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Feline coronavirus (FCoV) is a
positive-stranded RNA virus Positive-strand RNA viruses (+ssRNA viruses) are a group of related viruses that have Sense (molecular biology), positive-sense, single-stranded genomes made of ribonucleic acid. The positive-sense genome can act as messenger RNA (mRNA) and can ...
that infects
cat The cat (''Felis catus'') is a domestic species of small carnivorous mammal. It is the only domesticated species in the family Felidae and is commonly referred to as the domestic cat or house cat to distinguish it from the wild members of ...
s worldwide. It is a coronavirus of the species '' Alphacoronavirus 1'' which includes
canine coronavirus Canine coronavirus (CCoV) is an enveloped, positive-sense, single-stranded RNA virus which is a member of the species ''Alphacoronavirus 1.'' It causes a highly contagious intestinal disease worldwide in dogs. The infecting virus enters its ho ...
(CCoV) and porcine transmissible gastroenteritis coronavirus (TGEV). It has two different forms: feline enteric coronavirus (FECV) that infects the
intestines The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organs of the digestive system, in humans and ...
and feline infectious peritonitis virus (FIPV) that causes the disease feline infectious peritonitis (FIP). Feline coronavirus is typically shed in feces by healthy cats and transmitted by the fecal-oral route to other cats. In environments with multiple cats, the transmission rate is much higher compared to single-cat environments. The virus is insignificant until mutations cause the virus to be transformed from FECV to FIPV. FIPV causes feline infectious peritonitis, for which treatment is generally
symptomatic Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showi ...
and palliative only. The drug
GS-441524 GS-441524 is a nucleoside analogue antiviral drug which was developed by Gilead Sciences. It is the main plasma metabolite of the antiviral prodrug remdesivir, and has a half-life of around 24 hours in human patients. Remdesivir and GS-441524 ...
shows promise as an antiviral treatment for FIP, but at the moment it is only available on the black market and still requires further research. The drug
GC376 GC376 is a broad-spectrum antiviral medication under development by the biopharmaceutical company Anivive Lifesciences for therapeutic uses in humans and animals. Anivive licensed the exclusive worldwide patent rights to GC376 from Kansas State ...
is also being studied and developed.


Prevalence

Feline coronavirus is found in cat populations around the world. The only known exceptions are on the
Falkland Islands The Falkland Islands (; es, Islas Malvinas, link=no ) is an archipelago in the South Atlantic Ocean on the Patagonian Shelf. The principal islands are about east of South America's southern Patagonian coast and about from Cape Dubouze ...
and the Galapagos, where studies found no occurrences of FCoV antibodies in cats tested.


Virology


Feline enteric coronavirus (FECV)

Feline enteric coronavirus is responsible for an infection of the mature gastrointestinal
epithelial cells Epithelium or epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. It is a thin, continuous, protective layer of compactly packed cells with a little intercell ...
(see also enterocytes,
brush border A brush border (striated border or brush border membrane) is the microvilli-covered surface of simple cuboidal and simple columnar epithelium found in different parts of the body. Microvilli are approximately 100 nanometers in diameter and their ...
, microvilli, villi). This intestinal infection has few outward signs, and is usually chronic. The virus is excreted in the feces of the healthy carrier, and can be detected by
polymerase chain reaction The polymerase chain reaction (PCR) is a method widely used to rapidly make millions to billions of copies (complete or partial) of a specific DNA sample, allowing scientists to take a very small sample of DNA and amplify it (or a part of it) ...
(PCR) of feces or by PCR testing of rectal samples. Cats living in groups can infect each other with different strains of the virus during visits to a communal litter tray. Some cats are resistant to the virus and can avoid infection or even becoming carriers, while others may become FECV carriers. Carriers may heal spontaneously, but acquired immunity may be short, and they may go on to reinfect, usually within a few weeks, if they are living in a group with healthy, but persistent, excretory carriers. Some cats never heal, and the excretory phase remains permanently.


Feline infectious peritonitis virus (FIPV) and Feline infectious peritonitis

The virus becomes feline infectious peritonitis virus (FIPV) when random errors occur in the virus infecting an enterocyte, causing the virus to mutate from FECV to FIPV. FIPV causes a lethal, incurable disease: feline infectious peritonitis (FIP). In their pre-domestication natural state, cats are solitary animals and do not share space (hunting areas, rest areas,
defecation site Animal latrines (latrine areas, animal toilets, defecation sites) are places where wildlife animals habitually defecate and urinate. Many kinds of animals are highly specific in this respect and have stereotyped routines, including approach and d ...
s, etc.). Domestic cats living in a group therefore have a much higher
epidemiological Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
risk of mutation. After this mutation, the FCoV acquires a
tropism A tropism is a biological phenomenon, indicating growth or turning movement of a biological organism, usually a plant, in response to an environmental stimulus. In tropisms, this response is dependent on the direction of the stimulus (as oppos ...
for
macrophages Macrophages (abbreviated as M φ, MΦ or MP) ( el, large eaters, from Greek ''μακρός'' (') = large, ''φαγεῖν'' (') = to eat) are a type of white blood cell of the immune system that engulfs and digests pathogens, such as cancer ce ...
while losing intestinal tropism. In a large group of cats, ''n'', the epidemiological risk of mutation (E) is higher and expressed theoretically as: . A house hosting 2 cats therefore has risk of mutation E = 2. When 4 kittens (6 cats in total) are born into this house, the risk increases from 2 to 30 . Overcrowding increases the risk of mutation and conversion from FECV to FIPV, which constitutes a major risk factor for the development of feline infectious peritonitis (FIP) cases. FIP has been shown to develop in cats whose immunity is low; such as younger kittens, old cats, immunosuppression due to viral—FIV ( feline immunodeficiency virus) and/or FeLV ( feline leukemia virus) and stress, including the stress of separation and adoption. Infection of macrophages by FIPV is responsible for development of a fatal granulomatous
vasculitis Vasculitis is a group of disorders that destroy blood vessels by inflammation. Both arteries and veins are affected. Lymphangitis (inflammation of lymphatic vessels) is sometimes considered a type of vasculitis. Vasculitis is primarily caused ...
, or FIP (see granuloma). Development of FIP depends on two factors: virus mutation ''and'' low immunity where virus mutation depends on the rate of mutation of FECV to FIPV and the immune status depends on the age, the genetic pool and the stress level. High immune status will be more effective at slowing down the virus.


Molecular biology

Two forms of feline coronavirus are found in nature: enteric (FECV) and FIP (FIPV). There are also two different
serotypes A serotype or serovar is a distinct variation within a species of bacteria or virus or among immune cells of different individuals. These microorganisms, viruses, or cells are classified together based on their surface antigens, allowing the epi ...
found with different antigens that produce unique antibodies. FCoV serotype I (also called type I) is the most frequent. Type I, that can be defined as 'FECV that could mutate to FIPV type I', is responsible for 80% of the infections. Typically, serotype I FCoV cultures are difficult to perform, with few resulting studies. FCoV serotype II (also called type II) is less frequent and is described as 'FECV type II that can mutate to FIPV type II.' FCoV type II is a recombinant virus type I with spike genes (S protein) replacement from FCoV by the
canine coronavirus Canine coronavirus (CCoV) is an enveloped, positive-sense, single-stranded RNA virus which is a member of the species ''Alphacoronavirus 1.'' It causes a highly contagious intestinal disease worldwide in dogs. The infecting virus enters its ho ...
(CCoV) spikes. The type II cultures are generally easier to perform, which has resulted in an imbalance of experiments performed with many studies about type II (even though it is a far less common form). More recent research points to a common ancestor between FCoV and CCoV. This ancestor gradually evolved into FCoV I. An S protein from a yet-unknown virus was passed into the ancestor and gave rise to CCoV, whose S protein was again recombined into FCoV I to form FCoV II. CCoV gradually evolved into TGEV.


FCoV type II


Virus fusion

Coronaviruses are covered with several types of "S proteins" (or E2) forming a crown of protein spikes on the surface of the virus. Coronaviruses take their name from the observation of this crown by electron microscopy. These spikes of Cov (group 1 and serotype II) are responsible for the infection power of the virus by binding the virus particle to a membrane receptor of the host cell—the Feline Amino
peptidase A protease (also called a peptidase, proteinase, or proteolytic enzyme) is an enzyme that catalyzes (increases reaction rate or "speeds up") proteolysis, breaking down proteins into smaller polypeptides or single amino acids, and spurring the for ...
N (fAPN).


The viral receptor: aminopeptidase N (APN)

fAPN (feline), h APN (human) and pAPN (porcine) differ in some areas of N- glycosylation. All strains of the coronavirus study group 1 (feline, porcine and human) can bind to the feline aminopeptidase N fapn but the human coronavirus can bind to the human APN (HAPN) but not to the porcine type receptor (pAPN) and the pig coronavirus can bind to the porcine APN (pAPN) but not the human type receptor (hAPN). At the cellular level the glycosylation level of enterocytes APN is important for the binding of virus to the receptor.


Viral spikes

The FECV spikes have a high affinity for
enterocytes Enterocytes, or intestinal absorptive cells, are simple columnar epithelial cells which line the inner surface of the small and large intestines. A glycocalyx surface coat contains digestive enzymes. Microvilli on the apical surface increase it ...
fAPN, while the mutant FIPV spikes have a high affinity for the
macrophages Macrophages (abbreviated as M φ, MΦ or MP) ( el, large eaters, from Greek ''μακρός'' (') = large, ''φαγεῖν'' (') = to eat) are a type of white blood cell of the immune system that engulfs and digests pathogens, such as cancer ce ...
fAPN. During the
viral replication Viral replication is the formation of biological viruses during the infection process in the target host cells. Viruses must first get into the cell before viral replication can occur. Through the generation of abundant copies of its genome an ...
cycle, spikes proteins mature in the host cell Golgi complex with a high
mannose Mannose is a sugar monomer of the aldohexose series of carbohydrates. It is a C-2 epimer of glucose. Mannose is important in human metabolism, especially in the glycosylation of certain proteins. Several congenital disorders of glycosylation ...
glycosylation. This spike manno-glycosylation stage is vital for the acquisition of coronavirus virility.


Molecular model of FCoV type I


The receptor

In 2007, it was well established that serotype I did not work with the FCoV fAPN receptor. The FCoV type I receptor still is unknown.


CoV receptor

The human CoV
SARS Severe acute respiratory syndrome (SARS) is a viral respiratory disease of zoonotic origin caused by the severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), the first identified strain of the SARS coronavirus species, ''seve ...
binds to the angiotensin-converting enzyme ACE II. The ACE II is also called L-SIGN (liver/lymph node-specific intracellular adhesion molecules-3 grabbing non-integrin). Coronaviruses bind to macrophages via the Dendritic Cell-Specific Intercellular adhesion molecule-3-Grabbing Non-integrin (DC-SIGN) which is a trans-membrane protein encoded in humans by the ''CD209'' gene. ACE and DC-SIGN are two trans-membrane retrovirus receptors (mannose receptors) which can bind "the plant lectins C-type mannose binding domain". Aminopeptidase N has the same ability to interact with plant lectins C-type mannose-binding and also serves as a receptor for a retrovirus. Angiotensin-converting enzyme ACE, aminopeptidase A and aminopeptidase N have cascading actions in the renin-angiotensin-aldosterone system, which suggests a common
phylogenetic In biology, phylogenetics (; from Greek φυλή/ φῦλον [] "tribe, clan, race", and wikt:γενετικός, γενετικός [] "origin, source, birth") is the study of the evolutionary history and relationships among or within groups o ...
origin between these molecules. Some advanced studies have shown a high homology between the Aminopeptidase N and the Angiotensin-converting enzyme. It is more than likely that the unknown FCoV serotype I receptor is also a member of this receptor family and acts with mannose binding lectins.


Interactions between the viruses and sialic acid

Sialic acid is a component of the complex sugar glycocalix, which is the mucus protecting the gastrointestinal and respiratory mucosa. It is an important facilitating fusion factor of any viruses to its host cell which has been very well studied for
flu Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptom ...
. Extensive data also shows that processes using sialic acid are directly involved in the interaction with the receptor's lectins. It has also been demonstrated that swine enteric coronavirus (group 1) fusion to the enterocyte is accomplished via binding to the APN in the presence of the sialic acid. Feline coronavirus infections are therefore sialic acid dependent. The
Porcine epidemic diarrhea virus ''Porcine epidemic diarrhea virus'' (PED virus or PEDV) is a coronavirus that infects the cells lining the small intestine of a pig, causing porcine epidemic diarrhoea, a condition of severe diarrhea and dehydration. Older hogs mostly get sick ...
(PEDV) S protein is 45% identical to FCoV type I spike. An EM structure of it shows sialic acid binding sites. The PEDV receptor is also unknown.


Effects of breast milk on kittens

Kittens born from mothers carrying FECV are protected from infection by maternal antibodies prior to weaning. It therefore is recommended that the kittens be weaned early and segregated from their mother before they infect each other (at about 5 to 6 weeks). Kittens with no outside contamination and that are deprived of contact with their mother during their first 2 months of life (an important immunological period) may be protected.


Antibodies

It is widely accepted that passive protection is passed on to kittens by immunoglobulins nursery ( antibodies) provided by colostrum and the mother's milk. However, several questions arise: * If this protection is only supported by maternal antibodies, why are these antibodies not protecting the mother herself? * If the kittens born to a mother's blood group B are removed from their mother for 24 hours (to avoid
hemolytic disease of the newborn Hemolytic disease of the newborn, also known as hemolytic disease of the fetus and newborn, HDN, HDFN, or erythroblastosis foetalis, is an alloimmune condition that develops in a fetus at or around birth, when the IgG molecules (one of the five ...
) and thus have no systemic passage of maternal antibodies, why is FCoV infection not more common in these kittens than others?


Colostrum

Other molecules from
colostrum Colostrum, also known as beestings or first milk, is the first form of milk produced by the mammary glands of mammals (including humans) immediately following delivery of the newborn. Colostrum powder is rich in high protein and low in sugar and ...
and cat milk, could also bear this coverage:
lactoferrin Lactoferrin (LF), also known as lactotransferrin (LTF), is a multifunctional protein of the transferrin family. Lactoferrin is a globular glycoprotein with a molecular mass of about 80 kDa that is widely represented in various secretory fluids, s ...
, lactoperoxidase,
lysozyme Lysozyme (EC 3.2.1.17, muramidase, ''N''-acetylmuramide glycanhydrolase; systematic name peptidoglycan ''N''-acetylmuramoylhydrolase) is an antimicrobial enzyme produced by animals that forms part of the innate immune system. It is a glycoside ...
, rich proline polypeptide — PRP and alpha- lactalbumine. Lactoferrin has many properties that make it a very good candidate for this anti-coronavirus activity: # For FCoV group II, it binds to APN. # For SARS CoV, it binds to ACEs # It also binds to
DC-SIGN DC-SIGN (Dendritic Cell-Specific Intercellular adhesion molecule-3-Grabbing Non-integrin) also known as CD209 ( Cluster of Differentiation 209) is a protein which in humans is encoded by the ''CD209'' gene. DC-SIGN is a C-type lectin receptor pr ...
of macrophages, # The lactoferrin anti-viral activity is sialic-acid–dependent. The structures of the
polypeptide chain Peptides (, ) are short chains of amino acids linked by peptide bonds. Long chains of amino acids are called proteins. Chains of fewer than twenty amino acids are called oligopeptides, and include dipeptides, tripeptides, and tetrapeptides. ...
and carbohydrate moieties of bovine lactoferrin (bLF) are well established. bLF consists of a 689-
amino acid Amino acids are organic compounds that contain both amino and carboxylic acid functional groups. Although hundreds of amino acids exist in nature, by far the most important are the alpha-amino acids, which comprise proteins. Only 22 alpha a ...
polypeptide chain to which complex and high-
mannose Mannose is a sugar monomer of the aldohexose series of carbohydrates. It is a C-2 epimer of glucose. Mannose is important in human metabolism, especially in the glycosylation of certain proteins. Several congenital disorders of glycosylation ...
-type glycans are linked.


Other components

The
colostrum Colostrum, also known as beestings or first milk, is the first form of milk produced by the mammary glands of mammals (including humans) immediately following delivery of the newborn. Colostrum powder is rich in high protein and low in sugar and ...
and breast milk also contain: # Many
oligosaccharide An oligosaccharide (/ˌɑlɪgoʊˈsækəˌɹaɪd/; from the Greek ὀλίγος ''olígos'', "a few", and σάκχαρ ''sácchar'', "sugar") is a saccharide polymer containing a small number (typically two to ten) of monosaccharides (simple sug ...
s ( glycan) which are known for their anti-viral properties which is thought to be primarily due to their inhibition of pathogen binding to host cell ligands. # Many maternal immune cells. # Many cytokines ( interferon, etc.), whose role by oro-mucosal route seems very important. # Sialic acid: during lactation, neutralizing oligo-saccharides binding sialic acid decreases when it binds increasingly to glycoproteins. (The APN is a glycoprotein.) The anti-viral effect of lactoferrin is increased by the removal of sialic acid. # Mannan-binding lectins.


Other protective factors

Other assumptions may help to explain this resistance to FCoV infections by kittens. In the first weeks of life, APN could be immature because highly manno-glycosylated. The spikes of CoV could then not be bound. Factors in breastmilk may inhibit the synthesis of fANP by enterocytes, as already described with fructose or sucrose.


References


External links


Dr ADDIE website focused research about FIP






{{Taxonbar, from=Q454829 Animal viral diseases Cat diseases Alphacoronaviruses Infraspecific virus taxa