FIP Summary
FIP Summary
FIP Summary
• Kittens can make IgM antibody and mount cell-mediated immune responses —Dr. Niels Pedersen
from birth.
• IgG and IgA antibodies are absorbed from colostrum during first few
hours of life.
• Passive systemic immunity results from IgG and IgA from colostrum.
• Passive local immunity is derived from IgG and IgA antibodies in the milk.
• Passive systemic and local immunity protect kittens until their immune
system matures.
• IgG and IgA production does not start until passive antibody protection is gone
(six to eight weeks of age).
• Kittens’ immune systems do not reach adult levels until 12 to 16 weeks of age.
• Sudden loss of activity, lethargy, anorexia, weight loss —Dr. Elizabeth Colleran
• Failure to thrive (smaller than normal, poor hair coat, thin)
• Cyclical (waxing/waning), antibiotic-unresponsive fever
• Recent stressful event (vaccinations, surgery, new home, relinquished to a shelter or foster home, other illnesses, etc.)
• Physical exam and presence of signs associated with FIP: jaundice, ascites (abdominal distension) or pleural fluid (dyspnea),
uveitis or retinitis (may be unilateral), neurologic signs (ataxia, seizures, weakness), palpable abdominal masses
* The odds of making a diagnosis of FIP with minimal diagnostic testing depends on the clinician’s level of experience with the disease. Although FIP is one
of the most important infectious diseases of cats, the average veterinary practitioner may not see many cases unless they are working closely with shelters,
rescue groups, and/or breeders, or their practice is feline exclusive. The more difficult cases are often seen by specialists or university hospitals.
TREATING FIP
• There are only two ways cats diagnosed with FIP can be cured:
• Find a way to stimulate a protective immune response.
• Completely inhibit FIPV replication long enough to clear the virus from
macrophages and/or to allow host immunity to develop.
• Symptomatic care (only to sustain life):
• Nutrition: high-protein (animal meat), low-carbohydrate diet
• Appetite stimulants
• Fluid therapy support
• Drain effusions only if necessary to prevent dyspnea or discomfort
• Prednisolone (low dose) to decrease inflammation and improve appetite
• Antibiotics are frequently given but have no significant effect on virus
infections (doxycycline has been reported to have antiviral activity for
several viruses)
• Immunostimulants:
• Feline interferon omega—no evidence of efficacy
• Polyprenyl immunostimulant—there is some evidence of efficacy in 8%
of dry FIP cases when used as a sole treatment10,11
• Non-specific antiviral compounds: Several drugs and biologics inhibit viral
An accurate diagnosis and replication by inhibiting normal cellular processes that are usurped by viruses
starting treatment as soon to aid in their replication. However, effective viral inhibition cannot be achieved
as possible are paramount to without significant cellular toxicity.
giving any cat with FIP the best • Itraconazole, cyclosporine, chloroquine, several antibiotics, and many
chance to live and be cured. plant extracts
—Susan Gingrich, • Antiviral drugs specifically targeting viral proteins (the treatment of choice):12
Bria Fund founder • RNA transcription inhibitors (nucleoside analogs)—GS-44152413
• 3CL viral protease inhibitors—GC-37614,15
PREVENTING FIP
Vaccination
• The reputation for failure of previous vaccines has slowed the process of
vaccine development.
• Growing virus in cell culture is critical to vaccine development. Of the two
serotypes, Type I is most common in North America but Type II is easier to While a single-dose vaccine that
grow and more common in Asia.16 induces strong lifelong immunity
• Vaccine development has also been hampered by the inability to grow FECV is the most desirable, it may be
Serotype I, so the current vaccine is directed against the less common and more efficient to tailor a vaccine
less pathogenic Serotype II. to an intended use, such as a
• Vaccine-induced antibody-dependent enhancement, in which the presence strong, rapidly effective vaccine
of specific antibodies can be beneficial to the virus, is a concern. This occurs with short duration of immunity
when the vaccine induces a sub-neutralizing antibody response instead for shelter environments, where
of a sterilizing response. One possible route to an effective vaccine is to exposure is brief.
reengineer the attenuated virus to induce stronger immunity. —Dr. Gregg Dean
Immunity
• Strong immune response and virus elimination may occur for only a period
of time.
• FECV does NOT induce durable immunity. Immunity wanes and cats
become susceptible again.
• Passive maternal antibodies are highly protective and may be useful in
creating more durable immunity.
There’s an immune response • Innate cellular immunity is required, which in turn requires growing FECV
Serotype I in cell culture for vaccine development.
that seems to possibly eliminate
the virus maybe for some period
of time, but the immunity wanes Genetic Resistance or Susceptibility
and cats are susceptible again.
• 11% of cats develop the FIP biotype mutations, but only a fraction of
—Dr. Gregg Dean those become sick. Identifying the genetic component for this is crucial.
• While pedigreed cats have increased susceptibility, it appears that all cats
of a particular breed do not seem to be susceptible. Rather, particular
Is there a genetic reason why lineages within a breed have high susceptibility.
11% of cats infected with FIP • The reverse must then be true—there are lineages that have genetic resistance.
virus don’t eventually go on to • There may be an interferon gamma gene that could be a marker for
develop FIP? increased risk.
—Dr. Leslie Lyons • Other markers may also exist, given the complexity of this disease.
MULTI-CAT ENVIRONMENTS
Shelters What is the best way to care for
kittens in catteries, shelters, and
• In well-run shelters today, FIP is not a common problem.
rescues to minimize FIP losses?
• A well-functioning shelter should see less than 1% FIP cases (fewer than
—Dr. Niels Pedersen12
ten cases per 1,000 cats).
• Shelters should balance intake with healthy outcomes by reduced crowding,
thus decreasing virus shedding and exposure to infectious disease.
• One study showed that FECV shedding increased millions-fold in some cats
after a week in the shelter.3
• Developing fostering programs, so bottle-raised kittens or queens with
kittens do not come into the shelter but go straight into foster homes,
lessens the odds of exposure to all infectious diseases, including FIP.
• Using double compartment enclosures with 8.5 square feet of floor space
leads to a 50% decrease in exposure to upper respiratory infections (URIs).
• Placing portals between compartments decreases the incidence of respiratory
disease by 90%.
• Group housing is not ideal for cats. If grouped, place no more than three
to five cats in each group.18
• Keep the group stable—no in and out movement of cats. Don’t mix
short-stay and long-stay cats.
• If you want to be a cat sanctuary, be a sanctuary. Don’t mix being a shelter
and a sanctuary.
• “Don’t kit-nap kittens” program: If a litter of kittens is found, encourage the
public to leave them alone and see whether the queen returns—which can I’m not here to teach you about
take up to 15 hours or more.19 how to treat infectious diseases.
• If kittens are not socialized, consider trap-neuter-return (TNR) to place them I’m here to explain to you how
back in their cat colony. to do surveillance, and how to
prevent them.
• Early age spay and neuter of kittens at 1.5 pounds to increase their
adoptability poses no increased health risk to them. —Dr. Gary Whittaker
We must find ways to keep cats out of shelters to prevent exposure and work with community partners to not bring in
kittens to shelters. We need to raise up cats or increase the means to help adopt more cats out that are healthier, or in
other situations to trap, neuter, and return cats back to their normal environments.
—Dr. Kate Hurley
Catteries
• Elimination of FIP from a cattery is only possible by total elimination of FECV.
• It is not possible to test and eliminate FECV from a cattery because FECV is
ubiquitous in cat environments.
• Pedigreed cats producing kittens with FIP should not be used for breeding,
including those pedigreed cats who have been cured of FIP.
CONCLUSION
Our mission to end FIP is not finished. Research must continue in such areas as
improving diagnostic methods, developing additional antiviral drugs, and especially This is a treatable disease.
strategies to prevent FIP infection in cats. We will cure this disease. We
basically have the cure now;
Winn Feline Foundation is at the forefront of funding FIP-related research. it’s just a matter of finding the
Winn’s Bria Fund for FIP Research is instrumental in providing grants MT13-006, exact right drug and the right
W13-020, W15-010, W16-022, MTW17-020, W19-026 toward the development of combination (of drugs) and then
the new antiviral drugs, GC-376 and GS-441524. Additional grants in recent years, making those available at an
such as MT16-014, W16-023, W16-024, W17-021, MTW17-022, W18-007, W18-010, affordable price.
W19-024, W19-025, and W19-027, are funding research into new FIP diagnostics,
other FIP antiviral drugs, and vaccine development. Winn thanks our generous —Dr. Brian Murphy
donors to the Bria Fund for supporting this critically needed research.
For a list of FIP projects funded by Winn’s Bria Fund for FIP Research, see:
https://www.briafundsupporters.com/studies
https://www.winnfelinefoundation.org/grants/grant-awards
How to use social media to find the best information to help cat parents:
Winn Feline Foundation: www.winnfelinefoundation.org
Bria Fund for FIP Research Supporters: www.briafundsupporters.com
SOCK FIP: sockfip.org
Zen By Cat: www.zenbycat.org
Words used by attendees to
Veterinary Information Network (VIN): www.vin.com describe this symposium:
FIP Warriors Facebook Group for Cat Parents: wow, hope, curable, winning,
www.facebook.com/groups/158363205096283/ exciting, inspirational,
FIP Warriors Facebook Group for Veterinarians: networking, future, passion,
www.facebook.com/groups/2422765211310743/ fantastic, best, authoritative
[email protected]
Emi Barker, BSc, BVSc, PhD, DipECVIM-CA, Honorary Research Associate, Langford House
David Bruyette, DVM, DACVIM (SAIM), CMO, Anivive Lifesciences
Elizabeth Colleran, DVM, DABVP (feline), Chico Hospital for Cats
Peter Cohen, President, ZenByCat
Steve Dale, CABC, Board of Directors of Winn Feline Foundation
Gregg Dean, DVM, PhD, Professor and Department Head, Microbiology, Immunology, and Pathology, College of Veterinary
Medicine, Colorado State University
Susan Gingrich, Bria Fund Chairperson, Winn Feline Foundation
Katrin Hartmann, Dr. med. vet., Dr. habil., DECVIM-CA, Professor, Chief of Staff, SAM Clinic, Ludwig Maximilian University
Kate Hurley, DVM, MPVM, PhD, Director, Koret Shelter Medicine Program, University of California–Davis
Anthony Hutcherson, Board of Directors of Winn Feline Foundation, Jungletrax Bengals
Katie Ingram, Animal Services Manager, Placer County Animal Services
Heather Kennedy, DVM, Director of Feline Operations, KC Pet Project
Yunjeong Kim, DVM, PhD, DACVM, Associate Professor, CVM, Kansas State University
Barbie Laderman-Jones, DVM, DABVP, Director of Shelter Medicine, San Francisco SPCA
Al Legendre, DVM, PhD, DACVIM, Professor Emeritus, CVM, University of Tennessee
Leslie Lyons, PhD, Professor of Comparative Medicine, CVM, University of Missouri
Brian Murphy, DVM, PhD, DACVP, Associate Professor, CVM, University of California–Davis
Glenn Olah, DVM, PhD, DABVP (feline), Board of Directors of Winn Feline Foundation
Niels Pedersen, DVM, PhD, Professor Emeritus, CVM, University of California–Davis
Debra Roberts, RN, BSN C-EFM, has an FIP survivor cat from clinical trial
Vicki Thayer, DVM, DABVP (feline), Board of Directors of Winn Feline Foundation
Drew Weigner, DVM, President Board of Directors of Winn Feline Foundation
Gary Whittaker, PhD, Professor of Virology, Cornell University CVM
SYMPOSIUM SPONSORS
Anivive Lifesciences
Cat Fanciers’ Association
Dr. Elsey’s
KindredBio
Royal Canin, Mars, Inc
The International Cat Association
Zoetis
Host: University of California, Davis, School of Veterinary Medicine
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