Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis

Background: Cats with neurologic feline infectious peritonitis (FIP) are difficult to diagnose. Aim of this study was to evaluate the diagnostic value of detecting feline coronavirus (FCoV) RNA and spike (S) gene mutations in cerebrospinal fluid (CSF). Methods: The study included 30 cats with confir...

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Main Authors: Sandra Felten, Kaspar Matiasek, Christian M. Leutenegger, Laura Sangl, Stephanie Herre, Stefanie Dörfelt, Andrea Fischer, Katrin Hartmann
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/2/186
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author Sandra Felten
Kaspar Matiasek
Christian M. Leutenegger
Laura Sangl
Stephanie Herre
Stefanie Dörfelt
Andrea Fischer
Katrin Hartmann
author_facet Sandra Felten
Kaspar Matiasek
Christian M. Leutenegger
Laura Sangl
Stephanie Herre
Stefanie Dörfelt
Andrea Fischer
Katrin Hartmann
author_sort Sandra Felten
collection DOAJ
description Background: Cats with neurologic feline infectious peritonitis (FIP) are difficult to diagnose. Aim of this study was to evaluate the diagnostic value of detecting feline coronavirus (FCoV) RNA and spike (S) gene mutations in cerebrospinal fluid (CSF). Methods: The study included 30 cats with confirmed FIP (six with neurological signs) and 29 control cats (eleven with neurological signs) with other diseases resulting in similar clinical signs. CSF was tested for FCoV RNA by 7b-RT-qPCR in all cats. In RT-qPCR-positive cases, S-RT-qPCR was additionally performed to identify spike gene mutations. Results: Nine cats with FIP (9/30, 30%), but none of the control cats were positive for FCoV RNA in CSF. Sensitivity of 7b-RT-qPCR in CSF was higher for cats with neurological FIP (83.3%; 95% confidence interval (95% CI) 41.8–98.9) than for cats with non-neurological FIP (16.7%; 95% CI 6.1–36.5). Spike gene mutations were rarely detected. Conclusions: FCoV RNA was frequently present in CSF of cats with neurological FIP, but only rarely in cats with non-neurological FIP. Screening for spike gene mutations did not enhance specificity in this patient group. Larger populations of cats with neurological FIP should be explored in future studies.
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spelling doaj.art-1fc17608a17444d890ec14ed6d7c13782023-12-03T14:50:42ZengMDPI AGViruses1999-49152021-01-0113218610.3390/v13020186Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious PeritonitisSandra Felten0Kaspar Matiasek1Christian M. Leutenegger2Laura Sangl3Stephanie Herre4Stefanie Dörfelt5Andrea Fischer6Katrin Hartmann7Clinic of Small Animal Medicine, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanySection of Clinical & Comparative Neuropathology, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanyIDEXX Laboratories, Inc., 2825 KOVR Dr., West Sacramento, CA 95605, USAClinic of Small Animal Medicine, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanyClinic of Small Animal Medicine, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanyClinic of Small Animal Medicine, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanyClinic of Small Animal Medicine, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanyClinic of Small Animal Medicine, Center for Clinical Veterinary Medicine, LMU Munich, Veterinärstr. 13, 80539 Munich, GermanyBackground: Cats with neurologic feline infectious peritonitis (FIP) are difficult to diagnose. Aim of this study was to evaluate the diagnostic value of detecting feline coronavirus (FCoV) RNA and spike (S) gene mutations in cerebrospinal fluid (CSF). Methods: The study included 30 cats with confirmed FIP (six with neurological signs) and 29 control cats (eleven with neurological signs) with other diseases resulting in similar clinical signs. CSF was tested for FCoV RNA by 7b-RT-qPCR in all cats. In RT-qPCR-positive cases, S-RT-qPCR was additionally performed to identify spike gene mutations. Results: Nine cats with FIP (9/30, 30%), but none of the control cats were positive for FCoV RNA in CSF. Sensitivity of 7b-RT-qPCR in CSF was higher for cats with neurological FIP (83.3%; 95% confidence interval (95% CI) 41.8–98.9) than for cats with non-neurological FIP (16.7%; 95% CI 6.1–36.5). Spike gene mutations were rarely detected. Conclusions: FCoV RNA was frequently present in CSF of cats with neurological FIP, but only rarely in cats with non-neurological FIP. Screening for spike gene mutations did not enhance specificity in this patient group. Larger populations of cats with neurological FIP should be explored in future studies.https://www.mdpi.com/1999-4915/13/2/186FCoVdiagnosisPCRRT-PCRFIPVneurological signs
spellingShingle Sandra Felten
Kaspar Matiasek
Christian M. Leutenegger
Laura Sangl
Stephanie Herre
Stefanie Dörfelt
Andrea Fischer
Katrin Hartmann
Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis
Viruses
FCoV
diagnosis
PCR
RT-PCR
FIPV
neurological signs
title Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis
title_full Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis
title_fullStr Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis
title_full_unstemmed Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis
title_short Diagnostic Value of Detecting Feline Coronavirus RNA and Spike Gene Mutations in Cerebrospinal Fluid to Confirm Feline Infectious Peritonitis
title_sort diagnostic value of detecting feline coronavirus rna and spike gene mutations in cerebrospinal fluid to confirm feline infectious peritonitis
topic FCoV
diagnosis
PCR
RT-PCR
FIPV
neurological signs
url https://www.mdpi.com/1999-4915/13/2/186
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