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Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine
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Page 1: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Alexandra Brower, DVM, DACVP

Clinical Associate Professor of Diagnostic Pathology

University of Wisconsin School of Veterinary Medicine

Page 2: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Canine Brucellosis Relatively new bacterial disease of dogs -

B. canis was first discovered in 1966.

The major symptoms of infection in dogs areabortion and infertility.

Canine infections are through contact with placental fluids and aborted tissues.

Other mechanisms of transmission: mating (venereal infections) contact with urine

Risk as a zoonosis is considered low

Page 3: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

“Dozens and dozens of farms have signs up advertising “puppies for sale” or have placed ads in the area papers listing many different breeds at the same address. Many of them say, “No Sunday Sales” which is a good bet the seller is Amish or Mennonite. I think it’s just such a shame that Clark County has become the hotbed for puppy puppy mills mills in Wisconsin so quickly and it is expanding so rapidly. What a black eye for us. How humiliating and sad.”

Where are we likely to find B. canis in Where are we likely to find B. canis in the US?the US?

Clark county humane society, article titled A dog auction experience

Page 4: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Where else do outbreaks occur? Where else do outbreaks occur? May 6, 2009. A Puppy Farm in Ireland at May 6, 2009. A Puppy Farm in Ireland at Centre of Canine Brucellosis Outbreak: Centre of Canine Brucellosis Outbreak: Has 700 breeding bitches and there are Has 700 breeding bitches and there are currently up to 300 puppies on the currently up to 300 puppies on the premises. premises. K9 Magazine News EditorK9 Magazine News Editor

Page 5: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Diagnostic pathology interface

Veterinary diagnostic laboratories receive aborted fetuses, other tissues and blood samples from kennel outbreaks of canine brucellosis.

In Wisconsin, by late 2005 submission of samples and positive tests was clearly on the rise. Follow up with kennel owners and veterinarians led to recognition of the following important issues regarding B. canis:

Page 6: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

B. canis is a common, unregulated, potentially zoonotic disease in commercial and private canine breeding facilities in Wisconsin.

Wisconsin outbreaks are due to trade practices that link kennels throughout the country.

There is an under appreciation of the disease among dog breeders, veterinarians, and diagnostic and government agencies.

Page 7: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Outbreaks from 2002-2008 and total numberof dogs in each kennel

A – 10 B – 1,000 C – 60-70 D – 30-50 E – 100-120 F – 60-80 G – 2 H – 30-40 I – 30-40 J – 100-120

C

EB

FD

A, H, I, J

G

Page 8: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Discrimination of B. canis isolates

Identify a way to trace B. canis outbreaks.

Initial investigations used samples from three canine brucellosis outbreaks in Wisconsin dog kennels, and B. canis isolates from Missouri and Arkansas.

Brucella species have minimal genetic diversity…

Page 9: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Molecular techniques unable to discriminate isolates include: Ribotyping with multiple restriction endonucleases, outer membrane protein analysis and pulsed-field gel electrophoresis (PFGE)

*Gas chromatography was found to be a technique that could discriminate between isolates.

Page 10: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Dendrogram analysis of fatty acid profiles. Two major groups were found, described as southern and northern strains.

Brower et al. Investigation of the Spread of Brucella canis via the U.S. Interstate Dog Trade. International Journal of Infectious Diseases, Volume 11, Issue 5, Pages 454-458. 2007.

Page 11: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Next question, why are human case reports coming from Argentina, when we have so much exposure in the US?

Compared lipid profiles of 1 human B. canis isolate, and 6 canine isolates from Argentina with 36 canine isolates from 8 other countries including the US.

Page 12: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Review of the profiles showed that only the Argentinean and Mexican isolates had19:O cyclopropane (lactobacillic acid), cis-11,12-methylene octadecanoic acid.

Page 13: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Features of a typical U.S. B. canis isolate profile and corresponding chromatograph (Isolate 19-50).

min0.5 1 1.5 2 2.5 3 3.5 4

pA

5

10

15

20

25

30

35

40

FID1 A, (E08718.566\A0181227.D)

0.7

43

1.6

71

2.0

90

2.2

42

2.5

52

2.7

17

2.8

19 2

.871

3.1

31 3

.152

3.1

90

3.3

63 3

.428

3.4

58 3

.486

3.5

05 3

.574

3.6

25 3

.679

3.9

39 3

.954 3

.988

4.0

71

Retention time (minutes)

Fatty acidPercent of total fatty acids in sample

2.871 16:0 10.163.190 17:0 0.383.458 18:1 w7c 82.103.505 18:0 2.02

Page 14: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

min0.5 1 1.5 2 2.5 3 3.5 4

pA

20

40

60

80

100

120

FID1 A, (E08718.566\A0161223.D)

0.7

43

1.6

71

2.0

90

2.5

51

2.7

17

2.8

19 2

.870

3.1

62 3

.189

3.3

63 3

.428

3.4

57 3

.487

3.5

05 3

.530

3.6

00 3

.622

3.6

93 3

.767

3.7

93

3.9

39 3.9

88 4

.035

4.0

71

4.1

66 4

.208

4.2

18 4

.257

Retention time (minutes)

in Fatty acid

Percent of total fatty acids in sample

2.870 16:0 11.423.189 17:0 0.513.457 18:1 w7c 39.443.505 18:0 5.203.530 11 methyl 18:1 w7c 1.023.793 19:0 CYCLO w8c 37.504.035 20:2 w6,9c .78

Features of a typical B. canis isolate profile from Argentina and corresponding chromatograph (Isolate 5-46).

Page 15: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Brucella melitensis, suis and abortus index profile.

This index includes the species of Brucella classically considered to be pathogenic to humans.

Reference index number

Fatty acidPercent of total fatty acids

6316:0

13.00

8217:0

0.67

9218:1 w7c

19.69

9518:0

9.04

9611 methyl 18:1 w7c

2.17

10519:0 CYCLO w8c

50.23

11320:2 w6,9c

3.17

Page 16: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Fatty acidPercent of total fatty acids

16:0

13.00

17:0

0.67

18:1 w7c

19.69

18:0

9.04

11 methyl 18:1 w7c

2.17

19:0 CYCLO w8c

50.23

20:2 w6,9c

3.17

Fatty acidPercent of total fatty acids in sample

16:0 11.42

17:0 0.51

18:1 w7c 39.44

18:0 5.20

11 methyl 18:1 w7c 1.02

19:0 CYCLO w8c 37.50

20:2 w6,9c .78

Fatty acidPercent of total fatty acids in sample

16:0 10.16

17:0 0.38

18:1 w7c 82.10

18:0 2.02

US Isolate

Argentina Isolate

Index profile

Page 17: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Dendrogram of 44 B. canis isolates

<0021> C-WVDL-7 (39-79/88-BL35 . . . . . . . . . <0006> C-WVDL-7 (42-INM911-BL35. . . . . . . . . <0013> C-WVDL-7 (58-INM921-BL35. . . . . . . . . <0037> C-WVDL-7 (67-INM1004-BL35 . . . . . . . . <0043> C-WVDL-7 (68-INM1019-BL35 RR. . . . . . . <0007> C-WVDL-7 (46-INM1035-BL35 . . . . . . . . <0042> C-WVDL-7 (66-INM1245-BL35 RR. . . . . . . <0033> C-WVDL-7 (64-INM954-BL35. . . . . . . . . <0044> C-WVDL-7 (65-INM951-BL35 RR . . . . . . . <0024> C-WVDL-7 (45-870018-BL35. . . . . . . . . <0020> C-WVDL-7 (37-79/33-BL35 . . . . . . . . . <0003> C-WVDL-7 (32-79/32-BL35 . . . . . . . . . <0016> C-WVDL-7 (27-79/36-BL35 . . . . . . . . . <0008> C-WVDL-7 (48-33236 4-BL35 . . . . . . . . <0041> C-WVDL-7 (62-M05 39757 1-BL35 DL. . . . . <0034> C-WVDL-7 (36-RM6/66-BL35 dl . . . . . . . <0039> C-WVDL-7 (30-79/86-BL35 DL. . . . . . . . <0005> C-WVDL-7 (40-79/34-BL35 . . . . . . . . . <0031> C-WVDL-7 (33-79/134-BL35 dl . . . . . . . <0015> C-WVDL-7 (25-79/85-BL35 . . . . . . . . . <0040> C-WVDL-7 (44-33235 1-BL35 RR. . . . . . . <0002> C-WVDL-7 (28-79/113-BL35. . . . . . . . . <0036> C-WVDL-7 (63-M06 36861 2-BL35 . . . . . . <0035> C-WVDL-7 (59-M06 36861 7-BL35 dl. . . . . <0032> C-WVDL-7 (55-M06 37686-BL35 dl. . . . . . <0028> C-WVDL-7 (53-M06 31997 4-BL35 . . . . . . <0009> C-WVDL-7 (50-M06 31997 11-BL35. . . . . . <0025> C-WVDL-7 (47-MO6 36861 1-BL35 . . . . . . <0014> C-WVDL-7 (60-M06 31997 9-BL35 . . . . . . <0001> C-WVDL-7 (26-79/88-BL35 . . . . . . . . . <0038> C-WVDL-7 (38-F7/05A-BL35 RR . . . . . . . <0018> C-WVDL-7 (31-79/114-BL35. . . . . . . . . <0004> C-WVDL-7 (34-79/122-BL35. . . . . . . . . <0027> C-WVDL-7 (51-866568-BL35. . . . . . . . . <0011> C-WVDL-7 (54-M05 46884 3-BL35 . . . . . . <0029> C-WVDL-7 (57-918270 A-BL35. . . . . . . . <0017> C-WVDL-7 (29-79/84-BL35 . . . . . . . . . <0023> C-WVDL-7 (43-43920 23-BL35. . . . . . . . <0019> C-WVDL-7 (35-UK10/02-BL35 . . . . . . . . <0012> C-WVDL-7 (56-M05 55455-BL35 . . . . . . . <0030> C-WVDL-7 (61-M05 46984 2-BL35 . . . . . . <0026> C-WVDL-7 (49-M05 46984 1-BL35 . . . . . . <0010> C-WVDL-7 (52-M05 49529-BL35 . . . . . . . <0022> C-WVDL-7 (41-79/35-BL35 . . . . . . . . .

020406080100Euclidian Distance

<0021> C-WVDL-7 (39-79/88-BL35 . . . . . . . . . <0006> C-WVDL-7 (42-INM911-BL35. . . . . . . . . <0013> C-WVDL-7 (58-INM921-BL35. . . . . . . . . <0037> C-WVDL-7 (67-INM1004-BL35 . . . . . . . . <0043> C-WVDL-7 (68-INM1019-BL35 RR. . . . . . . <0007> C-WVDL-7 (46-INM1035-BL35 . . . . . . . . <0042> C-WVDL-7 (66-INM1245-BL35 RR. . . . . . . <0033> C-WVDL-7 (64-INM954-BL35. . . . . . . . . <0044> C-WVDL-7 (65-INM951-BL35 RR . . . . . . . <0024> C-WVDL-7 (45-870018-BL35. . . . . . . . . <0020> C-WVDL-7 (37-79/33-BL35 . . . . . . . . . <0003> C-WVDL-7 (32-79/32-BL35 . . . . . . . . . <0016> C-WVDL-7 (27-79/36-BL35 . . . . . . . . . <0008> C-WVDL-7 (48-33236 4-BL35 . . . . . . . . <0041> C-WVDL-7 (62-M05 39757 1-BL35 DL. . . . . <0034> C-WVDL-7 (36-RM6/66-BL35 dl . . . . . . . <0039> C-WVDL-7 (30-79/86-BL35 DL. . . . . . . . <0005> C-WVDL-7 (40-79/34-BL35 . . . . . . . . . <0031> C-WVDL-7 (33-79/134-BL35 dl . . . . . . . <0015> C-WVDL-7 (25-79/85-BL35 . . . . . . . . . <0040> C-WVDL-7 (44-33235 1-BL35 RR. . . . . . . <0002> C-WVDL-7 (28-79/113-BL35. . . . . . . . . <0036> C-WVDL-7 (63-M06 36861 2-BL35 . . . . . . <0035> C-WVDL-7 (59-M06 36861 7-BL35 dl. . . . . <0032> C-WVDL-7 (55-M06 37686-BL35 dl. . . . . . <0028> C-WVDL-7 (53-M06 31997 4-BL35 . . . . . . <0009> C-WVDL-7 (50-M06 31997 11-BL35. . . . . . <0025> C-WVDL-7 (47-MO6 36861 1-BL35 . . . . . . <0014> C-WVDL-7 (60-M06 31997 9-BL35 . . . . . . <0001> C-WVDL-7 (26-79/88-BL35 . . . . . . . . . <0038> C-WVDL-7 (38-F7/05A-BL35 RR . . . . . . . <0018> C-WVDL-7 (31-79/114-BL35. . . . . . . . . <0004> C-WVDL-7 (34-79/122-BL35. . . . . . . . . <0027> C-WVDL-7 (51-866568-BL35. . . . . . . . . <0011> C-WVDL-7 (54-M05 46884 3-BL35 . . . . . . <0029> C-WVDL-7 (57-918270 A-BL35. . . . . . . . <0017> C-WVDL-7 (29-79/84-BL35 . . . . . . . . . <0023> C-WVDL-7 (43-43920 23-BL35. . . . . . . . <0019> C-WVDL-7 (35-UK10/02-BL35 . . . . . . . . <0012> C-WVDL-7 (56-M05 55455-BL35 . . . . . . . <0030> C-WVDL-7 (61-M05 46984 2-BL35 . . . . . . <0026> C-WVDL-7 (49-M05 46984 1-BL35 . . . . . . <0010> C-WVDL-7 (52-M05 49529-BL35 . . . . . . . <0022> C-WVDL-7 (41-79/35-BL35 . . . . . . . . .

020406080100Euclidian Distance

Page 18: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

• Brucella species lack most functional gene sequences encoding virulence – a critical component of virulence is likely the LPS surface antigen. Sanchez et al. 2001. Gene Discovery through Genomic Sequencing of Brucella abortus. Infect. Immun. 69:865-868.

• Heterogeneity of the Lipid A domain of Brucella LPS may primarily depend on fatty acid substitutionsGomes Cardoso et al. 2006. Review: Brucella spp noncanonical LPS: structure, biosynthesis and interaction with host immune system. Microbial Cell Factories 5: [Online.]

Might the fatty acid difference found in the Argentinean and Mexican isolates be related to increased virulence in humans?

Page 19: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

UK – Comparative study between the lipid profiling technique used by our laboratory, and a variable tandem repeat sequencing technique that the Whatmore laboratory uses to discriminate Brucella isolates.

University of Iowa – Seroepidemiologic study of B. canis that focuses on the human populations in the U.S. that are most likely to be exposed to the bacterium.

Page 20: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

I am grateful to the following people fortheir wonderful collaboration on this andother Brucella canis projects.

Dr. Ogi Okwumabua, University of WisconsinDr. Nidia Lucero, ANILIS ArgentinaDr. Adrian Whatmore, VLA United KingdomDr. Chuck Massingil, Missouri Department of

AgricultureDr. Greg Gray and Whitney Baker, University of

Iowa, College of Public Health

Page 21: Alexandra Brower, DVM, DACVP Clinical Associate Professor of Diagnostic Pathology University of Wisconsin School of Veterinary Medicine.

Questions?


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