Previous Article | Next Article ![]()
Clinical and Vaccine Immunology, January 2009, p. 66-72, Vol. 16, No. 1
1071-412X/09/$08.00+0 doi:10.1128/CVI.00346-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.
,
Institute of Virology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland,1 Clinic for Small Animal Internal Medicine, Dermatology Unit, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland,2 Applied Tumor Virology, Deutsches Krebsforschungszentrum, Heidelberg, Germany,3 Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa4
Received 17 September 2008/ Returned for modification 10 November 2008/ Accepted 17 November 2008
|
|
|---|
|
|
|---|
In contrast, the role of PVs in the development of canine cancers remains uncertain, although a clinical counterpart to human EV has been described in dogs with PV infections (28). Until now, only four canine PVs (CPVs) have been unambiguously identified and sequenced (7, 42, 43, 46). The first and best-known CPV, canine oral PV (COPV), affects mostly juvenile dogs and causes warts with a typical cauliflower-like appearance located in the oral cavity and other mucous membranes (32). Since COPV-affected dogs recover spontaneously and specific antibodies protect them from reinfection, COPV infection is not considered a life-threatening condition (32). Although COPV infection is endemic in most dog populations, there never was a great demand for serological surveys, and systematic serological data concerning the prevalence of COPV infection are thus far unavailable. A distinct CPV, designated CPV2, was cloned only recently from a footpad lesion of a golden retriever (46). CPV2 did not induce oral papillomas in immunocompetent animals and caused a type-specific immune response in experimentally inoculated dogs (7, 42, 43, 46). The clinical significance of CPV2 remains to be elucidated. Recently, our laboratory has identified a novel CPV, designated CPV3, and sequenced its genome. This novel CPV was detected in lesions from a dog suffering from canine EV and squamous cell carcinoma (42). Based on a phylogenetic analysis, CPV3 represents the prototype of a new genus and differs significantly from the classical COPV. Finally, an additional CPV, named CPV4, was isolated from the lesions of several pugs suffering from numerous persisting pigmented plaques (28, 43).
Several clinical case reports and some epidemiological evidence suggest that CPVs may play a role in canine cancers (3, 4, 12, 31, 36, 38, 40, 44, 47). Due to its association with canine EV, CPV3 was hypothesized to be a candidate agent for certain forms of canine cancers. However, data concerning the prevalence of CPV3 in the dog population are not yet available and serological tests and reference materials for this purpose are lacking. Therefore, we set out to address these issues.
Typically, PVs do not readily replicate in conventional cell cultures but serological assays can be based on heterologously expressed viral antigens. Structural proteins L1 and L2 are known to assemble into the PV capsid (16). The L1 protein forms pentameric subunits, and 72 of these subunits form one capsid. In conventional viral particles, the L2 protein is present only in minor amounts compared to L1. Of note, heterologously expressed L1 protein is able to form virus-like particles (VLPs) in the absence of L2 (33). L1 is considered to be immunodominant, and L1-based VLPs have been shown to be highly immunogenic in the absence of L2. Therefore, L1 VLPs have been successfully used for vaccination and as antigens in type-specific serological assays (9, 20). Most ELISAs for HPVs are based on the detection of L1-specific antibodies (10, 19, 24, 25, 37). It has been reported that pentameric L1 capsid subunits and whole VLPs may be produced equally well from baculovirus- or Escherichia coli-based expression systems (34).
In the present study, we hypothesized that L1-GST (glutathione S-transferase) fusion proteins, expressed in E. coli, could be used as ELISA antigens in order to detect type-specific antibodies in a collection of dog sera, which would allow us to study the seroprevalence of CPV3 and COPV in dogs. Indeed, our results indicate that CPV3 may be as widely distributed in dogs as COPV in certain geographic areas.
|
|
|---|
GST capture ELISA. Polysorb 96-well plastic plates (Nunc, Roskilde, Denmark) were coated at 4°C overnight with 200 ng of glutathione-casein (kindly provided by Martin Müller, DKFZ, Heidelberg, Germany) per well in 50 mM sodium carbonate buffer, pH 9.6. After washing, the plates were incubated for 1 h at 37°C with blocking buffer (0.2% [wt/vol] casein-0.3% [vol/vol] Tween 20 in phosphate-buffered saline) and then incubated with the cleared lysates from E. coli expressing GST-tagged proteins diluted in blocking buffer for 1 h at 37°C.
Sera to be tested were diluted 1:500 and incubated with a bacterial culture equivalent of 5 µl of total protein lysate of untransformed E. coli strain BL21 for 1 h at 4°C to block reactions with contaminating E. coli protein (33, 34). The antigen-coated ELISA plates were then incubated with diluted and preincubated sera or, for evaluation purposes, with goat anti-GST antibody (GE Healthcare, Piscataway, NJ) diluted 1:100 in blocking buffer. After washing the plates, we detected primary antibodies with horseradish peroxidase (HRP)-conjugated rabbit anti-dog immunoglobulin G (Sigma, Buchs, Switzerland) diluted 1:10,000 or HRP-conjugated anti-goat antibody diluted 1:1,000 (Southern Biotech, Birmingham, AL) in blocking buffer applied for 1 h at 37°C. Plates were finally washed six times, and substrate [78 mM acetic acid-24 mM CH3COONa · 3H2O-50 mM NaH2PO4 · 1H2O-2 mM 2,2'-azinobis(3-ethylbenzthiazolinesulfonic acid) (ABTS; Roche, Rotkreuz, Switzerland) and 1.25 mM H2O2 applied shortly before use] was added. After 45 min, absorbance was measured at 405 nm in a Multiscan RC automated plate reader (Thermo Labsystems, Vantaa, Finland). All washing steps were carried out three times with phosphate-buffered saline containing 0.3% (vol/vol) Tween 20.
All dog sera were tested in duplicate against the antigens COPV L1-GST, CPV3 L1-GST, and GST alone. On every 96-well plate, the same COPV- and CPV3-positive serum was included as a positive control. The reaction of COPV antiserum to COPV antigen served as an overall positive control, while its reaction to CPV3 antigen served as an overall negative control. Reaction of goat anti-GST antibody as the primary antibody and an HRP-conjugated anti-goat secondary antibody against the antigens served as a loading control on all plates. Six wells per plate were used as conjugate controls, which means that they were kept in plain ELISA buffer while the other wells were incubated with primary sera.
The coating of all of the ELISA plates used during the screening was evaluated by testing two wells of each antigen per plate with goat anti-GST antibody as the primary antibody and HRP-conjugated anti-goat antibody as the secondary antibody.
Sera. Sera from six dogs affected by PV infections were included in the study to serve as controls. Two of these dogs with classical COPV oral lesions, a confirming histopathological diagnosis, and positive PCR and rolling-circle amplification tests were sampled at different time points. The first dog gave blood at the initial presentation (florid clinical lesions, serum 1a) and 3 weeks later (serum 1b). The second was also sampled at the initial presentation (serum 2a) and 3 weeks later (no visible lesions left, serum 2b) but also 5 months after the first presentation (serum 2c). Furthermore, three pugs with CPV4-associated pigmented plaques (sera 3, 4, and 5) and one dog with CPV3-associated pigmented plaques (serum 6) were included. The presence of viral DNA in affected tissues of these dogs was confirmed previously by PCR and rolling-circle amplification (42, 43).
Two large sets of sera were subjected to the ELISA for screening (for additional information, see Table S1 in the supplemental material). The first set, consisting of 229 dog sera, was collected at the veterinary teaching hospital, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland, between 23 January and 1 April 2006. The sera were taken from patients presented for various conditions unrelated to PV infections. The second set containing 315 sera was originally collected at three different veterinary practices in Gauteng Province, South Africa, between May and June 2005 in order to determine the prevalence of antibodies against canine herpesvirus in the serum of dogs older than 1 year in breeding kennels (29). Between 3 and 20 samples from different dogs were available from each of 36 kennels. The mean age of the Swiss dogs was 6.8 ± 4.2 years, while the mean age of the South African dogs was 4.2 ± 2.6 years. All of the sera were stored at –20°C until testing.
Statistical analysis. To analyze and display the reactions of control sera, standard box plots were constructed by using SPSS software (SPSS Schweiz AG, Zurich, Switzerland). The correlation of loading controls was analyzed and displayed in the form of a linear regression curve with Microsoft Excel software. For determination of the significance of differences among differing prevalences, a Fisher exact test (41) was used. P values below 0.05 were classified as significant.
|
|
|---|
Preliminary characterization of reference sera. In the absence of commercially available type-specific antisera, samples from dogs with a confirmed history (see Materials and Methods) of COPV, CPV3, or CPV4 infection were used to establish ELISAs for the detection of antibodies against COPV L1 and CPV3 L1. Serum 1a from a dog with fresh oral papillomas yielding COPV DNA barely reacted with any of the antigens and was therefore considered to be negative for both COPV and CPV3. Serum 1b, taken from the same dog 3 weeks later, upon regression of oral warts, gave a clear reaction with the COPV antigen but not with either the CPV3 antigen or GST. Similarly, three consecutive serum samples from a different dog with oral warts (sera 2a, 2b, and 2c) reacted increasingly over time with the COPV antigen but not with CPV3 L1 or GST. Based on case history and availability, serum 2b was used as a preliminary positive reference serum for COPV. Simultaneously, due to its negative reaction against CPV3 antigen, serum 2b served as a negative reference for this antigen. Serum taken from a dog with a known history of CPV3 infection (serum 6) reacted strongly with the CPV3 antigen, weakly with the COPV antigen, and barely with GST alone. This serum was therefore used as a positive reference serum for CPV3. Finally, sera from three dogs with history of CPV4 infection barely reacted with all three antigens, suggesting that these sera did not contain substantial amounts of antibodies against either antigen. Overall, these results indicated that our L1-GST fusion proteins were able to reveal type-specific antibodies against COPV or CPV3. Moreover, a collection of type-specific reference sera was now available for further studies.
Testing of dog sera from two geographically distinct regions. Two available sets of dog sera were screened for antibodies against either virus, a set of Swiss dog sera and a set of dog sera from South Africa. As shown in Fig. 1A and B, a wide range of reactions was detected in the two dog populations. Controls were included for each single ELISA plate in order to better characterize and establish the ELISA.
![]() View larger version (20K): [in a new window] |
FIG. 1. ELISA reactions of dog sera against L1-GST fusion proteins. Panels A (CPV3 L1 antigen) and B (COPV L1 antigen) show the reactions of 229 dog sera from Switzerland and 315 dog sera from South Africa. Each serum is represented twice, once reacting with CPV3 antigen and once reacting with COPV antigen. In panel C, reference serum reactions are shown. On the x axis, the corrected OD values are shown (see Materials and Methods). Sera giving high OD values are presented on the right, where the scale of the x axis is adjusted to fit all of the results. Sera giving ODs below 0.068 (see Table 1) are in gray, and those giving ODs above 0.068 are in black. The y axis provides the number of sera with a specific OD value.
|
![]() View larger version (13K): [in a new window] |
FIG. 2. Plot of reactions (corrected OD) against adsorbed L1-GST fusion proteins (CPV3 on the x axis, COPV on the y axis) measured on each plate with anti-GST monoclonal antibody. Linear regression parameters: y = 1.0243x + 0.0029; R2 = 0.9698.
|
Analysis of reference serum performance. Duplicates of the newly established COPV and CPV3 reference sera were tested on all 49 of the ELISA plates used in the present study and analyzed for reactivity against the antigens GST, COPV L1-GST, and CPV3 L1-GST. The results are shown as box plots in Fig. 3. Both reference sera reacted only slightly with the GST antigen, with median OD values of 0.085 (COPV serum) and 0.099 (CPV3 serum). However, the positive COPV reference serum reacted with a median OD value of 0.408 against COPV antigen and with a median OD value of 0.092 against CPV3 (Fig. 3A). The serum used as a CPV3 positive control produced a median OD value of 0.695 with the CPV3 L1 antigen, while its reaction against COPV produced a median OD of 0.146 (Fig. 3B).
![]() View larger version (8K): [in a new window] |
FIG. 3. Standard box plots, constructed with SPSS, summarizing the reactions of reference sera against different antigens. (A) Summary of reactions (corrected OD, y axis) of COPV reference serum measured in parallel assays against GST, CPV3 L1, and COPV L1. (B) Same assay with CPV3 reference serum.
|
Evaluation of cutoff values. The results of three variants to determine cutoff values are summarized in Table 1. In variant 1, the cutoff was set equal to the highest reaction of the negative reference serum (0.0467), which deemed 84.3% of the Swiss dog sera and 49.8% of the South African dog sera negative. In variant 2, the cutoff was set at the lowest reaction of the positive reference serum (0.0907). Under these conditions, 92.6% of the Swiss dog sera and 78.7% of the South African dog sera were considered negative. In variant 3, the histogram shown in Fig. 1C was applied for the present purpose by using a value midway between the weakest positive control reaction and the strongest negative control reaction as the cutoff (0.0687). Under these conditions, 89.5% of the Swiss dog sera and 68.3% of the South African dog sera were considered negative.
|
View this table: [in a new window] |
TABLE 1. Distribution of positive and negative reactions among the groups with alternative cutoff values
|
In contrast, the pool of South African dog sera was representative for breeding dogs in Gauteng Province and included several samples from the same premises, which allows further interpretations. In Gauteng Province, 27 (75%) of the 36 kennels harbored at least one COPV-positive animal while 32 (89%) harbored at least one CPV3-positive one. The range of positive tested sera among the individual kennels was 0 to 57% for COPV, with an average of 20%, in the entire pool and 0 to 67% for CPV3, with an average of 26%.
Interestingly, a very high percentage of CPV-seropositive dogs was found to be of the Irish setter (>50%) or of the Yorkshire terrier breed (>35%), whereas the bulldog breed seemed to be underrepresented among the dogs seropositive for COPV. To address these observations by statistical methods, the prevalences in two representative breeds from the Gauteng Province group with more than 20 available samples were analyzed with Fisher's exact test. The results are shown in Table 2. Significant deviations in COPV prevalence were found for Yorkshire terriers in comparison to the remaining population and the tested bulldogs. Thus, there may be a breed-specific component in the context of CPVs.
|
View this table: [in a new window] |
TABLE 2. Significance of breed-associated seroprevalences among tested bulldogs and Yorkshire terriers from Gauteng Province kennels according to Fisher's exact test
|
|
|
|---|
Therefore, we set out to establish an ELISA for detecting antibodies against two different types of CPVs, i.e., COPV, the one about which the most is known, and CPV3, the one which is associated with the most malignant disease. However, the difficulties to be overcome included (i) the generation of antigens from nongrowing virus, (ii) coating plates with even amounts of antigen to allow for comparable analysis, (iii) generation and characterization of useful reference sera, (iv) analysis of dog sera and determination of useful cutoff values, and (v) interpretation of data with regard to the prevalence of the viruses of interest.
Difficulties i and ii. The antigen used in our ELISA was prepared from heterologously expressed CPV capsid protein L1 N terminally fused to GST. This method is frequently used to generate ELISA antigens since the subsequent purification steps are well established (13, 17, 22, 33, 34). Others have shown that GST-tagged L1 proteins spontaneously form pentamers and VLPs (5), and it has been reported that this capture technique equals in its results the alternative system of baculovirus-expressed VLPs (33). Indeed, type-specific results were obtained throughout our work, which implies that the antigen preparations were adequate for the present purpose.
The N-terminal GST tag of the ELISA antigens was not only used for binding of the antigen to the ELISA plate and simultaneous antigen purification but also served as an epitope to measure the amount of bound antigen per well with anti-GST antibodies. Although it is technically not feasible to coat each single well with essentially the same amount of antigen, control measures on each plate provided confidence that comparable amounts of the two different L1 antigens were being used for analysis of the dog sera (Fig. 2). Thus, a comparison between reactions against the different fusion proteins was reasonable.
Difficulty iii. According to the reactions of our reference sera, the newly developed ELISAs were able to discriminate between dogs that had recently undergone COPV and CPV3 infections, respectively, whereas sera from dogs with CPV4 infections did not react against either COPV L1 or CPV3 L1. These results provided confidence that the ELISA was able to discriminate specific reactions against the two virus types. Therefore, also the newly characterized reference sera were considered type specific. However, CPV3 represents a novel virus and cross-reactivity to any known or unknown PV has to be kept in mind as a possibility. Yet, based on similar experiments, others have concluded that COPV and CPV2 are serologically distinct (46).
Difficulty iv. Despite the confidence of having established valuable tools for seroepidemiological studies regarding COPV and CPV3, defining widely acceptable cutoff values remained a challenge that could not unambiguously be solved at the present state of knowledge. Therefore, we decided to analyze the reactions of two different sets of dog sera against COPV L1 and CPV3 L1. The results (Fig. 1) show that a certain number of sera within each set overlapped with the reactions of the negative reference serum, whereas a multitude of sera reacted clearly more strongly than the negative sera. These observations support the conclusion that some of these sera reacted specifically against one or both of the L1 proteins whereas other sera reacted negatively.
A simple method to set a cutoff value is to define the highest negative control reaction as the cutoff and consider all higher reactions positive. This choice results in relatively high sensitivity at the cost of specificity. An analogous method with the lowest positive reaction as the cutoff leads to higher specificity at the cost of sensitivity. In contrast to the situation in the dog, ELISAs for detection of antibodies against human PVs are frequently used and several methods to define cutoff values have been suggested. Three of those were also tested in the present work, since they have been subjected to comparative analysis (19). In our case, histogram analysis (variant 3 in our results) seemed to be the most preferable of the methods tested because of its feasibility, simplicity, and balancing influence on specificity and sensitivity.
Difficulty v. One set of tested sera was obtained from randomly chosen canine patients of a veterinary teaching hospital in Switzerland and is therefore not quantitatively representative of the Swiss dog population. One may conclude, however, that not only COPV but also CPV3 is prevalent in Switzerland. This was not overly surprising, since CPV3 was first detected in Switzerland (42). However, conclusions about the prevalence of CPV3-infected dogs were not possible and further studies in various countries should be done to address this issue.
In contrast, the second set, comprising 315 sera from 36 kennels, consisted of a representative sample of breeding dogs in the South African province of Gauteng. Almost the same set had previously been used for determining the seroprevalence of canine herpesvirus 1 in Gauteng Province (29). In that study, canine herpesvirus 1-positive dogs were found in 45% of the kennels and the prevalence of seropositive dogs in affected kennels was close to 40%. Interestingly, both COPV (75% of kennels) and CPV3 (89% of kennels) seem to be even more prevalent in the same population. In this context, it has to be considered that little is known concerning the duration of seropositivity against various CPVs.
As shown in Table 1, the number of individual CPV-positive dog sera from the Gauteng Province set ranged from 25 to 50%, depending on the cutoff value applied. The largest fraction of the positive sera (10 to 30%) reacted against both COPV L1 and CPV3 L1. These dogs could have had contact with both viruses, might have developed antibodies against viruses closely related to COPV and/or CPV3, or could have cross-reacting antibodies in their serum. Our study does not allow us to completely rule out such possibilities, but surveys of humans have demonstrated that coinfections with more than one PV are very common (15, 25).
It was tempting to analyze our data for statistically significant correlations between antibodies against CPVs and factors such as dog breed, age, gender, and kennel size. For example, as indicated in Table 2, the Yorkshire terrier was found to be significantly overrepresented among the COPV-positive dogs tested. These tested Yorkshire terriers, however, originated from only three kennels with differing prevalences, and thus, possible cohort effects have to be kept in mind (18, 27). The observations nevertheless indicate that breed disposition may actually play a role in the prevalence of various CPVs. Indeed, reports strongly suggest that genetic predisposition should be considered in the context of PV-associated diseases (1, 6, 26, 43). However, our serum pools were not designed to warrant extensive stratification of the data. Therefore, we provide additional data for potential analyses only as supplemental material. For an overview of the breed distribution of the animals in the two sets analyzed, see Table S1 in the supplemental material, and for the distribution of positive tested sera from the perspective of age and gender, see Fig. S2 in the supplemental material. For the number of CPV-seropositive dogs in relation to the individual kennel sizes, see Table S3 in the supplemental material. We consider their presentation important in view of further analyses of these aspects. More studies in this direction are certainly warranted.
In summary, our work provides the first insight into the seroprevalence of CPV3. Serological reactors against this novel PV were detected on two continents. Our data suggest that there is a need for further seroepidemiological surveys in different countries and clinical studies related to the potential diseases caused by CPV3. With the newly developed diagnostic tools at hand, such studies will be feasible.
Published ahead of print on 26 November 2008. ![]()
Supplemental material for this article may be found at http://cvi.asm.org/. ![]()
|
|
|---|
This article has been cited by other articles:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Copyright © 2010 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»