Viral Load, Clinical Disease Severity and Cellular Immune Responses in Primary Varicella Zoster Virus Infection in Sri Lanka

BACKGROUND: In Sri Lanka, varicella zoster virus (VZV) is typically acquired during adulthood with significant associated disease morbidity and mortality. T cells are believed to be important in the control of VZV replication and in the prevention of reactivation. The relationship between viral load, disease severity and cellular immune responses in primary VZV infection has not been well studied. METHODOLOGY: We used IFNgamma ELISpot assays and MHC class II tetramers based on VZV gE and IE63 epitopes, together with quantitative real time PCR assays to compare the frequency and phenotype of specific T cells with virological and clinical outcomes in 34 adult Sri Lankan individuals with primary VZV infection. PRINCIPAL FINDINGS: Viral loads were found to be significantly higher in patients with moderate to severe infection compared to those with mild infection (p<0.001) and were significantly higher in those over 25 years of age (P<0.01). A significant inverse correlation was seen between the viral loads and the ex vivo IFNgamma ELISpot responses of patients (P<0.001, r = -0.85). VZV-specific CD4+ T cells expressed markers of intermediate differentiation and activation. CONCLUSIONS: Overall, these data show that increased clinical severity in Sri Lankan adults with primary VZV infection associates with higher viral load and reduced viral specific T cell responses

Effects of Dietary Zinc Oxide and a Blend of Organic Acids on Broiler Live Performance, Carcass Traits, and Serum Parameters

ABSTRACT This experiment was carried out to evaluate the effect of different dietary supplementation levels of zinc oxide and of an organic acid blend on broiler performance, carcass traits, and serum parameters. A total of 2400 one-day-old male Ross 308 broiler chicks, with average initial body weight 44.21±0.19g, was distributed according to a completely randomized design in a 2 x 3 factorial arrangement. Six treatments, consisting of diets containing two zinc oxide levels (0 and 0.01% of the diet) and three organic acid blend levels (0, 0.15, and 0.30%) were applied, with eight replicates of 50 birds each. The experimental diets were supplied ad libitum for 42 days. There were significant performance differences among birds fed the different zinc oxide and organic acid blend levels until 42 d of age (p<0.01). The result of this experiment showed that the organic acid blend did not affect feed intake, but zinc oxide increased feed intake. Carcass traits were not influenced by the experimental supplements. Zinc oxide supplementation increased serum alkaline phosphatase level (p<0.01). The organic acid blend reduced serum cholesterol and triglyceride levels (p<0.05). No interactions were found between zinc oxide and the organic acid blend for none of the evaluated parameters. We concluded that zinc oxide and the evaluated organic acid blend improve broiler performance