<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">veterinary</journal-id><journal-title-group><journal-title xml:lang="en">Veterinary Science Today</journal-title><trans-title-group xml:lang="ru"><trans-title>Ветеринария сегодня</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2304-196X</issn><issn pub-type="epub">2658-6959</issn><publisher><publisher-name>"Veinard"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29326/2304-196X-2025-14-2-133-139</article-id><article-id custom-type="elpub" pub-id-type="custom">veterinary-911</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS | BOVINE DISEASES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ | БОЛЕЗНИ КРУПНОГО РОГАТОГО СКОТА</subject></subj-group></article-categories><title-group><article-title>Bovine respiratory syncytial virus infection: clinical manifestations, pathogenesis and molecular epidemiology (review)</article-title><trans-title-group xml:lang="ru"><trans-title>Респираторно-синцитиальная инфекция крупного рогатого скота: особенности клинического проявления, патогенеза и молекулярной эпизоотологии (обзор)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2649-7505</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котенева</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Koteneva</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Котенева Светлана Владимировна, канд. вет. наук, ведущий научный сотрудник лаборатории биотехнологии – диагностический центр,</p><p>пос. Краснообск, Новосибирская обл., 630501.</p></bio><bio xml:lang="en"><p>Svetlana V. Koteneva, Cand. Sci. (Veterinary Medicine), Leading Researcher, Laboratory of Biotechnology – Diagnostic Center, </p><p>Krasnoobsk  630501, Novosibirsk Oblast.</p></bio><email xlink:type="simple">kotenevasv@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2006-0196</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глотов</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Glotov</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Глотов Александр Гаврилович, д-р вет. наук, профессор, главный научный сотрудник, заведующий лабораторией биотехнологии – диагностический центр,</p><p>пос. Краснообск, Новосибирская обл., 630501.</p></bio><bio xml:lang="en"><p>Alexander G. Glotov, Dr. Sci. (Veterinary Medicine), Professor, Chief Researcher, Head of the Laboratory of Biotechnology – Diagnostic Center, </p><p>Krasnoobsk  630501, Novosibirsk Oblast.</p></bio><email xlink:type="simple">glotov_vet@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3538-8749</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глотова</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Glotova</surname><given-names>T. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Глотова Татьяна Ивановна, д-р биол. наук, профессор, главный научный сотрудник лаборатории биотехнологии – диагностический центр, </p><p>пос. Краснообск, Новосибирская обл., 630501.</p></bio><bio xml:lang="en"><p>Tatyana I. Glotova, Dr. Sci. (Biology), Professor, Chief Researcher, Laboratory of Biotechnology – Diagnostic Center, </p><p>Krasnoobsk  630501, Novosibirsk Oblast.</p></bio><email xlink:type="simple">t-glotova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4181-4268</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нефедченко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nefedchenko</surname><given-names>Aleksey V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нефедченко Алексей Васильевич, д-р вет. наук, доцент, ведущий научный сотрудник лаборатории биотехнологии – диагностический центр,</p><p>пос. Краснообск, Новосибирская обл., 630501.</p></bio><bio xml:lang="en"><p>Aleksey V. Nefedchenko, Dr. Sci. (Veterinary Medicine), Associate Professor, Leading Researcher, Laboratory of Biotechnology – Diagnostic Center, </p><p>Krasnoobsk  630501, Novosibirsk Oblast.</p></bio><email xlink:type="simple">homeovet@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУН «Сибирский федеральный научный центр агробиотехнологий Российской академии наук», Институт экспериментальной ветеринарии Сибири и Дальнего Востока (ИЭВСиДВ СФНЦА РАН)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian Federal Scientific Centre of Agro-BioTechnologies of the Russian Academy of Sciences, Institute of Experimental Veterinary Science of Siberia and the Far East</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>06</month><year>2025</year></pub-date><volume>14</volume><issue>2</issue><fpage>133</fpage><lpage>139</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Koteneva S.V., Glotov A.G., Glotova T.I., Nefedchenko A.V., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Котенева С.В., Глотов А.Г., Глотова Т.И., Нефедченко А.В.</copyright-holder><copyright-holder xml:lang="en">Koteneva S.V., Glotov A.G., Glotova T.I., Nefedchenko A.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://veterinary.arriah.ru/jour/article/view/911">https://veterinary.arriah.ru/jour/article/view/911</self-uri><abstract><sec><title>Introduction</title><p>Introduction. Bovine respiratory syncytial infection is widespread in all countries of the world, including the Russian Federation. The etiologic agent is Orthopneumovirus bovis, it belongs to the family Pneumoviridae, genus Orthopneumovirus. Cattle are the main reservoir of the virus.</p></sec><sec><title>Objective</title><p>Objective. This literature review aims to summarize and give analysis of the published data on clinical manifestations, pathogenesis and molecular epidemiology of the causative agent of bovine respiratory syncytial infection.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The study is based on publications from the most authoritative domestic (eLIBRARY.RU) and foreign (Web of Science, Scopus, PubMed) sources, as well as the results of our own studies published in the literature.</p></sec><sec><title>Results</title><p>Results. Animals of all ages are susceptible to the disease, the infection is most severe in calves under 6 months of age. The incidence of the herd is on average 60–80%. The nature of the infection varies from asymptomatic and mild to severe lower respiratory tract disease, including emphysema, pulmonary edema, interstitial pneumonia and bronchopneumonia, while the mortality rate among calves can reach 20%, and in adult animals the subclinical form is more often recorded. The virus has a powerful immunomodulatory effect. Severe damage to the respiratory tract is mediated mainly by hyperactivity of the immune response, and not by the replication of the virus itself. The virus increases the susceptibility of calves to secondary infections and promotes colonization of the lower respiratory tract by bacteria. Currently, ten genetic subgroups of the virus (I–X) have been identified using phylogenetic analysis of the nucleotide sequences of the G and N genes, between which there is a geographical correlation. In regions such as the Urals, Siberia, and the Republic of Kazakhstan, isolates of the virus of genetic subgroups II and III circulate among cattle.</p></sec><sec><title>Conclusion</title><p>Conclusion. The review presents current data on the etiology, pathogenesis features and clinical manifestations of bovine respiratory syncytial infection, as well as the genetic diversity of the pathogen in the world, in the Russian Federation and the Republic of Kazakhstan.</p></sec></abstract><trans-abstract xml:lang="ru"><sec><title>Введение</title><p>Введение. Респираторно-синцитиальная инфекция крупного рогатого скота широко распространена во всех странах мира, в том числе и в Российской Федерации. Этиологический агент – Orthopneumovirus bovis, относящийся к семейству Pneumoviridae, роду Orthopneumovirus. Крупный рогатый скот – основной резервуар вируса.</p></sec><sec><title>Цель исследования</title><p>Цель исследования. Целью данного обзора литературы являлось обобщение и анализ опубликованных данных об особенностях клинического проявления, патогенеза и молекулярной эпизоотологии возбудителя респираторно-синцитиальной инфекции крупного рогатого скота.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Информационной базой для проведения исследования служили публикации из наиболее авторитетных отечественных  (eLIBRARY .RU) и иностранных (Web of Science, Scopus, PubMed) источников, а также результаты собственных исследований, опубликованных в литературе.</p></sec><sec><title>Результаты</title><p>Результаты. Заболеванию подвержены животные всех возрастов, наиболее тяжело протекает инфекция у телят в возрасте до 6 месяцев. Заболеваемость поголовья составляет в среднем 60–80%. Характер течения инфекции варьирует от бессимптомного и легкого до тяжелого заболевания нижних дыхательных путей, включая эмфизему, отек легкого, интерстициальную пневмонию и бронхопневмонию, при этом уровень смертности среди телят может достигать 20%, а у взрослых животных чаще регистрируют субклиническую форму. Вирус оказывает мощное иммуномодулирующее действие. Тяжелые повреждения дыхательных путей опосредованы в основном гиперактивностью иммунного ответа, а не самой репликацией вируса. Вирус повышает восприимчивость телят к вторичным инфекциям и способствует колонизации нижних дыхательных путей бактериями. В настоящее время с помощью филогенетического анализа нуклеотидных последовательностей генов G и N выявлено десять генетических подгрупп вируса (I–X), между которыми существует географическая корреляция. В таких регионах, как Урал, Сибирь, а также в Республике Казахстан среди крупного рогатого скота циркулируют изоляты вируса генетических подгрупп II и III.</p></sec><sec><title>Заключение</title><p>Заключение. В обзоре представлены актуальные данные об этиологии, особенностях патогенеза и клинического проявления респираторно-синцитиальной инфекции крупного рогатого скота, а также генетическом разнообразии возбудителя в мире, Российской Федерации и Республике Казахстан.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>обзор</kwd><kwd>респираторно-синцитиальная инфекция</kwd><kwd>BRSV</kwd><kwd>крупный рогатый скот</kwd><kwd>патогенез</kwd><kwd>молекулярная эпизоотология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>review</kwd><kwd>respiratory syncytial infection</kwd><kwd>BRSV</kwd><kwd>cattle</kwd><kwd>pathogenesis</kwd><kwd>molecular epidemiology</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено за счет бюджетных средств в рамках выполнения государственного задания № 0533-2021-0018 (СФНЦА РАН).</funding-statement><funding-statement xml:lang="en">The study was funded from the budget as part of the fulfillment of state task No. 0533-2021-0018 (Siberian Federal Scientific Centre of Agro-BioTechnologies, Russian Academy of Sciences).</funding-statement></funding-group></article-meta></front><body><sec><title>INTRODUCTION</title><p>Bovine respiratory syncytial infection (BRSI) is an acute, highly contagious viral disease that primarily affects the lower respiratory tract in cattle. BRSI ranks among the most significant infectious respiratory diseases in bovine populations [1-4].</p><p>According to the current classification, the causative agent of the infection is Orthopneumovirus bovis (formerly Bovine respiratory syncytial virus, BRSV) belonging to the Pneumoviridae family, genus Orthopneumovirus [<xref ref-type="bibr" rid="cit5">5</xref>]. To maintain consistency with the published literature the virus will be hereinafter referred to by its historical designation (BRSV).</p><p>BRSV was first isolated from calves during an outbreak of severe respiratory disease in Switzerland in 1969. Several surveys in the early 1980s and later confirmed that the virus is enzootic in calf populations worldwide. According to L. E. Larsen, the agent has the highest pathogenic potential of all viruses circulating in cattle [<xref ref-type="bibr" rid="cit6">6</xref>].</p><p>BRSV is related to human respiratory syncytial virus (HRSV), and they exhibit similar epidemiological, clinical and pathological manifestations [<xref ref-type="bibr" rid="cit7">7</xref>].</p><p>Cattle are the natural hosts and reservoirs of BRSV, but small ruminants may also contribute to the virus transmission [<xref ref-type="bibr" rid="cit8">8</xref>]. The infectious virus or antibodies against it were also detected in sheep, goats, alpine chamois, bison, and camelids [9-11].</p><p>BRSI has a wide geographical distribution and is reported in many countries on all continents [12-14]. The virus spreads via airborne transmission. The seroprevalence varies greatly in different geographical regions and averages 30–70%, but may reach 100% [<xref ref-type="bibr" rid="cit1">1</xref>][<xref ref-type="bibr" rid="cit15">15</xref>].</p><p>BRSV has been registered since 1975 in our country [<xref ref-type="bibr" rid="cit16">16</xref>]. According to the Russian researchers, retrospective studies across 16 regions of the Russian Federation detected seroconversion to the virus in calves of different age groups, indicating its role in respiratory pathology: one month of age (4.0% of cases), 3–4 months of age (37.5%), 4–6 months of age (52.6%) and 7–9 months of age (50.0%) [<xref ref-type="bibr" rid="cit17">17</xref>]. In Siberian farms, the BRSV seropositivity in animals averages 20–70% [<xref ref-type="bibr" rid="cit18">18</xref>]. A recent study analyzing biomaterial samples collected during mass outbreaks of acute respiratory disease in 8 regions of the Ural and Siberian Federal Districts (Russia) and the Republic of Kazakhstan found the BRSV genome in 20% of cows and 14.3% of heifers. Additionally, the virus was detected in 3.05% samples from calves under one month old and 6.7% samples from calves aged 1–6 months [<xref ref-type="bibr" rid="cit19">19</xref>].</p><p>The BRSV incidence in cattle ranges from 60 to 80%, with mortality in severe calf cases reaching up to 20% [<xref ref-type="bibr" rid="cit20">20</xref>]. Infection rates exhibit seasonal patterns, peaking during winter months. The BRSV key characteristic is its capacity to infect hosts despite the presence of virus-neutralizing antibodies, leading to recurrent infections throughout animal lifetime [<xref ref-type="bibr" rid="cit21">21</xref>].</p><p>BRSV affects cattle of all ages and breeds, though the most severe clinical manifestations typically occur in calves aged 1–6 months. In adult cattle, outbreaks primarily develop following either initial introduction of the pathogen into a seronegative herd or during reinfection events. The observed age-related resistance pattern, where adult animals demonstrate greater viral resistance than calves, likely reflects acquired immunity through repeated antigenic exposure. Clinical presentation patterns differ by herd immunity status: when BRSV is introduced to immunologically naive herds, cattle of all ages typically display clinical signs; in contrast, in herds with endemic viral circulation, clinical disease is predominantly observed in calves [<xref ref-type="bibr" rid="cit22">22</xref>].</p><p>Risk factors affecting the prevalence of infection include animal age, herd size, animal density per unit area, introduction of new animals, seasonality, high milk production, reduced natural resistance in animals and zootechnical factors [<xref ref-type="bibr" rid="cit23">23</xref>]. However, severe outbreaks may occur even in herds with optimal housing conditions, suggesting that BRSV can induce disease independently of predisposing environmental factors [<xref ref-type="bibr" rid="cit24">24</xref>].</p><p>The mechanisms enabling BRSV persistence in cattle populations remain incompletely understood. Clinically affected animals are regarded as the primary infection sources, suggesting that recurrent outbreaks most commonly result from the reintroduction of the virus into herds prior to new disease events. However, BRSV can also be isolated from asymptomatic carriers, where it may persist for months, establishing latent infections that could explain outbreaks in relatively isolated calves. The virus can also circulate at minimal levels among seropositive cows, with periodic reactivation [<xref ref-type="bibr" rid="cit1">1</xref>].</p></sec><sec><title>VIRAL GENOME CHARACTERISTICS</title><p>Orthopneumovirus bovis is an enveloped virus containing single-stranded negative RNA approximately 15,000 bp in length [<xref ref-type="bibr" rid="cit1">1</xref>]. Virions may be spherical, but are usually filamentous or pleomorphic in shape, approximately 200 nm in diameter. The viral genome encodes nine structural proteins and two non-structural proteins. The structural proteins include three enveloped glycoproteins (F, G, SH), nucleocapsid proteins (N, P, L), nucleocapsid-associated proteins (M2–1 and M2–2) and matrix protein (M) [<xref ref-type="bibr" rid="cit25">25</xref>].</p><p>The G protein mediates viral binding to host cells, while the F protein facilitates viral entry into cells, systemic spread within the host organism and formation of characteristic syncytia [<xref ref-type="bibr" rid="cit21">21</xref>].</p><p>The F protein is involved in the immune response by stimulating the production of virus-neutralizing antibodies and facilitates the penetration of viral particles into host cells, as well as mediates the fusion of infected cells to form syncytia – multinucleated giant cells. The G protein is mainly involved in receptor binding and adsorption process [<xref ref-type="bibr" rid="cit12">12</xref>]. The F and G genes play an important role in viral infectivity and are the main targets of the immune system [6, 20]. The F gene is highly conserved, and its nucleotide sequence variation is lower among BRSV isolates compared to the G gene [<xref ref-type="bibr" rid="cit26">26</xref>]. Due to its high genetic variability, the G gene can be used for the evolutionary analysis of virus strains [<xref ref-type="bibr" rid="cit7">7</xref>].</p><p>The SH protein is a short integral membrane protein. It plays an important role in inhibiting apoptosis during infection, promoting viral replication. This protein is not essential for viral replication, but is involved in evading the host immune response [<xref ref-type="bibr" rid="cit27">27</xref>].</p><p>The nucleoprotein (N) plays an important role in viral transcription and replication, acting as a scaffold for the assembly of the viral ribonucleoprotein complex. It can be expressed on the surface of infected cells early in the viral replication cycle [<xref ref-type="bibr" rid="cit28">28</xref>].</p><p>The phosphoprotein (P) acts as a regulatory factor for viral transcription and replication. The polymerase L is an RNA-dependent RNA polymerase responsible for viral transcription and replication [<xref ref-type="bibr" rid="cit20">20</xref>].</p><p>The M protein is located on the inner surface of the viral envelope and plays a role in virion assembly. Unlike other viral mRNAs, M2 mRNA is translated into two distinct proteins, M2–1 and M2–2, through a ribosome termination-dependent reinitiation mechanism. The M2, M2–1, and M2–2 gene products serve as key regulatory proteins that modulate the BRSV replication cycle. M2–1 incorporates into the ribonucleoprotein complex to facilitate viral mRNA transcription, while M2–2 regulates the transition from transcription to replication [<xref ref-type="bibr" rid="cit28">28</xref>].</p><p>The nonstructural proteins NS1 and NS2 modulate the innate immune response early in the viral replication cycle by interfering with interferon induction/signaling, dendritic cell maturation, and T-lymphocyte activation. Additionally, NS1 and NS2 inhibit apoptosis, thereby prolonging the survival of infected cells and enhancing viral production [<xref ref-type="bibr" rid="cit28">28</xref>].</p><p>Currently, BRSV is classified into four antigenic subgroups (A, B, AB, non-typeable) [<xref ref-type="bibr" rid="cit1">1</xref>] and ten genetic subgroups [<xref ref-type="bibr" rid="cit7">7</xref>][<xref ref-type="bibr" rid="cit26">26</xref>][<xref ref-type="bibr" rid="cit29">29</xref>].</p></sec><sec><title>PATHOGENESIS</title><p>Orthopneumovirus bovis demonstrates cytopathic effects in cell cultures and induces extensive bronchial epithelial damage in vivo. The virus initially infects upper respiratory tract epithelial cells, then rapidly disseminates via cell-to-cell transmission to the lower respiratory tract, where it replicates in bronchioles [<xref ref-type="bibr" rid="cit30">30</xref>]. Primary cellular targets include bronchial epithelial ciliated cells and alveolar type I pneumocytes [<xref ref-type="bibr" rid="cit31">31</xref>]. BRSV has also been reported to infect intraepithelial dendritic cells and basal epithelial cells of the conductive airways, using in vitro cultures [<xref ref-type="bibr" rid="cit32">32</xref>]. This broad cellular tropism within the respiratory tract enables efficient viral replication and systemic dissemination.</p><p>The direct pathological consequences of lytic viral replication include sloughing of necrotic epithelial cells, resulting in ciliostasis and impaired mucociliary clearance, and accumulation of exudate in the bronchioles and alveoli. The initial influx of polymorphonuclear neutrophils into the airways is rapidly replaced by a predominantly lymphomononuclear infiltration of peribronchiolar tissues and increased microvascular permeability, resulting in submucosal edema. The loss of ciliated epithelium increases the amount and viscosity of mucous secretions. Bronchiolitis, characterized by inflammation, necrosis, and obstruction of the bronchioles, leads to airway narrowing, airflow impairment, and respiratory distress. Lung consolidation occurs due to accumulation of inflammatory cells and fluid in the alveoli and bronchioles, resulting in additional respiratory distress. Interstitial pneumonia, another common pathological manifestation, develops from inflammation and thickening of the pulmonary interstitial tissue. In severe cases, the virus causes bronchiolar obstruction and alveolar damage, severely compromising the calf’s respiratory function [<xref ref-type="bibr" rid="cit25">25</xref>][<xref ref-type="bibr" rid="cit30">30</xref>].</p><p>The severity and duration of the disease depend primarily on the host immune response rather than on viral replication. Innate immune mechanisms provide the respiratory tract with the first barrier against establishment of productive infection. Subsequently, specific humoral and cellular immunity play a decisive role in eliminating the infection and mitigating its course [<xref ref-type="bibr" rid="cit30">30</xref>]. It has been established that severe BRSV disease begins at low viral load or after viral elimination and is associated with a hyperreactive immune response [<xref ref-type="bibr" rid="cit33">33</xref>]. The detection of hyaline membranes and eosinophils in the caudal lung regions, even in areas without detectable virus, further confirms the role of immune-mediated pathological processes in BRSI pathogenesis [<xref ref-type="bibr" rid="cit6">6</xref>].</p><p>The progression of infection and the immune response profile are primarily shaped by cytokine regulation patterns. BRSV employs multiple mechanisms to inhibit both innate and adaptive immune responses, negatively impacting immunological memory formation. During infection, dendritic cell functionality becomes compromised, resulting in dysregulated adaptive immunity: T-helper 1 (Th1) responses are delayed or suppressed, while Th2 cytokine production is upregulated [<xref ref-type="bibr" rid="cit25">25</xref>].</p><p>The Th1-mediated immune response involves production of type I interferons (IFNs), particularly IFN-α and IFN-β, that play a critical role in inhibiting viral replication and dissemination. Various defense mechanisms are then activated, including the expression of antiviral proteins, to interfere with viral replication and dissemination. In addition to type I IFNs, innate immune cells secrete proinflammatory cytokines and mediators such as interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α), which promote inflammation and recruitment of immune cells to the site of infection, and mediate the systemic clinical features associated with infection.</p><p>Severe infection is associated with modulation of the Th2 immune response with increased expression of Th2-promoting cytokines and elevated concentrations of BRSV-specific IgE antibodies in lymphatic fluid [<xref ref-type="bibr" rid="cit34">34</xref>]. Pathogenesis features of severe BRSV infection in calves include rapid neutrophil infiltration, excessive mucus production, delayed T cell response, expression of IL-4, IL-5, IL-10, IL-13 and IL-17 cytokines [<xref ref-type="bibr" rid="cit28">28</xref>][<xref ref-type="bibr" rid="cit35">35</xref>][<xref ref-type="bibr" rid="cit36">36</xref>].</p><p>NS1 and NS2 proteins play a crucial role in immunosuppression by inhibiting the type I IFN response and other immune system components [<xref ref-type="bibr" rid="cit33">33</xref>]. This leads to reduced antiviral immunity and diminished phagocytic activity in the lungs of infected animals, contributing to the development of bronchopneumonia [<xref ref-type="bibr" rid="cit4">4</xref>].</p><p>Despite these protective mechanisms, cattle are subject to numerous reinfections with BRSV. Subsequent infections are generally less severe but maintain circulation of the virus in the population, facilitating infection of susceptible animals [<xref ref-type="bibr" rid="cit25">25</xref>].</p><p>BRSV induces secondary bacterial infections in the lower respiratory tract, leading to the development of severe pneumonia [<xref ref-type="bibr" rid="cit37">37</xref>]. The virus enhances the adhesion of bacteria (Mannheimia haemolytica, Pasteurella multocida, Histophilus somni, Streptococcus pneumoniae, Pseudomonas aeruginosa, Trueperella pyogenes) to the epithelial cells of the respiratory tract [<xref ref-type="bibr" rid="cit18">18</xref>][<xref ref-type="bibr" rid="cit33">33</xref>][<xref ref-type="bibr" rid="cit36">36</xref>][38-43]. Studying the mechanism of bacterial superinfection caused by Pasteurella multocida after BRSV infection, P. E. Sudaryatma et al. found that bacterial adhesion to epithelial cells of the lower respiratory tract of cattle is enhanced by increased expression of the platelet activating factor receptor (PAFR) [<xref ref-type="bibr" rid="cit42">42</xref>]. Infection of bronchial and lung epithelial cells with BRSV increased adhesion of Pasteurella multocida to these cells, but did not affect the enhancement of adhesion to tracheal epithelial cells [<xref ref-type="bibr" rid="cit41">41</xref>]. The results of the studies confirmed the ability of the virus to preferentially replicate in the lower respiratory tract. McGill J. L. et al. found that coinfection with BRSV and Mannheimia haemolytica in calves results in increased expression of IL-17, IL-21 and IL-22 in the lungs and peripheral blood [<xref ref-type="bibr" rid="cit36">36</xref>].</p></sec><sec><title>CLINICAL SIGNS</title><p>The incubation period for BRSI in cattle is 2 to 5 days. In experimental studies, the onset and duration of clinical disease varied significantly, but symptoms were usually present between day 2 and 8 after infection [<xref ref-type="bibr" rid="cit44">44</xref>]. Virus replication is detected at day 2–3 after infection and continues until day 7–10 after infection. Under natural conditions, the disease can manifest in various forms – ranging from subclinical cases with minimal clinical signs to severe forms featuring pronounced respiratory lesions, dyspnea, and even animal death.</p><p>The infection may be asymptomatic, limited to the upper respiratory tract, or affect both the upper and lower respiratory tract. In mild cases involving upper respiratory tract lesions, clinical signs include cough, serous-mucous nasal discharge (rhinitis) and conjunctivitis, mildly to moderately increased respiratory rate, fever, anorexia, and lethargy. In moderate cases, affected calves exhibit a respiratory rate exceeding 80 breaths per minute, tachypnea, harsh lung sounds across most of the pulmonary fields, and a pronounced cough.</p><p>Severe infection is characterized by high fever, profound depression and marked dyspnea. Affected animals may develop acute respiratory failure accompanied by grunting expiration, open-mouth breathing with protruding tongue, neck extension, head lowering, and salivary discharge. Pulmonary emphysema and edema are consistently observed in these cases, with occasional development of subcutaneous emphysema [<xref ref-type="bibr" rid="cit6">6</xref>][<xref ref-type="bibr" rid="cit20">20</xref>][<xref ref-type="bibr" rid="cit34">34</xref>][<xref ref-type="bibr" rid="cit45">45</xref>].</p><p>Pathological changes are confined to the lungs. At necropsy, characteristic findings include interstitial pneumonia with cranioventral lung consolidation. The bronchial tree contains abundant mucopurulent exudate. Caudodorsal pulmonary regions frequently exhibit overdistension due to interlobular, lobular, and subpleural emphysema. The lungs appear grossly enlarged, with notable tissue friability. Tracheobronchial and mediastinal lymph nodes often show enlargement, edema, and occasional hemorrhage. In cases of bacterial superinfection, the parenchyma demonstrates increased edema and consolidation, with potential development of fibrinous or suppurative bronchopneumonia [<xref ref-type="bibr" rid="cit6">6</xref>][<xref ref-type="bibr" rid="cit20">20</xref>].</p></sec><sec><title>BRSV MOLECULAR EPIZOOTOLOGY</title><p>Orthopneumovirus bovis, as most RNA viruses, exhibits significant genomic heterogeneity and low replication fidelity, facilitating the development of diverse viral subpopulations within a single host [<xref ref-type="bibr" rid="cit1">1</xref>][<xref ref-type="bibr" rid="cit46">46</xref>].</p><p>Molecular genetic studies of BRSI outbreaks have demonstrated the circulation of identical viral strains among animals within single herds. During recurrent outbreaks, genomic divergence between viral strains can reach 11%, with emerging genetic variants becoming dominant [<xref ref-type="bibr" rid="cit47">47</xref>].</p><p>Molecular epizootiological studies of BRSV have revealed significant geographic correlation between viral variants and emergence of new genetic lineages [<xref ref-type="bibr" rid="cit46">46</xref>].</p><p>Currently, ten genetic subgroups of BRSV have been identified through phylogenetic analysis of G and N gene nucleotide sequences [<xref ref-type="bibr" rid="cit14">14</xref>]. Subgroup I comprises strains isolated in Europe prior to 1980 [<xref ref-type="bibr" rid="cit48">48</xref>]. This group strains were last recorded in cattle in Belgium in 1997.</p><p>Subgroup II strains circulate predominantly in Denmark, Sweden, Norway, and Japan [<xref ref-type="bibr" rid="cit7">7</xref>][<xref ref-type="bibr" rid="cit14">14</xref>][<xref ref-type="bibr" rid="cit49">49</xref>]. Subgroup III incorporates strains originating from the USA, Italy, China, and Turkey [<xref ref-type="bibr" rid="cit14">14</xref>][<xref ref-type="bibr" rid="cit46">46</xref>][<xref ref-type="bibr" rid="cit50">50</xref>]. Chang Y. et al. confirm the dominance of these strains in China [<xref ref-type="bibr" rid="cit12">12</xref>]. Subgroup IV contains two distinct subclasses: IA and IB. Subgroup IV IA includes strains isolated in England in 1971 and 1976, and IB includes those isolated in the Netherlands in the 1980s [<xref ref-type="bibr" rid="cit7">7</xref>]. Subgroups V and VI were identified in France and Belgium [<xref ref-type="bibr" rid="cit7">7</xref>][<xref ref-type="bibr" rid="cit49">49</xref>], while subgroups VII and VIII were detected in Croatia (2018) and Italy [<xref ref-type="bibr" rid="cit29">29</xref>][<xref ref-type="bibr" rid="cit46">46</xref>]. Recent surveillance has revealed two additional subgroups: IX (identified in Brazil [<xref ref-type="bibr" rid="cit51">51</xref>] and Japan) and X (found in Japan) [<xref ref-type="bibr" rid="cit26">26</xref>].</p><p>Until recently, there was no information on the genotypes of virus strains circulating in Russia. Glotov A. G. et al. were the first in our country to sequence the complete nucleotide sequence of the glycoprotein G gene of five virus isolates circulating among high-yield dairy cattle in Siberia and two vaccine strains. Based on phylogenetic analysis, it was established that the population of Siberian BRSV isolates is represented by two subgroups and one independent clade. Thus, NSO1 and NSO2 isolates recovered from calves in the Novosibirsk Oblast, were assigned to subgroup II of BRSV strains. The nucleotide similarity of these isolates with the Croatian strain was 99.09%, with the Swedish strain – 98.44%, with the Italian strain – 98.31%, and nucleotide mutations were found in the G gene sequence relative to other strains of subgroup II, leading to a number of unique amino acid substitutions. Alt3 and Alt4 isolates recovered from animals in the Altai Krai, were assigned to subgroup III. The nucleotide similarity of the Altai isolates with the Chinese strains was 98.73–97.34%. Unique amino acid substitutions were found in the sequences of isolate Alt3. A separate clade was formed by isolate K18, recovered from diseased heifers imported from Canada during an outbreak of mass respiratory disease after mixing them with local cattle, as well as the attenuated strain 375, included in the composition of two vaccines. The complete nucleotide sequences of the G glycoprotein gene obtained from BRSV isolates were deposited in the GenBank database under accession numbers OR426499–OR426505 [<xref ref-type="bibr" rid="cit19">19</xref>].</p></sec><sec><title>CONCLUSION</title><p>The analysis of the presented data allows us to conclude that BRSI is widespread in many countries worldwide, including the Russian Federation. The infection causes significant economic losses in dairy and beef cattle production due to morbidity, mortality, and treatment and prevention costs. Cattle serve as the main reservoir of BRSI. BRSV replication is restricted exclusively to the respiratory tract. The virus increases susceptibility of calves to secondary infections and facilitates bacterial colonization of the lower respiratory tract, resulting in severe pathological manifestations that progress to bronchopneumonia or fibrinous pneumonia. A characteristic feature of BRSV is its capacity to induce immunopathology. The pathogenic effect of the virus stems from an imbalanced immune response skewed toward Th2-dependent processes. The pathogen exerts potent immunosuppressive effects, which contribute to disease complications and recurrent infections.</p><p>The relatively rapid evolutionary rate leads to significant genetic and antigenic heterogeneity among field virus strains. The identification and characterization of genetically distinct BRSV subgroups circulating within regional farms, along with comprehensive studies of their antigenic properties, are crucial for implementing effective infection control measures. This includes developing precise diagnostic methods and effective vaccines to reduce economic impacts.</p><p>Given BRSV’s pronounced genetic variability, investigations into its molecular epizootology are of particular importance. Continued research on the genetic diversity of circulating BRSV strains and their pathogenic potential within our country remains essential for formulating effective immunoprophylaxis strategies against this infection.</p></sec></body><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Sarmiento-Silva R. E., Nakamura-Lopez Y., Vaughan G. Epidemiology, molecular epidemiology and evolution of bovine respiratory syncytial virus. Viruses. 2012; 4 (12): 3452–3467. https://doi.org/10.3390/v4123452</mixed-citation><mixed-citation xml:lang="en">Sarmiento-Silva R. E., Nakamura-Lopez Y., Vaughan G. Epidemiology, molecular epidemiology and evolution of bovine respiratory syncytial virus. Viruses. 2012; 4 (12): 3452–3467. https://doi.org/10.3390/v4123452</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Klem T. B., Gulliksen S. M., Lie K.-I., Løken T., Østerås O., Stokstad M. Bovine respiratory syncytial virus: infection dynamics within and between herds. Veterinary Record. 2013; 173 (19):476. https://doi.org/10.1136/vr.101936</mixed-citation><mixed-citation xml:lang="en">Klem T. B., Gulliksen S. M., Lie K.-I., Løken T., Østerås O., Stokstad M. Bovine respiratory syncytial virus: infection dynamics within and between herds. Veterinary Record. 2013; 173 (19):476. https://doi.org/10.1136/vr.101936</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Gaudino M., Nagamine B., Ducatez M. F., Meyer G. Understanding the mechanisms of viral and bacterial coinfections in bovine respiratory disease: a comprehensive literature review of experimental evidence. Veterinary Research. 2022; 53 (1):70. https://doi.org/10.1186/s13567-022-01086-1</mixed-citation><mixed-citation xml:lang="en">Gaudino M., Nagamine B., Ducatez M. F., Meyer G. Understanding the mechanisms of viral and bacterial coinfections in bovine respiratory disease: a comprehensive literature review of experimental evidence. Veterinary Research. 2022; 53 (1):70. https://doi.org/10.1186/s13567-022-01086-1</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Актуальные инфекционные болезни крупного рогатого скота: руководство. Под ред. проф. Т. И. Алипера. М.: Сельскохозяйственные технологии; 2021. 832 с.</mixed-citation><mixed-citation xml:lang="en">Current infectious diseases of cattle: A manual. Ed. by prof. Т. I. Aliper. Moscow: Sel’skokhozyaistvennye tekhnologii; 2021. 832 p. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Walker P. J., Siddell S. G., Lefkowitz E. J., Mushegian A. R., Adriaenssens E. M., Alfenas-Zerbini P., et al. Recent changes to virus taxonomy ratified by the International Committee on Taxonomy of Viruses (2022). Archives of Virology. 2022; 167 (11): 2429–2440. https://doi.org/10.1007/s00705-022-05516-5</mixed-citation><mixed-citation xml:lang="en">Walker P. J., Siddell S. G., Lefkowitz E. J., Mushegian A. R., Adriaenssens E. M., Alfenas-Zerbini P., et al. Recent changes to virus taxonomy ratified by the International Committee on Taxonomy of Viruses (2022). Archives of Virology. 2022; 167 (11): 2429–2440. https://doi.org/10.1007/s00705-022-05516-5</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Larsen L. E. Bovine respiratory syncytial virus (BRSV): a review. Acta Veterinaria Scandinavica. 2000; 41 (1): 1–24. https://doi.org/10.1186/BF03549652</mixed-citation><mixed-citation xml:lang="en">Larsen L. E. Bovine respiratory syncytial virus (BRSV): a review. Acta Veterinaria Scandinavica. 2000; 41 (1): 1–24. https://doi.org/10.1186/BF03549652</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Valarcher J. F., Schelcher F., Bourhy H. Evolution of bovine respiratory syncytial virus. Journal of Virology. 2000; 74 (22): 10714–10728. https://doi.org/10.1128/jvi.74.22.10714-10728.2000</mixed-citation><mixed-citation xml:lang="en">Valarcher J. F., Schelcher F., Bourhy H. Evolution of bovine respiratory syncytial virus. Journal of Virology. 2000; 74 (22): 10714–10728. https://doi.org/10.1128/jvi.74.22.10714-10728.2000</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Nišavić J., Milić N., Radalj A., Stanojković A., Veljović L. Laboratory diagnostics of bovine parainfluenza-3 virus, bovine herpesvirus 1, and bovine respiratory syncytial virus associated with bovine respiratory disease. Biotechnology in Animal Husbandry. 2021; 37 (1): 1–15. https://doi.org/10.2298/BAH2101001N</mixed-citation><mixed-citation xml:lang="en">Nišavić J., Milić N., Radalj A., Stanojković A., Veljović L. Laboratory diagnostics of bovine parainfluenza-3 virus, bovine herpesvirus 1, and bovine respiratory syncytial virus associated with bovine respiratory disease. Biotechnology in Animal Husbandry. 2021; 37 (1): 1–15. https://doi.org/10.2298/BAH2101001N</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Citterio C. V., Luzzago C., Sala M., Sironi G., Gatti P., Gaffuri A., Lanfranchi P. Serological study of a population of alpine chamois (Rupicapra rupicapra) affected by an outbreak of respiratory disease. Veterinary Record. 2003; 153 (19): 592–596. https://doi.org/10.1136/vr.153.19.592</mixed-citation><mixed-citation xml:lang="en">Citterio C. V., Luzzago C., Sala M., Sironi G., Gatti P., Gaffuri A., Lanfranchi P. Serological study of a population of alpine chamois (Rupicapra rupicapra) affected by an outbreak of respiratory disease. Veterinary Record. 2003; 153 (19): 592–596. https://doi.org/10.1136/vr.153.19.592</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Мищенко В. А., Думова В. В., Киселев М. Ю., Мищенко А. В. Изучение распространения вируса респираторно-синцитиальной инфекции крупного рогатого скота у жвачных животных. Ветеринарна медицина. 2011; 95: 169–170. https://elibrary.ru/smuknb</mixed-citation><mixed-citation xml:lang="en">Mischenko V. A., Dumova V. V., Kiselyov M. Yu., Mischenko A. V. Study of distribution of respiratory syncytial virus of cattle in ruminants. Veterinary Medicine. 2011; 95: 169–170. https://elibrary.ru/smuknb (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Urban-Chmiel R., Wernicki A., Stęgierska D., Marczuk J., Rola J., Socha W., Valverde Piedra J. L. Detection of BHV-1 and BRSV viruses in European bison in the Białowieża forest: a preliminary study. Journal of Applied Animal Research. 2017; 45 (1): 170–172. https://doi.org/10.1080/09712119.2015.1124335</mixed-citation><mixed-citation xml:lang="en">Urban-Chmiel R., Wernicki A., Stęgierska D., Marczuk J., Rola J., Socha W., Valverde Piedra J. L. Detection of BHV-1 and BRSV viruses in European bison in the Białowieża forest: a preliminary study. Journal of Applied Animal Research. 2017; 45 (1): 170–172. https://doi.org/10.1080/09712119.2015.1124335</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Chang Y., Yue H., Tang C. Prevalence and molecular characteristics of bovine respiratory syncytial virus in beef cattle in China. Animals. 2022; 12 (24):3511. https://doi.org/10.3390/ani12243511</mixed-citation><mixed-citation xml:lang="en">Chang Y., Yue H., Tang C. Prevalence and molecular characteristics of bovine respiratory syncytial virus in beef cattle in China. Animals. 2022; 12 (24):3511. https://doi.org/10.3390/ani12243511</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Brito B. P., Frost M. J., Anantanawat K., Jaya F., Batterham T., Djordjevic S. P., et al. Expanding the range of the respiratory infectome in Australian feedlot cattle with and without respiratory disease using metatranscriptomics. Microbiome. 2023; 11 (1):158. https://doi.org/10.1186/s40168-02301591-1</mixed-citation><mixed-citation xml:lang="en">Brito B. P., Frost M. J., Anantanawat K., Jaya F., Batterham T., Djordjevic S. P., et al. Expanding the range of the respiratory infectome in Australian feedlot cattle with and without respiratory disease using metatranscriptomics. Microbiome. 2023; 11 (1):158. https://doi.org/10.1186/s40168-02301591-1</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Aydin O., Yilmaz A., Turan N., Richt J. A., Yilmaz H. Molecular characterisation and antibody response to bovine respiratory syncytial virus in vaccinated and infected cattle in Turkey. Pathogens. 2024; 13 (4):304. https://doi.org/10.3390/pathogens13040304</mixed-citation><mixed-citation xml:lang="en">Aydin O., Yilmaz A., Turan N., Richt J. A., Yilmaz H. Molecular characterisation and antibody response to bovine respiratory syncytial virus in vaccinated and infected cattle in Turkey. Pathogens. 2024; 13 (4):304. https://doi.org/10.3390/pathogens13040304</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ohlson A., Heuer C., Lockhart C., Tråvén M., Emanuelson U., Alenius S. Risk factors for seropositivity to bovine coronavirus and bovine respiratory syncytial virus in dairy herds. Veterinary Record. 2010; 167 (6): 201–207. https://doi.org/10.1136/vr.c4119</mixed-citation><mixed-citation xml:lang="en">Ohlson A., Heuer C., Lockhart C., Tråvén M., Emanuelson U., Alenius S. Risk factors for seropositivity to bovine coronavirus and bovine respiratory syncytial virus in dairy herds. Veterinary Record. 2010; 167 (6): 201–207. https://doi.org/10.1136/vr.c4119</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Гуненков В. В., Халенев Г. А., Сюрин В. Н. Респираторно-синцитиальная вирусная инфекция. Животноводство и ветеринария. 1975; (8): 70–76.</mixed-citation><mixed-citation xml:lang="en">Gunenkov V. V., Khalenev G. A., Syurin V. N. Respiratorno-sintsitial’naya virusnaya infektsiya = Respiratory syncytial virus infection. Zhivotnovodstvo i veterinariya. 1975; (8): 70–76. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Строганова И. Я. Респираторно-синцитиальная инфекция у крупного рогатого скота. БИО. 2019; (7): 14–15. https://elibrary.ru/bndnuy</mixed-citation><mixed-citation xml:lang="en">Stroganova I. Ya. Respiratorno-sintsitial’naya infektsiya u krupnogo rogatogo skota = Bovine respiratory syncytial virus infection in cattle. BIO. 2019; (7): 14–15. https://elibrary.ru/bndnuy (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Глотов А. Г., Глотова Т. И., Котенева С. В., Нефедченко А. В., Войтова К. В. Эпизоотическая ситуация по респираторно-синцитиальной инфекции крупного рогатого скота в хозяйствах по производству молока. Ветеринария. 2010; (7): 21–25. https://elibrary.ru/msrezd</mixed-citation><mixed-citation xml:lang="en">Glotov A. G., Glotova T. I., Koteneva S. V., Nefedchenko A. V., Voitova K. V. Features of epidemiological situation on bovine respiratory syncytial virus infection (BRSV) in dairy farms. Veterinariya. 2010; (7): 21–25. https://elibrary.ru/msrezd (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Глотов А. Г., Южаков А. Г., Глотова Т. И., Нефедченко А. В., Котенева С. В., Комина А. К., Жукова Е. В. Частота выявления от больных животных и генетический полиморфизм сибирских изолятов респираторно-синцитиального вируса крупного рогатого скота (Pneumoviridae: Orthopneumovirus; BRSV), выявленных на территориях Уральского и Сибирского федеральных округов РФ и Республики Казахстан. Вопросы вирусологии. 2024; 69 (1): 76–87. https://doi.org/10.36233/0507-4088-216</mixed-citation><mixed-citation xml:lang="en">Glotov A. G., Yuzhakov A. G., Glotova T. I., Nefedchenko A. V., Koteneva S. V., Komina A. K., Zhukova E. V. Occurrence in sick animals and genetic heterogeneity of Siberian isolates of bovine respiratory syncytial virus (Pneumoviridae: Orthopneumovirus; BRSV) identified in the territories of the Ural, Siberian Federal District and the Republic of Kazakhstan. Problems of Virology. 2024; 69 (1): 76–87. https://doi.org/10.36233/0507-4088-216 (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Valarcher J.-F., Taylor G. Bovine respiratory syncytial virus infection. Veterinary Research. 2007; 38 (2): 153–180. https://doi.org/10.1051/vetres:2006053</mixed-citation><mixed-citation xml:lang="en">Valarcher J.-F., Taylor G. Bovine respiratory syncytial virus infection. Veterinary Research. 2007; 38 (2): 153–180. https://doi.org/10.1051/vetres:2006053</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Valentova V. The antigenic and genetic variability of bovine respiratory syncytial virus with emphasis on the G protein. Veterinární Medicína. 2003; 48 (9): 254–266. https://doi.org/10.17221/5778-VETMED</mixed-citation><mixed-citation xml:lang="en">Valentova V. The antigenic and genetic variability of bovine respiratory syncytial virus with emphasis on the G protein. Veterinární Medicína. 2003; 48 (9): 254–266. https://doi.org/10.17221/5778-VETMED</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Van der Poel W. H. M., Brand A., Kramps J. A., Van Oirschot J. T. Respiratory syncytial virus infections in human beings and in cattle. Journal of Infectious. 1994; 29 (2): 215–228. https://doi.org/10.1016/s0163-4453(94)90866-4</mixed-citation><mixed-citation xml:lang="en">Van der Poel W. H. M., Brand A., Kramps J. A., Van Oirschot J. T. Respiratory syncytial virus infections in human beings and in cattle. Journal of Infectious. 1994; 29 (2): 215–228. https://doi.org/10.1016/s0163-4453(94)90866-4</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Werid G. M., Wubshet A. K., Araya T. T., Miller D., Hemmatzadeh F., Reichel M. P., Petrovski K. Detection of bovine respiratory syncytial virus in cattle: a systematic review and meta-analysis. Ruminants. 2024; 4 (4): 491–514. https://doi.org/10.3390/ruminants4040035</mixed-citation><mixed-citation xml:lang="en">Werid G. M., Wubshet A. K., Araya T. T., Miller D., Hemmatzadeh F., Reichel M. P., Petrovski K. Detection of bovine respiratory syncytial virus in cattle: a systematic review and meta-analysis. Ruminants. 2024; 4 (4): 491–514. https://doi.org/10.3390/ruminants4040035</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Baker J. C., Ames T. R., Werdin R. E. Seroepizootiologic study of bovine respiratory syncytial virus in a beef herd. American Journal of Veterinary Research. 1986; 47 (2): 246–253. https://pubmed.ncbi.nlm.nih.gov/3954199</mixed-citation><mixed-citation xml:lang="en">Baker J. C., Ames T. R., Werdin R. E. Seroepizootiologic study of bovine respiratory syncytial virus in a beef herd. American Journal of Veterinary Research. 1986; 47 (2): 246–253. https://pubmed.ncbi.nlm.nih.gov/3954199</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Da Silva Barcelos L., Ford A. K., Frühauf M. I., Botton N. Y., Fischer G., Maggioli M. F. Interactions between bovine respiratory syncytial virus and cattle: aspects of pathogenesis and immunity. Viruses. 2024; 16 (11):1753. https://doi.org/10.3390/v16111753</mixed-citation><mixed-citation xml:lang="en">Da Silva Barcelos L., Ford A. K., Frühauf M. I., Botton N. Y., Fischer G., Maggioli M. F. Interactions between bovine respiratory syncytial virus and cattle: aspects of pathogenesis and immunity. Viruses. 2024; 16 (11):1753. https://doi.org/10.3390/v16111753</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Kumagai A., Kawauchi K., Andoh K., Hatama S. Sequence and unique phylogeny of G genes of bovine respiratory syncytial viruses circulating in Japan. Journal of Veterinary Diagnostic Investigation. 2021; 33 (1): 162–166. https://doi.org/10.1177/1040638720975364</mixed-citation><mixed-citation xml:lang="en">Kumagai A., Kawauchi K., Andoh K., Hatama S. Sequence and unique phylogeny of G genes of bovine respiratory syncytial viruses circulating in Japan. Journal of Veterinary Diagnostic Investigation. 2021; 33 (1): 162–166. https://doi.org/10.1177/1040638720975364</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Fuentes S., Tran K. C., Luthra P., Teng M. N., He B. Function of the respiratory syncytial virus small hydrophobic protein. Journal of Virology. 2007; 81 (15): 8361–8366. https://doi.org/10.1128/JVI.02717-06</mixed-citation><mixed-citation xml:lang="en">Fuentes S., Tran K. C., Luthra P., Teng M. N., He B. Function of the respiratory syncytial virus small hydrophobic protein. Journal of Virology. 2007; 81 (15): 8361–8366. https://doi.org/10.1128/JVI.02717-06</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Espinoza J. A., Bohmwald K., Céspedes P. F., Riedel C. A., Bueno S. M., Kalergis A. M. Modulation of host adaptive immunity by hRSV proteins. Virulence. 2014; 5 (7): 740–751. https://doi.org/10.4161/viru.32225</mixed-citation><mixed-citation xml:lang="en">Espinoza J. A., Bohmwald K., Céspedes P. F., Riedel C. A., Bueno S. M., Kalergis A. M. Modulation of host adaptive immunity by hRSV proteins. Virulence. 2014; 5 (7): 740–751. https://doi.org/10.4161/viru.32225</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Krešic N., Bedeković T., Brnić D., Šimić I., Lojkić I., Turk N. Genetic analysis of bovine respiratory syncytial virus in Croatia. Comparative Immunology, Microbiology and Infectious Diseases. 2018; 58: 52–57. https://doi.org/10.1016/j.cimid.2018.09.004</mixed-citation><mixed-citation xml:lang="en">Krešic N., Bedeković T., Brnić D., Šimić I., Lojkić I., Turk N. Genetic analysis of bovine respiratory syncytial virus in Croatia. Comparative Immunology, Microbiology and Infectious Diseases. 2018; 58: 52–57. https://doi.org/10.1016/j.cimid.2018.09.004</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Piedimonte G., Perez М. К. Respiratory syncytial virus infection and bronchiolitis. Pediatrics in Review. 2014; 35 (12): 519–530. https://doi.org/10.1542/pir.35-12-519</mixed-citation><mixed-citation xml:lang="en">Piedimonte G., Perez М. К. Respiratory syncytial virus infection and bronchiolitis. Pediatrics in Review. 2014; 35 (12): 519–530. https://doi.org/10.1542/pir.35-12-519</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Piedimonte G. RSV infections: State of the art. Cleveland Clinic Journal of Medicine. 2015; 82 (11, Suppl. 1): S13–S18. https://doi.org/10.3949/ccjm.82.s1.03</mixed-citation><mixed-citation xml:lang="en">Piedimonte G. RSV infections: State of the art. Cleveland Clinic Journal of Medicine. 2015; 82 (11, Suppl. 1): S13–S18. https://doi.org/10.3949/ccjm.82.s1.03</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Persson B. D., Jaffe A. B., Fearns R., Danahay H. Respiratory syncytial virus can infect basal cells and alter human airway epithelial differentiation. PLoS ONE. 2014; 9 (7):e102368. https://doi.org/10.1371/journal.pone.0102368</mixed-citation><mixed-citation xml:lang="en">Persson B. D., Jaffe A. B., Fearns R., Danahay H. Respiratory syncytial virus can infect basal cells and alter human airway epithelial differentiation. PLoS ONE. 2014; 9 (7):e102368. https://doi.org/10.1371/journal.pone.0102368</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Shang Z., Tan S., Ma D. Respiratory syncytial virus: from pathogenesis to potential therapeutic strategies. International Journal of Biological Sciences. 2021; 17 (14): 4073–4091. https://doi.org/10.7150/ijbs.64762</mixed-citation><mixed-citation xml:lang="en">Shang Z., Tan S., Ma D. Respiratory syncytial virus: from pathogenesis to potential therapeutic strategies. International Journal of Biological Sciences. 2021; 17 (14): 4073–4091. https://doi.org/10.7150/ijbs.64762</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Gershwin L. J. Immunology of bovine respiratory syncytial virus infection of cattle. Comparative Immunology, Microbiology and Infectious Diseases. 2012; 35 (3): 253–257. https://doi.org/10.1016/j.cimid.2012.01.005</mixed-citation><mixed-citation xml:lang="en">Gershwin L. J. Immunology of bovine respiratory syncytial virus infection of cattle. Comparative Immunology, Microbiology and Infectious Diseases. 2012; 35 (3): 253–257. https://doi.org/10.1016/j.cimid.2012.01.005</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Ozkanlar Y., Aktaş M. S., Kaynar O., Ozkanlar S., Kirecci E., Yildiz L. Bovine respiratory disease in naturally infected calves: clinical signs, blood gases and cytokine response. Revue de Medecine Veterinaire. 2012; 163 (3): 123–130. http://www.revmedvet.com/2012/RMV163_123_130.pdf</mixed-citation><mixed-citation xml:lang="en">Ozkanlar Y., Aktaş M. S., Kaynar O., Ozkanlar S., Kirecci E., Yildiz L. Bovine respiratory disease in naturally infected calves: clinical signs, blood gases and cytokine response. Revue de Medecine Veterinaire. 2012; 163 (3): 123–130. http://www.revmedvet.com/2012/RMV163_123_130.pdf</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">McGill J. L., Rusk R. A., Guerra-Maupome M., Briggs R. E., Sacco R. E. Bovine gamma delta T cells contribute to exacerbated IL-17 production in response to co-infection with bovine RSV and Mannheimia haemolytica. PLoS ONE. 2016; 11 (3):e0151083. https://doi.org/10.1371/journal.pone.0151083</mixed-citation><mixed-citation xml:lang="en">McGill J. L., Rusk R. A., Guerra-Maupome M., Briggs R. E., Sacco R. E. Bovine gamma delta T cells contribute to exacerbated IL-17 production in response to co-infection with bovine RSV and Mannheimia haemolytica. PLoS ONE. 2016; 11 (3):e0151083. https://doi.org/10.1371/journal.pone.0151083</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Brodersen B. W. Bovine respiratory syncytial virus. Veterinary Clinics of North America: Food Animal Practice. 2010; 26 (2): 323–333. https://doi.org/10.1016/j.cvfa.2010.04.010</mixed-citation><mixed-citation xml:lang="en">Brodersen B. W. Bovine respiratory syncytial virus. Veterinary Clinics of North America: Food Animal Practice. 2010; 26 (2): 323–333. https://doi.org/10.1016/j.cvfa.2010.04.010</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Agnes J. T., Zekarias B., Shao M., Anderson M. L., Gershwin L. J., Corbeil L. B. Bovine respiratory syncytial virus and Histophilus somni interaction at the alveolar barrier. Infection and Immunity. 2013; 81 (7): 2592–2597. https://doi.org/10.1128/IAI.00108-13</mixed-citation><mixed-citation xml:lang="en">Agnes J. T., Zekarias B., Shao M., Anderson M. L., Gershwin L. J., Corbeil L. B. Bovine respiratory syncytial virus and Histophilus somni interaction at the alveolar barrier. Infection and Immunity. 2013; 81 (7): 2592–2597. https://doi.org/10.1128/IAI.00108-13</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Hendaus M. A., Jomha F. A., Alhammadi A. H. Virus-induced secondary bacterial infection: a concise review. Therapeutics and Clinical Risk Management. 2015; 11: 1265–1271. https://doi.org/10.2147/TCRM.S87789</mixed-citation><mixed-citation xml:lang="en">Hendaus M. A., Jomha F. A., Alhammadi A. H. Virus-induced secondary bacterial infection: a concise review. Therapeutics and Clinical Risk Management. 2015; 11: 1265–1271. https://doi.org/10.2147/TCRM.S87789</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Headley S. A., Balbo L. C., Alfieri A. F., Saut J. P. E., Baptista A. L., Alfieri A. A. Bovine respiratory disease associated with Histophilus somni and bovine respiratory syncytial virus in a beef cattle feedlot from Southeastern Brazil. Semina: Ciências Agrárias, Londrina. 2017; 38 (1): 283–294. https://doi.org/10.5433/1679-0359.2017v38n1p283</mixed-citation><mixed-citation xml:lang="en">Headley S. A., Balbo L. C., Alfieri A. F., Saut J. P. E., Baptista A. L., Alfieri A. A. Bovine respiratory disease associated with Histophilus somni and bovine respiratory syncytial virus in a beef cattle feedlot from Southeastern Brazil. Semina: Ciências Agrárias, Londrina. 2017; 38 (1): 283–294. https://doi.org/10.5433/1679-0359.2017v38n1p283</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Sudaryatma P. E., Mekata H., Kubo M., Subangkit M., Goto Y., Okabayashi T. Co-infection of epithelial cells established from the upper and lower bovine respiratory tract with bovine respiratory syncytial virus and bacteria. Veterinary Microbiology. 2019; 235: 80–85. https://doi.org/10.1016/j.vetmic.2019.06.010</mixed-citation><mixed-citation xml:lang="en">Sudaryatma P. E., Mekata H., Kubo M., Subangkit M., Goto Y., Okabayashi T. Co-infection of epithelial cells established from the upper and lower bovine respiratory tract with bovine respiratory syncytial virus and bacteria. Veterinary Microbiology. 2019; 235: 80–85. https://doi.org/10.1016/j.vetmic.2019.06.010</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Sudaryatma P. E., Saito A., Mekata H., Kubo M., Fahkrajang W., Mazimpaka E., Okabayashi T. Bovine respiratory syncytial virus enhances the adherence of Pasteurella multocida to bovine lower respiratory tract epithelial cells by upregulating the platelet-activating factor receptor. Frontiers in Microbiology. 2020; 11:1676. https://doi.org/10.3389/fmicb.2020.01676</mixed-citation><mixed-citation xml:lang="en">Sudaryatma P. E., Saito A., Mekata H., Kubo M., Fahkrajang W., Mazimpaka E., Okabayashi T. Bovine respiratory syncytial virus enhances the adherence of Pasteurella multocida to bovine lower respiratory tract epithelial cells by upregulating the platelet-activating factor receptor. Frontiers in Microbiology. 2020; 11:1676. https://doi.org/10.3389/fmicb.2020.01676</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Yamamoto S., Okumura S., Kоbayashi R., Maeda Y., Takahashi F., Tanabe T. Bovine respiratory syncytial virus enhances the attachment of Trueperella pyogenes to cells. Journal of Veterinary Medical Science. 2024; 86 (10): 1068–1075. https://doi.org/10.1292/jvms.24-0068</mixed-citation><mixed-citation xml:lang="en">Yamamoto S., Okumura S., Kоbayashi R., Maeda Y., Takahashi F., Tanabe T. Bovine respiratory syncytial virus enhances the attachment of Trueperella pyogenes to cells. Journal of Veterinary Medical Science. 2024; 86 (10): 1068–1075. https://doi.org/10.1292/jvms.24-0068</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Belknap E. B., Ciszewski D. K., Baker J. C. Experimental respiratory syncytial virus infection in calves and lambs. Journal of Veterinary Diagnostic Investigation. 1995; 7 (2): 285–298. https://doi.org/10.1177/104063879500700226</mixed-citation><mixed-citation xml:lang="en">Belknap E. B., Ciszewski D. K., Baker J. C. Experimental respiratory syncytial virus infection in calves and lambs. Journal of Veterinary Diagnostic Investigation. 1995; 7 (2): 285–298. https://doi.org/10.1177/104063879500700226</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Sacco R. E., McGill J. L., Pillatzki A. E., Palmer M. V., Ackermann M. R. Respiratory syncytial virus infection in cattle. Veterinary Pathology. 2014; 51 (2): 427–436. https://doi.org/10.1177/0300985813501341</mixed-citation><mixed-citation xml:lang="en">Sacco R. E., McGill J. L., Pillatzki A. E., Palmer M. V., Ackermann M. R. Respiratory syncytial virus infection in cattle. Veterinary Pathology. 2014; 51 (2): 427–436. https://doi.org/10.1177/0300985813501341</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Bertolotti L., Giammarioli M., Rosati S. Genetic characterization of bovine respiratory syncytial virus strains isolated in Italy: evidence for the circulation of new divergent clades. Journal of Veterinary Diagnostic Investigation. 2018; 30 (2): 300–304. https://doi.org/10.1177/1040638717746202</mixed-citation><mixed-citation xml:lang="en">Bertolotti L., Giammarioli M., Rosati S. Genetic characterization of bovine respiratory syncytial virus strains isolated in Italy: evidence for the circulation of new divergent clades. Journal of Veterinary Diagnostic Investigation. 2018; 30 (2): 300–304. https://doi.org/10.1177/1040638717746202</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Larsen L. E., Tjørnehøj K., Viuff B. Extensive sequence divergence among bovine respiratory syncytial viruses isolated during recurrent outbreaks in closed herds. Journal of Clinical Microbiology. 2000; 38 (11): 4222–4227. https://doi.org/10.1128/jcm.38.11.4222-4227.2000</mixed-citation><mixed-citation xml:lang="en">Larsen L. E., Tjørnehøj K., Viuff B. Extensive sequence divergence among bovine respiratory syncytial viruses isolated during recurrent outbreaks in closed herds. Journal of Clinical Microbiology. 2000; 38 (11): 4222–4227. https://doi.org/10.1128/jcm.38.11.4222-4227.2000</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Stott E. J., Taylor G. Respiratory syncytial virus: brief review. Archives of Virology. 1985; 84: 1–52. https://doi.org/10.1007/BF01310552</mixed-citation><mixed-citation xml:lang="en">Stott E. J., Taylor G. Respiratory syncytial virus: brief review. Archives of Virology. 1985; 84: 1–52. https://doi.org/10.1007/BF01310552</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Valentova V., Antonis A., Kovarcik K. Restriction enzyme analysis of RT-PCR amplicons as a rapid method for detection of genetic diversity among bovine respiratory syncytial virus isolates. Veterinary Microbiology. 2005; 108 (1–2): 1–12. https://doi.org/10.1016/j.vetmic.2005.02.008</mixed-citation><mixed-citation xml:lang="en">Valentova V., Antonis A., Kovarcik K. Restriction enzyme analysis of RT-PCR amplicons as a rapid method for detection of genetic diversity among bovine respiratory syncytial virus isolates. Veterinary Microbiology. 2005; 108 (1–2): 1–12. https://doi.org/10.1016/j.vetmic.2005.02.008</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Ince Ö. B., Şevik M., Özgür E. G., Sait A. Risk factors and genetic characterization of bovine respiratory syncytial virus in the inner Aegean Region, Turkey. Tropical Animal Health and Production. 2022; 54 (1):4. https://doi.org/10.1007/s11250-021-03022-5</mixed-citation><mixed-citation xml:lang="en">Ince Ö. B., Şevik M., Özgür E. G., Sait A. Risk factors and genetic characterization of bovine respiratory syncytial virus in the inner Aegean Region, Turkey. Tropical Animal Health and Production. 2022; 54 (1):4. https://doi.org/10.1007/s11250-021-03022-5</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Leme R. A., Dall Agnol A. M., Balbo L. C., Pereira F. L., Possatti F., Alfieri A. F., Alfieri A. A. Molecular characterization of Brazilian wild-type strains of bovine respiratory syncytial virus reveals genetic diversity and a putative new subgroup of the virus. Veterinary Quarterly. 2020; 40 (1): 83–96. https://doi.org/10.1080/01652176.2020.1733704</mixed-citation><mixed-citation xml:lang="en">Leme R. A., Dall Agnol A. M., Balbo L. C., Pereira F. L., Possatti F., Alfieri A. F., Alfieri A. A. Molecular characterization of Brazilian wild-type strains of bovine respiratory syncytial virus reveals genetic diversity and a putative new subgroup of the virus. Veterinary Quarterly. 2020; 40 (1): 83–96. https://doi.org/10.1080/01652176.2020.1733704</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
