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What is Marek’s Disease? • A highly contagious infection in chickens caused by a specific herpes virus that results in a rapidly fatal polyclonal lymphoma. Marek's disease is a Herpes virus infection of chickens, and rarely turkeys in close association with chickens, seen worldwide. From the 1980s and 1990s highly virulent strains have become a problem in North America and Europe. Marek’s Disease Prof. Dr. Salah M. Hassan The disease has various manifestations: a) Neurological - Acute infiltration of the CNS and nerves resulting in 'floppy broiler syndrome' and transient paralysis, as well as more long-standing paralysis of legs or wings and eye lesions; b) Visceral - Tumours in heart, ovary, tests, muscles, lungs; c) Cutaneous - Tumours of feather follicles. Morbidity is 10-50% and mortality up to 100%. Mortality in an affected flock typically continues at a moderate or high rate for quite a few weeks. In 'late' Marek's the mortality can extend to 40 weeks of age. Affected birds are more susceptible to other diseases, both parasitic and bacterial. The virus survives at ambient temperature for a long time (65 weeks) when cell associated and is resistant to some disinfectants (quaternary ammonium and phenol). It is inactivated rapidly when frozen and thawed. The route of infection is usually respiratory and the disease is highly contagious being spread by infective feather-follicle dander, fomites, etc. Infected birds remain viraemic for life. Vertical transmission is not considered to be important. How does Marek’s disease virus cause a lymphoma? • An oncogenic variant of the virus enters through the respiratory route. • An early productive infection occurs in non-lymphocytic cells. (At this stage, virus can spread rapidly through a chicken population.) • The virus particles enter the lymphoid organs and causes short nonproductive latent infections, mainly in T cells. • Nonproductive infection of these T lymphoid cells leads to lymphoma formation in each infected T cell, giving rise to a polyclonal lymphoma. Signs • Paralysis of legs, wings and neck. ( Classical form , neurological form ) • Loss of weight. • Grey iris or irregular pupil. ( Ocular form , Gray eye ) • Vision impairment. • Skin around feather follicles raised and roughened. ( Skin form ). • Visceral form - Tumours in heart, ovary, tests, muscles, lungs. • Transient paralysis form, MD affected layer bird with unilateral leg paralysis displaying “sportsmanlike” posture MD lesions in liver with numerous greyishwhite coalescing tumour nodules Post-mortem lesions • Grey-white foci of neoplastic tissue in liver, spleen, kidney, lung, gonads, heart, and skeletal muscle. • Thickening of nerve trunks and loss of striation. • Microscopically - lymphoid infiltration is polymorphic. Peripheral Nerve. A-Type Lesion (Neoplastic Type), Marked Lymphoid Cell Proliferation, Absence Of Oedema. H/E, Bar = 25 Μm. Symmetrical Neoplastic Foci Of Pleomorphic Cells, Liver, Hen. H/E, Bar = 50 Μm. Acute (Visceral) Form, Liver, Hen. Lymphomatous Lesions, Mainly Consisting Of Lymphoblasts, And Small To Medium-Sized Lymphocytes. Among The Proliferate, Single Plasmatic And Reticular Cells Are Outlined. H/E, Bar = 10 Μm. Muscle Tumour, Marek’s Disease. Focal Pleomorphic Cell Proliferation. H/E, Bar = 35 Μm. Diffuse Pleomorphic Cell Proliferation In The Myocardium, Resulting In Atrophy Of Myofibrils. H/E, Bar = 35 Μm. Pleomorphic Cell Proliferation, Ovary, Hen. H/E, Bar = 25 Μm Intertubular, Pleomorphic Cell Proliferation, Testis, Cock. H/E, Bar = 30 Μm Diffuse Pleomorphic Cell Proliferation In The Proventriculus Mucous Coat (Arrow), Hen. Compression And Atrophy Of Glandular Acini. H/E, Bar = 40 Μm. Lymphoid Cell Proliferations In The Iris And Ciliary Muscles In The Ocular Form Of Marek’s Disease. H/E, Bar = 50 Μm. Diagnosis • - History, clinical signs, distribution of lesions, age affected, • - Histopathology. Differentiate from Lymphoid leukosis, botulism, deficiency of thiamine, deficiency of Ca/Phosphorus/Vitamin D, especially at the start of lay. Prevention Hygiene, all-in/all-out production, resistant strains, vaccination generally with 1500 PFU of HVT at day old (but increasingly by in-ovo application at transfer), association with other strains (SB1 Sero-type 2) and Rispen's. It is common practice to use combinations of the different vaccine types in an effort to broaden the protection achieved. Genetics can help by increasing the frequency of the B21 gene that confers increased resistance to Marek's disease challenge.