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Salt Treatment Confers Protection Against Acute Carp Edema Virus Reinfection While Promoting Viral Persistence
Mikolaj Adamek1, Maria Zawisza2,3, Justin Tze Ho Chan4
1Fish Disease Research Unit, Institute for Parasitology, University of Veterinary Medicine Hannover, Hannover, Germany.
Journal of Fish Diseases
|April 15, 2026
Summary
Salt treatment saves carp from koi sleepy disease (KSD) by Carp edema virus (CEV). Immunized fish show adaptive immunity but may still shed the virus, posing risks to aquaculture and fish trade.
Area of Science:
- Aquatic animal health
- Virology
- Immunology
Background:
- Carp edema virus (CEV) causes koi sleepy disease (KSD) in common carp, leading to severe physiological distress.
- Salt treatment can restore osmoregulation and save affected fish, but the long-term immune status and viral shedding post-treatment remain unknown.
- Understanding the immune response is crucial for managing CEV in aquaculture and international trade.
Purpose of the Study:
- To investigate the physiological and immunological responses to Carp edema virus (CEV) in both naive and previously infected common carp.
- To determine if salt treatment confers immunity and to assess viral shedding in immunized fish.
- To evaluate the effectiveness of a primary infection followed by salt treatment as an immunization strategy against CEV.
Main Methods:
- Comparative analysis of physiological and immunological markers in naive and CEV-exposed carp.
- Histological examination of gill tissues to assess inflammation and leukocyte infiltration.
- Assessment of T and B lymphocyte responses, type I interferon activation, and antibody production.
- Monitoring of viral shedding in immunized fish after CEV challenge.
Main Results:
- Primary CEV infection causes gill inflammation and immunosuppression, impairing T and B lymphocyte responses.
- Salt treatment following primary infection mitigates pro-inflammatory responses and immunosuppression during reinfection.
- Immunization induces lymphocyte activation, differentiation, and antibody production, indicating an adaptive immune response.
- Despite adaptive immunity, immunized carp do not fully clear CEV, leading to prolonged viral shedding.
Conclusions:
- A primary CEV infection followed by salt treatment can establish a degree of protective immunity in common carp.
- Immunized fish mount an adaptive immune response but remain persistently infected and capable of shedding infectious CEV particles.
- The potential for viral shedding in immunized fish raises concerns for biosecurity in carp aquaculture and global fish trade.

