Immunopathology in Lungs after Intranasal Challenge with Live Virus in EHV-1 Recovered Murine Model of EHV-1 Infection: Lessons Learned From Unexpected Findings

A. Awan
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Abstract

Equine herpes virus (EHV-1) causes wide-spread infection among horses worldwide. Virus causes respiratory disease, abortion, neonatal death, paresis, retinopathy, viramea and becomes latent. Horses show transient immunity after EHV-1 infection, where immune responses have been observed to decline after a few months of infection and recovered horses are prone to EHV-1 reinfection. Due to transient immune responses, effective and lasting vaccination to EHV-1 remains a challenge. In an HSV murine model, mice provides solid protection and recovered mice could not be re-infected. In this study we infected mice with EHV-1 intra nasally and after five months, mice were re-infected with EHV-1 along with the previously placebo control. It was expected that mice that had recovered would show some level of protection, but in fact they showed unexpectedly severe clinical signs and more deaths on reinfection. Reinfected mice showed severe breathing difficulties, abdominal breathing, weight loss and death compared to mice infected for the first time. The answers to the worst clinical signs came from post-mortem and histopathological findings. Lungs of challenged mice showed severe consolidation and profound infiltration of inflammatory cells such that the normal parenchyma and architecture of lungs were completely lost. The results of this study suggest that immunoreactive pathological mechanisms exists and should be considered in designing intranasal vaccine preparation for EHV-1 and possibly for other respiratory infections.
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ehev -1感染小鼠鼻内活病毒攻击后肺部的免疫病理学:从意外发现中吸取的教训
马疱疹病毒(EHV-1)在全世界的马中引起广泛的感染。病毒可引起呼吸系统疾病、流产、新生儿死亡、麻痹、视网膜病变、病毒病,并具有潜伏性。马在感染EHV-1后表现出短暂的免疫,在感染几个月后观察到免疫反应下降,康复的马容易再次感染EHV-1。由于短暂的免疫反应,有效和持久的EHV-1疫苗接种仍然是一个挑战。在HSV小鼠模型中,小鼠提供了坚实的保护,恢复后的小鼠不能再次感染。在这项研究中,我们通过鼻内感染EHV-1小鼠,五个月后,小鼠与先前的安慰剂对照组一起再次感染EHV-1。人们预计,恢复后的老鼠会表现出一定程度的保护作用,但事实上,它们表现出了出乎意料的严重临床症状,并且在再次感染时死亡人数更多。与首次感染的小鼠相比,再次感染的小鼠表现出严重的呼吸困难、腹式呼吸、体重减轻和死亡。最糟糕的临床症状的答案来自于尸检和组织病理学结果。攻击小鼠的肺显示严重的实变和炎症细胞的深度浸润,使正常的肺实质和结构完全丧失。本研究结果提示存在免疫反应性病理机制,在设计EHV-1和其他呼吸道感染的鼻内疫苗制剂时应考虑这一机制。
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