Divergent Astrovirus Associated with Neurologic Disease in Cattle

Using viral metagenomics of brain tissue from a young adult crossbreed steer with acute onset of neurologic disease, we sequenced the complete genome of a novel astrovirus (BoAstV-NeuroS1) that was phylogenetically related to an ovine astrovirus. In a retrospective analysis of 32 cases of bovine encephalitides of unknown etiology, 3 other infected animals were detected by using PCR and in situ hybridization for viral RNA. Viral RNA was restricted to the nervous system and detected in the cytoplasm of affected neurons within the spinal cord, brainstem, and cerebellum. Microscopically, the lesions were of widespread neuronal necrosis, microgliosis, and perivascular cuffing preferentially distributed in gray matter and most severe in the cerebellum and brainstem, with increasing intensity caudally down the spinal cord. These results suggest that infection with BoAstV-NeuroS1 is a potential cause of neurologic disease in cattle.

Brain tissue from a yearling steer with an encephalomyelitis and ganglioneuritis of unknown origin was analyzed by using viral metagenomics, which showed a divergent astrovirus distantly related to an ovine astrovirus. By retrospective analysis, this bovine astrovirus associated with neurologic symptoms (BoAstV-NeuroS1) was detected in the brains of 3 of 32 other cattle with encephalitides of undetermined etiology. Virus was detected by RNA in situ hybridization within neurons in the brainstem, cerebellum, and/or spinal cord in all PCR-positive samples from the 4 animals in this study.

Sample Preparation and Next-Generation Sequencing
To search for potential viral etiologic agents, we performed an unbiased metagenomic analysis. Viral nucleic acids were enriched from fresh-frozen brain tissue samples (≈25 mg) by tissue homogenization, filtration, and nuclease treatment, and a library of randomly amplified PCR products from viral RNA and DNA was prepared by using a ScriptSeq version 2 RNA-Seq library preparation kit (Epicenter, Madison, WI, USA) and sequenced on the MiSeq Illumina platform (Illumina, San Diego, CA, USA) (12).

Bioinformatics Analysis
Paired-end reads of 250 bp generated by MiSeq were debarcoded by using vendor software from Illumina. An inhouse analysis pipeline running on a 32-node Linux cluster was developed to process the data. Clonal reads were removed, and low sequencing quality tails were trimmed by using Phred quality score 10 as the threshold. Adaptors were trimmed by using the default parameters of Vec-Screen, which is NCBI BLASTn (13) with specialized parameters designed for adaptor removal. The cleaned reads were assembled de novo by using SOAPdenovo2 (14). The assembled contigs, along with singlets, were aligned to an in-house viral proteome database by using BLASTx. The significant hits to virus were then aligned to an in-house nonvirus-nonredundant universal proteome database by using BLASTx. Hits with more significant adjusted E-value to nonviral than to viral sequences were removed.

Genome Sequencing and Phylogenetic Analyses
The presence of astrovirus genomic sequences assembled from next-generation sequencing reads were confirmed by PCR and Sanger sequencing. By connecting gaps between sequenced viral fragments, and amplifying the 5′ and 3′ end sequences by using 5′ and 3′ rapid amplification of cDNA ends (RACE) (15,16), the complete genome of the new astrovirus was obtained. Phylogenetic analyses based on aligned amino acid sequences from full-length protease, RNA-dependent RNA polymerase (RdRp), and capsid proteins were generated by the neighbor-joining method in MEGA 4 (17) by using amino acid p-distances with 1,000 bootstrap replicates. Maximum parsimony and maximum likelihood methods were conducted to confirm the topology of the neighbor-joining tree.

Retrospective Search for BoAstV-NeuroS1
We selected 32 cases of histologically confirmed bovine encephalitis, each of undetermined etiology, from the archives (2003-2013) of the Veterinary Medical Teaching Hospital (Davis, CA, USA) and at the Davis, Tulare, and San Bernardino branches of the University of California, Davis-California Animal Health and Food Safety laboratory system. All animals had a histologic diagnosis of either nonsuppurative or pleocellular encephalitis, encephalomyelitis, or meningoencephalitis. Histology was reviewed, and nucleic acids were extracted from selected sections of formalin-fixed, paraffin-embedded affected brain tissue by Agencourt Formapure Kit (Beckman Coulter, Atlanta, GA, USA) (18).

Testing of Affected Steer
The animal was submitted to the California Animal Health and Food Safety Laboratory in Davis, California, for euthanasia and postmortem examination. PCR tests for BoHV-1, bovine viral diarrhea virus (BVDV), West Nile virus, bluetongue virus, epizootic hemorrhagic disease virus, and ovine herpesvirus 2 were negative. BVDV, BoHV-1, L. monocytogenes, and Neospora spp. were also negative by immunohistochemical examination of sections. Samples were negative for rabies virus according to fluorescent antibody test. Virus isolation, done independently at Cornell University (Ithaca, NY, USA) and at the California Health and Food Safety Laboratory (Davis, CA, USA) from a brain pool was negative. The tissue sample was placed onto bovine turbinate and swine kidney primary cell cultures. Two passages were made. At the end of the second passage, the cells were stained with a polyvalent viral antiserum, a pseudorabies antiserum, and bovine enterovirus 1-7 antiserum in an indirect immunofluorescence assay. In the sentinel animal, serologic test results for BoHV-1 were negative and for BVDV types 1 and 2 were positive at a titer of 512. Ostertagia spp. were detected in the abomasal contents, and Trichostrongyle spp. eggs and Coccidia oocysts were found in feces. Hepatic levels of copper (5.8 ppm) and selenium (0.13 ppm) were interpreted as being low.

Histology and In Situ Hybridization
Brains from all animals and various segments of the spinal cord from 3 animals were immersion-fixed in 10% buffered formalin, pH 7.2, for at least 48 h. Transverse sections of the brain, including cerebral cortex and corona radiata, basal nuclei, thalamus, midbrain, medulla oblongata, cerebellar peduncles, cerebellum and brainstem in all animals; the full length of the spinal cord in animals 1 and 2 (including cervical dorsal root ganglia in animal 1); and cervical cord segments only in animal 3 were processed by standard histologic techniques by using 4-µm thick sections stained with hematoxylin and eosin.

Electron Microscopy
Selected pieces of wax-embedded spinal cord tissue from the sentinel animal were extracted and postfixed in 2.0% glutaraldehyde and then routinely processed and embedded in epoxy resin (Eponate12 kit; Ted Pella, Redding, CA, USA). Selected thick sections were stained with toluidine blue. Ultrathin sections were examined by using a Zeiss (Göttingen, Germany) 906E transmission electron microscope.

Results of Metagenomic and Phylogenetic Analysis of BoAstV-NeuroS1 in Sentinel Animal
A 168-kg crossbreed yearling steer originating from Mexico was found on a property in northern California in lateral recumbency, with opisthotonus and limbs in extensor rigidity. After deep sequencing of enriched viral particles from homogenized diseased brain tissue, we identified 170 sequence reads related to astroviruses using BLASTx (E-score <10-5), which could be assembled into 17 contigs covering ≈45% of the viral genome.
The complete genome of the new astrovirus (GenBank accession no. KF233994) was then generated by linking fragments by PCR and by using 5′ and 3′ RACE to yield a genome provisionally named bovine astrovirus NeuroS1 (BoAstV-NeuroS1).
The resulting genome was 6,471 nt long, with a GC content of 48%. As typical mamastroviruses, BoAstV-Neu-roS1 had 3 putative open reading frames (ORFs), encoding the protease with ORF1a (860 aa), RdRp with ORF1b (525 aa), and capsid protein with ORF2 (757 aa). An expected ribosomal frame-shift signal was found in the ORF1a/1b overlap region that consisted of the heptameric AAAAAAC sequence, followed by a potential 20-nt pseudo-knot sequence. The conserved protease motifs and RdRp motifs, such as the potential conserved proteolytic cleavage site (VHL/TNT) and the characteristic YGDD motif, were present. The amino-terminal half of the capsid protein was more conserved than the carboxy-terminal region.
To determine the genetic relationship between BoAstV-NeuroS1 and other astroviruses, we performed sequence alignments of the protease (ORF1a), RdRp (ORF1b), and capsid (ORF2). BoAstV-NeuroS1 shared the highest identity of 56%, 70%, and 66% aa similarity with the ORF1a, ORF1b, and ORF2 encoded proteins of ovine astrovirus, its closest relative. Phylogenetic analysis was performed, and neighbor-joining trees were generated ( Figure 1). All 3 trees confirmed that BoAstV-NeuroS1 was most closely related to the ovine astrovirus prototype, which was identified in 1977 (20) and sequenced in 2003 (21), but was phylogenetically far from the recently reported ovine AsttV2 (22), and other known BastVs.

Retrospective Study
For 32 animals, formalin-fixed, paraffin-embedded tissues of bovine brain or spinal cord (1 or 2 tissue sections per animal) were tested for BoAstV-NeuroS1 by specific reverse transcription nested PCR, and samples from 3 (9.4%) animals (animals 2-4) were positive. Samples from these same animals also were positive by in situ hybridization. Animal 2 was a 178-kg, polled Hereford heifer from northern California that was found recumbent with intermittent seizures, unable to move the hind legs, and lacking hind limb pain withdrawal reflex. Animal 3 was a euthanized 3-year-old Angus cow that on the farm was unable to 1388 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 19, No. 9, September 2013  rise and exhibited occasional star gazing and unresponsiveness to thiamin therapy. Animal 4 was a euthanized 3-yearold Holstein cow with a history of circling and blindness. The laboratory diagnostic workup for CNS pathogens in these 3 additional animals was not consistent but included negative test results for BVDV, BoHV-1, and rabies virus. Culture for L. monocytogenes in animals 3 and 4 was negative; for animals 2 and 4, Neospora caninum, Sarcocystis spp., BSE, and pseudorabies histologic lesions were negative by immunohistochemistry; and immunohistochemical analysis results for West Nile virus, Chlamydia spp. and Toxoplasma spp. in animal 3 were negative.

Histology, In Situ Hybridization, and Ultrastructure
The anatomic pattern of lesion distribution was remarkably consistent and unusual in all 4 animals. The meningoencephalomyelitis was largely confined to gray matter in the brain and spinal cord, with most severe lesions in the cerebellar folia and brainstem and throughout all segments of the spinal cord gray matter. Rostrally, there was minimal involvement in the midbrain, thalamus, and basal nuclei, but the cerebral cortex and underlying corona radiata were devoid of inflammatory cell infiltrates (Figure 2, Appendix, wwwnc.cdc.gov/EID/article/19/9/13-0682-F2. htm). There was a nonsuppurative ganglioneuritis in the 1 cervical dorsal root ganglion examined.
Microscopically in all animals, the lesions were pathognomonic for a highly neurotropic viral encephalomyelitis and included moderate to marked lymphocytic cell perivascular cuffing and neuronal and ganglionic degeneration and necrosis, with microgliosis but minimal meningitis, especially in the dorsal and ventral horns of the spinal cord gray matter and multifocally in the medulla oblongata, cerebellar peduncles, and midbrain ( Figure 3). Degenerating or necrotic neurons were variously swollen and hypereosinophilic and shrunken with angular borders and/or had faded, pale, or eosinophilic cytoplasm sometimes with vacuolation or central pallor. Nuclei of affected neurons remained central but were variably pyknotic, karyorrhectic, or rarely karyomegalic with absent or dispersed chromatin. Neuronophagia of these neurons by microgliosis was not a common feature and appeared delayed but was occasionally seen in individual neurons with an eosinophilic irregular granular content, especially in the gray matter of the spinal cord. Eosinophilic swollen axonal and dendritic spheroids accompanied this neuronal necrosis. The cerebellar folia also had widespread lesions, with a predilection for Purkinje cell necrosis and loss, with characteristic Bergmann glial and microglial proliferation and dendritic spheroids in the overlying layer; however, axonal torpedoes were rarely found (Figure 4). Minimal lesions occurred as far rostrally as the thalamus, and basal nuclei and were limited to mild lymphocytic and plasma cell perivascular cuffing, with scattered microgliosis and, rarely, neuronal necrosis. The cerebral cortex and underlying white matter was surprisingly free of inflammatory lesions. In addition, a dorsal root ganglion of animal 2 showed lymphocytic ganglioneuritis with occasional characteristic neuronal degeneration and necrosis ( Figure 5). Throughout the length of the spinal cord in animal 2, there was a bilateral asymmetric polyneuritis restricted to the dorsal nerve roots at most segmental levels.
With in situ hybridization, many affected neurons had variably distinct, punctate to diffuse cytoplasmic staining throughout the cytoplasm or occasionally eccentrically located ( Figure 6). In the cerebellar folia, degenerative and necrotic Purkinje cells with their associated necrotic Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 19  Original magnification ×400.
dentritic spheroids in the molecular layer were positive for BoAstV-NeuroS1 ( Figure 7). Ultrastructural analysis of the spinal cord from the sentinel steer showed paracrystalline, stacked arrays of empty viral-like particles within the cytoplasm of neurons ( Figure 8). The diameter of individual particles was ≈27.5 nm.

Discussion
We report the genomic characterization of a novel astrovirus (BoAstV-NeuroS1) in the brain tissue of 4 cattle from ranches in California with a clinical neurologic disorder characterized histologically as a neurotropic meningoencephalomyelitis and ganglioneuritis. The virus was initially identified by viral metagenomics, and its presence was subsequently confirmed retrospectively in the CNS of 3 other cattle that had bovine encephalomyelitis of unknown etiology by PCR and in situ hybridization for viral RNA. Also, ultrastructure studies in 1 animal demonstrated intracytoplasmic particles in degenerating neurons tentatively considered morphologically compatible with an astrovirus. Our attempts to recover this virus in tissue culture have not been successful, and no concurrent intestinal infection was detected.
Other astroviruses have been identified and associated with neurologic signs in an immunodeficient child and in minks with a shaking syndrome in farm outbreaks reported in Denmark, Sweden, and Finland (5,6). BoAstV-Neu-roS1 infection shares neuropathologic features with the disease in mink. Both diseases have a seemingly identical anatomic distribution and type of lesions, and both occur with neurologic symptoms generally as isolated cases in mixed-breed animals.
BoAstV-NeuroS1 is now the third separate astrovirus species detected in brain tissue that has been associated with neurologic disease. It may be relevant that these 3 astrovirus species associated with neurologic symptoms (HAstV-PS, mink AstV-SMS, and BoAstV-NeuroS1) fall into the same genetic clade of astroviruses, together   with viruses of other species so far not associated with disease ( Figure 1). Bovine neurologic diseases can be caused by bacteria, parasites, viruses, toxins, or nutritional disturbances (10,11,23). Common infectious agents causing neurologic disease in cattle are regionally variable but include Clostridium botulinum, Clostridium tetani, L. monocytogenes, Histophilus somni, Babesia bovis, BSE prion, and BoHV-1 and -5. Infection with BoAstV-NeuroS1 is a new addition to the differential diagnosis of neurologic disorders in cattle, and constituted ≈9% of the undiagnosed cases of encephalitis in our retrospective study. This finding probably underestimates the prevalence of BoAstV-NeuroS1 disease because detection in this retrospective study was limited to formalin-fixed, paraffin-embedded tissues from a single region of the brain. Our preliminary microscopic and in situ hybridization results suggest that the best target for virus detection would be the spinal cord. Rapid diagnosis of astrovirus RNA by PCR or in situ hybridization in the brain or spinal cord of cattle with neurologic signs may enable more rapid exclusion of infection with the BSE prion. The involvement of the cerebellum is distinctive and rare and has been reported only with the still enigmatic European sporadic bovine encephalitis. However, the neurotropic lesions in that disease also intensively involve the hippocampus. Arthropod-borne diseases, such as loupingill in sheep and Russian tick-borne encephalitis in dogs and horses, share the features of neurotropism, Purkinje cell necrosis, and a similar anatomic distribution with BoAstV-NeuroS1 infection.
Further research will be required to determine whether development of the neurologic signs seen here required other factors, including co-infections and/or a genetic or acquired immunodeficiency. PCR testing and genomic analysis of bovine fecal isolates also may provide information about the incidence and duration of virus shedding, whichas for other asymptomatic intestinal astrovirus infectionsis expected to be short. In our study, in situ hybridization was negative on intestinal sections of the affected cattle. Seroprevalence studies in healthy cattle of different ages could measure any prior exposure to BoAstV-NeuroS1 and determine how frequently such asymptomatic infections occur.
Electron microscopy support was provided by the California Animal Health and Food Safety Laboratory.