Genotyping of feline leukemia virus in Mexican housecats

Hugo Ramírez, Marcela Autran, M. Martha García, M. Ángel Carmona, Cecilia Rodríguez & H. Alejandro Martínez Archives of Virology Official Journal of the Virology Division of the International Union of Microbiological Societies ISSN 0304-8608 Arch Virol DOI 10.1007/s00705-015-2740-4

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Arch Virol DOI 10.1007/s00705-015-2740-4

BRIEF REPORT

Genotyping of feline leukemia virus in Mexican housecats Hugo Ramı´rez1 • Marcela Autran1 • M. Martha Garcı´a2 • ´ ngel Carmona1 • Cecilia Rodrı´guez1 • H. Alejandro Martı´nez1 M. A

Received: 7 August 2015 / Accepted: 21 December 2015 Ó The Author(s) 2016. This article is published with open access at Springerlink.com

Abstract Feline leukemia virus (FeLV) is a retrovirus with variable rates of infection globally. DNA was obtained from cats’ peripheral blood mononuclear cells, and proviral DNA of pol and env genes was detected using PCR. Seventy-six percent of cats scored positive for FeLV using env-PCR; and 54 %, by pol-PCR. Phylogenetic analysis of both regions identified sequences that correspond to a group that includes endogenous retroviruses. They form an independent branch and, therefore, a new group of endogenous viruses. Cat gender, age, outdoor access, and cohabitation with other cats were found to be significant risk factors associated with the disease. This strongly suggests that these FeLV genotypes are widely distributed in the studied feline population in Mexico. Keywords FeLV  PCR  Phylogenetic analysis  Risk factors  Central Mexico Feline leukemia virus (FeLV) belongs to the genus Gammaretrovirus and the family Retroviridae, and at least six exogenous subgroups of the virus are recognized (FeLV A, B, C, AC, D and T). These are classified according to their

& Hugo Ramı´rez [email protected] 1

Facultad de Estudios Superiores Cuautitla´n, Veterinary Medicine, Virology, Genetics and Molecular Biology Laboratory, Campus 4, Cuautitla´n Izcalli Estado de Me´xico, Universidad Nacional Auto´noma de Me´xico, Km 2.5 Carretera Cuautitla´n–Teoloyucan, San Sebastia´n Xhala, CP. 54714 Cuautitla´n Izcalli, Estado de Me´xico, Me´xico

2

Immuno-Virology Laboratory, Department of Immunological Research, UMAE Pediatrics Hospital, XXI Century National Medical Center, IMSS, Av. Cuauhte´moc 330, Col. Doctores, CP. 06725 Ciudad de Me´xico, Me´xico

cellular tropism, which is mainly determined by the structural composition of the viral envelope [1]. The dominant genotype in infected cats is FeLV-A, which is the most infectious variety, but also the least virulent [2]. Genotypes FeLV-B and, particularly, FeLV-C are less common but are often present after FeLV-A infection. FeLV-B originated from the recombination of FeLV-A and endogenous viral sequences [3]. Studies using PCR have identified variable infection rates of FeLV globally. High rates of infection have been found in the United Kingdom (54 %) [4], Colombia (68 %) [5], Australia (43%) [6] and Brazil (47.5 %) [7]; intermediate rates in Spain (35.7 %) [8], Switzerland (33 %), [9] and the United States (1520 %); and low infection rates in Canada (3-4 %) [8]. The characterization and segregation of infected cats remains the cornerstone for the prevention of new infections [10]. Gender, adulthood, access to the outdoors, and contact with other cats have all been identified as risk factors for FeLV infection, and these factors play a decisive part in the infection rate [11]. Despite the potentially fatal impact of FeLV infection in Mexican cats, very little information exists at the local and national levels [1]. The goal of this study was to identify FeLV infections and their genotypes in domestic cats in Mexico’s central region using PCR. A heterogeneous population of 100 cats was included in the study; the cats did not present clinical signs of FeLV infection at the time of sampling (January 2012 to January 2013). The animals were found in private veterinary clinics, shelters and the veterinary hospital at the Facultad de Estudios Superiores Cuautitla´n of the National Autonomous University of Mexico (FESC, UNAM). Data regarding age, gender, daily outdoor access, cohabitation with other cats, origin, and vaccination history were recorded. The study was endorsed by the FESC Internal Committee on Animal Use, Care, and Experimentation,

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code C13_06. Informed consent was also obtained from the owners of the cats. Blood samples were obtained by puncture of the jugular or radial veins, using tubes with anticoagulant (Vacutainer EDTA BDÒ, Mexico). Peripheral blood mononuclear cells (PBMCs) were purified by density gradient centrifugation. Proviral DNA was extracted from PBMCs using a commercial kit (Favorprep, FAVORGENÒ, Taiwan) according to the manufacturer’s instructions. Primers for amplification of a 508-bp env and a 791-bp pol region of the FeLV genome were designed according to reference sequences using bioinformatics software [12]. The env primers were Fw 50 TAYTGGGCC TGTAACACYG30 and Rv 50 CGCTGTTTTAGTCTTTCT CTTA30 , and the pol primers were Fw 50 CYAMCCRTTAT TRGGDAGAGA30 and Rv 50 CCAGCAAGAGGTCATCT ACA30 . PCR reaction mixtures consisted of buffer 1X (Invitrogen), 1.5 mM MgCl2 (Invitrogen), 225 lM dNTPs (Thermo Scientific), 600 nmoles of each primer (Eurofins), 0.04 U of Platinum Taq polymerase (Invitrogen) per ll, and 1000 ng of DNA per reaction in a final volume of 30 ll. The PCR conditions were as follows: an initial denaturation step at 94 °C for 5 minutes, followed by 45 cycles at 94 °C for 1 minute, annealing at 54 °C for 60 seconds (env gene) or 55 °C for 45 seconds (pol gene), and 72 °C for 50 seconds, followed by a final elongation step at 72 °C for 10 minutes. We used DNA from both FeLV-negative and FeLV-positive cats as control material. This control DNA was previously evaluated using commercial kits (Anigen Rapid FIV Ab/FeLV Ag Test Kit). Amplification products of the anticipated size were gelextracted using a commercial kit (FavorPrep Gel Purification Mini Kit; Favorgen Biotech Corp), and subjected to bidirectional sequencing using an API 3130x1 sequencer (genetic analyzer with 16 capillaries) at the Biotechnology and Prototype Unit of FES-Iztacala, UNAM. The obtained nucleotide sequences were edited and aligned with the BioEdit program [12]. Phylogenetic analysis of FeLV was carried out by maximum-parsimony (MP) inference. The MP tree was built using the subtree pruning and regrafting (SPR) algorithm; included codon positions were 1st ? 2nd ? 3rd ? noncoding. Evolutionary analysis was conducted using MEGA software version 6.06 [13]. Statistical confidence in the topology of the phylogenetic tree was secured with bootstrap values from 100 repetitions. Nodes with bootstrap values above 70 were considered significant. Trees were constructed as described by Watanabe et al. for the env region and Song et al. for the pol region [14, 15]. Genetic distances were computed using MEGA 6.06 from the nucleotide sequence alignment on the basis of the p-distance model, applying the default settings with the exception that all sites with ambiguous codes and gaps were ignored. The characteristics of the studied cat population are shown in Table 1. Ninety-six percent of the sampled cats

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were not immunized; 56 % were females and 44 % were males (data not shown). Proviral DNA was detected in 76 % of the cats using env-PCR (Table 1), and in 54 % of the animals using pol-PCR. This difference in detection is probably due to the lower sensitivity of pol-PCR. Phylogenetic trees were constructed from the obtained nucleotide sequences deposited in the GenBank database, and are available under accession numbers KR030093 to KR030134 for env sequences, and KR030135 to KR030149 for pol sequences. In total, 42 pol and 10 env sequences were analyzed. In the tree constructed for the env region, the sequences generated in this study formed a new cluster of endogenous FeLV viruses with bootstrap values of 100. The sequences clustered with other branches including endogenous retroviruses (enFeLV-GGAG, enFeLV-AGTT and a recombinant virus 4314; Fig. 1). In the tree representing the pol region, the obtained sequences also clustered with endogenous FeLV viruses (enFeLVGGAG, enFeLV-AGTT, Gamma 8 and CFE-6; Fig. 2). The different env sequences in this study genetically diverged from each other in the range of 0.002-0.051, and from other FeLV sequences in a range of 0.022-0.023. The pol sequences diverged genetically from each other in the range of 0.002-0.010, and from other FeLV sequences in the range of 0.000-0.022. A v2-test was used to perform risk factor analysis. Variables with significant values (P \ 0.005) were included in a multivariate analysis using Student’s t-test, with non-paired samples, an unbalanced design, and odds ratios (OR) (95 % confidence interval). All statistics were performed using SPSS software (version 15.0; IBM). The univariate analyses showed statistically significant results, mainly from the env-PCR data. FeLV prevalence was significantly higher in cats younger than three and older than nine years old (Table 1). In young cats, the lack of routine vaccination, few reproductive control practices (neutering), the lack of prevention campaigns, socialization and aggressiveness as a predominant behavior can be associated with high prevalence of infection. This was consistent with findings from other studies [16–18]. On the other hand, in cats 9 years or older, the high infection rate may be linked to the fact that most FeLV-infected cats have regressive and persistent phases due to their less-functional immune system [8, 19, 20]. The risk of FeLV infection was also associated with lifestyle, being significantly higher in cats with outdoor access (more than two days per week) compared with indoor cats and also higher in cats living with more than three other cats. Additionally, a significant difference was observed between sexes (higher rates of infection in male cats; Table 1). No associations were detected between FeLV infection and origin and vaccinated animals. During the sample period, 16 animals developed clinical signs consistent with FeLV infection: aplastic anemia,

Genotyping of feline leukemia virus in Mexican housecats Table 1 Detection of proviral FeLV DNA in the cat population

Animal

PCR pol (?)a

PCR env (?)a

\1

29

16 (55 %)

22 (76 %) 

1-3

49

24 (49 %)

39 (80 %)  6 (60 %)

Feature Age (years)

4-9

10

6 (60 %)

[9

12

8 (67 %)

9 (75 %)±

Gender

M

44

25 (57 %)

36 (82 %)±

F

56

29 (52 %)

40 (71 %)

Days of outdoor access per week

1

7

3 (43 %)

4 (57 %)

2

20

7 (35 %)

12 (60 %)±

5

26

14 (54 %)

17 (65 %)±

6

36

28 (78 %)±

36 (100 %)±

Cohabitation

Origin Vaccinated/FeLV

Unknown

11

2 (ND)

0-2

16

7 (44 %)

7 (ND) 10 (63 %)

3-5

26

11 (42 %)

20 (77 %)±

[5

34

26 (75 %)±

34 (100 %)±

Unknown EM

24 38

10 (42 %) 26 (68 %)

12 (50 %) 28 (74 %)

MC

62

28 (45 %)

48 (77 %)

Yes

4

2 (50 %)

No

96

52 (54%)

4 (100 %) 72 (75 %)

ND, not determined; EM, Me´xico (State); MC, Mexico City a

PCR (?): Number of animals FeLV positive (percent) by PCR of pol and env genes



Age: statistical significance, p \ 0.034*; CI: 95%; SEM 0.1233; SD: 1.345 ±

±Gender: statistical significance, p \ 0.014*; CI: 95 %; SEM 0.879; SD 1.0567± ± Outdoor access (pol): statistical significance, p \0.00134; CI: 95 %; SEM 1.34-2.45 ±; SD: 0.675± ± Outdoor access (env): statistical significance, p \0.001; CI: 99 %; SEM 0.445 ±; SD: 0.045± ± Cohabitation (pol) statistical significance, p \ 0.012*; CI: 96 %; SEM 0.4575; SD: 2.306 ± ± Cohabitation (env) statistical significance, p \ 0.0042*; CI: 95 %; SEM 0.840; SD: 0.488±

ophthalmologic disorders (Horner syndrome), ptosis, protrusion of the nictitating membrane, and lymphoma. Evidence of infection in the respiratory and digestive tracts was detected using radiology. Env-PCR scored positive in 94 % of cases (data not shown), thus confirming FeLV infection in these cats. It is important to mention that outdoor access and cohabitation were high risk factors for this population of sick cats. PCR has been used in several countries to identify proviral DNA in PBMCs from infected cats [21–24]. This method is by far more sensitive than conventional immunochromatography, which can yield false negative results in suspected FeLV cases. Env-PCR was implemented in the present study, revealing the presence of proviral DNA in 76 % of the sampled cats. In contrast, the pol-PCR detection rates were lower by 22 %. This could be due to a larger number of degenerate positions in the Fw primer used to amplify the pol gene, thus reducing the sensitivity of the technique. We focused on amplifying fragments from the pol and env regions because the greatest genetic variability, tropism and pathogenicity are

found in the env gene. Additionally, recombination events between both endogenous and exogenous FeLV retroviruses can involve this region [15, 25]. Likewise, the most complete characterization of endogenous FeLV was carried out for the pol region [14]. Endogenous viruses are important because of their interaction with exogenous FeLV and the development of clinical symptoms. The primers used for the env-PCR had 70 % sequence identity to exogenous viral sequences, but only sequences corresponding to endogenous viruses were identified. Phylogenetic analysis revealed that the sampled cats were only associated with endogenous FeLVs. The env and pol region phylogenetic trees showed high similarity between the sequences generated in the study and endogenous FeLVs, such as enFeLV-GGAG, enFeLV-AGTT, CFE-6 and Gamma-8. enFeLV-GGAG, enFeLV-AGTT and endogenous FeLV CFE-6 have been associated with the development of clinical illness in cats [19]. These viruses are generated through the recombination of the FeLV-A genotype and endogenous envFeLV [26]. However, while sequences related to endogenous FeLV were identified in

123

H. Ramı´rez et al.

New endogenous

Exogenous viruses

Recombinant viruses

Outgroups viruses

Endogenous viruses C38 25C IV M IV .1 F 03 F 645 500 3c KP2 Sc D 84 114 94 RD E-6 CF 001 B 25 V 030 54 eL EU M2 14 -F D1 -D GA 88 0R V 6 L 01 10 Fe DC V-

89

51

M1 82

M1824 7

AF4

FeLV-

FAIDS

EU1894

0371

81

46

gro

T-1

sg

LV

up

25

ow -1

C2

18

B

9

C4

A

09 61 C

6 E5

Subgro

C7 4 C8 0 C8 3 C 84

1

94

ub

-F e

36

0 10

U5

rd S

GA

G la

1 00

ka

09

57

R

Ric

12

0

C 55 C 50 C4 8 C4 7

26

23

K0

44

27

50

34

44

05

JF 9

50

C 73 C 60

C1

15

67

67

M 12

C91

X0

AF

AB

AB

AF

C 12 C 17

99

.14 up A

94 P C O 1098 AB635483 ON33-1

3 C2 0 C2 5 C1 4 C1

99

84

C 89 92 100

91

98

M14331 C-Sarma

C18

C99

98

C22

AB635501 TY5-2 0 10

81

98

80

KG 20 AB SI 82 23 2 63 58 KG -4 4 4M 11 AB -2 63 Z3 57 8-5 28 AB B KM 635 23 715 -1 AB KM 635 3 3-1 51 1 TY2 AB6 4-1 726 12 p 97 J7E 2 A B 63 5527 EH18 -1 A B 6 3 582 4 NS33-3 B

39

44

56

56

63

AB

63

55

63 AB

C 54 C 52 C5 1 C1 6 C5 6 C5 8 4

3

C3

C9 TT V-AG FeL C 53 8 en 6431 - 5B AY3 YN24 5802 G AB63 LV-GGA 19 e n F E A Y 3643

AB

C6

C 10 C 11

3 C9 2 C8 1 C2 1 C6

1 00

26-5BNF

JF957363 4314 AB635616 IT10-7BNF

AB635515 TY

Fig. 1 Phylogenetic tree based on the env region (position 7164 to 7672; envelope [SU] and transmembrane [TM] regions), including study samples and the available sequences of exogenous retrovirus (j), endogenous FeLV (m), recombinant FeLV (D) and outgroup viruses (h) from GenBank. The maximum-parsimony method was

C1

99

99

96

96

87

0 10

74

76

98 AT34-2 AB635486 81 22-3 72 503 TG A B 63 5 C 8 3 - 5R T I 3 92 549 -1 AB63 91 T30 6G 8 90 3 5 5 3 3 6 2 AB 73 0 6 1 0 3AB T3 7K 6 7-4 7 MG 635 3 B 6 A 4 958 A2 63 S B NF A 90 -1 B 56 40 3 -5 S 6 K 23 AB 8 S 4 K 56 1 63 58 B 5 A 63 AB

123

C 19

used for tree construction, using 100 bootstrap samples to demonstrate the robustness of groupings. The tree includes sequences described by Watanabe et al. [15], and accession numbers of sequences are shown. Black circles represent new endogenous FeLV

Genotyping of feline leukemia virus in Mexican housecats

Exogenous viruses

New endogenous

C25

C33

m a6

96

mm a-4

.1 F

C

a-7 mm

4246

m

Sc3

ga

AF47

597

ga

10 DC VER

DQ 365

93

ga

114

96

44

91

95

7

D 01 R

91

44

93

91

C-7

300

93

67

JF

93

AY364319 enFELV-GGAG

AY364318 enFELV-AGTT

EU0

JF

AB

JF

Recombinant viruses

Outgroups viruses

Endogenous viruses

75 C-

4 C-2

83

IV

C-31 74

.1 FIV

C-1

90

JF939192 gamma-3

C-28 0 10

81

JF9

9 391

am 0g

0 10

-1 ma

et a

-1

JF

10 0

93

81

94

ga 98

33

91

32

12 p

93

ma -8

07

7 26 2

2518

J7 E

JF

m

-6

06

91

ga

E CF

mm a-9

ga

40

m

61

AB

AB6

93

97

0

up

roup A

A

S ubg

gro

F eLV -FAID S

JF957361

7

23 Ric kar dS ub

JF957363 4314

5 27

M182 4

AF0

JF

91

L0

93

91

b 99

C-9

99

JF

C-30

71

191

m a5

JF939

10 0

a-2 gam m

Fig. 2 Phylogenetic tree based on the pol region (position 2678 to 3469; protease and reverse transcriptase regions), including study samples and the available sequences of exogenous retrovirus (j), endogenous FeLV (m), recombinant FeLV (D) and outgroup viruses (h) from GenBank. The maximum-parsimony method was used for

tree construction, using 100 bootstrap samples to demonstrate the robustness of groupings. The tree includes sequences described by Song, et al. [14], and accession numbers of sequences are shown. Black circles represent new endogenous FeLV

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H. Ramı´rez et al.

the sampled cats, sequences related to FeLV-A were not. It was initially considered impossible to link the development of clinical symptoms with infection by endogenous retroviruses, since their genomes are generally interrupted by stop codons, deletions, or mutations in the reading frame [25]. However, it has since been demonstrated that some endogenous retroviruses are transcriptionally active and that it is possible to find development of viral particles by infection from endogenous retroviruses. These facts may explain the link between disease development and the presence of endogenous FeLV observed in 16 of the sampled cats. In our study, one of the observed risk factors was frequent (weekly) outdoor access, which was associated with an increase in the detection of infected individuals (in both males and females). In addition to outdoor access and cohabitation, population density and overpopulation promote stress and bad hygiene due to direct contact among cats [18, 26]. Similar results have been found in other studies that evaluated the risk factors associated with gender, age, outdoor access, and cohabiting with another cats [1, 27–29]. Other studies have demonstrated that nonneutered males have increased susceptibility and frequency of FeLV infection [18, 20]. This type of infection has also been described as being favored by factors such as outdoor access and cohabitation with more than three other cats. It has been shown that males run a higher risk of infection than females (82 % vs. 71 %) [26]. Our results demonstrated high prevalence of FeLV in cats from central Mexico, and the significant influence of risk factors such as the lack of prophylactic schemes, age, behavior and cohabitation, as elements determining FeLV infection. Additional studies are needed to reveal the pathogenic role of endogenous FeLV in central Mexican felines to evaluate their role in protection, tropism and possible interference with exogenous FeLV. Although a wide phylogenetic diversity was observed among the sequences available in the GenBank database and those generated in this study, no association was found with any sequence derived from exogenous retroviruses, even when taking into account that they are considered widely distributed and that they have been described on multiple continents. This is especially true for the FeLV-A genotype, which is mainly responsible for transmission among domestic cats [8, 30]. Although there is research on FeLV prevalence in Mexico, no other studies of genotyping have been performed. This could identify new endogenous FeLV in the central Mexican population of domestic cats that show a close relationship to other endogenous FeLV described in the GenBank database. Acknowledgements This study was supported by PACIVE program CONS-07: ‘‘Diagnosis and molecular study of viral diseases in

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animals’’. Marcela A. was supported by Conacyt 3977442 and received a graduate fellowship at the Universidad Nacional Auto´noma de Me´xico (UNAM) within the Master’s and Doctoral Program in Veterinary Science and Animal Health Promotion. Special thanks to the collaborators (teaching staff and students) of the Laboratory of Virology, Genetics, and Molecular Biology. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://crea tivecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Genotyping of feline leukemia virus in Mexican housecats 15. Watanabe S, Kawamura M, Odahara Y, Anai Y, Ochi H, Nakagawa S, Endo Y, Tsujimoto H, Nishigaki K (2013) Phylogenetic and structural diversity in the feline leukemia virus env gene. PLoS One 8(4):e61009. doi:10.1371/journal.pone.0061009 16. Bande F, Arshad SS, Hassan L, Zakaria Z (2014) Molecular detection, phylogenetic analysis, and identification of transcription motifs in feline leukemia virus from naturally infected cats in Malaysia. Vet Med Int 2014:760961. doi:10.1155/2014/760961 17. Helfer-Hungerbuehler AK, Widmer S, Kessler Y, Riond B, Boretti FS, Grest P, Lutz H, Hofmann-Lehmann R (2015) Longterm follow up of feline leukemia virus infection and characterization of viral RNA loads using molecular methods in tissues of cats with different infection outcomes. Virus Res 197:137–150 18. Kessler MR, Turner DC (1999) Effects of density and cage size on stress in domestic cats (Felis Sylvestris catus) housed in animal shelters and boarding catteries. Anim Welf 8:259–267 19. Pandey R, Ghosh AK, Kumar DV, Bachman BA, Shibata D, RoyBurman P (1991) Recombination between feline leukemia virus subgroup B or C and endogenous env elements alters the in vitro biological activities of the viruses. J Virol 65(12):6495–6508 20. Beatty A, Tasker S, Jarrett O (2011) Markers of feline leukaemia virus infection or exposure in cats from a region of low seroprevalence. J Feline Med Surg 13(12):927–933 21. Arjona A, Gomez-Lucia E (2007) Evaluation of a novel nested PCR for the routine diagnosis of feline leukemia virus and feline immunodeficiency virus. J Fel Med Surg 9(1):14–22 22. Herring IP, Troy GC, Toth TE, Champagne ES, Pickett JP, Haines DM (2001) Feline leukemia virus detection in corneal tissues of cats by polymerase chain reaction and immunohistochemistry. Vet Ophthalmol 4(2):119–126 23. Jackson ML, Haines DM, Taylor SM, Misra V (1996) Feline leukemia virus detection by ELISA and PCR in peripheral blood from 68 cats with high, moderate, or low suspicion of having FeLV-related disease. J Vet Diagn Invest 8(1):25–30

24. Tandon R, Cattori V, Pepin AC, Riond B, Meli ML, McDonald M, Doherr MG, Lutz H, Hofmann-Lehmann R (2008) Association between endogenous feline leukemia virus loads and exogenous feline leukemia virus infection in domestic cats. Virus Res 135(1):136–143 25. Arnaud F, Caporale M, Varela M, Biek R, Chessa B, Alberti A, Golder M, Mura M, Zhang YP, Yu L, Pereira F, Demartini JC, Leymaster K, Spencer TE, Palmarini M (2007) A paradigm for virus-host coevolution: sequential counter-adaptations between endogenous and exogenous retroviruses. PLoS Pathog 3(11):e170. doi:10.07-PLPA-RA-0281 26. Coelho FM, Bomfim MR, de Andrade Caxito F, Ribeiro NA, Luppi MM, Costa EA, Oliveira ME, Da Fonseca FG, Resende M (2008) Naturally occurring feline leukemia virus subgroup A and B infections in urban domestic cats. J Gen Virol 89(Pt 11):2799–2805 27. Fromont E, Pontier D, Langlais M (2003) Disease propagation in connected host populations with density-dependent dynamics: the case of the Feline Leukemia Virus. J Theor Biol 223(4):465–475 28. Fujino Y, Ohno K, Tsujimoto H (2008) Molecular pathogenesis of feline leukemia virus-induced malignancies: insertional mutagenesis. Vet Immunol Immunopathol 123(1–2):138–143 29. Gleich SE, Krieger S, Hartmann K (2009) Prevalence of feline immunodeficiency virus and feline leukaemia virus among clientowned cats and risk factors for infection in Germany. J Feline Med Surg 11(12):985–992 30. Levy JK, Scott HM, Lachtara JL, Crawford PC (2006) Seroprevalence of feline leukemia virus and feline immunodeficiency virus infection among cats in North America and risk factors for seropositivity. J Am Vet Med Assoc 228(3):371–376

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Empirically Calibrated Model of Hepatitis C Virus Infection in the ...
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Use-urohydropropulsioncystoscopy-feline-urolithiasis-FLUTH ...
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