Contents lists available at ScienceDirect
Virus Research
journal homepage: www.elsevier.com/locate/virusres
Short communication
First demonstration of equid gammaherpesviruses within the gastric
mucosal epithelium of horses
Matthew R. Pennington
a
, Brieuc G.A. Cossic
b
, Gillian A. Perkins
c
, Carol Duffy
d
,
Gerald E. Duhamel
b
, Gerlinde R. Van de Walle
a,
⁎
a
Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
b
Department of Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
c
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
d
Department of Biological Sciences, College of Arts and Sciences, University of Alabama, Tuscaloosa, AL, USA
ARTICLE INFO
Keywords:
Equid
Gammaherpesvirus
Gastrointestinal tract
Equine gastric ulcer syndrome
ABSTRACT
Horses commonly develop gastric mucosal ulcers, similar to humans, a condition known as equine gastric ulcer
syndrome (EGUS) that can lead to poor performance and lost training time and care expenses. Unlike humans,
however, an infectious bacterial cause of ulcers has not been conclusively identified. Herpesviruses, while well-
established causative agents of diseases such as cold sores, genital lesions, and certain types of cancer, have also
been implicated in the development of a subset of gastric ulcers in humans. The presence of equid herpesviruses
in the gastrointestinal tract and their potential contribution to EGUS has not been evaluated. Here, we provide
the first evidence of equid gammaherpesviruses 2 and 5 (EHV-2 and -5) within the epithelium of the gastric
mucosa of horses. These viruses were initially detected by a nested PCR screen of gastric tissue samples obtained
from client- and university-owned horses with and without ulcers; however, no association with EGUS was found
in this limited sample set. We then validated a highly sensitive in situ hybridization (ISH) assay and used this
assay to characterize the distribution of these viruses in necropsy gastric tissue samples from five racehorses.
Analyses revealed frequent EHV-2 and EHV-5 co-infections within the gastric mucosal epithelium, regardless of
the ulcer status. These results are the first to demonstrate the presence of equid gammaherpesviruses in the
gastric mucosa of horses and warrants further investigation to determine the contribution of these viruses to the
development of EGUS and/or other gastrointestinal diseases.
Equine gastric ulcer syndrome (EGUS) in horses is a highly pre-
valent and painful condition that results in lost training time and
medical expenses. EGUS is characterized by ulceration primarily of the
non-glandular, squamous region of the stomach, but can also affect the
glandular region and proximal duodenum. In humans, ulcers form fol-
lowing a break in the mucosae of the stomach, most commonly due to
infection with Helicobacter pylori or administration of non-steroidal
anti-inflammatory drugs (NSAID), and subsequent mucosal damage
induced by stomach acid and pepsin (Graham, 2014; Penston, 1993). In
contrast, the etiology of EGUS is poorly defined, but typically occurs
during periods of high stress, such as racing, intense training, en-
durance racing/riding, extended travel, late pregnancy, and weaning of
foals (Bell et al., 2007b; Videla and Andrews, 2009). As in humans,
Helicobacter has been postulated as a cause of EGUS. In 2007, Moyaert
et al. identified a novel bacterium species, named Helicobacter equorum,
in fecal samples of 2 horses, and Contreras et al. subsequently reported
the presence of Helicobacter-like DNA in gastric ulcers of 2 out of 7
horses (Contreras et al., 2007; Moyaert et al., 2007). However, several
studies investigating the equine gastric mucosal microbiota failed to
identify Helicobacter spp. in gastric ulcer biopsies, suggesting that He-
licobacter may not be an important inducer of EGUS (Dong et al., 2016;
Husted et al., 2010; Perkins et al., 2012).
Interestingly, herpesviruses have been implicated in the formation
of some gastric ulcers in humans, based on (i) the observation of in-
tranuclear inclusion bodies in the gastric epithelium of patients with
peptic ulcers (Knyvett, 1967; Neumann, 1967), (ii) the detection of
http://dx.doi.org/10.1016/j.virusres.2017.09.002
Received 29 June 2017; Received in revised form 31 August 2017; Accepted 1 September 2017
⁎
Corresponding author at: Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, NY, 14850, USA.
E-mail address: grv23@cornell.edu (G.R. Van de Walle).
Abbreviations: EGGUS, equine glandular gastric ulcer syndrome; EGUS, equine gastric ulcer syndrome; EHV-1, equid alphaherpesvirus 1; EHV-2, equid gammaherpesvirus 2; EHV-3,
equid alphaherpesvirus 3; EHV-4, equid alphaherpesvirus 4; EHV-5, equid gammaherpesvirus 5; EMPF, equine multinodular pulmonary fibrosis; ESGUS, equine squamous gastric ulcer
syndrome; HHV-1, human alphaherpesvirus 1, Herpes simplex virus 1; HHV-3, human alphaherpesvirus 3 Varicella-Zoster virus; HHV-4, human gammaherpesvirus 4, Epstein-Barr virus;
ISH, in situ hybridization; NSAID, non-steroidal anti-inflammatory drugs
Virus Research 242 (2017) 30–36
0168-1702/ © 2017 Elsevier B.V. All rights reserved.
MARK