importance of reducing the risk
enabling the detection of single PI animals with the of false positive PIs was reviewed extensively by
sensitivity and the specificity ranging between 82.8%– Laureyns et al. (18). Most populations with endemic
100%, and 100%–88.5%, respectively. The cut off BVDV infections are characterised by a high
value of Ct, which was considered the best, detecting seroprevalence, which is reflected by the presence of
96.3% of PI animals, was 30.68, with 93.1% sensitivity virus specific antibodies in the colostrum transferred to
and 98.1% specificity. For the future interpretations of the newborns after parturition. Maternal antibodies can
real-time RT-PCR results, the serum samples with the mask the presence of the virus in the blood of
Ct values ≤ 29.10 (nPI = 24) would most likely (AUC = persistently infected individuals (1, 4, 7) therefore, until
1.0) indicate PI animals, the samples with Ct values > recently, BVDV testing was performed in calves after
29.10 and ≤ 32.05 (nPI = 5; nTI = 6) should be maternal antibodies declined, usually in animals older
considered suspect, while all samples with Ct values > than 3 months (28). The antibody titre depends on the
32.06 (nTI = 46) would most probably indicate TI concentration of antibodies in colostrum and the
animals. Such thresholds enabled the detection of colostrum intake by calves. While maternal antibodies
82.8% of PIs at the first testing, while 17.2% of PI would disappear from most of young calves by 90 d of
animals with doubtful results required retesting. The age, in some cases antibodies detectable by Ab ELISA
cut off value set at 104 copies of viral RNA per 1 μL and VNT are still present even one year after birth (7,
was found to be optimal in order to detect 100% PI 11). BVDV antibodies are detected in blood of the
with 88.5% specificity. If the objective was to newborns even before the colostrum intake, despite the
distinguish PIs and TIs, and to decrease the number of fact that such particles do not technically penetrate
TI animals misdiagnosed as PIs, a ‘grey zone’ category bovine placenta (11). Ear notch samples collected
for suspects would be necessary. Therefore, the number during calf tagging were recently evaluated as an
of viral copies/μL ≥ 104.87 (74,943 copies/μL) should be alternative to blood or serum sampling. However, this
interpreted as PI infection, the values ≥ 10 4 and < 104.87 method, successful in some countries (25), failed to
as suspect, and all samples containing less than 104 work in others due to a lack of sensitivity of the test
copies of viral RNA/μL would suggest TI animals. The used (8, 11) or the errors in the sample collection and
Erns Ag ELISA was found suitable to distinguish labelling. The antigen capture ELISA, may fail to
between PI and TI animals with the optimal O.D. cut detect PI animals in ear notch samples, and the age of
off value of 3.11, which enabled correct classification calves tested by this method is advised to be one month
of 92.2% samples and 88% sensitivity and 94.2% of age. The possibility of even further simplifying

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BVDV PI identification by testing hair samples was References


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