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FACULTY OF VETERINARY SCIENCE Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof Paul Sheehy Prof Richard Malik Chaos Ash Ranger

Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

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Page 1: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FACULTY OF

VETERINARY SCIENCE

Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar

A/Prof Jacqui Norris A/Prof Paul Sheehy Prof Richard Malik

Chaos

Ash

Ranger

Page 2: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

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A/Prof Jacqui Norris and Prof Richard Malik

Page 3: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

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Page 4: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV – what is it?

Virus that can be transmitted through fighting, blood transfusions, and mother kitten

Similar in structure to HIV (Family Retroviridae, Genus Lentivirus)

Disease outcomes variable – but cats definitely at risk of developing lymphoma (a type of cancer)

Infection is LIFELONG

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Photo courtesy of A/Prof Jacqui Norris

Page 5: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV – worldwide distribution

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Yamamoto 2002

Page 6: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV prevalence in Australia

Most recent and largest study = 15% (305/2083)

Westman et al. 2015 (in preparation)

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0

0.05

0.1

0.15

0.2

0.25

0.3

others WA

FIV seroprevalence

Page 7: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Testing for FIV - recommendations

* All cats before adoption * Any ‘sick’ cat * Blood donors

Photo courtesy of Dr. Anne Fawcett

Page 8: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Serological (antibody) testing

https://downhousesoftware.files.wordpress.com/2013/04/opsonized-cell.png

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Page 9: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

DO NOT USE SEROLOGICAL (antibody) TESTS FOR DIAGNOSIS OF FIP……EVER!!!

They are a waste of money and dangerous

Niels Pedersen

FIP – DANGEROUS!

Slide courtesy of Dr. Kate Worthing

Page 10: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Serological (antibody) testing for FIV

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Hosie, M.J., Beatty, J.A., 2007. Vaccine protection against feline immunodeficiency virus: setting the challenge. Aust. Vet. J. 85, 5-12.

Page 11: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV vaccination – why the fuss?

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Page 12: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV vaccination – A diagnostic dilemma!

Vaccinated

Infected

Vaccinated AND infected

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Photo courtesy of Lynda du Cross

Page 13: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

WSAVA FIV vaccination guidelines

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Filler only (http://www.wsava.org/guidelines/vaccination-guidelines)

Photo courtesy of Dr. Amelia Fung (Tunisia 2015)

Page 14: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Study design

Vaccinated (n=119) Controls (n=239)

Vaccinated against FIV at least ONCE

NEVER vaccinated against FIV

0.5 to 17 years-of-age

0.5 to 20 years-of-age

Vaccination guidelines NOT followed (last FIV vaccination

74 days – 6.9 years)

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Page 15: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV testing

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PCR assay

gp40 p24, gp40

p15, p24

Page 16: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV testing (continued)

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Virus isolation at the University of Florida with Professor Janet Yamamoto and Dr. Ruiyu Pu

Page 17: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Results

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Vaccinated (108/119) Infected (5/119)

Page 18: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Application #1

If these 119 vaccinated cats had entered a shelter…

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Screening test used No. of kits used No. of PCRs required ($50/test)

SNAP Combo

119 119 (=$5,950)

Anigen Rapid

119 5 (=$250)

Witness

119 11 (=$550)

Page 19: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Application #2

Identification of FIV-vaccinated UNINFECTED cats

Test Result

SNAP Combo

Anigen Rapid

Witness

qPCR

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Chaos

Page 20: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Application #3

Identification of FIV-vaccinated INFECTED cats

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Ash

Test Result

SNAP Combo

Anigen Rapid

Witness

qPCR

Page 21: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Application #4

Pre- and post- blood transfusion from a FIV-vaccinated cat

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Test Result

SNAP Combo (pre-transfusion)

SNAP Combo (post-transfusion)

Anigen Rapid

Witness Ranger

Page 22: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

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(100/100)

FIV Status determined by

panel of serology, PCR

+/- virus isolation

IDEXX SNAP

p15, p24

Anigen

Rapid

p40, p24

Witness

p40

Truly FIV infected cats

(irrespective of FIV

vaccination history)

+ + +

NON-FIV infected cats

(FIV-vaccinated) + - -

Page 23: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Summary

Screening for FIV infection should be done using Anigen Rapid or Witness FIV antibody test kits

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Page 24: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Suggested algorithm

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Photo courtesy of Dr. Amelia Fung

Page 25: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

FIV vaccine efficacy?

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2017!

Page 26: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Acknowledgements

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Page 27: Feline Leukaemia Virus infection: investigation of a case ... FIV Diagnosis G2Z... · Dr Mark Westman BVSc (Hons) MANZCVSc (Animal Welfare) PhD Scholar A/Prof Jacqui Norris A/Prof

Questions?

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