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Immune-deficiency Diseases in Cats

By

Ian Tizard

, BVMS, PhD, DACVM, Department of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University

Last full review/revision Aug 2018 | Content last modified Aug 2018
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Like people, cats can develop diseases and conditions that impair the function of their immune systems. Immune deficiency diseases have serious consequences and often lower the body’s defenses against infection. Some are inherited, and others are caused by viral infections (for example, feline immunodeficiency virus infection), malnutrition, stress, poisons, or cancer. Animals with inherited immune deficiency should not be bred.

Deficiencies in Phagocytosis

Phagocytosis is an essential mechanism of the immune system. Phagocytes are cells that engulf (phagocytize), digest, and kill foreign invaders. Phagocytes rapidly respond to infections as part of the nonspecific (innate) immune response Nonspecific Immunity The primary role of the immune system is to defend the body against foreign invaders or abnormal cells that invade or attack it. To do this, the immune system must distinguish between “self”... read more . They can also serve as part of the adaptive immune system by presenting antigens to other cells in the adaptive system, thereby alerting them to the presence of the foreign invaders. Phagocytes are produced in the bone marrow, spread throughout the body via the bloodstream, and then gather in either tissue or the blood. They are found in the skin, mucous membranes, spleen, lymph nodes, the coverings of the brain and spinal cord, bone marrow, and blood vessels throughout the body.

Phagocytes are white blood cells that engulf and then kill foreign antigens, such as bacteria, in a process called phagocytosis.

Phagocytes are white blood cells that engulf and then kill foreign antigens, such as bacteria, in a process called phagocytosis.

A deficiency in phagocytosis can be caused by a low number of phagocytes in the blood or by a defect in their ability to act normally. They can be congenital (a birth defect) or acquired (caused by diseases or drugs). The deficiency increases susceptibility to bacterial infections of the skin, respiratory system, and gastrointestinal tract.

Because a cat with reduced numbers of phagocytes has trouble fighting diseases, infections can easily develop into life-threatening complications. These infections respond poorly to antibiotics. Some conditions in cats that are known to affect phagocytosis include viruses such as feline leukemia, feline panleukopenia, and feline immunodeficiency; various disorders of white blood cell production; and bone marrow disorders. Certain drugs can also suppress the production of phagocytes.

Selective Immunodeficiencies

Persian cats have a tendency to develop severe and sometimes protracted infections of the skin, fur, and claws. Many are caused by fungal infections, including "ringworm Ringworm (Dermatophytosis) in Cats Ringworm is an infection of skin, hair, or claws caused by a type of fungus known as a dermatophyte. In cats, about 98% of ringworm cases are caused by the fungus Microsporum canis. The fungus... read more ." In some Persian cats, the fungal infections invade the skin and cause the formation of small fleshy or grainy masses called mycetomas. Your veterinarian can recommend a treatment program for these infections.

Immunodeficiencies Caused by Viruses

Parvovirus occurs in both dogs and cats. This viral disease, called feline panleukopenia Feline Panleukopenia Feline panleukopenia (also called feline infectious enteritis or feline distemper) is a highly contagious, often fatal, viral disease of cats. Kittens are affected most severely. Feline panleukopenia... read more , causes a severe and short-term reduction in the number of neutrophils and in the lymphocyte responsiveness. These failures of the immune system allow the virus to thrive and increase the risk of fungal infections such as aspergillosis, mucormycosis, and candidiasis.

Feline leukemia virus (FELV) Congenital and Inherited Disorders Affecting Multiple Body Systems of Cats A variety of structural and functional defects have been described in animals. These defects are usually classified by the body system primarily affected, and many are discussed under the appropriate... read more infection in cats causes impairment of multiple immune functions. An infected cat will have an impaired immune system and a higher risk of acquiring infections from bacteria and other infectious agents in the environment. Dormant infections, such as feline infectious peritonitis, may suddenly flare up again.

Feline leukemia virus is an important infectious disease of cats worldwide. In 2010, 3.1% of cats tested in the US had the virus. In addition to impairing immune function, the virus puts cats at risk for developing severe anemia Anemia in Cats Anemia occurs when there is a decrease in the number of red blood cells. It can develop from loss, destruction, or lack of production of red blood cells. Anemia is classified as regenerative... read more (decreased red blood cell levels), certain types of cancer (especially lymphoma and leukemia), intestinal disease, reproductive problems, neurologic dysfunction, and stomatitis Feline Stomatitis Diseases of the mouth in cats can be caused by infections, injuries, tumors, or inflammatory disorders. A complete oral examination should be a part of your animal’s routine physical examination... read more (severe inflammation of the mouth).

The infection is diagnosed using a specific blood test. Before introducing a new cat into your household, it should be tested for feline leukemia virus. Your veterinarian may also test your cat if it goes outdoors, lives with an FELV-positive cat, is sick, or has had exposure to another cat that could be infected.

Unfortunately, there is no treatment for cats infected with this virus. Some FELV-positive cats can live for years without major complications. Be certain to schedule veterinary exams every 6 months, provide clean housing and proper nutrition, minimize stress, and avoid situations where your cat could pick up infections (such as boarding). Infected cats should be kept strictly indoors to prevent spreading the virus to other cats. Infected cats survive an average of 2.4 years after diagnosis.

There is a vaccine available for feline leukemia virus. Your veterinarian will assess your cat annually to let you know if this vaccine is needed.

Feline immunodeficiency virus (FIV) is spread from cat to cat through saliva, primarily by biting. Cats that are allowed to roam outdoors, male cats, and older cats are more likely to become infected. This viral infection attacks the immune system, leading to infections of the gums, mouth, digestive tract, urinary tract, and skin. Low red and white blood cell counts, certain cancers, or neurologic disease may also be seen. Shortly after becoming infected, cats may have a fever and enlargement of the lymph nodes (glands). However, these signs go away and the cat may appear healthy with no further signs of infection for months or years. However, once infected, cats remain infected for life and most eventually have a deterioration of immune function and increased risk of infections.

Infection with feline immunodeficiency virus is diagnosed by a complete medical history and physical examination combined with a blood test that measures antibodies against the virus. There is no effective treatment, but supportive care and treatment of signs is important. This includes giving antibiotics for bacterial infections, providing a balanced diet, controlling parasites, keeping the cat indoors and isolated from other cats, and removing tumors.

A vaccine for feline immunodeficiency virus is available, but not all vaccinated cats will be protected, so preventing exposure is important, even for vaccinated pets. Vaccination may also have an impact on future feline immunodeficiency test results. You should discuss whether or not your cat needs this vaccine with your veterinarian.

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