DISPATCHESSchmallenberg Virus Recurrence,Germany, 2014Kerstin Wernike, Bernd Hoffmann,Franz J. Conraths, Martin BeerSchmallenberg virus (SBV) emerged in Germany in 2011,spread rapidly across Europe, and almost disappeared in2013. However, since late summer 2014, new cases haveoccurred in adult cattle. Full-genome analysis revealedsome amino acid substitution differences from the firstSBV sample. Viremia developed in experimentally infectedsheep and cattle for 4–6 days.Schmallenberg virus (SBV), an insect-transmitted orthobunyaviruswith a negative-stranded tripartite RNAgenome, causes no or only mild nonspecific clinical signsfor a few days in adult ruminants (1). However, infection ofimmunologically naive animals during a vulnerable periodof pregnancy can cause premature birth, stillbirth, or severemalformations in the offspring (2).SBV was first detected in autumn 2011 in the bloodof an acutely infected cow in North Rhine-Westphalia,Germany (1). In early 2012, a large number of malformedlambs and calves, which tested positive for SBV, were bornin central Europe (2). The malformations resulted from infectionof the dams in summer or autumn 2011 and transplacentaltransmission. Within this first vector season, thevirus spread rapidly within and between the animal holdings.In the center of the epidemic in northwestern Germany,the Netherlands, and Belgium, >90% of tested cattlebecame seropositive (3). During the following year, SBVcirculated again in Germany (4) but at a much lower leveland predominantly at the margin of the initially most affectedarea because susceptible animals had remained there.During the 2013 vector season and the following winter,SBV cases were detected only sporadically (only SBVgenome detections without successful virus isolation) (5).For example, only 7 cases of viral genome detection werereported to the German Animal Disease Reporting Systemduring January 1–March 24, 2014; these cases resultedfrom infection of the respective dams during summer orautumn 2013. The high seroprevalence of the ruminantpopulation and the marked decline of births with SBV-associatedmalformations in newborns raised hopes that SBVhad disappeared after the first epidemic, as occurred withthe transient appearance of bluetongue virus serotype 8 inthe same region of Europe (6).Author affiliation: Friedrich-Loeffler-Institut, Insel Riems, GermanyDOI: http://dx.doi.org/10.3201/eid2107.150180The StudySurprisingly, during summer and autumn 2014, SBV reappearedin Germany to a greater extent. Viral genomewas repeatedly detected in acutely infected cattle. Severalsamples from various federal states were submitted to theFriedrich-Loeffler-Institut, Federal Research Institute forAnimal Health (Insel Riems, Germany), to confirm an SBVinfection (Table) and to further characterize these reemergingviruses.To evaluate sequence variations among SBV variantscirculating in Germany since 2011, the original SBVisolate (BH80/11) and viruses isolated in 2012 from theblood of viremic sheep (BH619/12) or cattle (D495/12-1 and BH652/12) were compared with 3 genomes obtainedfrom the viruses in acutely infected adult cattle in2014 (BH119/14-1/2, BH119/14-3/4, BH132/14). RNAwas extracted by using the QIAamp Viral RNA Mini Kit(QIAGEN, Hilden, Germany) according to the manufacturer’srecommendations, and the open reading frames ofall 3 genome segments (large [L], medium [M], and small[S] segment; primer sequences available on request) weresequenced as described (7). Sequences generated in thecurrent study were submitted to GenBank (accession nos.KP731865–KP731882). Sequence alignments and translationin amino acids were supported by Geneious <strong>version</strong>7.1 (Biomatters, Auckland, New Zealand). We generateda maximum-likelihood tree (Hasegawa-Kishino-Yanomodel, 1,000 bootstrap replicates) using MEGA5 (8). Forthe phylogenetic analysis of the M segment, sequencespreviously obtained from organ samples from newbornsmalformed because of SBV infection also wereintegrated (7).For the S segment (830-nt long), which encodesthe nucleocapsid protein (N) and a nonstructural protein(NSs), sequence analysis revealed very high stability. Thesamples obtained from acutely infected animals in 2014,BH619/12 and BH652/12, were 100% identical to theoriginal SBV strain BH80/11 from 2011. In the sampleD495/12-1 from 2012, a single nucleotide was substituted(online Technical Appendix Figure, http://wwwnc.cdc.gov/EID/article/21/7/15-0180-Techapp1.<strong>pdf</strong>). Theviral RNA-dependent RNA polymerase encoding L segment(6864 nt) also showed high stability, and only a fewnucleotide substitutions compared with BH80/11 werefound in the latest samples (D495/12-1 and BH652/12:6 nt; BH619/12: 10 nt; BH119/14-1/2, BH119/14-3/4.and BH132/14: 18 nt). Overall, sequence identity was99.7%–99.9% (online Technical Appendix Figure).1202 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015
Schmallenberg Virus, GermanyTable. Origin of Schmallenberg virus real-time reversetranscription PCR–positive samples submitted to the Friedrich-Loeffler-Institut, Germany, 2014SubmissionNo. QuantificationdateFederal state samples cycle valueSep 25 Lower Saxony 3 25.1–28.1Sep 29 Lower Saxony 1 26.2Oct 13 North Rhine-Westphalia 1 30.1Oct 21 Lower Saxony 4 24.1–29.9Oct 22 North Rhine-Westphalia 2 29.7–30.6Oct 22 North Rhine-Westphalia 1 31.1Oct 22 Saxony-Anhalt 1 22.8Oct 23 Saxony 14 24.1–29.1Nov 4 Rhineland-Palatinate 4 27.7–38.3Nov 11 Lower Saxony 1 26.1Nonsynonymous substitutions ranged from 1 aa to 4 aa(online Technical Appendix Figure).The M segment (4415-nt long) encodes 2 glycoproteins(Gn and Gc) and a nonstructural protein (NSm). Itis the most variable genome segment of SBV and relatedviruses (7,9,10). Despite the identification of a highly variableregion within the Gc-coding sequence in viruses inmalformed newborns (7,9), there was a high sequence stabilityof the viruses detected in the blood of acutely infectedadult animals; all sequences clustered closely (Figure 1).In contrast to the maximum of 77 nt and 43 aa substitutionsor 12 aa deletions or 2 aa insertions found in organ samplesof lambs or calves (7), we detected only 6–12 nt and 2 aa(BH619/12), 3 aa (D495/12-1, BH119/14-3/4, BH132/14)or 4 aa (BH652/12, BH119/14-1/2) substitutions (onlineTechnical Appendix Figure). Because Gn and Gc are majorimmunogens of orthobunyaviruses (10), the mutationhot spot was supposed to be involved in immune evasionmechanisms and/or adaption of the cell tropism within theindividual host (7,9). However, insect-transmitted virusessuch as SBV have to adapt to 2 hosts and undergo replicationcycles in both the arthropod vector and the mammalianhost. Thus, the high sequence stability of virus strains detectablein viremic animals might be necessary for transmissionto the vector. Notably, in comparison with the originalSBV isolate, K→E substitutions at aa 746 and 1340 ofthe M segment were found in all other samples. Becausethese mutations have now been consistently present for atleast 2 years, they might have occurred during the adaptationto European ruminants or insects and could provide agrowth advantage within the individual host or might bebeneficial for transmission between host and vector.To investigate whether the detected sequence variationscorrelated with any change in pathogenicity, 5 femalesheep and 1 female calf were subcutaneously inoculatedwith pools of up to 5 serum or whole blood samplesfrom 1 of the holdings with new cases confirmed in 2014(sheep 1 and 3 and the calf with samples from Lower Saxony;sheep 2, 4, and 5 with samples from Saxony [permitno. LALLF-M-V/TSD/7221.3–1.1–004/12]). Noneof the animals showed fever or any other clinical sign.Blood samples were taken daily for the first 2 weeks afterinoculation and analyzed by real-time reverse transcriptionPCR (11). Thereafter, serum samples were taken inweekly intervals and tested in a microneutralization assay(12) and a commercially available SBV antibody ELISA(ID Screen Schmallenberg Virus Competition; IDvet,Grabels, France). The calf and sheep 2–5 became infected;viral genome was detectable in their blood for 4–6days (Figure 2), which agrees with the short-lived viremiapreviously observed after experimental infection of cattleand sheep with the original SBV sample or the first cellculture isolate (1,13). Antibodies were first detected onday 7 after infection (sheep 2, sheep 5) or day 14 afterinfection (calf, sheep 3, sheep 4) in both tests.ConclusionsSBV, first detected in 2011, circulated again in Germanyin 2014. Virus genome with a high sequence identity to thefirst SBV sample was repeatedly detected in the blood ofacutely infected adult cattle, and in experimentally infectedanimals, viremia developed that was identical to the originalSBV isolate. The renewed virus circulation during the2014 vector season was observed primarily in an area lessaffected in the 2 previous years. The missing or markedlyreduced virus circulation led to a decline in herd seroprevalencecaused by a missing infection of the young stockFigure 1. Phylogenetic analysis based on nucleotide sequencesof the medium segment of Schmallenberg virus samples isolatedfrom blood of acutely infected animals in 2011 or 2012 (blue) orsequenced directly from the blood of viremic cattle in 2014 (red)and from organ samples of malformed newborns (black) (7). Scalebar indicates nucleotide substitutions per site.Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015 1203
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July 2015SynopsisOn the CoverMarian
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1240 Gastroenteritis OutbreaksCause
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SYNOPSISDisseminated Infections wit
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Parechovirus Genotype 3 Outbreakamo
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LETTERSInfluenza A(H5N6)Virus Reass
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