<!DOCTYPE art SYSTEM 'http://www.biomedcentral.com/xml/article.dtd'>
<art>
	<ui>1743-422X-11-144</ui>
	<ji>1743-422X</ji>
	<fm>
		<dochead>Short report</dochead>
		<bibl>
			<title>
				<p>Identification of a novel nidovirus in an outbreak of fatal respiratory disease in ball pythons (<it>Python regius</it>)</p>
			</title>
			<aug>
				<au id="A1" ce="yes"><snm>Uccellini</snm><fnm>Lorenzo</fnm><insr iid="I1"/><email>lu2137@columbia.edu</email></au>
				<au id="A2" ce="yes"><snm>Ossiboff</snm><mi>J</mi><fnm>Robert</fnm><insr iid="I2"/><insr iid="I3"/><email>rjo23@cornell.edu</email></au>
				<au id="A3"><snm>de Matos</snm><mi>EC</mi><fnm>Ricardo</fnm><insr iid="I4"/><email>rd95@cornell.edu</email></au>
				<au id="A4"><snm>Morrisey</snm><mi>K</mi><fnm>James</fnm><insr iid="I4"/><email>morrisey@cornell.edu</email></au>
				<au id="A5"><snm>Petrosov</snm><fnm>Alexandra</fnm><insr iid="I1"/><email>ap2811@columbia.edu</email></au>
				<au id="A6"><snm>Navarrete-Macias</snm><fnm>Isamara</fnm><insr iid="I1"/><email>in2171@columbia.edu</email></au>
				<au id="A7"><snm>Jain</snm><fnm>Komal</fnm><insr iid="I1"/><email>kj2230@columbia.edu</email></au>
				<au id="A8"><snm>Hicks</snm><mi>L</mi><fnm>Allison</fnm><insr iid="I1"/><email>alh2191@columbia.edu</email></au>
				<au id="A9"><snm>Buckles</snm><mi>L</mi><fnm>Elizabeth</fnm><insr iid="I2"/><email>elb36@cornell.edu</email></au>
				<au id="A10"><snm>Tokarz</snm><fnm>Rafal</fnm><insr iid="I1"/><email>rt2249@cumc.columbia.edu</email></au>
				<au id="A11"><snm>McAloose</snm><fnm>Denise</fnm><insr iid="I3"/><email>dmcaloose@wcs.org</email></au>
				<au id="A12" ca="yes"><snm>Lipkin</snm><mnm>Ian</mnm><fnm>Walter</fnm><insr iid="I1"/><email>wil2001@columbia.edu</email></au>
			</aug>
			<insg>
				<ins id="I1"><p>Center for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, USA</p></ins>
				<ins id="I2"><p>Department of Biomedical Sciences, Cornell University, Ithaca, NY 14853, USA</p></ins>
				<ins id="I3"><p>Wildlife Conservation Society, Zoological Health Program, Bronx, NY 10460, USA</p></ins>
				<ins id="I4"><p>Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA</p></ins>
			</insg>
			<source>Virology Journal</source>
			<section><title><p>Emerging viruses</p></title></section><issn>1743-422X</issn>
			<pubdate>2014</pubdate>
			<volume>11</volume>
			<issue>1</issue>
			<fpage>144</fpage>
			<url>http://www.virologyj.com/content/11/1/144</url>
			<xrefbib><pubidlist><pubid idtype="doi">10.1186/1743-422X-11-144</pubid><pubid idtype="pmpid">25106433</pubid></pubidlist></xrefbib>
		</bibl>
		<history><rec><date><day>1</day><month>8</month><year>2014</year></date></rec><acc><date><day>8</day><month>8</month><year>2014</year></date></acc><pub><date><day>8</day><month>8</month><year>2014</year></date></pub></history>
		<cpyrt><year>2014</year><collab>Uccellini et al.; licensee BioMed Central Ltd.</collab><note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/4.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<url>http://creativecommons.org/publicdomain/zero/1.0/</url>) applies to the data made available in this article, unless otherwise stated.</note></cpyrt>
		<kwdg>
			<kwd>
				<it>Nidovirales</it>
			</kwd>
			<kwd>Pneumonia</kwd>
			<kwd>Reptile</kwd>
			<kwd>Snake</kwd>
		</kwdg>
		<abs>
			<sec>
				<st>
					<p>Abstract</p>
				</st>
				<sec>
					<st>
						<p>Background</p>
					</st><p>Respiratory infections are important causes of morbidity and mortality in reptiles; however, the causative agents are only infrequently identified.</p>
				</sec>
				<sec>
					<st>
						<p>Findings</p>
					</st><p>Pneumonia, tracheitis and esophagitis were reported in a collection of ball pythons (<it>Python regius</it>). Eight of 12 snakes had evidence of bacterial pneumonia. High-throughput sequencing of total extracted nucleic acids from lung, esophagus and spleen revealed a novel nidovirus. PCR indicated the presence of viral RNA in lung, trachea, esophagus, liver, and spleen. In situ hybridization confirmed the presence of intracellular, intracytoplasmic viral nucleic acids in the lungs of infected snakes. Phylogenetic analysis based on a 1,136 amino acid segment of the polyprotein suggests that this virus may represent a new species in the subfamily <it>Torovirinae.</it>
					</p>
				</sec>
				<sec>
					<st>
						<p>Conclusions</p>
					</st><p>This report of a novel nidovirus in ball pythons may provide insight into the pathogenesis of respiratory disease in this species and enhances our knowledge of the diversity of nidoviruses.</p>
				</sec>
			</sec>
		</abs>
	</fm>
	<bdy>
		<sec>
			<st>
				<p>Findings</p>
			</st><p>
				<it>Nidovirales</it> is a large order of positive sense, single-stranded RNA (ssRNA) viruses that consists of the many genera and species in the families <it>Coronaviridae</it>, <it>Arteriviridae</it>, <it>Roniviridae</it> and <it>Mesoniviridae</it>. Although the genomes of nidoviruses vary in length, ranging from 13 to 32 kilobases (kb), the organization of the genomes are similar across the entire order <abbrgrp>
					<abbr bid="B1">1</abbr>
					<abbr bid="B2">2</abbr>
					<abbr bid="B3">3</abbr>
					<abbr bid="B4">4</abbr>
				</abbrgrp>. The 5&#8242; end of the genome encodes two replicase polyproteins (pp1a and pp1ab), structural proteins and accessory proteins. Genes downstream of the replicase polyprotein gene are expressed from a nested set of 3&#8242;-coterminal subgenomic mRNAs, a replication strategy unique to the <it>Nidovirales</it>
				<abbrgrp>
					<abbr bid="B5">5</abbr>
					<abbr bid="B6">6</abbr>
					<abbr bid="B7">7</abbr>
				</abbrgrp>.</p><p>Nidoviruses infect a broad range of hosts including humans and other mammals, birds, fish, insects and crustaceans <abbrgrp>
					<abbr bid="B8">8</abbr>
					<abbr bid="B9">9</abbr>
					<abbr bid="B10">10</abbr>
					<abbr bid="B11">11</abbr>
				</abbrgrp>. Although reptiles are susceptible to infection by a wide variety of viruses (as reviewed in <abbrgrp>
					<abbr bid="B12">12</abbr>
				</abbrgrp>), nidovirus infections have not previously been described. Viruses affecting the reptile respiratory tract include herpesviruses <abbrgrp>
					<abbr bid="B13">13</abbr>
				</abbrgrp>, iridoviruses <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>, adenoviruses <abbrgrp>
					<abbr bid="B15">15</abbr>
				</abbrgrp>, flaviviruses <abbrgrp>
					<abbr bid="B16">16</abbr>
				</abbrgrp>, and, of particular importance in snakes, paramyxoviruses <abbrgrp>
					<abbr bid="B17">17</abbr>
				</abbrgrp> and reoviruses <abbrgrp>
					<abbr bid="B18">18</abbr>
				</abbrgrp>.</p><p>Here we report the discovery of a novel nidovirus in a collection of ball pythons (<it>Python regius</it>) in upstate New York with pneumonia, tracheitis and esophagitis. The snakes were found dead between July 2011 and September 2013.</p><p>Gross postmortem examination was performed on 4 snakes. Snake 1, a 6-year-old, female piebald color morph ball python, was submitted in July of 2011. Snake 2, a 6-year-old, male lesser platinum color morph ball python, was submitted in December of 2011. Snake 3, a 3-year-old female paradox color morph ball python, and snake 4, a 7-year-old female pastel color morph ball python, were submitted in September 2013. After gross evaluation, samples of tissues were collected and saved in 10% neutral buffered formalin, routinely processed and mounted in paraffin. Five &#956;m paraffin ribbons were cut and stained with either hematoxylin and eosin (H&amp;E) or Gram&#8217;s stain for histologic examination. Eleven tissues, including lung (n&#8201;=&#8201;4), liver (n&#8201;=&#8201;1), spleen (n&#8201;=&#8201;3) and esophagus (n&#8201;=&#8201;3) from the 4 snakes were collected and stored at &#8722;20&#176;C.</p><p>Gross and histologic findings in all four snakes were primarily restricted to the respiratory and upper gastrointestinal tracts (Table&#160;<tblr tid="T1">1</tblr>). Hematoxylin and eosin stained sections (Figure&#160;<figr fid="F1">1</figr>A through F) revealed marked hyperplasia of epithelial cells lining air exchange areas (pneumocytes) with significant mononuclear (lymphocytes and plasma cells) and granulocytic (heterophils) interstitial inflammation and epithelial necrosis (Figure&#160;<figr fid="F1">1</figr>B). Similar inflammatory and hyperplastic changes were also present in the trachea (Figure&#160;<figr fid="F1">1</figr>D), esophagus (Figure&#160;<figr fid="F1">1</figr>F) and oral cavity. Gram-negative stained bacteria are shown in lung tissue from a snake with bacterial bronchopneumonia (Figure&#160;<figr fid="F1">1</figr>H).</p>
			<table id="T1">
				<title>
					<p>Table 1</p>
				</title>
				<caption>
					<p>
						<b>Pathologic and molecular findings in ball pythons ( </b><b>
							<it>Python regius </it>
						</b><b>) with nidoviral-associated disease</b>
					</p>
				</caption>
				<tgroup align="left" cols="15">
					<colspec align="center" colname="c1" colnum="1" colwidth="1*"/>
					<colspec align="center" colname="c2" colnum="2" colwidth="1*"/>
					<colspec align="center" colname="c3" colnum="3" colwidth="1*"/>
					<colspec align="center" colname="c4" colnum="4" colwidth="1*"/>
					<colspec align="center" colname="c5" colnum="5" colwidth="1*"/>
					<colspec align="center" colname="c6" colnum="6" colwidth="1*"/>
					<colspec align="center" colname="c7" colnum="7" colwidth="1*"/>
					<colspec align="center" colname="c8" colnum="8" colwidth="1*"/>
					<colspec align="center" colname="c9" colnum="9" colwidth="1*"/>
					<colspec align="center" colname="c10" colnum="10" colwidth="1*"/>
					<colspec align="center" colname="c11" colnum="11" colwidth="1*"/>
					<colspec align="center" colname="c12" colnum="12" colwidth="1*"/>
					<colspec align="center" colname="c13" colnum="13" colwidth="1*"/>
					<colspec align="center" colname="c14" colnum="14" colwidth="1*"/>
					<colspec align="center" colname="c15" colnum="15" colwidth="1*"/>
					<thead valign="top">
						<row>
							<entry align="center" colname="c1" nameend="c9" namest="c1" rowsep="1">
								<p>
									<b>Inflammation</b>
									<sup>
										<b>a</b>
									</sup>
								</p>
							</entry>
							<entry align="center" colname="c10" nameend="c14" namest="c10" rowsep="1">
								<p>
									<b>PCR</b>
									<sup>
										<b>b</b>
									</sup>
								</p>
							</entry>
							<entry align="center" colname="c15">
								<p>
									<b>ISH</b>
									<sup>
										<b>c</b>
									</sup>
								</p>
							</entry>
						</row>
						<row rowsep="1">
							<entry align="center" colname="c1">
								<p>
									<b>Snake</b>
								</p>
							</entry>
							<entry align="center" colname="c2">
								<p>
									<b>Lung</b>
								</p>
							</entry>
							<entry align="center" colname="c3">
								<p>
									<b>Trachea</b>
								</p>
							</entry>
							<entry align="center" colname="c4">
								<p>
									<b>Nasal Cavity</b>
								</p>
							</entry>
							<entry align="center" colname="c5">
								<p>
									<b>Esophagus</b>
								</p>
							</entry>
							<entry align="center" colname="c6">
								<p>
									<b>Oral Cavity</b>
								</p>
							</entry>
							<entry align="center" colname="c7">
								<p>
									<b>Liver</b>
								</p>
							</entry>
							<entry align="center" colname="c8">
								<p>
									<b>Spleen</b>
								</p>
							</entry>
							<entry align="center" colname="c9">
								<p>
									<b>Kidney</b>
								</p>
							</entry>
							<entry align="center" colname="c10">
								<p>
									<b>Lung</b>
								</p>
							</entry>
							<entry align="center" colname="c11">
								<p>
									<b>Spleen</b>
								</p>
							</entry>
							<entry align="center" colname="c12">
								<p>
									<b>Esophagus</b>
								</p>
							</entry>
							<entry align="center" colname="c13">
								<p>
									<b>Trachea</b>
								</p>
							</entry>
							<entry align="center" colname="c14">
								<p>
									<b>Liver</b>
								</p>
							</entry>
							<entry align="center" colname="c15">
								<p>
									<b>Lung</b>
								</p>
							</entry>
						</row>
					</thead>
					<tfoot>
						<p>
							<sup>a</sup>H, epithelial hyperplasia; NE, Not examined; Nec, Necrosis.</p><p>
							<sup>b</sup>NT, Not tested.</p><p>
							<sup>c</sup>ISH, In Situ Hybridization; NT, Not tested NA, not available.</p><p>+, PCR Positive.</p><p>-, PCR Negative.</p>
					</tfoot>
					<tbody valign="top">
						<row>
							<entry align="center" colname="c1">
								<p>1</p>
							</entry>
							<entry align="center" colname="c2">
								<p>+, H</p>
							</entry>
							<entry align="center" colname="c3">
								<p>+, H</p>
							</entry>
							<entry align="center" colname="c4">
								<p>+</p>
							</entry>
							<entry align="center" colname="c5">
								<p>+, H</p>
							</entry>
							<entry align="center" colname="c6">
								<p>+</p>
							</entry>
							<entry align="center" colname="c7">
								<p>-</p>
							</entry>
							<entry align="center" colname="c8">
								<p>-</p>
							</entry>
							<entry align="center" colname="c9">
								<p>-</p>
							</entry>
							<entry align="center" colname="c10">
								<p>+</p>
							</entry>
							<entry align="center" colname="c11">
								<p>+</p>
							</entry>
							<entry align="center" colname="c12">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c13">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c14">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c15">
								<p>+</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>2</p>
							</entry>
							<entry align="center" colname="c2">
								<p>+</p>
							</entry>
							<entry align="center" colname="c3">
								<p>+</p>
							</entry>
							<entry align="center" colname="c4">
								<p>+</p>
							</entry>
							<entry align="center" colname="c5">
								<p>+, H</p>
							</entry>
							<entry align="center" colname="c6">
								<p>+</p>
							</entry>
							<entry align="center" colname="c7">
								<p>Nec</p>
							</entry>
							<entry align="center" colname="c8">
								<p>-</p>
							</entry>
							<entry align="center" colname="c9">
								<p>-</p>
							</entry>
							<entry align="center" colname="c10">
								<p>+</p>
							</entry>
							<entry align="center" colname="c11">
								<p>+</p>
							</entry>
							<entry align="center" colname="c12">
								<p>+</p>
							</entry>
							<entry align="center" colname="c13">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c14">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c15">
								<p>+</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>3</p>
							</entry>
							<entry align="center" colname="c2">
								<p>+</p>
							</entry>
							<entry align="center" colname="c3">
								<p>+</p>
							</entry>
							<entry align="center" colname="c4">
								<p>NE</p>
							</entry>
							<entry align="center" colname="c5">
								<p>NE</p>
							</entry>
							<entry align="center" colname="c6">
								<p>+</p>
							</entry>
							<entry align="center" colname="c7">
								<p>-</p>
							</entry>
							<entry align="center" colname="c8">
								<p>Nec</p>
							</entry>
							<entry align="center" colname="c9">
								<p>-</p>
							</entry>
							<entry align="center" colname="c10">
								<p>NA</p>
							</entry>
							<entry align="center" colname="c11">
								<p>+</p>
							</entry>
							<entry align="center" colname="c12">
								<p>NA</p>
							</entry>
							<entry align="center" colname="c13">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c14">
								<p>+</p>
							</entry>
							<entry align="center" colname="c15">
								<p>NT</p>
							</entry>
						</row>
						<row rowsep="1">
							<entry align="center" colname="c1">
								<p>4</p>
							</entry>
							<entry align="center" colname="c2">
								<p>+</p>
							</entry>
							<entry align="center" colname="c3">
								<p>+</p>
							</entry>
							<entry align="center" colname="c4">
								<p>NE</p>
							</entry>
							<entry align="center" colname="c5">
								<p>NE</p>
							</entry>
							<entry align="center" colname="c6">
								<p>+</p>
							</entry>
							<entry align="center" colname="c7">
								<p>-</p>
							</entry>
							<entry align="center" colname="c8">
								<p>NE</p>
							</entry>
							<entry align="center" colname="c9">
								<p>-</p>
							</entry>
							<entry align="center" colname="c10">
								<p>+</p>
							</entry>
							<entry align="center" colname="c11">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c12">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c13">
								<p>+</p>
							</entry>
							<entry align="center" colname="c14">
								<p>NT</p>
							</entry>
							<entry align="center" colname="c15">
								<p>NT</p>
							</entry>
						</row>
					</tbody>
				</tgroup>
			</table>
			<fig id="F1"><title><p>Figure 1</p></title><caption><p>Histologic pulmonary, tracheal and esophageal lesions in infected ball pythons</p></caption><text>
   <p><b>Histologic pulmonary, tracheal and esophageal lesions in infected ball pythons. (A-F)</b>: hematoxylin and eosin staining, magnification 400-600X. <b>(G,H)</b>: Gram-staining, magnification 1000X. <b>(A,C,E)</b>: histology of uninfected snake; <b>(B,D,F)</b>: histology of infected snakes. The lungs from infected snakes <b>(B)</b> were characterized by marked pneumocyte hyperplasia and mixed mononuclear and granulocytic inflammation compared to the uninfected snake <b>(A)</b>. The normally thin and ciliated tracheal mucosa <b>(C)</b> was severely thickened in infected snakes <b>(D)</b> with epithelial necrosis, loss of the ciliated mucosal border and moderate mixed inflammation. The esophageal mucosa that is normally rich with mucus-producing epithelial cells <b>(E)</b> was also severely hyperplastic in infected snakes, with necrosis and mixed inflammatory infiltrates similar to those seen in the trachea <b>(F)</b>. Gram-negative bacteria are present in snake with bronchopneumonia <b>(H)</b> but not in snake without bronchopneumonia <b>(G)</b>.</p>
</text><graphic file="1743-422X-11-144-1"/></fig><p>Total nucleic acids were extracted from snake samples (lung and spleen for snake 1, lung, spleen and esophagus for snake 2, spleen and liver for snake 3, lung and trachea for snake 4) using the EasyMag (bioM&#233;rieux, Inc.) platform; Samples from snakes 1 and 2 were depleted of ribosomal RNA (Ribo-Zero&#8482; rRNA Removal, Epibio) and treated with DNAse I (TURBO DNA-free&#8482;, Ambion). cDNA synthesis was performed using SuperScript II first-strand synthesis supermix (Invitrogen). Viral discovery was performed using broadly reactive consensus PCR assays targeting common respiratory viruses of animals, including paramyxoviruses <abbrgrp>
					<abbr bid="B19">19</abbr>
					<abbr bid="B20">20</abbr>
					<abbr bid="B21">21</abbr>
				</abbrgrp>, reoviruses <abbrgrp>
					<abbr bid="B16">16</abbr>
				</abbrgrp> and caliciviruses <abbrgrp>
					<abbr bid="B22">22</abbr>
				</abbrgrp>. When PCR analysis failed to yield a causative agent, high-throughput sequencing was performed on all samples originating from snakes 1 and 2 (Ion PGM, Life Sciences). On average, 850,000 reads were obtained from each sample. All reads were processed by trimming primers and adaptors, length filtering, and masking of low-complexity regions (WU-BLAST 2.0). To remove host sequences, the remaining reads were subjected to a homology search using BLASTn against a database consisting of ribosomal and genomic metazoan sequences. Following the processing, an average of 250,000 reads per sample remained for further analysis.</p><p>Nucleotide sequence analysis (BLASTn) of processed reads was uninformative; however, amino acid analysis (BLASTx) revealed multiple reads with amino acid homology of &lt;50% to the polyprotein region of the <it>Nidovirales</it> subfamily <it>Torovirinae</it>, including Breda virus, White bream virus, and Fathead minnow virus. Assembly of all <it>Torovirinae</it>-like reads generated a 3,408&#160;nt contig with 33% amino acid homology to the replicase polyprotein 1ab of Fathead minnow virus. The presence of this 3,408&#160;nt sequence in both snakes was confirmed by PCR using primers shown in Table&#160;<tblr tid="T2">2</tblr>. Cycling conditions are described in a footnote to Table&#160;<tblr tid="T2">2</tblr>. Samples from multiple tissues of snakes 3 and 4 were also screened and tested positive for this virus.</p>
			<table id="T2">
				<title>
					<p>Table 2</p>
				</title>
				<caption>
					<p>
						<b>Sequences of primers used to amplify the 3,408 fragment of ball python Nidovirus</b>
					</p>
				</caption>
				<tgroup align="left" cols="3">
					<colspec align="center" colname="c1" colnum="1" colwidth="1*"/>
					<colspec align="center" colname="c2" colnum="2" colwidth="1*"/>
					<colspec align="center" colname="c3" colnum="3" colwidth="1*"/>
					<thead valign="top">
						<row rowsep="1">
							<entry align="center" colname="c1">
								<p>
									<b>Primer name*</b>
								</p>
							</entry>
							<entry align="center" colname="c2">
								<p>
									<b>Sequence 5&#8242; &#8211; 3&#8242;</b>
								</p>
							</entry>
							<entry align="center" colname="c3">
								<p>
									<b>Nucleotide position</b>
								</p>
							</entry>
						</row>
					</thead>
					<tfoot>
						<p>*PCR cycling conditions: 95&#176;C for 10 minutes followed by 35 cycles of 95<b>&#176;</b>C for 30 seconds, 55&#176;C for 30 seconds, 72&#176;C for 1 minute, except primer pair BPNV 1 and BPNV 6 where annealing temperature was 53&#176;C.</p>
					</tfoot>
					<tbody valign="top">
						<row>
							<entry align="center" colname="c1">
								<p>BPNV 1Fwd BPNV 1Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>ACCTGCTACCGATGTCCAAG GTCGTTGTTGGCTGAGTGTG</p>
							</entry>
							<entry align="center" colname="c3">
								<p>1-963</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>BPNV 2Fwd BPNV 2Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>TTCAAGCGAACCAAGTTCATCC TCTTGGACATCGGTAGCAGG</p>
							</entry>
							<entry align="center" colname="c3">
								<p>718-1485</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>BPNV 3Fwd BPNV 3Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>AACATCCTCGACAACGCAGG ACGTAGTCTTGCCAGTTCCC</p>
							</entry>
							<entry align="center" colname="c3">
								<p>1446-1647</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>BPNV 4Fwd BPNV 4Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>CCACAACCCGACAGTCAGTA GTACGTAGTCTTGCCAGTTCC</p>
							</entry>
							<entry align="center" colname="c3">
								<p>1456-2154</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>BPNV 5Fwd BPNV 5Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>GGCACAGTAACAGCACAACG GTACTGCAAGATGCCGTTGC</p>
							</entry>
							<entry align="center" colname="c3">
								<p>2152-3030</p>
							</entry>
						</row>
						<row>
							<entry align="center" colname="c1">
								<p>BPNV 6Fwd BPNV 6Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>GTGACTACACGAAATGCGACC GTCAAACATGAAAGCGTGCG</p>
							</entry>
							<entry align="center" colname="c3">
								<p>2995-3131</p>
							</entry>
						</row>
						<row rowsep="1">
							<entry align="center" colname="c1">
								<p>BPNV 7Fwd BPNV 7Rev</p>
							</entry>
							<entry align="center" colname="c2">
								<p>GTCGTCAACTTGTCCCACCA CTGCCATGCTACGGAAGACT</p>
							</entry>
							<entry align="center" colname="c3">
								<p>3088-3408</p>
							</entry>
						</row>
					</tbody>
				</tgroup>
			</table><p>For phylogenetic analysis, the 3,408&#160;nt sequence was translated with Se-Al v2.0a11, and a 1,136 amino acid fragment was aligned against all <it>Nidovirales</it> sequences from GenBank using ClustalW. The best-fit model of amino acid substitution, the Whelan and Goldman (WAG) matrix, was selected using the maximum likelihood method implemented in MEGA version 5.2 <abbrgrp>
					<abbr bid="B23">23</abbr>
				</abbrgrp>. A Bootstrap-supported (1000 replicates) maximum likelihood phylogenetic tree was constructed using MEGA version 5.2. The ball python-associated virus clustered within the <it>Torovirinae</it> subfamily (Figure&#160;<figr fid="F2">2</figr>). A neighbor-joining phylogenetic method was also implemented with congruent results. Based on the phylogenetic position and the genetic distances between species, this virus, tentatively called ball python nidovirus (BPNV, GenBank accession number KM267236) may represent a new species within the subfamily <it>Torovirinae.</it>In situ hybridization to a 934&#160;nt fragment of the genomic polyprotein 1ab region was used to assess viral infection and distribution in the lung tissue. Positive cytoplasmic staining, consistent with the presence of viral nucleic acid, was confirmed in the cytoplasm of pulmonary cells, presumably epithelial cells (Figure&#160;<figr fid="F3">3</figr>A). The specificity of probes for in situ hybridization was confirmed by the absence of signal when the same probe was used on control pulmonary tissue from an uninfected, 6-year-old, female ball python maintained at College of Veterinary Medicine, Cornell University (Figure&#160;<figr fid="F3">3</figr>B).</p>
			<fig id="F2"><title><p>Figure 2</p></title><caption><p>Phylogenetic tree based on 1,136 amino acid segment of the polyprotein the novel ball python nidovirus</p></caption><text>
   <p><b>Phylogenetic tree based on 1,136 amino acid segment of the polyprotein the novel ball python nidovirus.</b> A bootstrap-supported (1000 replicates) Maximum Likelihood tree was implemented in MEGA version 5.2. Unrooted tree is shown with bootstrap values at the nodes. Scale bars represent 0.5 amino acid substitutions per site. GenBank accession number: Bovine coronavirus: NC003045, Human coronavirus OC43:NC005147, Murine hepatitis virus strain A59:NC001846, Human coronavirus HKU1:NC006577, SARS coronavirus: NC004718, Middle East respiratory syndrome coronavirus: NC019843, Bat coronavirus HKU5-1:NC009020, Feline infectious peritonitis virus: NC002306, Canine coronavirus strain S378:KC175341, Transmissible gastroenteritis virus isolate TGEV-HX:KC962433, Porcine epidemic diarrhea virus: NC003436, Human coronavirus 229E:NC002645, Human coronavirus NL63:NC005831, Avian infectious bronchitis virus: NC001451, Fathead minnow nidovirus: GU002364, White bream virus: NC008516, Porcine torovirus strain SH1:JQ860350, Breda Virus:NC007447, Lactate dehydrogenase elevating virus: NC001639, Porcine respiratory and reproductive syndrome virus: NC001961, Simian hemorrhagic fever virus: NC003092, Equine arteritis virus: NC002532.</p>
</text><graphic file="1743-422X-11-144-2"/></fig>
			<fig id="F3"><title><p>Figure 3</p></title><caption><p>Colocalization of BPNV nucleic acid and pulmonary lesions by in situ hybridization</p></caption><text>
   <p><b>Colocalization of BPNV nucleic acid and pulmonary lesions by in situ hybridization. (A)</b> Infected lung from Snake 1. Arrows indicate probe bound to virus. Magnification 20x. <b>(B)</b> Uninfected, control ball python lung.</p>
</text><graphic file="1743-422X-11-144-3"/></fig><p>Respiratory disease can be an important cause of morbidity and mortality in both wild and captive reptiles. In captivity, reptiles, and particularly snakes, are frequently maintained in collections with a high population density in relatively small spaces. As such, disease transmission within collections can occur rapidly, and early detection and diagnosis is critical in controlling disease spread.</p><p>Although 8 of 12 snakes with disease in the collection showed gram-negative rods by Gram stain and follow up culture in 4 revealed the presence of <it>Aeromonas sp., Pseudomonas sp., Serratia sp.,</it> no evidence of bacterial infection was found in 4 snakes. In contrast, all snakes with epithelial hyperplasia in the trachea, lung and esophagus and mononuclear inflammatory infiltrates had viral signal by PCR and ISH. In concert, these data suggest a role for this nidovirus in the pathogenesis of respiratory disease. However, unequivocal implication will require experimental infection studies.</p><p>The identification of this novel nidovirus expands our understanding of nidoviral diversity and provides insight into the pathogenesis of respiratory disease in snakes. Phylogenetic analysis indicated that the virus belongs to a novel genus within the <it>Torovirinae</it> subfamily distinct from the <it>Torovirus</it> and recently characterized <it>Banifivirus</it> genera <abbrgrp>
					<abbr bid="B24">24</abbr>
				</abbrgrp>. Due to overlapping clinical signs and pathologic lesions of the newly discovered nidovirus with the best characterized viral respiratory pathogens of snakes, paramyxoviruses and reoviruses <abbrgrp>
					<abbr bid="B17">17</abbr>
					<abbr bid="B18">18</abbr>
				</abbrgrp>, it is possible that nidoviral infections were previously misdiagnosed or overlooked. PCR-based detection methods to rapidly determine infection status and etiology of respiratory disease in snakes are recommended to guide decisions for managing husbandry and veterinary care.</p>
		</sec>
		<sec>
			<st>
				<p>Availability of supporting data</p>
			</st><p>The data set supporting the results of this article is included within the article.</p>
		</sec>
		<sec>
			<st>
				<p>Abbreviations</p>
			</st><p>ssRNA: Single-stranded RNA; kb: Kilobases; H&amp;E: Hematoxylin and eosin; PCR: Polymerase chain reaction; nt: Nucleotide.</p>
		</sec>
		<sec>
			<st>
				<p>Competing interests</p>
			</st><p>The authors declare that they have no competing interests.</p>
		</sec>
		<sec>
			<st>
				<p>Authors&#8217; contributions</p>
			</st><p>Conceived and designed the experiments: LU, RJO, DM, WIL. Performed the experiments: LU, INM, AP. Analyzed the data: LU, RJO, ALH, KJ, RT, WIL. Clinical and pathological examination of study cases: RJO, RDM, JKM, ELB. Contributed reagents/materials/analysis tools: DM, WIL. Wrote the paper: LU, RO, RT, WIL, and DM. All authors read and approved the final manuscript.</p>
		</sec>
	</bdy>
	<bm>
		<ack>
			<sec>
				<st>
					<p>Acknowledgements</p>
				</st><p>The authors would like to thank the following: Simon Williams; Raja Duraisamy; Simon J. Antony; Nischay Mishra; Sandra Abel Nielsen; Ingrid Lombardino, Andrew Cushing, Emi Knafo, Rebecca Eddy and Danielle Tarbert for clinical assistance, case submissions and case organization; Ellie Kahn for manuscript preparation; Don Schlafer, Gerald Duhamel, Brian Caserto, Julia Rodriguez-Ramos Fernandez, Heather Daverio, Kim Bonner, Gavin Hitchener, Laura Coffee, Allan Pessier and Scott Terrell for assistance with postmortem evaluation/consultation; Martin Slade and the Cornell University College of Veterinary Medicine Histopathology Laboratory for processing of histologic preparations and sample shipping; and the owner of the snakes for allowing the characterization of this potential pathogen. Lorenzo Uccellini was supported by an American-Italian Cancer Foundation Post-Doctoral research Fellowship. Support for work at the Center for Infection and Immunity comes from the National Institutes of Health (U19 AI109761 - Center for Research in Diagnostics and Discovery) and USAID PREDICT.</p><p>While this manuscript was in preparation, Bodewes et al. reported detection of a similar nidovirus in another species, <it>Python molurus</it>: Bodewes R, Lempp C, Sch&#252;rch A, Habierski A, Hahn K, Lamers M, von D&#246;rnberg K, Wohlsein P, Drexler JF, Haagmans B, Smits SL, Baumg&#228;rtner W, Osterhaus AD: Novel divergent nidovirus in a python with pneumonia. J Gen Virol 2014. Epub ahead of print.</p>
			</sec>
		</ack>
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