CAB International 2018. Bovine Tuberculosis
(eds M. Chambers, S. Gordon, F. Olea-Popelka, P. Barrow) 191
* Email: [email protected]
13.1 Introduction
Bovine tuberculosis (bovine TB) is a zoonotic
infection in cattle caused by the intracellular
bacterium, Mycobacterium bovis that belongs to
the Mycobacterium tuberculosis complex (MTB
complex), a group of related mycobacteria that
cause TB in mammals. Bovine TB is the most
prevalent infectious disease of dairy cattle
worldwide (Cosivi et al., 1998), causing a con-
servative annual loss of about US$3 billion
(Palmer et al., 2007). In the USA, the eradication
programme of bovine TB uses a test-and-
slaughter strategy that cost about $38 million
between 1917 and 1992; the current pro-
grammes cost approximately $3.5–4 million
annually (Charles and Theon, 2006).
Cattle of all ages are susceptible to infection
with M. bovis; however, older animals appear to
have greater susceptibility (Mackay and Hein,
1989; Thoen and Bloom, 1995; Munroe et al.,
2000). In most cases, M. bovis infection primar-
ily leads to a subclinical disease (95%) with rapid
onset in only 5% of the exposed animals. Thus,
detection of subclinical infected animals with
progressing granulomatous infection is critical
in the control and eradication of bovine TB.
Current USDA surveillance for bovine TB is a
laborious multistep procedure involving the
caudal fold test (CFT) and the comparative cervi-
cal test (CCT) or γ-interferon release assays. The
current diagnostics are problematic: CFT lacks
specificity for M. bovis and fails to detect all dis-
eased cattle, while the γ-interferon assay is costly
and requires blood samples to be processed
within 24 hours of collection. Moreover, early
detection of subclinical infection by serological
tests is hindered, since the humoral immune
response in bovine TB occurs at a late stage of
disease progression. Early diagnosis of bovine TB
is essential to prevent substantial losses of valu-
able resources, monetary and production losses,
as well as to minimize the risk of human infec-
tion. Thus, there is a need to develop a low cost-
effective, early detection assay for bovine TB.
Host macrophages are the main site for
M. bovis infection in cattle. Infection is mainly
transmitted via aerosols that are inhaled into the
respiratory tract, and gross lesions involve gran-
uloma formation in lungs and thoracic lymph
nodes (Thoen and Bloem, 1995). The biology of
the granuloma involves intense cellular and bio-
logical activity at the site of infection leading to
‘leakage’ of RNA, DNA and proteins into circula-
tion that may serve as biomarker(s) for early
detection of bovine TB. Recent advances in
13 Biomarkers in the Diagnosis
of Mycobacterium tuberculosis
Complex Infections
Sylvia I. Wanzala^1 and Srinand Sreevatsan2,*
(^1) Department of Pathobiology and Diagnostic Investigation, Michigan State University,
East Lansing, Michigan, USA;^2 Department of Veterinary Population Medicine,
College of Veterinary Medicine, University of Minnesota, St Paul, Minnesota, USA