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            Commercial ELISAs are available and used for the serological   Clinical specimens including respiratory exudates and tracheal
          monitoring of ILT despite the current paradigm that only poor   swabs may be used as test materials in most PCRs, although
          correlation exists between systemic antibody response and pro-  formalin-fixed and paraffin-embedded tissues have shown to be
          tection against ILTV. Most commercial ELISA kits use antigens   applicable at least in one assay (Humberd et al., 2002). Feather
          generated by sonication of ILTV infected cell culture (Noor-  pulps/shafts have also been used as a convenient specimen for
          mohammadi and Devlin, 2014). However, recent studies have   sensitive detection of ILTV by PCR and monitoring of vaccine
          used ELISAs based on specific recombinant viral glycoproteins,   take (Davidson et al., 2009, 2016). Chicken droppings, isolator
          including gB, gC, gD, gG and gI (Shil et al., 2012; Godoy et al.,   dust and bedding materials can also be used in PCR, but these
          2013; Kanabagatte Basavarajappa et al., 2014, 2015). At least in   specimens  are  useful  for  monitoring  viral  load  in  a  flock  as
          vectored ILTV vaccines, a high level of systemic neutralizing anti-  opposed to a diagnostic tool (Roy et al., 2015).
          bodies against viral gD was correlated with protective immunity   Some PCR systems have an additional feature of strain identi-
          against ILTV (Kanabagatte Basavarajappa et al., 2014, 2015).  fication when combined with a post-amplification technique (see
                                                                below). A PCR system targeting the TK (UL23) gene of ILTV
          Detection of the virus                                (Kirkpatrick et al., 2006b) is used as a routine diagnostic tool by
          The virus may be isolated and identified in embryonated hen eggs   the authors of this chapter although another protocol using ICP4
          or cell culture, or detected directly in tracheal exudate by electron   gene is used in other diagnostic laboratories (Chacon and Fer-
          microscopy, immunofluorescence or ELISA, or by PCR (García   reira, 2009).
          et al., 2013a).
                                                                Strain identification
          Isolation and identification                          Strain  identification of  ILTV is essential for  epizootiological
          Isolation of ILTV via embryonated hen eggs or cell culture is no   investigations. Differentiation between field and vaccine strains
          longer used as a means of routine diagnosis in most diagnostic   is also important before an appropriate approach is taken in the
          laboratories. This is now replaced with more rapid techniques   face of an outbreak. For example, if an ILT outbreak is caused
          such as immunofluorescence and PCR. Nevertheless, isolation of   by a field strain (as opposed to be a vaccine strain reaction or
          ILTV is an essential technique in ILTV research.      re-emergence), vaccination with an attenuated vaccine may be
            The virus is best grown on the CAM of 10- to 12-day-old   recommendable in face of the outbreak.
          embryonated hen eggs and induces formation of plaques. A   Despite differences in virulence, transmissibility, and size/
          number of primary cell cultures can also be used for isolation and   morphology of  the plaques  induced on CAM,  all  ILTVs  are
          propagation of the virus, with chicken embryo liver cells appear-  thought to be antigenically indistinguishable from each other by
          ing to be most sensitive (See ‘Virus propagation’). Cytopathic   virus  neutralization test,  immunofluorescence  assay  and  cross
          effects of the virus are presented by cell swelling, increased refrac-  protection studies (García et al., 2013a). Hence examination
          toriness and fusion (Tripathy and García, 2008).      of viral DNA using a range of techniques has been commonly
            Confirmation of the identity of the virus isolate can be made   utilized for differentiation of ILTV strains. Historically, RFLP
          by conventional techniques such as neutralization tests in eggs or   of whole viral genomic DNA, or a specific gene have been used
          cell culture, electron microscopy, immunofluorescence, or PCR.  for strain identification purposes, but these are time consuming.
                                                                Also, as they examine only a small number of specific sites of the
          Immunological detection                               genome, they have a very low differentiation power.
          Both immunofluorescence and ELISA can be used for the immu-
          nological detection of viral antigens in clinical specimens (García   PCR based strain identification techniques
          et al.,  2013a).  For  immunofluorescence  tests,  tracheal  mucosal   A combination of long range PCR and RFLP analysis of multiple
          scrapings or cryostat sections can be tested. For ELISA, tracheal   genes or genomic regions has been described by multiple workers
          exudate is usually tested.                            and the technique used to establish the origin of emerging ILTVs
                                                                in a number of countries (Kirkpatrick et al., 2006b; Oldoni and
          Molecular detection by PCR                            García, 2007; Oldoni et al., 2008; Moreno et al., 2010; Blacker
          Both conventional and real time PCR have been described with   et al., 2011; Chacón et al., 2010; Kim et al., 2013; Yan et al.,
          some reported to be more sensitive than virus isolation (Wil-  2016). The specific genes or genomic regions that are examined
          liams et al., 1994; Alexander and Nagy, 1997; Creelan et al., 2006;   vary depending on the laboratory, although ICP4 and TK are
          Mahmoudian et al.,  2011;  Vagnozzi et al.,  2012a;  Zhao et al.,   most commonly included in the analyses. It is notable however
          2013). A loop-mediated isothermal amplification (LAMP) assay   that PCR-RFLP of multiple genomic regions is time-consuming
          has been described as a simple and rapid tool for the detection   (takes approximately 2 days to complete), labour intensive,
          of ILTV but it was shown to be less sensitive than conventional   and relatively expensive. Additionally, the technique relies on
          real time PCR (Xie et al., 2010; Ou et al., 2012). Also, PCR-based   nucleotide differences that affect the recognition site of a given
          Luminex Suspension Microarray, droplet and nanofluid assays   restriction enzyme, and thus variations outside these sites will
          have been developed for multiplex high throughput detection of   remain undetected. Recent investigations of a number of major
          a number of respiratory viruses including ILTV (Laamiri et al.,   ILTV outbreaks in Australia by the authors of this chapter have
          2016; Periyannan Rajeswari et al., 2017; Croville et al., 2018).  found ILTVs that were indistinguishable from a current vaccine
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