The influence of experimental infection of gilts with swine H1N2 influenza A virus during the second month of gestation on the course of pregnancy, reproduction parameters and clinical status
© Kwit et al.; licensee BioMed Central Ltd. 2014
Received: 3 December 2013
Accepted: 28 May 2014
Published: 4 June 2014
The course of swine influenza in pigs is reported to be similar to human influenza. Occasionally abortions and other reproduction disorders have been associated with influenza A virus (IAV) infection in pigs. Abortions may be a consequence of high fever, pro-inflammatory cytokines or transplacental transmission of the virus.
The role of IAV in the complications observed during pregnancy has been scanty and the true importance of this agent as a cause of reproductive problems in swine is not known. The aim was to determine the possible involvement of swine H1N2 IAV strain on reproductive disorders in pregnant gilts under experimental conditions.
The gestation length was from 113 to 116 days, no abortion or any other reproduction disorders were noted. A PCR assay confirms the presence of IAV in the nasal swabs taken from inoculated gilts between 1 and 5 dpi. In the nasal swabs from control gilts and newborn piglets, no IAV genetic material was found. No viral RNA was detected in samples of blood taken from gilts and piglets, placentas, lungs and tracheas taken from piglets euthanized after delivery. The significant decrease in the number and percentage of lymphocytes without leukopenia was observed at 4 dpi in inoculated gilts. The percentage of granulocytes increased significantly at 4 dpi in inoculated pigs. The concentration of IL-6, IL-10 and TNF-α were higher in inoculated gilts, while IL-4 and IFN-γ were not detected in the serum of any of animals. The serum concentrations of C-reactive protein remained stable during study, while haptoglobin concentrations increased significantly after inoculation.
The results of the study indicate that infection of pregnant gilts with swine H1N2 IAV in the second month of pregnancy does not cause abortion and other reproduction disorders. No evidence for transplacental transmission of swine H1N2 IAV was found. However, due to subclinical course of influenza in the present experiment caution should be taken in extrapolating these results to the cases of acute influenza. The other limitation is IAV diversity. It cannot be excluded that other subtypes of IAV could be associated to reproduction failure in pigs.
Swine influenza is characterized by high morbidity, low mortality and serious economic consequences . In pigs, the disease is reported to be very similar to human influenza: high fever, lethargy, coughing and labored breathing, anorexia and weight loss [1, 2]. Sneezing, conjunctivitis, nasal discharge may also be observed [1, 2]. Occasionally abortions, fetal deaths and other reproduction disorders have also been associated with IAV infection in pregnant pigs [3–8].
Although in human certain infections are well recognized to increase the risk for adverse pregnancy outcomes, the effects of maternal influenza infection on the fetus are not well understood. In pregnant sows, the influence of IAV on the course of pregnancy as well as on fetus is still poorly known. Most previous studies have been performed during 50s-80s of the last century [3–5]. Studies with IAV in pigs conducted in the USA indicated that pigs born alive from dams inoculated during the first stages of gestation with live IAV had higher mortality rates and lower weaning weights than those from control dams . Moreover, sporadic abortions late in pregnancy and increased stillbirths have also been reported during swine influenza outbreaks in Europe and in North America [6, 10, 11]. In the study described by Madec et al.  only 3 of 13 sows in their 1st week of pregnancy completed gestation and farrowed pigs, in 2 of 8 sows that were 1 month into gestation total embryonic resorption occurred, and in the 18 sows that were more than 45 days into gestation a single abortion occurred . The reproductive disorders related to influenza A virus infection in pigs were also reported previously by Pejsak and Markowska-Daniel .
Abortions in IAV infected individuals (humans, pigs) may be a consequence of high fever and pro-inflammatory cytokines as well as transplacental transmission of the virus, what was confirmed for other influenza viruses [5, 13]. Both animal and human epidemiologic studies suggest that hyperthermia is often associated with an increased risk for adverse outcomes [14, 15]. Factors that might limit this risk include shorter fever duration and use of fever-reducing medications .
Viremia is believed to occur infrequently in human influenza and to date was not confirmed for pigs . Transplacental transmission of the virus also appears to be rare [4, 5, 13]. However, even in the absence of transmission through the placenta, the influenza virus may have an adverse effect on the fetus, what was confirmed for both animals and humans [13, 14, 18].
The role of IAV in the complications observed during pregnancy in pigs has been scanty and the true importance of this agent as a cause of reproductive problems in swine is not known. So far, the pathogenic mechanisms involved in the disturbances in reproduction in the course of influenza have not been finally clarified. The following study was planned to define the effect of swine H1N2 IAV infection on the course of pregnancy and porcine fetus. Influenza A virus (H1N2 subtype) has been isolated previously from farms with reproductive disorders but the role of IAV on swine reproduction is not clear [6, 19]. The main objective of this study was to determine the effect of an H1N2 IAV on reproductive disorders in pregnant gilts under experimental conditions.
Clinical signs and pathological examination
No significant clinical signs were observed in pregnant gilts inoculated intranasally (IN) and intratracheally (IT) with IAV H1N2. Control, mock-inoculated gilts also did not develop any signs of the disease. The rectal temperatures were below 40°C. Individual rectal temperature in inoculated and control gilts ranged from 38.5-39.3°C. Clinical score for all gilts was equal 0. Postmortem examination of euthanized piglets did not reveal typical lesions deriving from IAV infection.
Reproduction and production parameters
Reproductive and production parameters of gilts inoculated with swine H1N2 influenza A virus compared to control gilts (mean ± SD)
Average gestation length
Average pigs born alive/litter
Mummified pigs born/litter
First week mortality/litter
Average liter weight (kg)
Average birth weight (kg)
Gilts inoculated intranasally
115.0 ± 0.70
12.33 ± 0.58
12.33 ± 0.58
0 ± 0.00
0 ± 0.00
0.60 ± 0.89
17.38 ± 2.70
1.37 ± 0.08
Gilts inoculated intratracheally
114.0 ± 0.54
12.00 ± 2.65
12.00 ± 2.65
0 ± 0.00
0 ± 0.00
0.80 ± 0.83
16.38 ± 2.63
1.38 ± 0.09
114.6 ± 0.54
12.33 ± 1.52
12.33 ± 1.52
0 ± 0.00
0 ± 0.00
0.60 ± 0.54
17.16 ± 0.90
1.40 ± 0.10
The mean hematological parameters (±SD) in gilts inoculated swine H1N2 influenza A virus and in control gilts (relative and absolute numbers)
WBC × 109/l
20.22 ± 4.09
22.13 ± 2.92
19.72 ± 4.66
LYM × 109/l
11.64 ± 3.01
12.06 ± 4.29
10.39 ± 4.20
GRA × 109/l
8.35 ± 1.86
9.90 ± 1.36
9.19 ± 1.57
57.45 ± 6.76
53.70 ± 12.31
51.54 ± 9.48
41.43 ± 5.98
45.55 ± 12.18
47.76 ± 9.42
WBC × 109/l
17.21 ± 5.91
19.49 ± 4.45
17.99 ± 5.35
LYM × 109/l
8.33 ± 2.68
4.85 ± 2.47*
5.04 ± 1.78*
GRA × 109/l
9.37 ± 6.50
13.72 ± 3.06
12.30 ± 4.72
48.40 ± 8.45
22.90 ± 5.05*
29.17 ± 8.95*
54.44 ± 8.58
71.90 ± 5.70*
67.08 ± 8.36*
WBC × 109/l
20.09 ± 4.81
21.40 ± 2.95
19.40 ± 4.05
LYM × 109/l
10.75 ± 5.38
8.91 ± 8.95
8.28 ± 6.43
GRA × 109/l
9.35 ± 0.91
11.46 ± 4.76
10.39 ± 3.85
50.07 ± 7.41
39.13 ± 3.48*
41.24 ± 7.05
49.97 ± 7.46
55.61 ± 9.93
54.91 ± 6.20
WBC × 109/l
17.11 ± 0.94
17.06 ± 1.52
17.89 ± 1.32
LYM × 109/l
8.06 ± 1.61
7.70 ± 4.40
9.11 ± 1.75
GRA × 109/l
8.95 ± 2.43
9.26 ± 1.13
8.67 ± 2.09
47.10 ± 4.56
45.13 ± 1.51
50.92 ± 10.71
52.30 ± 4.43
54.27 ± 8.68
48.46 ± 10.49
WBC × 109/l
18.30 ± 0.59
19.01 ± 0.18
18.82 ± 0.79
LYM × 109/l
9.05 ± 1.88
9.51 ± 0.74
9.42 ± 0.51
GRA × 109/l
8.70 ± 1.39
9.41 ± 0.91
8.96 ± 0.78
49.45 ± 8.42
50.02 ± 5.41
50.05 ± 3.32
47.54 ± 9.46
49.50 ± 5.40
47.60 ± 3.57
In vitro cellular response
Antibody response against IAV H1N2
All inoculated gilts exhibited specific antibodies against hemagglutinin (anti-HA) in the serum from 14 dpi to the end of study. The highest HI titres were observed at 14 dpi. In gilts infected IN the HI titres were generally lower (144.00 ± 35.77 and 88.00 ± 43.81, respectively for 14 and 28 dpi) than in IT infected gilts (176 ± 87.63 and 104 ± 53.66, respectively for 14 and 28 dpi). The uninfected gilts had no detectable HI serum antibodies. No antibodies against HA were detected in the serum taken from colostrum free piglets.
Molecular examination of swabs and tissues
Real time RT-PCR results for clinical samples (nasal swabs) from gilts inoculated with swine H1N2 influenza A virus and control gilts
Times post-infection (days)
n = 5
No IAV was detected by RRT-PCR in the nasal swabs taken before inoculation, nasal swabs taken from control gilts and newborn piglets, samples of blood taken from gilts and piglets, samples of lungs and tracheas taken from piglets euthanized after delivery and placentas.
Systemic cytokine response
The mean serum concentration of IL-10 were significantly higher in inoculated gilts from 4 to 7 dpi (p < 0.05). There were no significant differences between both inoculated groups of gilts. At 4 dpi, also the mean serum concentration of IL-6 was significantly higher in inoculated gilts from both groups, compared to controls (p < 0.05). With regard to TNF-α the significantly higher concentration, compared to control, was observed only at 7 dpi (p < 0.05) in both IN and IT infected gilts. Starting from 10 dpi the concentrations of IL-6, IL-10 and TNF-α in serum of inoculated gilts did not differ significantly from those observed in control gilts (p ≥0.05).
Acute phase proteins response
The concentrations of CRP remained stable after inoculation, and ranged from 17.05 to 23.25 μg/ml. No significant difference was found between CRP concentration in serum of inoculated and control gilts (p ≥ 0.05). In contrast, Hp concentrations increased significantly after inoculation in gilts from both infected groups, with mean maximum levels observed at 4 dpi (p < 0.05). Preinoculation individual level of Hp were found to be below 1.06 mg/ml, and the highest individual induced level reached 4.1 mg/ml in IT infected gilts and 3.95 mg/ml in IN infected gilts. Significantly higher concentration of Hp in inoculated gilts were also observed at 7 dpi (p < 0.05). Changes in serum Hp concentrations were observed in all swine H1N2 IAV infected gilts. The mean peaked level was over 3-fold higher compared to the mean preinoculation concentration. From 14 dpi the CRP and Hp concentrations had decreased and did not differ significantly between control and infected gilts (p ≥ 0.05).
Reproductive failure in pigs can be caused by a variety of infectious and non-infectious factors, including poor environmental conditions and poor hygiene. Among different infectious agents causing reproductive disorders in pigs, viral infections of pregnant gilts and sows result in the biggest economic losses [8, 12]. According to the results obtained previously [5, 6, 10, 11] the influenza virus, in addition to respiratory symptoms can cause abortions and other reproduction disorders in both humans and animals, including pigs. Abortions observed during influenza infection may be a result of high fever and proinflammatory cytokines as well as transplacental transmission of the virus [4, 5, 13]. The knowledge about the possibility of intrauterine infection of fetus with influenza virus is limited. Infection with influenza virus in pregnant women, especially during the first trimester of pregnancy, can lead to intrauterine infection of the embryo, which was confirmed by virus isolation from both the placenta and the aborted fetal tissue [13, 20, 21]. However, because of different type of placenta these results cannot be simply transferred to pigs. With regard to pigs there are only partial data from the field observations on the occurrence of abortion as a result of IAV infection of gestating sows [4, 5, 9–12, 22]. The results published previously indicate that the influenza related reproduction disorders may vary depending on the gestation period in which the infection occurred [4, 5, 9–11, 22]. The possibility of transplacental transmission of IAV in the course of influenza in pregnant sows was evidenced for the first time by Menšík et al.  and confirmed later by others [4, 5].
It the present study the naïve gilts from the herd with no history of influenza were used In order to confirm the status of gilts with regard to influenza A virus before the experiment they were checked by PCR (nasal swabs) and HI assay (antibody). Hemagglutination inhibition is a gold standard for detection of antibodies against influenza A virus recommended by the WHO and OIE [23, 24]. It should be mentioned that the gilts were not tested for the presence of antibodies against nucleoprotein (NP) of IAV (which is highly conserved among IAV). Previous expose to other IAV may not prevent infection but it may decrease virus replication, and in this way it may be associated with reduced clinical signs. However, because the IAV that currently circulate among pigs in Europe were used in the HI assay, the probability of false negative results is rather low.
In our study no reproduction disorders were observed in pregnant gilts infected with swine H1N2 IAV during second month of gestation. There were no significant differences between inoculated and control sows with regard to all investigated production and reproduction parameters. Moreover in our study no evidence for transplacental transmission of IAV was found. In samples taken from piglets (nasal swabs, blood, tracheas and lungs) as well as in placentas no SIV genetic material was found. All colostrum free piglets were negative for HA specific antibodies. These findings are in agreement with the results of our previous study  in which the influence of IAV infection during first month of gestation on the course of pregnancy and reproduction parameters were investigated. In contrast, in a study conducted by Wallace and Elm  there was evidence of transplacental transmission of virus in one of ten piglets born to pregnant gilts that were exposed to the H1N1 IAV 10, 24, and 39 days before parturition and a large number of (2-3 per litter) dead piglets were born by infected gilts. Different results can be consequence of using of other subtype of IAV in a Wallace and Elm  study. In relation to the great IAV diversity, it is not possible to rule out that different IAVs can have other effects on the course of pregnancy and disturbances in the reproduction.
In the study performed by Wesley  with the use of H3N2 IAV all infected females showed no clinical symptoms of infection, what is in agreement with our results. However, in contrast to our investigations, Wesley  used seropositive pigs in his study. For confirmation of IAV infection the molecular examination of nasal swabs, HI assay and lymphocyte proliferation tests were performed in the present study. In all inoculated gilts the seroconversion and antigen-specific proliferation were found. Additionally, all inoculated gilts became actively infected and shed IAV between 1 and 5 dpi.
The hematological investigations showed a significant drop in lymphocyte numbers and percentage with no accompanying leucopenia, in inoculated gilts. There was over 50% drop in mean number of lymphocytes between 0 and 4 dpi, while the total number of white blood cells remained unchanged. In IT inoculated gilts the significantly lower percentage of lymphocytes was also observed at 7 dpi. Additionally, a rise over 30% in the mean percentage of granulocytes was observed between 0 and 4 dpi. Previously, in adult human patients with influenza A, relative lymphopenia was found to be an early and reliable laboratory finding for influenza infection [25, 26]. Peripheral lymphopenia was also reported in humans infected with highly pathogenic avian influenza H5N1 . The induction of lymphocyte apoptosis by death receptor ligands may play a role in lymphopenia related with influenza infection . In accordance with our findings, relative lymphopenia without leucopenia was previously found in human with positive test results for H1N1. In the field of human medicine, it was suggested  that relative lymphopenia might be a marker for H1N1 and thus could also be used to prioritize H1N1 PCR testing if the emergency department’s ability was exceeded .
In the present study the concentration of Hp, IL-6, IL-10 and TNF-α were significantly higher in serum of the inoculated gilts compared to control, while IL-4 and IFN-γ were not detected in the serum of any of animals. It should be noted that the respiratory tract is the major site of influenza virus replication suggesting that this is the initial site of cytokine production with a subsequent ‘spill-over’ into the circulation. It is therefore likely that serum levels of these mediators are probably significantly lower than BALF or lung levels. TNF-α is a cytokine of innate immunity. The main effects of TNF-α activity include neutrophil activation, fever, synthesis of acute phase proteins and apoptosis of cells. According to Damjanovic et al.  TNF-α is not essential for influenza clearance however, this cytokine is critically required for negatively regulating the extent of lung immunopathology during acute influenza infection. In our study we found significantly higher concentration of TNF-α in the serum of infected gilts only at 4 dpi. The significant increase in the serum concentration of TNF-α and IL-6 during influenza was also reported by Hayden et al.  in human patients. IL-6 is a cytokine of innate immunity and regulates inflammation and transition from innate to adaptive immune responses. In present study, in accordance with the results obtained by Hayden et al. , the concentration of IL-6 increased during early stage of infection. Lauder et al.  reported that IL-6 has an essential role in orchestrating anti-influenza immunity through an ability to limit inflammation, promote protective adaptive immunity and prevent fatal immunopathology. Furthermore, recent data using a mouse model of influenza infection indicate that mice lacking IL-6 are less likely to survive the infection thereby implying a beneficial effect of IL-6 in controlling the infection . The early secretion of this cytokine may therefore constitute an important line of defense against a fatal course of influenza.
In present study the significantly higher level of IL-10 as compared to controls, were detected from 4 to 7 dpi. IL-10 is a cytokine with pleiotropic effects in immunoregulation and inflammation, however it plays mainly an anti-inflammatory role in the immune system. The role of IL-10 during acute influenza virus infection appears to be contradictory. Sun et al.  previously found that inhibition of IL-10 signaling during an ongoing influenza resulted in increased inflammation and decreased survival, whereas McKinstry et al.  reported that inhibition of IL-10 signaling before infection enhanced viral clearance and increased survival. It seems that the role of IL-10 during influenza is probably dependent on the timing of IL-10 signaling. Additionally, a balance in the levels of pro- and anti-inflammatory cytokines may be crucial in host defense against influenza virus infection .
The acute phase proteins and cytokines associated with SI in pigs were also investigated by Barbé et al.  during first 5 dpi after inoculation of pigs with H1N1 strain of IAV. In general the serum concentrations of CRP and Hp peaked at 2 dpi, but no significant differences were found between infected and control pigs. However, it could be a result of small number of pigs (3 per group) under study of Barbé et al. . The finding of IFN-γ in serum in a Barbé et al.  study, contrasts with results of present study and the results of previous investigations [22, 37]. After infection of pigs with a North American H3N2 isolate of IAV no change was found in the serum IFN-γ concentration . Factors that may have attributed to the greater, more rapid IFN-γ response in the study of Barbé et al.  may be the larger inoculation dose used and the use of young 3-week-old caesarean-derived, colostrum-deprived pigs, which resulted in more severe course of infection.
Increased plasma concentrations of various cytokines have also been reported in, hospitalized human patients with H1N1  and highly pathogenic avian H5N1 infection . In these patients, plasma cytokine concentrations tightly correlated with viral RNA levels in nasopharyngeal or throat swabs, as well as with clinical severity ‘scores’. However in mentioned studies the severe, clinical course of influenza was observed in contrast to our results.
The acute phase response in pigs after infection with various subtypes of IAV, including H1N2, was also investigated by us previously [40, 41]. Similarly to the results of the present study the significant increase of Hp, but no CRP serum concentration were found in pigs with subclinical influenza . In contrast during acute influenza the concentration of CRP increased significantly .
Summarising, the results of the present study indicate that infection of pregnant gilts with swine H1N2 IAV in the second month of pregnancy does not cause abortion and other reproduction disorders. No evidence for transplacental transmission of swine H1N2 IAV was found. However, because of different type of placenta, these results cannot be reliably extrapolated to others species, including humans. Due to subclinical course of influenza in the present experiment caution should be taken when extrapolating these results to the cases of acute influenza. The other limitation of the present study is IAV diversity. It cannot be excluded that other subtypes of IAV could be associated to reproduction failure in pigs.
A total of 15 gilts, France hybrids FH 900 at the age of approximately 8 months and their piglets were used in the study. Pigs were randomly allocated into 3 groups. Ten gilts were infected with H1N2 IAV (intranasally (IN) n = 5, or intratracheally (IT) n = 5), following 5 served as controls. Sample size calculations were performed in STATISTICA 8.0 (StatSoft). All gilts prior to the start of the study were shown to be both influenza A virus and antibody (subtypes H1N1 (A/Swine/Cotes d’Armor/0388/2009, GenBank accession number FR871194), H1N2 (A/swine/Granstedt/IDT3475/2004, GenBank accession numbers: GQ161164.1, GQ161166.1, GQ161165.1, GQ161160.1, GQ161163.1, GQ161162.1), H3N2 (A/swine/Flanders/1/1998; GenBank accession number FJ842116), pandemic H1N1 2009 (A/California/04/09, GenBank accession number: not available) negative by Matrix (M) gene real time RT-PCR and haemagglutination inhibition assay (HI), respectively. Additionally gilts were seronegative against PRRSV, pseudorabies virus and leptospiras. All sexually mature gilts were inseminated. The pregnancy was confirmed with the use of ultrasonography at 24 and 58 days post insemination. Complete management and health data for the gilts and their offspring were maintained. The prophylactic program at the time of pregnancy consists of vaccination of the gilts with inactivated vaccines against parvovirus infection, erysipelas and colibacillosis. During the experiment, pigs were housed in isolated units, one for the control gilts and one for each group of infected gilts. The condition of piglets was monitored to weaning. Animal use and handling protocols were approved by Local Ethical Commission (University of Life Sciences in Lublin, Poland).
Preparation of virus inoculum
Swine influenza virus A/sw/Granstedt/IDT3475/2004 (subtype H1N2) (hereafter referred to as H1N2 IAV), kindly provided by IDT (Germany) was used for the experimental infection. The virus concentration was evaluated in Madin-Darby canine kidney (MDCK) cells and stored at -80°C until used. Virus titers were calculated by the Reed-Muench method.
Fifty eight days post insemination (day 0), ten gilts were inoculated with H1N2 IAV. Inoculations of 3 × 107.3 TCID50 of virus in 5 ml of phosphate-buffered saline (PBS) were given IN to each nostril (total infection dose 6 × 107.3 TCID50) or IT (needle method; total infection dose 6 × 107.3 TCID50). Five mock-inoculated pigs (with 9.7 ml of PBS and 0.3 ml of allantoids fluid) served as control pigs.
Rectal temperatures were assessed and clinical signs of disease were recorded daily during first 7 days post inoculation (dpi), however, the general condition and health status of gilts was monitored to the end of pregnancy. After inoculations, gilts were observed and scored for the respiratory signs as follows: respiratory rate: 0- normal, 1 – slightly elevated, 2 – moderately elevated, slight abdominal breathing, 3 – clearly elevated, distinct abdominal breathing; nasal discharge 0 – absent, 1 present; coughing 0 – absent, 1 present; sneezing 0 – absent, 1 present. All scores per topic are accumulated for a total clinical score of each individual pig (0-6). Rectal temperature was also measured daily. Fever was recorded when the rectal temperature ≥ 40°C.
Blood samples from gilts were collected on days -7, 0 (inoculation), 4, 7, 14 and 28 dpi. The blood was also taken from piglets before consuming colostrum (colostrum free piglets, 5 piglets per litter). Serum was harvested after centrifugation and stored at -20°C for further analyses.
Nasal samples were taken from gilts at 0, 1, 2, 3, 4 and 5 dpi and from piglets immediately after birth.
The parturitions were monitored by a veterinary surgeon. All placentas were collected at delivery.
Additionally, the weakest piglet from each litter was euthanized and complete necropsy was done, with special emphasis on the respiratory tract. Gross lung lesions were assessed for the presence or absence of pulmonary cranioventral multifocal consolidation and when present, extension was recorded. Samples from lung and tracheas, as well as placentas were collected aseptically and frozen at -80°C until their use for viral RNA extraction.
Reproductive and production parameters
For each gilt the following reproduction parameters were determined: average gestation length, number of live-born piglets, number of stillborn piglets, number of mummified fetuses. Additionally the selected production parameters, including individual birth body weight of piglets, litter birth weight, number of piglets dying during first week of life, were recorded.
Swabs, blood and tissue samples
The general swine influenza A RRT-PCR method was used for detection of IAV in the blood and nasal swabs of gilts, placentas and in the blood, nasal swabs and lung samples from piglets, as described previously . Viral RNA was extracted from nasal swabs and tissues using the QIAamp Viral RNA extraction kit (Qiagen, Valencia, CA). RRT-PCR was performed using a one step RT-PCR kit (Qiagen, Valencia, CA). The oligonucleotides sequences (probe and primers) were specific for matrix gene region of known European swine influenza A viruses, as well as any swine infections that may be due to A (H1N1) pdm-like-2009 influenza A virus. Samples with Ct value <30 were considered to be positive, samples with Ct value 30-35 were considered to be weak positive, samples with Ct value >35 were considered to be negative.
Whole blood samples were analyzed for different leukocyte proportions and concentrations on a Abacus Junior Vet 5 hematology analyzer (Diatron, Hungary). Proportions of lymphocytes, monocytes and granulocytes were calculated as a percentage of leukocyte concentration.
Lymphocyte proliferation assay (LPA)
The T-cell proliferation assay to measure influenza-specific T-cell responses of pigs was performed at 0, 4, 7, 14 and 28 dpi, as described previously . Briefly, PBMC were isolated from blood samples by centrifugation onto Histopaque 1.077 (Sigma, USA) and were washed twice with PBS. The isolated PBMC were seeded in plastic vials at a density of 1 × 106 viable cells per vial in 1 ml medium (RPMI 1640 containing 10% fetal bovine serum, 2 mM L-glutamine and 1% of antibiotic-antimycotic solution). For analysis of cellular responses, PBMC were restimulated in vitro with 50 μl of medium containing live H1N2 IAV virus (titer 106,8 TCID50/50 μl). In control vials the cells were incubated without the virus (mock-control) or with 5μg/ml of concanavalin A (Con-A) (vitality control). All samples were analysed in triplicate.
After 72 hours of incubation at 37ºC in 5% CO2 atmosphere, the cultures were pulsed with 0.5 μCi [3H]-thymidine (MP Biomedicals, USA). After 18 hours of incubation, cells were harvested and the incorporated radioactivity was measured in a liquid scintillation counter (Tri-Carb 2500TR, Packard, USA). Proliferation was expressed as stimulation index (SIx) calculated as the number of counts per minute (cpm) for H1N2 IAV stimulated cells divided by the number of cpm for the mock-stimulated cells (in each cases taking mean of triplicate vials).
Based on the SIx values of the control group (mean plus 3 x standard deviation), SI value >1.69 was considered to be positive.
Haemaglutination inhibition assay (HI)
Antibodies against IAV were measured using a HI assay. The HI assay was performed according to the standard procedure , using 0.5% chicken erythrocytes and 4HA units of strain H1N2 IAV and additionally with the use of other subtypes H1N1 (A/Swine/Cotes d’Armor/0388/2009), H3N2 (A/swine/Flanders/1/1998) and pandemic H1N1 2009 (A/California/04/09). All sera were tested in serial twofold dilutions, starting at 1:20. Samples showing titres of ≥ 20 were considered as positive.
Determination of cytokines and acute phase proteins concentration in serum
The ELISA kits specific for porcine IL-4, IL-10, IFN-γ and TNF-α were purchased from Invitrogen Corpotarion (Camarillo, USA). The concentration of IL-6 was determined with the use of IL-6 Pig ELISA Kit from Abcam (Cambridge, UK). The detection limit of kits are 2 pg/ml (IL-4), 45 pg/ml (IL-6), 3 pg/ml (IL-10), 2 pg/ml (IFN-γ) and 3 pg/ml (TNF-α). All assays were performed according to the manufacturers’ protocols. All the samples were run in duplicate.
For determination of C-reactive protein (CRP) and haptoglobin (Hp) commercial ELISAs were used according to the manufacturers’ instructions (Pig C-reactive protein ELISA and Pig haptoglobin ELISA from Life Diagnostics, Inc., USA). For all analyses serum samples were tested in duplicate. Prior to analyses serum samples were diluted as follows: 1:1000 for CRP and 1:35000 for Hp.
The quantity of the cytokines and acute phase proteins was calculated based on standard curve for each protein with the use of FindGraph software program.
The obtained data were subjected to the W. Shapiro-Wilk’s test of normality and the Levene’a test of equal variances with STATISTICA 8.0 (StatSoft). Nonparametric Kruskal-Wallis tests with post hoc multiple comparisons for comparison of all pairs and Friedman test were used for comparison of means. For all analyses, P < 0.05 was considered significant.
The authors wish to thank Barbara Frącek and Monika Grzesiak for excellent technical assistance. This work was supported by Project N N308 564140 supported by Polish Ministry of Science and Higher Education.
- Simon-Grifé M, Martín-Valls GE, Vilar MJ, Busquets N, Mora-Salvatierra M, Bestebroer t, Fouchier RAM, Martín M, Mateu E, Casal J: Swine influenza virus infection dynamics in two pig farms; results of a longitudinal assessment. Vet Res. 2012, 43: 24-10.1186/1297-9716-43-24.PubMed CentralView ArticlePubMedGoogle Scholar
- World Organization for Animal Health (OIE): Swine influenza. Manual for diagnostic tests and vaccines for terrestrial animals. Paris. 2008, 2: 1128-1138.Google Scholar
- Menšik J, Černý L, Zeman J: Intrauterine transmission of swine influenza. Vet Cas. 1957, 6: 455-465.Google Scholar
- Wallace GD, Elm JL: Transplacental transmission and neonatal infection with swine influenza virus (Hsw1N1) in swine. Am J Vet Res. 1979, 40: 1169-1172.PubMedGoogle Scholar
- Madec F, Kaiser C, Gourreau JM, Martinat-Botte F, Keranflech A: Pathologic consequences of a severe influenza outbreak (swine virus A/H1N1) under natural condition in the non-immune sow at the beginning of pregnancy. Comp Immunol Microbiol Infect Dis. 1989, 12: 17-27.View ArticlePubMedGoogle Scholar
- Karasin AI, Olsen CW, Anderson GA: Genetic characterization of an H1N2 influenza virus isolated from a pig in Indiana. J Clin Microbiol. 2002, 38: 2453-2456.Google Scholar
- Wesley RD: Exposure of seropositive gilts to swine influenza virus may cause a few stillbirths per litter. Can J Vet Res. 2004, 68: 215-217.PubMed CentralPubMedGoogle Scholar
- Pejsak Z, Markowska-Daniel I, Kowalczyk A, Jabłoński A, Kozaczyński W, Loda M: Reproduction disorders connected with swine influenza outbreak in a large farm. Med Weter. 2005, 61: 1154-1159.Google Scholar
- Young GA, Underdahl NR: Swine influenza as a possible factor in suckling pig mortalities. III. Effect of live virus vaccination of the dam against swine influenza on suckling pig mortalities. Cornell Vet. 1950, 40: 24-33.Google Scholar
- Muller E, Knocke KW, Willers H, Jochims R: Occurrence of swine influenza in northern Germany. Prakt Tieraerztl. 1981, 62: 669-672.Google Scholar
- Gourreau JM, Kaiser C, Madec F, Labie J, Vannier P, Aymard M, Vigouroux A, Salingardes F: Passage du virus grippal par la voie transplacentaire chez le porc, dans les conditions naturelles. Ann Inst Past Virol. 1985, 136: 55-63. 10.1016/S0769-2617(85)80112-X.View ArticleGoogle Scholar
- Pejsak Z, Markowska-Daniel I: Viruses as a reason for reproductive failure in pig herds in Poland. Rep Dom Anim. 1996, 31: 445.Google Scholar
- Gu J, Xie Z, Gao Z, Liu L, Korteweg C, Ye J, Lau LT, Lu J, Gao Z, Zhang B, McNutt MA, Lu M, Anderson VM, Gong E, Hoi Yu AC, Lipkin WI: H5N1 infection of the respiratory tract and beyond: a molecular pathology study. Lancet. 2007, 370: 1137-1145. 10.1016/S0140-6736(07)61515-3.View ArticlePubMedGoogle Scholar
- Moretti ME, Bar-Oz B, Fried S, Koren G: Maternal hyperthermia and the risk for neural tube defects in offspring: systematic review and meta-analysis. Epidemiology. 2005, 16: 216-219. 10.1097/01.ede.0000152903.55579.15.View ArticlePubMedGoogle Scholar
- Edwards MJ: Review: hyperthermia and fever during pregnancy. Birth Defects Res A Clin Mol Teratol. 2006, 76: 507-516. 10.1002/bdra.20277.View ArticlePubMedGoogle Scholar
- Suarez L, Felkner M, Hendricks K: The effect of fever, febrile illnesses, and heat exposures on the risk of neural tube defects in a Texas-Mexico border population. Birth Defects Res A Clin Mol Teratol. 2004, 70: 815-819. 10.1002/bdra.20077.View ArticlePubMedGoogle Scholar
- Zou S: Potential impact of pandemic influenza on blood safety and availability. Transfus Med Rev. 2006, 20: 181-189. 10.1016/j.tmrv.2006.03.001.View ArticlePubMedGoogle Scholar
- Shi L, Tu N, Patterson PH: Maternal influenza infection is likely to alter fetal brain development indirectly: the virus is not detected in the fetus. Int J Dev Neurosci. 2005, 23: 299-305. 10.1016/j.ijdevneu.2004.05.005.View ArticlePubMedGoogle Scholar
- Choi YK, Goyal SM, Farnham MW, Joo HS: Phylogenetic analysis of H1N2 isolates of influenza A virus from pigs in the United States. Virus Res. 2002, 87: 173-179. 10.1016/S0168-1702(02)00053-9.View ArticlePubMedGoogle Scholar
- Hartert TV, Neuzil KM, Shintani AK, Mitchel EF, Snowden MS, Wood LB, Dittus RS, Griffin MR: Maternal morbidity and perinatal outcomes among pregnant women with respiratory hospitalizations during influenza season. Am J Obstet Gynecol. 2003, 189: 1705-1712. 10.1016/S0002-9378(03)00857-3.View ArticlePubMedGoogle Scholar
- Irving WL, James DK, Stephenson T, Laing P, Jameson C, Oxford JS, Chakraverty P, Brown DW, Boon AC, Zambon MC: Influenza virus infection in the second and third trimesters of pregnancy: a clinical and seroepidemiological study. BJOG. 2000, 107: 1282-1289. 10.1111/j.1471-0528.2000.tb11621.x.View ArticlePubMedGoogle Scholar
- Kwit K, Pomorska-Mól M, Markowska-Daniel I: Course of pregnancy in gilts after intranasal infection with the H1N2 subtype of swine influenza virus during the first month of pregnancy. Med Weter. 2013, 69: 641-704.Google Scholar
- World Health Organization (WHO): Laboratory Procedures. Manual On Animal Influenza Diagnosis And Surveillance. Edited by: Webster RG, Krauss S. Geneva, Switzerland: WHO; 2002:15-67.Google Scholar
- Swine Influenza: Chapter 2.8.8. Oie Manual Of Diagnostic Tests And Vaccines For Terrestrial Animals. 2010, http://www.oie.int/fileadmin/Home/eng/Health_standards/tahm/2.08.08_SWINE_INFLUENZA.pdf, 7.Google Scholar
- Mohan SS, McDermott BP, Cunha BA: The diagnostic and prognostic significance of relative lymphopenia in adult patients with influenza A. Am J Med. 2004, 117: 710-711. 10.1016/j.amjmed.2004.05.023.View ArticlePubMedGoogle Scholar
- Cunha BA: Diagnostic significance of relative lymphopenia. Infect Dis Pract. 2008, 32: 728-730.Google Scholar
- Imai Y, Kuba K, Penninger J: Further advances in immunity against highly pathogenic influenza viruses. Eur Infect Dis. 2009, 3: 61-64.Google Scholar
- Zhou J, Law HK, Cheung CY, Ng IH, Peiris JS, Lau YL: Functional tumor necrosis factor-related apoptosis-inducing ligand production by avian influenza virus-infected macrophages. J Infect Dis. 2006, 193: 945-953. 10.1086/500954.View ArticlePubMedGoogle Scholar
- Cunha BA, Pherez FM, Schoch P: Diagnostic importance of relative lymphopenia as a marker of swine influenza (H1N1) in adults. Clin Infect Dis. 2006, 49: 1454-1456.View ArticleGoogle Scholar
- Damjanovic D, Divangahi M, Kugathasan K, Small CL, Zganiacz A, Brown EG, Hogaboam CM, Gauldie J, Xing Z: Negative regulation of lung inflammation and immunopathology by TNF-α during acute influenza infection. Am J Pathol. 2011, 179: 2963-2976. 10.1016/j.ajpath.2011.09.003.PubMed CentralView ArticlePubMedGoogle Scholar
- Hayden FG, Fritz R, Lobo MC, Alvord W, Strober W, Straus SE: Local and systemic cytokine responses during experimental human influenza A virus infection. Relation to symptom formation and host defense. J Clin Invest. 1998, 101: 643-649. 10.1172/JCI1355.PubMed CentralView ArticlePubMedGoogle Scholar
- Lauder SN, Jones E, Smart K, Bloom A, Williams AS, Hindle JP, Ondondo B, Taylor PR, Clement M, Fielding C, Godkin AJ, Jones SA, Gallimore AM: Interleukin-6 limits influenza-induced inflammation and protects against fatal lung pathology. Eur J Immunol. 2013, 43: 2613-2625. 10.1002/eji.201243018.View ArticlePubMedGoogle Scholar
- Sun J, Madan R, Karp CL, Braciale JT: Effector T cells control lung inflammation during acute influenza virus infection by producing IL-10. Nat Med. 2009, 15: 277-284. 10.1038/nm.1929.PubMed CentralView ArticlePubMedGoogle Scholar
- McKinstry KK, Strutt TM, Buck A, Curtis JD, Dibble JP, Huston G, Tighe M, Hamada H, Sell S, Dutton RW, Swain SL: IL-10 deficiency unleashes an influenza-specific Th17 response and enhances survival against high-dose challenge. J Immunol. 2009, 182: 7353-7363. 10.4049/jimmunol.0900657.PubMed CentralView ArticlePubMedGoogle Scholar
- Arimori Y, Nakamura R, Yamada H, Shibata K, Maeda N, Kase T, Yoshikai Y: Type I interferon limits influenza virus-induced acute lung injury by regulation of excessive inflammation in mice. Antiviral Res. 2013, 99: 230-237. 10.1016/j.antiviral.2013.05.007.View ArticlePubMedGoogle Scholar
- Barbé F, Atanasova K, Van Reeth K: Cytokines and acute phase proteins associated with acute swine influenza infection in pigs. Vet J. 2011, 187: 48-53. 10.1016/j.tvjl.2009.12.012.View ArticlePubMedGoogle Scholar
- Wesley RD, Lager KM, Kehrli ME: Infection with porcine reproductive and respiratory syndrome virus stimulates an early gamma interferon response in the serum of pigs. Can J Vet Res. 2006, 70: 176-182.PubMed CentralPubMedGoogle Scholar
- Lee N, Wong CK, Chan PKS, Lun SWM, Lui G, Wong B, Hui DSC, Lam CWK, Cockram CS, Choi KW, Yeung ACM, Tang JW, Sung JJY: Hypercytokinemia and hyperactivation of phospho-p38 mitogen-activated protein kinase in severe human influenza a virus infection. Clin Infect Dis. 2007, 45: 723-731. 10.1086/520981.View ArticlePubMedGoogle Scholar
- Gambotto A, Barratt-Boyes SM, De Jong MD, Neumann G, Kawaoka Y: Human infection with highly pathogenic H5N1 influenza virus. Lancet. 2008, 371: 1464-1475. 10.1016/S0140-6736(08)60627-3.View ArticlePubMedGoogle Scholar
- Pomorska-Mól M, Markowska-Daniel I, Kwit K: Immune and acute phase response in pigs experimentally infected with H1N2 swine influenza virus. FEMS Immunol Med Microbiol. 2012, 66: 334-342. 10.1111/j.1574-695X.2012.01026.x.View ArticlePubMedGoogle Scholar
- Pomorska-Mól M, Markowska-Daniel I, Pejsak Z: Acute phase proteins response during subclinical infection of pigs with H1N1 swine influenza virus. Vet Microbiol. 2012, 159: 499-503. 10.1016/j.vetmic.2012.04.030.View ArticlePubMedGoogle Scholar
- Kowalczyk A, Markowska-Daniel I, Rasmussen TB: Development of a primer-probe energy transfer based real-time PCR for the detection of swine influenza virus. J Virol Methods. 2013, 187: 228-233. 10.1016/j.jviromet.2012.08.011.View ArticlePubMedGoogle Scholar
- Pomorska-Mól M, Markowska-Daniel I, Rachubik J: Development of early humoral and cell-mediated immunity in piglets with experimentally induced subclinical swine influenza. Bull Vet Inst Pulawy. 2012, 56: 133-137.Google Scholar
- Markowska-Daniel I, Stankevicius A: Seroprevalence of antibodies against swine influenza viruses in pigs of different age. Bull Vet Inst Pulawy. 2005, 49: 3-7.Google Scholar
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