Reprod Dom Anim 46 (Suppl 2), 64–67 (2011); doi: 10.1111/j.1439-0531.2011.01863.x ISSN 0936-6768 Plenary Article The Potential Risk of Infectious Disease Dissemination Via Artificial Insemination in Swine GC Althouse1 and K Rossow2 1 Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA; 2Minnesota Veterinary Diagnostic Lab, University of Minnesota, St. Paul, MN, USA Contents Infectious Diseases of Concern Artificial insemination (AI) is one of the most widely used assisted reproductive technologies in swine. To maintain a healthy semen trade, it is crucial that diligence be given to managing and minimizing the chance of extended semen playing an epidemiological role in the transmission of infectious disease. In swine, pathogens of primary importance, which may be transmitted through semen include Aujeszky’s disease, brucellosis, chlamydophilosis, porcine circovirus type 2, classical swine fever, Japanese encephalitis, leptospirosis, parvovirus, porcine reproductive and respiratory syndrome, rubulavirus, foot-and-mouth disease and swine vesicular disease. This paper will summarise the current state of knowledge pertaining to these pathogens in relation to swine AI. Bacteria There are few infectious bacteria that are of concern in relation to swine AI, and include brucellosis, chlamydophilosis and leptospirosis (Table 1). Even so, it is important to realise that some bacterial species are a normal component in a boar ejaculate (Althouse and Lu 2005). These bacteria, along with others, which can contaminate a sample during semen collection, analysis or processing, can potentially have a significant impact on herd reproductive performance through their negative effect on the extended semen product (Althouse et al. 2000). Good stud hygiene and sanitation (Althouse 2008), along with effective antimicrobial control in the extender, can work effectively in controlling these type of contaminants (Althouse et al. 2008). There are many popular antimicrobials used in semen extenders (i.e. aminocyclitols, aminoglycosides, ß-lactams, lincosamides and macrolides), yet, are irregular in their effectiveness against infectious pathogens of concern (Althouse and Lu 2005). Brucellosis, caused primarily by Brucella suis (biovars 1, 2, 3) in swine, can be a major cause of reproductive failure in certain areas of the world (e.g. Africa, Asia and South America). Even though prevalence may be low in other areas globally, most countries monitor for its presence in the domestic herd. A true pathogen of the reproductive tract, the pathogenesis of brucellosis in infected boars includes localising in the genital organs (e.g. accessory sex glands, testes and epididymides). Subsequently, Brucella sp. has been identified in the ejaculates of infected boars (Lord et al. 1997). Brucella organisms appear to be relatively hearty in liquid media such as milk and water (Timoney et al. 1988), lending support of the possibility of its transmission via AI through extended semen. There is or should be no tolerance for the establishment of this pathogen in a stud. Diagnostic serology and direct culture under acute infectious conditions can be quite effective in identifying suspect carriers and introducing only negative animals into stud. Chlamydophilosis in boars can cause disturbances to the urogenital system, although its preference is to colonise the intestinal tract, with many pigs being asymptomatic (Althouse 2007). Although epidemiological data on the distribution of this disease among the Introduction Today, artificial insemination (AI) is one of the most widely used assisted reproductive technologies in swine. In many countries, AI accounts for the majority of litters conceived. Key advantages that lead to its broad application in the swine industry were the accelerated propagation and amplification of genetic merit, economic savings, delineated reproductive management and disease control. Ironically, many of these same advantages can be looked upon as disadvantages in that AI can propagate and amplify genetic defects and the spread of infectious disease. It is the latter of which is the focus of this current review. Prior reviews on this topic particular to swine have been published (Thacker et al. 1984; Guerin and Pozzi 2005; Maes et al. 2008), and one would be remiss if consultation of these additional works were not included as part of developing a critical knowledge base. Because AI can introduce disease into a herd, the importance of controlling the introduction of pathogenic organisms into a stud can not be overemphasized. The most common route of disease introduction into a stud is through direct or close boar-to-boar contact, which is facilitated by the normally high (40–100%) boar turnover in a stud. Depending upon the pathogen, other less likely but equally important routes of disease introduction into a stud can be via long distance aerosolisation, fomites, people, insect vectors, birds and mammals. 2011 Blackwell Verlag GmbH Infectious disease via artificial insemination in swine 65 Table 1. Selected swine diseases that have been identified in semen and those verified to have been transmitted via artificial insemination (AI) Diseases Aujeszky’s disease (Pseudorabies) Brucellosis Chlamydophilosis Circovirus type 2 (PCV2) Classical swine fever (Hog Cholera) Foot-and-mouth disease Japanese encephalitis Leptospirosis Parvovirus Reproductive and respiratory syndrome Rubulavirus (blue eye disease) Vesicular disease AI transmission OIE listed disease* Yes Yes (Madson et al. 2009) Yes (de Smit et al. 1999) Yes No No Yes Yes (Lucas et al. 1974) Yes (Prieto et al. 1997) Yes Yes Yes No Yes No Yes *Source: http://www.oie.int world’s swine population are sparse, it does appear that the disease is widespread. Direct evidence has demonstrated the shedding of chlamydophila in semen from boars standing at stud (Kauffold et al. 2006). Given the stability of chlamydophila elementary bodies, disease transmission through AI is a risk. Culture, PCR and histopathology methodologies have been used to identify this contaminant (Kauffold et al. 2006). Because of the lack of complete knowledge on this pathogen in relation to reproductive performance, definitive control measures remain elusive at this time. Leptospirosis, caused by Leptospira interrogans, is a common bacterial disease of swine that can contribute to reproductive inefficiencies. It is widely distributed throughout the world, having multiple serovars, some of zoonotic importance. Leptospirae can localise in the susceptible boar’s urogenital tract (Ellis et al. 1986),leading to a chronic carrier and shedding state. Acute bacteremia may result in semen shedding. Strong evidence supports the transmission of leptospirae in neat and ⁄ or diluted semen in many species (Kiktenko et al. 1976; Vinodh et al. 2008), including epizootiological support in swine (Boqvist et al. 2002). Because of the widespread nature and potential for economic loss in a swine herd, effective bacterins are commercially available, which can be used to control infection in a stud. Leptospira are most commonly found in wet ⁄ warm climates, therefore, avoidance of surface water use and appropriate treatment of drinking water can greatly aid in controlling the introduction of this pathogen into a stud. Vaccination can be effective as part of a stud’s control program. Viruses Unlike bacteria, there appear to be numerous viral pathogens that can interfere with boar fertility, and may even use semen in its disease transmission (Table 1). Pathogens that appear to have a global swine industry presence include porcine circovirus type 2 (PCV2), porcine parvovirus (PPV) and porcine reproductive and respiratory syndrome (PRRS). Other viral pathogens of regional concern are Aujeszky’s disease ⁄ pseudo 2011 Blackwell Verlag GmbH rabies, classical swine fever ⁄ hog cholera, Japanese encephalitis, rubulavirus ⁄ blue eye disease, foot-andmouth disease and swine vesicular disease. Although investigations are being conducted looking at stimulating protective antiviral immunity in the male reproductive tract (Christopher-Hennings et al. 2008), current control of viral pathogens should follow along a plan similar to that outlined earlier with bacterial pathogens. Aujeszky’s disease (pseudorabies), caused by suid herpesvirus type 1, is an important disease globally that spreads predominantly through animal contact. Primarily a disease which is introduced and then colonises the respiratory system, viral replication can occur in the boar genital tract, thus, being found in semen (Medveczky and Szabo 1981; Selivanov and Sedov 1986). Additionally, under viremic conditions, infected white blood cells can be shed in the semen, causing an infectious leucospermia. Herpesviridae are quite stable in a variety of environments, including liquid media. They are known to become latent, allowing for periodic recrudescence and shedding by events such as stress. Although this virus is not a common cause of primary reproductive tract infections, it does have epithelial tropism, allowing for the potential for transmission through AI. Serologic screening and selection of negative boars is a valuable management tool for keeping this pathogen out of a stud. Vaccination programmes may be of value in controlling ⁄ eradicating the disease. Porcine circovirus type 2 (PCV2) is known to cause a variety of disease conditions throughout all stages of pig production, including affecting reproductive performance (West et al. 1999). It is found worldwide and can be assumed that most if not all herds ⁄ studs have PCV2 present. Boars have been found to shed PCV2 in their semen (Larochelle et al. 2000), albeit usually in low numbers either in leucocytes or free virus in semen. Recently, reproductive failure was experimentally induced in sows through AI using PCV2-spiked doses (Madson et al. 2009). It appears that PCV2 can be intermittently shed and is relatively stable in environments. With the availability of effective vaccines, PCV2 is not commonly tested for in boars and does not appear to be a pathogen of primary concern in studs. Classical swine fever, or hog cholera, is a highly contagious swine disease. Although eradicated in many parts of the world, in other areas, it remains endemic, especially in those regions supporting feral hog populations. This relatively stable virus has been found in boar semen (Choi and Chae, 2003), and has subsequently been found to have been spread through AI in the Netherlands (de Smit et al. 1999). Infected leucocytes may also be shed in semen, allowing for its transmission. A mutable RNA virus of high consequence, only test-negative boars originating from negative herds, should be introduced at stud. Vaccines can be of value in controlling ⁄ eradicating the disease. Foot-and-mouth disease (FMD) is a highly contagious and invasive virus. Along with swine, all other artiodactyls can be natural hosts of FMD. The virus generally enters the body through the respiratory route, followed by dissemination in tissues (i.e. genital tract) throughout the body, where it may replicate in epithelial cells. 66 GC Althouse and K Rossow Shedding of FMD is occurs through excretions and secretions, including semen (McVicar et al. 1978). Although sharing similar clinical signs, swine vesicular disease has a slightly different pathogenesis. Both FMD and SVD are OIE List A reportable diseases. Both diagnostic screening and other preventable measures are available to minimise the introduction of these diseases into a stud. Japanese encephalitis (JE) is a mosquito-borne disease that can cause reproductive failure in swine. Once a boar is infected, the virus can cause genital tract inflammation (i.e. orchitis) leading to viral shedding in the semen (Ogasa et al. 1977). The disease resides throughout much of the Australasian region and has zoonotic potential. Diagnostic testing and appropriate vaccine use may aid in minimising the transmission of this disease through AI use. Porcine parvovirus is a highly stable virus, which is ubiquitous in swine globally. Before effective vaccination programmes were in place, PPV was a common source of swine reproductive problems. A relatively thermostable virus, PPV usually infects boars through the oronasal route. Once infected, colonisation of the boar’s genital tract can follow, leading to viral shedding in the semen (Cartwright and Huck 1967). Infection can occur with PPV inoculation into the uterus (Lucas et al. 1974). Management should establish protocols to ensure natural exposure of the boar during development in conjunction with appropriate and regular vaccination. Porcine reproductive and respiratory syndrome is one of the primary aetiologic agents responsible for swine reproductive failure today. Transmission of the disease can occur through a variety of routes, including insemination with infected semen (Prieto et al. 1997). Excretion of PRRS virus via semen appears to occur most frequently during the acute phases of the infection. Duration of excretion in semen appears to vary, with persistent or intermittent excretion occurring days to months after infection (Christopher-Hennings et al. 1996). A mutable RNA virus with serious health issues if spread downstream, the presence of this virus in a stud should not be tolerated. Vaccination does not appear to offer full protection against re-infections and shedding. Modified live vaccines are known to be shed in semen (Madsen et al. 1998; Amonsin et al. 2009). Most semen sold ⁄ used in the United States has representative References Althouse GC, 2007: Infectious and noninfectious causes of infertility in boars. In: Youngquist RS, Threlfall WR (eds), Large Animal Theriogenology. Saunders St, Louis, pp. 722–725. Althouse GC, 2008: Sanitary procedures for the production of extended semen. Reprod Dom Anim 43, 374–378. Althouse GC, Lu K, 2005: Bacteriospermia in extended porcine semen. Theriogenology 63, 573–584. Althouse GC, Kuster CE, Clark SG, Weisiger RM, 2000: Field investigations of bacterial contaminants and their effects on extended porcine semen. Theriogenology 53, 1167–1176. screening of boar-semen donors daily for PRRSV via PCR prior to extended semen distribution and use. PRRSV can be readily diagnosed using PCR testing on serum, blood, semen or saliva. Serial pre-screening of boars prior to introduction into the resident herd, filtration of air entering the stud and biosecurity are currently the best methods of control (Dee et al. 2010). Porcine rubulavirus, blue eye disease, is a pathogen found in Central America. Infected boars, usually through viral inhalation, can lead to inflammation and oedema in the genital tract (i.e. orchitis, epididymitis) and viral excretion in the semen (Solis et al. 2007). Serological testing as a means of screening boars and for diagnosis is available at regional diagnostic laboratories where the pathogen is present. Conclusions Because of the inherent risk of broad dissemination of infectious pathogens in extended semen used for AI in swine, thoughtful and thorough protocols should be established at each boar stud, taking into account local and regional disease threats. Although beyond the scope of this review, being well versed in the pathogenesis and epidemiology of the infectious agents of concern is crucial to developing sound stud biosecurity protocols. Effective methodologies should include a combination of vet-to-vet communication, diagnostic vigilance and effective disease control (e.g. biosecurity, isolation, acclimatisation [with vaccination], recovery and monitoring) strategies. When used appropriately, these strategies can be of great value in protecting regional and global semen trade. Author contributions Dr. Althouse contributed to all aspects of this publication, from conceptualization through preparation of the final draft. Dr. Rossow provided critical information related to disease pathogenesis and diagnosis. Conflict of interest Neither of the authors of this manuscript have any financial or otherwise conflict of interest to report in relation to being named as an author on this manuscript. Althouse GC, Pierdon MS, Lu KG, 2008: Thermotemporal dynamics of contaminant bacteria and antimicrobials in extended porcine semen. Theriogenology 70, 1317–1323. Amonsin A, Kedkovid R, Puranaveja S, Wongyanin P, Suradhat S, Thanawongnuwech R, 2009: Comparative analysis of complete nucleotide sequence of porcine reproductive and respiratory syndrome virus isolates in Thailand (US and EU genotypes). Virol J 6, 143–153. Boqvist S, Chau BL, Gunnarsson A, Olsson Engvall E, Vagsholm I, Magnusson U, 2002: Animal- and herd-level risk factors for leptosprial seropositivity among sows in the Mekong delta, Vietnam. Prev Vet Med 53, 233–245. Cartwright SF, Huck RA, 1967: Viruses isolated in association with herd infertility, abortions and stillbirths in pigs. Vet Rec 81, 196–197. Choi C, Chae C, 2003: Detection of classical swine fever virus in boar semen by reverse transcription-polymerase chain reaction. J Vet Diagn Invest 15, 35– 41. Christopher-Hennings J, Nelson EA, Benfield DA, 1996: Detecting PRRSV in boar semen. J Swine Health Prod 4, 37– 39. Christopher-Hennings J, Nelson EA, Althouse GC, Lunney J, 2008: Comparative antiviral and proviral factors in semen and vaccines for preventing viral dissemination from the male reproductive tract 2011 Blackwell Verlag GmbH Infectious disease via artificial insemination in swine and semen. Anim Health Res Rev 9, 59– 69. Dee S, Spronk G, Reicks D, Ruen P, Deen J, 2010: Further assessment of air filtration for preventing PRRSV infection in large breeding pig herds. Vet Rec 167, 976–977. Ellis WA, McParland PJ, Bryson DG, Cassels JA, 1986: Boars as carriers of leptospires of the Australis serogroup on farms with an abortion problem. Vet Rec 118, 563. Guerin B, Pozzi N, 2005: Viruses in boar semen: detection and clinical as well as epidemiological consequences regarding disease transmission by artificial insemination. Theriogenology 63, 556–572. Kauffold J, Melzer F, Henning K, Schulze K, Leiding C, Sachse K, 2006: Prevalence of chlamydiae in boars and semen used for artificial insemination. Theriogenology 65, 1750–1758. Kiktenko VS, Balashov NG, Rodina VN, 1976: Leptospirosis infection through insemination of animals. J Hyg Epidemiol Microbiol Immunol 21, 207–213. Larochelle R, Bielanski A, Muller P, Magar R, 2000: PCR detection and evidence of shedding on porcine circovirus type 2 in boar semen. J Clin Microbiol 38, 4629– 4632. Lord VR, Cherwonogrodzky JW, Marcano MJ, Melendez G, 1997: Serological and bacteriological study of swine brucellosis. J Clin Microbiol 35, 295–297. Lucas MH, Cartwright SF, Wrathall Ae, 1974: Genital infection of pigs with porcine parvovirus. J Comp Pathol 84, 347– 350. Madsen KG, Hansen CM, Madsen ES, Strandbygaard B, Botner A, Sorensen KJ, 1998: Sequence analysis of porcine 2011 Blackwell Verlag GmbH reproductive and respiratory syndrome virus of the american type collected from danish swine herds. Arch Virol 143, 1683– 1700. Madson DM, Patterson AR, Ramamoorthy S, Pal N, Meng XJ, Opriessing T, 2009: Reproductive failure experimentally induced in sows via artificial insemination with semen spiked with porcine circovirus type 2. Vet Pathol 46, 707–716. Maes D, Nauwynck H, Rijsselaere T, Mateusen B, Vyt P, de Kruif A, Van Soom A, 2008: Diseases in swine transmitted by artificial insemination: an overview. Theriogenonlogy 70, 1337– 1345. McVicar JW, Eisner RJ, Johnson LA, Pursel VG, 1978: Foot-and-mouth disease and swine vesicular disease in boar semen. Proc Ann Mtg US Anim Health Assn, 81, 221–230. Medveczky I, Szabo I, 1981: Isolation of Aujeszky’s disease virus from boar semen. Acta Vet Acad Sci Hung 29, 29–35. Ogasa A, Yokoki Y, Fujisaki Y, Habu A, 1977: Reproductive disorders in boars infected experimentally with Japanese encephalitis virus. Jap J Anim Reprod 23, 171–175. Prieto C, Suarez P, Simarro I, Garcia C, Martin-Rillo S, Castro JM, 1997: Insemination of susceptible and preimmunized Giles with boar semen containing porcine reproductive and respiratory syndrome virus. Theriogenology 47, 647–654. Selivanov AV, Sedov VA, 1986: Aujeszky’s disease. Veterinaria 5, 71–73. de Smit AJ, Bouma A, Terpstra C, van Oirschot JT, 1999: Transmission of classical swine fever virus by artificial insemination. Vet Microbiol 67, 239–249. 67 Solis M, Ramirez-Mendoza H, Mercado C, Espinosa S, Vallejo V, Reyes-Leyva J, Hernandez J, 2007: Semen alterations in porcine rubulavirus-infected boars are related to viral excretion and have implications for artificial insemination. Res Vet Sci 83, 403–409. Thacker B, Larsen R, Joo HS, Leman A, 1984: Swine diseases transmissible with artificial insemination. J Amer Vet Med Assoc 185, 511–526. Timoney JF, Gillespie JH, Scott FW, Barlough JE (eds), 1988. Hagan and Bruner’s Microbiology and Infectious Diseases of Domestic Animals. Comstock Pub. Assoc., Ithaca, 951. Vinodh R, raj GD, Govindarajan R, Thiagarajan V, 2008: Detection of Leptospira and Brucella genomes in bovine semen using polymerase chain reaction. Trop Anim Health Prod 40, 323–329. West KH, Bystrom JM, Wojnarowicz C, Shantz N, Jacobson M, Allan GM, Haines DM, Clark EG, Krakowka S, McNeilly F, Konoby C, Martin K, Ellis JA, 1999: Myocarditis and abortion associated with intrauterine infection of sows with porcine circovirus 2. J Vet Diagn Invest 11, 530–532. Submitted: 8 April 2011; Accepted: 14 June 2011 Author’s address (for correspondence): GC Althouse, Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Pennsylvania, USA. E-mail: [email protected]