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Department of Clinical Sciences1 , Section for Comparative Physiology and Medicine; Department of Clinical Sciences2 and Department of Anatomy and Physiology3 , Swedish University of Agricultural Sciences, PO Box 7018, S-750 07 Uppsala, Sweden
Correspondence
Robert Jonasson
Robert.Jonasson{at}kv.slu.se
Received 24 January 2006
Accepted 27 March 2006
+ CD4 cells and 
T cells at days 4 and 14 post-inoculation. In addition, an increase in CD4+ CD8
+ cells and CD8
+ CD8ß+ cells was observed at days 4 and 14 post-inoculation in animals that developed dysentery. During clinical signs of dysentery, the acute-phase protein serum amyloid A was increased. There was a two- to threefold increase in both neutrophils and monocytes during signs of dysentery and at the beginning of the recovery period. The numbers of CD8
+ CD8ß CD4, CD45RA lymphocytes also increased during the dysentery period. Circulating CD21+ cells and CD21+ CD45RA cells decreased at the end of the incubation period, during signs of dysentery and at the beginning of the recovery period. The dysentery-affected animals developed antibodies to B. hyodysenteriae-specific antigens (
16 kDa and
30 kDa) from the first day of recovery, and 
T cells showed an increase during the recovery period. In comparison with pre-inoculation, increased numbers of monocytes, neutrophils, CD8
+ CD8ß CD4 lymphocytes and CD45RA lymphocytes were observed during clinical dysentery. Increased numbers of neutrophils, 
T cells and specific antibodies were seen during the recovery period.
Abbreviations: PE, phycoerythrin; SAA, serum amyloid A.
| INTRODUCTION |
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+ cells and high levels of circulating 
T cells before experimental inoculation shown to increase susceptibility to swine dysentery (Jonasson et al., 2004). The mechanism of action of CD8+ cells against B. hyodysenteriae is largely unknown, but immune-mediated mucosal damage in mice has been shown to be prevented by CD8+ T cells (Jones et al., 2002). CD8+ cells are important producers of IFN-
(Steele et al., 2002), which activates macrophages (Murray, 1990) and may also enhance their response against B. hyodysenteriae. In a study by Hontecillas et al. (2002), swine-dysentery-affected pigs had upregulated expression of IFN-
in colonic lymph nodes. The duration and characteristics of the immune response in the recovery period after the acute phase of dysentery have not been studied thoroughly. It has been shown that pigs that have recovered from swine dysentery are immune to reinfection (Joens et al., 1979, 1983). This immunity appears to be antibody mediated, since colonic loops are protected against infection after passive transfer of convalescent serum antibodies (Joens et al., 1979; Harris & Glock, 1981). While B. hyodysenteriae-specific antibodies have been detected during and after swine dysentery (Joens et al., 1984, 1985; Rees et al., 1989; Wright et al., 1989), they have not been related to recovery from disease but instead regarded as an indication of prolonged or recent exposure to B. hyodysenteriae (Rees et al., 1989). To date, the protection induced by vaccines has only been associated with reduced severity of lesions without decreasing bacterial shedding (Waters et al., 1999a, b; Hontecillas et al., 2002) or induction of B. hyodysenteriae-specific IgA secretion (La et al., 2004). Thus, the relative importance of cell-mediated and antibody-mediated immunity for the recovery from infection with B. hyodysenteriae is not known.
The present study was therefore designed to allow examination of the proportional changes in some selected subpopulations of porcine blood lymphocytes and the development of specific antibodies during incubation, the acute phase and the recovery period of experimentally induced swine dysentery.
| METHODS |
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Ten clinically healthy crossbred pigs (YorkshirexSwedish Landrace) of mixed sexes were obtained at the age of 810 weeks from a conventional piglet-producing herd known to be free from swine dysentery. This herd is regularly health-monitored by swine specialists from the university. Following arrival at the experimental facilities at the Department of Clinical Sciences, the animals were acclimatized for at least 1 week. The pigs were housed individually, were fed twice daily with a commercial finisher diet without growth promoters (Singelveg SPK, Lantmännen) and had free access to water. The pens had concrete floors with straw as bedding material during acclimatization and synthetic fur blankets during the experimental period in order to minimize fibre ingestion. Faecal samples taken from all pigs at arrival were analysed by routine methods and found negative to parasite eggs, Brachyspira spp., Salmonella spp. and Yersinia spp. The pigs, which had a mean weight of 23 kg (range 2029 kg) before inoculation, were weighed once a week for calculation of daily weight gain (DWG). The DWG was divided by the animals' live weight in order to avoid the effect of different growth rates during the fattening period.
Experimental design. The infection model included a provocative feeding regime that has previously been shown to facilitate infection with B. hyodysenteriae (Jacobson et al., 2004). Briefly, 4 days prior to inoculation with B. hyodysenteriae, all pigs were fed a diet in which the commercial diet was substituted with pure soybean meal on every second feeding occasion for 7 consecutive days. During the last 3 days of this feeding regime, the pigs were inoculated orally once daily with 30 ml brain heart infusion (BHI) broth containing approximately 107109 bacteria ml1 of B. hyodysenteriae strain B204T (ATCC 31212). The bacteria were propagated according to Fellström & Gunnarsson (1995), and bacterial growth, purity and motility were evaluated with phase-contrast microscopy.
Thorough clinical health examinations, including measurement of rectal temperature and evaluation of faeces with respect to consistency, and the presence of blood and mucus, were performed daily. The initial onset of signs of diarrhoea was defined as day 1 of the swine dysentery period. The time-point when the faecal consistency changed from diarrhoea to slightly loose or normal was defined as day 1 of the recovery period. The pigs that developed swine dysentery were euthanized approximately 20 days after recovery, and the pigs that remained clinically healthy throughout the study were euthanized 35 days after inoculation. After induction of anaesthesia with a mixture of 0.05 mg kg1 medetomidine (Domitor vet) and 5 mg kg1 Zoletil (tiletamine+zolazepam), euthanasia was performed with an overdose of pentobarbital sodium. A complete necropsy was performed on all animals.
Sampling of faeces and blood. Rectal swabs for culturing and detection of Brachyspira spp. were collected once a week until clinical signs of swine dysentery occurred, daily during the clinical signs of dysentery, and then once a week during the recovery period. Samples were cultured and evaluated according to Fellström & Gunnarsson (1995). Jugular venous blood was obtained in vacuum tubes from all pigs before the soybean diet and inoculum was given, and then 4 and 14 days after the last day of inoculation. During the acute phase with clinical signs of disease, blood was also sampled for 4 consecutive days, and then at days 1, 3, 7, 11 and 15 of the recovery period. Pigs that did not develop any clinical signs of disease were sampled once a week until the euthanasia that was performed after all of the dysenteric animals had recovered.
Analysis of peripheral blood leukocytes.
Total and differential white blood cell counts were analysed with an electronic cell counter (Cell-Dyn 3500, Abbott). EDTA blood samples were rotated at room temperature until immunostaining, which was performed within 12 h, as previously described (Jonasson et al., 2004). Briefly, erythrocytes were lysed, followed by centrifugation. The resulting leukocyte pellet was then washed twice and resuspended in PBS with fetal calf serum (FCS). Cells (0.5x106 ml1) were double-stained using monoclonal antibodies (VMRD) or isotype controls (DakoCytomation) as primary antibodies, as in Table 1
. After washing, the cells were incubated with phycoerythrin (PE)- and FITC-conjugated secondary antibodies (CALTAG). The cells were washed, resuspended and finally fixed in PBS with paraformaldehyde until flow cytometric analyses were performed.
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double staining (no. 3 in Table 1Analysis of serum amyloid A (SAA). Blood samples without additives were centrifuged at 1500 g and serum was collected and stored at 80 °C until analysed. The analysis of SAA was performed on serum samples diluted 1 : 500, using a commercially available ELISA (Tridelta Phase range SAA kit, Tridelta Development).
Analysis of serum antibodies
Sera from the following six sampling occasions were used: before the soybean diet and inoculum was given, at day 2 of clinical signs of dysentery and at days 1, 7, 11 and 15 of the recovery period. For the healthy pigs, the following three sampling times were used: before the soybean diet and inoculum was given, and 14 and 28 days after challenge. Sera from each pig at these separate sampling occasions were pooled, resulting in six pooled samples for the dysenteric pigs and three for the healthy pigs. In addition, sera from each of the swine-dysentery-affected pigs at recovery days 7, 11 and 15 were analysed separately for serum antibodies.
Analyses were performed with both unabsorbed and absorbed sera. The absorbed sera were absorbed with the type strains Brachyspira intermedia PWS/AT (ATCC 51140), Brachyspira innocens B256T (ATCC 29796), Brachyspira murdochii 56-150T (ATCC 51284), Brachyspira pilosicoli P43/6/78T (ATCC 51139) and Brachyspira aalborgi 513AT (ATCC 43994). This procedure was performed in order to remove general antibodies to Brachyspira spp., thus leaving only those with specificity for B. hyodysenteriae strain B204T (ATCC 31212). In brief, 100 µl each of bacterial pellets of B. innocens and B. pilosicoli, and 10 µl each of B. intermedia, B. murdochii and B. aalborgi were diluted in 1 ml resuspension buffer (50 mM Tris/HCl, 10 mM EDTA, pH 8.0) and sonicated on ice for 10 s 10 times with 20 s intervals. Five hundred microlitres of this mixture was added to every millilitre of 1 : 10-diluted sera and incubated for 90 min at 37 °C before use.
Western blot of unabsorbed or absorbed sera. Whole-cell proteins from the type strain of B. hyodysenteriae (B78T) were separated by standard SDS-PAGE, according to Laemmli (1970). Bacterial samples corresponding to 2 µg protein were mixed with sample buffer containing DTT before heat treatment for 5 min. The sample was applied to an SDS-polyacrylamide gel (12 %) with a stacking gel on top and subjected to electrophoresis in a Mini-Protean II gel system (Bio-Rad). A pre-stained, broad-range protein marker from New England Biolabs was used as size ladder. The proteins were transferred onto a PVDF membrane (Towbin et al., 1979) with a Mini Trans-Blot cell (Bio-Rad). The membrane was blocked in Tris-buffered saline (TBS) with dried non-fat milk powder (MP) and then incubated with sera (diluted 1 : 100) by using a multiscreen apparatus (Bio-Rad). Peroxidase-conjugated rabbit anti-swine IgG (DakoCytomation) was used as a secondary antibody. After a 30 min conjugate incubation on a shaker, the membranes were quickly rinsed and then washed. Bound antibodies were visualized with a chemiluminescent substrate using the ECL system and Hyperfilm ECL according to the manufacturer's instructions (Amersham Biosciences).
Statistical analyses. Data are presented as mean±SEM. Data were calculated from eight animals with clinical signs and two healthy animals during pre-inoculation and 4 days post-inoculation. At 14 days post-inoculation, two animals in the group with clinical signs had already developed dysentery (n=6). After these sampling points, one animal had to be euthanized and data are presented from seven dysenteric animals, with the exception of days 7, 11 and 15 of the recovery period, which are the means of six animals due to missing samples from different pigs on those days. The statistical calculations were performed with SigmaStat software (SPSS Science). Analysis of variance (ANOVA, HolmSidak method) for repeated measures was performed to compare differences in specific cell populations and SAA between measurements. Correlation analysis was performed with the Pearson product moment correlation. The data were regarded as significantly different at P<0.05.
| RESULTS AND DISCUSSION |
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(van Snick, 1990; for review see Jensen & Whitehead, 1998). B. hyodysenteriae has been shown to possess biologically active LPS (Nuessen et al., 1982) that stimulates production of the pro-inflammatory cytokines IL-1 and TNF (Greer & Wannemuehler, 1989) and the neutrophil chemokine IL-8 (Sacco et al., 1996). The production of SAA and its induction of tissue infiltration of monocytes and polymorphonuclear cells (Badolato et al., 1994; Xu et al., 1995; Hershkoviz et al., 1997) likely influence the cellular response of the animals affected by swine dysentery.
Neutrophils, monocytes and lymphocyte subpopulations
In accordance with a previous study (Jonasson et al., 2004), elevated levels of circulating monocytes, neutrophils and CD8
+ cells were seen during clinical signs of swine dysentery. The increase of monocytes/macrophages and neutrophils has also been shown in other studies (Wilcock & Olander, 1979; Albassam et al., 1985). There was a two- to threefold increase of neutrophils during dysentery with a peak at the fourth day of clinical signs and at the beginning of the recovery period (Fig. 1
). The migration of these neutrophils to tissues and their release of active inflammatory mediators, such as prostaglandins, NO, reactive oxygen species and hydrolytic enzymes, could be important contributors to the oedema and lesions associated with swine dysentery. This is supported by a study in which the severity of intestinal macro- and microscopic lesions, oedema, and epithelial erosions in B. hyodysenteriae-induced colitis in mice were found to be moderated when the levels of intestinal neutrophils were reduced or were zero (Sacco et al., 2000).
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have been shown following onset of swine dysentery (Nibbelink et al., 1997). Macrophages are the major producers of TNF-
, which can facilitate lesion development, since the gastrointestinal tract is known to be sensitive to TNF-
(Beutler et al., 1985). Potentially, local IL-1 and TNF-
production by intestinal B. hyodysenteriae-stimulated macrophages can contribute to the pathology of swine dysentery. However, there was a positive correlation between the length of the incubation period and the pre-inoculation levels of peripheral monocytes (correlation coefficient 0.76; P=0.03; n=8). This relationship was also seen in pigs in a previous study (Jonasson et al., 2004) in which the pigs with the highest levels of monocytes before inoculation had the longest incubation period (correlation coefficient 0.73; P=0.003; n=14). In the present study, two pigs had longer incubation periods than the other animals (29 and 31 days versus the mean of 15±3 days for the other animals), and these two also had markedly higher levels of monocytes pre-inoculation (4.0 and 3.3x109 l1 versus the mean of 1.7±0.3x109 l1 for the other animals). The higher numbers of monocytes do not appear to influence the clinical development of dysentery, since in the previous study there was no difference in the monocyte levels before inoculation between animals that developed swine dysentery and those that remained healthy after inoculation (Jonasson et al., 2004). Even though only two animals remained healthy after inoculation in the present study, they did not differ notably in monocyte levels before inoculation from those that developed dysentery.
Overall, the total numbers of lymphocytes increased 4 days after inoculation and at day 1 with clinical signs of dysentery. However, large inter-individual variations in the total numbers of lymphocytes were observed during the dysentery period and the beginning of the recovery period. Therefore, it is important to examine the alterations in the different lymphocyte subpopulations. While the results of lymphocyte subpopulations in this study are presented in absolute numbers, the relative numbers, expressed as a percentage, show similar results. The CD8
+ lymphocyte subpopulations increased after inoculation. Irrespective of the presence or absence of clinical signs of dysentery, all animals, including the pigs that remained healthy (Figs 2 and 3![]()
), showed a similar increase in circulating CD8
+ cells, CD8
+ CD4 cells and 
T cells on days 4 and 14 post-inoculation (Figs 2 and 3![]()
). A similar rise was seen in CD8
+ CD8ß+ cells 14 days post-inoculation (Fig. 2
). These increases may be a response to the introduction of novel antigens, since vaccination studies with B. hyodysenteriae antigens have shown increased peripheral levels of CD8
+ 
T cells and CD8
+ natural killer cells (Bassaganya-Riera et al., 2001; Waters et al., 1999a). The response could also be directed against antigens present in the soybean meal included in the provocative diet, but since these alterations were still observed 14 days after the last soybean meal, this is less likely. Soybean is a rich source of linolenic acid, which can be converted to conjugated linolenic acid (CLA) by intestinal micro-organisms in cows (Dhiman et al., 2000). We do not know whether this conversion also occurs in pigs. However, Bassaganya-Riera et al. (2001) have shown that dietary CLA increases circulating levels of CD8
+ 
T cells, cytotoxic T cells and CD8
+ natural killer cells in pigs. On the other hand, these changes were observed after several weeks on a CLA-rich diet, and are thus probably not applicable to the present study.
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+ cells at 4 days post-inoculation. Even though the numbers of animals are small, this change was not observed in the two healthy animals. High levels of extrathymic CD4+ CD8+ T cells are typical for pigs, and they are considered to be mature antigen-experienced memory/effector cells (Pescovitz et al., 1994; Zuckermann & Husmann, 1996). In a previous study, it was observed that the numbers of these double-positive cells increased in the blood during clinical signs of dysentery (Jonasson et al., 2004). However, this was not observed in the present study, and their role remains unclear.
There was an increase in total CD8
+ cells during the dysentery period. The majority of these CD8
+ cells were CD4 and also, when comparing the curve characteristics of total CD8
+ cells with those of CD8
+ CD8ß+ T cells, they appeared to be CD8ß. The increase of CD8
+ cell populations during the clinical signs of disease appears to be of importance in swine dysentery, and the involvement of these populations is in accordance with findings by Waters et al. (2000) and Jonasson et al. (2004). In the present study, the proliferation of CD8
+ cells appears to consist of CD8
+ cells that are not cytotoxic/suppressor T cells (CD8ß+) or double-positive T cells (CD4+ CD8
+). In a previous study we found that experimentally inoculated pigs with low levels of CD8
+ cells were more susceptible to swine dysentery than pigs with high levels of CD8
+ cells (Jonasson et al., 2004). It was not possible to verify this in the present study, since only two animals remained healthy after inoculation. B. hyodysenteriae whole-cell sonicate has been shown to induce an in vitro proliferation response of porcine CD8+ T cells, CD4+ CD8+ T cells and 
T cells (Waters et al., 1999a). Thus, it appears that CD8+ cell populations are an important subset in swine dysentery. In order to understand their role it may be necessary to study their cytokine production. It has been shown that CD8+ cells are major producers of the cytokine IFN-
(Steele et al., 2002), which is important for macrophage activation (Murray, 1990). The intraepithelial region of the intestine contains large numbers of CD8+ cells (Fujihashi et al., 1990; Guy-Grand & Vassalli, 1993). These have been shown to secrete IFN-
locally (Taguchi et al., 1990), and there is in vitro production of IFN-
by peripheral blood mononuclear cells in response to B. hyodysenteriae bacterin (Waters et al., 1999a). Therefore, the increase of CD8+ cells in swine dysentery could influence the pathology and should be further investigated.
No increase in CD4+ CD8
+ T cells or CD8
+ CD8ß+ T cells was seen during dysentery or recovery. The numbers of 
T cells increased throughout the recovery period (Fig. 3
). These cells showed a similar pattern of increase in the animals that remained healthy (Fig. 3
). This increase of 
T cells has also been seen in immunization studies with B. hyodysenteriae in pigs (Waters et al., 1999a, 2000; Bassaganya-Riera et al., 2001). Since the percentage of 
T cells in pigs generally decreases with age, the observed change in the present study is unlikely to be age related (Yang & Parkhouse, 1996). The 
T-cell receptor has a broader specificity than the
ß T-cell receptor (Constant et al., 1994; Schoel et al., 1994; Tanaka et al., 1995), and the 
T-cell-antigen recognition and subsequent activation is not dependent upon class I or class II antigen processing followed by major histocompatibility complex (MHC) presentation (Schild et al., 1994) or recirculatory migration through colonic lymph nodes (Hayday, 2000). Porcine 
T cells have also been shown to exhibit non-specific in vitro cytotoxicity (de Bruin et al., 1997, 2000). Thus, 
T cells could be an important part of the early defence against B. hyodysenteriae. Interestingly, in a previous study, pigs with high circulating levels of 
T cells before inoculation were more susceptible to the development of swine dysentery (Jonasson et al., 2004). The absence of 
T cells in 
T-cell-receptor deficient mice is associated with exaggerated intestinal damage and decreased epithelial proliferation (Komano et al., 1995). In another study, Hontecillas et al. (2005) have reported that swine dysentery induces a loss of intraepithelial colonic 
T cells, and that this is probably caused by the epithelial erosions that occur during the disease (Hutto & Wannemuehler, 1999; Hontecillas et al., 2005). It is possible that this epithelial erosion and the subsequent loss of 
T cells may cause some of the immune responses observed during swine dysentery, through exposure to luminal antigens and bacteria other than B. hyodysenteriae. Whether this loss of local 
T cells influences the levels of peripheral 
T cells is unknown. In the present study, there was no general decrease of peripheral 
T cells during clinical signs, but the two pigs with the longest episode of clinical signs (17 and 12 days versus the mean of 5±1 days for the other animals) had the lowest levels of 
T cells during disease and the recovery period.
The CD45RA+ cells decreased during dysentery (data not shown) and correspondingly CD45RA cells increased during clinical signs of swine dysentery and then returned to pre-inoculation levels during recovery (Fig. 3
). These alterations were not seen in the two animals that remained healthy. CD45 gene expression is regulated so that naïve T cells are predominantly CD45RA+, and then their expression switches to CD45RO+ through alternative splicing when activated (Janeway, 1992). The increase of CD45RA cells, i.e. decrease of CD45RA+ cells, could be interpreted as a decrease in naïve lymphocytes and thereby an increase in the levels of activated cells during clinical signs of dysentery.
The CD21+ cells decreased 14 days after inoculation and then remained at a lower level during the dysentery and recovery periods. There was no evidence of a B cell proliferation/increase in the peripheral blood. This does not necessarily mean that there was no activation of B cells, since local proliferation could occur that was not evident in the circulation. However, in the present study there was no decrease in CD45RA+ B cells (data not shown), and in a study performed with biopsy specimens from the colon of swine-dysentery-affected pigs, the numbers of colonic B cells showed no tendency to increase during the disease (M. Jacobson, personal communication). Pigs vaccinated with B. hyodysenteriae antigens show proliferation of T cells, but not B cells, in response to in vitro stimulation with B. hyodysenteriae whole-cell sonicate antigens (Waters et al., 1999a). The decrease seen in the present study could be related to the decrease of CD21+ cells that has been found to occur in pigs post-weaning (Solano-Aguilar et al., 2001).
Other subpopulations that were stained for, such as CD4+ CD8
T cells (data not shown), did not change during the experimental period.
Antibody response
As shown in Fig. 4
, antibodies to B. hyodysenteriae were only present in sera collected during the recovery period. As is shown with the absorbed sera in Fig. 4(b)
, some antibodies were specific for B. hyodysenteriae antigens. The bands at
16 kDa are in agreement with the membrane-associated lipoprotein SmpA of B. hyodysenteriae (Thomas et al., 1992; Thomas & Sellwood, 1993), and the weaker bands at
30 kDa are in agreement with the membrane lipoprotein BmpB (Lee et al., 2000). All except one of the swine-dysentery-affected pigs developed these specific serum antibodies (data not shown). The animal without B. hyodysenteriae-specific antibody production did not show any differences in pathology or recovery that could be correlated with the lack of specific antibodies, but this animal showed the highest levels of cytotoxic (CD8ß+) T cells and double-positive (CD4+ CD8
+) T cells during incubation, and the highest level of CD8
+ CD4 cells during clinical signs of dysentery. The production of B. hyodysenteriae-specific antibodies has been detected in sera during the acute phase of swine dysentery (Joens et al., 1985), and in colonic washings and sera 47 days after onset of clinical signs (Joens et al., 1984). However, their presence has not been related to recovery, but rather these antibodies have mainly been regarded as an indication of a prolonged or recent exposure to B. hyodysenteriae (Rees et al., 1989). In the present study, the recovery period coincided with the appearance of B. hyodysenteriae-specific serum antibodies. The presence of B. hyodysenteriae-specific serum antibodies in the swine-dysentery-affected pigs indicated some activation of B cells during recovery. Sera collected from the two inoculated but clinically healthy animals remained negative for antibodies to B. hyodysenteriae throughout the experimental period.
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+ cells correlate with the clinical signs of swine dysentery. These CD8
+ cells were not 
T cells, CD8
+ CD8ß+ T cells or CD4+ CD8
+ T cells. During the recovery period, there were high levels of circulating neutrophils. Additionally, 
T cells were noted to increase during the recovery period. The dysentery-affected pigs showed decreased levels of CD21+ cells in blood during disease and recovery, but developed B. hyodysenteriae-specific antibodies from the first day of recovery. In order to understand this disease it is of importance to clarify the roles that cells play during clinical signs of swine dysentery, and the roles of cells and specific antibodies during recovery.
| ACKNOWLEDGEMENTS |
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