{"id":1017,"date":"2019-01-16T19:32:54","date_gmt":"2019-01-16T19:32:54","guid":{"rendered":"https:\/\/fishhistopathology.com\/?p=1017"},"modified":"2020-02-14T13:03:55","modified_gmt":"2020-02-14T16:03:55","slug":"heart-and-skeletal-muscle-inflammation-hsmi-histopathology-2","status":"publish","type":"post","link":"https:\/\/fishhistopathology.com\/?p=1017","title":{"rendered":"Heart and Skeletal Muscle Inflammation (HSMI) \u2013 Histopathology"},"content":{"rendered":"\n<p><strong>Heart and skeletal muscle inflammation<\/strong> <strong>(HSMI)<\/strong> is an emerging disease of marine-farmed Atlantic salmon (<em>Salmo salar <\/em>L), first recognized in 1999 in Norway, and later also reported in Scotland, Chile and Canada.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/HSM1-1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/HSM1-1-300x225.png\" alt=\"Atlantic salmon, heart, with severe diffuse epicarditis, H&amp;E. \" class=\"wp-image-946\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/HSM1-1-300x225.png 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/HSM1-1-768x576.png 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/HSM1-1.png 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 1. Atlantic salmon, heart, with severe diffuse epicarditis, H&amp;E. <\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p>HSMI is transmissible and, the weight of recent evidence supports the contention that the cause is an Orthoreovirus with the proposed name <em>Piscine orthoreovirus<\/em> (PRV).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/liver-2.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/liver-2-300x225.png\" alt=\"Atlantic salmon, liver with coagulative hepatic necrosis due to ischaemia, H&amp;E. \" class=\"wp-image-944\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/liver-2-300x225.png 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/liver-2-768x576.png 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/liver-2.png 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 2. Atlantic salmon, liver with coagulative hepatic necrosis due to ischaemia, H&amp;E. <\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><br><br><br><br><br><br><br><br><br><br>This virus has not yet been cultured <em>in vitro<\/em>, thereby hampering traditional experimental reproduction of the disease.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/miocardio-1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/miocardio-1-300x225.png\" alt=\"Atlantic salmon, heart with inflammatory infiltrate in compact ventricular myocardium. H&amp;E. \" class=\"wp-image-918\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/miocardio-1-300x225.png 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/miocardio-1-768x576.png 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/miocardio-1.png 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 3<\/strong>. <strong>Atlantic salmon, heart with inflammatory infiltrate in compact ventricular myocardium. H&amp;E. <\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><br><br>As the name of the disease suggests, major changes in HSMI involve the heart and red skeletal muscle where extensive inflammation and multifocal degeneration of myocytes are evident.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Liver is also frequently involved, a consequence of hypoxia due to failing cardiovascular output.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/1-40x001.jpeg-copy-2-1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/1-40x001.jpeg-copy-2-1-300x225.png\" alt=\"Atlantic salmon, red skeletal muscle, with moderate multifocal myosistis, H&amp;E. \" class=\"wp-image-917\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/1-40x001.jpeg-copy-2-1-300x225.png 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/1-40x001.jpeg-copy-2-1-768x576.png 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/1-40x001.jpeg-copy-2-1.png 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 4<\/strong>. <strong>Atlantic salmon, red skeletal muscle, with moderate multifocal myosistis, H&amp;E.<\/strong> <\/figcaption><\/figure><\/div>\n\n\n\n<p><br><br><br><br><br><br><br>Histological findings include epicarditis, myocarditis&nbsp;and myositis (red muscle). In the liver, zonal coagulative hepatic necrosis can be observed.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/HSMI2.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"195\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2018\/10\/HSMI2-300x195.png\" alt=\"Atlantic salmon with HSMI. Note severe inflammation and loss of mainly red muscle fibres. Loss of white fibres may be virus-related, but can also be cachexia, as the animals lose appetite and are less able to swim properly. \" class=\"wp-image-1016\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/HSMI2-300x195.png 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/HSMI2-768x498.png 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2018\/10\/HSMI2.png 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 5. Atlantic salmon with HSMI. Note severe inflammation and loss of mainly red muscle fibres. Loss of white fibres may be virus-related, but can also be cachexia, as the animals lose appetite and are less able to swim properly. <\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>REFERENCES<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li> Di Cicco, E., Ferguson, H. W., Schulze, A. D., Kaukinen, K. H., Li, S., Vanderstichel, R., &#8230; &amp; Miller, K. M. (2017). Heart and skeletal muscle inflammation (HSMI) disease diagnosed on a British Columbia salmon farm through a longitudinal farm study.\u00a0<em>PLoS One<\/em>,\u00a0<em>12<\/em>(2). <\/li><li>Kongtorp, R. T., Taksdal, T., and Lyngoy,      A. 2004b.Pathology of heart and skeletal muscle inflammation (HSMI) in      farmed Atlantic salmon <em>Salmo      salar.<\/em> Diseases of Aquatic Organisms, 59: 217\u2013224.<\/li><li>Yousaf, M. N., &amp; Powell, M. D. (2012). The effects of heart and skeletal muscle inflammation and cardiomyopathy syndrome on creatine kinase and lactate dehydrogenase levels in Atlantic salmon (Salmo salar L.).\u00a0<em>The Scientific World Journal<\/em>,\u00a0<em>2012<\/em>. <\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Heart and skeletal muscle inflammation (HSMI) is an emerging disease of marine-farmed Atlantic salmon (Salmo salar L), first recognized in 1999 in Norway, and later also reported in Scotland, Chile and Canada. HSMI is transmissible and, the weight of recent evidence supports the contention that the cause is an Orthoreovirus with the proposed name Piscine orthoreovirus (PRV). This virus has not yet been cultured in vitro, thereby hampering traditional experimental reproduction of the disease. As the name of the disease suggests, major changes in HSMI...","protected":false},"author":3,"featured_media":914,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,7],"tags":[9,13,38,39,46],"class_list":["post-1017","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiovascular-system","category-musculoskeletal-system","tag-coagulative-hepatic-necrosis","tag-epicarditis","tag-myocarditis","tag-myositis","tag-piscine-orthoreovirus"],"_links":{"self":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts\/1017","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1017"}],"version-history":[{"count":3,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts\/1017\/revisions"}],"predecessor-version":[{"id":2249,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts\/1017\/revisions\/2249"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/media\/914"}],"wp:attachment":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1017"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1017"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1017"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}