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Laboratory diagnostics: Aujeszky’s disease (Pseudorabies - PRV)

What laboratory diagnostic methods can I use to diagnose Aujeszky’s disease? Which one should I choose according to the situation? How do I interpret the results?

Pig in a "dog sitting" position 
Pig in a "dog sitting" position 

Assays available:

Immunohistochemistry (IHC)

  • Detects presence of viral antigen
  • Sample types: tissues
  • Pros:
    • Detects virus at site of lesion (good proof of causation).
    • Any positive result is considered significant.
  • Cons:
    • Correct tissue sample must be submitted.
    • Requires significantly more virus to be present than PCR.
    • Only evaluating a small tissues sample.
    • Latent infections likely will be missed unless trigeminal nerve and/or tonsils are included.

Polymerase chain reaction (PCR)

  • Detects presence of specific sequence of viral nucleic acid (DNA)
  • Sample types: tissues
  • Pros:
    • High sensitivity.
    • PCR quantification is associated with presence of lesions.
    • Moderate cost
      • Can often do pooling of tissue samples to lower cost while minimizing loss of sensitivity (especially regarding clinical relevance).
    • Some PCR assays can differentiate wild-type from gene-deleted vaccine viruses.
  • Cons:
    • Requires tissue samples (post-mortem) for best results.
    • Latent infections likely will be missed unless trigeminal nerve and/or tonsils are included.

Enzyme-linked immunosorbent assay (ELISA)

  • Detects presence of antibodies
  • Sample types: serum
  • Pros:
    • Animals remain positive for several weeks.
    • Can be used in chronic cases.
    • Can be used to differentiate exposure to wild-type from gene-deleted vaccine (see Table 1).
    • Any positive result to wild-type virus is considered significant.
    • Only takes 5-7 days to become seropositive after wild-type exposure.

Table 1 helps demonstrate the DIVA (Differentiate Vaccinated from Infected) capabilities of some ELISA assays when using a gene deleted vaccine.

VN Result Differential ELISA targeting deleted gene gE/g1 or gB result Interpretation
Positive Positive

Exposed to wild-type virus

Positive Negative Vaccinated animal not exposed to wild-type virus
Negative Positive Assay error, result not possible
Negative Negative Not vaccinated and not exposed to wild-type virus
  • Cons:
    • Need to match the proper assay with the proper gene-deletion in the vaccine.
    • Takes 10-14 days to become seropositive after vaccination.

Virus neutralization (VN)

  • Detects presence of antibodies
  • Sample types: serum
  • Pros:
    • Animals remain positive for several weeks
    • Can be used in chronic cases
    • Higher sensitivity than ELISA (can detect lower concentration of antibodies)
  • Cons:
    • Not feasible for large number of samples.
    • Takes 12 days for animals to become seropositive.
    • Unable to differentiate vaccine vs. wild-type infection.
    • Reliability is highly dependent on technician skills.
    • Reactivity is dependent on virus isolate used

Result interpretation:

IHC

  • Positive: Virus is present at site of lesion
  • Negative: Negative or infection is too late to detect virus

PCR

  • Positive: Virus is present. Recent vaccination with a modified live virus can result in positive PCR results
  • Negative: Negative or virus could have been missed if testing occurs late after infection

ELISA (target gene deleted)

  • Positive: Maternal antibodies or past exposure (>5-7 days) to wild-type virus.
  • Negative: Negative or wild-type infection too early to detect.

VN

  • Positive: Past exposure (> 5-14 days) to wild-type virus or vaccine.
  • Negative:
    • Negative to vaccine or wild-type virus
    • Infection too early to detect (<5-7 days for wild-type virus or <10-14 days for vaccination)

Scenarios

Sow herd with abortions

  • Collect 6-8 fetuses and pool samples for PCR testing.
  • Sows/gilts that aborted: Collect serum from sows/gilts that recently aborted for PCR testing. Can pool in groups of 5.
    • ELISA testing of individual samples can be done if >7 days after abortion.
    • VN testing instead of ELISA is preferred in herds not vaccinated for Aujeszky’s disease due to higher diagnostic sensitivity of assay.

Replacement gilt selection from vaccinated herds with known positive animals

  • Collect blood samples from 100% of replacement gilts and test individual samples via ELISA and VN.
    • Only keep animals positive on VN and negative on ELISA (see Table 1 above).

Replacement gilt selection from vaccinated herds with no known positive animals

  • Collect blood samples from at least 30 randomly selected replacement gilts and test individual samples via ELISA and VN.
    • If all samples tested are positive on VN and negative on ELISA (see Table 1 above) you can keep entire group of replacement animals.
    • If any sample is negative for VN, you must test 100% of the remaining gilts and only keep gilts which have been vaccinated (VN= positive).
    • If any gilts test positive via ELISA, re-evaluate the merit of keeping any animal from the group as this would suggest the source herd is now positive for Aujeszky’s disease.

See the "Disease manual" for more information

Aujeszky's diseaseThe Aujeszky's disease is caused by a virus that can remain latent and causes respiratory, reproductive and nervous problems.

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