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Modern approaches to diagnosis and prevention of porcine reproductive and respiratory syndrome (review)

https://doi.org/10.29326/2304-196X-2025-14-2-114-122

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Abstract

Introduction. Porcine reproductive and respiratory syndrome (PRRS), caused by a virus from the family Arteriviridae, is one of the most economically significant porcine diseases in many countries. The disease is mainly manifested by reproductive disorders in sows, i.e. abortions in late pregnancy, early or delayed farrowing, birth of weak or non-viable piglets, irregular estrus; pathologies in early and middle pregnancy are less often reported. Piglets and fattening pigs have respiratory distress syndrome: coughing, sneezing, dyspnea and stunted growth. In addition, infection with PRRS virus undermines respiratory immunity, which makes the infected pigs more susceptible to secondary infections and increases mortality in the herd. This review provides up-to-date information on the current laboratory diagnostic tools and recent data on specific PRRS prevention and gives information on the promising biotechnological platforms that can be used to design new-generation vaccines.

Objective. To consider and summarize modern approaches to diagnosis and prevention of porcine reproductive and respiratory syndrome.

Materials and methods. Scientific publications of foreign and domestic authors served as the material for the research.

Results. The paper presents nosological characteristics of the disease, explores distinctive features of its clinical manifestations and epizootiology; analyzes structure of the pathogen’s genome. This review describes and evaluates laboratory diagnostic techniques (both conventional and modern); currently available anti-PRRS vaccines and novel biotech platforms enabling to design safer and more effective next-generation vaccines. There are three major challenges in vaccine development at the current stage of PRRS pathogenesis research: insufficient understanding of immune protection mechanisms, the virus’s ability to induce negative regulatory signals for the immune system, and the pathogen’s high antigenic variability.

Conclusion. PRRS virus strains exhibit significant genetic and antigenic heterogeneity and frequently undergo recombination, which exacerbates the challenges of epizootiology, disease prevention, and control. Further in-depth study of host immune response characteristics, along with identification of T- and B-cell epitopes in the pathogen structure, will enable rational design of genetically engineered vaccines.

For citations:


Nikolaeva Yu.A. Modern approaches to diagnosis and prevention of porcine reproductive and respiratory syndrome (review). Veterinary Science Today. 2025;14(2):114-122. https://doi.org/10.29326/2304-196X-2025-14-2-114-122

INTRODUCTION

Porcine reproductive and respiratory syndrome (PRRS) caused by the porcine reproductive and respiratory syndrome (PRRS) virus (Betaarterivirus types 1 and 2) is one of the most economically significant porcine diseases in many countries of the world: the global annual damage associated with this infection is estimated at more than 600 million US dollars. First outbreaks of the unknown disease were reported in the USA and Western Europe in the late 1980s and early 1990s, turning into a pandemic a few years later [1][2]. Sows exhibited such reproductive failures as abortions, fetal mummification, stillbirths or birth of non-viable offspring, and growing piglets – respiratory manifestations (dyspnea, coughing and hyperthermia) [3] As it was established in the Netherlands in 1991, and later in the USA (in 1992), the disease was caused by the previously unknown RNA-containing virus. The disease came to be known as “porcine reproductive and respiratory syndrome” [4]. Retrospective research suggested that antibodies to PRRS pathogen had been detected before 1979 in Eastern Canada and in the mid-1980s in Iowa [5], but the viruses themselves were not identified. Presumably there were several critical epizootic milestones in the history of PRRS virus (PRRSV) dissimination, and therefore the origin of some strains, in particular from the cluster associated with MN184 strain [6], causing “acute PRRS” or “abortion storm” [7], and some highly pathogenic Chinese strains, remains unknown [8]. In Russia, the first PRRS outbreak was reported in 1991 following abortions in sows on the farms of the Kursk Oblast [9]. In 2007, during a PRRS outbreak in the Irkutsk Oblast, American genotype PRRSV-2 was isolated [10].

The causative agent is PRRSV, which is a small, enveloped positive-sense single-stranded RNA virus belonging to the genus Betaarterivirus, family Arteriviridae, order Nidovirales [11]. PRRSV strains are classified as PRRSV type 1 (European genotype – EU-like) and PRRSV type 2 (North American genotype – NA-like). The virus genome is characterized by high variability even if compared to other RNA viruses. Since the virus RNA-dependent RNA-polymerase lacks proofreading activity, the virus undergoes frequent mutations and recombination events resulting in occurrence of new virus isolates worldwide [12]. Having a length of about 14.9–15.5 kb, the viral genome contains at least 11 open reading frames (ORFs) with a 5’ cap and 3’ polyadenylated tail [13]. Non-structural proteins (nsp 1–12), which have the functions of protease, replicase, regulation of gene expression of the host cell and are responsible for the viral RNA synthesis, are encoded by ORF1a and ORF1b, which occupy approximately two thirds of the genome [14]. Structural proteins – capsid protein (N), membrane protein (M), glycoproteins GP2, GP3, GP4, GP5, and envelope protein (E) – are expressed by subgenomic RNA and encoded by ORF2–7 [15]. Differences in nucleotide sequences of most conserved (ORF7 gene encoding capsid protein N) and variable (ORF5 gene encoding major glycoprotein GP5) form the basis of the current PRRSV genotyping system [16].

Despite multiple sequences deposited in databases, none of the existing classification systems covers diversity of the existing PRRSV variants [17]. Incomplete coverage of the available data and lack of reference sequences are the main shortcomings of the applied genotyping techniques [18]. In 2010, a phylogenetic lineage-based PRRSV typing system was proposed [19]. According to this system, PRRSV-1 strains are grouped into four subtypes (subtype 1 – global, subtype 1 – Russian, subtypes 2 and 3), and PRRSV-2 strains are grouped into nine lineages (lineage 1 – lineage 9) based on phylogenetic relationships in the ORF5 region [20][21]. Both genotypes, divided into clades, lineages, and sub-strains, exhibit high genetic diversity and possess approximately 60% nucleotide sequence identity [22][23] (Table 1).

 

Table 1

PRRS virus genotypes and their known representatives [24-28]

Genotype

Known representatives, GenBank ID

PRRSV-1 (European genotype – EU-like)

Subtype 1 (global)

strain Lelystad (NC_043487.1), Netherlands

Subtype 1 (Russian)

strain WestSib13 (KX668221.1), Russia

Subtype 2

strain Bor (JN651734.1), Belarus

Subtype 3

strain SU1-Bel (KP889243.1), Belarus

PRRSV-2 (North American genotype – NA-like)

Lineage 1

strain NADC30 (MH500776.1), China

Lineage 3

strain QYYZ (JQ308798.1), China

Lineage 5

strain VR-2332 (AY150564.1), USA

Lineage 8

isolates JXA1 (AY032626.1), CH-1a (EF112445.1), China

The objective of this analytical study was to review and summarize current approaches to the laboratory diagnosis and specific prevention of PRRS.

EPIDEMIOLOGY OF PRRS IN THE RUSSIAN FEDERATION

In the nomenclature of the World Organisation for Animal Health, PRRS is classified as a socially and economically significant disease [10]. According to the information provided, infection caused by PRRSV-2 is of greater epidemic importance, since viremia in animals infected with the strains of this genotype was more pronounced and prolonged than in those ones infected with PRRSV-1 [29]. PRRSV-1-1 isolates, including the so-called Russian group of viruses, PRRSV-1-2 and PRRSV-1-3 differ significantly in pathogenicity [3]. The phylogenetic analysis indicates that the European type of virus, mainly belonging to subtype 1 (Russian), is predominantly prevalent in Russia [29]. Most PRRSV-1 strains can be attributed to the Russian group; a small number of circulating strains homologous to Lelystad strain are probably associated with the use of attenuated vaccines based on PRRSV-1 [30]. However, during the PRRS outbreak in the Central Federal District in 2020, in addition to the viruses from the Russian group previously detected in these regions, Lelystad-like viruses were also detected [9][31]. A virus phylogenetically closely related to this type was identified in Poland in 2010 [32]; this indicates that new PRRSV variants from Europe are still introduced into Russia. Until the mid-2000s, the North American PRRSV genotype had not been registered in Russia, but in 2007 an outbreak was recorded in the Irkutsk Oblast caused by high pathogenicity PRRSV-2, presumably brought in from China [33]. In addition, there is information about detection of PRRSV-2 in the Republic of Mordovia, Belgorod and Kemerovo Oblasts [3, 9, 34]. The origin of American strain introduction to the Russian territory has not been identified, but it is assumed that they could have been introduced, for example, from Denmark, where PRRSV-2 circulates and from where breeding animals are imported [9].

NOSOLOGICAL PROFILE OF PRRS

The disease is mainly manifested by reproductive disorders in sows, i.e. abortions in late pregnancy, early or delayed farrowing, birth of weak or non-viable piglets, irregular estrus; pathologies in early and middle pregnancy are less often reported [35][36]. The primary cause of the reproductive disorders is virus-induced damage to the placenta and endometrium. Piglets and fattening pigs have respiratory distress syndrome: coughing, sneezing, dyspnea and stunted growth. In addition, PRRSV infection undermines respiratory immunity, which makes infected pigs more susceptible to secondary infections; as a result, bacterial pathogens manifest themselves in association with the viruses, thus, increasing livestock mortality [37]. The young animals are more susceptible to PRRSV than the adults are, while replacement boars and sows often suffer from subclinical infection [38].

LABORATORY DIAGNOSTICS

The main methods used for PRRS diagnostics are given in Table 2.

 

Table 2

Methods for diagnosing PRRS [3][37]

Method

Principle of diagnosis

Peculiarities

Virus isolaton

Culture method

Use of alveolar macrophage cell cultures.

Virus isolation may not be effective, since not all isolates (especially PRRSV-1) are capable of infecting MARC-145 and CL-2621 cells-clones derived from MA-104 monkey kidney cell line [39]

Serological methods

Enzyme-linked immunosorbent assay (ELISA)

Based on detection of virus-specific antibodies using a diagnostic antigen. Most commonly used antibody detection method has been adapted to detect IgG, IgM, and IgA [40]

Commercial kits are available to determine serological status of pigs both in blood serum and in oral fluid used as a test object (test kits for detecting antibodies to PRRSV: “PRRS-SEROTEST”, “PRRS-SEROTEST plus”, Vetbiohim, Russia)

Immunofluorescence assay (IFA)

Based on detection of the viral antigen using specific antibodies labeled with a fluorescent dye. Specific fluorescence shall be observed in infected cells with the positive control serum. It is also designed to detect IgG, IgM and IgA [41]

IFA effectiveness depends on the quality of the labeled diagnostic antibodies and the test conditions. It is important to properly prepare samples and control tests that ensure reliability of the results

Virus neutralization test (VNT)

Based on the neutralization of the virus by antibodies of a specific serum. Used to detect functional antibodies related to the immune defense

According to the published sources, virus-neutralizing antibodies can be detected only on day 45 after infection, because antibody synthesis takes time. At early infection stages, antibody levels may be insufficient for detection. Thus, VNT may be ineffective at the initial stages of infection. The test has high specificity and sensitivity, which makes it one of the most reliable tests for detecting virus-neutralizing antibodies

Immunoperoxidase monolayer assay (IPMA)

Based on the use of fixed permissive line cells infected with the corresponding virus to detect specific antibodies. Used for detection of IgG isotype antibodies [42]

Сan recognise a number of PRRSV variants, including field and vaccine strains; its sensitivity and specificity are comparable to those of RT-PCR. The most suitable method for early detection and monitoring of virus circulation

Molecular and genetic methods

Real-time reverse transcription polymerase chain reaction (RT-PCR)

Based on detection of viral genome fragments. The advantages of RT-PCR are high sensitivity and specificity, as well as rapid assessment of the current infection status

This method does not differentiate inactivated virus from infectious virus.

Available commercial test kits: “Test system ‘PRRS’ for detecting RNA and genotyping the porcine reproductive and respiratory syndrome virus (PRRSV) using polymerase chain reaction (PCR)” (developed by the Central Research Institute of Epidemiology, Rospotrebnadzor, Russia; “PCR-PRRS-FACTOR” (VET FACTOR, Russia); “AmpliPrime® PRRS” (NextBio, Russia)

ORF5 sequencing

Based on the molecular and genetic typing of PRRS virus isolates. Analysis of the ORF5 fragment nucleotide sequences revealed significant genetic variability of the pathogen [43]. In 2010, a method for PRRSV typing based on phylogenetic relationships in the ORF5 region was proposed [22], which later became conventional

No reliable data are available on correlation between the phylogenetic groups based on ORF5 sequences and pathogenicity or cross-protection, therefore this approach is not suitable for assessing virulence of the virus strains

ORF7 sequencing

The ORF7 sequence is widely used to determine genetic variations and phylogenetic relationships between different strains of PRRSV, which indicates the important role of ORF7 in the pathogen evolution [23]

The reason for selecting ORF7 as the sequencing region is the conserved nature of this gene. The method has several advantages: it can detect both genotypes of the virus, is fast, inexpensive, sensitive, and can detect new sublineages and subgenotypes. Thus, the method is a promising tool for diagnosis and epizootological surveillance

Morphological techniques

Immunohistochemical method

Based on detection of specific antigens in formalin-fixed tissues. Allows visualization of the antigen alongside with histological lesions

This method enables virus identification at lesion sites; establishes cause and effect relationship, detects varying viral concentrations. It is less sensitive than PCR; there are certain requirements for sample preparation

Fluorescent in situ hybridization (FISH)

It is based on the use of DNA probes that bind to complementary targets in a sample. It is suitable for screening virus-infected tissues containing a relatively small number of affected cells

Although in situ hybridization is rarely used for diagnostic purposes, it is capable of detecting and differentiating PRRSV genotypes in formalin-fixed tissues. Sensitivity and specificity of this method for detecting PRRSV genome may be insufficient due to high genetic diversity of the virus, especially PRRSV-1. The method is useful for studying viral persistence and for routine diagnosis of PRRS

SPECIFIC PREVENTION

No ideal anti-PRRS vaccine has been developed so far. According to the modern requirements for a new generation of vaccines against PRRS, they shall demonstrate high efficacy, safety, and at the same time ensure cross-protection against different genotypes of the virus [44]. Due to the exceptional ability of PRRS to mutate and generate significant genetic variations, development of a broadly protective vaccine is particularly crucial for combating constantly emerging disease outbreaks [45].

The first commercially available modified live attenuated anti-PRRS vaccine (PRRSV-MLV) was released in the USA, in 1994. This event became a starting point for the vaccine large-scale safety and efficacy tests [46]. A significant number of conventional (live and inactivated) vaccines have been developed by now; their brief description is given in Table 3.

Studies demonstrating circulation and persistence of the vaccine virus, in turn, raise concerns about its safety: viremia implies potential transmission of the vaccine virus to non-infected animals. In addition, the vaccine virus can cross the placental barrier in pregnant sows and infect developing fetuses, resulting in the pathogen transmission to uninfected newborn piglets during lactation. It has also been shown that vaccine strains are able to recombine with field strains, creating potentially new genetically distinct variants of PRRSV on individual farms [51]. For these reasons, efficacy of live attenuated vaccines is somewhat controversial, and it is generally recognized that their safety needs to be improved. In this context, DIVA strategy (differentiation of infected from vaccinated animals) will be of great importance for control and possible eradication of PRRS [52][53]. Epizootological and regulatory considerations indicate the need to develop anti-PRRS DIVA vaccine, which will be characterized by a negative marker (that is, a marker absent in the vaccine strain, but permanently present in wild-type strains). Similar candidate vaccines have been developed on the platform of large DNA viruses such as pseudorabies virus (PRV) and bovine herpesvirus type 1 (BHV-1) by deleting genes encoding some structural proteins. However, in case of a small RNA virus such as PRRSV, which encodes only a few proteins with basic functions, the creation of a mutant virus with a deletion of the immunodominant and conserved protein segments (or with a combination of deletions within a single protein or even in different proteins) seems to be a more difficult task. Nevertheless, this approach may become a promising alternative for development of a live attenuated marker vaccine against PRRS [8].

 

Table 3

Commercial vaccines against PRRS

Vaccine name (developer)

Region

where it is used

Genotype (strain)

Efficacy

Live vaccines [47][48]

Ingelvac® PRRS MLV

(Boehringer Ingelheim, Germany)

Africa, Asia, Europe, North America, South America

PRRSV-2 (VR-2332)

Induces protection against homologous isolates, but limited cross-protection against heterologous strains. The efficacy of these vaccines is considered insufficient to eradicate the disease on farms: large-scale PRRS outbreaks were reported on farms where vaccination is practiced. Use of live modified anti-PRRS vaccines can be a problem, since the vaccine virus can be excreted for 2 weeks and may revert to a virulent form

Ingelvac® PRRS ATP

(Boehringer Ingelheim, Germany)

Asia, Europe, North America

PRRSV-2 (JA-142)

Fostera® PRRS

(Zoetis, USA)

Africa, Asia, Europe, North America

PRRSV-2 (P129)

Prime Pac® PRRS

(MSD Animal Health, Netherlands)

Africa, Asia, Europe, North America

PRRSV-2 (Neb-1)

Prevacent® PRRS

(Elanco Animal Health Inc., USA)

Asia, Europe, North America

PRRSV-2 (RFLP 184)

Unistrain® PRRS

(Laboratorios Hipra, S.A., Spain)

Africa, Asia, Europe

PRRSV-1 (VP-046 BIS)

ReproCyc® PRRS EU

(Boehringer Ingelheim, Germany)

Africa, Asia, Europe

PRRSV-1 (94881)

Pyrsvac-183®

(Laboratorios Syva S.A., Spain)

Asia, Europe

PRRSV-1 (ALL-183)

Suvaxyn® PRRS MLV

(Zoetis, USA)

Europe

PRRSV-1 (96V198)

ARRIAH-PRRS

(Federal Centre for Animal Health, Russia)

Russia

PRRSV-2 (attenuated strain BD-DEP)

ARRIAH-ResursVak (Federal Centre for Animal Health, Russia)

Russia

PRRSV-1 (attenuated strain Borz)

Resvak (Shchelkovo biocombinat, Russia)

Russia

PRRSV-1 (strain PRRS-1SBC)

Inactivated vaccines [49][50]

SUIPRAVAC® PRRS

(Laboratorios Hipra, S.A., Spain)

Europe

PRRSV (VP-046 BIS)

Inactivated vaccines induce a weaker and shorter immune response and are often ineffective against heterologous strains, but they are more stable and less sensitive to storage conditions, and are safe for use in pregnant sows

PROGRESSIS®

(Merial, France)

Europe

PRRSV-1 (P120)

SUIVAC® PRRS-INe / SUIVAC® PRRS-IN

(Dyntec, Czech Republic)

Europe

PRRSV-1

(VD-E1/VD-E2/VD-A1)

Biosuis PRRS inact Eu+Am (Bioveta, Inc., Czech Republic)

Europe, Russia

PRRSV-1 (European strain MSV Bio-60, American strain MSV Bio-61)

ARRIAH-PRRS Inact (Federal Centre for Animal Health, Russia)

Russia

PRRSV-1 (strain KPR-96)

PRRS-FREE

(Reber Genetics, Co. Ltd, China)

Asia, Russia

PRRSV-1, PRRSV-2 (antigens PE-PQAB-K13, PE-RSAB-K13, PE-DGD-K13, PE-M12-K13)

VERRES-PRRS (Vetbiochim LLC, Russia)

Russia

PRRSV-1 (strain OB); recombinant proteins M and GP-5 PRRSV-1 (strain Tyu16)

ARRIAH-RePovak (Federal Centre for Animal Health, Russia)

Russia

PRRSV-1 (strain KPR-96)

ARRIAH-Aujeszky’s+PRRS (Federal Centre for Animal Health, Russia)

Russia

PRRSV-1 (strain KPR-96)

PROMISING BIOTECHNOLOGICAL PLATFORMS FOR CREATING CANDIDATE VACCINES

Table 4 provides main characteristics of some candidate vaccines against PRRS, developed on various biotechnological platforms.

 

Table 4

Candidate vaccines against PRRS

Name of the vaccine candidate

Method of preparation, protective characteristics

Deletion mutant vCSL1-GP5-N44S

Obtained by substituting the 44th amino acid in ectodomain of GP5 protein, serine-to-asparagine substitution. In an in vivo trial, no side effects were observed in piglets immunized with vCSL1-GP5-N44S; the vaccine induced high levels of neutralizing antibodies post infection [54]

Attenuated strain A2MC2-P90

Obtained after in vitro attenuation of PRRSV-A2MC2 after 90 serial passages in MARC-145 cells. The resulting strain A2MC2-P90 retained its ability to induce IFN in cell culture. A2MC2-P90 ensured 100% protection for vaccinated piglets against lethal infection with extremely virulent HP-BPCC-XJA1 strain, while non-vaccinated piglets demonstrated 100% mortality rate by day 21 post infection [55]

Chimeric virus

vCSL1-GP5-N33D

Сhimeric vaccine candidate based on PRRSV-2 expressing hypoglycosylated GP-5. It was used on PRRSV-affected farms; it induced neutralizing antibodies in high titers 8 weeks after the vaccination [56]

Chimeric virus

VR2385-S3456

S3456 fragment contains full-length gene sequences encoding structural proteins (ORF3-6) embedded in PRSSV strain VR2385 genome. Induced a high level of neutralizing antibodies against two heterologous strains [57]

Chimeric virus

K418DM1.1

A chimeric virus with genomic basis of FL12 infectious clone of highly virulent American PRRSV, containing genes of structural proteins of PRRSV-2 strain LMY. K418 was further modified by deglycosylation of GP5 and exhibited strong immunogenicity. No reversion to the virulent state was observed [58]

Chimeric virus

rJS-ORF2-6-CON

The backbone consisted of a consensus sequence ORF2-6 (ORF2-6-CON), encoding all enveloped proteins, developed on the basis of 30 currently circulating PRRSV Chinese isolates. Chimeric virus rJS-ORF2-6-CON was created using avirulent infection clone HP-PRRSV2 JSTZ1712-12. In vivo test results have shown that the virus is not pathogenic to piglets and provides cross-protection against heterologous strains [45]

Chimeric virus

rTGEV-GP5-N46S-M

The backbone was the porcine transmissible gastroenteritis virus co-expressing GP5 proteins (except for the first glycosylation site) and M. After double immunization of piglets, virus neutralizing antibodies were found; the in vivo efficacy of the vaccine was also confirmed following challenge with the PRRSV/Olot91 strain. The disadvantage is instability of the recombinant virus: GP5 expression decreased during 8–10 passages [59]

CONCLUSION

Thus, at the current stage of PRRS pathogenesis study, three major challenges in developing more efficient next-generation vaccines can be identified: insufficient understanding of immune protection mechanisms, the virus’s ability to induce negative regulatory signals for the immune system and its substantial antigenic variability [59]. In particular, the last factor is the reason behind poor efficacy of the existing vaccines against heterologous infection. Further in-depth analysis of the host’s immune response, as well as the identification of T- and B-cell epitopes in PRRSV structure, will ensure rational design of genetically engineered vaccines and ultimately attaining the optimal safety-efficacy profile.

 

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About the Author

Yu. A. Nikolaeva
Federal Center for Toxicological, Radiation and Biological Safety
Russian Federation

Yulia A. Nikolaeva, Junior Researcher, Laboratory of Viral Anthropozoonoses, 

Nauchnyi gorodok-2, Kazan 420075, Republic of Tatarstan.



Review

For citations:


Nikolaeva Yu.A. Modern approaches to diagnosis and prevention of porcine reproductive and respiratory syndrome (review). Veterinary Science Today. 2025;14(2):114-122. https://doi.org/10.29326/2304-196X-2025-14-2-114-122

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