Sustained Liver HBsAg Loss and Clonal T- and B-Cell Expansion upon Therapeutic DNA Vaccination Require Low HBsAg Levels

BACKGROUND

Suppression of HBV DNA, inhibition of HBV surface (HBsAg) production and therapeutic vaccination to reverse HBV-specific T-cell exhaustion in chronic HBV patients are likely required to achieve a functional cure. In the AAV-HBV mouse model, therapeutic vaccination can be effective in clearing HBV when HBsAg levels are low. Using a single-cell approach, we investigated the liver immune environment with different levels of HBsAg and sustained HBsAg loss through treatment with a GalNAc-HBV-siRNA followed by therapeutic vaccination.

METHODS

AAV-HBV-transduced C57BL/6 mice were treated with GalNAc-HBV-siRNA to lower HBsAg levels and then vaccinated using a DNA vaccine. We used single-cell RNA and V(D)J sequencing to understand liver immune microenvironment changes.

RESULTS

GalNAc-HBV-siRNA, followed by therapeutic vaccination, achieved sustained HBsAg loss in all mice. This was accompanied by CD4 follicular helper T-cell induction, polyclonal activation of CD8 T cells and clonal expansion of plasma cells that were responsible for antibody production.

CONCLUSIONS

This study provides novel insights into liver immune changes at the single-cell level, highlighting the correlation between induced reduction of HBsAg levels and clonal expansion of CD4, CD8 T cells and plasma cells in the liver upon HBV siRNA and subsequent therapeutic vaccination.

GSDMD drives canonical inflammasome-induced neutrophil pyroptosis and is dispensable for NETosis

Neutrophils are the most prevalent immune cells in circulation, but the repertoire of canonical inflammasomes in neutrophils and their respective involvement in neutrophil IL-1β secretion and neutrophil cell death remain unclear. Here, we show that neutrophil-targeted expression of the disease-associated gain-of-function Nlrp3^A350V mutant suffices for systemic autoinflammatory disease and tissue pathology in vivo. We confirm the activity of the canonical NLRP3 and NLRC4 inflammasomes in neutrophils, and further show that the NLRP1b, Pyrin and AIM2 inflammasomes also promote maturation and secretion of interleukin (IL)-1β in cultured bone marrow neutrophils. Notably, all tested canonical inflammasomes promote GSDMD cleavage in neutrophils, and canonical inflammasome-induced pyroptosis and secretion of mature IL-1β are blunted in GSDMD-knockout neutrophils. In contrast, GSDMD is dispensable for PMA-induced NETosis. We also show that Salmonella Typhimurium-induced pyroptosis is markedly increased in Nox2/Gp91^Phox -deficient neutrophils that lack NADPH oxidase activity and are defective in PMA-induced NETosis. In conclusion, we establish the canonical inflammasome repertoire in neutrophils and identify differential roles for GSDMD and the NADPH complex in canonical inflammasome-induced neutrophil pyroptosis and mitogen-induced NETosis, respectively.

Infective vegetative endocarditis of the mitral, aortic, and pulmonary valves due to Enterococcus hirae in a cat with a ventricular septal defect

A 2.5-year-old female intact British Shorthair was presented for progressive complaints of abdominal distention, increased respiratory effort, lethargy and hyporexia. Based on the clinical presentation and a loud heart murmur, a cardiac cause was suspected. An echocardiogram was performed and the presumptive diagnosis of infective endocarditis of the aortic, mitral and pulmonic valves was made. Antemortem blood culture and postmortem valve biopsy confirmed bacterial endocarditis with Enterococcus hirae as etiological agent. To the authors' best knowledge, this case report is the first to describe an infective endocarditis with vegetative lesions on three cardiac valves associated with a ventricular septal defect in a cat, and Enterococcus hirae as causative agent for endocarditis in small animals.

Adenoviral Gizzard Erosions in Two Belgian Broiler Farms

Fowl adenovirus infections are widely prevalent in poultry. Many of the viruses can infect chickens without resulting in overt disease. Nevertheless, some fowl adenoviruses can cause important disease complexes in chickens such as inclusion body hepatitis, hydropericardium syndrome, necrotic pancreatitis, and gizzard erosion. Adenoviral gizzard erosions have been regularly reported from Japan, but detailed reports from Europe are scarce and available only from Italy, Poland, Hungary, and Germany. This case report describes two concurrent outbreaks of gizzard erosions caused by fowl adenovirus A in two Belgian broiler farms. Clinical signs observed were signs of depression, reduced feed intake, reduced weight gain, and lack of uniformity of the flocks. At necropsy, typically multiple erosions within the koilin layer of the gizzard were observed. Histopathological examination showed a multifocal, erosive ventriculitis with basophilic intranuclear inclusions in the epithelium. PCR analysis confirmed the diagnosis of fowl adenovirus. These findings suggest that outbreaks of adenoviral gizzard erosion can also lead to significant economic losses in Belgium.

Mycobacterieel conjunctivaal granuloom bij een Chinese zaagbekeend (Mergus squamatus)

Een vijf jaar oude, vrouwelijke Chinese zaagbekeend werd aangeboden met een chronische en wederkerende conjunctivitis van het linkeroog. Op klinisch onderzoek werden overvloedige traanvloei en een kazig nodulair letsel vastgesteld ter hoogte van de palpebrale conjunctiva. Bij autopsie werd een kazig, necrotisch beleg waargenomen ter hoogte van de linkerconjunctiva en de infraorbitale sinus, en er waren multipele granulomen in diverse interne organen aanwezig. Histologisch onderzoek toonde granulomateuze splenitis, hepatitis, arteritis, fibrinonecrotiserende enteritis, conjunctivitis en tevens amyloïdose van lever en milt aan. Bacteriologisch en moleculair onderzoek van de conjunctiva bij het levende dier toonde respectievelijk de aanwezigheid van een multiresistente Escherichia coli en Chlamydia psittaci aan. Deze bacteriën bleken van ondergeschikt pathogeen belang. Pre mortem werd echter geen cytologisch onderzoek of ziehlneelsen (ZN)-kleuring op de histologische coupe van het conjunctivabiopt uitgevoerd. Bovendien werden pre mortem geen bijkomende onderzoeken, zoals bloedonderzoek en radiografie, uitgevoerd. De definitieve diagnose van een Mycobacterium avium-infectie ter hoogte van de conjunctiva en de inwendige organen werd pas bevestigd na autopsie door middel van een ZNkleuring en polymerasekettingreactie (PCR)- analyse. Lokale en systemische behandelingen met antimicrobiële producten, zoals fluoroquinolonen, tetracyclinen en aminoglycosiden, waren niet succesvol.

25-OH-vitamin D, parathyroid hormone, and calcium serum levels in captive common marmosets (Callithrix jacchus): Reference values and effect of age, sex, season, and closure of long bone epiphyses

BACKGROUND

To date, reference values for 25-OH-vitamin D, parathyroid hormone (PTH), and calcium in serum of common marmosets (Callithrix jacchus) based on a large sample size are not available.

METHODS

Serum reference values for these parameters were determined and correlated with sex, age, season of sampling, and time of long bone epiphyseal closure in captive-housed marmosets.

RESULTS AND CONCLUSIONS

The 90% reference range for serum 25-OH-vitamin D is 47.40-370.4 nmol/L, for PTH 2.10-30.51 pmol/L, and for calcium 2.08-2.63 mmol/L. Lower levels of vitamin D were measured in fall compared with the other seasons. Levels of PTH were higher in males than in females, and calcium levels were lower in younger animals compared with older marmosets. No other effects of age, sex, season, or timing of growth plate closure were found.

First isolation of Vibrio tapetis and an atypical strain of Aeromonas salmonicida from skin ulcerations in common dab (Limanda limanda) in the North Sea

Skin ulcerations rank amongst the most prevalent lesions affecting wild common dab (Limanda limanda) with an increase in prevalence of up to 3.5% in the Belgian part of the North Sea. A complex aetiology of these ulcerations is suspected, and many questions remain on the exact factors contributing to these lesions. To construct the aetiological spectrum of skin ulcerations in flatfish, a one-day monitoring campaign was undertaken in the North Sea. Fifteen fish presented with one or more ulcerations on the pigmented and/or non-pigmented side. Pathological features revealed various stages of ulcerations with loss of epidermal and dermal tissue, inflammatory infiltrates and degeneration of the myofibers bordering the ulceration, albeit in varying degrees. Upon bacteriological examination, pure cultures of Vibrio tapetis were retrieved in high numbers from five fish and of Aeromonas salmonicida in one fish. The V. tapetis isolates showed cross-reactivity with the sera against the representative strain of serotype O2 originating form a carpet-shell clam (Ruditapes descussatus). Moreover, the A. salmonicida isolates displayed a previously undescribed vapA gene sequence (A-layer type) with possible specificity towards common dab. Further research is necessary to pinpoint the exact role of these agents in the development of skin ulcerations in common dab.

Pheochromocytoma in a horse with polymorphic ventricular tachycardia

A twenty-four-year-old mare, which had been examined seven years earlier for mitral valve regurgitation and mild left sided cardiomegaly, was presented with tachycardia, profuse sweating and muscle fasciculations. Blood examination revealed an increased packed cell volume, metabolic acidosis, hypocalcemia, hyperglycemia and increased cardiac troponin I concentration. ECG revealed ventricular premature beats and monomorphic ventricular tachycardia followed by polymorphic ventricular tachycardia with R-on-T phenomenon. The horse was treated immediately with hypertonic solution followed by isotonic solution and calcium, but the general condition deteriorated within forty-five minutes after arrival. The horse was euthanized due to poor prognosis. On necropsy, a pheochromocytoma of the left adrenal gland was found. Although this horse had undergone a cardiovascular examination seven and one year prior to the onset of the clinical signs, no indications for a neoplastic process or symptoms of a pheochromocytoma were found at that time. Early diagnosis of pheochromocytoma is based on catecholamine mediated cardiovascular effects, blood examination, blood pressure measurement, rectal palpation and rectal ultrasound of the adrenal gland. Based on a retrospective analysis of echocardiographic images and measurements, no predisposing factors were found. In this article, the importance of including pheochromocytoma as a differential diagnosis is highlighted, especially in older horses with acute polymorphic ventricular tachycardia, sweating, muscle tremors and signs of acute abdominal pain.

Encephalomyocarditis virus in a captive Malayan tapir (Tapirus indicus)

A 5-month-old female captive Malayan tapir (Tapirus indicus) died suddenly without preceding symptoms. Gross necropsy revealed numerous white circular and linear foci in the myocard. Differential diagnosis all turned out negative, except for encephalomyocarditis virus. Histopathology revealed mineralisation of myocardial cells and interstitial infiltration of lymphocytes, plasma cells and less neutrophils. Encephalomyocarditis virus was detected by PCR. Although encephalomyocarditis virus occurs in many mammals, this is the first published description of this virus in a Malayan tapir.

Chromatoforoma’s bij reptielen

Neoplasieën van de pigmentcellen of chromatoforen bij reptielen worden naargelang hun oorsprong geclassificeerd als melanoforoma’s, iridoforoma’s, xantoforoma’s, erytroforoma’s of gemengde chromatoforoma’s. In tegenstelling tot wat oorspronkelijk verondersteld werd, komen deze primaire, cutane neoplasieën regelmatig voor bij in gevangenschap gehouden reptielen. Melanoforoma’s en iridoforoma’s worden het meest frequent vastgesteld. Een definitieve diagnose van chromatoforoma’s wordt bekomen door middel van histologisch onderzoek. Aanvullend is immunohistochemie of elektronenmicroscopie soms noodzakelijk om chromatoforoma’s onderling te differentiëren. Complete chirurgische excisie wordt beschouwd als de voorkeursbehandeling. Vanwege de uitgesproken maligniteit en neiging tot metastasering is de prognose van chromatoforoma’s bij reptielen over het algemeen echter sterk gereserveerd. Een vroegtijdige en correcte diagnose van deze neoplastische aandoening bij reptielen is daarom van primordiaal belang. In dit artikel wordt een overzicht gegeven van de huidige kennis omtrent het voorkomen, het biologisch gedrag, de pathogenese en de diagnostische en therapeutische benadering van chromatoforoma’s bij reptielen met de nadruk op melano- en iridoforoma’s.

Salmonella Enteritidis flagellar mutants have a colonization benefit in the chicken oviduct

Egg borne Salmonella Enteritidis is still a major cause of human food poisoning. Eggs can become internally contaminated following colonization of the hen's oviduct. In this paper we aimed to analyze the role of flagella of Salmonella Enteritidis in colonization of the hen's oviduct. Using a transposon library screen we showed that mutants lacking functional flagella are significantly more efficient in colonizing the hen's oviduct in vivo. A micro-array analysis proved that transcription of a number of flagellar genes is down-regulated inside chicken oviduct cells. Flagella contain flagellin, a pathogen associated molecular pattern known to bind to Toll-like receptor 5, activating a pro-inflammatory cascade. In vitro tests using primary oviduct cells showed that flagellin is not involved in invasion. Using a ligated loop model, a diminished inflammatory reaction was seen in the oviduct resulting from injection of an aflagellated mutant compared to the wild-type. It is hypothesized that Salmonella Enteritidis downregulates flagellar gene expression in the oviduct and consequently prevents a flagellin-induced inflammatory response, thereby increasing its oviduct colonization efficiency.

The novel homozygous KCNJ10 c.986T>C (p.(Leu329Pro)) variant is pathogenic for the SeSAME/EAST homologue in Malinois dogs

SeSAME/EAST syndrome is a multisystemic disorder in humans, characterised by seizures, sensorineural deafness, ataxia, developmental delay and electrolyte imbalance. It is exclusively caused by homozygous or compound heterozygous variations in the KCNJ10 gene. Here we describe a similar syndrome in two families belonging to the Malinois dog breed, based on clinical, neurological, electrodiagnostic and histopathological examination. Genetic analysis detected a novel pathogenic KCNJ10 c.986T>C (p.(Leu329Pro)) variant that is inherited in an autosomal recessive way. This variant has an allele frequency of 2.9% in the Belgian Malinois population, but is not found in closely related dog breeds or in dog breeds where similar symptoms have been already described. The canine phenotype is remarkably similar to humans, including ataxia and seizures. In addition, in half of the dogs clinical and electrophysiological signs of neuromyotonia were observed. Because there is currently no cure and treatment is nonspecific and unsatisfactory, this canine translational model could be used for further elucidating the genotype/phenotype correlation of this monogenic multisystem disorder and as an excellent intermediate step for drug safety testing and efficacy evaluations before initiating human studies.

Basal cell carcinoma in two Hermann’s tortoises (Testudo hermanni)

Neoplastic disorders are frequently encountered in the practice of reptile medicine. Herein we report the clinical behavior, antemortem diagnosis, and histopathologic characteristics of a recurrent intraoral keratinizing basal cell carcinoma (BCC) and a metastatic BCC of the carapace in 2 Hermann’s tortoises ( Testudo hermanni). Although squamous cell carcinomas (SCCs) in tortoises show similar predilection sites and gross pathologic features, the BCCs described in our report were characterized by a remarkably fast and highly infiltrative growth in comparison to SCCs. Accordingly, early diagnosis including reliable discrimination from SCC is essential toward the management of this neoplastic entity in tortoises.

First confirmed case of bovine besnoitiosis in an imported bull in Belgium

Besnoitia besnoiti is a protozoan parasite known to cause important economic losses in the cattle industry in Africa, Asia and the Mediterranean area. In the last years, (re-) emergence of the parasite has been reported in France, Germany, Hungary and Italy with in some cases, establishment of an endemic infection. In this article, the first case of besnoitiosis in Belgium in a Blonde d’Aquitaine bull imported from the south of France is described. Additionally, a brief overview of the epidemiology of the disease is provided.

Botpathologie bij apen van de Nieuwe en Oude Wereld

Primaten worden vaak gebruikt als diermodel in het biomedisch onderzoek wegens hun sterke overeenkomsten met de mens. Voornamelijk penseelapen (Callithrix jacchus) en resusapen (Macaca mulatta) zijn frequent gebruikte apensoorten in het wetenschappelijk onderzoek. In dit artikel wordt een systematisch overzicht gegeven van de belangrijkste botaandoeningen bij primaten. Botaandoeningen kunnen spontaan voorkomen maar ook experimenteel worden geïnduceerd in het kader van onderzoek naar humane ziekten. Een gedegen kennis van deze pathologieën is niet enkel belangrijk om preventieve of therapeutische interventies te onderbouwen bij zowel de aap als de mens, maar draagt ook bij tot een optimale keuze van het diermodel. De, voornamelijk historisch gezien, belangrijkste groep van aandoeningen die hier worden besproken zijn de metabole aandoeningen, waarbij de nadruk ligt op rachitis/osteomalacie en osteoporose. Congenitale aandoeningen, ontwikkelingsstoornissen, intoxicaties en deficiënties met effect op het skelet worden ook besproken. Tenslotte zijn er nog de bottumoren, die weliswaar minder frequent gerapporteerd worden, maar die toch een niet te verwaarlozen groep vormen.

Haemangiosarcoma in a captive Asiatic lion (Panthera leo persica)

A 2.7-year-old male captive Asiatic lion (Panthera leo persica) died unexpectedly without preceding symptoms. Gross necropsy revealed liver and lung tumours, which proved to be haemangiosarcomas by histopathology. Some of the liver tumours were ruptured, leading to massive intra-abdominal haemorrhage and death. Haemangiosarcomas are rare in domestic and exotic felids, occurring in skin, thoracic-abdominal cavity and bones. Although these tumours mainly appear to be occurring in older cats, they are sometimes observed in younger animals, as in the present case. This is the first description of haemangiosarcoma in a young Asiatic lion.

Atypische klinische presentatie van een metastatisch gastrisch neuroendocrien carcinoom bij een baardagame (Pogona vitticeps)

Via echografisch onderzoek werd de aanwezigheid van drie intracoelomale, ovoïde massa’s en een nodulair aspect van de lever aangetoond bij een drie jaar oude, mannelijke baardagame (Pogona vitticeps) met anorexie. Het histologisch onderzoek van de operatief verwijderde massa’s en een leverbiopt onthulden de aanwezigheid van neoplastische cellen van neuro-endocriene oorsprong. Via gastroscopisch onderzoek werd een ulceratief letsel in de maag aangetoond. Op basis van deze bevindingen werd er bij de baardagame een vermoedelijke diagnose van een neuro-endocrien carcinoom met uitgebreide metastasen gesteld. Deze diagnose werd bevestigd door autopsie en histologische onderzoeken. Met deze casusbeschrijving willen de auteurs het gastrische, neuro-endocriene carcinoom, een vermoedelijk sterk ondergediagnosticeerde, neoplastische aandoening bij baardagamen, onder de aandacht brengen.

Micromelic dysplasia-like syndrome in a captive colony of common marmosets (Callithrix jacchus)

Over several years, 0% to 5% of adolescent animals in a captive colony of common marmosets (Callithrix jacchus) showed severely bended arms and legs over several years. The animals showed no pain, discomfort, or altered behavior but were unable to stretch their distal limbs to their full extent. To characterize the lesion morphologically, the bones of 4 affected marmosets were compared macroscopically and radiographically with those of 6 unaffected animals. The deformities were characterized by mid- to distal diaphyseal bending and pronounced shortening of long bones. The morphology and density of other bones including the skull and vertebrae were unaffected. Although vitamin D values were low in a fifth affected marmoset during 10 to 16 mo of age, lesions associated with rickets were not observed. To our knowledge, this report is the first to describe a micromelic dysplasia-like syndrome comprising severe, idiopathic bending and shortening of long bones in a colony of marmosets.

Intracranial oligodendroglioma with optic nerve infiltration in a Labrador retriever

A seven-year-old neutered male Labrador retriever was presented with behavioral changes and reduced vision. Neurological examination revealed blindness of the left eye with a positive pupillary light reflex and a decreased mental status. Blood and cerebrospinal fluid analyses showed no abnormalities. MRI revealed a deviant area located in the thalamic, hypothalamic and caudate nuclear regions. Invasion of the left optic nerve was also observed. The dog was euthanized after 38 days of palliative treatment. Necropsy showed a non-encapsulated extruding white lardaceous mass, with a diameter of 2 cm, in the white matter, located in the ventral thalamic region near the chiasma opticum, which extended along the left optic nerve. Histologically, neoplastic cells had a “fried egg” appearance. Immunolabelling for glial fibrillary acidic protein demonstrated the presence of numerous reactive astrocytes. The tumor was diagnosed as a low grade (II) intracranial oligodendroglioma with infiltration of the optic nerve.

Congenital ascites due to hepatoblastoma with extensive peritoneal implantation metastases in a premature equine fetus

A premature dead equine fetus with excessive fluctuating distension of the abdomen was delivered by extraction. Post-mortem examination revealed ascites and a solitary, irregular, bulging, multinodular, firm, yellow mass of 25 cm in diameter in the right liver lobe. Extensive peritoneal implantation metastases were present. The masses were composed of polygonal embryonal cells arranged in sheets and nests. Based on the immunohistochemical expression of Ki67, low molecular weight cytokeratin and alpha-1 fetoprotein, a diagnosis of hepatoblastoma with peritoneal implantation metastases was made.

Anatomical description and morphometry of the skeleton of the common marmoset (Callithrix jacchus)

Callithrix jacchus (common marmoset) is regularly used in biomedical research, including for studies involving the skeleton. To support these studies, skeletons of healthy animals that had been euthanized for reasons not interfering with skeletal anatomy were prepared. The marmoset dental formula 2I-1C-3P-2M of each oral quadrant is atypical for New World monkeys which commonly possess a third molar. Seven cervical, 12–13 thoracic, 7–6 lumbar, 2–3 sacral and 26–29 caudal vertebrae are present, the thoracolumbar region always comprising 19 vertebrae. A sigmoid clavicle connects the scapula with the manubrium of the sternum. Depending on the number of thoracic vertebrae, 4–5 sternebrae are located between the manubrium and xiphoid process. Wide interosseous spaces separate the radius from the ulna, and the tibia from the fibula. A small sesamoid bone is inserted in the m. abductor digiti primi longus at the medial border of the carpus, a pair of ovoid sesamoid bones is located at the palmar/plantar sides of the trochleae of each metapodial bone, and round fabellae articulate with the proximal surfaces of the femoral condyles. Male marmosets possess a small penile bone. Both the front and hind feet have five digits. The hallux possesses a flat nail, whereas all other digits present curved claws. Interestingly, a central bone is present in both the carpus and tarsus. This study provides a description and detailed illustrations of the skeleton of the common marmoset as an anatomical guide for further biomedical research.