Radostits O M, Littlejohns I R
Can Vet J. 1988 Jun;29(6):513-28.
The new information on the pathogenesis and epidemiology of mucosal disease of cattle is reviewed. It is now known that clinical mucosal disease occurs only in cattle which were infected with a pestivirus in early gestation and were born with persistent viral infection and specific immunotolerance. These animals may be clinically normal at birth but may develop fatal mucosal disease, perhaps following superinfection with another pestivirus, usually between 6 and 24 months of age. They may also remain clinically normal indefinitely and breed successfully. The progeny from persistently infected females will similarly be persistently viremic, and maternal families of such animals may be established.Congenital defects may occur when infection of the fetus occurs in mid-gestation. Although fetuses may be infected in utero in late gestation, the infections do not persist, the fetuses develop antibodies, and they appear to suffer no ill-effects. Postnatal infection can result in subclinical disease (bovine viral diarrhea) with a normal immune response; the virus may also be responsible for enhanced susceptibility to other infections, diarrhea in newborn calves, and reproductive failure.Prevention of the economically important diseases caused by the virus is dependent upon the identification and elimination of persistently viremic animals, which are reservoirs of infection, and the vaccination of immunocompetent females at least three weeks before breeding. However, because of serotypic differences between strains, there is some doubt whether vaccination will reliably provide protection against the transplacental fetal infections that are important in the pathogenesis of this disease. There is no substantial evidence to warrant the vaccination of feedlot cattle.
本文综述了关于牛黏膜病发病机制和流行病学的新信息。现已明确,临床黏膜病仅发生于妊娠早期感染瘟病毒且出生时伴有持续性病毒感染和特异性免疫耐受的牛。这些动物出生时可能临床正常,但可能在6至24月龄时,或许在感染另一种瘟病毒导致的重复感染后,发展为致命的黏膜病。它们也可能无限期保持临床正常并成功繁殖。持续感染的雌性动物的后代同样会持续病毒血症,此类动物的母系家族可能由此形成。当胎儿在妊娠中期感染时,可能会出现先天性缺陷。尽管胎儿在妊娠晚期可能在子宫内感染,但感染不会持续,胎儿会产生抗体,且似乎未受不良影响。产后感染可导致具有正常免疫反应的亚临床疾病(牛病毒性腹泻);该病毒还可能导致对其他感染的易感性增强、新生犊牛腹泻以及繁殖失败。预防由该病毒引起的具有经济重要性的疾病,依赖于识别和清除作为感染源的持续病毒血症动物,以及在配种前至少三周对具有免疫能力的雌性动物进行疫苗接种。然而,由于毒株之间存在血清型差异,对于疫苗接种能否可靠地预防在该病发病机制中起重要作用的经胎盘胎儿感染存在一些疑问。没有充分证据支持对育肥牛进行疫苗接种。