FELINE LEUKEMIA VIRUS = Felv
Feline Leukemia is a retrovirus
that is responsible for more deaths in cats than any other
single cause
that destroys the cat's immune system. There are ways of protecting
a cat from
this virus and it is also an
easily detectable virus, but once the disease infects, chances
of survival are small.
Feline Leukemia is spread through the saliva, tears, and blood.
It is also believed to be
transferred through sexual contact, but there is no proof for this.
There is also some worry about
it being transferred by mosquitoes. This may be possible,
because the virus has been
found on the mouth parts of mosquitoes, and needs only
0.01 ml of blood to be
transferred.
Outdoor cats also are almost
three times as likely to get the virus as indoor with
outdoor cats having
a 20.4% chance and indoor only 7.5%. A cat stands a 17% chance of
surviving past 3.5 years once being infected.
There are three strains of FeLV
A, B, and C with all infections containing FeLV A strain.
There has never
been a case of viremia from FeLV B or C without strain A.
There are six phases to a FeLV
infection.
PHASE
1 is when the virus enters the cat usually through the pharynx where it
infects the
epithelial cells and infects the tonsillar
B lymphocytes and macrophages. These white blood
cells then filter down to the
lymph nodes and begin to replicate.
PHASE
2 the virus enters the blood stream and begins to distribute throughout
the body.
PHASE
3 starts when the lymphoid system becomes infected with further
distribution
throughout the body.
PHASE
4 is the main point in the infection where the virus can take over the
body's immune
system cause viremia. During this phase the hemolymphatic
system and intestines become
infected. If the cat's immune system does not
fight off the virus then it goes onto phase 5
where the bone marrow
becomes infected. In this phase the virus replicates and is released
4-7
days later as infected neutrophils, platetes, and sometimes lymphocytes,
monocytes, and
eosinophils. At this stage the cat's body is overwhelmed by
infection and mucosal and
glandular epithelial cells become infected. It
replicates in epithelial tissues, including salivary
glands, oropharynx,
stomach, esophagus, intestine, trachae, nasopharynx, renal tubules,
bladder, pancreas, alveolar ducts, and sebaceous ducts from the muzzle. It
is surprisingly,
not released by the parenchyml cells of adrenal, testes,
or eyes although it still excretes through
urine which is where sexual
transmission would possibly occur from. In this phase the
cat's
immune system can limit or eliminate the virus. About 40% of cats
extinguish the virus with
16% of these fighting it off due to minimal
exposure to the virus because of their isolated
behavior and the other 24%
resist the disease.
All of this usually occurs
between 16-18 weeks after the FeLV infection began.
About 20% of the cats
put the disease in a latent stage. The disease will remain in this
latent
stage until the cat becomes stressed and then FeLV will re-emerge. About
5-10%
of cats go through a sequestered stage in which viremia
is limited, intermittent, or absent
altogether. However the cat can
still shed the virus through blood, urine, and in its milk.
This leaves a total of about
30% of cats that just go through the disease from start to
finish normally resulting in
death.
Testing your
cat is important, because a viremic cat may seem healthy but its immune
system
can be so suppressed that even a weak virus can initiate a disease.
The cat would also still be
shedding the virus and transmitting it to
other cats. There are three tests the IFA, ELISA,
and VI tests. Indirect Immunefluorescence Assay (IFA) looks for
structural antigens in
cytoplasm of FeLV cells and was the first practical
diagnosis test for any animal retrovirus.
VI test measures the number of
replicating FeLV particles in plasma, serum, saliva, urine,
tissue fluids,
tissue homogenates, or spent tissue culture medium. IFA and IV are the
best
tests with a correlation of 98% between the two. Enzyme-Linked Immunosorbent Assay
(ELISA) tests for soluble
p27 in serum, saliva, tears, tissue, fluid, or solubized tissue
homogenates. The overall agreement of the ELISA and IFA
is 49%, but it has same
day results where the others
take 10-14 days and are very expensive.
Vaccination is by far the best
protection from the disease and to be effective a booster
should be given
every year. Proof of why vaccines are so important is when a cat is
exposed
to FeLV, fights it off developing antibodies, and then is
reexposed only three years later with
the exact same virus, only 50% of
the cats fought it off. Kittens do not need vaccination
until around 8
weeks because they get antibodies from their mother, assuming the mother
has them, from her colostrum that don't deteriorate until 8-12 weeks
later. Colostrum is the
initial milk that the mother gives her kittens and
it passes lots of antibodies to her litter that
stay for 8-12 weeks when
the kitten gets their own immune system developed enough.
There are three
types of vaccines recombinant gp70 protein vaccine, cell cultures
supernatant, and about 9 other killed whole viruses. These are all very
effective and a
cat vaccinated from one vaccine one year can get a booster
from another and they will not
interfere with each other. One of the
vaccines, GenetiVacFeLV was the one of the first
recombinant viral vaccines for
any retrovirus in animals or humans.
There was also a little bit
about cats that are actually genetically resistant to the disease.
The
only confirmed genetic resistance was in about 25% of the cats have
lymphocytes that
bind and replicate FeLV virus
poorly compared to the other 75% that bind and replicate
normally. There was also
mention on a certain gene that prevented retroviruses from
replicating directly.
Treatment is possible but
should be under strict quarantine procedures until the very unlikely
reversal of the disease, death, or euthanasia is performed. Whether
treatment should be done
is a highly debatable subject. The median age for
a healthy cat to survive is two years and
euthanasia is often done towards
the end to avoid suffering. During this period the cat has the
potential
to spread the virus to other cats that it may accidentally come in contact
with
even under correct precautions. There is always the remote
possibility that a cat will recover
from the disease the only way to
ensure this is to test the cat using the IFA method and
getting a negative
result. Once you obtain a positive result the cat should remain on
quarantine until another consecutive test at least three months apart.
Even after supposed
recovery, testing the cat every 6 to 12 months to
ensure that the virus does not reoccur.
Any contact anyone has with the
infected cat afterwards they should wash thoroughly
and any outer clothing
removed and washed. Some people may choose to let their cat come
in contact with their other
household cats kept indoors. This is a bad idea, but if the cats
have remained in contact with the FeLV positive cat and
have not caught the virus they have
only a 10-15% chance of
catching the virus. Never let the cat roam outdoors, due to
possible exposure of other
cats. The two sides to this are whether a cat should have the
chance to
live out its life with the disease and possibly spread the disease or to euthanize
the cat. The argument against
the euthanasia alternative is that we let people with AIDS
live out the rest of their life
with not even a quarantine restriction.
If euthanasia is not chosen,
then their are some preventive measures that should be made to
help the
cat live out the rest of its life. One big factor is to reduce the stress
level of the cat
such as, high population density, change of environment,
surgeries, or any number of things.
Frequent washing of the living area of
the cat to help reduce the amount of any viruses,
fungi, or bacteria that
the cat may come in contact with. It is necessary to supply the cat
with
highly nutritious food. Performing a fecal examination every three months
to detect
any internal parasites is also suggested. Vaccination with
killed products against
herpesvirus-1, calicivirus infections,
panleukopenia, and rabies virus is recommended.
Feline Leukemia is probably the
most dangerous virus for cats. By testing, vaccinations,
and monitoring of
any FeLV positive cats it should be possible to bring the disease down
to a controllable level. With
proper vaccinations eradication of this disease can happen,
but it will take responsible
pet owners and proper education by Veterinarians to achieve this
goal. A
few cats recover from FeLV, however it is most often fatal.
There is no connection
between feline leukemia and human leukemia. The vaccine is given in two
doses,
three weeks apart and then a yearly booster.
**FOR
MORE INFO**
Feline
Leukemia Virus FAQ
Winn Feline Foundation
Max's House
Science Education
Animal Health Forum
Animal
Clinic
Miller Roth's FeLV+ Fact Sheet
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