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22  |  Perez et al.

            The HAI assay cannot detect all anti-HA antibodies, only   well-trained personnel, ample knowledge in bioinformatics, and
          those that target regions close to the receptor binding site. Alter-  expensive equipment.
          native methods detection of antibodies against influenza are
          the traditional agar gel immunodiffusion (AGID) assay and the   Prevention and control of avian influenza
          enzyme-linked immunosorbent assay (ELISA). AGID is consid-  Close contact resultant from domestication and captivity of many
          ered the ‘gold standard’ by the OIE for detection of anti-influenza   bird species has led to exposure of humans to the potential bio-
          antibodies. AGID is a low-cost assay that uses an agar matrix to   hazards carried and/or transmitted by these animals, such as AI.
          support the precipitation of the antigen–antibody complex. This   Live bird markets have played a major role in the emergence of
          assay is particularly sensitive for detection of anti-influenza NP   HPAI, with many being the originators of very important HPAI
          or M1 antibodies in chicken and turkey sera, but it is less reli-  outbreaks (e.g. markets in the east coast of the USA, in Hong
          able for other avian species (Spackman et al., 2009). The ELISA   Kong, and Italy). Without proper biosecurity measures, the virus
          is a plate-based assay in which the antigen–antibody complex is   can be easily spread from flock to flock. Excretions from infected
          detected by a secondary antibody conjugated to an enzyme that   birds are the major source of contamination, and movement of
          in presence of its substrate produces a colorimetric reaction.   infected birds, contaminated equipment, clothing, hands, shoes,
          Commercially available, species-independent, kits are available   egg flats, feed trucks, water, and food are all major contributors
          that detect the anti-NP antibodies. Suggested by the OIE, AGID   in the spread of the virus. Studies have shown that vehicles and
          may be used to confirm the ELISA results. With the advent of   equipment are important for transmission of HPAI viruses from
          protein microarrays and other diagnostic technologies, several   farm to farm (Capua et al., 2003a; Biswas et al., 2008; Chaudhry
          groups have devised alternative multiplex diagnostic assays for   et al., 2015). Airborne transmission may occur, but it is rather
          simultaneous detection of viral antigen of (or antibodies against)   limited to birds that are in close proximity.
          different subtypes in simplified formats.                Implementation of biosecurity measures is the first line of
            To assess infection, screening tests that allow high-throughput   defence against AI, and essential to secure the production sector
          detection can complement and/or replace VI. The Real time   and food security, as well as to limit the risk of human infection
          reverse transcription polymerase chain reaction (RRT-PCR)   (OIE, 2017). Thus, strict biosecurity measures and good hygiene
          is widely used for its high sensitivity, specificity, and speed of   are key for preventing and controlling the spread of AI and are
          detection. The most common RRT-PCR methods are the SYBR   related to controlling the contamination of equipment and
          Green-based or TaqMan-based methods. The SYBR Green   personnel. Since wild birds are considered the major source of
          method is based on the binding of a fluorescent dye into the PCR   infection for domestic poultry, it is essential to reduce the con-
          product. The TaqMan methods uses a dual-labelled probe to the   tact between these two groups. Flocks and production facilities
          PCR product developing a signal by loss of fluorescence quench-  should maintain strict control over access by vehicles, people and
          ing as PCR degrades the probe. The TaqMan is the method of   equipment, and guarantee proper cleaning and disinfecting of
          choice and probes to detect the highly conserved matrix gene seg-  the facility and equipment. Appropriate education programs are
          ment or that are subtype specific have been developed are widely   essential to guarantee that the population in contact with poultry
          used (Spackman et al., 2002; Das et al., 2006).       species understands about AI and its risks, monitoring, report-
            Next generation sequencing (NGS) is quickly replacing not   ing and response initiatives. This level of awareness assures that
          only the traditional Sanger-based sequencing but also shows   producers and workers know how to identify clinical signs of the
          several advantages over traditional diagnostic methods NGS   disease and report any AI-like illness and deaths to the authorities
          approaches are also more powerful since the output is the entire   and Veterinary Services.
          virus genome which helps in understanding and defining poten-  Another essential step for avian influenza prevention is the
          tial virulent markers, zoonotic potential and epizootiological   epizootiological surveillance and early detection followed by a
          significance (Grad and Lipsitch, 2014). Different platforms are   rapid response. Surveillance efforts during the 1983–1984 out-
          available but currently, the Illumina is the most widely used.   breaks in Pennsylvania were able to track the origin of the virus to
          For IAV Illumina-based NGS sequencing, a multisegment   live bird markets. Likewise, the constant monitoring of influenza
          RT-PCR (MS-RTPCR) amplification is carried out to enrich   activity in the live bird markets of Hong Kong helped to quickly
          the sample. The MS-RTPCR is performed by using primers   characterize the 1997 H5N1 virus that transmitted to humans
          targeting  the conserved 12–13  nucleotides  at the end  of all   from chickens (Sims et al., 2003b). Through data obtained by
          8 genomic segments (Zhou and Wentworth, 2012; Mena et   global  surveillance,  it  was  possible  to  trace  back  the  origin  of
          al., 2016). Once the full genome is amplified, the sample can   the reassortant H5N2 virus that caused the recent outbreak in
          be processed for NGS that produces massive high-throughput   the USA, which resulted in culling of more than 50 million tur-
          producing  millions  of  sequencing  reactions  at  the  same  time,   keys and chickens. It seems that this virus emerged in China in
          is highly sensitive and specific. One of the most valuable char-  2013, spread through Asia and reached the USA via migratory
          acteristics of this technology is that it allows sequencing from   birds (Lee et al., 2015). State and federal authorities are respon-
          the  original  sample  avoiding  the  selective  bottleneck  imposed   sible for developing surveillance, quarantine, stamping out, and
          by VI since this selection may distort the characteristics of   indemnification programs and policies, following the guidelines
          the virus present in the natural hosts. NGS is replacing first   of the OIE Terrestrial Animal Health Code, particularly in states
          generation sanger sequencing. However, this technique requires   where poultry represents an economically important commodity.
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