Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 10, Number 12—December 2004

Dispatch

Avian Influenza H5N1 in Tigers and Leopards

Juthatip Keawcharoen*, Kanisak Oraveerakul*, Thijs Kuiken†, Ron A.M. Fouchier†, Alongkorn Amonsin*, Sunchai Payungporn*, Suwanna Noppornpanth†, Sumitra Wattanodorn*, Apiradee Theamboonlers*, Rachod Tantilertcharoen*, Rattapan Pattanarangsan‡, Nlin Arya‡, Parntep Ratanakorn‡, Albert D.M.E. Osterhaus†, and Yong Poovorawan*Comments to Author 
Author affiliations: *Chulalongkorn University, Bangkok, Thailand; †Erasmus Medical Centre, Rotterdam, the Netherlands; ‡Mahidol University, Salaya, Nakorn Pathom, Thailand

Suggested citation for this article

Abstract

Influenza virus is not known to affect wild felids. We demonstrate that avian influenza A (H5N1) virus caused severe pneumonia in tigers and leopards that fed on infected poultry carcasses. This finding extends the host range of influenza virus and has implications for influenza virus epidemiology and wildlife conservation.

The Study

The 2003–2004 avian influenza A (H5N1) virus outbreak in Southeast Asia resulted in 24 reports of fatal human cases (May 12, 2004) due to direct transmission of the virus from birds to humans. During the H5N1 virus outbreak in Thailand in December 2003 (1), two tigers (Panthera tigris) and two leopards (P. pardus) at a zoo in Suphanburi, Thailand, showed clinical signs, including high fever and respiratory distress, and they died unexpectedly. The animals had been fed fresh chicken carcasses from a local slaughterhouse. At that time many chickens around Suphanburi were dying with respiratory and neurologic symptoms of what was retrospectively identified as H5N1 virus infection (1). Postmortem examinations were performed on all four zoo felids, and samples were collected for histologic, immunohistochemical, and virologic analyses.

Figure 1

Thumbnail of Histopathologic and immunohistochemical evidence of avian influenza A (H5N1) virus in leopard lung. A) Diffuse alveolar damage in the lung: alveoli and bronchioles (between arrowheads) are flooded with edema fluid and inflammatory cells. B) Inflammatory cells in alveolar lumen consist of alveolar macrophages (arrowhead) and neutrophils (arrow). C) Many cells in affected lung tissue express influenza virus antigen, visible as brown staining. D) Expression of influenza virus antigen i

Figure 1. Histopathologic and immunohistochemical evidence of avian influenza A (H5N1) virus in leopard lung. A) Diffuse alveolar damage in the lung: alveoli and bronchioles (between arrowheads) are flooded with edema fluid and...

At necropsy, the primary gross lesions in all four animals were severe pulmonary consolidation and multifocal hemorrhage in several organs, including lung, heart, thymus, stomach, intestine, liver, and lymph nodes. Histologic examination was performed on formalin-fixed, paraffin-embedded tissue sections stained with hematoxylin and eosin. Pulmonary lesions were characterized by loss of bronchiolar and alveolar epithelium; thickening of alveolar walls; and flooding of alveolar lumens with edema fluid mixed with fibrin, erythrocytes, neutrophils, and macrophages (Figures 1A and 1B). One tiger and one leopard had evidence of encephalitis, characterized by multifocal infiltration by neutrophils and macrophages. Tissues were examined for influenza A (H5N1) virus nucleic acid by reverse transcriptase–polymerase chain reaction (RT-PCR) analysis, with primer pairs specific for the hemagglutinin (HA) and neuraminidase (NA) genes (2). Lung samples from all four animals were positive for H5N1 with both primer pairs, and the identity of the PCR products was confirmed by nucleotide sequencing. Formalin-fixed, paraffin-embedded tissue sections from one of the leopards were examined for influenza virus antigen by an immunohistochemical technique (3). A monoclonal antibody against the nucleoprotein of influenza A virus was used as primary antibody. Alveolar and bronchiolar epithelial cells in affected lungs expressed influenza virus antigen (Figure 1C and 1D), confirming that influenza virus infection was the primary cause of the pneumonia.

Figure 2

Thumbnail of Phylogenetic comparison of zoo felid isolates with other H5N1 viruses. DNA maximum likelihood tree of hemagglutinin and neuraminidase sequences. Representative full-length Asian influenza A virus H5 (A) and N1 (B) sequences from 1996 to 2004 are shown with 2004 sequences in bold and leopard and tiger sequences underlined. Maximum likelihood trees were generated by using 100 bootstraps and three jumbles, and the resulting consensus trees were used as a user tree to recalculate branch

Figure 2. Phylogenetic comparison of zoo felid isolates with other H5N1 viruses. DNA maximum likelihood tree of hemagglutinin and neuraminidase sequences. Representative full-length Asian influenza A virus H5 (A) and N1 (B) sequences...

Influenza A virus was isolated from lung samples of one of the tigers and one of the leopards by injecting into embryonated chicken eggs (3). The entire genomes of these two viruses were sequenced. RT-PCR specific for the conserved noncoding regions of influenza A virus was performed (4). PCR products were purified by using the QIAquick gel extraction kit (Qiagen, Leusden, the Netherlands) and sequenced with the Big Dye Terminator sequencing kit, version 3.0 (Amersham Biosciences, Piscataway, NJ). Nucleotide sequences were aligned by using Clustal-W running under BIOEDIT 5.0.9 (Ibis Therapeutics, Carlsbad, CA) and maximum likelihood trees were generated with PHYLIP 3.6 (University of Washington, Seattle, WA) (5) with 100 bootstraps and three jumbles. The consensus tree was used as a user tree in DNAML to recalculate branch lengths. The trees had good bootstrap support (data not shown). Sequencing and phylogenetic analysis of the HA and NA genes of these two isolates showed that they were virtually identical to each other and to the H5N1 virus circulating in poultry at the time (Figure 2) (6). Therefore, the zoo felids were most probably directly infected with avian influenza A (H5N1) virus by feeding on infected poultry carcasses. Furthermore, phylogenetic analysis of the remaining six genome segments (data not shown; leopard accession no. AY646177–AY646182; tiger accession no. AY646169–AY646174) showed that they were of avian origin, which indicates that no reassortment with mammalian influenza viruses had occurred.

The virus isolates obtained from the tiger and the leopard contained a glutamine at position 222 (226 in H3) and a glycine at position 224 (228 in H3) in HA1, which were also found in other recent H5N1 isolates and which are related to preferential binding to avian cell-surface receptors (7). Both viruses contained a deletion of five amino acid residues in NS1, like other recent H5N1 isolates, and contained a glutamic acid at position 92 (6,8). The mutation glutamic acid to lysine at position 627 of PB2, which was responsible for the high virulence of A/Hong Kong/483/97 and was also found in fatal human cases of H7N7 infection in the Netherlands, was observed in the virus isolate obtained from the leopard, but not from the tiger (9,10). Thus, with the exception of position 627 at PB2 in the leopard isolate, the genomic sequences of these zoo felid isolates did not show substantial differences from other recent H5N1 isolates from Asia.

Lung samples from all four felids tested negative for canine distemper virus by RT-PCR (11), while those of three of four felids tested positive for a vaccine strain of feline panleukopenia virus (12), administered 2 weeks before death. Although absence of typical clinical signs and lesions ruled out feline panleukopenia as the primary cause of death, an immunosuppressive effect cannot be ruled out (13).

Conclusions

This report is the first of influenza virus infection causing disease or death in nondomestic felids. Generally, influenza virus is also not considered pathogenic for the domestic cat. Experimental infection of domestic cats in the 1970s and 1980s with influenza A viruses of subtypes H3N2 from humans, H7N3 from a turkey, and H7N7 from a harbor seal (Phoc vitulina) resulted in transient virus excretion and a temporary increase in body temperature but did not induce clinical signs of disease (1416). However, anecdotes of fatal infection have been reported in this species during the 2003–2004 H5N1 virus outbreak (17), and these reports were recently confirmed experimentally (18).

Our findings in tigers and leopards extend the host range of this virus and, together with the findings in domestic cats (18), suggest that this H5N1 virus is more pathogenic for felids than other influenza viruses. This finding has important implications for wildlife conservation and influenza virus epidemiology. First, H5N1 virus infection may threaten the survival of endangered felids, as has been shown recently for other emerging viruses in susceptible wildlife (19,20). The severity of this threat is increased because H5N1 virus may be transmitted horizontally between domestic cats (18). Second, if the higher pathogenicity of H5N1 virus for felids also means longer excretion of more virus, the role of felids in avian influenza epidemiology, both in humans and in poultry, needs to be reevaluated. Finally, the confirmation of H5N1 virus infection as the probable cause of death in two other mammalian hosts besides humans implies that more species of mammals may be at risk for infection with this virus.

Dr. Keawcharoen works at Virology Unit, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand. Her research interests include viral disease infection in companion animals and emerging diseases.

Acknowledgments

We thank Termsitthi Paphavasit and Somkid Kanda for technical support and Theo Bestebroer (virus isolation, PCR, and nucleotide sequencing), Pieter Derkx, Debby van Riel (immunohistochemistry), and Frank van der Panne (photography) for excellent technical assistance.

The study was supported by a grant from the Center for Excellence Research Fund, Emergency Fund of Chulalongkorn University, and the Thailand Research Fund, Senior Research Scholar and National Center of Genetic Engineering and Biotechnology.

References

  1. Cases of influenza A (H5N1)—Thailand, 2004. MMWR Morb Mortal Wkly Rep. 2004;53:1003.PubMed
  2. Poddar SK. Influenza virus types and subtypes detection by single step single tube multiplex reverse transcription-polymerase chain reaction (RT-PCR) and agarose gel electrophoresis. J Virol Methods. 2002;99:6370. DOIPubMed
  3. Rimmelzwaan GF, Kuiken T, van Amerongen G, Bestebroer TM, Fouchier RAM, Osterhaus ADME. Pathogenesis of influenza A (H5N1) virus infection in a primate model. J Virol. 2001;75:668791. DOIPubMed
  4. Hoffmann E, Stech J, Guan Y, Webster RG, Perez DR. Universal primer set for the full-length amplification of all influenza A viruses. Arch Virol. 2001;146:227589. DOIPubMed
  5. Felsenstein J. PHYLIP—phylogeny inference package (version 3.2). Cladistics. 1989;5:1646.
  6. Viseshakul N, Thanawongnuwech R, Amonsin A, Suradhat S, Payungporn S, Keawcharoen J, The genome sequence of H5N1 avian influenza A virus isolated from the outbreak among poultry populations in Thailand. Virology. 2004;328:16976. DOIPubMed
  7. Li KS, Guan Y, Wang J, Smith GJ, Xu KM, Duan L, Genesis of a highly pathogenic and potentially pandemic H5N1 influenza virus in eastern Asia. Nature. 2004;430:20913. DOIPubMed
  8. Seo SH, Hoffmann E, Webster RG. Lethal H5N1 influenza viruses escape host anti-viral cytokine responses. Nat Med. 2002;8:9504. DOIPubMed
  9. Hatta M, Gao P, Halfmann P, Kawaoka Y. Molecular basis for high virulence of Hong Kong H5N1 influenza A viruses. Science. 2001;293:18402. DOIPubMed
  10. Fouchier RA, Schneeberger PM, Rozendaal FW, Broekman JM, Kemink SA, Munster V, Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome. Proc Natl Acad Sci U S A. 2004;101:135661. DOIPubMed
  11. Barrett T, Visser IKG, Mamaev L, Goatley L, Van Bressem MF, Osterhaus ADME. Dolphin and porpoise morbilliviruses are genetically distinct from phocine distemper virus. Virology. 1993;193:10102. DOIPubMed
  12. Sakulwira K, Oraveerakul K, Poovorawan Y. Detection and genotyping of canine parvovirus in enteric dogs by PCR and RFLP. Sci Asia. 2001;27:1437. DOI
  13. Foley JE, Orgad U, Hirsh DC, Poland A, Pedersen NC. Outbreak of fatal salmonellosis in cats following use of a high-titer modified-live panleukopenia virus vaccine. J Am Vet Med Assoc. 1999;214:6774.PubMed
  14. Hinshaw VS, Webster RG, Easterday BC, Bean WJ Jr. Replication of avian influenza A viruses in mammals. Infect Immun. 1981;34:35461.PubMed
  15. Paniker CKJ, Nair CMG. Infection with A2 Hong Kong influenza virus in domestic cats. Bull World Health Organ. 1970;43:85962.PubMed
  16. Paniker CKJ, Nair CMG. Experimental infection of animals with influenza virus types A and B. Bull World Health Organ. 1972;47:4613.PubMed
  17. World Health Organization. Avian influenza A(H5N1)—update 28: reports of infection in domestic cats (Thailand), situation (human) in Thailand, situation (poultry) in Japan and China. 2004 Feb 20 [cited 2004 Oct 20]. Available from http://www.who.int/csr/don/2004_02_20/en/
  18. Kuiken T. Rimmelzwaan G, van Amerongen G, Baars M, Fouchier R, Osterhaus A. Avian H5N1 influenza in cats. Science. 2004;306:241. DOIPubMed
  19. Roelke-Parker ME, Munson L, Packer C, Kock R, Cleaveland S, Carpenter M, A canine distemper virus epidemic in Serengeti lions (Panthera leo). Nature. 1996;379:4415. DOIPubMed
  20. Walsh PD, Abernethy KA, Bermejo M, Beyers R, De Wachter P, Akou ME, Catastrophic ape decline in western equatorial Africa. Nature. 2003;422:6114. DOIPubMed

Figures

Suggested citation for this article: Keawcharoen J, Oraveerakul K, Kuiken T, Fouchier RAM, Amonsin A, Payungporn S, et al. Avian influenza H5N1 in tigers and leopards. Emerg Infect Dis [serial on the Internet]. 2004 Dec [date cited]. Available from http://wwwnc.cdc.gov/eid/article/10/12/04-0759

DOI: 10.3201/eid1012.040759

Keywords: carnivore, communicable diseases, emerging, conservation of natural resources, influenza; influenza A virus, avian, molecular biology, pathology, pneumonia, viral, Thailand, virology, dispatch

Table of Contents – Volume 10, Number 12—December 2004

Comments to the Authors

Please use the form below to submit correspondence to the authors or contact them at the following address:

Yong Poovorawan, Faculty of Medicine, Chulalongkorn University, Rama 4 Rd, Pratumwan, Bangkok 10330, Thailand; fax: +662-256-4929

character(s) remaining.

Comment submitted successfully, thank you for your feedback.

Comments to the EID Editors

Please contact the EID Editors via our Contact Form.

TOP