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Jung H, Choi CH, Lee M, Kim SY, Aknazarov B, Nyrgaziev R, Atabekova N, Jetigenov E, Chung YS, Lee HI. Molecular Detection and Phylogenetic Analysis of Tick-Borne Encephalitis Virus from Ticks Collected from Cattle in Kyrgyzstan, 2023. Viruses 2024; 16:107. [PMID: 38257807 PMCID: PMC10821214 DOI: 10.3390/v16010107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 01/05/2024] [Accepted: 01/10/2024] [Indexed: 01/24/2024] Open
Abstract
Ticks are important vectors of the tick-borne encephalitis virus (TBEV). In Kyrgyzstan, the livestock farming trade and nomadic lifestyle enable tick-borne diseases to be imported from neighboring countries, but there are few relevant studies. In this study, we collected 40 ticks from cattle in Kyrgyzstan. Molecular marker analysis identified the ticks as Ixodes persulcatus (97.5%; n = 39) and Haemaphysalis punctata (2.5%; n = 1). Real-time PCR screening revealed two ticks to be positive for TBEV, but only one tick was amplified using nested PCR targeting the TBEV envelope (E) and non-structure 5 (NS5) gene. The obtained sequences belonged to the TBEV Siberian subtype and phylogenetic tree analysis results confirmed that the virus was related to the Bosnia strain. We also performed next-generation sequencing, which confirmed the TBEV Siberian subtype. Continuous research and surveillance of TBEV in Kyrgyzstan are required to provide further information on tick-borne diseases.
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Affiliation(s)
- Haneul Jung
- Division of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea; (H.J.); (S.-Y.K.)
| | - Chi-Hwan Choi
- Division of High-Risk Pathogens, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea; (C.-H.C.); (M.L.); (Y.-S.C.)
| | - Minji Lee
- Division of High-Risk Pathogens, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea; (C.-H.C.); (M.L.); (Y.-S.C.)
| | - Seong-Yoon Kim
- Division of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea; (H.J.); (S.-Y.K.)
| | - Bekbolsun Aknazarov
- Faculty of Veterinary Medicine, Kyrgyz National Agrarian University Named after K. I. Skryabin, Bishkek 720005, Kyrgyzstan; (B.A.); (R.N.); (N.A.); (E.J.)
| | - Rysbek Nyrgaziev
- Faculty of Veterinary Medicine, Kyrgyz National Agrarian University Named after K. I. Skryabin, Bishkek 720005, Kyrgyzstan; (B.A.); (R.N.); (N.A.); (E.J.)
| | - Nurzina Atabekova
- Faculty of Veterinary Medicine, Kyrgyz National Agrarian University Named after K. I. Skryabin, Bishkek 720005, Kyrgyzstan; (B.A.); (R.N.); (N.A.); (E.J.)
| | - Elmurat Jetigenov
- Faculty of Veterinary Medicine, Kyrgyz National Agrarian University Named after K. I. Skryabin, Bishkek 720005, Kyrgyzstan; (B.A.); (R.N.); (N.A.); (E.J.)
| | - Yoon-Seok Chung
- Division of High-Risk Pathogens, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea; (C.-H.C.); (M.L.); (Y.-S.C.)
| | - Hee-Il Lee
- Division of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea; (H.J.); (S.-Y.K.)
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Lindman M, Angel JP, Estevez I, Chang NP, Chou TW, McCourt M, Atkins C, Daniels BP. RIPK3 promotes brain region-specific interferon signaling and restriction of tick-borne flavivirus infection. PLoS Pathog 2023; 19:e1011813. [PMID: 38011306 PMCID: PMC10703404 DOI: 10.1371/journal.ppat.1011813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 12/07/2023] [Accepted: 11/09/2023] [Indexed: 11/29/2023] Open
Abstract
Innate immune signaling in the central nervous system (CNS) exhibits many remarkable specializations that vary across cell types and CNS regions. In the setting of neuroinvasive flavivirus infection, neurons employ the immunologic kinase receptor-interacting kinase 3 (RIPK3) to promote an antiviral transcriptional program, independently of the traditional function of this enzyme in promoting necroptotic cell death. However, while recent work has established roles for neuronal RIPK3 signaling in controlling mosquito-borne flavivirus infections, including West Nile virus and Zika virus, functions for RIPK3 signaling in the CNS during tick-borne flavivirus infection have not yet been explored. Here, we use a model of Langat virus (LGTV) encephalitis to show that RIPK3 signaling is specifically required in neurons of the cerebellum to control LGTV replication and restrict disease pathogenesis. This effect did not require the necroptotic executioner molecule mixed lineage kinase domain like protein (MLKL), a finding similar to previous observations in models of mosquito-borne flavivirus infection. However, control of LGTV infection required a unique, region-specific dependence on RIPK3 to promote expression of key antiviral interferon-stimulated genes (ISG) in the cerebellum. This RIPK3-mediated potentiation of ISG expression was associated with robust cell-intrinsic restriction of LGTV replication in cerebellar granule cell neurons. These findings further illuminate the complex roles of RIPK3 signaling in the coordination of neuroimmune responses to viral infection, as well as provide new insight into the mechanisms of region-specific innate immune signaling in the CNS.
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Affiliation(s)
- Marissa Lindman
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Juan P. Angel
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Irving Estevez
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Nydia P. Chang
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Tsui-Wen Chou
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Micheal McCourt
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Colm Atkins
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
| | - Brian P. Daniels
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey, United States of America
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Drews SJ, Kjemtrup AM, Krause PJ, Lambert G, Leiby DA, Lewin A, O'Brien SF, Renaud C, Tonnetti L, Bloch EM. Transfusion-transmitted Babesia spp.: a changing landscape of epidemiology, regulation, and risk mitigation. J Clin Microbiol 2023; 61:e0126822. [PMID: 37750699 PMCID: PMC10595070 DOI: 10.1128/jcm.01268-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/27/2023] Open
Abstract
Babesia spp. are tick-borne parasites with a global distribution and diversity of vertebrate hosts. Over the next several decades, climate change is expected to impact humans, vectors, and vertebrate hosts and change the epidemiology of Babesia. Although humans are dead-end hosts for tick-transmitted Babesia, human-to-human transmission of Babesia spp. from transfusion of red blood cells and whole blood-derived platelet concentrates has been reported. In most patients, transfusion-transmitted Babesia (TTB) results in a moderate-to-severe illness. Currently, in North America, most cases of TTB have been described in the United States. TTB cases outside North America are rare, but case numbers may change over time with increased recognition of babesiosis and as the epidemiology of Babesia is impacted by climate change. Therefore, TTB is a concern of microbiologists working in blood operator settings, as well as in clinical settings where transfusion occurs. Microbiologists play an important role in deploying blood donor screening assays in Babesia endemic regions, identifying changing risks for Babesia in non-endemic areas, investigating recipients of blood products for TTB, and drafting TTB policies and guidelines. In this review, we provide an overview of the clinical presentation and epidemiology of TTB. We identify approaches and technologies to reduce the risk of collecting blood products from Babesia-infected donors and describe how investigations of TTB are undertaken. We also describe how microbiologists in Babesia non-endemic regions can assess for changing risks of TTB and decide when to focus on laboratory-test-based approaches or pathogen reduction to reduce TTB risk.
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Affiliation(s)
- Steven J. Drews
- Microbiology, Donation Policy and Studies, Canadian Blood Services, Edmonton, Alberta, Canada
- Department of Laboratory Medicine and Pathology, Division of Diagnostic and Applied Microbiology, University of Alberta, Edmonton, Alberta, Canada
| | - Anne M. Kjemtrup
- California Department of Public Health, Vector-Borne Disease Section, Sacramento, California, USA
| | - Peter J. Krause
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health and Yale School of Medicine, New Haven, Connecticut, USA
| | - Grayson Lambert
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health and Yale School of Medicine, New Haven, Connecticut, USA
| | - David A. Leiby
- Department of Microbiology, Immunology, and Tropical Medicine, George Washington University, Washington, USA
| | - Antoine Lewin
- Epidemiology, Surveillance and Biological Risk Assessment, Medical Affairs and Innovation, Héma-Québec, Montréal, Quebec, Canada
- Département d'Obstétrique et de Gynécologie, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Sheila F. O'Brien
- Epidemiology and Surveillance, Canadian Blood Services, Donation Policy and Studies, Ottawa, Ontario, Canada
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada
| | - Christian Renaud
- Department of Microbiology, CHU Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada
| | - Laura Tonnetti
- American Red Cross, Scientific Affairs, Holland Laboratories for the Biomedical Sciences, Rockville, Maryland, USA
| | - Evan M. Bloch
- Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
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4
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Lindman M, Angel JP, Estevez I, Chang NP, Chou TW, McCourt M, Atkins C, Daniels BP. RIPK3 promotes brain region-specific interferon signaling and restriction of tick-borne flavivirus infection. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.01.23.525284. [PMID: 36747672 PMCID: PMC9900788 DOI: 10.1101/2023.01.23.525284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Innate immune signaling in the central nervous system (CNS) exhibits many remarkable specializations that vary across cell types and CNS regions. In the setting of neuroinvasive flavivirus infection, neurons employ the immunologic kinase receptor-interacting kinase 3 (RIPK3) to promote an antiviral transcriptional program, independently of the traditional function of this enzyme in promoting necroptotic cell death. However, while recent work has established roles for neuronal RIPK3 signaling in controlling mosquito-borne flavivirus infections, including West Nile virus and Zika virus, functions for RIPK3 signaling in the CNS during tick-borne flavivirus infection have not yet been explored. Here, we use a model of Langat virus (LGTV) encephalitis to show that RIPK3 signaling is specifically required in neurons of the cerebellum to control LGTV replication and restrict disease pathogenesis. This effect did not require the necroptotic executioner molecule mixed lineage kinase domain like protein (MLKL), a finding similar to previous observations in models of mosquito-borne flavivirus infection. However, control of LGTV infection required a unique, region-specific dependence on RIPK3 to promote expression of key antiviral interferon-stimulated genes (ISG) in the cerebellum. This RIPK3-mediated potentiation of ISG expression was associated with robust cell-intrinsic restriction of LGTV replication in cerebellar granule cell neurons. These findings further illuminate the complex roles of RIPK3 signaling in the coordination of neuroimmune responses to viral infection, as well as provide new insight into the mechanisms of region-specific innate immune signaling in the CNS.
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Affiliation(s)
- Marissa Lindman
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Juan P Angel
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Irving Estevez
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Nydia P Chang
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Tsui-Wen Chou
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Micheal McCourt
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Colm Atkins
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
| | - Brian P. Daniels
- Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA
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5
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Yerdessov S, Zhunussova A, Imanova A, Gusmanov A, Sakko Y, Zhakhina G, Mussina K, Syssoyev D, Alimbayev A, Abbay A, Sarria-Santamera A, Gaipov A. Epidemiological characteristics and climatic variability of viral meningitis in Kazakhstan, 2014-2019. Front Public Health 2023; 10:1041135. [PMID: 36684964 PMCID: PMC9845948 DOI: 10.3389/fpubh.2022.1041135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Accepted: 12/02/2022] [Indexed: 01/05/2023] Open
Abstract
Background The comprehensive epidemiology and impact of climate on viral meningitis (VM) in Kazakhstan are unknown. We aimed to study the incidence, in-hospital mortality and influence of climatic indicators on VM from 2014 to 2019. Methods Nationwide electronic healthcare records were used to explore this study. ICD-10 codes of VM, demographics, and hospital outcomes were evaluated using descriptive statistics and survival analysis. Results During the 2014-2019 period, 10,251 patients with VM were admitted to the hospital. 51.35% of them were children, 57.85% were males, and 85.9% were from the urban population. Enteroviral meningitis was the main cause of VM in children. The incidence rate was 13 and 18 cases per 100,000 population in 2014 and 2019, respectively. Case fatality rate was higher in 2015 (2.3%) and 2017 (2.0%). The regression model showed 1°C increment in the daily average temperature might be associated with a 1.05-fold (95% CI 1.047-1.051) increase in the daily rate of VM cases, 1hPa increment in the average air pressure and 1% increment in the daily average humidity might contribute to a decrease in the daily rate of VM cases with IRRs of 0.997 (95% CI 0.995-0.998) and 0.982 (95% CI 0.981-0.983), respectively. In-hospital mortality was 35% higher in males compared to females. Patients residing in rural locations had a 2-fold higher risk of in-hospital death, compared to city residents. Elderly patients had a 14-fold higher risk of in-hospital mortality, compared to younger patients. Conclusion This is the first study in Kazakhstan investigating the epidemiology and impact of climate on VM using nationwide healthcare data. There was a tendency to decrease the incidence with outbreaks every 5 years, and mortality rates were higher for Russians and other ethnicities compared to Kazakhs, for males compared to females, for elder patients compared to younger patients, and for patients living in rural areas compared to city residents. The climatic parameters and the days of delay indicated a moderate interaction with the VM cases.
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Affiliation(s)
- Sauran Yerdessov
- Department of Science and Education, CF “University Medical Center”, Astana, Kazakhstan,Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Assel Zhunussova
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Aliya Imanova
- Stroke Center, City Multidisciplinary Hospital No. 2, Astana, Kazakhstan
| | - Arnur Gusmanov
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Yesbolat Sakko
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Gulnur Zhakhina
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Kamilla Mussina
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Dmitriy Syssoyev
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Aidar Alimbayev
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Anara Abbay
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | | | - Abduzhappar Gaipov
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan,Clinical Academic Department of Internal Medicine, CF “University Medical Center”, Astana, Kazakhstan,*Correspondence: Abduzhappar Gaipov ✉
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Genomic Determinants Potentially Associated with Clinical Manifestations of Human-Pathogenic Tick-Borne Flaviviruses. Int J Mol Sci 2022; 23:ijms232113404. [PMID: 36362200 PMCID: PMC9658301 DOI: 10.3390/ijms232113404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/26/2022] [Accepted: 10/29/2022] [Indexed: 11/06/2022] Open
Abstract
The tick-borne flavivirus group contains at least five species that are pathogenic to humans, three of which induce encephalitis (tick-borne encephalitis virus, louping-ill virus, Powassan virus) and another two species induce hemorrhagic fever (Omsk hemorrhagic fever virus, Kyasanur Forest disease virus). To date, the molecular mechanisms responsible for these strikingly different clinical forms are not completely understood. Using a bioinformatic approach, we performed the analysis of each amino acid (aa) position in the alignment of 323 polyprotein sequences to calculate the fixation index (Fst) per site and find the regions (determinants) where sequences belonging to two designated groups were most different. Our algorithm revealed 36 potential determinants (Fst ranges from 0.91 to 1.0) located in all viral proteins except a capsid protein. In an envelope (E) protein, most of the determinants were located on the virion surface regions (domains II and III) and one (absolutely specific site 457) was located in the transmembrane region. Another 100% specific determinant site (E63D) with Fst = 1.0 was located in the central hydrophilic domain of the NS2b, which mediates NS3 protease activity. The NS5 protein contains the largest number of determinants (14) and two of them are absolutely specific (T226S, E290D) and are located near the RNA binding site 219 (methyltransferase domain) and the extension structure. We assume that even if not absolutely, highly specific sites, together with absolutely specific ones (Fst = 1.0) can play a supporting role in cell and tissue tropism determination.
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Wagner E, Shin A, Tukhanova N, Turebekov N, Nurmakhanov T, Sutyagin V, Berdibekov A, Maikanov N, Lezdinsh I, Shapiyeva Z, Shevtsov A, Freimüller K, Peintner L, Ehrhardt C, Essbauer S. First Indications of Omsk Haemorrhagic Fever Virus beyond Russia. Viruses 2022; 14:v14040754. [PMID: 35458484 PMCID: PMC9030969 DOI: 10.3390/v14040754] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/01/2022] [Accepted: 04/02/2022] [Indexed: 01/27/2023] Open
Abstract
Omsk haemorrhagic fever virus (OHFV) is the agent leading to Omsk haemorrhagic fever (OHF), a viral disease currently only known in Western Siberia in Russia. The symptoms include fever, headache, nausea, muscle pain, cough and haemorrhages. The transmission cycle of OHFV is complex. Tick bites or contact with infected small mammals are the main source of infection. The Republic of Kazakhstan is adjacent to the endemic areas of OHFV in Russia and febrile diseases with haemorrhages occur throughout the country—often with unclear aetiology. In this study, we examined human cerebrospinal fluid samples of patients with suspected meningitis or meningoencephalitis with unknown origins for the presence of OHFV RNA. Further, reservoir hosts such as rodents and ticks from four Kazakhstan regions were screened for OHFV RNA to clarify if this virus could be the causative agent for many undiagnosed cases of febrile diseases in humans in Kazakhstan. Out of 130 cerebrospinal fluid samples, two patients (1.53%) originating from Almaty city were positive for OHFV RNA. Screening of tick samples revealed positive pools from different areas in the Akmola region. Of the caught rodents, 1.1% out of 621 were positive for OHFV at four trapping areas from the West Kazakhstan region. In this paper, we present a broad investigation of the spread of OHFV in Kazakhstan in human cerebrospinal fluid samples, rodents and ticks. Our study shows for the first time that OHFV can not only be found in the area of Western Siberia in Russia, but can also be detected up to 1.600 km away in the Almaty region in patients and natural foci.
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Affiliation(s)
- Edith Wagner
- Section of Experimental Virology, Institute of Medical Microbiology, Jena University Hospital, 07743 Jena, Germany; (E.W.); (C.E.)
- Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, 80937 Munich, Germany; (K.F.); (S.E.)
| | - Anna Shin
- Center for International Health, University Hospital, LMU, 80336 Munich, Germany; (A.S.); (N.T.)
- Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Almaty 050000, Kazakhstan; (N.T.); (T.N.)
| | - Nur Tukhanova
- Center for International Health, University Hospital, LMU, 80336 Munich, Germany; (A.S.); (N.T.)
- Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Almaty 050000, Kazakhstan; (N.T.); (T.N.)
| | - Nurkeldi Turebekov
- Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Almaty 050000, Kazakhstan; (N.T.); (T.N.)
| | - Talgat Nurmakhanov
- Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Almaty 050000, Kazakhstan; (N.T.); (T.N.)
| | - Vitaliy Sutyagin
- Antiplague Station Taldykorgan, Branch Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Taldykorgan 040000, Kazakhstan; (V.S.); (A.B.); (I.L.)
| | - Almas Berdibekov
- Antiplague Station Taldykorgan, Branch Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Taldykorgan 040000, Kazakhstan; (V.S.); (A.B.); (I.L.)
| | - Nurbek Maikanov
- Oral Antiplague Station, Branch Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Oral 090002, Kazakhstan;
| | - Ilmars Lezdinsh
- Antiplague Station Taldykorgan, Branch Aikimbayev’s National Scientific Center for Especially Dangerous Infections, Taldykorgan 040000, Kazakhstan; (V.S.); (A.B.); (I.L.)
| | - Zhanna Shapiyeva
- Scientific Practical Center of Sanitary Epidemiological Expertise and Monitoring, Almaty 050000, Kazakhstan;
| | | | - Klaus Freimüller
- Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, 80937 Munich, Germany; (K.F.); (S.E.)
| | - Lukas Peintner
- Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, 80937 Munich, Germany; (K.F.); (S.E.)
- Correspondence: ; Tel.: +49-89-992-692-3813
| | - Christina Ehrhardt
- Section of Experimental Virology, Institute of Medical Microbiology, Jena University Hospital, 07743 Jena, Germany; (E.W.); (C.E.)
| | - Sandra Essbauer
- Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, 80937 Munich, Germany; (K.F.); (S.E.)
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Shin A, Tukhanova N, Ndenkeh J, Shapiyeva Z, Yegemberdiyeva R, Yeraliyeva L, Nurmakhanov T, Froeschl G, Hoelscher M, Musralina L, Toktasyn Y, Gulnara Z, Sansyzbayev Y, Aigul S, Abdiyeva K, Turebekov N, Wagner E, Peintner L, Essbauer S. Tick-borne encephalitis virus and West-Nile fever virus as causes of serous meningitis of unknown origin in Kazakhstan. Zoonoses Public Health 2022; 69:514-525. [PMID: 35322572 DOI: 10.1111/zph.12941] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 02/25/2022] [Accepted: 03/02/2022] [Indexed: 12/13/2022]
Abstract
Flaviviruses are a family of viruses that cause many diseases in humans. Their similarity in the antigenic structure causes a cross-reaction, which complicates the precise diagnostic of disease causing agents. Tick-borne encephalitis virus (TBEV), a member of the flavivirus family, is the cause of tick-borne encephalitis (TBE). Worldwide the awareness of this disease is raising, however, in many countries such as the Republic of Kazakhstan (KZ) there is a lack of serological investigation of flaviviruses in humans. In our study, we focused on two TBE endemic regions of KZ (East Kazakhstan Oblast (EKO) and Almaty (AO)) and a region where TBE cases were registered only since 2010 (Akmola Oblast (AkO)). In KZ, up to 400 cases of serous meningitis of unknown origin were registered annually in the period from 2017 to 2019. Our goals were to calculate the prevalence of antibodies against TBEV in patients with suspected meningitis. We collected 179 sera and 130 cerebrospinal fluid (CSF) samples from patients and included a questionnaire with focus on socio-demographical factors and observed tick bites. The human samples were tested with TBEV and West-Nile fever virus (WNFV) IgM and IgG ELISA, by immunofluorescence assay using a flavivirus biochip, and TBEV-specific real-time RT-PCR. We found TBEV and WNFV antibodies in 31 samples by serological and molecular techniques. Seven serum samples out of 31 showed TBEV-specific antibodies, and three serum pairs had WNFV antibodies. Correlating the serological results with the information gained from the questionnaires it becomes apparent that the number of tick bites is a significant factor for a TBEV infection. This result has an impact on diagnostic in KZ and physicians should be aware that both flaviviruses play a role for serous meningitis of unknown origin in KZ.
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Affiliation(s)
- Anna Shin
- Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany.,National Scientific Center for Extremeley Dangerous Infections, Almaty, Kazakhstan
| | - Nur Tukhanova
- Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany.,National Scientific Center for Extremeley Dangerous Infections, Almaty, Kazakhstan
| | - Jackson Ndenkeh
- Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany
| | - Zhanna Shapiyeva
- Scientific Practical Center of Sanitary Epidemiological Expertise and Monitoring, Almaty, Kazakhstan
| | | | | | - Talgat Nurmakhanov
- National Scientific Center for Extremeley Dangerous Infections, Almaty, Kazakhstan
| | - Guenter Froeschl
- Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany.,Division of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Germany
| | - Michael Hoelscher
- Division of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Germany
| | - Lyazzat Musralina
- Al-Farabi Kazakh National University, Almaty, Kazakhstan.,Institute of Genetics and Physiology, Almaty, Kazakhstan
| | - Yerubayev Toktasyn
- National Scientific Center for Extremeley Dangerous Infections, Almaty, Kazakhstan
| | - Zhumabaeva Gulnara
- National Scientific Center for Extremeley Dangerous Infections, Almaty, Kazakhstan
| | - Yerlan Sansyzbayev
- PCR-CD Department, Children's City Clinical Infectious Hospital, Almaty, Kazakhstan
| | - Satayeva Aigul
- Scientific Practical Center of Sanitary Epidemiological Expertise and Monitoring, Almaty, Kazakhstan
| | | | - Nurkeldi Turebekov
- National Scientific Center for Extremeley Dangerous Infections, Almaty, Kazakhstan
| | - Edith Wagner
- Section of Experimental Virology, Institute of Medical Microbiology, Jena University Hospital, Jena, Germany.,Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, German Centre for Infection Research, Munich Partner Site, Munich, Germany
| | - Lukas Peintner
- Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, German Centre for Infection Research, Munich Partner Site, Munich, Germany
| | - Sandra Essbauer
- Department of Virology and Intracellular Agents, Bundeswehr Institute of Microbiology, German Centre for Infection Research, Munich Partner Site, Munich, Germany
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9
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Yeh KB, Tabynov K, Parekh FK, Maltseva E, Skiba Y, Shapiyeva Z, Sansyzbai A, Frey S, Essbauer S, Hewson R, Richards AL, Hay J. Building Scientific Capability and Reducing Biological Threats: The Effect of Three Cooperative Bio-Research Programs in Kazakhstan. Front Public Health 2021; 9:683192. [PMID: 34712634 PMCID: PMC8545806 DOI: 10.3389/fpubh.2021.683192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Accepted: 09/09/2021] [Indexed: 11/13/2022] Open
Abstract
Cooperative research programs aimed at reducing biological threats have increased scientific capabilities and capacities in Kazakhstan. The German Federal Foreign Office's German Biosecurity Programme, the United Kingdom's International Biological Security Programme and the United States Defense Threat Reduction Agency's Biological Threat Reduction Program provide funding for partner countries, like Kazakhstan. The mutual goals of the programs are to reduce biological threats and enhance global health security. Our investigation examined these cooperative research programs, summarizing major impacts they have made, as well as common successes and challenges. By mapping various projects across the three programs, research networks are highlighted which demonstrate best communication practices to share results and reinforce conclusions. Our team performed a survey to collect results from Kazakhstani partner scientists on their experiences that help gain insights into enhancing day-to-day approaches to conducting cooperative scientific research. This analysis will serve as a basis for a capability maturity model as used in industry, and in addition builds synergy for future collaborations that will be essential for quality and sustainment.
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Affiliation(s)
| | - Kairat Tabynov
- International Center for Vaccinology, Kazakh National Agrarian University, Almaty, Kazakhstan
| | | | - Elina Maltseva
- Almaty Branch of National Center for Biotechnology at Central Reference Laboratory, Almaty, Kazakhstan
| | - Yuriy Skiba
- Almaty Branch of National Center for Biotechnology at Central Reference Laboratory, Almaty, Kazakhstan
| | - Zhanna Shapiyeva
- Scientific Practical Center for Sanitary Epidemiological Expertise and Monitoring, Almaty, Kazakhstan
| | - Ablay Sansyzbai
- International Center for Vaccinology, Kazakh National Agrarian University, Almaty, Kazakhstan
| | - Stefan Frey
- Bundeswehr Institute of Microbiology, Munich, Germany.,Bundeswehr Research Institute for Protective Technologies and Chemical Biological Radiological Nuclear (CBRN) Protection, Munster, Germany
| | | | - Roger Hewson
- Public Health England, Salisbury, United Kingdom.,London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Allen L Richards
- Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - John Hay
- Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, United States
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10
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Yeh KB, Parekh FK, Tabynov K, Tabynov K, Hewson R, Fair JM, Essbauer S, Hay J. Operationalizing Cooperative Research for Infectious Disease Surveillance: Lessons Learned and Ways Forward. Front Public Health 2021; 9:659695. [PMID: 34568249 PMCID: PMC8460863 DOI: 10.3389/fpubh.2021.659695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 08/17/2021] [Indexed: 11/13/2022] Open
Abstract
The current COVID-19 pandemic demonstrates the need for urgent and on-demand solutions to provide diagnostics, treatment and preventative measures for infectious disease outbreaks. Once solutions are developed, meeting capacities depends on the ability to mitigate technical, logistical and production issues. While it is difficult to predict the next outbreak, augmenting investments in preparedness, such as infectious disease surveillance, is far more effective than mustering last-minute response funds. Bringing research outputs into practice sooner rather than later is part of an agile approach to pivot and deliver solutions. Cooperative multi- country research programs, especially those funded by global biosecurity programs, develop capacity that can be applied to infectious disease surveillance and research that enhances detection, identification, and response to emerging and re-emerging pathogens with epidemic or pandemic potential. Moreover, these programs enhance trust building among partners, which is essential because setting expectation and commitment are required for successful research and training. Measuring research outputs, evaluating outcomes and justifying continual investments are essential but not straightforward. Lessons learned include those related to reducing biological threats and maturing capabilities for national laboratory diagnostics strategy and related health systems. Challenges, such as growing networks, promoting scientific transparency, data and material sharing, sustaining funds and developing research strategies remain to be fully resolved. Here, experiences from several programs highlight successful partnerships that provide ways forward to address the next outbreak.
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Affiliation(s)
| | | | - Kairat Tabynov
- International Center for Vaccinology, Kazakh National Agrarian Research University, Almaty, Kazakhstan
| | - Kaissar Tabynov
- International Center for Vaccinology, Kazakh National Agrarian Research University, Almaty, Kazakhstan
| | - Roger Hewson
- Public Health England, Salisbury, United Kingdom.,London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Jeanne M Fair
- Los Alamos National Laboratory, Los Alamos, NM, United States
| | | | - John Hay
- Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, United States
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11
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Peintner L, Wagner E, Shin A, Tukhanova N, Turebekov N, Abdiyeva K, Spaiser O, Serebrennikova Y, Tintrup E, Dmitrovskiy A, Zhalmagambetova A, Frey S, Essbauer SS. Eight Years of Collaboration on Biosafety and Biosecurity Issues Between Kazakhstan and Germany as Part of the German Biosecurity Programme and the G7 Global Partnership Against the Spread of Weapons and Materials of Mass Destruction. Front Public Health 2021; 9:649393. [PMID: 34434910 PMCID: PMC8381731 DOI: 10.3389/fpubh.2021.649393] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 07/06/2021] [Indexed: 11/30/2022] Open
Abstract
In 2013, the German Federal Foreign Office launched the German Biosecurity Programme with the aim to minimise risks associated with biological substances and pathogens. In this context, the German-Kazakh Network for Biosafety and Biosecurity was established in 2013 and constitutes a successful collaboration between Kazakh and German biomedical organisations, under the co-management of the Bundeswehr Institute of Microbiology (IMB), and the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH. Ever since then, a network of scientists, stake holders and policymakers has been established, aiming to work on highly pathogenic, potential biological warfare agents with the focus on biosafety and biosecurity, surveillance, detection and diagnostics, networking and awareness raising of these agents in Kazakhstan. Over the past 8 years, the project members trained four PhD candidates, organised over 30 workshops and trainings with more than 250 participants and conducted more than 5,000 PCR assays and 5,000 serological analyses for surveillance. A great success was the description of new endemic areas for Orthohantaviruses, the mixture of two Crimean-Congo haemorrhagic fever virus genetic clusters, new foci and genetic information on tick-borne encephalitis virus and rickettsiae in Kazakh oblasts. The latter even led to the description of two new genogroups. Furthermore, joint contributions to international conferences were made. In this report, we summarise the evolution of the German-Kazakh Network for Biosafety and Biosecurity and critically reflect on the strengths and possible weaknesses. We were able to establish a viable network of biosafety and biosecurity shareholders and to accomplish the aims of the German Biosecurity Programme to lower biosecurity risks by increased awareness, improved detection and diagnostic methods and surveillance. Further, we reflect on forthcoming aspects to lead this interstate endeavour into a sustainable future.
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Affiliation(s)
- Lukas Peintner
- Department of Virology and Intracellular Agents, German Centre for Infection Research, Munich Partner Site, Bundeswehr Institute of Microbiology, Munich, Germany
| | - Edith Wagner
- Department of Virology and Intracellular Agents, German Centre for Infection Research, Munich Partner Site, Bundeswehr Institute of Microbiology, Munich, Germany.,Section of Experimental Virology, Institute of Medical Microbiology, Jena University Hospital, Jena, Germany
| | - Anna Shin
- Central Reference Laboratory, M. Aikimbaev National Scientific Center for Especially Dangerous Infections, Almaty, Kazakhstan.,Center for International Health, Ludwig-Maximilians-University, Munich, Germany
| | - Nur Tukhanova
- Central Reference Laboratory, M. Aikimbaev National Scientific Center for Especially Dangerous Infections, Almaty, Kazakhstan.,Center for International Health, Ludwig-Maximilians-University, Munich, Germany
| | - Nurkeldi Turebekov
- Central Reference Laboratory, M. Aikimbaev National Scientific Center for Especially Dangerous Infections, Almaty, Kazakhstan
| | - Karlygash Abdiyeva
- Central Reference Laboratory, M. Aikimbaev National Scientific Center for Especially Dangerous Infections, Almaty, Kazakhstan
| | - Olga Spaiser
- Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH, Berlin, Germany
| | | | - Erik Tintrup
- Division OR12 "Chemical and Biological Weapons, Disarmament, G7 Global Partnership", German Federal Foreign Office, Berlin, Germany
| | - Andrey Dmitrovskiy
- Central Reference Laboratory, M. Aikimbaev National Scientific Center for Especially Dangerous Infections, Almaty, Kazakhstan
| | - Aliya Zhalmagambetova
- Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH, Berlin, Germany.,Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH, Almaty, Kazakhstan
| | - Stefan Frey
- Department of Virology and Intracellular Agents, German Centre for Infection Research, Munich Partner Site, Bundeswehr Institute of Microbiology, Munich, Germany.,Bundeswehr Research Institute for Protective Technologies and CBRN Protection, Munster, Germany
| | - Sandra Simone Essbauer
- Department of Virology and Intracellular Agents, German Centre for Infection Research, Munich Partner Site, Bundeswehr Institute of Microbiology, Munich, Germany
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