Polymorphisms in the feline TNFA and CD209 genes are associated with the outcome of feline coronavirus infection
© Wang et al.; licensee BioMed Central Ltd. 2014
Received: 28 August 2014
Accepted: 26 November 2014
Published: 16 December 2014
Feline infectious peritonitis (FIP), caused by feline coronavirus (FCoV) infection, is a highly lethal disease without effective therapy and prevention. With an immune-mediated disease entity, host genetic variant was suggested to influence the occurrence of FIP. This study aimed at evaluating cytokine-associated single nucleotide polymorphisms (SNPs), i.e., tumor necrosis factor alpha (TNF-α), receptor-associated SNPs, i.e., C-type lectin DC-SIGN (CD209), and the five FIP-associated SNPs identified from Birman cats of USA and Denmark origins and their associations with the outcome of FCoV infection in 71 FIP cats and 93 FCoV infected non-FIP cats in a genetically more diverse cat populations. A promoter variant, fTNFA - 421 T, was found to be a disease-resistance allele. One SNP was identified in the extracellular domain (ECD) of fCD209 at position +1900, a G to A substitution, and the A allele was associated with FIP susceptibility. Three SNPs located in the introns of fCD209, at positions +2276, +2392, and +2713, were identified to be associated with the outcome of FCoV infection, with statistical relevance. In contrast, among the five Birman FIP cat-associated SNPs, no genotype or allele showed significant differences between our FIP and non-FIP groups. As disease resistance is multifactorial and several other host genes could involve in the development of FIP, the five genetic traits identified in this study should facilitate in the future breeding of the disease-resistant animal to reduce the occurrence of cats succumbing to FIP.
Feline infectious peritonitis (FIP), a highly lethal disease with nearly 100% mortality among ill cats once clinical signs appear, is caused by feline coronavirus (FCoV) infection . Despite the ubiquitous existence of FCoV around the world, the prevalence of FIP is less than 5% . There is currently no therapy proven to be effective for the treatment of FIP, and once diagnosis is confirmed, euthanasia is generally inevitable. Although this disease has been described for over fifty years , studies attempting to develop vaccines with different approaches have all failed due to the immunopathogenic features of infection by this virus . However, among many FCoV experimental inoculations studies, some cats survived challenge with the virulent strain of FCoV ,-, whereas certain pedigreed cats were reported to be more likely to succumb to FIP than mixed bred cats ,,. All these findings indicate that genetic polymorphisms between cats might affect their susceptibility to FIP.
FIP is an immunopathological consequence of the abnormal production of various cytokines. Imbalanced Th1/Th2 immune responses with scarce or absent interferon-gamma (IFN-γ) is consistently found in FIP cases ,,,- and association of genetic polymorphisms in the IFN-γ gene with FIP occurrence has recently been identified . In addition to IFN-γ, the upregulation of tumor necrosis factor-alpha (TNF-α) during the development of FIP has been reported to result in lymphopenia . Feline dendritic cell (DC)-specific intercellular adhesion molecule-grabbing non-integrin (fDC-SIGN, encoded by fCD209), a key coreceptor during the infection of both type I and II FCoV , was found to affect binding and infection of type I FCoV. fDC-SIGN is also involved in the infection of type II FCoV, albeit not through the initial binding . Despite the close relationship to FCoV infection, polymorphisms in the fCD209 and feline TNF-α (fTNFA) genes and their association with FIP occurrence have never been investigated.
Recently, the surveillance of FIP-associated single nucleotide polymorphisms (SNPs) in Birman cats from USA and Denmark was conducted using a commercialized feline SNP array , and five SNPs were found to be significantly associated with FIP occurrence. However, it is unclear whether these disease-associated SNPs are Birman cat specific or can also be applied to other purebred or mixed breed cat populations.
To elucidate the genetic traits that contribute to FIP susceptibility, the fTNFA and fCD209 genes were screened to identify disease-associated SNPs. The five SNPs identified from Birman cats proposed to be genetically associated with the occurrence of FIP were further evaluated in populations with more variable genetic backgrounds. Among all the polymorphisms analyzed, SNPs located in the fTNFA and fCD209 genes were found to be associated with the outcome of FCoV infection, with statistical relevance.
Materials and methods
Animals and specimens
Samples were collected from 71 FIP cats and 93 FCoV-infected asymptomatic cats from 2005 to 2014 at the National Taiwan University Animal Hospital for an association analysis. This study required no specific ethical approval, as the analysis was performed retrospectively from samples of diseased animals routinely submitted to our diagnostic laboratory.
Seventy-one FIP cats, including 35.2% (25/71) purebred and 64.8% (45/71) mixed breed, were confirmed by necropsy. Pedigree cats including Scottish Fold (6/25), American Shorthair (4/25), Chinchilla (3/25), Exotic Shorthair (3/25), Siamese (2/25), European Shorthair (1/25) and Russian Blue (1/25). Most of the FIP cats (46/71) were less than one years old, the other 19 FIP cats were between the ages of one and three. The rest six FIP cats elder than three were from 3.5 to 10 years old. Also, FCoV detection by reverse transcription-nested polymerase chain reaction (RT-nPCR)  was confirmed in disease-associated tissue, including body effusions and/or internal organs with the typical lesions of FIP. Ninety-three asymptomatic healthy cats were included as a control group, including 75.3% (50/93) mixed breed and 24.7% (23/93) purebred, of an age of three years old or less and showing no FIP-related signs upon enrolment in this study. Pedigree cats including American Shorthair (8/23), Scottish Fold (7/23), Chinchilla (4/23), Persian (2/23), Abyssinian (1/23) and European Shorthair (1/23). All the asymptomatic cats were positive for FCoV detection in at least one sample collected, including whole blood, nasal/oral/conjunctival/rectal swabs, and feces. In addition, the detection of two feline retroviruses, i.e., feline leukemia virus and feline immunodeficiency virus, was performed ,. FIP cats and FCoV infected non-FIP cats with a positive result for either of the feline retroviruses were excluded from the association study.
Identification of SNPs in target sequences
Primers used for SNP identification of fTNFA and fCD209 gene
Sequence (5′ - 3′)
−847 to −827
+171 to +153
−1057 to −1038
+19 to +1
+1818 to +1838
+3168 to +3149
Primers used for SNP identification of five suspected FIP-associated SNPs in Birman cats
Sequence (5′ - 3′)
The association between the targeted SNPs and the occurrence of FIP was analyzed using Fisher’s exact test, and a P value < 0.05 was considered to be a significant association.
Polymorphism at fTNFA - 421 was found to be significantly associated with resistance to FIP
FIP-associated genetic polymorphisms identified in the fIFNG , fTNFA , and fCD209 gene and their associations with FIP
fTNFA - 421
fCD209 + 1900
fCD209 + 2276
fCD209 + 2392
fCD209 + 2713
Polymorphisms in the extracellular domain and introns 6 and 7 of fCD209 were found to be significantly associated with the disease outcome
To further demonstrate the association between the identified SNPs in fCD209 and the outcome of FCoV infection, the frequency of each genotype and allele was analyzed. Among the 24 SNPs analyzed in the PRR and the 5′-UTR of the fCD209 gene, no genotype or allele showed a significant association with the outcome of the infection (Additional file 2). In contrast, four SNPs, +1900 in the ECD of exon 6, +2276 and +2392 in intron 6, and +2713 in intron 7, identified in fCD209 were found to be significantly associated with FIP. fCD209 + 1900, located in the ECD, which is characterized by a G-to-A substitution that leads to a premature stop codon (TGG > TAG, W128*), had a significantly increased frequency in FIP animals (18.31%) compared with the control animals (5.38%) (P = 0.011, OR = 3.95), and the A allele was shown to be significantly associated with susceptibility to FIP (P = 0.014, OR = 3.65) (Table 3 and Additional file 2). Furthermore, three SNPs, +2276, +2392, and +2713, located in introns 6 and 7 were found to be associated with disease susceptibility. A higher frequency of the T allele at position +2276 in the control cats was significantly associated with resistance to FIP (P = 0.038). Similarly, the A allele at position +2392, with a higher frequency in FCoV-infected asymptomatic cats, showed a significant association with disease resistance (P = 0.016, OR = 2.57). Moreover, the T allele at position +2713 was identified with a higher frequency in FIP cats, showing a significant association with disease susceptibility (P = 0.039, OR = 1.75) (Table 3 and Additional file 2).
Evaluation of the association between the FIP-associated SNPs reported in Birman cats and disease susceptibility in a cat population with higher genetic variability
Five SNPs were reported to be associated with the occurrence of FIP in Birman cats in a recent study using genome-wide association analysis . Due to the lack of information concerning the nucleotide sequence of the SNPs, the sequences were identified. The nucleotide sequences of A1.196617776, A1.206840008, Un.59861682, A2.191286425, and E2.65509996 consisted of C/A, G/A, G/A, C/T, and C/T, respectively. To test for an association of these SNPs with the occurrence of FIP also applies to other breeds of cats, the frequency of each genotype and allele of the targeted SNPs was analyzed in all the FIP and control cats enrolled in this study, i.e., 29.3% purebred and 70.7% mixed breed. Among the five SNPs analyzed, neither the genotype nor allele percentage showed a significant association with the outcome of the disease (Additional file 3).
Among all the FIP animals analyzed in this study, 64 (64/71, 90.1%) cats were found to be effusive form (wet), and the rest seven of them (7/71, 9.9%) were non-effusive (dry). The association between the identified FIP-related SNPs (fTNFA - 421, fCD209 + 1900, + 2276, + 2392 and +2713) and the form of FIP were analyzed. None of the SNPs was found to be associated with the biotype of FIP.
The number of the FIP-associated SNPs harbored is correlated to the disease outcome
Association of the number of the disease-associated SNPs harbored, including fIFNG +428 , fTNFA - 421 , and fCD209 + 1900 , + 2276 , + 2392 , and +2713 , and the outcome of FIP
FIP number (%)
Non-FIP number (%)
OR (95% CI)
3.06 (1.36 - 6.88)
6.01 (1.27 - 28.35)
2.51 (1.32 - 4.80)
FIP is an important infectious disease in cats, with nearly 100% mortality. However, an understanding of the host determinants in the occurrence of FIP has been limited to date. An imbalance between cellular and humoral immunity - with excess antibodies contributing to disease progression , and a significant decrease in IFN-γ production ,,,- - has been consistently observed in FIP animals. We recently identified the first host gene – fIFNG – showing an association between host genetic polymorphisms and FIP . A T allele at fIFNG +428 was identified as a resistant allele, and the heterozygous genotypes (CT) at positions +401 and +408 were identified as associated with susceptibility to type I FCoV-induced FIP. In this study, five additional SNPs from fTNFA and fCD209 were identified.
During the development of FIP, the upregulation of TNF-α, an important pro-inflammatory cytokine, has been consistently found ,,,. The overproduction of TNF-α induces apoptosis in CD8+ T cells and is associated with the upregulation of a type II FCoV receptor, i.e., feline aminopeptidase N, which accelerates macrophage infection by the virus . Moreover, TNF-α together with granulocyte monocyte-colony stimulating factor (GM-CSF), G-CSF, and other neutrophil survival factors are suggested to prolong the survival of neutrophils, activate monocytes/macrophages, and contribute to the formation of the pyogranulomatous lesions of FIP . In several human diseases, the most commonly identified genetic polymorphisms are located at position −238 and −308 of the promoter region of TNFA, suggesting an effect on the binding of transcription factors , with susceptibility for the development of several viral diseases, including severe acute respiratory syndrome (SARS) , dengue hemorrhagic fever (DHF) , and hepatitis B virus (HBV) infection . Compared to the human gene (TNFA - 308), SNP located in a slightly upstream region of the feline gene (fTNFA - 421) was found to be significantly associated with the occurrence of FIP. The variant fTNFA - 421 T allele was significantly associated with resistance to FIP. Through DNA transcriptional factor binding site prediction, we found that an fTNFA - 421 C to T mutation might affect the binding of some transcription factors, such as myeloid zinc finger 1 (MZF1) , a transcriptional regulator . Through promoter binding, MZF1 was identified to function as a transcription activator of hematopoietic cells in vitro . Because macrophages are hematopoietic cells, the loss of the binding site for such transcription factors might decrease TNF-α production in macrophages, which might prevent the immunopathogenesis and result in a resistant phenotype.
DC-SIGN, which recognizes high-mannose oligosaccharides as its ligand, is a co-receptor augmenting many viral infections, including human immunodeficiency virus , dengue virus , HBV , and SARS-coronavirus . In addition, feline DC-SIGN also serves as a co-receptor and is involved in infection by FCoV . A human SNP in the promoter region of CD209 (−336 A/G) was identified as related to disease prognosis . A variant of CD209 - 336 was reported to affect the binding of SP1-like transcription factor and might modulate transcriptional activities , indicating that CD209 - 336 plays a crucial role in disease pathogenesis. However, in our study, none of the SNPs in the promoter region showed an association with the outcome of FCoV infection. The identified FIP-associated SNPs, +1900 G/A, +2276 C/T, +2392 G/A, and +2713 C/T, were all located at the 3′ end of fCD209. The polymorphism identified at fCD209 + 1900 is located in the lectin binding domain of the ECD; a G to A substitution leads to a change from a tryptophan at amino acid 128 to a stop codon. This mutation might lead to an abortive mRNA  or a truncated protein if the mRNA is successfully translated. DC-SIGN serves as a pattern recognition receptor that interact with numerous pathogens, including FCoV, and mediates the clustering of DC with naive T cells . Additionally, with a type II transmembrane domain, the truncated fDC-SIGN identified in this study (+1900) might still be expressed on the cell surface. However, it remains to be elucidated how the truncated protein, bearing only one half of the authentic protein, affect the normal function of DC-SIGN, i.e., pathogen recognition or T cell activation. The other three FIP-associated SNPs were located in introns 6 and 7. Although these polymorphisms are located in introns, which apparently would not affect the protein, a regulatory effect cannot be excluded. In humans, the SNP at IFNG +874, located in intron 1, was found to alter the binding activity of nuclear factor kappa-light-chain-enhancer of activated B cells and influenced the production of IFN-γ . In swine, an SNP (G3072A) in intron 3 of insulin-like growth factor 2 affected the binding of muscle growth regulator and was associated with the muscle content .
Several pedigreed cats, including Abyssinians, Himalayans, Birmans, Bengals, Ragdolls, and Rexes, were reported to have a higher incidence of FIP than other breed cats . Recently, a genome-wide association study of Danish and American Birman cats populations identified five SNPs involved in FIP susceptibility . However, none of these SNPs showed a similar correlation in the present study, concordant with the postulation by the authors that these associations might only be relevant to Birman breed or other breeds with similar genetic traits .
In addition to the three SNPs in fIFNG, we identified in this study five more SNPs from two genes - one in fTNFA and four in fCD209 - that are associated with the occurrence of FIP. As the susceptibility or resistance to viral infections is a complex phenotype regulated by multiple interacting genes and gene networks, genes related to innate and adaptive immunity and other host genes remain to be pursued. The combination of all the FIP susceptibility genotypes into a single typing diagnosis assay should facilitate the screening of FIP-resistant cats in breeding and eventually decrease the loss of cats to this incurable disease.
We would like to thank Betty A. Wu-Hsieh from Graduate Institute of Immunology, National Taiwan University for the valuable suggestion in the selection of candidate genes. This work was supported by the grant MOST 103-2313-B-002-042 from the Ministry of Science and Technology, Taiwan.
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