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TI uj rliOPAGATICi; OP Tax, PYIOLCGICAI AGLi.'T ( V IR U S) n; 22m chicj: m i m Y C by Tsu-ling Chov/ A Phesis Submitted to the School of Graduate Studies of Hi chican State College of Agriculture and Applied Science in partial fulfillment of the recuirementc for the decree of DOCTOR CP PHILOSOPHY Department of Animal ratholony 1950 TABLE CF CCLTEIJTS - ACI-lKC./LSDCrEISI'T xlvTRCDUC TI Gil 1 ETIOLOGY AL2) ..AYLCGELESIS 4 REVIEW OP LITER AT LiRE 8 ILITER IAL .ALL LET.-.'CDS 26 RESULTS 05 AISTCLATACLOGY ;E6 liscussioi; 49 su: EARY 67 JLLUSTEATIGi.S 6S BIBLICGEAIL'CY 109 She writer who was sent to the United States to pursue graduate study under the cooperation of Lichican State College and the Agriculture Association of China •fishes to express his gratitude and appreciation for this benefit, lie is deeply indebted to Dr. Prank Thorp, Jr., 'major professor, for his impressing guidance and persistent encouragement. Dr. Thorp fires tne writer’s imagination as he conveys his critical ability. Also the writer wants to display his gratitude and thankfulness to Dr. A. A. Hartnells, Head of t.-.c Department of Animal _athology, and Dr. C. A. Uoppert, professor of biochemistry for their critical reading of the thesis. The writer feels that it was his privilege tc have years of association with hr. m. 1. Gray who has taken much interest in -this. Investigation. Finally, the writer sincerely thanks ail the friends in the department.of Animal Pathology 'for their friendliness •throughout all the years of his stay at M c h i g a n State College IITTRC DU CTI Cl? Contagious ecthyma is a specific viral disease of the shin of sheep. Primarily the stratified epithelium of the shin is attacked by the virus which results in pro­ liferative and vesicular formations. Secondarily, the lesion is invaded by pyogenic bacteria causing pustular formation and tissue necrosis. The disease-has been reported in almost all parts of the world, Annain, India, East Indies, Peru, U. S. A., Australia, Hungary, Yugoslavia, Holland, Belgium, 'Jest Africa, South Africa, liorocco, Germany, Italy, Greece, Erance, England and Scotland. This disease is commonly jmown as sore mouth or contagious ecthyma of sheep. Classically it is termed "dermatitis vesiculoso-pustulosa necroticans ovium". Synonyms such as necrobncillosis, impetigo labialie, malignant aphtha, orf, lip-and-leg ulceration, 3cabby mouth, acute facial dermatitis, contagious sore lips, pustular stomatitis and ensootic necrosis of the sheep do not exactly express the correct idea of the viral vesicular formation and the specific location of the lesions on the body. ITecrobacillosis, for example, implies bacterial infection with necrotic formation which differs fundamental­ ly from viral sore raouth disease. Impetigo labialis re­ fers to the localised form of pustular formation on the labia, however, it in no.way indicates the viral origin. The designation malignant aphtha may be confused with foot- and-moutli disease. Aphtha is characterized "by an eczema­ like lesion, but sore mouth is of the vwriola-vaceina type. Orf is a good term, tut unfortunately was not used in the United States, lip-and-leg ulceration is not appropriate because sore mouth disease does not present an ulcerative formation unless secondary infection takes place. Scabby mouth is too general a term there being other causes for scabby mouth. Bcthyma is primarily a pustular eruption, while thi3 disease is principally characterized by a vesicle formation usually followed by secondary invaders. i It would be better to apply! the term "contagious vesiculopustular dermatitis" to this disease. The disease was first noted in the latter part of the nineteenth century, although its previous existence night be assumed. Zeller (1920) first investigated the possibility of a virus etiology. This was verified by Aynaud in 1921 who concluded it was due' to a filtrable virus. About the same time in Greece, Blanc et al (1922) studied a similar condition which affected goats. They teiieved that the same viru 3 affected both the sheep and the goats. This disease vm s less widespread during the summer months. Animals of all ages were susceptible. Since the disease v/as so widely distributed throughout the sheep growing areas of the world mid animals of all ages were affected, the con lition was deemed worthy of study’’. The study’- of the his fcopathological changes in sheep infected "by this virus constitutes the first part of this investigation, and the attempts to propagate the virus and to produce the lesions in the chick embryo composes the second part. ETIOLOGY A17D PATHCGEHESIS The primary infective agent of this disease is a filtrable virus which is present in the lesions only, particularly the vesicular contents and the scabs. This virus has a relatively large size, and is filtrable through Berfefeld filter V and Chamberland L. Handler filters give inconsistent results. The viral agent does not pas.: through Berhefeld 17 and Chamberland Lg filters. Therefore, the disease can not always be produced success­ fully by artificial inoculation with these filtrates. The virus is rather resistant to desiccation. It retains infectiveness for about two years in a dry sto.te. Infected pastures contain the etiological material for two to three months or longer, although no definite period has been determined. The virus is easily hilled by common chemical disinfectants, however it is attenuated slowly by ether of chloroform. The disease belongs to variola-vaccinia group but is not identical to them as was proved by Aynaud (1925), Glover (195.10 and Bennett e_t al (1944). Artificial in­ fection in sheep and goats of all ages could be produced by emulsified crust material. Inoculation could be per­ formed by scarifying or puncturing the shin. An important accessory factor in the etiology is the portal of entry of the virus. It can be the wounds or abrasions of the shin which occur commonly during grazing. Other factors which can lower the resistance of the tissues such as exposure to dampness, exhausting journey, insufficient food and lambs suckling the ewes. Soft skin devoid of viool or hair is the most favor­ able location for the viral esion. The lesions after healing leave no scar or any sign of the disease provided there are no deep erosions formed. Complications, in­ volving the tongue, omasum, reticulum, intestines, liver or lungs due tc secondary invaders, have been reported (Newsom and Cross, 1951). crosis and ulcers. The evident lesions were ne­ Transmission to man under natural con­ ditions had been reported (Hatzioles, 1950; Branderburgh, 1952; ITev/som and Cross, 1954), however it rarely occurred. Eorses, calves, dogs, and monkeys have been mentioned as susceptible (Hutyra, et al, 1949). nevertheless, Howarth (1929) stated conclusively that cattle, pigs, dogs and rabbits were not susceptible. The primary macroscopic lesions develop after an incubation period which w r i e s from one to four days. The lesions always occur on the non-wooly area of the skin. In general, three types can be distinguished according to the location of the lesions, namely, labial type, padolic type, and genital type. one. The labial type is the most common The lesions are confined to the lips and the com­ missure of the mouth, but they quite often occurron the nose. The symptoms begin with a circumscribed red spot termed a macule. It continues to swell and increases in height and becomes a papule. Soon the papule becomes vesicular in nature. Meanwhile the secondary bacterial invaders gain entrance into the lesion and change the vesicle into a pustule. This secondary infection hastens the pro­ gress of the stages to such a degree that sometimes the vesicular stage is so short and insignificant that it is often not observed, particularly under natural conditions. Moreover, it is not uncommon to find ulcers which tend to coalesce. The pustule, either ruptures or remains in­ tact and dries gradually, so that a crust is formed on top of the pustule. The whole period, from macule to scab, lasts from one to two weeks. three weeks. The scab loosens in two to If the whole flock is affected, the disease persists for about four to six weeks. The morbidity of the lambs in the flock may be as high as 95f>. Death does not ensue unless secondary infection sets in. The labial type is usually benign in form. If severe secondary in­ fection takes place under conditions of poor management, the lesions may spread over both lips and not frequently may spread to the non-woolly parts of the head such as the eyelids and ears. Suckling lambs often iniect the teats of the ewes during nursing. The padolic type occurs less frequently than the labial type. The favorite location of such lesions is the coronet. Due to the anatomical location, it always results in erosions and ulcers with extensive suppura­ tion and lameness. The genital type is rare. It is characterized, in the female, by painful swelling of the labia sometimes with development of ulcers. It often in­ volves the under surface of the tail, adjacent skin, udder and teats. In the male, the prepuce is primarily affected v/ith reddening and swelling. The lesions also develop into ulcers which may coalesce to form a large suppurat­ ing area, sometimes involving the entire prepuce. The progress of the lesion does not depend necessarily upon the time element because a two-day old lesion of one sheep did not show less advanced changes than the three-day lesion of another sheep. The seriousness of the infection v/as mainly contingent up on the manner of management and the resistance of the host. REVIEW OF LITERATURE For many years there has existed a misconception concerning the nature of contagious ecthyma of sheep. It comprised a group of shin diseases under the name of "necrohacillosis". A virus etiology was not yet known. Host of the reports and experimental work incriminated the bacterium "Bacillus necrophorus". Due to the resulting confusion, it seemed desirable to divide the literature resume into two groups. First, that which presumably dealt v/ith the disease solely in connection v/ith the ne­ crosis bacillus; and secondly, that which definitely dealt with the true etiology. ’ /alley of England (1390) was probably the first to have reported contagious dermatitis or "Orf", an eruptive disease seen mostly among lambs. According to this report other veterinarians had termed the disease "Carbuncle of the Coronary Band". "I'outh and Foot", All names such as "Hair and Hoof", "Carbuncle of the Coronary Banu", and "Orf" which were employed by shepherds and veterinary sur­ geons in different localities were placed under one term, contagious dermatitis. The author transmitted the disease from infected to susceptible animals. V/alley described the symptoms and course as follows: "In the early stages the lesion is cir­ cumscribed, and presents itself as a local inflammation involving the skin and to some extent the subcutaneous tissue. The skin of the affected part, usually of 9 the coronet and the lips in the first place, is swollen, hot and tender, and, where the colour can be seen, red; in a few days a breach of the surface takes place, serum oozes from it, and a sore is quickly formed which tends to spread and to propagate itself to the skin of any part devoid of v/ool with which it comes in contact. The area involved in the diseased processes at the outset does not usually exceed an inch in di­ ameter, but as the malady progresses the whole of the lower part of the limb may become involved, either as the result of pez’ipheral extension or by coalescence of discrete centres of disease. From being of the nature of a compara­ tively healthy sore, the lesion assumes a somewhat malignant aspect. The cu­ taneous papillae become hypertrophied and congested, and readily bleed on leing scraped. A purulent fluid of a dirty grey color and possessing a very unpleasant odour is constantly dis­ charged and this collects on the sur­ face of the sore, and with the villosities produces a repulsive condi­ tion — a condition, in fact, close­ ly allied to that v/hich is seen in grease of the leg of the horse, or canker in the foot of that animal. In addition to these diffused sores, others of a much smaller extent may form on skin of the leg, and even on the arm, but these isolated sores do not as a r le present the foul conditions Just described, as the discharges, becoming inspissated, form a crust on the surface; and the same remark applies, in the main, to the labial sores. The histopathological changes of the skin were il­ lustrated by a microscopic section v/hich showed normal dermis, connective tissue core in an enormously hypertrophied papilla, irregularly thickened epithelium, remains of extravasated blood and concentrically arranged masses of epithelium. 10 Williams of England (1894) (cited by Kohler, 191C) described a disease v/hich occurred particularly in lambs but occasionally in sheep, manifested by inflammation and ulcers on the coronet and between the dibits. Similar sores and ulcers sometimes appeared on the face and head. The first report in the United States of aphtha or sore noutli was made by Hushworth (1899) (cited by Kohler, 1910). It was an ailment usually seen in suckling lambs although older sheep sometimes were severely affected. Many supposed causes such as feeds, low vitality, un­ healthy environment, physical defects such as decayed teeth were suggested as causes of the disease. to be contagious as the udder and It seemed teats of the ewes be­ came affected from the lips of the lambs. In 1900 in New Zealand, England and the United States several articles were published ..re sum ably dealing with this disease. The editorial "The Diagnosis of Foot and mouth Disease” (J. Comp. Path, and Ther., 1900) men­ tioned the differential diagnosis of sore mouth from foot and mouth disease. This inferred that sufficient knowledge was obtained from field work to make possible the dif­ ferentiation of these diseases. This article also indicated the characteristic symptoms of this disease: "The suspected flock number about 120, and rather more them the half of them had been bought in a public market at Perth a fortnight previously. While these were being driven home it v/as noticed that some of them were lame. V/lien brought to the farm they were put in the some field with about 50 11 other sheep v/hich had "been bought from a neighbor. About a week later the disease began to appear among this lot also, and at the time of If*. Clark’s visit only about 20 animals had not been attacked. Without ex­ ception the animals that escaped were over a year old, and all the diseased ones wele lambs. In every case the disease affected the lipa as well as the limbs. The lesions on the limbs extended from the top of the hoof to the knee. The foot v/as tender at the top of the horn, and in some cases there v/as a little se­ paration of the horn at the heel. On the head the lesions were confined to the skin of the lips and nostrils, and in no case did they involve the mucous membrane of the mouth. In both positions the lesions took the form of patches of dermatitis, in which the hair was matted together with a partially dried up exudate, or the place v/as cov­ ered v/ith a brown scab or crust. Important points in the history were that in spite of opportunities for in­ fection the cattle on the same form re­ mained unaffected, that the same disease existed among the sheep on three neigh­ bouring farms, anti that on these also it v/as confined to the sheep although on one of them cattle were separated from the affected sheep only by a wire fence.” This article mentioned not -only the character of the disease but also that it was not necrobacillosis, since cattle were not affected. Gilruth (1900, 1906, 1907, 1908) (cited by ifchler, 1910) of IJew Zealand recorded a disease in sheep v/hich was called acute facial eczema characterized by eruptions on the face and ears of the lambs. It v/as considered to be due to eating rich feed such as rape or clover. 12 Clayton, Gilruth's assistant, (cited by .ICohler, 1910) further described this eruptive disease among a flock of lambs. A large _.ercentage v/ere affected; in some cases massive scabs covered the v/hole face. In others the lesions were located only around the mouth and nostrils. or leg lesions v/ere present. Ho feet Clayton could not see the relationship between the disease and rich feed; neverthe­ less he believed it to be dietary in origin. Gilrath (1906) (cited by Hohler, 1910) described again an acute dermatitis of the face affecting the skin of the mouth and nose of sheep in hew Zealand. Ilia ex­ perimental work proved that the cause v/as a miero-organism. In 1907 he reported a disease called acute stomatitis af­ fecting the lips and mouths of lambs, and found the cause to be the came as the one causing the disease among sheep described above, nevertheless it was questionable whether the actual lesions produced were the some. He reported that extensive ulcerative sores were found after docking and earmarking at the tail stump and on the ears. v/ere present in the region of the scrotum. Ho lesions The following year it was proved to be a contagious disease by inoculat­ ing healthy ewes. In the United States Lav/ (1900) (cited by Hohler, 1910 described an enzootic in lambs under the term of ulcerative stomatitis. He probably v/as the first to definitely apply the term "contagious" to this disease. H oy/ever, he failed to demonstrate the causative agent, but believed it 13 v/as due to a microbe. Berry (1901) (cited by hohler, 1910) described this disease in the British Isles. It v/as called contagious pustular dermatitis, orf, and crusta labialis. Iambs v/ere more frequently infected, though sheep of all ages v/ere susceptible. The infectivity v/as so high in certain flocks that all v/ere affected. Affected sheep transmit the disease to healthy ones v/ithin a fortnight. Mortality v/as low. In France, Beano it (1901) (cited by J.lohler, 1910) described a contagious ulcerative stomatitis of lambs and goats. Flook (1905) determined that the venereal form of this disease v/as transmissible and that it affected not only the vulva, bat also the mouth and nose as indicated by ulcerative sores. Symptoms v/ere shown among the healthy animals about one week after exposure. McFad.yean (1905) in Scotland, described a contagious disease of the generative organs of sheep similar to lip and leg ulceration. In 1907, he succeeded in reproducing the disease on the sheath of a susceptible ram. He felt that the disease was bacterial in nature and tried to iso­ late tiic causative organism but the results v/ere inconclusive. He could not find any specific organism to substantiate his observation, although he believed that the bucks which v/ere newly introduced into the flock might v/ell be examined for this infection before being used for breeding. 14 'Jilljams (1904) reported :aore cases of the disease in England. The symptoms v/hich he described v/ere similar to those mentioned by the preceding authors. Hutyra and Karek, in Hungary (1S06) (cited by Kohler, 1910) reported the presence of pustular stonatits on tv/o imported bucks. The native sheep showed symptoms and lesions three days after the imported ones v/ere introduced into the flocks. Almost the entire flock displayed erup­ tions and ulcers on the lips, mouth and edge 'of the nostrils. Hasenkamp (1908) (cited by Kohler, 1910) in Germany observed a number of cases of ulcerative stomatitis in slieop v/hich v/ere accompanied by foot rot. He v/as able to isolate E. necrophorus as the causative agent of the condi­ tion and observed necrotic lesions in the liver and lungs. Koussu of France and Dollar of England (cited by Hohler, 1910) described an ulcerative stomatitis of sheep. The authors found the mortality of the animals affected v/ith this disease to be as high as 15 per cent. A year earlier (1907) (cited by Kohler, 1910) in the United States Knov/les (1907-1903) reported infectious lip and leg ulceration of sheep in Montana. This v/as the first reference to the infectious nature of this disease in the United States. The author'described the necrosis bacillus as the cause and succeeded in transfering the disease from infected sheep to healthy ones. He described it as having a distinctly seasonal occurx*ence during early fall and winter. He concluded, however, that poorly 15 nourished suffered to a greater degree than healthy animals. ■7ing (cited "by Hohler, 1S10) in the publication "Sheep Farming in .America" mentioned a disease contagious in nature, similar to sore mouth which affected the teats and udders of the ev/es. The work of the Eureau of Animal Industry in the suppression of lip and leg ulceration of sheep v/as intro­ duced by HeIvin and reported by Hohler (1910). This pub­ lication v/as v/orthy although it followed all preceding opinions v/hich retarded the necrosis bacillus as the sole causative agent. In their paper they intended to simplify, under one name and one cause, the great variety of names and causes previously given the disease. They designated as "necrobacillosis" those shin diseases v/hich v/ere caused primarily by the necrosis bacillus and characterized by the eruption,of vesicles or pustules on the feet, mouth, prepuce, vulva, teats and udder. They restricted the use of the name to forms of the disease in v/hich the lesions appeared in two or more parts of the body. They distinguish­ ed it clearly from foot and mouth disease. (There v/as a foot and mouth disease outbreak in the eastern part of the United States at that time). Unfortunately they were not aware of the possibility of any other virus. They found that the disease''rarely affected the v/ooly portion of the body. The authors knew it was contagious, and understood that it "could have complications such as respiratory dis­ turbance and occasionally affected the liver 'and stomach. 16 They classified it into four forms: leg 2) venereal Z) foot rot namely, 1) lip and 4) sore mouth. In the lip and leg form there v/ere two stages: active or acute and inactive or chronic. The former v/as manifested "by lesions in various anatomical locations and accompanied by inflammation, tumefaction, ulceration and necrosis v/ith or without scab formation. or less rapid destruction of tissue. There v/as a more The chronic type v/as an example of inborn proliferation. They described the pustular formation as -"The lesions in the early stage usually appear as an acute inflammation of the skin on the outside of the lips. The pimple-like formation is attended v/ith much inflammatory swelling v/ith a de­ cided tendency toward the formation of pustules. They dry and form crusts of a dai’k grayish c o l o r " The sore mouth form v/as usually seen in lambs dur­ ing the fall of the year, although it did occur even earlier in the season. It v/as characterized by warty or pustular patches on the lips v/hich v/ere covered v/ith a brown crust. The victims presented nodules or patches on the lips, mostly at the junction of the mucous membrane and the hairy portion. Tidsv/ell (Australia, 1910-1911) described a disease similar to sore mouth with secondary infection. According to his classification, skin and subcutaneous tissue in­ volvement was termed foot-rot; localization about the mouth v/as designated malignant stomatitis or aphtha; im­ plication of generative organs was v-ginitis, balanitis 17 or pizzle disease; and involvement of the digestive canal, lungs or liver with abscesses or diphtheritic inflammation was called metastatic. He believed that the necrosis bacil­ lus was the sole cause. However, the following excerpt expressed the opinion that other complications v/ere necess­ ary to its promotion. "There seems to be no room for doubt that these lesions are due to the ne­ crosis bacilli itself, although, per­ haps, it could never give rise to them failing the opportunity of entrance afforded by some other lesions. As a consequence of its tendency to graft on the other diseases, necrobacillus is a frequent complication of such con­ dition as foot and mouth disease, swine fever, which cause defects offering op­ portunities by the necro.horus bacillus." According to this report,,. whether or not this was a virus disease was at least being contemplated. Ho are (1915) mentioned contagious pustular dermatitis of sheep. Zeller (1920) published on an investigation of a variola-like form of the disease in the goat that occurred in Southwest Africa. From this time on, it seemed definitely established that there existed some causative agent other than the necrophorus bacillus. In France (1925) Aynaud proved that this disease - contagious pustular dermatitis or stomatitis was due to a filtrable virus. He led in the correct con­ ception as to the etiological agent of the disease. author related it closely to variola-vaccinia. The This v/as 18 very important transitional point in the study of the disease. This revolutionary discovery clarified the etiology of this condition. About the same time Blanc, et al (1922) v/ere also able to demonstrate a filtrable virus in the lesions. Horeover, they concluded that this disease v/as identical in goat3 and sheep. Since then a number of workers have added to the information on this disease such as the incidence, reported by Koussu (1924) in France; Jacotot (1924) in Annara; Lanfranci (1925) in Italy; and Sedden and Belschner (1927-1928) in Hew South '.Vales. Cornell (1928) also reported the disease in Tanganyika Territory. Only after the finding of a filtrable virus in the lesions was its characteristic nature known and the close relationship to the pox disease group established. Newsom and Cross (1925) mentioned the occurrence of sore mouth among feed lot lambs. Glover (1928, 1950, 1955) ran a detailed experiment and recorded the symptoms, immunity response and the inter­ relationship with pox. He signified that five stages of the disease occurred, namely; pustule and scab. macule, papule, vesicle; He found that the virus had a rather large particle size and noted by filtration its marked af­ finity for epithelial tissue. This virus could pass through a Berkefeld V filter, but not a Berkefeld IT nor Chamberland Lg. Histologically he described three stages; (1) Papulo­ vesicle; which mainly showed a change of the outer layer 19 of epidermis. The cells v/ere swollen to different de­ grees and the nuclei v/ere shrunken... sizes appeared in the cytoplasm. Vacuoles of various The beginning of cellular proliferation was also a matter of significance.(2) Vesiculo pustule stage shov/ed more advanced degenerative changes and proliferation. Intracellular edema v/as so intensified as to balloon the cells. Leukocytic infiltration increased. Vesicles became considerably larger and had the tendency to be converted into pustules v/hich contained a few cocci. (?) Subsequently the pustules erupted and crusts fox-med on the lesions. Both polymorphonuclear and lymihiocytic infil­ tration wex’e dominant. Healing took place beneath the ci’usts by regeneration of the epithelial cells and resolu­ tion of the cellular debris. A similarity betv/een the tissue changes in the thigh lesions anti those of the lips v/as found after a comparative examination. Subsequently the cross-immunity and sei'ological test of this virus with pox was repoi'ted. ,/elch (1926) stated that all names such as - sore mouth of lambs, lip and leg ulceration of ewes, foot-rot, venereal disease of bucks and even navel infection of young lambs - designated different forms of the same disease. Like others he attributed the cause of the disease to the necrosis bacillus. He sti'essed the weather, in that early snow and cold seemed to provide favorable conditions fox* the development of the disease. Theiler (1928) desei’i' id ecthyma contagiosum of sheep and goats in South Africa. According to his de­ scription the condition seemed to be identical to that reported by Glover (1928). Howarth (1929) gave a detailed description of the symptoms of the disease and the differential diagnosis between lip and leg ulceration of sheep and diseases caused by Bacillus necrophoru3: Bacillus Hecrophorus Filtrable Virus Susceptibility of various animals Horses, cattle, sheep, Sheep and goats goats, hogs, dogs, rab­ bits, chichens, mice, guinea pigs, monheys, hangaroos, reindeer, etc. Ages All ages All ages, usually young lambs and ewes following lambing Course and duration Slow and protracted, several months or more, individual sheep. 8 or 10 months to over a year. Hapid, individual sheep approximately G wechs; floch3, 2-5 months Period of incubation Z to 10 days, 4 to 7 days • Parts affected occasion­ ally 15 days 1 Shin, lips, mucous mem­ Exterior of lips, gums brane of mouth and up­ palate, portion of the per air-passages; lungs, face free of wool such digestive tract, navel, as the eyelids and in­ abdominal viscera, hoofs, side of ears; mammary cartilage, bone, muscles glands, teats, poster! and joints, mammary part of abdomen and in glands, teats; in fact no side of thighs which tissue seems to be immune' are free from wool. to the invasion of B. necrophorus. “ 21 Bacillus Kecrophorus Filtrable Virus Lesions or histopathology Progressive tissue ne­ crosis characterized by caseous degeneration and invasion of t h e . deeper tissue. Diph­ theroid lesions of raucous membranes. Ab­ scess formation in the connective tissue, liver, or lungs. Slight reddening and elevation of the shin; papules, vesicles, „ , pustules and scab formation. Intravenous injection Followed by m e tastatic abscesses especially in the liver and lungs. No lesions produced Immunity None Definite He concluded that sheep and goats were the only animals susceptible to this virus. The filtrability of the virus v/as inconsistent even when the same type of filter v/as used. Animals that had been ..exposed to this virus develop­ ed a high degree of immunity. However the duration of im­ munity v/as not stated. In the same year (1929) Hilandi and Styliamopoulo re­ ported worJc dealing with "1* ecthyma du mouton” in Greece (cited by Boughton and Hardy, 1934). Schmidt and Tunnicliff (1929) reported that the use of a bacterin for immunisation against sore mouth v/as not conclusive. In an article by Bosv/orth and Glover (1931) sore mouth v/as distinguished from diseases of venereal in­ fection by cross-immunity. Newsom and Cross (1931) reported on the complications of sore mouth.Ulcerative lesions v/ere present in the mouth, 22 on the tongue, in the omasum, reticulum, rumen and in the small intestines. lungs and liver. Abscesses were observed in the They attributed these complications to ihvasion by Actihomyc e a neerophorus, although they believed that the etiology of sore mouth v/as still questionable. In 1934 another article v/as published that confirmed the etiology of sore mcuth as a filtrable virus and in the same year reported that this disease v/as transmissible to man. Carre (1952) described the duration of immunity from the natural infection as being 2£ years and from the artificial infection as one year. Later ITev/som and Thorp (1938) included this disease as one of feed lot diseases of lambs. Erandenbnrgh (1932) in the paper "Lip and Leg Ul­ ceration in Sheep v/ith Report of Two Cases in L'an" failed to describe clearly the nature of the disease. He stated that it v/as due to Actinomyces necrophorus, but v/as un­ successful in isolating it from the lesion found in man. Seddon and McGrath (1931) reported v/ork on crossimmunity tests with the virus of infectious labial derma­ titis of sheep isolated from various anatomical locations. Schmidt and Hardy (1932) wrote a detailed article dealing v/ith immunity. They found that "the goat virus did not appear to be as virulent for the sheep as sheep virus and vice versa." The authors thought that this in­ dicated the existence of a sheep virus and a goat virus. They did not determine whether a cross immunity existed between the sheep and goat strains of virus. The authors realized that high degree of immunity was produced but were not sure of the maximum duration; They’ failed: to pass the virus through Seitz and Handler filters. Sus­ ceptibility in animals from the age of lambing to one year was 90-95 per cent while in adult animals about 4-0-50 per cent were susceptible. Boughton and Hardy (1954) declared that Handler filtration would weaken the infectivity of the virus. The filtrability of the virus was irregularly demonstrated. In 1955 they announced that the virus was filtrable through Handler filters. The susceptibility of the sheep to the second exposure was 0.006 per cent. Ho evidence could be found that recovered animals acted as carriers of infection from suckling to feed-lot lambs. Newsom and Cross (1954) studied the virus and de­ clared it to be filtrable through Berkefeld V but not through Handler normal filter. They presented the case of transmission of virus to man and produced "take" in sheep by using the man’s vesicle fluid. Tunnioliff and Hatischeck (1941) reported a viral disease in the article "A Filtrable Virus Demonstrated To Be The Infectious Agent In Ovine Balano-Posthitis". How­ ever, they did not point out clearly whether other portions of the body were susceptible. They emphasized the pH value of the viral suspension but did not state whether it would 24 play a part in the infectivity of the virus, neither did they state clearly how and under what conditions the tissue should be ground. In other words, the condition­ al factors in the treatment of the virus could b e o f im­ portance in relation to the infectivity of the virus. question that still remained was -- The could the virus which they had investigated be a variation of sore mouth virus? Bennettt Horgan, Hasecb (1944) published an article in which the immunological relationship of sheep pox virus and sore mouth virus was stated. Cross-immunity tests proved that goat-pox protected against sore mouth virus in goats, but that there was 110 versa. 1. the two viruses therefore They concluded that protection afforded vice closely related, goat-pox possessing at least one antigenic factor that contagious pustular dermatitis lac3cs. also claimed that there was 110 2. They cross-immunity between sheep pox and this disease. Selbie (1S44) affirmed the transmissibility of the virus from sheep to rabbits and compared the histopatholocical ♦ lesions of the disease in sheep with those of rabbits. He stated that the lesions produced by the virus in rabbits were more proliferative than those usually found in sheep. However, he pointed out that the histological picture was somewhat different because of the hyperplasia of the hair follicle was absent in Glover’s work since those lesions were produced on the hairless shin of the thigh. The rabbit infeetion,was very similar to the chronic, papillomatous form of the natural infection both in its course and histo- logical characteristics. « Recently, Tunnicliff (1949) cleared the confusion on this disease as follov/s: "The posthitis, balanitis, ulcerativevulvitis complex/ and lip and leg ulceration: conditions are different manifestations of the same disease for which the name ’ulcerative dermatosis of sheep’ is proposed. ------ The virus of ulcerative dermatosis at­ tacks only the epidermal tissue, seldom, if ever, extend­ ing to the mucous membrane. The virus of sore mouth has a predisposition for the lips at the junction of the mucous membrane and the epidermis, extending tc the face and interdigital space beneath the interdigital pouch. ------ lactcriologically the lesions of ulcerative dermatosis are quite free from the neorophorus organism and all ordinary pus-producing bacteria. Foot rot and sore mouth lesions both contain quite a collection of miscellaneous bacteria, and the necrophorus organism is usually present. It is certainly a secondary invader in the case of sore mouth, and, as yet its role is not entirely determined in the case of foot rot." :.:aiiriais aid :-1t::gds Varioas tissues of different animal species were employed in an effort to produce lesions following inocula­ tion of contagious ecthyma virus. Sheep, rabbits, guinea, pics, chorioallantoic mem­ branes of the dcvelopinc chick embryos and sheep skin crafts on the chorioaliantoic nembr-nes v:ere used in this s t tidy. Exposure of the skin of sheep and rabbits to the virus. Commercial ovine-ecthyma vaccine* prepared aceord- inc to directions for field ve.ccination was used to inoculate shin on the inner t.’.ich of sheep and coo.ts. The same type of inoculum was used to infect the scarified sJ:in of the lips of sheep. The inner side of the flan;: area was used for inocula­ tion. It was necessary to clear, off the crease oj>d dirt before inoculation. The area v;as washed in alcohol and after the shin v/as dry it vrs scarified with a razor blade to s..c a decree that blood and lymph .just began to o o z e out. The virus suspension was applied and the animal was held still for several mina.ti-s to avoid spreading the virus to other parts of the bod; the virus "tone11. end to increase the chance for Shin biopsies were taken from the sheep after inoculation at 6, 12, 24, £6 hours; 2, Z , S, 9, 11, 1C and 20 days. 4, 5, 6, 7, Skin biopsies were taken from * Fort Douce laboratories, Fort Dodge, Iowa. the goats after inoculation at 6, 7 and 8 da,; s. Obviously it v/as impossible to secure all the material from one sheep, although it v/culd have been the ideal ■■•method -of— collection.- ■■■-Several- sheopaand goats v/ere u s e d . to obtain the various decrees of pathulo_ical chances, ho biopsy material v/as tahen from the lip lesions. A similar!type of inoculum v/as applied to the shin on thebachs of rabbits (6). The hair v/as removed by olippin and shaving before exposure to the vaccine. Rabbits (8) and guinea pigs (8) v/ei\ exposed to the vaccine by dropping the suspension in the eyes. Rabbits Y/ere also inoculated, by the intraocular and intrater ticular (?:) route. (8) Zenhcrs solution v/as used for fixing the shin and other tissues. The usual methods of ...roces: ing sectioning, mounting and staining v/ith heraotoxylin and eosi/i v/ere used. Exposure of the chorioal 1 antoic membrane and sheep shin graft on choriallantoic membrane to virus. Commercial ovine ecthyma vaccine v/as diluted 1:100 v/ith nutrient broth. One thousand units each of penicillin raid streptomycin v/ere added to each ml. of diluted virus suspension in order to combat bacterial contamination. The embryos v/ere eleven days old v/hen used for chori oal-antoi c membrane inoculation. Twelve day old embryos v/ere used for allantoic sac inoculation. Sight to nine day old embryos v/ere used for intravenous and intra- 28 cerebral inoculations (Beveridge and Burnett, 1946). Bor skin grafting the nine-da# old cmbrpos v/ere also used. The eleven-da: old ~ensymatie- stud#.- enbr.yoswore used for The amount ■of-inoculum usedv/es-as- the fol-■•----■■ lows: Chorioallantoic membrane inoculation 0.1 cc. Chorioallantoic membrane plus skin craft 0.1 cc. Intra-allantoic sac inoculation 0.2 cc. Intravenous inoculation 0.05 cc. Intracerebral inoculation 0.02 cc. The embryos v/ere incubated at 07° C for varying lengths of t.ne after inoculation. Fixation and process!/:,;-; of tissues. 1. The inoculated eggs v/ere kept in the original posi­ tion (artificial air sac upward). 2. The shell vvrs opened so f fieri o j if! y t o <■ area of inoculation. 0. Three to five nl. of Kelly’s solution v/as dropped through the opening onto the chorioallantoic M e m ­ brane end allowed to remain for 1 hr. 4. The chorioallantoic membrane v/as cut along the edge in order that the whole inoculated area could be removed. 5. The membranes were further fixed in nelly’s solution for an additional 1-1-1 hr. 6. They were washed in running water for 8-12 hrs. 7. The membranes v/ere trimmed and passed through grading 29 concentrations of alcohol for dehydration. In 80fj alcohol - 24 hr. . In 9hf> alcohol - no longer t' an 6 hr. In lOOfj alcohol - no longer tiian 1-1?; hr. 8. They were kept in cedar wood oil for 12 hr. (less tine v;as preferable for thedelicate 9. 10. ncmbrai.es) Two changes of parofiin. Embedded in paraffin. The advantages of this nodifled nethod w e r e ; 1. L'inimiu. disturbance of the chorioallantoic menbraiic. 2. The chance of infection and spread of the viral agent was minimised. 2, The chorioallantoic membrane was nore easilyremoved. 4 Before fixation s. culture of each membrane v/as mr.de on agar to chech for sterility. The usual procedures for socti.ning and mounting were employed. hothod of Staining: Hematoxylin and eosin gave satisfactory results. HacCollun1s’modified Goodpasture stain v/as used as a further check for bacterial contamination since local­ ised bacterial infection may escape detection by culture. Some sections showed necrotic areas due to bacterial con­ tamination. Safranin-Light Green stain was used for tisso.es which v/ere to be examined for inclusion bodies (Cawdry, 1948) The method of fixation, mounting and staining of 50 sJ:in grafts v/as the same as mentioned previously under shin biopsy. Seven, 9 and 10 day infected shin grafts ..’ere harvested and sectioned. The .Method of grafting basically folldv/ed Goodpast',.re,:'s techniouo for human s h i n . (1958). Virus v/ac introduced immediately after grafting. Penicillin and streptomycin v/ere used to hold dov/n the bacterial infection. Full thiejvnes: of sheep shin v/as used except that the loose connective tissue v/as carefully removed. (Goodpasture et al, 1955) The method for enzymatic activity study. Oxidase; This method v/as used by homeis and Mallory (Lillie, 1948). Two solutions v/erc prepared: Solution A: Alphanaphthcl 0.5 g m . Distilled water 50 cc. heated until a.lpiiruiaphthol started to melt, 85^ potassium hydroxide added drop by drop until the alghanaphthol completely dissolved. Solution 3: Dimethyl parr.pheny 1 enediamine Distilled v/ater 0.5 gm. 50 cc. Botii solutions should be bcpt in the darh, even though they v/ere g od only for a fev/ v/eehs. The procedure general­ ly used v/as as follows: 1. Air dried smears of chorioallantoic membranes v/ere fixed for 3 hr. in formalin-alcohol solution. with 4 parts of 95fj alcohol. 1 part formalin ri 2. Stained two to five minutes in an cruel volume mixture oi’ cclution A and B. S. Rinsed in distilled water end mounted in glycerol. 4. The oxidr.so granules were dark blue in color. Acid Phosphatase Hethod: This raetiiod v/as ./olf'1s modification (./oil’ e_t a l , 1942) oi G-oruori1s method (1941). It was based on tne idea of changing the organic phosphate into inorganic phosphate. The chorioallantoic tissues v/ere dehydrated and fixed in anhydrous acetone and hept in the ice box for twenty-four hours, followed by three changes of acetone at rccn ter.per at are within two hoars. This v/as done the 3ame way as in alkaline phosphatase preparations, so that the routine work of fixation would bo simplified. The solution of substrate v/as composed of lend nitrate and sodium bcta-glycerophosphate with the buffer at pH 4.7 C//5 acetic acid 9 parts with '.75 sodium acetate 11 parts). Ac cording to Gormori (1941), the parafriii infiltration process could last no longer then, three hours, because the heat would affect the enzyme. Sections were cut at 7 microns in thickness, and were mounted with glycorolalbunin. Then treated as usual to remove the paraffin and passed through the alcohols to water. Thereafter the procedure was as outlined: 1. The slides were rinsed with distilled water. 2. f ey v/ere then incubated in the following solution for 12-18 hr. at 27°G. Acetate buffer at pH 4.7 12 parts lead nitrate (0.1 L') 10 parts 1:: stilled water 74 parts Sodium - teta-ipl^xerqpiiosph te. (Z.2*4),.. ....... 4 parts Total 100 parts 5. The: v/ere rinsed in distilled water. 4. Then rinsed in Z ‘/> acetic acid. 5. Followed with a thorough rinse in distilled water. 6. Immersed in yellow ammonium sulfide (1:50 dilution) for 1-2 minutes. 7. ./ashed v/ith tap water. S. Counter stain if desired. (nenatonylin-eosin was not satisfactory, because it v/oula overshadow the lead sulfide granules if they were not in lar^o quantity.) Site of phosphatase activity was shown by brown or dark deposits of lead sulfide. Control sections should be used. Sodium flouride could be used as an inhibitor. Alkaline phosphatase method: The original idea (Gormori, 1989) of the alkaline phosphatase was based on the formation of calcium-phosphate which was precipitated from the calcium-£lycerophosphate by ensynatic reaction. The calcium-phosphatae yjrecipitatc was practically' insoluble at a pH 8-10. The optimum pH of the alkaline phosphatase v/as a little above pH 9. A silver compound was used to replace part of the salt into silvei* salt, tP.cn it would be reduced by the liyht into 33 metallic silver which would a..pear as black or blackbrovmish granules in the cell. The tissue v/as fixed in acetone for dehydration and treated as mentioned previously ,ir;, the, acid phosphatase ...staining...metie.d*.,-- After..-the- tissue was dehydrated it v/as processed in the following manner: 1. Hardened in absolute alcohol for 24 hours. 2. Cleared in iCylene, lensene or Toluene. 3. embedded in paraffin. 4. Sectioned and mounted. 5. Passed through two changes each of xylene and abso­ lute alcohol. 6. Then soaked in etin r-alcoiiol (equal parts) solution of collodion (0.5-1/-) for five minutes. 7. Drained for 1-2 minutes and hardened in 80/- alcohol for five minutes, then transferred into the water. 8. Incubated at 87°C overnight (8-14 hours). Calcium control sections were put into 0.1/ calcium nitrate solution. Phosphatase sections were incubated in the following solution: Sodium beta-glycerophosphate (5.2/) 6 parts Calcium nitrate (Ca(hCc Jg'd-HgC) (2/) 9 part3 Sodium barbitol (10/) 6 parts I.Iagnesium sulfate ( H g S O ^ ^ H g O ) (0.1 k) 6 parts Distilled water 33 parts This solution had a pH of 9.0. 9. All slides were rinsed in distilled water after in­ cubation. They were treated under a strong light v/ith 5'j silver nitrate for 50 minutes. (100 v/att b\lb at 1.5 ft.) 10. Acetone for dehydration and removal of the colloidin film. .\ .'.' . '.“................^ .' ■ Alkaline phosphatase v/as siiov/n as a black or black-brownish deposit. * RESULTS llo significant lesions resalted from inoculation of the virus on rabbit shin nor instillation in the eyes of rabbits or guinea jigs. likewise no lesions resulted from intraocular or introtesticular inoculation of the virus in rabbits. V/hen the virus was introduced into chick embryos by the intraallantoic sac, intravenous or intracerebral routes no significant lesions were observed. I ll bTOPATIIOLOGY (1) Histopathological study of the shin in contagious ecthyma. Biopsied specimens of shin which had "been inoculated v/ith the virus of contagious ecthyma were examined. The various stages in the pathogenesis were observed from six hours after inoculation to 21 days at which time the area was well healed. The tissue response to the viral infection v/as observed as early as 12 hours (Pig. 7) after the virus v/as applied by the scarification method. The histopathological changes were limited primarily to the epidermis, but secondarily the dermis v/as involved due to the continued action of the virus mid reaction of the tissues. The gross pathology did not exactly coincide with the histopathology. For instance, the stage of macule which was seen clinically proved by microscopic examination to be an early stage of typical vesicle formation or even that of a pustule (Fig. 4). The material having a gross hemorrhagic appearance was not revealed to be hemorrhagic microscopically. At the pustule stage the hemorrhages in the upper and lower corium were not seen macroscopically. The first sign of the micro-pathologicaJL changes of this disease was the disturbance of the nucleus of the epithelium. This indicated the part of the cell which v/as first at­ tached by the virus. Either the number or the size of nucleoli, or the sise and shape of the nucleus v/as changed from slender and oval to large and round. Lost frequently both changes appeared simultaneously v/hicli made it difficult to decide which occurred first. ITo inclusion bodies either cytoplasmic or intranuclear v/ere found. The nucleoli were enlarged and tooJc a heavier Jhexatoxylin stain. Chromatin material was reduced and marginated peripherally to the nuclear membrane. Along with the increase in the number of the nucleoli and the enlargement of the nuclei, the epithelial cells had proliferated so that the epidermal layer was frequently composed of 5-10 layers of irregularly arranged prichle cells, which resulted in various degrees of acanthosis. (Fig. 7) The tonofibrils were not too clear, although the cells v/ere still well cemented to­ gether. The arrangement of basal eell3 lost its regularity. Hitosis appeared more often than normal. At the periphery of the nucleus, immediately between the cytoplasm and the nuclear membrane, a clear zone usually appeared sug­ gestive of a tendency of the nucleus and cytoplasm to separ­ ate. In some areas the cells showed a peculiar lengthen- ing of their nuclei with a more granular appearance along the inside margin. However, this did not occur often. In most of the areas the epithelial cells simply became large and round, and lost their customary arrangement. oj* This was true especially^the basal cells. Inflammatory reactions v/ere indicated by distended lymphatics and blood vessels with extravasation of lymphocytes and red blood cells at the lower layer of the corium. The latter change occurred after the vesicle stage (Fig. 11) “but before pustule formation (Fig. 12). The severity of the inflamma­ tory reactions vtiried greatly with the stage at which the vesicle was examined. often was seen. Slight edema '"beneath the epidermis In most cases just a lymphocytic infil­ tration existed in the upper part of the corium during the early stage of infection. The continued action of the virus within the cell produced further tissue reaction. ICeratinization (Fig. 3) v/as increased a little at the sur­ face. These cells became .keratinize 30 rapidly that most of the nuclei and outlines of the cell3 still existed. Therefore a layer of parakeratinized epithelial cells v/as first formed under the regular keratin. This layer of paraJceratinized epithelial cells was first formed under the regular keratin. This layer of parakeratinization was composed of the outer layer of epidermal cells with a vacuolization of the cytoplasm, with or without a nucleus. The nucleus when present had no definite shape or detail. The cells v/ere well cemented together and showed no loosen­ ing between cell membranes. They wore arranged horizontally parallel with the surface line of the skin. The formation of the vesicle v/as the result of the changes in both the nucleus and the cytoplasm. In general, these changes became deereasingly severe from the keratinized layer toward the basal layer. The nuclei enlarged in size and displayed reduced chromatin, and v/ere swollen first to a round shape v/ith light homogenous hematoxylin stain, in contrast to the basophilic staining 7/roperty it had formerly. Dinappearance of chromatin occurred but the nucleoli remained as a bluish round shape. Subsequently it submerged v/ith the ballooning degenerative process. .... ' (Fig. 9) '... ..... ..... ..... ..... ~ .. ..... The cytoplasm became granular and took a lighter and less uniform stain. The vacuoles which v/ere present in the cytoplasm v/ere of various 3izes and usually round in shape. From their shape it v/as noted that several small vacuoles coalesced to form a large irregular one (Fig. 10). A network remained in the cytoplasm making a mesh work be­ tween the vacuoles. many cells underwent liquefication or burst due to the tension of the accumulated fluid. The spaces then became filled v/ith the accumulated fluid. Various types of cells as well as coagulable material v/as found in the vesicular content (Fig. 11). Heanv/hile other cells swelled due to intracellular edema and eventually underwent ballooning (hydropic degeneration). These cells were characterized bp a clear space formed around the nucleus which extended peripherally so that the cytoplasm was reduced to a thin network. The cells of the outer layer of the epidermis showed more ballooning than the inner layer of the cells. The basal cell layer was hardly involved in the hydropic degeneration at all unless the vesicle formation v/as excessive. the nucleus lost its fine detail. As the cell wa3 ballooned, Usually just a rather homogenous fine granular lighter basically stained outline of it remained. nature. The cells consequently lost their prickle The arrangement of the basal cells suggested a 40 tendency toward highly active prolifcration. As the proliferating and "ballooning continued these cells soon "became fused together and formed the so called intraepidermal vesicle. Under natural conditions, the lesions v/ere so ex­ posed that the secondary invaders, mainly pyogenic "bacteria, easily gained their way among the impaired epithelial cells. The vesicles, almost without exception, "became pustules "by this invasion v/ith the accumulation of debris of resistant cells and polymorphonuclear leukocytes. If the "bacterial contamination occurred early and pus formation proceeded the incubation period of the virus, then the vesicle filled v/ith pus and pi’oduced a pustule (Fig. 14). In this instance, vesicle formation could not have been present. The histopathological change was manifested primarily by a pustule (Fig. 12). At this stage, before the pus accumulated, it was easily mistaken as a macule clinically because only redness and localised swelling wa3 observed. In striking contrast was the infiltrations of lympho­ cytes and polymorphonuclear leukocytes. lymphocytic in- filtra.tion seldom went beyond the basal layer of the epidermis (Fig. IS) unless it was destroyed in the ad­ vanced pustular stage, lymphocytic infiltration occurred -fibers in the upper layer of the coriura among the collngen^iust beneath the epidermis, where the virus had invaded, some­ times even earlier than the proliferation and swelling 41 of the epithelial cells. Practically no polymorphonuclear leukocytes v/ere found intlie early stage of the lesion. However, soon after the bacterial invasion many migrated through the epidermal layer. Blood vessels and lymphatics v/ere distended greatly; free red blood cells appeared in the nearby areas. fied. Edema of the upper corium v/e.s intensi­ It v/as not uncommon that extensive hemorrhage in both upper and lov/er layers of the corium v/as 3ecn v/hen pustular format! on 'v/as at a high rate. These spaces, as a result of reticular degeneration and colliquative vesiculation, v/ere filled by pus to form the intraepidermal "pock11 of various sizes(Fig. 17). After lymphocytic infiltration occurred on the dermal side the pustule eventually burst and dried out. A crust v/as formed by cellular debris on top of the pustule. 7/hile the pus v/as drying off, the crust v/as getting larger and thicker and soon covered the whole pustule. The formation of the papillomatous growths of the epidermal cells appeared as the crust formed. They projected finger-like processes into the corium to form various sizes of papillae. The basal cell layer always existed along the papillae, At the same time, the cells of the sebaceous glands (Fig. 15) began to show the de­ generative changes, consisting of reticular degeneraton of the cytoplasm, shrinking of the nuclei, and a decrease in the chromatin material. Eventually the sebaceous glands appeared to contain abnormal hollow lunina. If the crust formation was too heavy the cells of the sweat glands (Fig. 16) were affected with vacuole formation in the cytoplasm. The nuclei of the cells v/ere pushed toward t e lumen and reversed the ordinary arrangement of apocrine gland struc­ ture. They v/ere arranged in such way that there seemed to be two layers of lining cells, thesuperimposed layer consisting of expelled nuclei and part of the cytoplasm and the basal layer consisting of cell membrane, vacuoles and the rest of the cytoplasm. The subepidermal collagen v/as heavily infiltrated v/ith lymphocytes. The epidermis v/as thickened and the epidermal cells, formed a lattice work around the intraepidermal "pocks". The papillae forme.tion v/as greatly increased as the crust hardened (Fig. 19). This made the pustule firm. The intraepidermal "pocks" v/ere either encapsulated by the epithelial cells which conseouehtly became organised (Fig. 18), or gradually the cell debris v/as resorbed by the penetration of blood vessels. In the healing process, capillary formation v/as prominent in the lesion. The subepidermal lymphocytic infiltration in varying degrees v/as manifested guite often in all the stages: even three weeks after the infect *on and the skin appeared normal. gradually. The papilla*disappeared Thus the. skin was left even and smooth without any sign of previous infection. Occasionally, a cicatrix might be formed due to the bacterial infection. The histopathological changes overlapped each other, and it was difficult to divide them into different stages. io Clinically these stages could be referredAas macule, papule (Fig. 5), vesicle, pustule (Fig. 4), or scab; but in the microscopic study there was no clear division between the stages, unless arbitrarjlijdefined. For this reason, the lesions were described as a continuous series. As a result the continuity of the pathological changes v/as not interrupted. . (2) Ilistopathology of the shin graft. Only sheep shin was grafts were collected used in fchis study.The shin six, nine, and ten days after in­ oculation of the virus (Pigs. 22, 25, and 24). virus v/as applied into the of observation. The six-day graft afterthree days The nine or ten day shin grafts received the virus immediately after grafting. The fusion of the ectoderm of the chorioallantoic membrane with the lower layer of the corium of grafted shin (Pig. 25) showed good interlacing in all living grafts. If fusion of the graft with the ectoderm tooh place successfully, there would be no separation by fibrin, hemorrhage or other exudates. The ectoderm of the chorioallantoic membrane disappeared completely. However, in certain cases it remained in traces as "epithelial pearls" (Fig. 26) in the mesodermal layer. Sntodermal cells were affected by intracellular edema, ballooning and a light degree of proliferation (Pig. 26) v/ith a tendency to give simple finger-lihe pro­ jections. Congestion of blood vessels and distended lymphatic ducts v/ere common in mesoderm especially in these areas where edematous change was lirominent. ITo inclusion bodies either intraplasmic or intranuclear were found. Frolifera- 44 tion of epithelial cells of crafted skin showed the same change as in the natural inoculation of the sheep skin. The changes of the nucleus were sometimes even more strik­ ing . Thecharacteristics as described previously were not only the enlargement of the nucleus and the disappear­ ance of chromn.tin materials, but also the nucleoli,which uieve usually two in number and of the same size,stained more deeply. Intracellular edema, vacuolization and ballooning degenerations al30 were shown in epidermal cellular changes. Ho clear vesicle v/as found. pock uoas present. Ho pustule or intraepidermal Hoticeable hyperkerntinization was rarely shown Art those areas in which evident cellular reactions had existed. However, occasionally the parakeratinization was located in some areas on the epidermis (Fig. 24). The stratified epithelium was proliferated. The sebaceous glands v/ere either shrinking .in si.ze or undergoing a degenerative process. A hollow space could usually by observed (Fig. 24). The sweat glands were oc­ casionally encircled by connective tissue which indicated that the reaction was inflammatory in nature. This con­ nective tissue sometime invaded the glandular portion and replaced the glandular cells. There was hyalin-like material in the lumina of the sweat glands which might be the result of flooding of red blood cells while cutting and manipulating the tissue. Edema of the upper corium just beneath the epidermal layer and the mesoderm of chorioallantoic membrane were 45 very prominent in both controls and infected grq-fts (Figs. 21 & 26). Infiltration of eosinophilic granulocytes in the edematous fluid v/as usually present. Occasionally some degree of the chichen red blood cell -extravasation v/as seen in the dermal layer. Blood vessels of the shin grafts v/ere filled v/ith the nucleated red blood cells. It indicated that the blood circulation of the shin graft had had good connection v/ith chich embryo membrane. If any of the original red blood cells of the shin v/ere left,, it usually v/as in a hyalinized state. In some of the material, small isolated necrotic foci v/ere found, frequently located at the border between the shin graft and the chorioallantoic membrane. These v/ere the result of bacterial invasion and seemed to have no effect on the viral changes. These foci showed typical necrotic change. (5) Histopathology of the chorioallantoic membrane of the chich embryo. The infected chorioallantoic membranes v/ere harvested from one to seven days after the viral suspension had been applied. The gross change between control and infected membrane could hardly be distinguished (Fig. 27). The thichness of the mesoderm was tremendously increased due to edema. This v/as common for all the sections including those of control membranes. The ectoderm proliferated to more than fifteen layers of epithelial cells. This prolifer­ ative reaction of ectodermal cells could be divided into 46 three different types, namely; traumatic, viral, and mi:-;ed. Traumatic proliferation (Fig* SI) produced a characteristic reaction to the mesenchymal cells shown by radiation of the mesenchymal cells toward the area ...where the trauma occurred. This was different from that of the prolifera­ tion produced b^ the virus (Fie. 32) which was shown by margination of the mesenchymal cells in lines parallel to the ectoderm. Usually a scab formed on top of the trau- matically produced proliferated area. as contrast to the viral one which produced no scab. There was hardly any difference of intracel. ular changes in the proliferated ectodermal cells between that of the traumatic type and of the viral type in the early stage (less than forty-eight hours after inoculation). After this time, in the viral type there was disappearance of chromatin in the nucleus, uneven staining in the cyto­ plasm, vacuolation and ballooning degeneration (Fig. 37). These were not shown in the traumatic type. Furthermore, especially after seventy-two hour incubation, the viral type often showed granular hyalin-lihe degeneration of the cytoplasm (Fig. 34), and quite often the entoderinal cells were involved as shown by a light degree of prolifer­ ation, vacuolation and ballooning degeneration (Fig. 36). The hyalin-lihe degeneration of the cells as the result of viral action had a rather peculiar appearance. It v/as manifested by different sizes of round granules with homo­ genous eosinophilic staining. Some large ones occupied 47 the v/hole apace of the cytoplasm; while some small ones, a do sen or more, v/ere scattered in the cytoplasm as stippliugs. At this stage, it v/as usually nixed v/ith hydropic degeneration. The, nucleus often disappeared (Fig. 59). The,outline o f . the entoderm ‘became saw-edged instead of a smooth line (Fig. 58). Tiie nucleoli of the entodermal cells v/ere pushed aside into a creseent shape a3 the nucloi were swelling. There v/as no evidence of these changes in the traumatic type. Occasionally the hyalin-lihc granules could be seem in the entodermal cells. Epithelial "islets” or "pearls" of various sijses were observed in the mesenchymal layer. An archipelago of epithelial islets formed as out shirt 3 of the prolif cro.ted ectodermal area. These islets also occur in bacterial in­ fected chorioallantoic membranes. Sometimes, this archipelago was formed by congested blood vessels (Fig. 52) instead of the epithelial islets. The mixed form of proliferation showed both the characteristics of traumatic and viral jjroliforations, but eventually the latter would overshov/ the former v/ith its characteristic changes of the specific tissue reactions as described above. The capillaries, particularly after five days of incubation, often increased in number in the subectoderm whether it had proliferated or not. The ni-mber of the tiny vessels v/as so great that they were usually mistaken to be hemoiwhages. Sdema.tous reaction of the mesoderm reduced 48 greatly after five days of inoculation (?ig. £8), after which time it was even hardly to be seen. Infiltration of eosinophilic and lieterophilic granulocytes in the mesen­ chymal layer were not ^micommQ.n^.pia’ti.cularly at the., site of proliferation. The lesions shown in the control chorioallantoic membranes were edema; traumatic proliferation, occasional infiltration of granulocytes and epithelial islets and pearls. (4) Histopathology of Snzymatic Activity Study. Three hinds of enzymes were studied, namely alhaline phosphatase, acid xdiosphatase and oxidase. Alhaline phosphatase was studied with buffer at pH 9.0 and acid phosphata.se with buffer at pH 4.7. Oxidase study wa3 after Romeis and Ilallory’s method and failed to give conclusive results. ing. The acid phosphatase study also was not encourag­ However, there were some clues obtained in alhaline phosphatase sections. The infected cells, especially the proliferated ectodermal cells, showed an increase in intensity of silver desposition v/hich indicated that the alhaline phosphatase activity was increased (Fig. 41). It was seen both in the nucleus and cytoplasm particularly along the cell membrane. In the infected nuclei there were more and larger granular depositions than in the normal controls. In the mesoderm the alhaline phosphatase was also increased along with the increased number of the mesenchymal cells. Ho significant amount of changes existed in the edematous area and the blood vessels. DlSCUSSICiT (1) The shin lesion under natural conditions: In,thu,discussion of the histopathplo^^ oi’ contagious ecthyma of sheep, the terminology of this disease was first considered. Although it was customarily called "dontagious ecthyma1', it seemed that this term did not express specifical­ ly the characteristics of the disease. Having considered its specific pathological changes and course this disease v/as found to be primarily a vesicular rather than a pustular type. "Ecthyma1' originated from the Greek word "edthyma" which meant a pustule. Contagious ecthyma showed a pustule forming clinically and histopathologically under the natural conditions, however, the significant thing v/as that it was not a specific lesion of the virus. It v/as believed that viral infection would not give pus formation unless there were pyogenic bacteria involved. So in this co.se, it was bet er to call this condition of the skin "contagious vesiculo-pustular dermatitis". This v/as more expressive and descriptive in regard to both the nature and the symptoms of the disease. The mode of entrance of the virus into the cell v/as very interesting. Generally it v/as stated that the cell membrane was semipermeable membrane, This v/as .true and could be applied to highly ionizable elements or simple groups of atoms. However, it could not easily be explained in the case of protein and nucleoprotein molecules v/hichh v/ere ordinarily nondiaJLizable. It might have "been ex­ plained that protein got into the cell due to its hydrolysis to amino acids which passed through the cells and resynthesi into protein., Evidently this w: s not true in the case of a viral invasion "because the virus itself v/as nucleoprotein in nature and must remain intact. How these non-dialisable nucleoprotein molecules got through the semipermeable mem­ brane has not been well explained to date. It has been suggested that selective permeability might account for such a phenomenon. But the "how11 and "why" of the inechanism of selectivity of the membrane remained unsolved and called for further v/orjc of a physico-chemical nature. According to the histopathological changes, the causative agent -- virus wasnot only dermatropic in nature but strictly stated v/as epidermotropic. The epithelial cell of the epidermis was the location attached by the viru.3. Since the first significant change of the cell was the swollen nucleus, the site of invasion v/as ex­ pected to be there, nevertheless it was hard to state definitely that the virus did penetrate the nucleus; al­ though this statement could be substantiated by the swollen portion itself. It was not impossible that the virus pro­ pagated within the nucleus so that the volume was increased. Further, the enlargement of the nucleoli was another point that indicated two possible explanations. First, the virus might propagate on "the nucleoli", sotthat the nucleoli v/ere enlarged and stained much more deeply than normal. 51 The nucleo protein nature intensified the basophilic property of the nucleoli if the virus were quantitatively increased. nucleus. Increased volume would cause enlargement of the Second, the propagation of the virus stimulated cell division. It was a normal phenomenon that the nucleus and nucleoli increase in size while cell-division was tak­ ing place. It was found that the number of cells (epithelial cells) did increase (epithelial proliferation) later on. Therefore, it was not uhreasonable to say that the virus attacked the nucleus first. This v/as substantiated by the heavier basophilic staining of the nucleus at an early stage. Moreover, the cytoplasm did not show any visible change while the nucleus was swelling and the nucleoli v/ere enlarging. The cytoplasm showed no change until there was a clear zone around the nucleus which formed after the swelling of the nucleus. Decrease of chromatin material began with a margination that could indicate the viral agitation "in" the nucleus v/as not compatible with the existence of the chromatin. It •also might have been "used up" by the viral catabolic action, or it might have been a normal phenomenon of some fast growing epithelial cells. Once the clear zone around the nucleus appeared, two things happened simultaneously: the shrinking of the nucleus with heavier basophilic staining property and the hydropic degeneration of the cytoplasm with edema. The shrinking of the nucleus could have been due either to the result 52 of damage done by the virus or to the increase of intra­ cellular pressure of the cytoplasm. The clear zone dif­ fused outward and caused the cytoplasm to take on a light degree of retlculo-degenerative appearance. Thia meant that the cytoplasm lost its fine granular eosinophilic staining and became a light staining mesh work. This might have been the re 3 u.1 t of the increase of "water" content in the cytoplasm to such a degree that the hydro­ philic 30 I lost its equilibrium of solvation and reached a critical seta-potential of the colloidal particles whicji underwent agglomeration. The reticular degenerative change began at the clear zone around the nucleus and extended outwardly. This was shown by the staining property of the cytoplasm which, in this case, was unstained around the nucleus and stained at the periphery; the deepest stain­ ing, of course, was near the cell membrane. This kind of change initiated the ballooning degeneration and the un­ stained area in the cytoplasm became larger and larger until the whole cytoplasm was affected. The vesicle formation was simply due to the bursting of the ballooned cells mixed with lymphatic fluid. Formation of the intracytoplasmic vacuoles might indicate a loss of equilibrium of the solvation of the colloidal system in the cell, since it is known that the cytoplasm is hydrophilic sol which is delicately hydrated by the solvent, normally conditions are such that all of the water is uniformly held. If water was in excess of the adsorbing power of the colloidal particles, two things might happen to maintain the equilibrium of solva­ tion, namely: (1) an increase of the zeta-potential of the colloidal particles, so it coaid tahe ap the excess amount of solvent; or (2) a decrease of the amount of the solvent to maintain the equilibrium of the hydrophilic colloidal system. However, in this case the colloid cell enclosed in a membrane — known. cell - whose nature is u n ­ The cell has a relatively definite volume, but it also has n > some capacity for changing its volume. ingly, if the volume of the disperse medium — Accord­ water — is increased for some reason (a viral interference here) the cell might compensate by increase either the degree of solvation or the number of the colloidal particles. this study both probably occurred. In The growth of the virus would increase the amount of colloid in the cell. Con­ currently cells became enlarged which involved an increase in the amount of disperse medium — water — . This phenomenon which was observed under the microscope, was generallycalled intracellular edema. The continuation of the edematous process would lead to a condition described as "ballooning degeneration". Eventually cells night burst causing reticular degeneration with the formation of vesicles. Increase in keratinization was the result of the dying out of high proliferative action of the epithelial cell itself and the stimulating nature of the virus. The hornified cells first became parakeratinized and then wholly keratinized. In this case, the material was pseudo-keratin 54 v/hicli was different from that of hair, nail, and so forth which '..j-.s eujcoratin in nature. The lymphocytic infiltration no doubt played a very important part in the localizing of the virus. Be­ cause from the very beginning to the end of the course of pathological change, the lymphocytic infiltration was always dominant either in the upper dermal layer or from the upper dermal layer extending to the lower layer. It might have been a reason why this virus was epidermotropic in nature. It could have been a well defined line built b y the lymphocytic infiltration at the dermal layer. The failure of-the blood to transmit this disease was very likely due to the fact that there was no virus present. Quoting Boughton and Hardy))19?5, "A3 reported b^ Glover (1928) and confirmed by the writers*experiments, intra­ venous and subcutaneous inoculation of susceptible animals with the virus of contagious ecthyma fail to produce lesions of any sort, nor are an: general systematic symptoms mani­ fested". The virus possibly was barred from the blood by the lymphocytic infiltrate, especially the epidermal lympho­ cytic infiltrate. The lymphocytic infiltration of the lower layer of the corium was always persisting whether the pustule v/as forming or whether recovery was tailing place. Strangely enough, the lymphocytic infiltration did not extend through the basal cell lay ex1 into the I.ralpighian layer as did the polymorphonuclear leukocytes. If the basal cell layer v/as destx'oyed, there were many lymphocytes mixed with polymorphonuclear leukocytes at the pustular stage. Jhether the basal cell layer had a mechanism to fence off the lymphocytic migration or the environmental condition of the epithelial layer v/as not suitable for the lymphocytes remained in doubt, ./hntever the mechanism v/as, in this case the lymphocytic infiltrate v/as apparently the specific reaction of the tissue to fence out the viral infection in protecting the body. The other question about lymphocytic infiltration v/as the manner in v/hich the virus initiated this type of cellular reaction. According to Ilenkin (19<10), the inflam­ matory reaction v/as initiated by a little known substance called "Leukotaxin". Further v/orJ: is necessary to establish whether or not "leuhotaxin" played a part in this viral infection v/hich elicited only lymphocytic reaction. The papillomatous hyperplasia of the epidermal layer usually appeared after the crust (scab) formed on the pustules. This hyperplasia extended into the corium with a v/ell defined basal cell layer. , It seemed iihely that these papillomatous projections v/ere the result of the formation of the crust v/hich exerted pressure and ad­ hered tightly to the sin, so that this organ had no ex­ pansion elasticity. As long as the virus was still active in the cells, proliferation continued and the cells ac­ cumulated and bulged out. Due to the limiting factor on the pustule and the fast growing nature of the cells them­ selves, the i)roliferation v/as forced mechanically downward 56 to the loose and soft layer - the corium. Therefore it tool: on a finger-like papillomatous form or saceote pro­ jection. However, if enough keratinized material accumulated above the area of proliferation ""'to""'exert sufficient pres­ sure the finger-like projections would be formed even without a scab. In this disease both of these situations occurred. Fewer changes occurred in lesions on goat skin. Vesicle formation and proliferation of the epithelium could not be demonstrated. The result v/as inconclusive due either to too small a number of goats used or to the differences in individual species. Further work was necess­ ary to substantiate the histopathological changes. Rabbits gave no reaction to this viral infection, although various inoculations had been given. This con­ tradicted the work of Selbie (194-4) and Glover (1953) who were able to propagate the virus on rabbit skin. Howarth (1925) also was not able to propagate this virus experimentally on rabbits. Therefore, the individuality and breed of the rabbits might have played a part in this discrepancy of results. (2) The lesion of the artificial skin graft onto the chorio­ allantoic membrane of the chicken embryo. The application of skin graft onto the chorioallantoic membrane of the chicken embryo was handicapped by the fact that the incubation period of the virus was relatively long and the period of hatchability of the egg relatively short. The available length of tine used in chorioallantoic mem­ brane grafting v/as usually only 8-10 days. Eecause of this 9-day old chichen embryos v/ere used rather than the embryos* of 10-12 days. The shin graft v/as harvested before the 19th day of incubation. Goodpasture (1938) had reported that undesirable changes occurred in shin grafts after 18th day of embryo. He stated: "Heterologous grafts of this hind became embedded and vascularized, and grew rapidly and continuously under these conditions until about the 18th or 19th day of incubation. At that tine there seemed to be a sudden change v/hcreby the grafts were caused to undergo rapid regression and degeneration". Shin treated by scarification before it v/as grafted cut down the required length of adaption and propagation. Implanting impaired the shin and contamination detracted from the ability to graft. Streptomycin and penicillin were”used in attempts to eliminate bacterial contamination. The use of duch or goose eggs might have proved more successful since the available length of usable time v/ould have been longer. The edematous change of the corium and chorioallantoic membrane possibly were non-specific tissue reactions. The full thichness of the shin might have been responsible for that reaction. This night have been the reason why Goodpasture (1938) did not use the full thichness of sJcin. Unfortunately adequate equipment to perform the splitting of shin between epidermis and dermis v/as 1 aching. The 58 sheep skin v/hich v/as used for grafting v/as comparatively thin, however. Attempts v/ere made to cut off as many of the loose connective tissue strands as possible in order to decrease4the thichness of the shin. The difficulty of ~ adapting the shin onto the chorioallantoic membrane was in direct relation to its thickness* However, the least possible manipulation of the shin decreased the chance for bacterial contamination. The inflammatory reaction in the grafts could have been due to too much manipulation. Microscopically the cellular reactions of the epithelial cells showed similarity with these produced in natural infection. The swelling and clear zone, around the nucleus, the intracellular edema, the ballooning degenera­ tion and the proliferation of epithelial cells were very likely the specific reactions of viral infection as com­ pared with material infection and the controls. I'any newly formed blood vessels penetrated the shin graft. This rapid generation of blood vessels was important for the survival of the graft. The unification or anastomosis between the newly penetrated blood vessels with the original vessels of the skin could not be located. Whether the original vessels were anastumised by the new ones or the new ones formed a system by themselves remained to be in­ vestigated. ICeratinization and p-raJceritinization seen in some locations in the sections nay have been due simply to lack of desquamation, so that when accumulated it seemed to 59 be a hind of "hyperherutinization". The epithelial "pearls" which always appeared in the mesodermal layer seemed to be the accidental formation fron the ectoderm cells”.’ ’’’'Evidently"'it was "not a specific reaction since it was found in both infected and non in­ fected tissue. It might have been an segregation of some Q.f the ectodermal cells by the chcnotaxic mechanism. (T ) The Infected eaorioallantoic mei.ibra.ne. The cellular reactions of t :e ect:: dermal and ento- dermal cel. s left tie virus. 110 d ubt of the s. ecific response to Sut both the ectoderm and entoderm we e in­ volved whereas in the shir, the epidermis was only involved. This was due perhaps to the delicate nature of the chorio­ allantoic membrane. Hyalin degeneration which was never seen in the cells of natural shin lesions v/as shown in the chorioallantoic membrane, especially in these membranes which were harvested three or more days after the virus was applied. It appeared as eosinop .ilic homogenous granule: of various sizes in the cytoplasm and war called hyalin degeneration v/hich might have been the result of the dis­ turbance of the colloidal system, manifested by coagulation of the particles. Hydrophilic protein colloids easily lose the equilibrium of hydration by adding the electrolytes. The coagulation of the particles might be considered as an example of coacervation. The electrostatic force of the colloidal particles tended to pull them together and 60 caused coalescence or agglutination of the particles. But these forces were opposed by the elasticity cf the water shells. Virus could he considered as contribwting'to ’"the electi’olyte*value bf the cytoplasm It propagated intracellularly, and may therefore cause a lowering of the electrohinetic potential of the protein particles and rendered t .em more hydrophobic. The protein particles agglutinated and water v;as set free. The "clumps" v/hich were eosinophilic stained appeared as hyalin degeneration, .hater separated in vorious degrees designated as hydropic degeneration, vacuolization or ballooning. As for the proliferation of the ectccornal cerls, the arrangement of mesenchymal colls and the structure of the ectoderm occurred in a different manner from that in the shin lesion. In the shin there v/as a germinative layer from v/hich the epithelial cells generated. In the chorio­ allantoic membrane the ectoderm had only one layer of cells - simple scuamcus epithelium. The thichening of the ectoderm was due to viral irritation. The accumulation of the mesenchymal cells on the* ectoderm might bo due to a positive chemotaxis mechanism, ./hereever proliforation of the ectodermal area v/as seen there v/as some degree of increase in the number of mesenchymal cells just beneath or nearby. Especially the actively proliferating area, the arrangement of the mesenchymal cells afforded a con­ vincing phenomenon. The arrangement of the mesenchymal cells was such that those closest to the ectoderm v/ere 61 Greatest in density. Evidently the mesenchymal cells "ad­ hered" to the ectoderm. The formation of the epithelial "islets" or "pearls" 'In'the mesenchyme (mesoderm) could he due to the mcchanism of "negative chemotaxis". Somehow the ectodermal cells detached themselves from the ectoderm or the newly formed ectodermal cells did not become at'-ached to the ectoderm, and were left alone to form the "islet", or if organised, the "pearl" formed, So far there v/as no available evidence of having made a connection with the virus, because it occurred wherever the chorioallantoic membrane had some agent applied to it (in this case; saline, broth, virus or bacteria). Eosinophilic and hetorophilic granulocytic infil­ tration happened whenever there v/as a stimulant or foreign material which produced a degree of infiltration. ITo lympho­ cytic reaction to the viral infection was seen as in shin infection. Moreover, microscopically it was not so easy to distinguish these two hinds of cells in embryonic blood, whether or not by this infiltrative reaction, these cells played the same function as the lymphocytes did in the shin lesion remained in doubt. The edematous reaction of the chorioallantoic mem­ brane was greatly reduced five days after t’e inoculation. This was due to the course of the edema v/hich lusted only a short time because of absorption and growth of the embryo. As the chich develops v, especially ofter Id-or 15 day’s, the water content v/.is reduced. The materials used in this 3tudy were collected from 5-7 days after inoculation of the 11-day old embryo. Consequently the embryos, 16-18 days old, 'would under normal conditions, have a reduced water content. Therefore the disappearance of edema of the chorioallantoic membrane v/as the result of normal phy 3 i o1 o£i cal pro cesses. Through all those changes of the chorioallantoic membrane it was evident that cone of the tissue reactions were not specific to the virus studied; sue": as edema of the mesoderm, formation of epithelial “islets" or "pearls" and simple proliferation of ectoderm. bven heterophilic and eosinophilic granulocytic infiltration could fail into this category. This infiltrative reaction was seen in all these tissues iuc.hu&ing "controls". Also this reaction was observed in those v/hich had bacterial contamination or in those v/hich v/ere harvested aft..r virus inoculation. The only difference between these mentioned above v/as the degree of the infiltration, bacteria contaminated material had the most conspicuous infiltration; viral material the next, and the "control" section showed the least reaction. Theiincreasing numb cm* of capillaries under the ecto­ derm which was collected 5-7 days after inoculation also raised doubt as to whether or not it was a specific tissue reaction to the virus invasion. The chorioallantoic membrane functioned in a respiratory manner for the embryo; as the embryo grew, the oxygen requirement increased, llo doubt the capillaries would be increased to meet the demand for oxygen. It was also true that the older chorioallantoic membrane had more blood vessel a, u.S*. low t they were more conspicuous than the younger ones. Panohackoff (1917) had sJiovm that the ectodermal layer of the chorioallantoic membrane at 10 or 12 day old was a thin highly vasicular membrane in which a rich capillary network lay beneath or within the delicate epithelial layer. However the num­ ber of capillaries seen was tremendously 'high, much higher than in the control. one another. The capi-larios were ccntigenous to It appeared as to ..hether or not this was connected with the virus infection. Further investigation is needed to clarify this point. (4) The Fnsymatic Study. Sns,.untie study of tissue sections have been made for sc.me time, hobinson (1925) demonstrated phosphatase in bone tissue. Gomori (1929, 1941) systematically studied the distribution of enzymes in biological material. Ibac- farlane and Salaman (1958) and Hoagland et al (1942) applied it to virus work. I.abut and Furth (1941) started a series of histoohemical studios on tissue enzymes. Baurne and J.IacICinnon (1945-1944) discussed the normal distribution of alkaline phosp.ntase i:. normal tissues. (1947) worked on human skin. ?1 slier and Click Bncouraged b; all thc-oe workers the writer did this part of the investigation on contagious ecthyma virus with the chorioallantoic membrane. 64 It is imov/n tiiat virus is nucleo-protein in nature and possesses no independent metabolism. The propagation and "reproduction" of virus requires enzymic activity v/hich is definitely provided by the host cells - the sane as cello use in carrying on their ov/n metabolism. Therefore the virus may be loohed upon as an intracellular parasite. Sased on the intracellular activity of virus, on intimate relationship betv/een the enzymatic activity and the site of the virus might be expected. The location of enzymes as shown by silver deposition v/as tahen as an indication of the site of the virus or as the site of the enzymatic activity v/hich v;as influenced by the viral invasion. Since there v/ere available methods to indicate the location of the enzyme in the cell qualitatively or quantitatively, (Gomori, 1959, 1941; nab at and Furth, 1941, 1945; Lillie, 1948) further in­ formation about contagious ecthyma virus could be expected by this a.proach. In this investigation, measurement of oxidase and acid phosphatase activity did not give any significant values. These enzymes v/ere either non existent or the quantity v/as so cma.ll tiiat no evidence v/as visible under the microscope. Ilcre the failure to demonstrate acid phosphatase activity might have been due to the substrate used. Sodium-beta glycero­ phosphate (./olf, 1945) v/as substituted for sodium-alphaglycerophosphate. The solubility of the beta form of gly­ cerophosphate is relatively low and this might o.t least in this part account for the negligible phosphatase activity. 65 little is hnown about the enzymes of the chorio­ allantoic membi’ane. nevertheless some alhaline phosphatase activity v/hich is widely distributed (Ilrugelis, 1946) could be e j ected* The demonstration of such activity by the deposition of silver would contribute to the under­ standing of contagious ecthyma virus. Alhaline phosphatase activity was found to increase quantitatively in ectodermal cells and mesenchymal cells, both in the cytoplasm and in the nucleus. Pathological changes, such as enlargement of the nucleus and proliferation of the cells were accompanied by an increase of alhaline phosphatase. Evidently the activity of the enzyme is intimately related to the activity of the cell. Panielli (1945-194-6) mentioned that the amount of enzyme increased proportionally with the activity of the coll. The proliferative reaction and the intranuclear re­ actions v/ere indicative of high activity of the cell. How­ ever the question could be raised as to whether the site of silver deposition coincides with the localization of the enzyme. In support of an affirmative answer two bits of circumstantial evidence nay be presented. In the first place, the demonstration of the alhaline phosphatase v/as dependent on its action with a substrate — phosphate — the organic in presence of calcium ions which form calcium phosphate at the site of the enzyme. This was followed by the replacement of calcium by silver. Then silver compound v/as reduced by light, metallic silver deposits being readily seen under the rnici'oscope. Therefore, it was reasonable to 66 conclude that the location of the silver deposit was the place where the enzyme was localized. Secondly, if a change of enzyme site did occur, it would most likely hap,s~pen-i»*H;he-fixing- procedure, used... i n .preparing„,.the secjbions. ,. It is unlikely that such a change would take place during the staining procedure which was carried out after the tissue was fixed. The evidence, therefore, strongly supports the view that the test as carried out for alkaline phosphatase activity very li3:ely indicated the original physiological position of the enzyme, nevertheless, due to the limited amount of work done in this field of investigation (Stafford and Atkinson et al, 1948; kmmel, 1946) no positive conclusion can be drawn. SUI.IIARY The iiistopathology of the chin of sheoiD infected by contagious ecthyma, virus v/as studied. Liopsy material v;as tahen from infected areas at six hours and at intervals up to t-./enty days after infection. pathological response v/as: The characteristic proliferation, vacuolation, and ‘ballooning degeneration of the epidermal cells. Ho inclusion todies either intranuclear or inti’aplasnic v/ere found. Various routes of inoculation of ciiicJ: embryos v/ith the virus v/ere used. Inoculation of the chorioallantoic membrane produced a lesion basically similar to that of the shin of infected sheep. This established the epidermo- tropic nature of the virus. Graftings of sheep shin onto chorioallantoic membranes v/ere made and the pathological changes in the grafts v/ere almost the same as in the naturally occurring disease. Enzymatic preparations of the chorioallantoic mem­ brane v/ere studied, neither oxidase nor acid phosphatase activity v/ere demonstrable. However, alhaline phosphatase activity v/as clearly shown to increase in both the cyto­ plasm and in the nucleus of the infected cells. Rabbits and guinea pigs proved to be refractory to this virus. Goats failed to produce typical pathological changes. Clinically, the disease in sheep passed through five stages, namely, the formation progressively of macules, papules, vesicles, pustules and scabs. Fig. ..« Sheep Ho. 18. Sore mouth lesion produced experimentally eight days after scarification showing pustules with crust formation. 68 - .i. Pig. 1 Fig. 2. Sheep Ho. 18. Ventral view of Fig. 69 Pi g. 2 Pi^. Z , Sheep Ho. 12. Pour days after scarification showing the papule stage. (inner thigh) 70 FiC» £ Fig. 4. Sheep Ho. 15. Six days after inoculation showing well-developed pus­ tules on the inner thigh. 71 -r ••3"**"/**/•*'•’ .»»v fRNssfoOEDjaai W & *y. " ' ” ' -0 . $ Fig. 4 Fig. 5. Kormal epidermis of sheep shin at the non-v/oolly portion of inner thigh. 720 X. 72 Fig. 5 Fi£. 6. Scarified shir, v/ith 110 in­ oculation. (Scarified con­ trol) 125 X. 1Z t&gfr&jv&Sg&kJZ r&i&Jvu,:-?■ • % . •*.. ♦ j V ’ ** ' V ^ i T r Z i& t& A . ffpit'ft t ^ t V yd§hfe ****?*?!**' r fw * . •. 'r ^ y ^ : y: ^ £**3 - ‘;* - *r Fi£. 6 Thichening of the epidermis, showing the initial stage of the epithelial reaction at twelve hours after inoculation. 780 X. 74 Tie.* 7 Epidermal proliferation and ballooning of epithelial cells v/ith slight hyper Jeerat in ization. 135 X. 75 Fig. 8 Fig. 9. High magnification of the "bal­ looning epithelial cells. 780 X. 76 10 Vesicle formation with invasion of polymorphonuclear leukocytes, five days after inoculation. 70 78 ' •>».V '.*>«A\.?jtv £i'V/* 7i’ i«r ♦ ■*-*y •i %»,»« Pig. 11 Fig. 12. Pustule v/ith isolated epithelial clumps, seven days after inocula­ tion. 105 X. 79 M /-•'tv i »*'.*v di/4 S« 2? £ 2 m •9?■;•■£J-li-SiC 4nWH^nuHi> « •* I .- *.'' m m Fig. 12 m m Showing the epithelial layer separates the pus and lyraphcytic infiltrated area in the pustule. 720 X. 80 & &, «&?$* Fie* 1' ? u 3 t u l a r f o r m a t i o n on t o p of th e p r o l i f e r a t i v e e p i t h e l i a l cells of epidermis, four days after inoculation. 135 X. GX m ,:<"*•'* . '4 J!{’*,*_*v V Ju_« i*v *» v , ' r .. N V iyfS IS . * ilHK> \ ••v>v' "•i •'.*iC>*wj • 1 i s ssras •• •'# V i tf,•r.> ;*>! ,i ,v^7 \vjtfj. ■S..•■• •.••v'tH r; . ■ Fic* 14-- si. -:-u Fig. 15. Degenerated holocrine cell of setaceous glands, seven days after inoculation. 720 X. 82 Fie* 15 Degenerative cuboidal cells of sweat glands, seven days after inoculation. 720 X. 8Z ME St. <| wm i m m . ■y*r/£')>;■'•' r m m m t Fig. 16 Fig. 17. Pustule showing the regenerative processes, eleven days after in­ oculation. IS5 X. 84 m Fig, 17 m m Fig. 18. Organized pustular "pocK" lesion. 720 X. 85 'Am t j (An*\>> i if'i?*Vi■'*Jwj.v Fig. 18 Pig. 19. Epidermal papilla formed under heavy seal). 70 X. 3G m m n,' »r Fig. 19 m i i ; Papillary process of epidermis still present after removal of scab. 1:55 X. 87 M Fie. SO B M Eig. 2 1 , Edema of non of the sheep lowing graft membrane, 10 1.75 X. specific reaction sjcin (control) fol­ onto chorioallantoic days after graft. 88 X “i • • • F7 s:.y£fc:■;&<&$ M* ,^KSSll • •‘rfAWiVV *f ^ . v .■ •/ir?i\^Ctf vAtilv j,•.1■•~- .•#•»«•*■ *i lij, v V/ . *V Fig. 2? Pig. 24. Ballooning degeneration of epidermis with edematous swelling of sjcin graft, nine days after grafted, with slight heratinization anddegeneration of sebaceous gland3. 1?5 X. 91 m Fig. 24 u • Pig. 25. The fusion of chorioallantoic membrane with the shin graft. Entoderm at loft. IE5 X , 92 igSu6m Fig* 25 Epithelial "pearls" of ecto dermal origin in the meso­ derm of the fused chorio­ allantoic membrane, ten day after grafted. 155 X. 9Z ta g « a a W®.\ *.-V-: .. -sVSi&X I {••’:•■•-•>V], .s't ,S « * > VC*'•..*.»'■ Fi£. 26 w __ Fig. 27. The appearance of normal chorio­ allantoic membrane (lower) and cloudy infected one (upper), three day3 after inoculation. 94 Fie. 27 Fig. 28. Cystic edema of infected chorio­ allantoic membrane• 95 Fi£. 28 Fig. 29 cross section of chorio­ allantoic cerabrane of eleven day old enlryo. 70 X. K orm al 96 V ^rA:•w'.‘ m i - % .»r **< ■ -.* *P* ^ r : '9 * r ^ Fig. 50 A ' W f i * . x - . % Fig. 31. Traumatic lesion of chorioallantoic membrane v/ith edema, two days after the trauma was made. 70 X. 98 PiG* El Fig. 52. Archipelago of blood vessels • in the. mesoderm beneath the infected area of ectoderm, two days after inoculation. 155 X. t 22 I m m m kflu/WZ u $ A m 66 m m t Vacuolation and 'ballooning of the proliferated ectodermal cells of chorioallantoic mem­ brane, three days after inocul tion. 1J35 X. 100 Fig. £5 Fin^er-lUce proliferation of ecto­ derm v/itli vacuolation of ectodermal cells, four days after inoculation. 1C 5 X. 101 ^. d sjy V#r*-W ifMi Aw c-. ;.*-i. . • i s t - ' V i ^ ,-.s. Fig. £4 Finger-like proliferative' ecto­ dermal cells of Fig. S4. 720 X. 102 \ t > *4fr£'ftf V, .iiflA*$ vK T''W^':\‘V-- • v/ c>* V rmill.L* F i g. 35 Fig. 36. Entoderm showing slight degree of proliferation, vacuolation and ■ballooning, four days after inocula' tion. 70 X. 103 Fig# 36 Extensive vacuolation, ‘ballooning and proliferation of ectoderm with light degree of hyalin-like degen­ eration of the cytoplasm, four day3 after inoculation. 720 a . 104 rili., .yV1,^ -■• Fie. ?7 Showing proliferation, ballooning and vacuolation of the cells of both ectoderm and entoderm with slight degree of hyalin-like de­ generation of cytoplasm, seven day3 after inoculation. 720 X. 105 « • t. •v/*^, Fig. 58 ' f t p , * . . . .,. FiC. 159• Hyalin-lihe degeneration shown in the cytoplasm of ballooned cells, four days after inocula­ tion. 720 X. 106 Fig. 39 Fig. 40. Alkaline phosphatase activity shown by the deposits of silver in the cells of normal chorio­ allantoic membrane as control. It. is i<> »• •• •» »•* ,I •. .1 . * V. * V I. 'iW' /* ( *» 4 4S •V c ♦i* •** 'V f * * V'« M • . •• ; • »' '•< 'I » “ * j'i£. '1-0 tV/* • ft I*’ » » PiC. 41. Al3:aline phosphatase activity shown "by the deposits of sil­ ver in the cells of infected (96 hours) chorioallantoic nembrane. 108 >.v?• -•. A ,Vk* ■ M •* * \\.* •A' - i’ig. 41 BIBLIOGRAPHY Aynaud, L‘. La Stomatitis irustuleu.se Contagieuse des Cvines (Chancre du L'outon). Ann. de I ’Inst. Past., 57, .,,48.9,,,1925 (Abstracted in ,Trop.^Vet .■■»■■■■•B u l l . 64, 1924) — Bennett, S. C. J., E. S. Korean and K. A. Hasecb The Pox Diseases ol’ Sheep ar.d Goats. J. Comp. Path. & Ther., j54_:151, 1944Beveridee, I. B. arid P. K. Burnet The Cultivation of Viruses and Kickittsiae in the Chick Embryo. lied. Res. Council Spec. Kept. Series 256, His Majesty's Stationary Office, London. 1946 Blanc, G. , C. L'elanidi and T. Caminopetros Recherches Experimentals sur une Haladie Eruptine de la Chevre Observe en Greece. Ann. de l TInst. Past., _56:614, 1922 Bosivorth, T. J. and R. 3. Glover Some Observations on the Mature of Certain Diseases of Sheep. P'roc. 49th Ann. Cone. Bat. Vet. Med. 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