Eläinlääketieteellinen tiedekunta


Recent Submissions

  • Llarena, Ann-Katrin (Helsingin yliopisto, 2015)
    During the last 40 years, Campylobacter has emerged as the number one cause of human gasteroenteritis in the developed world, of which C. jejuni accounts for the majority of cases. This Campylobacter species has an extremely broad host-range, and has been isolated from arctic penguins to cattle. Broiler chickens has traditionally been considered as the reservoir of importance for public health, but evidence suggests that other source, both known and unknown, are relevant. To decrease the number of human infections, targeted control efforts to reduce C. jejuni exposure to humans are needed. Such control efforts relies on knowledge on the nature of C. jejuni in both established and candidate sources such as broilers and wild birds, respectively, and reliable methods to trace and attribute human infections. Therefore, this thesis evaluated the usefulness of three metabolic markers in source attribution, resolved a Campylobacter outbreak using whole-genome sequence and characterized the dynamics and epidemiology of C. jejuni in Finnish chickens and barnacle geese. First, the possible host association of three metabolic markers, gamma-glutamyl transpeptidase, and the genes of secretory L-asparaginase and fucose permease, was investigated by examining their distribution among isolates collected from a variety of reservoirs and human patients, and by assessing their association with C. jejuni lineages as expressed by multilocus sequence typing. According to our results, the presence and absence of these three traits were linked to the lineages, and no evidence for host association independently of population structure was found. Therefore, these metabolic markers were deemed unsuitable as the sole subtyping scheme in source attribution. Secondly, in an attempt to identify possible new sources for human campylobacteriosis, the character, dynamics, and epidemiology of C. jejuni in barnacle geese and broiler chickens were investigated by multilocus sequence typing and whole-genome sequencing. In line with other studies, the C. jejuni population in barnacle geese was specific to that host, as certain genotypes (ST-702 and ST-1034 CC) were overrepresented in the collection. Furthermore, we proved that the C. jejuni in this wild bird species generally differed from the C. jejuni population found in agricultural animals and C. jejuni infecting humans. Therefore, barnacle geese are most probably not a major source for human campylobacteriosis. Tracing zoonotic pathogens from humans to the source of infection using whole-genome sequencing is a hot topic in the research community. To provide knowledge on how to utilize whole-genome data to profit future real-time investigations of Campylobacter outbreaks, next generation sequencing was used to reinvestigate a waterborne C. jejuni outbreak. Our results revealed that the pulsed-field gel electrophoresis performed in the original outbreak investigation overestimated the clonal relationship between some of the apparently related strains. Through the reanalysis, it became clear that the outbreak was caused by at least two different strains, or an unrelated, sporadic human case was mistakenly classified as part of the outbreak. Whole-genome sequence was therefore needed to infer the correct epidemiology of the studied human infections. To increase the knowledge on C. jejuni in a well-established reservoir, we characterized nearly 90% of all C. jejuni-positive chicken flocks by multilocus sequence typing and linked this information to the isolates metadata, such as farm and collection time-points. We found that the C. jejuni population on Finnish chicken farms was dominated by one genotype (ST-45 CC). Furthermore, our statistical analysis showed that slaughterhouse and year of collection affected the C. jejuni population in chickens mildly, while season influenced the presence of only one genotype (ST-45). Furthermore, the chicken farms were sporadically and infrequently colonized by C. jejuni, as is typical when no persistent colonization source is present on the farms. This thesis utilized an array of subtyping methods on both long- and short-time scales. The results highlight that more traditional methods, such as pulsed-field gel electrophoresis, still have their use in the current genomic era, and stress the usefulness of multilocus sequence typing as a preliminary screening tool to determine the population structure in the C. jejuni collection being investigated. However, we are convinced that whole-genome sequencing will be the subtyping scheme of choice in the near future, as it provides the full resistome, toxiome and virulome concurrently with the genotyping depth of need in a single operation.  
  • Mustonen, Eeva (Helsingin yliopisto, 2015)
    Forage legumes such as red clover (Trifolium pratense L.) are used due to their ability to fix atmospheric nitrogen. Red clover has a high crude protein content and sufficient digestible fibre. Red clover silage tends to increase dry matter intake and milk yield in dairy cows. The use of clover silage can lead to desirable changes in milk fatty acid composition, promote growth and increase live-weight gain in ewes and lambs. The literature review focuses on the principal isoflavones in red clover, their metabolism in the rumen and conjugation and excretion. The role of equol is reviewed regarding concentrations in plasma and milk. Red clover varieties studied contained isoflavones; formononetin (6.0–7.9 mg/g in dry matter (DM)), biochanin-A (3.7–6.1 mg/g in DM), genistein (0.5-0.6 mg/g in DM) and daidzein (0.2–0.30 mg/g in DM). There were significant differences in isoflavone contents. The isoflavone content was highest in cultivar Ilte, which had the highest concentration of formononetin. The effect of growing conditions (year), growth stage (harvest) and habitat (site) were significant for formononetin concentrations. The total isoflavone and formononetin concentrations were highest under poor weather conditions, at the northern location and with later harvest. In the feeding experiment, the ewes were fed red clover (RC) silage that contained on average 6.8 mg/g of formononetin in DM. Timothy/meadow fescue (Phleum pratense L./Festuca pratensis Huds.) grass silage did not contain any isoflavones. In the RC group, estimated daily intake of isoflavones was 10.5 g formononetin. The major part of formononetin ingested was metabolized, contributing to the increase of equol in the serum (average level of 7.7 mg/l). In HPLC analyses, the serum of ewes contained solely (S)-equol. The ewes of RC group gained weight faster (P<0.001) and were significantly heavier (P<0.01) at the end of the experiment. All ewes became pregnant. There were no significant differences in the time of conception, numbers or weight of foetuses or numbers of ovulations. The mass of the uterus was significantly greater (P<0.01) in the RC group compared with that in the control group. This difference was mainly explained by the increase of foetal fluids in the RC group (P<0.01). In the dairy cow feeding experiment, the RC silages contained 3.0–6.5 mg/g formononetin in DM. Grass silage did not contain any isoflavones. The formononetin contents of the red clover were highest for the shortest growthperiod. The daily intake per cow of daidzein was 1.7–2.6 g and of formononetin 27–76 g. The equol concentration in plasma was 4.6–8.4 mg/l. Intake of formononetin was strongly associated with the equol concentration in plasma (R2 0.71). Equol contents in plasma were significantly higher (P<0.01) for the RC than for the cows fed grass silage. Plasma equol contents were significantly higher (P<0.001) for fed silages, where the growth period were shortest. Equol concentrations in the milk of cows fed RC were 458–643 µg/l and daily secretion of equol in milk was estimated to be 12–19 mg/day. Intake of formononetin was only weakly associated with equol concentration in milk (R2 0.20). Equol concentrations were also analysed from organic and conventionally produced commercial milk samples. Organic skimmed milk contained 411 µg/l of equol and conventionally produced 62 µg/l. The HPLC method provided excellent accuracy and sensitivity for quantification of isoflavonoids from fodder, blood, and milk samples. (S)-equol was the main isoflavonoid detected. It is suggested that the estrogenic effects of metabolic equol in sheep reported earlier are solely or predominantly due to (S)-equol. In Finnish landrace sheep, the fecundity of ewes was not reduced by feeding RC. The volume of foetal fluids, however, increased, which could increase the risk of vaginal prolapse before term. A strong association between formononetin intake and equol concentration in plasma was demonstrated. The equol content in cow’s milk can be as high as 600 µg/l with RC silage feeding, even though only a small part of the formononetin is secreted into milk as the metabolite equol. Milk equol is derived from the formononetin of RC silage and RC-fed cows’ milk can be considered as a source of equol in human nutrition.
  • Restitutti, Flavia (Helsingin yliopisto, 2015)
    This series of investigations aimed to evaluate in dogs the interaction between MK-467, a peripheral α2-adrenoceptor antagonist with poor penetration into the central nervous system, and dexmedetomidine, a selective α2-adrenoceptor agonist commonly employed in small animal clinical practice due its potent sedative effects. The objective of this study was to find an optimal dose-ratio of dexmedetomidine and the antagonist that could attenuate or prevent major cardiovascular changes without any significant effect on the sedation induced by the agonist. The effects on blood flow in abdominal organs and on plasma concentrations of glucose, insulin, non-esterified free fatty acids, lactate and cortisol of this optimal dose were then evaluated. The sedative effects were assessed subjectively by means of a composite sedation score. Simultaneously, hypnosis was evaluated through the bispectral index. Haemodynamic parameters that were evaluated comprised cardiac output, arterial blood pressure, heart rate, central venous pressure and systemic vascular resistance. Time-intensity parameters derived from contrast-enhanced ultrasound imaging were used to assess blood flow in selected abdominal organs. Three doses of MK-467 (250, 500 and 750 µg/kg) were tested against dexmedetomidine alone (10 µg/kg). All treatments were administered IV. Sedation was significantly lower and BIS significantly higher with the medium and highest doses of MK-467 than with dexmedetomidine. However, bioequivalence between dexmedetomidine and the combination was reached with all treatments for the two parameters analysed. Early cardiovascular effects of dexmedetomidine were not completely prevented with the lowest dose of MK-467, and the highest dose reduced mean arterial pressure. The middle dose of MK-467 (500 µg/kg) provided the best cardiovascular stability. Addition of the peripheral antagonist attenuated dexmedetomidine-induced changes in organ blood flow evaluated by the CEUS. An increase in plasma glucose was observed in dexmedetomidine-treated dogs, but not when MK-467 was added. Inversely, plasma insulin concentration was reduced with dexmedetomidine, but not when dexmedetomidine was combined with MK-467. Plasma non-esterified free fatty acids concentration decreased transiently with the combination, while with dexmedetomidine alone the reduction persisted throughout the observation period. Plasma lactate concentration increased with dexmedetomidine, but not with the combination. In conclusion, the addition of MK-467 attenuated or prevented the early cardiovascular effects of dexmedetomidine, not having clinically relevant effects on the sedation induced by the latter. Some metabolic changes induced by dexmedetomidine were halted by MK-467.
  • Knuuttila, Anna (Helsingin yliopisto, 2015)
    Aleutian mink disease virus (AMDV) is a widespread parvovirus mainly affecting American mink (Neovison vison). It can cause a progressive and persistent immune complex-mediated disease (Aleutian disease, AD) in adult mink and an acute and fatal pneumonia in mink kits. The virus has a wide geographical distribution both in farmed mink and in the wild. Aleutian mink disease virus poses a major economic threat to mink farmers and it may affect the conservation and management of indigenous mustelids and other species. Infected farms are difficult to sanitize as the virus is resistant to physical and chemical treatments, it can be transmitted through several vectors and routes, and no effective medications or vaccines currently exist. Since the 1970s, diagnosis on AMDV in farmed mink has been based on the identification of specific antibodies with a counter-current immunoelectrophoresis (CIEP) test. In 2005, the Finnish Fur Breeders Association implemented an eradication program that required the development of a new AMDV-detection protocol to screen ca. 600 000 samples per year. Although AMDV can infect and may cause disease in other mustelids and carnivores, little is known about the epidemiology and evolutionary relationships of AMDV strains in the wild in Finland and elsewhere. Thus, this study aimed to develop a modern automated test for the large-scale serodiagnosis of AMDV in mink and to elucidate the epidemiology and phylogeny of this virus in farmed mink and free-ranging mustelids in Finland. A new antigen for the serological test was developed with a recombinant DNA technique. The major capsid protein (VP2) gene of a Finnish AMDV strain obtained from a farmed mink was amplified, cloned into a baculovirus transfer vector with subsequent recombination to baculovirus genome, and expressed in insect cells. The antigen formed virus-like particles and was confirmed to be antigenic with several serological methods. Subsequently, an enzyme-linked immunosorbent assay (ELISA) was designed for the antigen and automated. Because the small glass capillaries used to collect blood samples in CIEP could not be utilized in the ELISA test, a wicking technique using a filter paper blood comb was developed. The performance of this test was compared to CIEP (an imperfect gold standard) by testing blood/serum samples from farmed mink. The results were analyzed with Bayesian modelling allowing for conditional dependence. The new automated ELISA test was found to be accurate with a diagnostic sensitivity of 96.2% (95% probability interval [PI], 91.5 99.0) and specificity of 98.4% (95% PI, 95.3 99.8), and was therefore determined suitable for the serodiagnosis of AMDV. The epidemiology and phylogenetics of AMDV were inferred from organ and/or blood samples from farmed mink and free-ranging mustelids. The samples were screened with the newly-developed ELISA (described above) or CIEP test for anti-AMDV antibodies and with previously described or newly-developed PCR assays for AMDV DNA. Test results were studied with statistical, phylogenetic, and sequence analysis methods. Aleutian mink disease virus was found to be prevalent in the wild in Finland. A new host species, the European badger (Meles meles), with a prevalence of 27% (7/26; 95% confidence interval [CI], 13 46), was identified. In addition to the badger, infection markers were found in 54% (31/57; 95% CI, 42 67) of feral American mink and in one European polecat (Mustela putorius) (1/14; 95% CI, 1 29). No infection was found in Eurasian otters (Lutra lutra) (24; 95% CI, 0 10), European pine martens (Martes martes) (183; 95% CI 0 1), least weasels (Mustela nivalis) (2; 95% CI, 0 67), stoat (Mustela erminea) (1; 95% CI, 0 85), or wolverine (Gulo gulo) (1; 95% CI, 0 85). Positive animals were distributed throughout western, southern, and eastern Finland (10/17 of sampled regions). American mink (odds ratio [OR], 335) and badger (OR, 74) had higher odds of infection compared to other species. Also, animals sampled during the first sampling period (2006 2009; OR, 5) had higher odds of infection compared to the second period (2010 2014). No significant association was detected between infection and age, sex, or region. Furthermore, mink farms were not associated with higher odds of AMDV infection nor appeared to serve as a major source of infection for free-ranging mustelids at the municipal or regional level. Based on these results, it appears that domestic and sylvatic transmission pathways are largely decoupled, but it seems probable that infections occasionally move between the farmed and wild populations (e.g., via infected escapees/intruders). A phylogenetic analysis, including Finnish, Estonian, and global strains, indicated that AMDV strains form at least five main clusters. It also inferred that the virus has been introduced to Finnish farms on at least three occasions. Unfortunately, it could not be discerned whether the occurrence of AMDV in Finland is natural or a consequence of the global mink trade. In addition to its main hosts (farmed and wild mink), similar strains of AMDV were found in pine martens, polecats, and badgers. Interestingly, Estonian badgers carried a divergent strain, possibly representing a new amdoparvovirus. Other than the strain found in Estonian badgers, and the tendency of strains from Finnish farmed and feral mink to diverge into separate clusters, AMDV strains did not cluster according to location, year, species, or pathogenicity. The nucleotide differences between Finnish AMDV sequences, based on partial non-structural protein 1 gene, ranged from 0% to 14% and similar levels of variability were observed in farmed and natural populations. As a result of these studies, an automated ELISA test for the serodiagnosis of AMDV was developed and validated with high diagnostic sensitivity and specificity. The test offers a low cost, easy sampling, rapid throughput of large sample numbers, reduced processing time, and automated data management. The new test can be utilized for the monitoring, control and eradication of the virus, calculating the seroprevalence, and confirming the infection status of farms or individual mink. In addition, new information on AMDV epidemiology and genetic variation in Finnish farmed mink and free-ranging mustelids were established with potential impact on the biosecurity of farms, outbreak investigations, and the conservation of threatened mustelid species. Moreover, the new diagnostic tools and additional sequence data generated in this study can be utilized in the future research on the epidemiology of AMDV.
  • Kyöstilä, Kaisa (Helsingin yliopisto, 2015)
    Inherited diseases occur across different species. This thesis work has provided insights into the molecular genetic background of three autosomal recessive diseases that affect specific dog breeds. The studied phenotypes comprised two neurodegenerative diseases and a type of skeletal dysplasia. Genome-wide methods, such as SNP chip genotyping, were used to identify disease-associated gene variants. In all three disease phenotypes, the likely causative variant was found in a gene that had not been previously associated with a monogenic disorder. The Norwegian Elkhound and Karelian Bear Dog breeds are affected with inherited chondrodysplasia that causes short-stature dwarfism of varying severity. A genome-wide association study in Norwegian Elkhounds revealed a disease-associated locus on canine chromosome 17 and a nonsense mutation in the ITGA10 gene. The identified mutation was homozygous in all affected dogs from both breeds, and may have been introduced to Karelian Bear Dogs from Norwegian Elkhounds. The ITGA10 gene encodes an α10-integrin protein that assembles into a collagen-binding α10β1 integrin. The α10β1 integrin is a cell surface receptor, found in growth plate chondrocytes, where it mediates the cell s attachments with the surrounding matrix. Due to the mutation, a full-length α10-protein is not produced, disturbing the growth of long bones. Early-onset cerebellar degeneration occurs in the Finnish Hound dog breed. Neurological examination of affected dogs revealed quickly progressing cerebellar ataxia and failure to thrive. Genome-wide association analyses mapped the disease to a 1.5-Mb locus on canine chromosome 8. Sequencing of the SEL1L gene from the locus identified a homozygous missense mutation in all affected dogs. The mutation causes a serine to proline amino acid change within a highly conserved functional domain of the encoded SEL1L protein. The SEL1L protein is found in the endoplasmic reticulum, where it functions within a protein quality control and degradation pathway. Cerebellar tissue samples from affected dogs showed signs of endoplasmic reticulum stress, which may be the cause of premature cell death. A novel neurological disease, characterized by juvenile to adult onset cerebellar ataxia, was recognized in the Lagotto Romagnolo breed. Through linkage analysis, homozygosity mapping and whole-genome sequencing, the disease was associated with a homozygous missense change in the autophagy-related ATG4D gene. Pathological examination of affected dogs revealed progressive cerebellar degeneration, and intracellular vacuolar changes both in neuronal and extraneuronal tissues. The ATG4D gene encodes a cysteine protease, which is thought to function in the macroautophagy pathway. The autophagy process degrades and recycles damaged or obsolete cellular materials via membrane-enclosed autophagosomes. In line with this, the neuronal tissues of affected dogs showed signs of altered autophagic flow. Overall, this study has revealed three new disease-linked genes in dogs, which may be associated to similar disorders in other species. On the basis of the results, DNA-tests have been developed for veterinary diagnostic and breeding purposes. Importantly, by shedding light into disease-causing pathways, the results of this study could prove beneficial not just for canine health but for human medicine as well.
  • Melamies, Marika (Helsingin yliopisto, 2015)
    Respiratory diseases, both chronic and acute, are relatively common in dogs. They often cause a dramatic reduction in quality of life, mainly due to repeated coughing, excessive secretion of mucus, respiratory distress and exercise intolerance, which also frequently results in substantial stress for the owner. If accurate diagnosis is not followed by appropriate treatment euthanasia of the dog is often considered. This means that there is a real need for reliable diagnostic methods and efficient, safe and easy to administer pharmacotherapy. The aims of this thesis were to study a diagnostic method, bronchoalveolar lavage (BAL), and a treatment modality, corticosteroid inhalation, in healthy dogs. BAL is used to collect epithelial lining fluid (ELF) and the lavage fluid volumes used affect the amount of ELF recovered. Different techniques were compared to determine the best method of recovering a consistent volume of ELF. The canine pharmacokinetics of a commonly used inhaled corticosteroid (ICS), budesonide (BUD), were described. Systemic adverse effects of inhaled BUD were assessed and compared to those of a conventional therapy, oral prednisolone, and another readily available ICS, fluticasone propionate (FP). We found that a BAL protocol adjusting for weight, i.e. adjusting the amount of fluid instilled according to the body weight of the dog, yielded more consistent ELF recovery than fixed-volume BAL. We therefore recommend use of a weight-dependent BAL protocol to ensure results are comparable and to quantify the constituents of bronchoalveolar lavage fluid (BALF). Following BUD (1.0 mg) inhalation the mean maximum plasma concentration (Cmax) was 0.89 ng/ml, time to peak plasma concentration (Tmax) was 16 minutes and area under the concentration curve (AUC0-6h) was 1.1 ng h/ml. Inhaled BUD had moderately low systemic and pulmonary bioavailability in healthy dogs. Pulmonary bioavailability was evaluated by administering oral charcoal prior to inhalation in order to block gastrointestinal (GI) absorption of BUD. A method to detect BUD in low-volume dog plasma samples was developed and validated. Instrumental analysis was carried out using high-pressure liquid chromatography tandem mass spectrometry (HPLC/MS/MS) in a positive ion electrospray mode, and overall the general method characteristics were excellent. Our results also indicated that in healthy dogs a four-week course of clinically effective doses of inhaled FP, or oral prednisolone, but not inhaled BUD, produced dose-related adrenal suppression according to the adrenocorticotropic hormone (ACTH) stimulation test. In summary, our findings contribute to knowledge of the BAL technique, and the pharmacokinetics and systemic adverse effects of inhaled BUD which provides valuable information for treating canine patients with pulmonary symptoms.
  • Omoruyi, Iyekhoetin Matthew (Helsingin yliopisto, 2015)
    Commercially processed food, drinking-water sources and effluent waters discharged into bodies of water from wastewater treatment plants are putative but yet poorly delineated sources of human exposure to chemical mutagens and oestrogen-like chemicals globally. To this end, this study was aimed at determining the current situation for a possible comparison between a European country (Finland) and an African country (Nigeria). A total of 116 commercially processed food items and ready-to-eat snacks (three lots each) were obtained from Finland (60) and Nigeria (36) for initial screening, as well as sachet-pure water (16 different brands) from Nigeria, bottled still and mineral waters (10 brands each), tap water (hot and cold collected over a 3-month period) and influent and effluent water samples from both a drinking-water treatment plant (collected over a 3-month period) and a wastewater treatment plant (collected over a 2-year period) in Finland. All samples were collected in their respective countries and extracted by established methods. The mutagenic potential of the food extracts was first determined by the standard plate incorporation assay (Ames test), using two strains of Salmonella enterica sv. Typhimurium (TA 100 and TA 98) in the presence and absence of metabolic activation (S9 mix), and subsequently by a methylcellulose overlay, as well as treat-and-wash assays, while the oestrogenicity of the water and food samples, as well as food packaging materials, was determined by a yeast bioluminescent assay, using two recombinant yeast strains (Saccharomyces cerevisiae BMAEREluc/ERα and S. cerevisiae BMA64/luc). The cytotoxicity of the food extracts was measured by the trypan blue and lactate dehydrogenase tests, using the HepG2 cell line, as well as by the boar sperm motility assay, while possible DNA damage was assessed by the comet assay. The mutagenicity of commercially processed food items in Finland was generally low: 60% or 73% were non-mutagenic in S. Typhimurium strains TA 100 and TA 98, respectively. While the majority of the initially positive samples proved negative in the complementary assays, cold cuts of cold-smoked beef, grilled turkey and smoked chicken (a single batch of each) were also mutagenic in all three assays with the TA 100 strain, with and without metabolic activation, indicating that the mutagenic effect was not secondary to histidine release from the food products. The low mutagenicity outcome of the Finnish food items was further confirmed by independent chemical analyses of similar food products for four polycyclic aromatic hydrocarbons. In contrast to the outcome in Finland, the majority of food items from Nigeria (75%) were mutagenic in the Ames test, either in the presence or absence of the S9 mix and in either of the strains. Chin-chin, hamburger, suya and bean cake were mutagenic in all three assays with the Salmonella TA 100 strain, either in the presence or absence of the S9 mix. However, none of the food samples caused DNA damage in the comet assay. They were also not cytotoxic in any of the three assays measuring this aspect. In all, 31% of the sachet-packed water samples in Nigeria were oestrogenic, with concentrations ranging from 0.79 to 44.0 ng/l oestradiol equivalent concentrations (EEQs), while the tap and bottled water samples from Finland showed no signs of oestrogenicity in the in vitro test. Similarly, the oestrogenic activity of the influent samples from the wastewater treatment plant in Helsinki were generally low (from below the limit of detection to 0.7 ng/l EEQ), except in March and August 2011, when relatively high levels (14.0 and 7.8 ng/l EEQ, respectively) were obtained. No oestrogenic activity was recorded in any of the treated effluent samples from the wastewater treatment plant, nor was any in the influent and effluent samples from the drinking-water plant. The outcome of this study implies that Nigerian food items and drinking-water sources are more likely to contain mutagenic and oestrogenic chemicals than their Finnish counterparts, and efforts should be made to reduce the level of human exposure to these chemicals in the diet.
  • Laurila (os. Heikkilä), Henna (Helsingin yliopisto, 2015)
    Canine idiopathic pulmonary fibrosis (CIPF) is a chronic interstitial lung disease of unknown origin mainly affecting West Highland white terriers (WHWT). No curative treatment exists. Differentiating CIPF from other chronic respiratory diseases is difficult. Therefore, a measurable biomarker would be helpful. CIPF shares clinical features with human idiopathic pulmonary fibrosis (IPF), but the histopathological resemblance of the two diseases has been unclear. We described the clinicopathological and diagnostic imaging findings in dogs with CIPF and compared them with those of healthy WHWTs. The most typical clinical signs were cough and exercise intolerance. Inspiratory Velcro crackles were characteristic and an abdominal breathing pattern was often present. Many dogs were hypoxemic. Bronchointerstitial opacity was the most common radiographic finding. In high resolution computed tomography, ground glass opacity was a consistent feature, whereas honeycombing and traction bronchiectasis were less common. Bronchoalveolar lavage fluid (BALF) total cell count was elevated in CIPF and bronchial changes were common. We investigated the serum and BALF concentrations of two potential fibrosis biomarkers, endothelin-1 (ET-1) and procollagen type III amino terminal propeptide (PIIINP) in dogs with CIPF, chronic bronchitis (CB), eosinophilic bronchopneumopathy (EBP) and healthy dogs. Serum ET-1 was higher in dogs with CIPF than in other groups. BALF ET-1 was measurable only in dogs with CIPF. BALF PIIINP was higher in dogs with CIPF than in dogs with CB or healthy dogs, but not different from dogs with EBP. Serum PIIINP was not useful. We defined the histopathological lesions and their distribution in WHWTs with CIPF and compared them with those of human usual interstitial pneumonia (UIP), which is the histopathological pattern of human IPF, and human nonspecific interstitial pneumonia (NSIP), which is an important differential diagnosis of human IPF. A diffuse mature interstitial fibrosis of varying severity, resembling human NSIP, was seen in the lungs of all CIPF dogs. The majority of CIPF dogs also had multifocal areas of accentuated subpleural and peribronchiolar fibrosis with occasional honeycombing and profound alveolar epithelial changes, reminiscent of human UIP. Interstitial fibroblastic foci, characteristic of UIP, were not seen in WHWTs. In this thesis we provide a detailed description of the clinicopathologic and diagnostic imaging features of CIPF and present quantitative values for arterial blood gases and BALF cytology. Serum ET-1 and BALF PIIINP are elevated in dogs with CIPF and could differentiate CIPF from CB. Histopathologically, CIPF is characterised by two types of interstitial fibrosis and shares features of both human UIP and NSIP.
  • Pérez Vera, Cristina (Helsingin yliopisto, 2015)
    The incidence of arthropod-borne infections is increasing worldwide and Fennoscandia is no exception. In the last decades, infections transmitted by ticks are being diagnosed more frequently in people living in the Nordic countries. Ixodes ricinus, the sheep or castor bean tick, which is the most common tick in North-Western Europe, is widely distributed in Finland. Ixodes ticks are vectors of a broad spectrum of pathogens of medical and veterinary importance, such as Babesia spp., Borrelia spp., Anaplasma phagocytophilum (Ap), Bartonella spp., tick-borne encephalitis virus (TBEV), and Francisella tularensis. To date, there is limited information regarding the prevalence of many vector borne diseases in companion animals in Finland, and therefore the majority of available data come from human medicine studies. Infections caused by Bartonella species are considered an emerging zoonosis. One peculiarity of this genus of bacteria is its ability to cause long lasting bacteremia in reservoir hosts. Also, it appears that no other infectious agent is transmitted by more vectors. The deer ked, Lipoptena cervi, is an ectoparasite of moose (Alces alces), which carries Bartonella DNA. Deer keds, which are a nuisance for people, can occasionally bite humans and cause deer ked dermatitis. Whether or not the deer ked can successfully transmit bartonellae to ruminants or humans has not been determined. Because many of the arthropod-borne infections that affect dogs can cause serious disease in people, dogs are considered to be effective sentinel animals to assess the risk of human infection. Also, pets represent a large reservoir for human Bartonella infection because most of the species that infect them are zoonotic. The objective of the present research project was threefold: first, to establish the serological and molecular prevalence of selected tick borne diseases in a large group of dogs in Finland; second, to retrospectively compare different diagnostic approaches and clinicopathologic findings in dogs infected with Bartonella spp.; and third, to explore the role of the deer ked in the transmission of Bartonella spp. to Finnish moose. The serological results from dogs in this study indicate that Finnish dogs are exposed to at least one of four tested arthropod borne pathogens. Dogs were most frequently exposed to Ap (5.3%) followed by Bb (2.9%). Exposure rates were significantly higher in dogs living in Åland. No Finnish dog in this study was infected with Bartonella spp, based on PCR. Bartonella-infected dogs from the USA were most often infected with B. henselae, based on BAPGM enrichment PCR. Interestingly, for most of these dogs, no positive antibodies against Bartonella spp were detected. Clinicopathologic abnormalities in dogs with Bartonella infection were similar to those dogs suspected to have other vector-borne infection. The presence of Bartonella DNA (B. schoenbuchensis and B.bovis) was demonstrated in deer ked pupae samples and in one winged adult, which indicates transstadial transmission of this bacterium in the deer ked. The same Bartonella species were identified in blood samples from free ranging moose in Finland. Furthermore, a high prevalence of Bartonella infection was found in moose, which was significantly lowest in northern Lapland, a region considered deer-ked free. These findings further support the potential of L.cervi as vector of Bartonella.
  • Salomäki, Tiina (Helsingin yliopisto, 2015)
    Bovine mastitis is an inflammation of the udder that can be caused by multiple bacteria. Three major pathogens causing clinical intramammary infection are Escherichia coli, Staphylococcus aureus, and Streptococcus uberis. The most important group of minor udder pathogens is coagulase-negative staphylococci. The objective of this thesis study was to investigate the host-microbe interactions in bovine mastitis caused by a major udder pathogen, Strep. uberis, and two minor pathogens, Staphylococcus simulans and Staphylococcus epidermidis. Experimental intramammary infection was conducted to examine the host immune responses to Staph. simulans and Staph. epidermidis. Molecular methods were applied to study the genetic background of Strep. uberis for biofilm formation. In vitro models for biofilm formation, epithelial cell adhesion, and phagocytosis were used to investigate the relationship between the presence of clinical signs in 119 cases of Strep. uberis mastitis and characteristics of the corresponding bacterial isolate. Staph. simulans and Staph. epidermidis induced an infection in an experimental mastitis model. We also demonstrated that these strains were able to induce clinical signs and to persist for up to two weeks in the udder. Biofilm production among Staphylococcae has been under intensive research, and its association with persistence has been proposed. In contrast, biofilm formation by Strep. uberis has only recently been discovered. This thesis study characterized the genes involved in biofilm formation using the thermosensitive mutant library of Strep. uberis. Bacterial virulence-associated factors can be regulated by a two-component system. The twocomponent system response regulator (LiaR) was observed to negatively regulate biofilm formation by Strep. uberis, but the clear mechanism remains to be determined. Analysis of 119 Strep. uberis isolates revealed an association between biofilm formation and epithelial adhesion and susceptibility to phagocytosis, as well as the decreased susceptibility to phagocytosis among the isolates originating from infections with clinical signs. The analysis further revealed that highly adhesive strains are not phagocytosed as efficiently as weakly adhesive strains. These findings highlight the importance of adhesion, which is the key process in biofilm formation. Bacteria do not necessarily need to produce a biofilm, but they have much better possibilities to survive in the host if they can adhere, for instance, to epithelial cells. Nevertheless, the risk of an excessively intensive host response exists. Activated host response mechanisms would trigger an efficient host defense response to eliminate invading pathogens. Although we did not observe any difference in biofilm formation between clinical and subclinical isolates, a strong tendency for epithelial adhesion and resistance against phagocytosis are likely promoters of the bacterial load and intramammary infection leading to detectable clinical signs.
  • Rossow, Heidi (Helsingin yliopisto, 2015)
    Tularemia is a zoonotic disease caused by the facultative intracellular bacterium Francisella tularensis. Recurrent outbreaks with hundreds of cases are reported in Finland and Sweden every few years. In other European countries the disease is quite rare, but sporadic outbreaks have been reported from various countries. Specific risk factors associated with ulceroglandular and pneumonic tularemia were investigated in a population-based case-control study presented in this thesis (study I). In addition, the public health impact of tularemia in Finland was analyzed and information on clinical features of the disease and patient characteristics was collected. Reported mosquito bites and farming activities were independently associated with ulceroglandular tularemia, whereas exposure to hay dust was associated with pneumonic tularemia. Spatial and temporal epidemiology of tularemia in Finland was investigated based on notifications to the National Infectious Disease Register (study IV). The prevalence of F. tularensis antibodies in the adult general population was studied using serum samples from a nationwide population-based health survey (study IV). A serologic response to F. tularensis was found in 2% of the population. Occurrence of F. tularensis in wild rodents was studied by screening a total of 547 wild small mammals from 14 locations around Finland for the presence of F. tularensis DNA by PCR analysis (study II). High copy numbers of F. tularensis-specific DNA were detected in tissue samples of only 5 field voles originating from one location. The pathogenesis of F. tularensis infection in wild voles was studied in an experimental infection (study III). A rapid lethal clinical course, bacteremia and tissue necrosis were observed in the infected field voles and bank voles. The correlation between vole population cycles and human tularemia outbreaks was assessed using surveillance data from 1995-2013 (study IV). Vole population peaks clearly preceded subsequent tularemia outbreaks one year later. In conclusion, this thesis describes risk factors for tularemia as well as the clinical characteristics and epidemiology of the disease in Finland. Moreover, the kinetics of F. tularensis infection in voles and the occurrence of F. tularensis in wildlife in Finland are represented. Since 1995, more than 5000 cases of tularemia have been reported. About 2% of the adult population has antibodies against F. tularensis. Incidence and seroprevalence are highest in Northern Ostrobothnia. Ulceroglandular and pneumonic tularemia have different risk factors. In rodents, F. tularensis infection is rare and mostly fatal. Rodents act as amplification hosts of F. tularensis, and high rodent densities predict tularemia outbreaks in humans in the following year.
  • Venhoranta, Heli (Helsingin yliopisto, 2015)
    Dairy cattle breeding programs rely heavily on artificial insemination (AI). The AI enables intense selection for desired traits, but the use of few elite bulls carries a risk that inherited defects may proliferate in the population. The emergence of inherited defects is a recurrent issue in cattle breeding and rapid identification and management of genetic defects are crucial for preventing economic losses and maintaining good animal welfare. Modern molecular genetics techniques enable efficient detection of causative mutations, information which is needed for DNA testing. In this study, we investigated three inherited congenital bovine defects and located causative mutations for these diseases. 1. A microdeletion in PEG3 domain causes intrauterine growth restriction and stillbirths to almost half of the pregnancies sired by a single Ayrshire AI bull. The deletion, when inherited from the sire, is semi-lethal but the female mutation carriers can breed normally. The deletion truncates the 3 end of the non-coding maternally imprinted MIMT1 transcript and also causes expression changes in other genes of the domain. The expression changes of hundreds of genes in the foetal side of the placenta were also demonstrated. 2. Inherited gonadal hypoplasia with incomplete penetrance in Northern Finncattle and Swedish Mountain breed is associated with homozygosity for the Cs29 allele. This allele is an ectopic segment that is duplicated and translocated from chromosome 6 to 29 and encompasses the KIT gene. Cs29 allele is associated with colour sidedness in various cattle breeds, which coheres with the results that gonadal hypoplasia is connected with white coat colour. The KIT gene is known to regulate the migration of the germ cells and precursors of melanocytes. 3. A new recessive developmental disorder defined as PIRM (ptosis, intellectual disability, retarded growth and mortality) in Ayrshire breed was associated with single base substitution in the UBE3B gene. Mutation causes in-frame exon skipping, resulting in an altered protein lacking 40 amino acids, which likely comprises protein function. In humans, mutations in the UBE3B gene are associated with Kaufman oculocerebrofacial syndrome, with similar pathological effects as for PIRM syndrome. The UBE3B mutation may be connected with the AH1 haplotype, which is associated with reduced fertility and has a carrier frequency of 26.1% in the North American Ayrshire population. The mutations related to these three defects or syndromes can now be easily tested for. The results can be used to avoid risky matings, cull carriers and provide a veterinary diagnostic. The expression analyses proved that the mutations in Ayrshires also affected the RNA expression of the respective mutated gene or even hundreds of other genes. The described genotype-phenotype associations can be used as a basis for approaches to locate quantitative trait loci in cattle or provide new insights into developmental biology and inform translational research across species.
  • Autio, Karoliina (Helsingin yliopisto, 2015)
    Cancer is one of the most common reasons for death in dogs, cats and humans. New therapeutic modalities are necessary to improve disease outcome. One promising approach is oncolytic virotherapy. Until now, the only oncolytic virus evaluated in a clinical trial in veterinary medicine has been canine oncolytic adenovirus, but a clinical trial has been started with oncolytic vaccinia virus (VV) in pet dogs. In cats, oncolytic viruses have not been evaluated in clinical settings. Tumour treatment in dogs and cats could also serve as a model for human cancer therapy. The purpose of the thesis was to evaluate preclinically whether genetically modified oncolytic VV and Semliki Forest virus (SFV) could offer a new treatment modality for dogs and cats. Oncolytic VV was rendered tumour selective by a dual ablation of vaccinia growth factor and thymidine kinase, making it more cancer-specific than previously used VVs in veterinary research. To further increase the efficacy of the VV, an immunostimulatory gene, CD40L, was added to the virus backbone. Avirulent SFV A7(74) has a natural trophism for cancer cells and was not genetically manipulated. Both viruses infected and killed tested cancer cell lines, and VV also infected most of the primary surgical tumour tissues tested. In the nude mouse xenograft model, double deleted VV (vvdd) significantly reduced tumour growth. Interestingly, when in intact monolayers, SCCF1 cells were not killed by VV, but secreted infectious, morphologically abnormal virions. One dog experienced a possible seizure after VV administration, but no other serious adverse events occurred. Vaccinia DNA declined quickly in the blood after virus administration, but was still detectable one week later by qPCR. Only samples taken directly after the VV infusion contained infectious virus, which was not found in any other blood, saliva, urine or faecal samples. Necropsies did not reveal any pathological changes associated with virus administrations. In conclusion, our results show that oncolytic VV and SFV can infect and kill tested canine cancer cell lines, and that VV has antitumoral activity in the mouse xenograft model and it can infect fresh tumour biopsies. In addition, intravenous administration of the viruses did not induce life-threatening adverse events in healthy dogs. These agents thus warrant further evaluation in veterinary medicine.
  • Hyytiäinen, Heli (Helsingin yliopisto, 2015)
    Stifle dysfunction is one of the most common reasons for canine hindlimb lameness and an indication for dogs referral to physiotherapy. Until now, there has been a lack of testing batteries in animal physiotherapy, although these are an important part of the evaluation process in various patient groups in human physiotherapy. Using 64 dogs, 43 with stifle dysfunction and 21 healthy dogs, congruity between fourteen physiotherapeutic evaluation methods, commonly used in dogs with stifle dysfunction, and six evaluation methods used by a veterinarian was evaluated. The eight best methods were chosen as items constituting a testing battery, the Finnish Canine Stifle Index (FCSI). The numerical scale of the testing battery was 0-263. Cronbach s alpha for the internal reliability of the total FCSI score was good (0.727). Two cut-offs for the total score were set: 60 and 120, separating adequate, compromised and severely compromised performance level, based on their high sensitivities and specificities. Another 57 dogs, 29 with some type of stifle dysfunction, 17 with some musculoskeletal disease other than stifle dysfunction and 11 healthy dogs, were used to further study the psychometric properties of the testing battery. The dogs with stifle dysfunction showed a significant (P < 0.001) decrease in FCSI total score (93.3 ± 62) compared with the two other groups (29.5 ± 39.6 and 11.7 ± 21.0), demonstrating good responsiveness of the FCSI. Also the inter-tester reliability was excellent (ICC 0.784), with no significant differences between three physiotherapists performing the FCSI. In conclusion, the overall functionality and outcome of rehabilitation in dogs with stifle dysfunction can be reliably evaluated with the new testing battery, the FCSI, developed here.
  • Kolmeder, Carolin (Helsingin yliopisto, 2015)
    Human physiological processes are complemented by those of the microbiota, the collection of all microbes living in and on our body. The human intestinal microbiota is one of the most prominent representatives and many associations with a wide spectrum of human diseases have been identified. Analysing faecal material with nucleic acid based approaches revealed the species richness of the intestinal microbiota and its individuality, being unique to each human being. In addition, to date approximately ten million unique genes have been identified from the human intestinal microbiota. These genes add an enormous additional genetic potential to the human genome, but little is known about which of these genes can be expressed into proteins and the conditions under which the protein synthesis occurs. The focus of this thesis work was to increase the knowledge of the biological processes taking place in-vivo, and to establish a baseline of these functions in the intestine of a healthy adult. Faecal material was used to study the metabolic reactions in the lower intestine, thus avoiding invasive sampling like biopsies. The proteins contained in the faecal material, which represent the molecules of most biological reactions, were targeted. At first, a method to access and analyse faecal proteins was developed, a so called metaproteomics approach. Proteins were analysed by mass spectrometry and the vast amount of resulting data was analysed with a wide range of computational methods to get a comprehensive overview of the intestinal functions. Altogether, 81 biological samples collected from 48 adults were analysed. As the main result, it was shown that individuals can be separated by their specific faecal protein profiles. This, in turn, indicates that the collection of intestinal microbial functions taking place in each of us are unique. In addition, the faecal protein profiles from obese individuals were found to be different from those of non-obese individuals. On a phylum level, it appeared that in obese individuals Bacteroidetes were biologically more active than the phylogenetic analysis suggested. This thesis work has identified several core intestinal proteins and helps to understand the functional significance of the intestinal microbiota. Next, we have to address these proteins in well concerted studies and still need to learn more about many of the encoded functions contained in the intestinal microbial genes.