Abstract
Bovine parainfluenza 3 virus is a common virus that causes respiratory tract infection in cattle, sheep, and goats worldwide. The objective of this study is to identify macroscopic and histopathological lung lesions in slaughtered sheep during the period from December 2018 to December 2019 and to determine the presence of Bovine parainfluenza 3 virus (BPI3V) in frozen sheep pneumonic lung using a direct immunofluorescence antibody technique (DFAT). The overall prevalence of lung affection was 11% (1440/13084). The gross lesions were acute bronchopneumonia (58.12%), interstitial pneumonia (07.15%), fibrinous bronchopneumonia (10.70%), suppurative bronchopneumonia (03.47%), verminous pneumonia (13.75%), and ovine pulmonary adenomatosis (06.81%). There was a significant difference in the rate of pulmonary lesions according to the seasons of the study. The lesions were more frequently observed in autumn and winter with a rate of 34.17% and 28.05%, respectively. The DFAT was carried out only on 107 pneumonic samples with interstitial pneumonia, fibrinous bronchopneumonia, and acute bronchopneumonia. The BPI3V antigens were detected in 12 samples (11.21%). This is the first study that revealed the presence of the BPI3V in pneumonic sheep lungs in Batna region using the direct immunofluorescence antibody technique. The latter may be used for definite diagnosis when histopathological modifications in pneumonic sheep caused by this virus are difficult to distinguish from those caused by other respiratory viruses.
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Introduction
Respiratory diseases are a major health problem and economic issue in sheep-rearing countries. Economic losses are associated not only with deaths but also with condemnations, lower growths, degradation of carcasses, and costs of treatment and/or prevention. They occur because of the interaction of many infectious agents such as viruses, bacteria, mycoplasma, fungi, and parasites, host immunity and environmental factors causing high mortality rates and economic losses (Lacasta et al. 2008).
Many animal viruses have a very sharp respiratory tropism. However, other ones such as rabies virus possess a non respiratory tropism which induces the development of pneumonia as a complication by passage of saliva into the lungs after a paralysis of the pharynx (Neamat-Allah et al. 2020).
Bovine parainfluenza 3 is an RNA virus of the family Paramyxoviridae that causes mild respiratory disease of ruminants when it is the only pathogen (Underwood et al. 2015). In combination with other pathogenic agents, BPI3V is one of the most significant respiratory pathogens in ruminants (Stevenson and Hore 1970; Lehmkuhl et al. 1985; Bechmann 1997; Alkan et al. 2000). This virus can cause pneumonia on its own but it is more generally a part of the etiological complex of enzootic pneumonia (Dungworth 1993).
The confirmative diagnosis of PI3V infection is made by virus isolation in cell culture, polymerase chain reaction (PCR), and immunohistochemical (IHC) examinations of the lower respiratory tract (Alkan et al. 2000; Grubor et al. 2004; Gafer et al. 2009; Forghani 2010; Intisar et al. 2010).
The only histological examination of sections stained with hematoxylin and eosin (H&E) has been reported to be insufficient for the diagnosis, because pathological changes observed in lungs infected with Bovine parainfluenza 3 virus, Bovine respiratory syncytial virus, Bovine herpes virus type 1, and Bovine adenovirus type 3 are similar to each other (Caswell and Williams 2007).
There are no detailed studies that employed the direct immunofluorescence antibody technique to investigate the role of BPI3V in sheep pneumonia cases in Algeria. The objective of the present study was to evaluate the prevalence and characterize the gross and histopathological pneumonic lesions and to determine the presence of BPI3V using direct fluorescent antibody technique (DFAT) on frozen pneumonic lung sections of sheep from Batna municipal slaughterhouse (Eastern Algeria).
Materials and methods
Study area
This study was carried out at Batna municipal slaughterhouse (Eastern Algeria).
Batna region is semi-arid which is characterized by cold and humid winters and hot and dry summers.
This agro-pastoral region has a potential of 56.052 cattle with 35.445 dairy cows and 1.137.361 sheep with 638.423 ewes (DSA 2019).
Samples collection
The samples were represented by lungs of sheep that were slaughtered at Batna municipal slaughterhouse during the period from December 2018 to December 2019.
A total of 13084 lungs were examined for research of lesions. The studied animals were young, aged between 6 to 18 months, originating from farms of Batna region and its surrounding areas.
The samples taken from the affected lungs were divided into two parts: one part was fixed in 10% buffered formalin and the other part was stored at – 20 °C until analysis.
Microscopic examination
Tissue samples taken from pneumonic lesions fixed in 10% buffered formalin were dehydrated in graded ethanol and incorporated in paraffin before sectioning. Sections of 4 μm in thickness were stained with H&E and examined using a light microscope according to the protocol of Luna (Luna 1968).
Direct fluorescent antibody technique examination
Direct fluorescent antibody technique was employed for the detection of BPI3V using monoclonal mouse anti-PI3 FITC conjugate (Cat No: BIO 030, BioxJemelle, Belgium).
The immunofluorescence staining was performed according to the manufacturer’s protocol.
Lung tissues stored at − 20 °C were cut to obtain sections of 4 μm thickness that were placed on silanized slides (SuperFrost® Plus Gold) and air-dried. At that time, the sections were fixed in ethanol for 15 min at room temperature. After washing in phosphate-buffered saline (PBS), the sections were treated with the conjugate diluted in a 1:20 ratio with PBS-Blue Evans at room temperature for 1 h in a dark place. After the second washing in PBS, the slides were mounted with glycerol. Finally, the sections obtained were examined under a fluorescent microscope.
The DFAT was only performed in tissue with interstitial pneumonia, fibrinous bronchopneumonia, and acute bronchopneumonia, because BPI3V is one of the respiratory germs incriminated in the appearance and development of these pneumonias.
Statistical analysis
Data were analyzed by Software R version 2.14.1. The Chi-square of Pearson (X2) test was used to compare the rates of pneumonic lesions in different seasons of the study. The differences were considered statistically significant if the P-value is less than 0.05.
Results
Pneumonia was observed in 1440 cases out of 13084 examined lungs, representing a prevalence of 11%. Severity, type, and distribution of pneumonia during the seasons are summarized in Table 1.
The lesions were scored as mild or severe when they affect less than 10%, 10–20 and more than 20% of the pulmonary tissue, respectively. Examples of the grading system are shown in (Fig. 1).
In this study, pneumonia was mild in 58.05%, moderate in 30.42%, and severe in 11.53% of the lungs, respectively.
Pneumonia occurred in all seasons with varying degrees but autumn and winter showed the highest rates of 34.17% (492/1440) and 28.05% (404/1440), respectively.
The peak of occurrence of pulmonary lesions was observed during October with 267/1440 cases (18.54%) and December with 218/1440 cases (15.14%). The number of lung lesions was lower in February and March with 63/1440 cases (04.37%) and 53/ 1440 cases (03.68%), respectively.
Gross pathological investigation
On the basis of predominant pathological findings, the lesions were further classified into acute bronchopneumonia, fibrinous bronchopneumonia, suppurative bronchopneumonia, interstitial pneumonia, verminous pneumonia, and ovine pulmonary adenomatosis.
Acute bronchopneumonia and verminous pneumonia were the most dominant lesions (Table 1).
Acute bronchopneumonia
This lesion was the most encountered with a rate of 58.12%. The lung macroscopic aspect was characterized by solid texture, meaty consistency with dark color areas of hepatization, particularly in the apical lobes, especially the right one, reaching either part or all of the latter (Fig. 2). The affected area was clearly delimited.
The microscopic aspect was distinguished by the complete absence of alveolar lumen, thickened alveolar septa by mild macrophage infiltration and the presence of neutrophils around and inside the bronchioles (Fig. 3).
There was no association between the presence of acute bronchopneumonia and the study season (P-value = 0.054).
Verminous pneumonia
Verminous pneumonia was observed in 13.75% of the affected lungs. Macroscopically, this lesion was directly visible on the dorsal side of the lungs. There were two types of lesions associated with the parasitic species. Tiny nodules of 1–2 mm in diameter varied from hemorrhagic points to yellowish-gray nodules and hard or even calcified grayish yellow patches (candle spot) on the dorsal edges of the lungs, from a few mm to 2–3 cm may be seen. They had clear boundaries and rise on the surface of the lung. Their consistency is rubbery (Fig. 4). Microscopically, the alveoli contain a large number of parasitic forms (eggs and the first stage of larvae) and infiltration of inflammatory cells can be observed (Fig. 5).
Fibrinous bronchopneumonia
Fibrinous bronchopneumonia was found in 10.70% of the cases. It is characterized by the loss of elasticity of the affected pulmonary parenchyma and the lesion is surrounded by a fibrinous coating. This lesion was observed mostly in the cranial and middle lobes (Fig. 6).
Microscopic features were characterized by an exudation of fibrin and neutrophils in the bronchi, bronchioles, and the lumen of the alveoli. The interlobular septae were thickened by an invasion of a fibrino-cellular exudate consisting primarily of neutrophils and mononuclear cells (Fig. 7).
Interstitial pneumonia
The results showed that 7.15% of lung lesions were diagnosed as interstitial pneumonia. Unlike fibrinous bronchopneumonia in which the distribution of the lesions was typically in cranial and middle lobes, in interstitial pneumonia, most parts of the lungs were enlarged and unclasped. The lesions were distributed more diffusely and usually concern all the lobes and in some cases, they tend to be more prominent in the caudal parts of the lungs (Fig. 8). The color of the affected lungs ranges from red in acute cases to pale gray or marbled red in ancient ones.
Microscopically, the lesion is characterized by a thickening of the inter-alveolar wall due to the mononuclear cell infiltration (Fig. 9).
Suppurative bronchopneumonia
Suppurative bronchopneumonia was detected in 3.47% of the pneumonic lungs. This lesion was particularly affecting the apical and middle lobes. Grossly, the consolidated area of the lungs was dark red. Abscesses of a small pea to a walnut sizes were disseminated in the lung parenchyma (Fig. 10). The incision was accompanied by a flow of necrotic material. Microscopically, inflammatory exudates and cells mostly neutrophils filled the lumens of the airways and alveolar spaces. Multifocal necrosis areas surrounded by a pyogenic membrane were observed (Fig. 11).
Ovine pulmonary adenomatosis
Ovine pulmonary adenomatosis was detected in 6.81% of the lungs. The classic type of pulmonary adenomatosis is the most frequently seen and it results in a swelling of the lung with loss of elasticity. The lungs were thicker, distended, and rigid, with the presence of large hard masses in different lobes (tumoral form) (Fig. 12). On cross-section, important volumes of mucoid secretion were seen under the action of low pressure. A white spumosity was often observed in the trachea and bronchi.
Microscopically, this lesion had a papillomatous proliferation; mainly of type II pneumocytes and secretory epithelial cells in the pulmonary alveoli. Unciliated cells (Clara cells) and epithelial cells of terminal bronchioles may be involved (Fig. 13).
The Chi-square test showed that there was a statistically significant association between the presence of the pulmonary lesions in sheep (fibrinous bronchopneumonia, interstitial pneumonia, suppurative bronchopneumonia, verminous pneumonia, and OPA) and the season of study, and it was highly significant for verminous pneumonia, ovine pulmonary adenomatosis, and fibrinous bronchopneumonia (Table 1).
Results of the direct fluorescent antibody test
This study describes, for the first time, the detection of BPI3V in pneumonic sheep lungs using the direct immunofluorescence test.
One hundred and seven pieces of sheep pneumonic lungs were treated by the conjugate of DFAT. Bovine parainfluenza 3 virus was detected in 12 pneumonic samples representing a rate of 11.21% (Table 2).
The fluorescence staining was detected in the epithelium of alveoli and bronchioles. The fluorescence reactions had varying sizes and sometimes granular appearance (Fig. 14a, Fig. 14b).
Lesions found positive for bovine parainfluenza virus 3 using the direct immunofluorescence technique were characterized histologically by atelectasis, thickening of inter-alveolar septae, fibrosis, hyperplasia of bronchi and bronchiolar epithelium with peribronchial and peribronchiolar inflammatory cell infiltrations, and lymphoid hyperplasia (Table 3).
Discussion
Pneumonia is widespread among sheep and goats worldwide and is considered one of the major causes of failure in the small ruminant industry (Mohamed and Abdelsalam 2008; Hala et al. 2009) and a limiting factor of the development of animal production (Attoh-kotoku et al. 2018).
The present study had revealed that 11% (1440/13084) of male sheep had pneumonia. This prevalence is lower than that reported by previous studies (Kumar et al. 2014; Mahdi et al. 2015; Mekibib et al. 2019; Hashemnia et al. 2019; Baghezza et al. 2019) and higher than other ones (Azizi et al. 2013; Mugale and Balachandran 2019; Emikpe et al. 2019).
The lungs are the most vulnerable organs to multiple aggressions because of their anatomical and histological particularities (Caswell and Williams 2007; Dar et al. 2013). Many factors such as age, geographic location, nutrition, and environment are determining factors on the type of microorganism which causes respiratory diseases. In addition, rearing processes, stress factors, climate change, and unhygienic conditions, sudden changes in feed and low level of herd health status are identified as predisposing factors to infection (Azizi et al. 2013).
In the present study, acute bronchopneumonia was found in 58.18%. A much lower occurrence of this lesion was observed in previous studies (Dar et al. 2014; Singh et al. 2017; Mishra et al. 2018; Hashemnia et al. 2019; Kumar et al. 2014).
Verminous pneumonia ranked in the second place with a rate of 13.75%. This finding was much higher than the results reported in Iran (Borji et al. 2012; Mishra et al. 2018; Hashemnia et al. 2019) and India (Dar et al. 2013). However, this rate was lower than that obtained in Ethiopia (Kassahun and Mersha 2013) and in Eastern Algeria (Kayoueche 2009), where verminous pneumonia reached rates of 57.55% and 44.43%, respectively.
The difference in the rate of verminous pneumonia in our research and the studies cited thereafter could be attributed to the following reasons: the immune status of each sheep; alveolar macrophages, eosinophils, neutrophils, and lymphocytes could play a significant role in pulmonary resistance to protostrongles. The animals' nutritional status, management practices, climate, humidity, and temperature are also factors that promote the parasite cycle and the growth and survival of the intermediate host (Berrag and Cabaret 1996; Addis et al. 2011). Furthermore, the frequency of verminous pneumonia may be explained, in part, by the difficulty in monitoring the populations of snails or slugs that serve as intermediate hosts in these parasites' indirect life cycles (Hashemnia et al. 2019).
Fibrinous bronchopneumonia was detected in 154 cases (10.70%) and this finding was higher than the result mentioned in other studies (Kumar et al. 2014; Mishra et al. 2018). However, such a result was lower than the rates recorded in Iraq (Mahdi et al. 2015) and in Ethiopia (Mekibib et al. 2019) where fibrinous bronchopneumonia was reported in 15% and 19%, respectively. This result was close to that obtained in previous works with 11.67%, and 11.1%, respectively (Dar et al. 2014; Singh et al. 2017).
One hundred and three out of 1440 cases revealed interstitial pneumonia with a rate of 7.15%. The observed lesions were similar to those mentioned in earlier study (Dar et al. 2014). However, the obtained rate was lower than that reported by other researchers (Mishra et al. 2018; Hashemnia et al. 2019).
Stress factors may alter the immune system function and render the animal more vulnerable to develop pneumonia (Martin 1996; Brogden et al. 1998).
Suppurative bronchopneumonia was detected only on 50 occasions (3.47%). This finding was lower than that found in a previous research works, where this lesion was observed at a rate of 12.84%, 20%, and 17.9%, respectively (Dar et al. 2014; Mahdi et al. 2015; Mekibib et al. 2019).
Ovine pulmonary adenomatosis was found in 6.81% of pneumonic sheep lungs. Such a result was higher than those reported in previous studies (Mishra et al. 2018; Singh et al. 2018; Mekibib et al. 2019; Hashemnia et al. 2019).
Ovine pulmonary adenocarcinoma is a neoplasia of ovine lungs caused by the Jaagsiekte sheep retrovirus (JSRV). It has been described in sheep worldwide, except in Australia. Its incidence is high in South Africa, Scotland, and Peru, but in North America it is unknown but it is probably low (Lopez and Martinson 2017).
There is a significant difference between the rates of interstitial pneumonia, fibrinous bronchopneumonia, suppurative bronchopneumonia, and pulmonary adenomatosis according to the seasons of study; this can be explained by the fact that climate change is a favoring factor for the multiplication and manifestation of respiratory germs in the affected animal, which leads to a decrease in the defenses of the respiratory system and leads to the appearance and development of pneumonia.
In laboratories with few technical resources, diagnostic methods such as direct or indirect immunofluorescence and immunoperoxidase tests can be used as alternative methods because they are quick, simple, sensitive, and specific, and allow an efficient diagnosis of viral diseases (Dennet et al. 1976; Ahmed et al. 1999).
This study describes for the first time the direct immunofluorescence detection of BPI3V antigens in pneumonic sheep lungs slaughtered at municipal slaughter house of Batna. The antigens were detected in 12 out of 107 pneumonic lesions, showing a prevalence of 11.21% (Table 2).
This finding is in accordance with prevalence detected in cattle pneumonia in Turkey (10.53%) (Ceribasi et al. 2014) However, our finding was lower than the result observed on pneumonic caprine lungs in Turkey and pneumonic lesions of cattle in Sudan with a rate of 44.40% and 25%, respectively (Ceribasi et al. 2012; Noori et al. 2014).
Specific fluorescence, showing the presence of BPI3V, was detected in the surrounding alveoli and in the epithelium of the bronchioles. Foci of fluorescence were most commonly observed in these sites, indicating that the initial histopathological changes occur in lambs experimentally infected with the PI3 virus (Stevenson and Hore 1970). In previous works, the DFAT has successfully been used as a rapid diagnostic method for the research of PI3V (Gafer et al. 2009; Ceribasi et al. 2012; Ceribasi et al. 2014; Anita et al. 2015). These findings are in accordance with those obtained by Ceribasi et al. (2014) where it was demonstrated that specific DFAT stainings for viral antigen in the pneumonic cattle lungs were intensively detected in the bronchiolar epithelium and less frequently in the alveolar epithelium as the size ranged from small to large homogeneous granular masses.
In the present study, the histopathological findings in BPI3V-positive pneumonic sheep lungs were similar to those described in pneumonic caprine lungs (Ceribasi et al. 2012; Anita et al. 2015; Kamdi et al. 2020).
The pathogenic function of PI3V in sheep is close to that in cattle (Dungworth 1993). The Bovine parainfluenza 3 virus inhibits the function of alveolar macrophages and destroys cilia on the bronchial mucosa. This reduces the animal’s normal clearance process for the elimination of pathogens from the respiratory tract and makes it more vulnerable to secondary bacterial infections (Yener et al. 2005).
DFAT is a beneficial technique in terms of achieving rapid results since the preparation and examination of the samples is achieved within a short time (Edwards et al. 1988; Forghani 2010). However, FAT is an inadequate technique to recognize appropriate morphological details in tissues (Stevenson 1969; Kahrs 1981). Even though preparing of formalin-fixed tissues needs more time, retrospective microscopic findings showed that formalin-fixed sections are superior to frozen sections in terms of accurate cell and tissue identification. However, immunogenic epitopes and many antisera used for immunohistochemistry diagnosis are unreactive in fixed specimens due to the damaging effect of fixation (Haines and Chelack 1991).
Conclusion
In conclusion, the postmortem examination had shown the presence of lung lesions in slaughtered sheep. The present study describes for the first time the presence of BPI3V at a rate of 11.21% by DFAT in pneumonic sheep lungs slaughtered at Batna municipal slaughterhouse. It is possible to conclude that BPI3V might have an essential role in the pathogenesis of pneumonia in sheep of the study region. DFAT may be used for definite diagnosis when histopathological modifications caused by BPI3V are difficult to differentiate from those induced by other ovine respiratory viruses.
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Acknowledgments
The authors would like to express their special thanks to the staff members of Batna municipal slaughterhouse for all sorts of assistance and management for allowing us to conduct postmortem inspection on visceral organs of slaughtered animals. The authors are indebted to the staff of the Laboratory of Anatomopathology of the University Teaching Hospital Mustapha Pacha Algiers, Algeria, especially Professor Amir and Engineer Bouchemla for their assistance. We would like to thank Dr. Kadri for her help in the Laboratory of Histology of the Institute of Veterinary and Agronomic Sciences, University Hadj Lakhdar Batna-1, Algeria.
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Baghezza, S., Mamache, B., Bennoune, O. et al. Pathological study and detection of Bovine parainfluenza 3 virus in pneumonic sheep lungs using direct immunofluorescence antibody technique. Comp Clin Pathol 30, 301–310 (2021). https://doi.org/10.1007/s00580-021-03211-6
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DOI: https://doi.org/10.1007/s00580-021-03211-6