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Ebola Virus Neutralizing Antibodies in Dogs from Sierra Leone, 2017 - Volume 26, Number 4—April 2020 - Emerging Infectious Diseases journal - CDC

Ebola Virus Neutralizing Antibodies in Dogs from Sierra Leone, 2017 - Volume 26, Number 4—April 2020 - Emerging Infectious Diseases journal - CDC



Issue Cover for Volume 26, Number 4—April 2020

Volume 26, Number 4—April 2020
Dispatch

Ebola Virus Neutralizing Antibodies in Dogs from Sierra Leone, 2017

Kerstin Fischer, Roland Suluku, Sarah Katharina Fehling, Juliet Jabaty, Bashiru Koroma, Thomas Strecker, Martin H. Groschup, and Sandra DiederichComments to Author 
Author affiliations: Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany (K. Fischer, M.H. Groschup, S. Diederich)Njala University, Bo, Sierra Leone (R. Suluku, B. Koroma)Philipps University of Marburg, Marburg, Germany (S.K. Fehling, T. Strecker)Sierra Leone Agricultural Research Institute, Freetown, Sierra Leone (J. Jabaty)

Abstract

Ebola virus (EBOV) is a highly pathogenic zoonotic virus for which the reservoir host has not been identified. To study the role of dogs as potential hosts, we screened 300 serum samples from dogs in Sierra Leone and found EBOV neutralizing antibodies in 12, suggesting their susceptibility to natural infection.
Thumbnail of Sampling locations for study of Ebola virus neutralizing antibodies in dogs, Moyamba District, Sierra Leone, 2017. White circles indicate sampling locations; gray squares indicate dog serum samples with virus neutralizing activity.
Figure 1. Sampling locations for study of Ebola virus neutralizing antibodies in dogs, Moyamba District, Sierra Leone, 2017. White circles indicate sampling locations; gray squares indicate dog serum samples with virus neutralizing activity....
Ebolaviruses (family Filoviridae) comprise highly pathogenic RNA viruses with zoonotic potential. After sporadic introduction from an animal reservoir into the human population, the main route of transmission has been from human to human, causing outbreaks of hemorrhagic fever with case-fatality rates up to 90% (1). Although molecular and serologic evidence strongly points toward certain species of bat as reservoir hosts for ebolaviruses (2,3), a bat-derived Ebola virus (EBOV) isolate has not yet been detected. Despite intensive serologic surveillance focusing on the role of bats, wildlife, and livestock in EBOV ecology (2,47), to our knowledge, only 2 reports describe analysis of serum from dogs in Gabon and Liberia after Ebola virus disease (EVD) outbreaks in 2001 (Gabon) and 2014–2016 (Liberia) (8,9). Although antibodies against EBOV were detected by indirect ELISA, neither EBOV antigen nor viral genome was detected in samples from Gabon. The highest seroprevalence (31.8%) was reported from villages where dogs were reportedly exposed to the virus through contact with human EVD patients or by eating infected animal carcasses (8). In Liberia, a multiplex approach indicated that 47 (73%) of 64 dogs had potentially been exposed to filoviruses (9). To further investigate the role of dogs in EBOV ecology, we collected 300 serum samples from 174 male (58%) and 126 female (42%) dogs in Moyamba District, Sierra Leone (Figure 1).

The Study

We sampled only owned and healthy dogs from communities that have been affected by the West Africa EVD outbreak (Appendix). Sampling was performed in rural and urban areas that had been affected by the historically largest EVD outbreak involving the Makona strain during 2014–2016 in West Africa. At the time of sample collection (October–December 2017), of the 300 dogs, 163 were >2 years of age (Table 1). Animals were handled according to a Njala University Institutional Review Board protocol (no. IRB00008861/FWA00018924).
Thumbnail of Analysis of dog serum samples in VNTs for study of EBOV neutralizing antibodies in dogs, Moyamba District, Sierra Leone, 2017. Comparison of dog serum titers obtained in VNTs was based on live EBOV (variant Mayinga) and EBOV trVLP. For VNT using authentic EBOV, serum samples with a titer <1:8 (vertical solid line) are counted as negative; samples with a neutralizing titer >1:8 are considered positive. For trVLP-based VNT, titers equal to 1:16 (vertical dashed line) are counted
Figure 2. Analysis of dog serum samples (circles) in VNTs for study of EBOV neutralizing antibodies in dogs, Moyamba District, Sierra Leone, 2017. Comparison of dog serum titers obtained in VNTs was based...
Initially, we screened dog serum samples for the presence of EBOV nucleoprotein (NP)–specific antibodies in an indirect ELISA, as previously described for pigs (5), with slight modifications. Using a horseradish peroxidase–labeled protein A/G–specific conjugate, we considered 36 (12%) serum samples to be reactive toward the Escherichia coli–derived EBOV-NP (Tables 12). Subsequent Western blot analyses based on insect cell–derived EBOV-NP (5) confirmed the presence of EBOV-NP reactive antibodies in 20 (6.6%) samples. Furthermore, we performed virus neutralization tests (VNTs) by using transcription and replication competent virus-like particles (trVLP) and authentic EBOV (variant Mayinga) as described previously (5,10) (Appendix). We found that 12 (4%) serum samples efficiently inhibited EBOV infection with robust neutralizing titers of 1:16–1:45 and that another 6 samples had weakly positive titers of 1:11–1:13 (Tables 12). Overall, titers from the trVLP-based VNTs with an established cutoff at 80% inhibition of reporter activity were comparable to those of VNTs with live virus (Figure 2).

Conclusions

EBOV seroprevalence detected by ELISA in dogs from EVD-endemic areas in Gabon (25.2%–31.8%) (8) was lower than that detected in dogs in our study in Sierra Leone (12%). Technically, differences in detectable seroprevalence could be explained by different preparations used (virus-infected cell lysates in ELISA in Gabon [8] compared with single EBOV-NP preparations in our study). Apart from that difference, the observed variation might depend on selected sampling areas, animals, and time points of sampling because stability and persistence of neutralizing and NP-reactive antibodies in dogs after exposure are unknown. In pigs experimentally infected with EBOV, NP-specific antibody titers decreased within 28 days after infection, but neutralizing antibodies seemed to persist longer (11). Of note, Marburg virus IgG in convalescent Rousettus aegyptiacus bats decreased to undetectable titers at 3 weeks after infection (12). Nonetheless, the recent report of EBOV neutralizing antibodies in human survivors up to 40 years after infection (13) suggests a rather long-lasting but host-dependent antibody response after infection.
Reactivity of dog serum to EBOV-NP in ELISA and Western blots suggests exposure of the dogs to antigenically related ebolaviruses or Ebola-like viruses, as previously described for pigs (5). In our study, a novel ebolavirus, referred to as Bombali virus, which was recently discovered in insectivorous bats from the Bombali District in Sierra Leone (3), may account for cross-reactivity of the dog serum to EBOV-NP. The virus neutralization induced by specific binding to the EBOV surface glycoprotein suggests exposure of the dogs to EBOV or to a closely related ebolavirus eliciting cross-neutralizing antibodies. Although in vitro assays using an EBOV glycoprotein-pseudotyped virus revealed that infectivity is restricted in canine cells (14), detection of EBOV (cross-)neutralizing antibodies in dogs supports susceptibility to natural EBOV or ebolavirus infection.
The dog with the highest neutralizing titer (1:45) was 48 months of age; other dogs with neutralizing antibodies were 28–72 months of age at the time of blood collection, suggesting exposure during the West Africa EVD outbreak. However, information on past clinical signs in the dogs was not recorded, and the route of exposure or potential infection remains unknown. Exposure of dogs during the EVD outbreak in Gabon was assumed to result from consuming virus-infected carcasses or licking vomitus from EVD patients (8). Samples from those dogs, which displayed no clinical signs, tested negative for EBOV RNA (8). Furthermore, recent testing of 240 swab samples from dogs from Bombali District revealed no detectable filovirus RNA in the specimens; serologic assays were not performed (3).
Although most seropositive dogs in our study were potentially exposed to the virus during the EVD epidemic, 2 dogs with neutralizing antibodies (titers 1:16 and 1:27) were only 16 and 18 months of age, indicating contact with ebolavirus after the World Health Organization officially declared the end of the EVD outbreak in Sierra Leone by mid-March 2016 (15). Of note, some of the seropositive dog samples from Gabon were collected from areas without reported human EVD cases (8). These findings suggest exposure and immunogenic stimulation of free-ranging dogs by a source other than secretions from acutely infected patients or infection with a heterologous ebolavirus circulating in wildlife reservoir hosts.
To date, neither evidence of clinical EVD in dogs nor virus shedding with subsequent transmission to humans has been reported. However, whether dogs play an active role in EBOV ecology, represent dead-end hosts, or act as passive virus carriers mechanically spreading the virus after licking and feeding on infected carcasses or fomites remains unknown. Therefore, organ tissues (including salivary glands, bladder, and intestines) or secretions that might lead to virus shedding and transmission should be collected from dogs during any future EVD epidemic.
This report of EBOV neutralizing antibodies in dogs suggests their susceptibility to natural infection by EBOV or antigenically related ebolaviruses. Considering the abundance of dogs and their close association with humans in Africa, the comparably low number of human EVD outbreaks in the past most likely indicates that dogs do not represent a reservoir or intermediate host for EBOV.
Dr. Fischer is a postdoctoral fellow at the Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Germany. Her research focuses on highly pathogenic ebolaviruses and henipaviruses, their virus–host interactions, and the epidemiologic role of domestic animals and livestock in their ecology.

Acknowledgments

We thank Stefanie Rößler and Carolin Rüdiger for excellent technical assistance and Patrick Wysocki for preparing the map of sampling locations in Moyamba District. Thanks also to Thomas Müller, Conrad Freuling, and Gereon Schares for providing negative dog serum samples and dog-specific reagents.
This study was financially supported by the Deutsche Forschungsgemeinschaft (German Research Foundation, project no. 197785619 – SFB 1021) and by the German Federal Ministry of Food and Agriculture, on the basis of the decision of the Parliament of the Federal Republic of Germany through the Federal Office for Agriculture and Food.

References

  1. Feldmann  HGeisbert  TWEbola haemorrhagic fever. Lancet2011;377:84962DOIExternal LinkPubMedExternal Link
  2. Leroy  EMKumulungui  BPourrut  XRouquet  PHassanin  AYaba  Pet al. Fruit bats as reservoirs of Ebola virus. Nature2005;438:5756DOIExternal LinkPubMedExternal Link
  3. Goldstein  TAnthony  SJGbakima  ABird  BHBangura  JTremeau-Bravard  Aet al. The discovery of Bombali virus adds further support for bats as hosts of ebolaviruses. Nat Microbiol2018;3:10849DOIExternal LinkPubMedExternal Link
  4. De Nys  HMKingebeni  PMKeita  AKButel  CThaurignac  GVillabona-Arenas  CJet al. Survey of Ebola viruses in frugivorous and insectivorous bats in Guinea, Cameroon, and the Democratic Republic of the Congo, 2015–2017. Emerg Infect Dis2018;24:222840DOIExternal LinkPubMedExternal Link
  5. Fischer  KJabaty  JSuluku  RStrecker  TGroseth  AFehling  SKet al. Serological evidence for the circulation of ebolaviruses in pigs from Sierra Leone. J Infect Dis. 2018 218(suppl_5):S305S11.
  6. Leroy  EMRouquet  PFormenty  PSouquière  SKilbourne  AFroment  JMet al. Multiple Ebola virus transmission events and rapid decline of central African wildlife. Science2004;303:38790DOIExternal LinkPubMedExternal Link
  7. Weingartl  HMNfon  CKobinger  GReview of Ebola virus infections in domestic animals. Dev Biol (Basel)2013;135:2118DOIExternal LinkPubMedExternal Link
  8. Allela  LBoury  OPouillot  RDélicat  AYaba  PKumulungui  Bet al. Ebola virus antibody prevalence in dogs and human risk. Emerg Infect Dis2005;11:38590DOIExternal LinkPubMedExternal Link
  9. Haun  BKKamara  VDweh  ASGaralde-Machida  KForkay  SSETakaaze  Met al. Serological evidence of Ebola virus exposure in dogs from affected communities in Liberia: A preliminary report. PLoS Negl Trop Dis2019;13:e0007614DOIExternal LinkPubMedExternal Link
  10. Agnandji  STHuttner  AZinser  MENjuguna  PDahlke  CFernandes  JFet al. Phase 1 trials of rVSV Ebola vaccine in Africa and Europe. N Engl J Med2016;374:164760DOIExternal LinkPubMedExternal Link
  11. Pickering  BSCollignon  BSmith  GMarszal  PKobinger  GWeingartl  HMDetection of Zaire ebolavirus in swine: assay development and optimization. Transbound Emerg Dis2017.PubMedExternal Link
  12. Schuh  AJAmman  BRSealy  TKKainulainen  MHChakrabarti  AKGuerrero  LWet al. Antibody-mediated virus neutralization is not a universal mechanism of Marburg, Ebola or Sosuga virus clearance in Egyptian rousette bats. J Infect Dis2019;219:171621DOIExternal LinkPubMedExternal Link
  13. Rimoin  AWLu  KBramble  MSSteffen  IDoshi  RHHoff  NAet al. Ebola virus neutralizing antibodies detectable in survivors of the Yambuku, Zaire outbreak 40 years after infection. J Infect Dis2018;217:22331DOIExternal LinkPubMedExternal Link
  14. Han  ZBart  SMRuthel  GVande Burgt  NHHaines  KMVolk  SWet al. Ebola virus mediated infectivity is restricted in canine and feline cells. Vet Microbiol2016;182:1027DOIExternal LinkPubMedExternal Link
  15. World Health Organization. WHO statement on end of the Ebola flare-up in Sierra Leone [cited 2019 Jan 19]. https://www.afro.who.int/media-centre/statements-commentaries/who-statement-end-ebola-flare-sierra-leoneExternal Link
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Cite This Article

DOI: 10.3201/eid2604.190802
Original Publication Date: 3/5/2020

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