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J Vet Diagn Invest 8:2 75-2 82 (1 996)

Gross and microscopic lesions in porcine fetuses infected


with porcine reproductive and respiratory
syndrome virus
Kelly M. Lager, Patrick G. Halbur
Abstract. Diagnosis of porcine reproductive and respiratory syndrome virus (PRRS V)-induced reproductive
failure in swine is difficult because of the rapid inactivation of virus in fetuses that have died prior to abortion
or farrowing. In this report, we describe gross and microscopic lesions of diagnostic value found in fetuses
transplacentally infected with PRRS V during late gestation. S even sows free of PRRS V-specific antibody and
1 sow (#8) that had been previously infected with PRRS V were oronasally exposed to a PRRS V inoculum at
or about 90 days of gestation (DG). One control sow (#9) was oronasally exposed to a sham inoculum at 90
DG. S ows were euthanized 2 1 days postexposure, and fetuses were tested for virus. Transplacental infection
was detected in litters 1 -7, and gross lesions of the umbilical cord were observed in some fetuses in 6 of the 7
litters. No transplacental infection or fetal lesions were found in litters 8 and 9. The gross lesions in the umbilical
cords ranged from segmental hemorrhagic areas 1 -2 cm in length to a full length involvement of the cord, which
was grossly distended with frank hemorrhage. All live fetuses that had gross lesions in the umbilical cord were
viremic, and histopathologic examination revealed a necrotizing umbilical arteritis with periarterial hemorrhage.
This was the most consistent microscopic lesion in fetuses infected with PRRS V. S ows 1 -7 had endometritis
and myometritis of various degrees, suggesting PRRS V also may induce these lesions. Careful gross and mi-
croscopic examination of the umbilical cord may aid in the diagnosis of PRRS V-induced reproductive failure.

Po rcine repro ductive and respirato ry syndro me rise in antibody titer in paired sera collected from sows,
(PRRS ) is a viral disease of swine characterized by late- or virus detected in piglets in the far-rowing house or
term maternal reproductive failure and by respiratory nursery. Collecting direct evidence by detecting virus
disease in growing pigs. Abortions are occasionally re- in aborted or stillborn fetuses is difficult because of the
ported during early to mid-g estation,8 and reduced rapid inactivation of virus in fetuses that have died
conception rates are frequently associated with PRRS prior to abortion or far-rowing. Consistent lesions have
8,9
epizootics. However most field reports and epide- not been found in tissues of aborted or stillborn fetuses
miologic studies describe late-term reproductive fail- collected from field cases or from experimentally in-
ure, i.e., abortions, late-term in utero fetal death, mum- duced late-term reproductive failure;1 ,5,1 5 however, le-
mies, stillborn, and weak piglets, as the salient clinical sions have been observed in the uterus following nat-
signs for the reproductive disease.2 ,4,5,8,9,1 4-1 6 The re- ural and experimental infections of the sow. Multiple
spiratory disease has a high morbidity for swine of all foci of lymphoplasmacytic inflammation have been
ages and is more severe in young pigs; it is typified by observed in the myometrium of some sows experi-
labored breathing and the development of a charac- mentally infected with PRRS V.1 In a separate study,
teristic interstitial pneumonia.6,7 PRRS virus (PRRS V) myometritis, endometritis, and placentitis of the ma-
is the etiologic agent and is tentatively classified in the ternal placenta were observed in experimentally and
proposed family Arteriviridae, which includes equine naturally infected sows. 1 5
arteritis virus, lactate dehydrogenase-elevating virus, During the course of several experiments involving
and simian hemorrhagic fever virus.3,1 3 infection with PRRS V of pregnant swine during late
Diagnosis of PRRS reproductive failure is typically gestation, we have observed a pattern of characteristic
based on indirect evidence such as clinical signs and gross lesions that develop in transplacentally infected
serology, specifically seroconversion of the sow herd, fetuses. In this report, we describe gross and micro-
scopic lesions found in fetuses transplacentally infected
with PRRS V during late gestation.
From the Virology S wine Research Unit, National Animal Disease Materials and methods
Center, US DA, Agricultural Research S ervices, PO B ox 70, Ames,
IA 5001 0 (Lager), and the Veterinary Diagnostic Laboratory, College Virus. The NADC-8 strain and the Lelystad strain of
of Veterinary Medicine, Iowa S tate University, Ames, IA 5001 1 PRRS V were used in this study. The NADC-8 strain had
(Halbur). been isolated in our laboratory by exposing a culture of por-
Received for publication June 2 8, 1 995. tine alveolar macrophages to serum of a 2 -day-old moribund
2 75

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2 76 Lager, Halbur

piglet from a naturally occurring case of PRRS in Iowa (all positive or negative based on isolation of virus from fluids,
of the piglet s littermates had either died in utero or were tissues, or both.
stillborn). A 4-wk-old piglet was oronasally inoculated with Histopathology. S ome of the fetuses from each litter were
2 ml of medium collected from the macrophage culture. S e- selected for microscopic examination based on normal and
rum was harvested from the piglet 7 days postinoculation abnormal gross appearances. S ections of fetal lung, liver,
and was used to inoculate a PRRS V permissive cell line, spleen, kidney, heart, umbilical cord, and usually a full-thick-
MARC-1 45.1 0 The virus was subsequently propagated (pas- ness section of the uterus and placenta corresponding to an
saged) 3 times in cell culture, and the medium was harvested individual fetus were collected. Tissues were fixed by im-
to produce a stock virus, which was aliquoted into 5-ml mersion in 1 0% neutral buffered formalin, processed in an
volumes and stored at -80 C. The infectivity titer of the automated tissue processor, embedded in paraffin, sectioned,
stock virus (i.e., the 3 rd passage in MARC-1 45 cells) was and stained with hematoxylin and eosin (HE). Tissues were
approximately 1 x 1 06 CCID50/ml. examined in a blinded fashion.
The Lelystad virus inoculum was prepared in the following
manner. A 5-ml aliquot of cell culture medium harvested
from alveolar macrophages infected with Lelystad virus was Results
obtained (J. B . Katz, National Veterinary S ervices Labora- S ows 1 -7 developed PRRS V-specific antibodies fol-
tory, Ames, IA) and oronasally administered to a sow at 90 lowing primary exposure to virus. The antibody titer
days of gestation (DG). The sow was euthanized 2 1 days
postexposure (DPE), and serum was harvested from trans-
of sow 8, which had previously been exposed to PRRSV,
placentally infected fetuses. The fetal serum was used to in- did not change following a second exposure to PRRS V
oculate a monolayer of MARC-1 45 cells, and the progeny (data not shown). PRRS V-specific antibody was not
virus was propagated twice more to prepare a virus stock. detected in sera of sow 9, the sham-inoculated control
The virus stock was adjusted to an approximate titer of 1 x sow. Transplacental infection and fetal gross lesions
1 06 CCID50/ml and aliquoted into 5-ml volumes and stored were detected in litters 1 -7. No transplacental infection
at -80 C. or gross lesions were identified in litters 8 and 9. A
A sham inoculum was prepared from cell culture medium total of 87 fetuses were in the 7 transplacentally in-
recovered from flasks of MARC-1 45 cells treated in the same fected litters; 3 6 were considered normal, 2 4 live-ab-
way as the virus-infected flasks; the inoculum was aliquoted normal, 8 dead £ 1 day, 6 dead 1 -2 days, and 1 3 dead
and stored at -80 C until use. ‡ 3 days (Table 1 ). Virus was recovered from 1 6 (44%)
Experimental design. S even sows determined free of
PRRS V-specific antibody by indirect immunofluorescence
normal, 2 3 (96%) abnormal, and 4 (50%) fetuses that
12
microscopy and 1 sow (no.8) that had been infected with had been dead £ 1 day (Table 1 ).
the NADC-8 strain of PRRS V 567 days earlier were oro- Litter 1 consisted of 7 fetuses in the right uterine
nasally exposed to either the NADC-8 (sows 1 -6, 8) or Le- horn (R1 -R7) and 6 in the left horn (L1 -L6). Two of
lystad (sow 7) strain of PRRS V at or about 90 DG (Table the 1 3 fetuses were live-normal and 2 were live-ab-
1 ). One sow (no.9) that was free of PRRS V-specific antibody normal in appearance. The remaining 9 were dead: 2
was oronasally exposed to a sham inoculum at 90 DG. All appeared to have died within hours of the sow s death,
sows were housed in isolation facilities until 2 1 DPE, when 1 appeared to have been dead 1 -2 days, and the re-
they were euthanized with an intravenous overdose of pen- mainder appeared to have been dead >3 days (Table
tobarbital. Fetuses were removed from the uterus, and their 1 ). In our laboratory, this presentation of normal, ab-
relative uterine position was recorded, e.g., a fetus located
normal, and dead fetuses is typical in the experimental
next to the ovarian tip of the left uterine horn would be
identified as L1 and the next fetus as L2 , etc. Fetuses were model described above. Litter 1 was considered the
classified as dead, live-abnormal, or live-normal based on prototypical PRRS V infected litter, and its gross and
gross lesions and a detectable pulse in their umbilical cord. microscopic lesions are described here in detail.
Dead fetuses were presumed to have been dead £ 1 day if In the right uterine horn, fetus R1 was normal in
mild to no autolysis was present, dead 1 -2 days if moderate appearance and positive for virus. Virus was isolated
autolysis (fetal tissues becoming reddened, gelatinous, edem- from fetus R2 , a live-abnormal fetus covered with a
atous) was present, or dead ‡3 days if severe autolysis (fetal mixture of meconium and amniotic fluids. The mix-
tissues becoming brown to grayish in color, eyes sunken, and ture did not contain formed meconium; instead, the
tissues could easily be pulled apart) was present. Live fetuses meconium was worked into a thick, sticky substance
were classified as abnormal or normal in appearance based that adhered to the skin. The meconium/amniotic fluid
on presence of gross lesions defined below. Depending on
mixture was stained with fresh blood. The fetus was
fetal condition, a tissue composite (lung, liver, spleen, kidney,
and heart) and blood or thoracic fluid were collected. washed off with water; it appeared normal in appear-
S erology. S ow sera were examined for PRRS V-specific ance except for cutaneous petechial hemorrhages. Its
antibody by indirect immunofluorescence microscopy as pre- umbilical cord was 2 -3 times normal size and con-
viously described. 12 tained circumferential hemorrhages for most of the
Virus isolation. Fetal fluids and tissues were tested for length of the cord (Fig. 1 ). Fetuses R3 , R4, R5, and
virus as previously described,1 2 and results were reported as R7 were estimated to have been dead ‡ 3 days, and

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extensive autolysis precluded any assessment of vital and around small capillaries at periphery of the tunica
changes in the fetuses or their umbilical cords. Fetus adventitia of umbilical arteries were observed.
R6 was estimated to have been dead 1 -2 days; it was Fetus R2 had a mild multifocal perivascular lym-
slightly discolored, and its umbilical cord was 2 -3 times phoplasmacytic myocarditis and a mild periportal and
normal size with hemorrhages distributed throughout subcapsular lymphoplasmacytic, histiocytic, and neu-
the cord. trophilic hepatitis. In 5 of 5 sections of the umbilical
In the left uterine horn, fetuses L1 and L2 were es- cord examined, 1 or both of the umbilical arteries had
timated to have been dead ‡ 3 days. Fetus L3 was a severe arteritis characterized by loss of endothelial
normal in appearance and positive for virus. The in- lining and necrosis of the tunica intima and media,
ternal organs of fetus L4 appeared slightly swollen and with infiltration by macrophages and neutrophils. There
autolyzed, and 1 0-1 5 ml of clear effusion was found was marked hemorrhage extending into the tunica ad-
in the thoracic cavity; this fetus was thought to have
died shortly before euthanasia of the sow. Its umbilical
cord contained seg mental hemorrhag es 2 -5 cm in
length. Fetus L5 was considered live-abnormal because
of several foci of hemorrhages in its umbilical cord,
which were less severe than those of R2 ; otherwise the
fetus was normal in appearance. Fetus L6 was dead
and also covered with a bloody meconium/amniotic
fluid mixture. Its internal organs appeared to have more
postmortem autolysis than those of L4, and a clear to
serosanguineous effusion was in the thoracic cavity;
this fetus was estimated to have been dead < 1 day. Its
umbilical cord was dark and distended 2 -3 times nor-
mal size with blood. The placenta associated with L6
was beginning to separate from the endometrium and
contained scattered, paintbrush-like hemorrhages. Vi-
rus was isolated from L4 and L5 but not from L6 or Figure 1 . Umbilical cords collected from fetuses in litter 1 at
1 1 1 days of gestation. Fetus R1 was alive and appeared normal at
the other dead fetuses. S ix normal (RI, L3 ), live-ab- the time of the sow s death; no gross lesions were observed in its
normal (R2 , L5), and recently dead (L4, L6) fetuses umbilical cord. Fetus L5 was alive and appeared normal except for
were selected from litter 1 for microscopic examina- its umbilical cord. Fetus R2 was alive; however, it had cutaneous
tion. petechial hemorrhages and was covered with a blood-stained mixture
Examination of internal organs from fetus R1 re- of meconium and amniotic fluid. Fetus L4 was thought to have died
shortly before the sow s death, and fetus L6 was thought to have
vealed normal lung, heart, and liver; however, mild been dead < 1 day. Umbilical cords from fetuses L5, R2 , L4, and
multifocal renal cortical hemorrhage was seen. Mild L6 contained gross hemorrhages. PRRS V was isolated from fetuses
lymphoplasmacytic and histiocytic infiltrates within R1 , L5, R2 , and L4.

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2 78 Lager, Halbur

* Number of fetuses with lesions/number of fetuses examined. ND = not done.

ventitia and surrounding mucous connective tissues. lesions already reported for litter 1 , gross lesions fre-
S ometimes, there were pockets or clefts filled with red quently associated with the other experimentally in-
blood cells in the outer tunica media. fected litters included edema around the pancreas and
Fetus L3 had normal lung, heart, liver, kidney, and kidney and in the mesentery of the spiral colon. The
spleen. Four of 5 sections of umbilical cord appeared edema was sometimes gelatinous around the kidney,
normal, and in 1 section a 2 -4-cell-layer-thick lym- and the loops of the spiral colon were sometimes sep-
phoplasmacytic and histiocytic infiltrate was seen in arated as much as 1 cm. A clear effusion was seen in
the subendothelium involving about one half of the the thoracic and abdominal cavities.
circumference of both umbilical arteries. Microscopic lesions observed in fetal tissues from
Fetus L4 was thought to have died shortly before the 7 transplacentally infected litters are summarized
the death of the sow; its tissues were only mildly au- in Table 2 . Fifteen of 45 umbilical cords examined had
tolyzed. Mild multifocal hemorrhage and congestion microscopic lesions of moderate to severe, segmental
were observed in the kidney. Three of 5 sections of the to circumferential necrosuppurative and lymphohis-
umbilical cord appeared normal, but 2 sections con- tiocytic arteritis with marked transmural and periar-
tained severe lesions comparable to those of fetus R2 . terial hemorrhage. Endothelial lining was often swollen
Mild, multifocal periportal mixed inflammation was or missing, and subendothelial lymphohistiocytic ag-
present in the liver of fetus L5. Moderate hemorrhage gregates were common (Fig. 2 ). Thirteen of 53 fetal
and mild lymphohistiocytic inflammation was present lungs examined contained microscopic lesions con-
in 1 of 5 sections of umbilical artery, and severe per- sisting of mild to moderate, multifocal to diffuse his-
iaterial hemorrhage was present in 2 of the remaining tiocytic and proliferative interstitial pneumonia char-
sections. acterized by septal infiltration by mononuclear cells,
The tissues of fetus L6 were moderately autolyzed; hypertrophy and hyperplasia of type 2 pneumocytes,
the lung, heart, liver, kidney, and spleen appeared nor- and accumulation of a small amount of mixed alveolar
mal. A severe segmental arteritis was observed in the exudate. Multifocal hemorrhage was less consistent. A
umbilical cord, characterized by swelling and loss of few fetuses had mild segmental necrotizing and lym-
endothelium with marked necrosis of and hemorrhage phohistiocytic pulmonary arteritis. Mild to moderate
into tunica intima and tunica media. Collagenous con- periportal and subcapsular lymphohistiocytic, suppu-
nective tissue had become coagulated and collapsed. rative, and less often eosinophilic hepatitis was seen
Moderate to severe tunica adventitial and perivascular in 4 of 53 fetal livers examined. Lesions were observed
hemorrhage was present in 2 of 4 sections. in 3 of 2 1 hearts examined and were characterized by
The uterine tissue associated with all 6 fetuses fre- mild, multifocal perivascular lymphohistiocytic myo-
quently had mild multifocal perivascular lymphoplas- carditis. Multifocal myocardial hemorrhage was less
macytic and histiocytic myometritis and a moderate consistent.
multifocal nonsuppurative perivascular endometritis. Lesions were found in 2 5 of 43 sections of endo-
Microseparation of maternal and fetal placental epi- metrium, consisting of mild to severe, usually peri-
thelium was rarely seen; sometimes the space con- vascular pleocellular endometritis. Endometrial edema
tained proteinaceous fluid. was common. Mild to moderate multifocal microsep-
The gross and microscopic lesions observed in litters aration of uterine and fetal placental epithelium was
2 -7 were similar to those of litter 1 . In addition to seen. Proteinaceous fluid commonly collected in this

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Figure 2 . Cross section of umbilical cords from fetuses transplacentally infected with PRRS V following oronasal inoculation of their
dam 2 1 days earlier. A. Umbilical cords have moderate to severe hemorrhage into the connective tissue surrounding the umbilical arteries
and vein. Umbilical arteries have segmental areas of necrosis of the tunica intima and tunica media (arrows). HE. B . S egmental necrosis
and collapse of the tunica intima and tunica media is present in the umbilical artery (arrow). HE . C. Umbilical artery has marked necrotizing
and fibrinosuppurative arteritis with hemorrhage into the tunica adventitia (arrow). Patches of endothelium remain intact (arrowhead).
HE.

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2 80 Lager, Halbur

cleft; however, inflammation here was rare, suggesting The experimental infection of sows at or about 90
that this separation may be an artifact (Fig. 3 ). Twenty- DG and the examination of their litters 2 1 DPE has
nine of 43 sections of myometrium had lesions char- allowed us to examine a spectrum of lesions leading
acterized by mild to severe, usually perivascular pleo- to fetal death following transplacental infection. In gen-
cellular myometritis. Edema between smooth muscle eral, an infected litter would consist of fetuses that
bundles was common (Fig. 3 ). Placental lesions were appeared normal and may or may not be infected with
only seen in tissues associated with 1 fetus in litter 8 PRRS V, fetuses that had been dead for several days
and 2 fetuses in litter 3 . The lesions consisted of mod- or more, and fetuses that were covered with a sticky
erate, diffuse lymphoplasmacytic placentitis with mild mixture of meconium and amniotic fluids. S ome of
multifocal arteritis. the meconium-stained fetuses were alive and others
S ow 6 aborted at 1 1 1 DG (2 0 DPE), and her litter appeared to have recently died, some of which had
consisted of 9 pigs and 1 fetus beginning to mummify. blood mixed into the meconium/amniotic fluid paste
Five of the pigs were alive and very weak when found; covering the fetus. In some fetuses that had recently
4 of these had suckled, and virus was isolated from 1 . died and were mildly autolyzed, the amniotic fluid
The remaining 4 pigs were dead; 1 was stillborn and appeared very dark and thick as if it were contaminated
wrapped in fetal membranes, and the other 3 pigs were by blood. The meconium staining was the most con-
born alive and had died. Virus was recovered from all sistent gross abnormality observed in fetuses infected
4 of these dead pigs. Each of the dead fetuses had 6- with virus. Many of the PRRS V-infected fetuses also
1 0 cm of their umbilical cord attached, and 3 cords had gross lesions associated with the umbilical cord
contained gross hemorrhages (including the stillborn and less often with the internal organs. The gross le-
pig) similar to those of infected fetuses recovered fol- sions in the umbilical cords ranged from segmental
lowing necropsy of the other sows prior to farrowing. hemorrhagic areas 1 -2 cm in length to full length in-
S eg mental necrosuppurative arteritis with marked volvement of the cord, which was grossly distended
hemorrhage throughout the wall of one or both um- with frank hemorrhage. Occasionally, the cord did not
bilical arteries was present in each of the 3 cords. The contain hemorrhages but was edematous and 2 -3 times
live pigs had dried, dark brown, shrunken umbilical its normal size. Edema around the kidney and spleen
cords, which were not examined microscopically. Ex- and within the mesentery of the spiral colon was fre-
amination of the placenta revealed stumps of several quently seen, along with a clear effusion in the thoracic
umbilical cords that appeared to contain hemorrhages and abdominal cavities. In several instances, the fetus
similar to gross lesions seen in umbilical cords of was viremic and appeared normal, but its placenta had
PRRS V-infected fetuses; characteristic microscopic le- a brownish-tan discoloration and was detaching from
sions were present in these cords. the uterus. All live fetuses that had gross lesions in the
For this report, litters 8 (seropositive sow) and 9 umbilical cord were viremic. A necrotizing arteritis
(sham-infected controls) are considered noninfected with periarterial hemorrhage was found in the umbil-
control litters; they contained 1 5 and 1 3 live-normal ical cords and was the most consistent microscopic
fetuses, respectively. Virus was not isolated from either lesion in fetuses from which virus was isolated. S ows
litter or from either sow. A moderate lymphoplas- 1 -7 had endometritis and myometritis of various de-
macytic placentitis with mild multifocal arteritis was grees, suggesting that PRRS V may induce these lesions;
found in the placenta associated with 1 fetus in litter however, these lesions are likely not pathognomonic
8; the remaining uterine/placental tissues and fetuses for a PRRS V infection.
appeared normal. No microscopic lesions were found S ome of the fetal gross lesions reported in this study
in any of the fetuses or the uterine/placental tissues have been reported in previous studies in which sows
examined from sow 9. were naturally or experimentally infected with PRRS V
and euthanized between 1 07 and 1 1 2 DG. In one study,
Discussion meconium staining was observed on some dead fetus-
In this report, we describe gross and microscopic es, although no frank hemorrhage or umbilical cord
lesions in fetuses following experimental infection of lesions were noted. 1 5 Moreover, that report also de-
the dam with PRRS V during late gestation. The ex- scribed the placenta separating from the uterus and
ample of a field case-like late-term abortion, i.e., having a brownish-green appearance, similar to what
litter 6, demonstrates that umbilical cord lesions can is occasionally observed in our studies. Clear effusions
be found in the field, and these tissues may be sub- have been previously reported in thoracic or abdom-
mitted to diagnostic laboratories as an aid in the di- inal cavities of fetuses suspected or known to have been
agnosis of PRRS V-induced maternal reproductive fail- infected with PRRS V. 4,1 4 Microscopic lesions of the
ure. Moreover, the gross and microscopic lesions re- uterine/placental tissues comparable to those of the
ported here may offer insight into the pathogenesis of present study have been observed in 2 other studies.
fetal death following PRRS V infection of the sow. In 1 study, lesions were seen in the uterine and pla-

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Umbilical cord lesions in PRRS V-infected fetuses 2 81

Figure 3. Uterus of gilts oronasally inoculated with PRRS V 2 1 days earlier. A. Moderate lymphoplasmacytic and histiocytic perivascular
myometritis with mild interstitial edema is present. HE. B . Moderate multifocal and perivascular lymphoplasmacytic and histiocytic
endometritis with microseparation (arrowhead) of maternal and fetal placental epithelium is present. HE.

cental tissues of naturally and experimentally infected The significance of the diffuse lymphoplasmacytic
sows, 1 5 and in the other study only uterine lesions were placentitis with mild arteritis in the placenta associated
noted in experimentally infected sows.1 Gross lesions with 1 fetus in litter 8 and 2 fetuses in litter 3 is un-
of the umbilical cord compatible with those in this known. S ow 8 had been previously exposed to the
report (Fig. 1 ) have been observed in concurrent stud- NADC-8 isolate of PRRS V 567 days before her second
ies in our laboratory in which gilts were exposed to the challenge with homologous virus at 90 DG. Evidence
NADC-8 strain of PRRS V at or about 90 DG (un- for transplacental infection of fetuses in litter 8 was
published observations). The gilts were allowed to far- not found, suggesting that the previous PRRS V ex-
row naturally, and a similar spectrum of near-term fetal posure induced a protective immune response in sow
death to normal appearing congenitally infected pigs 8. Previous work in our laboratory has demonstrated
was observed. In contrast, no gross abnormalities were that homologous PRRS V immunity can be induced in
observed in the umbilical cords of the control litters, sows and will protect their fetuses from transplacental
all of which were apparently free of PRRS V. infection with PRRS V.1 1 However, it is not known if

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2 82 Lager, Halbur

the homologous protection precludes any replication the US DA implies no approval of the products to the exclu-
of PRRS V in the immune host. If the placental lesions sion of others that may also be suitable.
observed in litters 3 and 8 are PRRS V related, then
References
the incidence of PRRS V-induced placentitis in this
model is very low. 1 . Christianson WT, Collins JE, B enfield DA, et al.: 1 992 , Ex-
The gross observations and the presence of umbilical perimental reproduction of swine infertility and respiratory syn-
drome in pregnant sows. Am J Vet Res 53 :485-488.
cord lesions seen in this study, indicate that hypoxia 2 . Collins JE, B enfield DA, Christianson WT, et al.: 1 992 , Iso-
may be a cause of death for some of the fetuses infected lation of swine infertility and respiratory syndrome virus (isolate
during late gestation with PRRS V. Hypoxia may occur ATCC VR-2 3 3 2 ) in North America and experimental repro-
by the disruption of normal blood flow in the umbilical duction of the disease in gnotobiotic pigs. J Vet Diagn Invest
cord because of the necrosis of arterial walls and hem- 4:1 1 7-1 2 6.
3 . Conzelmann KIS , Visser N, Van Woensel P, Thiel HJ: 1 993 ,
orrhage into the perivascular tissues, followed by dis- Molecular characterization of porcine reproductive and respi-
tension of the cord and occlusion of the umbilical ves- ratory syndrome virus, a member of the arterivirus group. Vi-
sels. Occasionally, the integrity of the cord is lost, and rology 1 93 :3 2 9-3 3 9.
hemorrhage occurs into the amniotic cavity and the 4. Dea S , Bilodeau R, Athanassious R, et al.: 1 992 , Swine repro-
fetus may exsanguinate. In addition, the lesions as- ductive and respiratory syndrome in Quebec: isolation of an
enveloped virus serologically-related to Lelystad virus. Can Vet
sociated with the placenta and uterus may explain the J 3 3 :801 -808.
onset of abortions that are seen following natural or 5. Done S H, Paton DJ: 1 995, Porcine reproductive and respira-
experimental infection; e.g., the uterine lesions may be tory syndrome: clinical disease, pathology and immunosuppres-
severe enough to disrupt the maternal/fetal barrier, sion. Vet Rec 1 3 6:3 2 -3 5.
resulting in fetal death and abortion. 6. Halbur PG, Paul PS , Andrews JJ, et al.: 1 993 , Experimental
transmission of an apparent viral pneumonia in conventional
These putative mechanisms could explain the find- and gnotobiotic pigs. Vet Rec 1 3 2 :2 63 -2 66.
ings of others, i.e., the absence of gross or microscopic 7. Halbur PG, Paul PS , Frey ML, et al.: 1 995, Comparison of the
lesions in aborted or stillborn fetuses following exper- pathogenicity of two U.S . porcine reproductive and respiratory
imental or natural infections of the dam, because the syndrome virus isolates with Lelystad virus. Vet Pathol 3 2 :648-
virus may have little direct effect on the fetus and death 660.
8. Hopper S A, White MEC, Twiddy N: 1 992 , An outbreak of
may be largely due to umbilical cord or uterine lesions. blue-eared pig disease (porcine reproductive and respiratory
In this study, gross and microscopic lesions were only syndrome) in four pig herds in Great B ritain. Vet Rec 1 3 1 :1 40-
found in transplacentally infected fetuses, and the spec- 1 44.
trum of live-normal to live-abnormal to dead fetuses 9. Keffaber KK: 1 989, Reproductive failure of unknown etiology.
reported here suggests these lesions can be attributed Am Assoc S wine Pract Newsl 1 :1 -9.
1 0. Kim HS , Kwang J, Y oon IJ, et al.: 1 993 , Enhanced replication
to PRRS V infection. However, we do not know if the of porcine reproductive and respiratory syndrome (PRRS ) virus
fetal and maternal lesions are due to a direct cytolytic in a homogeneous subpopulation of MA-1 04 cell line. Arch
viral infection or if the lesions are the indirect result Virol 1 3 3 :477-483 .
of a viral infection by some as yet unidentified mech- 1 1 . Lager KM, Mengeling WL: 1 995, Porcine reproductive and
anism. respiratory syndrome virus immunity in sows. Proc. U.S .-Jpn
Nat Resour Mycoplasmosis Panel Meet 3 0:7.
One of the litters examined in this study was infected 1 2 . Mengeling WL, Lager KM, Vorwald AC: 1 995, Diagnosis of
with the Lelystad isolate of PRRS V, which suggests porcine reproductive and respiratory syndrome. J Vet Diagn
that although antigenic differences and pulmonary vir- Invest 7:3 -1 6.
ulence differences may exist among strains of virus 7 1 3 . Meulenberg JJM, Hulst MM, DeMeijer EJ, et al.: 1 993 , Le-
PRRS V has a similar mechanism for transplacental lystad virus, the causative agent of porcine epidemic abortion
and respiratory syndrome (PEARS), is related to LDV and EAV.
infection and subsequent fetal death. Further studies, Virology 1 92 :62 -72 .
e.g., temporal immunohistochemistry and/or in situ 1 4. Plana J, Montserrat V, Vilarrasa J, et al.: 1 992 , Porcine epi-
hybridization studies, are needed to demonstrate the demic abortion and respiratory syndrome (mystery swine dis-
mechanism of the necrotizing arteritis and elucidate ease). Isolation in S pain of the causative agent and experimental
the apparent differences in susceptibility between um- reproduction of the disease. Vet Microbiol 3 3 :2 03 -2 1 1 .
1 5. S tockhofe-Zurwieden N, Navarro Camarro JA, Grosse-Beilage
bilical arteries and veins. E, et al.: 1 993 , Uterine and placental alterations in pregnant
sows associated with the porcine epidemic abortion and respi-
Acknowledgements ratory syndrome (PEARS ). J Vet Med B 40:2 61 -2 71 .
We thank Deborah Adolphson and Donald Hackbarth for 1 6. Terpstra C, Wensvoort G, Pol JMA, et al.: 1 991 , Experimental
technical assistance. No endorsements are herein implied. reproduction of porcine epidemic abortion and respiratory syn-
B rand names are necessary to report factually on available drome (mystery swine disease) by infection with Lelystad virus:
Koch s postulates fulfilled. Vet Q 1 3 : 1 3 1 -1 3 6.
data; however, the US DA neither guarantees nor warrants
the standards of the products, and the use of the names by

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