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Simonin Y. Circulation of West Nile Virus and Usutu Virus in Europe: Overview and Challenges. Viruses 2024; 16:599. [PMID: 38675940 PMCID: PMC11055060 DOI: 10.3390/v16040599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 04/08/2024] [Accepted: 04/11/2024] [Indexed: 04/28/2024] Open
Abstract
West Nile Virus (WNV) and Usutu Virus (USUV) are both neurotropic mosquito-borne viruses belonging to the Flaviviridae family. These closely related viruses mainly follow an enzootic cycle involving mosquitoes as vectors and birds as amplifying hosts, but humans and other mammals can also be infected through mosquito bites. WNV was first identified in Uganda in 1937 and has since spread globally, notably in Europe, causing periodic outbreaks associated with severe cases of neuroinvasive diseases such as meningitis and encephalitis. USUV was initially isolated in 1959 in Swaziland and has also spread to Europe, primarily affecting birds and having a limited impact on human health. There has been a recent expansion of these viruses' geographic range in Europe, facilitated by factors such as climate change, leading to increased human exposure. While sharing similar biological traits, ecology, and epidemiology, there are significant distinctions in their pathogenicity and their impact on both human and animal health. While WNV has been more extensively studied and is a significant public health concern in many regions, USUV has recently been gaining attention due to its emergence in Europe and the diversity of its circulating lineages. Understanding the pathophysiology, ecology, and transmission dynamics of these viruses is important to the implementation of effective surveillance and control measures. This perspective provides a brief overview of the current situation of these two viruses in Europe and outlines the significant challenges that need to be addressed in the coming years.
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Affiliation(s)
- Yannick Simonin
- Pathogenesis and Control of Chronic and Emerging Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France
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2
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Crivei LA, Vata A, Teodor D, Porea D, Cozma AP, Anita A, Oslobanu LE, Morosan S, Savuta G. An Assessment of West Nile and Usutu Viruses' Seroprevalence in Hospitalized Patients: A Preliminary Study on Flavivirus Exposure in Eastern Romania. Pathogens 2024; 13:133. [PMID: 38392871 PMCID: PMC10892458 DOI: 10.3390/pathogens13020133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 01/12/2024] [Accepted: 01/26/2024] [Indexed: 02/25/2024] Open
Abstract
WNV and USUV are closely related epornitic flaviviruses transmitted by Culex mosquitoes which can cause febrile and neurodegenerative disease in humans. The impact of both viruses on public health has increased in the recent decades. AIM The aim of the study was to evaluate the seroprevalence of WNV and USUV in hospitalized patients from eastern Romania who did not show symptoms corresponding to the case definition. METHODS Human blood samples from the hospitalized patients were collected in 2015 and from April to September 2019 in Iasi County, Romania. The samples were screened by ELISA for anti-WNV IgG, IgM, and anti-USUV IgG antibodies. RESULTS A cumulative seroprevalence of 3.4% was recorded for anti-WNV IgG antibodies and 9.1% for anti-WNV IgM. No sample was positive for anti-USUV antibodies. CONCLUSION The cumulative seroprevalence observed provides support for the consideration of WNV as being endemic in the east of Romania. The absence of anti-USUV antibodies may be related to cross-reactivity and cohort size, thus, USUV should be considered in clinical practice and become an objective for active surveillance in Romania.
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Affiliation(s)
- Luciana Alexandra Crivei
- Regional Center of Advanced Research for Emerging Diseases, Zoonoses and Food Safety, Department of Public Health, Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (D.P.); (A.A.); (L.E.O.); (G.S.)
| | - Andrei Vata
- “Sf. Parascheva” Infectious Diseases Hospital of Iasi, 700490 Iasi, Romania; (A.V.); (D.T.)
- Department of Infectious Diseases, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, 700490 Iași, Romania
| | - Danut Teodor
- “Sf. Parascheva” Infectious Diseases Hospital of Iasi, 700490 Iasi, Romania; (A.V.); (D.T.)
| | - Daniela Porea
- Regional Center of Advanced Research for Emerging Diseases, Zoonoses and Food Safety, Department of Public Health, Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (D.P.); (A.A.); (L.E.O.); (G.S.)
- Laboratories and Research Stations Department, Danube Delta National Institute for Research and Development, 820112 Tulcea, Romania
| | - Andreea Paula Cozma
- Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (A.P.C.); (S.M.)
| | - Adriana Anita
- Regional Center of Advanced Research for Emerging Diseases, Zoonoses and Food Safety, Department of Public Health, Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (D.P.); (A.A.); (L.E.O.); (G.S.)
- Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (A.P.C.); (S.M.)
| | - Luanda Elena Oslobanu
- Regional Center of Advanced Research for Emerging Diseases, Zoonoses and Food Safety, Department of Public Health, Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (D.P.); (A.A.); (L.E.O.); (G.S.)
- Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (A.P.C.); (S.M.)
| | - Serban Morosan
- Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (A.P.C.); (S.M.)
- Faculté de Médecine, Sorbonne Université, UMS 28, Inserm, 75013 Paris, France
| | - Gheorghe Savuta
- Regional Center of Advanced Research for Emerging Diseases, Zoonoses and Food Safety, Department of Public Health, Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (D.P.); (A.A.); (L.E.O.); (G.S.)
- Faculty of Veterinary Medicine, Iași University of Life Sciences, 700490 Iași, Romania; (A.P.C.); (S.M.)
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3
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Schwarz ER, Long MT. Comparison of West Nile Virus Disease in Humans and Horses: Exploiting Similarities for Enhancing Syndromic Surveillance. Viruses 2023; 15:1230. [PMID: 37376530 DOI: 10.3390/v15061230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 05/22/2023] [Accepted: 05/23/2023] [Indexed: 06/29/2023] Open
Abstract
West Nile virus (WNV) neuroinvasive disease threatens the health and well-being of horses and humans worldwide. Disease in horses and humans is remarkably similar. The occurrence of WNV disease in these mammalian hosts has geographic overlap with shared macroscale and microscale drivers of risk. Importantly, intrahost virus dynamics, the evolution of the antibody response, and clinicopathology are similar. The goal of this review is to provide a comparison of WNV infection in humans and horses and to identify similarities that can be exploited to enhance surveillance methods for the early detection of WNV neuroinvasive disease.
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Affiliation(s)
- Erika R Schwarz
- Montana Veterinary Diagnostic Laboratory, MT Department of Livestock, Bozeman, MT 59718, USA
| | - Maureen T Long
- Department of Comparative, Diagnostic, & Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610, USA
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Gothe LMR, Ganzenberg S, Ziegler U, Obiegala A, Lohmann KL, Sieg M, Vahlenkamp TW, Groschup MH, Hörügel U, Pfeffer M. Horses as Sentinels for the Circulation of Flaviviruses in Eastern-Central Germany. Viruses 2023; 15:v15051108. [PMID: 37243194 DOI: 10.3390/v15051108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 04/27/2023] [Accepted: 04/28/2023] [Indexed: 05/28/2023] Open
Abstract
Since 2018, autochthonous West Nile virus (WNV) infections have been regularly reported in eastern-central Germany. While clinically apparent infections in humans and horses are not frequent, seroprevalence studies in horses may allow the tracing of WNV and related flaviviruses transmission, such as tick-borne encephalitis virus (TBEV) and Usutu virus (USUV), and consequently help to estimate the risk of human infections. Hence, the aim of our study was to follow the seropositive ratio against these three viruses in horses in Saxony, Saxony Anhalt, and Brandenburg and to describe their geographic distribution for the year 2021. In early 2022, i.e., before the virus transmission season, sera from 1232 unvaccinated horses were tested using a competitive pan-flavivirus ELISA (cELISA). In order to estimate the true seropositive ratio of infection with WNV, TBEV, and USUV for 2021, positive and equivocal results were confirmed by a virus neutralization test (VNT). In addition, possible risk factors for seropositivity using questionnaires were analyzed using logistic regression based on questionnaires similar to our previous study from 2020. In total, 125 horse sera reacted positive in the cELISA. Based on the VNT, 40 sera showed neutralizing antibodies against WNV, 69 against TBEV, and 5 against USUV. Three sera showed antibodies against more than one virus, and eight were negative based on the VNT. The overall seropositive ratio was 3.3% (95% CI: 2.38-4.40) for WNV, 5.6% (95% CI: 4.44-7.04) for TBEV, and 0.4% (95% CI: 0.14-0.98) for USUV infections. While age and number of horses on the holding were factors predicting TBEV seropositivity, no risk factors were discovered for WNV seropositivity. We conclude that horses are useful sentinels to determine the flavivirus circulation in eastern-central Germany, as long as they are not vaccinated against WNV.
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Affiliation(s)
- Leonard M R Gothe
- Institute of Animal Hygiene and Veterinary Public Health, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
| | - Stefanie Ganzenberg
- Department for Horses, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
| | - Ute Ziegler
- Friedrich-Loeffler Institut (FLI), Federal Research Institute for Animal Health, Institute of Novel and Emerging Infectious Diseases, 17493 Greifswald-Insel Riems, Germany
| | - Anna Obiegala
- Institute of Animal Hygiene and Veterinary Public Health, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
| | - Katharina L Lohmann
- Department for Horses, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
| | - Michael Sieg
- Institute of Virology, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
| | - Thomas W Vahlenkamp
- Institute of Virology, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
| | - Martin H Groschup
- Friedrich-Loeffler Institut (FLI), Federal Research Institute for Animal Health, Institute of Novel and Emerging Infectious Diseases, 17493 Greifswald-Insel Riems, Germany
| | - Uwe Hörügel
- Animal Diseases Fund Saxony, Horse Health Service, 01099 Dresden, Germany
| | - Martin Pfeffer
- Institute of Animal Hygiene and Veterinary Public Health, Faculty of Veterinary Medicine, Leipzig University, 04103 Leipzig, Germany
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Stancu IG, Prioteasa FL, Tiron GV, Cotar AI, Fălcuță E, Porea D, Dinu S, Ceianu CS, Csutak O. Distribution of Insecticide Resistance Genetic Markers in the West Nile Virus Vector Culex pipiens from South-Eastern Romania. INSECTS 2022; 13:1062. [PMID: 36421965 PMCID: PMC9698598 DOI: 10.3390/insects13111062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/31/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Abstract
Culex pipiens pipiens and Culex pipiens molestus mosquitoes are the vectors of West Nile virus in south-eastern Romania, an area of intense circulation and human transmission of this virus. The level of insecticide resistance for the mosquito populations in the region has not been previously assessed. Culex pipiens mosquitoes collected between 2018 and 2019 in south-eastern Romania from different habitats were subjected to biotype identification by real-time PCR. Substitutions causing resistance to organophosphates and carbamates (F290V and G119S in acetylcholinesterase 1) and to pyrethroids (L1014F in voltage gated Na+ channel) were screened by PCR or sequencing. Substitutions F290V and G119S were detected at very low frequencies and only in heterozygous state in Culex pipiens molestus biotype specimens collected in urban areas. The molestus biotype population analysed was entirely homozygous for L1014F, and high frequencies of this substitution were also found for pipiens biotype and hybrid mosquitoes collected in urban and in intensive agriculture areas. Reducing the selective pressure by limiting the use of pyrethroid insecticides only for regions where it is absolutely necessary and monitoring L1014F mutation should be taken into consideration when implementing vector control strategies.
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Affiliation(s)
- Ioana Georgeta Stancu
- Department of Genetics, Faculty of Biology, University of Bucharest, 1–3 Aleea Portocalelor, 060101 Bucharest, Romania
- Vector-Borne Infections Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
| | - Florian Liviu Prioteasa
- Medical Entomology Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
| | - Georgiana Victorița Tiron
- Vector-Borne Infections Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
- Department of Microbiology, Faculty of Biology, University of Bucharest, 1–3 Aleea Portocalelor, 060101 Bucharest, Romania
| | - Ani Ioana Cotar
- Vector-Borne Infections Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
| | - Elena Fălcuță
- Medical Entomology Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
| | - Daniela Porea
- Danube Delta National Institute for Research and Development, 165 Babadag, 820112 Tulcea, Romania
| | - Sorin Dinu
- Molecular Epidemiology for Communicable Diseases Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
| | - Cornelia Svetlana Ceianu
- Vector-Borne Infections Laboratory, Cantacuzino National Military Medical Institute for Research and Development, 103 Splaiul Independenței, 050096 Bucharest, Romania
| | - Ortansa Csutak
- Department of Genetics, Faculty of Biology, University of Bucharest, 1–3 Aleea Portocalelor, 060101 Bucharest, Romania
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Cavalleri JV, Korbacska‐Kutasi O, Leblond A, Paillot R, Pusterla N, Steinmann E, Tomlinson J. European College of Equine Internal Medicine consensus statement on equine flaviviridae infections in Europe. Vet Med (Auckl) 2022; 36:1858-1871. [DOI: 10.1111/jvim.16581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 10/19/2022] [Indexed: 11/13/2022]
Affiliation(s)
- Jessika‐M. V. Cavalleri
- Clinical Unit of Equine Internal Medicine, Department for Companion Animals and Horses University of Veterinary Medicine Vienna Vienna Austria
| | - Orsolya Korbacska‐Kutasi
- Clinical Unit of Equine Internal Medicine, Department for Companion Animals and Horses University of Veterinary Medicine Vienna Vienna Austria
- Department for Animal Breeding, Nutrition and Laboratory Animal Science University of Veterinary Medicine Budapest Hungary
- Hungarian Academy of Sciences—Szent Istvan University (MTA‐SZIE) Large Animal Clinical Research Group Üllő Dóra major Hungary
| | - Agnès Leblond
- EPIA, UMR 0346, Epidemiologie des maladies animales et zoonotiques, INRAE, VetAgro Sup University of Lyon Marcy l'Etoile France
| | - Romain Paillot
- School of Equine and Veterinary Physiotherapy Writtle University College Chelmsford UK
| | - Nicola Pusterla
- Department of Medicine and Epidemiology, School of Veterinary Medicine University of California Davis California USA
| | - Eike Steinmann
- Department of Molecular and Medical Virology, Faculty of Medicine Ruhr University Bochum Bochum Germany
| | - Joy Tomlinson
- Baker Institute for Animal Health Cornell University College of Veterinary Medicine Ithaca New York USA
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Using Rapid Analyte Measurement Platform (RAMP) as a Tool for an Early Warning System Assessing West Nile Virus Epidemiological Risk in Bucharest, Romania. Trop Med Infect Dis 2022; 7:tropicalmed7110327. [DOI: 10.3390/tropicalmed7110327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 10/20/2022] [Accepted: 10/21/2022] [Indexed: 11/07/2022] Open
Abstract
West Nile virus (WNV) is the most widely spread arbovirus in the world. Early detection of this virus in mosquito populations is essential for implementing rapid vector control measures to prevent outbreaks. Real-time reverse transcription polymerase chain reaction (real-time RT-PCR) is a powerful tool for the detection of WNV in mosquito pools, but it is a time- and resource-consuming assay. We used a Rapid Analyte Measurement Platform (RAMP) assay in a vector surveillance program for rapid detection of WNV in mosquitoes collected in Bucharest city, Romania, in 2021. The positive mosquito pools were tested for confirmation with real-time RT-PCR. Three out of the 24 RAMP assay positive pools were not confirmed by real-time RT-PCR. We consider that RAMP assay can be used as a fast and reliable method for the screening of WNV presence in mosquito pools, but we recommend that samples with values ranging from 30 to 100 RAMP units should fall in a grey zone and should be considered for real-time RT-PCR confirmation.
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Seroprevalence Rates against West Nile, Usutu, and Tick-Borne Encephalitis Viruses in Blood-Donors from North-Western Romania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138182. [PMID: 35805850 PMCID: PMC9266370 DOI: 10.3390/ijerph19138182] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 06/30/2022] [Accepted: 07/01/2022] [Indexed: 11/17/2022]
Abstract
Introduction: West Nile virus (WNV), Usutu virus (USUV), and the tick-borne encephalitis virus (TBEV) are all arboviruses belonging to Flaviviridae family. All are characterized by vectorial transmission and sometimes associated with neuroinvasive infections. The circulation of these viruses is considered endemic in parts of Europe, with human cases reported in many countries. Among hosts, the viruses are vectored by hematophagous arthropods, such as mosquitoes (WNV, USUV) and ticks (TBEV). Considering the currently outdated knowledge regarding the epidemiology of these viruses in Romania, the aim of our study was to assess the seroprevalence rates of WNV, USUV, and TBEV among healthy blood donors in north-western Romania. Methods: Human blood samples from healthy donors were collected between November 2019 and February 2020 in six counties from the north-western region of Romania. The samples were serologically tested by ELISA and serum neutralization test. Results: Overall, we obtained a seroprevalence of 3.17% for WNV, 0.08% for TBEV, and 0% for USUV. Conclusion: Despite the low seroprevalence of WNV, USUV, and TBEV in our study, we highlight the need for continuous nationwide vector and disease surveillance and implementation of control measures. Further research is required for an optimal overview of the epidemiological status of the Romanian population regarding these flaviviruses together with countrywide awareness campaigns.
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Reemtsma H, Holicki CM, Fast C, Bergmann F, Eiden M, Groschup MH, Ziegler U. Pathogenesis of West Nile Virus Lineage 2 in Domestic Geese after Experimental Infection. Viruses 2022; 14:v14061319. [PMID: 35746790 PMCID: PMC9230372 DOI: 10.3390/v14061319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 06/03/2022] [Accepted: 06/14/2022] [Indexed: 11/18/2022] Open
Abstract
West Nile virus (WNV) is an emerging infectious pathogen circulating between mosquitoes and birds but also infecting mammals. WNV has become autochthonous in Germany, causing striking mortality rates in avifauna and occasional diseases in humans and horses. We therefore wanted to assess the possible role of free-ranging poultry in the WNV transmission cycle and infected 15 goslings with WNV lineage 2 (German isolate). The geese were monitored daily and sampled regularly to determine viremia, viral shedding, and antibody development by molecular and serological methods. Geese were euthanized at various time points post-infection (pi). All infected geese developed variable degrees of viremia from day 1 to day 10 (maximum) and actively shed virus from days 2 to 7 post-infection. Depending on the time of death, the WN viral genome was detected in all examined tissue samples in at least one individual by RT-qPCR and viable virus was even re-isolated, except for in the liver. Pathomorphological lesions as well as immunohistochemically detectable viral antigens were found mainly in the brain. Furthermore, all of the geese seroconverted 6 days pi at the latest. In conclusion, geese are presumably not functioning as important amplifying hosts but are suitable sentinel animals for WNV surveillance.
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Farooq Z, Rocklöv J, Wallin J, Abiri N, Sewe MO, Sjödin H, Semenza JC. Artificial intelligence to predict West Nile virus outbreaks with eco-climatic drivers. Lancet Reg Health Eur 2022; 17:100370. [PMID: 35373173 PMCID: PMC8971633 DOI: 10.1016/j.lanepe.2022.100370] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Background In Europe, the frequency, intensity, and geographic range of West Nile virus (WNV)-outbreaks have increased over the past decade, with a 7.2-fold increase in 2018 compared to 2017, and a markedly expanded geographic area compared to 2010. The reasons for this increase and range expansion remain largely unknown due to the complexity of the transmission pathways and underlying disease drivers. In a first, we use advanced artificial intelligence to disentangle the contribution of eco-climatic drivers to WNV-outbreaks across Europe using decade-long (2010-2019) data at high spatial resolution. Methods We use a high-performance machine learning classifier, XGBoost (eXtreme gradient boosting) combined with state-of-the-art XAI (eXplainable artificial intelligence) methodology to describe the predictive ability and contribution of different drivers of the emergence and transmission of WNV-outbreaks in Europe, respectively. Findings Our model, trained on 2010-2017 data achieved an AUC (area under the receiver operating characteristic curve) score of 0.97 and 0.93 when tested with 2018 and 2019 data, respectively, showing a high discriminatory power to classify a WNV-endemic area. Overall, positive summer/spring temperatures anomalies, lower water availability index (NDWI), and drier winter conditions were found to be the main determinants of WNV-outbreaks across Europe. The climate trends of the preceding year in combination with eco-climatic predictors of the first half of the year provided a robust predictive ability of the entire transmission season ahead of time. For the extraordinary 2018 outbreak year, relatively higher spring temperatures and the abundance of Culex mosquitoes were the strongest predictors, in addition to past climatic trends. Interpretation Our AI-based framework can be deployed to trigger rapid and timely alerts for active surveillance and vector control measures in order to intercept an imminent WNV-outbreak in Europe. Funding The work was partially funded by the Swedish Research Council FORMAS for the project ARBOPREVENT (grant agreement 2018-05973).
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Aguilera-Sepúlveda P, Napp S, Llorente F, Solano-Manrique C, Molina-López R, Obón E, Solé A, Jiménez-Clavero MÁ, Fernández-Pinero J, Busquets N. West Nile Virus Lineage 2 Spreads Westwards in Europe and Overwinters in North-Eastern Spain (2017–2020). Viruses 2022; 14:v14030569. [PMID: 35336976 PMCID: PMC8951896 DOI: 10.3390/v14030569] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 03/01/2022] [Accepted: 03/07/2022] [Indexed: 02/06/2023] Open
Abstract
West Nile virus lineage 2 (WNV-L2) emerged in Europe in 2004; since then, it has spread across the continent, causing outbreaks in humans and animals. During 2017 and 2020, WNV-L2 was detected and isolated from four northern goshawks in two provinces of Catalonia (north-eastern Spain). In order to characterise the first Spanish WNV-L2 isolates and elucidate the potential overwintering of the virus in this Mediterranean region, complete genome sequencing, phylogenetic analyses, and a study of phenotypic characterisation were performed. Our results showed that these Spanish isolates belonged to the central-southern WNV-L2 clade. In more detail, they were related to the Lombardy cluster that emerged in Italy in 2013 and has been able to spread westwards, causing outbreaks in France (2018) and Spain (2017 and 2020). Phenotypic characterisation performed in vitro showed that these isolates presented characteristics corresponding to strains of moderate to high virulence. All these findings evidence that these WNV-L2 strains have been able to circulate and overwinter in the region, and are pathogenic, at least in northern goshawks, which seem to be very susceptible to WNV infection and may be good indicators of WNV-L2 circulation. Due to the increasing number of human and animal cases in Europe in the last years, this zoonotic flavivirus should be kept under extensive surveillance, following a One-Health approach.
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Affiliation(s)
- Pilar Aguilera-Sepúlveda
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130 Valdeolmos, Spain; (P.A.-S.); (F.L.); (M.Á.J.-C.)
| | - Sebastián Napp
- Unitat Mixta d’Investigació IRTA-UAB en Sanitat Animal, Centre de Recerca en Sanitat Animal (CReSA), Campus de la Universitat Autònoma de Barcelona (UAB), Bellaterra, 08193 Barcelona, Spain;
- IRTA, Programa de Sanitat Animal, Centre de Recerca en Sanitat Animal (CReSA), Campus de la Universitat Autònoma de Barcelona (UAB), Bellaterra, 08193 Barcelona, Spain
| | - Francisco Llorente
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130 Valdeolmos, Spain; (P.A.-S.); (F.L.); (M.Á.J.-C.)
| | - Carlos Solano-Manrique
- Centre de Fauna de Vallcalent, Àrea de Gestió Ambiental Servei de Fauna i Flora, Forestal Catalana, 25199 Lleida, Spain;
| | - Rafael Molina-López
- Centre de Fauna de Torreferrussa, Àrea de Gestió Ambiental Servei de Fauna i Flora, Forestal Catalana, 08130 Santa Perpètua de Mogoda, Spain; (R.M.-L.); (E.O.)
| | - Elena Obón
- Centre de Fauna de Torreferrussa, Àrea de Gestió Ambiental Servei de Fauna i Flora, Forestal Catalana, 08130 Santa Perpètua de Mogoda, Spain; (R.M.-L.); (E.O.)
| | - Alba Solé
- Departament d’Acció Climàtica, Alimentació i Agenda Rural, 08007 Barcelona, Spain;
| | - Miguel Ángel Jiménez-Clavero
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130 Valdeolmos, Spain; (P.A.-S.); (F.L.); (M.Á.J.-C.)
- CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Jovita Fernández-Pinero
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130 Valdeolmos, Spain; (P.A.-S.); (F.L.); (M.Á.J.-C.)
- Correspondence: (J.F.-P.); (N.B.)
| | - Núria Busquets
- Unitat Mixta d’Investigació IRTA-UAB en Sanitat Animal, Centre de Recerca en Sanitat Animal (CReSA), Campus de la Universitat Autònoma de Barcelona (UAB), Bellaterra, 08193 Barcelona, Spain;
- IRTA, Programa de Sanitat Animal, Centre de Recerca en Sanitat Animal (CReSA), Campus de la Universitat Autònoma de Barcelona (UAB), Bellaterra, 08193 Barcelona, Spain
- Correspondence: (J.F.-P.); (N.B.)
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12
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Srihi H, Chatti N, Ben Mhadheb M, Gharbi J, Abid N. Phylodynamic and phylogeographic analysis of the complete genome of the West Nile virus lineage 2 (WNV-2) in the Mediterranean basin. BMC Ecol Evol 2021; 21:183. [PMID: 34579648 PMCID: PMC8477494 DOI: 10.1186/s12862-021-01902-w] [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: 03/10/2021] [Accepted: 08/12/2021] [Indexed: 11/25/2022] Open
Abstract
Background The West Nile virus is a highly contagious agent for a wide range of hosts. Its spread in the Mediterranean region raises several questions about its origin and the risk factors underlying the virus’s dispersal. Materials and methods The present study aims to reconstruct the temporal and spatial phylodynamics of West Nile virus lineage 2 in the Mediterranean region using 75 complete genome sequences from different host species retrieved from international databases. Results This data set suggests that current strains of WNV-2 began spreading in South Africa or nearby regions in the early twentieth century, and it migrated northwards via at least one route crossing the Mediterranean to reach Hungary in the early 2000s, before spreading throughout Europe. Another introduction event, according to the data set collected and analyses performed, is inferred to have occurred in around 1978. Migratory birds constitute, among others, additional risk factors that enhance the geographical transmission of the infection.
Conclusion Our data underline the importance of the spatial–temporal tracking of migratory birds and phylodynamic reconstruction in setting up an efficient surveillance system for emerging and reemerging zoonoses in the Mediterranean region. Supplementary Information The online version contains supplementary material available at 10.1186/s12862-021-01902-w.
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Affiliation(s)
- Haythem Srihi
- Research Unit UR17ES30 "Genomics, Biotechnology and Antiviral Strategies", Higher Institute of Biotechnology of Monastir, University of Monastir, Tahar Hadded Avenue, PB 74, 5000, Monastir, Tunisia.
| | - Noureddine Chatti
- Research Unit UR17ES30 "Genomics, Biotechnology and Antiviral Strategies", Higher Institute of Biotechnology of Monastir, University of Monastir, Tahar Hadded Avenue, PB 74, 5000, Monastir, Tunisia
| | - Manel Ben Mhadheb
- Research Unit UR17ES30 "Genomics, Biotechnology and Antiviral Strategies", Higher Institute of Biotechnology of Monastir, University of Monastir, Tahar Hadded Avenue, PB 74, 5000, Monastir, Tunisia
| | - Jawhar Gharbi
- Research Unit UR17ES30 "Genomics, Biotechnology and Antiviral Strategies", Higher Institute of Biotechnology of Monastir, University of Monastir, Tahar Hadded Avenue, PB 74, 5000, Monastir, Tunisia.,Department of Biological Sciences, College of Science, King Faisal University, PB 400, Post Code 31982, Al-Ahsa, Saudi Arabia
| | - Nabil Abid
- Laboratory of Transmissible Diseases and Biological Active Substances LR99ES27, Faculty of Pharmacy, University of Monastir, Ibn Sina Street, 5000, Monastir, Tunisia. .,High Institute of Biotechnology of Sidi Thabet, Department of Biotechnology, University of Manouba, BiotechPôlet Sidi Thabet, PB 66, 2020, Ariana-Tunis, Tunisia.
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13
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Tiron GV, Stancu IG, Dinu S, Prioteasa FL, Fălcuță E, Ceianu CS, Cotar AI. Characterization and Host-Feeding Patterns of Culex pipiens s.l. Taxa in a West Nile Virus-Endemic Area in Southeastern Romania. Vector Borne Zoonotic Dis 2021; 21:713-719. [PMID: 34160283 DOI: 10.1089/vbz.2020.2739] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Culex pipiens sensu lato has been documented as West Nile virus (WNV) vector in southeastern Romania. Bucharest, the densely populated capital city of Romania, and the surrounding Ilfov county are WNV hotspots. In this area, the morphologically indistinguishable biotypes of Cx. pipiens, namely pipiens and molestus, are usually differentiated by their behavioral and physiological traits. Their involvement in WNV transmission, as suggested by entomological investigations, was not previously documented for each biotype. We used a Real-Time PCR assay based on CQ11 microsatellite to identify the Cx. pipiens biotypes and their hybrids collected in various habitats in the Bucharest metropolitan area. A sympatric distribution of both biotypes was observed, with a preference of green areas for pipiens, and human settings and animal farmlands for molestus. In the latter habitats, pipiens and molestus were found in mixed aboveground populations. A low number of hybrids was found suggesting existence of reproductive isolation. In subway tunnels molestus was dominant with a higher number of hybrids recorded than aboveground. Blood-engorged mosquitoes were identified to biotype and the blood meal source identified by DNA barcoding. Overall, Cx. pipiens s.l. fed mainly on birds, commonly on house sparrows, collared doves, and blackbirds, which are potential WNV-amplifying hosts. The preference for avian hosts was expressed strongest by pipiens biotype, while molestus was substantially less specific, feeding on avian and mammal hosts with similar frequency, with humans representing 20% of the hosts. Hybrids had a host choice closer to that of molestus. These findings highlight the role of pipiens biotype as enzootic/epizootic vector, and specifically show molestus as the bridge vector for WNV. The pipiens and molestus biotypes show important differences in habitat preferences, including oviposition; these findings demonstrate that targeted mosquito control to limit WNV transmission may be possible.
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Affiliation(s)
- Georgiana Victorița Tiron
- Cantacuzino National Medico-Military Institute for Research and Development, Bucharest, Romania
- Faculty of Biology, University of Bucharest, Bucharest, Romania
| | - Ioana Georgeta Stancu
- Cantacuzino National Medico-Military Institute for Research and Development, Bucharest, Romania
- Faculty of Biology, University of Bucharest, Bucharest, Romania
| | - Sorin Dinu
- Cantacuzino National Medico-Military Institute for Research and Development, Bucharest, Romania
| | - Florian Liviu Prioteasa
- Cantacuzino National Medico-Military Institute for Research and Development, Bucharest, Romania
| | - Elena Fălcuță
- Cantacuzino National Medico-Military Institute for Research and Development, Bucharest, Romania
| | | | - Ani Ioana Cotar
- Cantacuzino National Medico-Military Institute for Research and Development, Bucharest, Romania
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14
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Young JJ, Haussig JM, Aberle SW, Pervanidou D, Riccardo F, Sekulić N, Bakonyi T, Gossner CM. Epidemiology of human West Nile virus infections in the European Union and European Union enlargement countries, 2010 to 2018. ACTA ACUST UNITED AC 2021; 26. [PMID: 33988124 PMCID: PMC8120798 DOI: 10.2807/1560-7917.es.2021.26.19.2001095] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Background West Nile virus (WNV) circulates in an enzootic cycle involving mosquitoes and birds; humans are accidental hosts. Aim We analysed human WNV infections reported between 2010 and 2018 to the European Centre for Disease Prevention and Control to better understand WNV epidemiology. Methods We describe probable and confirmed autochthonous human cases of WNV infection reported by European Union (EU) and EU enlargement countries. Cases with unknown clinical manifestation or with unknown place of infection at NUTS 3 or GAUL 1 level were excluded from analysis. Results From southern, eastern and western Europe, 3,849 WNV human infections and 379 deaths were reported. Most cases occurred between June and October. Two large outbreaks occurred, in 2010 (n = 391) and in 2018 (n = 1,993). The outbreak in 2018 was larger than in all previous years and the first cases were reported unusually early. The number of newly affected areas (n = 45) was higher in 2018 than in previous years suggesting wider spread of WNV. Conclusion Real-time surveillance of WNV infections is key to ensuring that clinicians and public health authorities receive early warning about the occurrence of cases and potential unusual seasonal patterns. Human cases may appear shortly after first detection of animal cases. Therefore, public health authorities should develop preparedness plans before the occurrence of human or animal WNV infections.
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Affiliation(s)
- Johanna J Young
- These authors contributed equally to this article and share first authorship.,European Centre for Disease Prevention and Control (ECDC), Solna, Sweden
| | - Joana M Haussig
- These authors contributed equally to this article and share first authorship.,European Centre for Disease Prevention and Control (ECDC), Solna, Sweden
| | - Stephan W Aberle
- Center for Virology, Medical University of Vienna, Vienna, Austria
| | | | | | - Nebojša Sekulić
- Institute for Public Health of Montenegro, Podgorica, Montenegro
| | - Tamás Bakonyi
- European Centre for Disease Prevention and Control (ECDC), Solna, Sweden
| | - Céline M Gossner
- European Centre for Disease Prevention and Control (ECDC), Solna, Sweden
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15
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Constant O, Bollore K, Clé M, Barthelemy J, Foulongne V, Chenet B, Gomis D, Virolle L, Gutierrez S, Desmetz C, Moares RA, Beck C, Lecollinet S, Salinas S, Simonin Y. Evidence of Exposure to USUV and WNV in Zoo Animals in France. Pathogens 2020; 9:pathogens9121005. [PMID: 33266071 PMCID: PMC7760666 DOI: 10.3390/pathogens9121005] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 11/25/2020] [Accepted: 11/29/2020] [Indexed: 12/12/2022] Open
Abstract
West Nile virus (WNV) and Usutu virus (USUV) are zoonotic arboviruses. These flaviviruses are mainly maintained in the environment through an enzootic cycle involving mosquitoes and birds. Horses and humans are incidental, dead-end hosts, but can develop severe neurological disorders. Nevertheless, there is little data regarding the involvement of other mammals in the epidemiology of these arboviruses. In this study, we performed a serosurvey to assess exposure to these viruses in captive birds and mammals in a zoo situated in the south of France, an area described for the circulation of these two viruses. A total of 411 samples comprising of 70 species were collected over 16 years from 2003 to 2019. The samples were first tested by a competitive enzyme-linked immunosorbent assay. The positive sera were then tested using virus-specific microneutralization tests against USUV and WNV. USUV seroprevalence in birds was 10 times higher than that of WNV (14.59% versus 1.46%, respectively). Among birds, greater rhea (Rhea Americana) and common peafowl (Pavo cristatus) exhibited the highest USUV seroprevalence. Infections occurred mainly between 2016-2018 corresponding to a period of high circulation of these viruses in Europe. In mammalian species, antibodies against WNV were detected in one dama gazelle (Nanger dama) whereas serological evidence of USUV infection was observed in several Canidae, especially in African wild dogs (Lycaon pictus). Our study helps to better understand the exposure of captive species to WNV and USUV and to identify potential host species to include in surveillance programs in zoos.
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Affiliation(s)
- Orianne Constant
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
| | - Karine Bollore
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
| | - Marion Clé
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
| | - Jonathan Barthelemy
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
| | - Vincent Foulongne
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
| | - Baptiste Chenet
- Parc de Lunaret—Zoo de Montpellier, 34090 Montpellier, France; (B.C.); (D.G.); (L.V.)
| | - David Gomis
- Parc de Lunaret—Zoo de Montpellier, 34090 Montpellier, France; (B.C.); (D.G.); (L.V.)
| | - Laurie Virolle
- Parc de Lunaret—Zoo de Montpellier, 34090 Montpellier, France; (B.C.); (D.G.); (L.V.)
| | | | - Caroline Desmetz
- bBioCommunication en CardioMétabolique (BC2M), Montpellier University, 34000 Montpellier, France;
| | - Rayane Amaral Moares
- UMR 1161 Virology, ANSES, INRAE, ENVA, ANSES Animal Health Laboratory, EURL for Equine Diseases, 94704 Maisons-Alfort, France; (R.A.M.); (C.B.); (S.L.)
| | - Cécile Beck
- UMR 1161 Virology, ANSES, INRAE, ENVA, ANSES Animal Health Laboratory, EURL for Equine Diseases, 94704 Maisons-Alfort, France; (R.A.M.); (C.B.); (S.L.)
| | - Sylvie Lecollinet
- UMR 1161 Virology, ANSES, INRAE, ENVA, ANSES Animal Health Laboratory, EURL for Equine Diseases, 94704 Maisons-Alfort, France; (R.A.M.); (C.B.); (S.L.)
| | - Sara Salinas
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
| | - Yannick Simonin
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, 34000 Montpellier, France; (O.C.); (K.B.); (M.C.); (J.B.); (V.F.); (S.S.)
- Correspondence: ; Tel.: +33-(0)4-3435-9114
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16
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Human West Nile Meningo-Encephalitis in a Highly Endemic Country: A Complex Epidemiological Analysis on Biotic and Abiotic Risk Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17218250. [PMID: 33171693 PMCID: PMC7664930 DOI: 10.3390/ijerph17218250] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 10/30/2020] [Accepted: 11/02/2020] [Indexed: 11/19/2022]
Abstract
West Nile virus (WNV) is one of the most prevalent mosquito-borne viruses. Although the infection in humans is mostly asymptomatic, 15–20% of cases show flu-like symptoms with fever. In 1% of infections, humans develop severe nervous symptoms and even die, a condition known as West Nile neuroinvasive disease (WNND). The aim of our study was to analyze the influence of abiotic and biotic factors with the human WNND cases during the period 2015–2019. A database containing all the localities in Romania was developed. Abiotic and biotic predictors were included for each locality: geographic variables, climatic data, and biotic factors. Spatial distribution of the WNND infections was analyzed using directional distribution (DD). The Spearman’s rank correlation coefficient was employed to assess the strength of association between the WNND infections and predictors. A model was generated using the random forest ensemble learning method. A total number of 535 human WNND cases were confirmed in 308 localities. The DD showed a south-eastern geographical distribution. Weak correlation was observed between the number of human WNND cases for each year and the predictors. The highest predicted probability was around urbanized patches in the south and southeast. Increased surveillance and control measures of vectors in risk areas should be implemented and educational campaigns should be made available for the general public in order to raise awareness of the disease and inform the population about prophylactic measures.
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17
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Domanović D, Gossner CM, Lieshout-Krikke R, Mayr W, Baroti-Toth K, Dobrota AM, Escoval MA, Henseler O, Jungbauer C, Liumbruno G, Oyonarte S, Politis C, Sandid I, Vidović MS, Young JJ, Ushiro-Lumb I, Nowotny N. West Nile and Usutu Virus Infections and Challenges to Blood Safety in the European Union. Emerg Infect Dis 2019; 25:1050-1057. [PMID: 31107223 PMCID: PMC6537739 DOI: 10.3201/eid2506.181755] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
West Nile virus (WNV) and Usutu virus (USUV) circulate in several European Union (EU) countries. The risk of transfusion-transmitted West Nile virus (TT-WNV) has been recognized, and preventive blood safety measures have been implemented. We summarized the applied interventions in the EU countries and assessed the safety of the blood supply by compiling data on WNV positivity among blood donors and on reported TT-WNV cases. The paucity of reported TT-WNV infections and the screening results suggest that blood safety interventions are effective. However, limited circulation of WNV in the EU and presumed underrecognition or underreporting of TT-WNV cases contribute to the present situation. Because of cross-reactivity between genetically related flaviviruses in the automated nucleic acid test systems, USUV-positive blood donations are found during routine WNV screening. The clinical relevance of USUV infection in humans and the risk of USUV to blood safety are unknown.
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18
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Vasić A, Oșlobanu LE, Marinov M, Crivei LA, Rățoi IA, Aniță A, Aniță D, Doroșencu A, Alexe V, Răileanu Ș, Simeunović P, Raileanu C, Falcuța E, Prioteasa FL, Bojkovski J, Pavlović I, Mathis A, Tews BA, Savuţa G, Veronesi E, Silaghi C. Evidence of West Nile Virus (WNV) Circulation in Wild Birds and WNV RNA Negativity in Mosquitoes of the Danube Delta Biosphere Reserve, Romania, 2016. Trop Med Infect Dis 2019; 4:tropicalmed4030116. [PMID: 31438608 PMCID: PMC6789615 DOI: 10.3390/tropicalmed4030116] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 08/16/2019] [Accepted: 08/19/2019] [Indexed: 11/16/2022] Open
Abstract
West Nile virus (WNV) is a zoonotic flavivirus whose transmission cycle in nature includes wild birds as amplifying hosts and ornithophilic mosquito vectors. Bridge vectors can transmit WNV to mammal species potentially causing West Nile Fever. Wild bird migration is a mode of WNV introduction into new areas. The Danube Delta Biosphere Reserve (DDBR) is a major stopover of wild birds migrating between Europe and Africa. The aim of this study was to investigate the presence of WNV in the DDBR during the 2016 transmission season in wild birds and mosquitoes. Blood from 68 wild birds (nine different species) trapped at four different locations was analyzed by competitive ELISA and Virus Neutralization Test (VNT), revealing positive results in 8/68 (11.8%) of the wild birds by ELISA of which six samples (three from juvenile birds) were confirmed seropositive by VNT. Mosquitoes (n = 6523, 5 genera) were trapped with CDC Mini Light traps at two locations and in one location resting mosquitoes were caught. The presence of WNV RNA was tested in 134 pools by reverse transcription quantitative PCR (RT-qPCR). None of the pools was positive for WNV-specific RNA. Based on the obtained results, WNV was circulating in the DDBR during 2016.
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Affiliation(s)
- Ana Vasić
- Institute of Infectology, Friedrich-Loeffler-Institut, Südufer 10, 17943 Insel Riems, Germany
- Faculty of Veterinary Medicine, University of Belgrade, Bul. oslobodjenja 18, 11000 Belgrade, Serbia
| | - Luanda Elena Oșlobanu
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Mihai Marinov
- Danube Delta National Institute for Research and Development, Strada Babadag 165, 820112 Tulcea, Romania
| | - Luciana Alexandra Crivei
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Ioana Alexandra Rățoi
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Adriana Aniță
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Dragoș Aniță
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Alexandru Doroșencu
- Danube Delta National Institute for Research and Development, Strada Babadag 165, 820112 Tulcea, Romania
| | - Vasile Alexe
- Danube Delta National Institute for Research and Development, Strada Babadag 165, 820112 Tulcea, Romania
| | - Ștefan Răileanu
- Danube Delta National Institute for Research and Development, Strada Babadag 165, 820112 Tulcea, Romania
| | - Predrag Simeunović
- Faculty of Veterinary Medicine, University of Belgrade, Bul. oslobodjenja 18, 11000 Belgrade, Serbia
| | - Cristian Raileanu
- Institute of Infectology, Friedrich-Loeffler-Institut, Südufer 10, 17943 Insel Riems, Germany
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Elena Falcuța
- Cantacuzino National Medico-Military Institute for Research and Development, Splaiul Independenţei 103, 05096 Bucharest, Romania
| | - Florian Liviu Prioteasa
- Cantacuzino National Medico-Military Institute for Research and Development, Splaiul Independenţei 103, 05096 Bucharest, Romania
| | - Jovan Bojkovski
- Faculty of Veterinary Medicine, University of Belgrade, Bul. oslobodjenja 18, 11000 Belgrade, Serbia
| | - Ivan Pavlović
- Scientific Veterinary Institute of Serbia Belgrade, Vojvode Toze 14, 11000 Belgrade, Serbia
| | - Alexander Mathis
- National Centre for Vector Entomology, Institute of Parasitology, Vetsuisse Faculty, University of Zürich, Winterthurerstrasse 266a, 8057 Zürich, Switzerland
| | - Birke Andrea Tews
- Institute of Infectology, Friedrich-Loeffler-Institut, Südufer 10, 17943 Insel Riems, Germany
| | - Gheorghe Savuţa
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Iaşi, Aleea Mihail Sadoveanu 3, 700490 Iaşi, Romania
| | - Eva Veronesi
- National Centre for Vector Entomology, Institute of Parasitology, Vetsuisse Faculty, University of Zürich, Winterthurerstrasse 266a, 8057 Zürich, Switzerland
| | - Cornelia Silaghi
- Institute of Infectology, Friedrich-Loeffler-Institut, Südufer 10, 17943 Insel Riems, Germany.
- National Centre for Vector Entomology, Institute of Parasitology, Vetsuisse Faculty, University of Zürich, Winterthurerstrasse 266a, 8057 Zürich, Switzerland.
- Department of Biology, University of Greifswald, Domstrasse 11, 17489 Greifswald, Germany.
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19
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Kakooza-Mwesige A, Tshala-Katumbay D, Juliano SL. Viral infections of the central nervous system in Africa. Brain Res Bull 2019; 145:2-17. [PMID: 30658129 DOI: 10.1016/j.brainresbull.2018.12.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 12/17/2018] [Accepted: 12/19/2018] [Indexed: 12/26/2022]
Abstract
Viral infections are a major cause of human central nervous system infection, and may be associated with significant mortality, and long-term sequelae. In Africa, the lack of effective therapies, limited diagnostic and human resource facilities are especially in dire need. Most viruses that affect the central nervous system are opportunistic or accidental pathogens. Some of these viruses were initially considered harmless, however they have now evolved to penetrate the nervous system efficiently and exploit neuronal cell biology thus resulting in severe illness. A number of potentially lethal neurotropic viruses have been discovered in Africa and over the course of time shown their ability to spread wider afield involving other continents leaving a devastating impact in their trail. In this review we discuss key viruses involved in central nervous system disease and of major public health concern with respect to Africa. These arise from the families of Flaviviridae, Filoviridae, Retroviridae, Bunyaviridae, Rhabdoviridae and Herpesviridae. In terms of the number of cases affected by these viruses, HIV (Retroviridae) tops the list for morbidity, mortality and long term disability, while the Rift Valley Fever virus (Bunyaviridae) is at the bottom of the list. The most deadly are the Ebola and Marburg viruses (Filoviridae). This review describes their epidemiology and key neurological manifestations as regards the central nervous system such as meningoencephalitis and Guillain-Barré syndrome. The potential pathogenic mechanisms adopted by these viruses are debated and research perspectives suggested.
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Affiliation(s)
- Angelina Kakooza-Mwesige
- Department of Paediatrics & Child Health, Makerere University College of Health Sciences and Mulago Hospital, Kampala, Uganda; Astrid Lindgren Children's Hospital, Neuropediatric Research Unit, Karolinska Institutet, Sweden.
| | - Desire Tshala-Katumbay
- Department of Neurology and School of Public Health, Oregon Health & Science University, Portland, OR, USA; Department of Neurology, University of Kinshasa, and Institut National de Recherches Biomedicales, University of Kinshasa, Democratic Republic of the Congo.
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20
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Cotar AI, Fălcuță E, Dinu S, Necula A, Bîrluțiu V, Ceianu CS, Prioteasa FL. West Nile virus lineage 2 in Romania, 2015-2016: co-circulation and strain replacement. Parasit Vectors 2018; 11:562. [PMID: 30367671 PMCID: PMC6203995 DOI: 10.1186/s13071-018-3145-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Accepted: 10/10/2018] [Indexed: 12/05/2022] Open
Abstract
Background West Nile virus (WNV) is endemic in southeastern Romania and, after the unprecedented urban epidemic in Bucharest in 1996 caused by lineage 1 WNV, cases of West Nile fever have been recorded every year. Furthermore, a new outbreak occurred in 2010, this time produced by a lineage 2 WNV belonging to the Eastern European clade (Volgograd 2007-like strain), which was detected in humans and mosquitoes in the following years. Results We report here, for the first time, the emergence, in 2015, of lineage 2 WNV belonging to the monophyletic Central/Southern European group of strains which replaced in 2016, the previously endemized lineage 2 WNV Volgograd 2007-like strain in mosquito populations. The emerged WNV strain harbors H249P (NS3 protein) and I159T (E glycoprotein) substitutions, which have been previously associated in other studies with neurovirulence and efficient vector transmission. Conclusions In 2016, both early amplification of the emerged WNV and complete replacement in mosquito populations of the previously endemized WNV occurred in southeastern Romania. These events were associated with a significant outbreak of severe West Nile neuroinvasive disease in humans.
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Affiliation(s)
- Ani Ioana Cotar
- Cantacuzino National Medico-Military Institute for Research and Development, 103 Splaiul Independenței, 050096, Bucharest, Romania
| | - Elena Fălcuță
- Cantacuzino National Medico-Military Institute for Research and Development, 103 Splaiul Independenței, 050096, Bucharest, Romania
| | - Sorin Dinu
- Cantacuzino National Medico-Military Institute for Research and Development, 103 Splaiul Independenței, 050096, Bucharest, Romania.
| | - Adriana Necula
- National Institute of Blood Transfusion, 2-8 Dr. C-tin Caracaş, 011155, Bucharest, Romania
| | - Victoria Bîrluțiu
- Faculty of Medicine, Lucian Blaga University, 2A Lucian Blaga, 550169, Sibiu, Romania.,Academic Emergency Hospital, 2-4 Corneliu Coposu Boulevard, 550245, Sibiu, Romania
| | - Cornelia Svetlana Ceianu
- Cantacuzino National Medico-Military Institute for Research and Development, 103 Splaiul Independenței, 050096, Bucharest, Romania
| | - Florian Liviu Prioteasa
- Cantacuzino National Medico-Military Institute for Research and Development, 103 Splaiul Independenței, 050096, Bucharest, Romania
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21
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Abstract
Eastern Europe (EE) has been severely affected by mosquito-borne viruses (moboviruses). In this review, we summarize the epidemiology of moboviruses, with particular attention to West Nile virus (WNV). The study of WNV human cases in EE between 2010 and 2016, revealed that the epidemiology of WNV in EE is complex with the combination of introduction of different WNV strains from lineages 1 and 2, and the establishment of endemic cycles. We found a positive correlation between the risk of WNV re-emergence in an area and the number of human cases reported in the previous year. We also report the main ecological and biological characteristics of the key mosquito species vectors of moboviruses. Recent expansion of invasive mosquito species in EE, mainly Aedes albopictus but also Aedes aegypti and Culex quinquefasciatus, may result in new scenarios with an increased risk of transmission of moboviruses. Main gaps of knowledge in relation to moboviruses and their vectors in EE are identified. Understanding the epidemiology of moboviruses in EE is essential for the improvement of their surveillance and the control of the diseases they cause.
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Affiliation(s)
- Sebastián Napp
- IRTA,Campus de la Universitat Autònoma de Barcelona,Bellaterra, Spain
| | - Dusan Petrić
- University of Novi Sad, Faculty of Agriculture, Laboratory for Medical Entomology, Novi Sad, Serbia
| | - Núria Busquets
- IRTA,Campus de la Universitat Autònoma de Barcelona,Bellaterra, Spain
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22
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Pérez-Ramírez E, Llorente F, Del Amo J, Nowotny N, Jiménez-Clavero MÁ. Susceptibility and role as competent host of the red-legged partridge after infection with lineage 1 and 2 West Nile virus isolates of Mediterranean and Central European origin. Vet Microbiol 2018; 222:39-45. [PMID: 30080671 DOI: 10.1016/j.vetmic.2018.06.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 06/08/2018] [Accepted: 06/16/2018] [Indexed: 11/15/2022]
Abstract
West Nile virus (WNV; genus Flavivirus; family Flaviviridae) is the aetiological agent of an emerging, mosquito-borne disease with great impact on human and animal health. Over the past 15 years, WNV has been responsible for large epidemics mainly in North America but also in Europe, where lineage 1 and more recently lineage 2 strains have caused an upsurge in the number of outbreaks with increased human infection and higher virulence for certain wild bird species. This study aimed to compare the course of infection of the lineage 1 WNV strains Israel/98 and Italy/08 and the lineage 2 strain Austria/08 in the red-legged partridge (Alectoris rufa), a gallinaceous bird indigenous to the Iberian Peninsula and widely distributed in Southern and Western Europe. After experimental inoculation, clinical and analytic parameters (viraemia, viral load, antibodies) were examined over a period of 15 days. All inoculated birds became viremic and showed clinical disease, with a morbidity rate of 100% and mortality rates between 22.2 and 55.5% depending on the virus strain. The red-legged partridge demonstrated to be a competent host for transmission of the three investigated WNV isolates with the highest competence index observed for the Italian strain. Likewise, this strain was the most pathogenic causing the highest viral loads in blood, organs, feathers and oral and cloacal secretions. These experimental results indicate that the red-legged partridge is highly susceptible to the infection with lineage 1 and 2 WNV strains and that this species may act as an amplifying host for both WNV lineages.
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Affiliation(s)
- Elisa Pérez-Ramírez
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), Carretera Algete-El Casar s/n, 28130, Valdeolmos, Madrid, Spain.
| | - Francisco Llorente
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), Carretera Algete-El Casar s/n, 28130, Valdeolmos, Madrid, Spain
| | - Javier Del Amo
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), Carretera Algete-El Casar s/n, 28130, Valdeolmos, Madrid, Spain
| | - Norbert Nowotny
- Institute of Virology, University of Veterinary Medicine Vienna, Veterinaerplatz 1, 1210, Vienna, Austria; Department of Basic Medical Sciences, College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, P.O. Box 505055, Dubai Healthcare City, Dubai, United Arab Emirates
| | - Miguel Ángel Jiménez-Clavero
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), Carretera Algete-El Casar s/n, 28130, Valdeolmos, Madrid, Spain; CIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain
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23
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Popescu CP, Florescu SA, Cotar AI, Badescu D, Ceianu CS, Zaharia M, Tardei G, Codreanu D, Ceausu E, Ruta SM. Re-emergence of severe West Nile virus neuroinvasive disease in humans in Romania, 2012 to 2017-implications for travel medicine. Travel Med Infect Dis 2018; 22:30-35. [PMID: 29544774 DOI: 10.1016/j.tmaid.2018.03.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 02/25/2018] [Accepted: 03/11/2018] [Indexed: 02/04/2023]
Abstract
BACKGROUND In Romania, after a major outbreak in 1996, West Nile neuroinvasive disease (WNND) was reported only in a limited number of cases annually. During 2016-2017, a significant increase in the number of WNND cases was reported at the national level, associated with high mortality rates. METHODS A retrospective analysis of all cases confirmed with WNND, hospitalized during 2012-2017 in a single tertiary facility from Bucharest was performed in order to determine the annual prevalence and mortality rate and the risk factors associated with a severe outcome. RESULTS 47 cases were confirmed as WNND. The mortality rate was 25.5%, all death occurred during 2016-2017. Coma, confusion, obtundation, sleepiness and depressed deep tendon reflexes were symptoms predicting a severe outcome. In a univariate analysis age (p < 0.001), associated cancers (p = 0.012) and low levels of chloride in the CSF (p = 0.008) were risk factors for mortality. In a multinomial logistic analysis, age older than 75 years remained the only independent predictor of death in WNND. CONCLUSIONS The increase in both the number and the mortality rate of WNND cases suggest a changing pattern of WNV infection in Romania. Public health authorities and clinicians should be aware of the risk of severe WNV infection in travelers returning from Romania.
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Affiliation(s)
- Corneliu Petru Popescu
- Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania; ESCMID Study Group for Infectious Diseases of the Brain, Basel, Switzerland; ESCMID Study Group for Infections in Travellers and Migrants, Basel, Switzerland.
| | - Simin Aysel Florescu
- Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania
| | - Ani Ioana Cotar
- Laboratory for Vector-Borne Infections, Cantacuzino National Institute for Research, Bucharest, Romania
| | - Daniela Badescu
- Laboratory for Vector-Borne Infections, Cantacuzino National Institute for Research, Bucharest, Romania
| | - Cornelia Svetlana Ceianu
- Laboratory for Vector-Borne Infections, Cantacuzino National Institute for Research, Bucharest, Romania
| | - Mihaela Zaharia
- Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania; ESCMID Study Group for Infectious Diseases of the Brain, Basel, Switzerland; ESCMID Study Group for Infections in Travellers and Migrants, Basel, Switzerland
| | - Gratiela Tardei
- Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania
| | - Daniel Codreanu
- Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania
| | - Emanoil Ceausu
- Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania
| | - Simona Maria Ruta
- Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Stefan S Nicolau Institute of Virology, Bucharest, Romania
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24
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West Nile virus in horses during the summer and autumn seasons of 2015 and 2016, Portugal. Vet Microbiol 2017; 212:75-79. [PMID: 29173592 DOI: 10.1016/j.vetmic.2017.11.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Revised: 11/07/2017] [Accepted: 11/08/2017] [Indexed: 11/23/2022]
Abstract
West Nile fever (WNF) is an emergent disease in Europe, under surveillance in the European Union. Following a 5-year period of apparent silence (autumn 2010 to summer 2015), West Nile virus (WNV) reemerged in the South of Portugal, in July 2015. Here we present data from the onset, geographic location within mainland Portugal, and outcome of clinical cases of WNV infection in horses in 2015 and 2016. During the transmission seasons of 2015 and 2016, twenty-seven horses, most symptomatic (n=20) were found positive to IgM, pr-E immunoglobulins and VNT, leading to the subsequent report to Animal Disease Notification System of the European Commission (ADNS) by the Portuguese National Authority for Animal Health. Outbreaks occurred in the middle summer (August) and early/mid autumn (October/November) of 2015 and 2016, in the southern regions of the country (Alentejo and Algarve). Compared with the previous WNV transmission seasons of 2004 and 2010, a higher number of cases were reported in 2015 and 2016. The results of our study contribute to increase information concerning the geographic areas affected and time period for WNV transmission risk in Portugal.
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25
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More S, Bøtner A, Butterworth A, Calistri P, Depner K, Edwards S, Garin-Bastuji B, Good M, Gortázar Schmidt C, Michel V, Miranda MA, Nielsen SS, Raj M, Sihvonen L, Spoolder H, Stegeman JA, Thulke HH, Velarde A, Willeberg P, Winckler C, Baldinelli F, Broglia A, Dhollander S, Beltrán-Beck B, Kohnle L, Morgado J, Bicout D. Assessment of listing and categorisation of animal diseases within the framework of the Animal Health Law (Regulation (EU) No 2016/429): West Nile fever. EFSA J 2017; 15:e04955. [PMID: 32625621 PMCID: PMC7009844 DOI: 10.2903/j.efsa.2017.4955] [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] [Indexed: 11/11/2022] Open
Abstract
West Nile fever (WNF) has been assessed according to the criteria of the Animal Health Law (AHL), in particular criteria of Article 7 on disease profile and impacts, Article 5 on the eligibility of WNF to be listed, Article 9 for the categorisation of WNF according to disease prevention and control rules as in Annex IV and Article 8 on the list of animal species related to WNF. The assessment has been performed following a methodology composed of information collection and compilation, expert judgement on each criterion at individual and, if no consensus was reached before, also at collective level. The output is composed of the categorical answer, and for the questions where no consensus was reached, the different supporting views are reported. Details on the methodology used for this assessment are explained in a separate opinion. According to the assessment performed, WNF can be considered eligible to be listed for Union intervention as laid down in Article 5(3) of the AHL. The disease would comply with the criteria as in Sections 2 and 5 of Annex IV of the AHL, for the application of the disease prevention and control rules referred to in points (b) and (e) of Article 9(1). The animal species to be listed for WNF according to Article 8(3) criteria are several orders of birds and mammals as susceptible species and several families of birds as reservoir. Different mosquito species can serve as vectors.
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26
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Zehender G, Veo C, Ebranati E, Carta V, Rovida F, Percivalle E, Moreno A, Lelli D, Calzolari M, Lavazza A, Chiapponi C, Baioni L, Capelli G, Ravagnan S, Da Rold G, Lavezzo E, Palù G, Baldanti F, Barzon L, Galli M. Reconstructing the recent West Nile virus lineage 2 epidemic in Europe and Italy using discrete and continuous phylogeography. PLoS One 2017; 12:e0179679. [PMID: 28678837 PMCID: PMC5497961 DOI: 10.1371/journal.pone.0179679] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Accepted: 06/04/2017] [Indexed: 11/24/2022] Open
Abstract
West Nile virus lineage 2 (WNV-2) was mainly confined to sub-Saharan Africa until the early 2000s, when it was identified for the first time in Central Europe causing outbreaks of human and animal infection. The aim of this study was to reconstruct the origin and dispersion of WNV-2 in Central Europe and Italy on a phylodynamic and phylogeographical basis. To this aim, discrete and continuous space phylogeographical models were applied to a total of 33 newly characterised full-length viral genomes obtained from mosquitoes, birds and humans in Northern Italy in the years 2013–2015 aligned with 64 complete sequences isolated mainly in Europe. The European isolates segregated into two highly significant clades: a small one including three sequences and a large clade including the majority of isolates obtained in Central Europe since 2004. Discrete phylogeographical analysis showed that the most probable location of the root of the largest European clade was in Hungary a mean 12.78 years ago. The European clade bifurcated into two highly supported subclades: one including most of the Central/East European isolates and the other encompassing all of the isolates obtained in Greece. The continuous space phylogeographical analysis of the Italian clade showed that WNV-2 entered Italy in about 2008, probably by crossing the Adriatic sea and reaching a central area of the Po Valley. The epidemic then spread simultaneously eastward, to reach the region of the Po delta in 2013, and westward to the border area between Lombardy and Piedmont in 2014; later, the western strain changed direction southward, and reached the central area of the Po valley once again in 2015. Over a period of about seven years, the virus spread all over an area of northern Italy by following the Po river and its main tributaries.
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Affiliation(s)
- Gianguglielmo Zehender
- Department of Biomedical and Clinical Sciences "L.Sacco", University of Milan, Milano, Italy
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, Milano, Italy
- * E-mail:
| | - Carla Veo
- Department of Biomedical and Clinical Sciences "L.Sacco", University of Milan, Milano, Italy
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, Milano, Italy
| | - Erika Ebranati
- Department of Biomedical and Clinical Sciences "L.Sacco", University of Milan, Milano, Italy
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, Milano, Italy
| | - Valentina Carta
- Department of Biomedical and Clinical Sciences "L.Sacco", University of Milan, Milano, Italy
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, Milano, Italy
| | - Francesca Rovida
- Molecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Elena Percivalle
- Molecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Ana Moreno
- Experimental Zooprophylactic Institute of Lombardy and Emilia-Romagna (IZSLER), Brescia, Italy
| | - Davide Lelli
- Experimental Zooprophylactic Institute of Lombardy and Emilia-Romagna (IZSLER), Brescia, Italy
| | - Mattia Calzolari
- Experimental Zooprophylactic Institute of Lombardy and Emilia-Romagna (IZSLER), Reggio Emilia, Italy
| | - Antonio Lavazza
- Experimental Zooprophylactic Institute of Lombardy and Emilia-Romagna (IZSLER), Brescia, Italy
| | - Chiara Chiapponi
- Experimental Zooprophylactic Institute of Lombardy and Emilia-Romagna (IZSLER), Parma, Italy
| | - Laura Baioni
- Experimental Zooprophylactic Institute of Lombardy and Emilia-Romagna (IZSLER), Parma, Italy
| | - Gioia Capelli
- Experimental Zooprophylactic Institute of Venice, Legnaro, Padua, Italy
| | - Silvia Ravagnan
- Experimental Zooprophylactic Institute of Venice, Legnaro, Padua, Italy
| | - Graziana Da Rold
- Experimental Zooprophylactic Institute of Venice, Legnaro, Padua, Italy
| | - Enrico Lavezzo
- Department of Molecular Medicine, University of Padova, Padova, Italy
| | - Giorgio Palù
- Department of Molecular Medicine, University of Padova, Padova, Italy
| | - Fausto Baldanti
- Molecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Luisa Barzon
- Department of Molecular Medicine, University of Padova, Padova, Italy
| | - Massimo Galli
- Department of Biomedical and Clinical Sciences "L.Sacco", University of Milan, Milano, Italy
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, Milano, Italy
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27
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Cotar AI, Falcuta E, Prioteasa LF, Dinu S, Ceianu CS, Paz S. Transmission Dynamics of the West Nile Virus in Mosquito Vector Populations under the Influence of Weather Factors in the Danube Delta, Romania. ECOHEALTH 2016; 13:796-807. [PMID: 27709311 DOI: 10.1007/s10393-016-1176-y] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Revised: 09/01/2016] [Accepted: 09/02/2016] [Indexed: 05/28/2023]
Abstract
Mosquitoes were collected in the Danube Delta during the active seasons of 2011-2013. For Culex spp. mosquitoes, the abundance was calculated. Culex pipiens (sensu lato), (s.l.) and Culex modestus pools were tested for the presence of West Nile virus (WNV) genome, and the maximum likelihood of the infection rate was established. Mean daily temperatures and precipitation were obtained for the closest meteorological station. A negative binominal model was used to evaluate linkages between the temperature/precipitation and mosquito population size. A zero-inflated negative binomial model was used to test the relationship between the temperature and the infection rate. A single complex model for infection rate prediction was also used. The linkages were calculated for lag 0 and for 10 days earlier (lag 1), 20 days earlier (lag 2), and 30 days earlier (lag 3). Significant positive linkages (P < 0.001) were detected between temperature and mosquito population size for lag 1, lag 2, and lag 3. The linkages between temperature and infection rates were positive and significant for lag 2 and lag 3. Negative significant (P < 0.001) results were detected between precipitation and infection rates for lags 1, 2, and 3. The complex model showed that the best predictors for infection rate are the temperature, 20 days earlier (positive linkage) and the precipitation, 30 days earlier (negative linkage). Positive temperature anomalies in spring and summer and rainfall decrease contributed to the increase in the Culex spp. abundance and accelerated the WNV amplification in mosquito vector populations in the following weeks.
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Affiliation(s)
- Ani Ioana Cotar
- Cantacuzino National Institute of Research, Bucharest, Romania
- The European Programme for Public Health Microbiology Training (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Elena Falcuta
- Cantacuzino National Institute of Research, Bucharest, Romania
| | | | - Sorin Dinu
- Cantacuzino National Institute of Research, Bucharest, Romania
| | | | - Shlomit Paz
- Department of Geography and Environmental Studies, University of Haifa, Abba Hushi road 199, Mt. Carmel, 3498838, Haifa, Israel.
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28
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Tantely ML, Goodman SM, Rakotondranaivo T, Boyer S. Review of West Nile virus circulation and outbreak risk in Madagascar: Entomological and ornithological perspectives. Parasite 2016; 23:49. [PMID: 27849515 PMCID: PMC5112766 DOI: 10.1051/parasite/2016058] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 10/23/2016] [Indexed: 12/24/2022] Open
Abstract
West Nile fever (WNF) is a zoonotic disease, occurring nearly globally. In Madagascar, West Nile virus (WNV) was first detected in 1978 from wild birds and the virus is currently distributed across the island, but no epidemic or epizootic period has been recorded. One fatal human case of WNV infection was reported in 2011, suggesting a "tip of the iceberg" phenomenon of a possible WNF epidemic/epizootic on the island. The main objective of this literature-based survey is to review patterns of WNV circulation in Madagascar from the entomological and ornithological points of view. Among the 235 mosquito species described from Madagascar, 29 species are widely associated with WNV infection; 16 of them are found naturally infected with WNV on the island and categorized into major, candidate, and potential vectors of WNV according to their vector capacity. This study upholds the hypothesis that WNV enzooticity is independent of annual movements of migratory birds passing through Madagascar. Moreover, the lack of regular migratory bird flux between Africa and Madagascar would reduce the probability of transmission and the subsequent reintroduction of the virus into locally occurring mosquito species. Given that Palearctic migratory birds are strongly implicated in the transmission of WNV, we highlight notable differences in the movements and species diversity of these birds in Madagascar as compared to eastern and northern Africa. Risk factors from this two-pronged approach are presented for the emergence of WNF outbreak.
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Affiliation(s)
- Michaël Luciano Tantely
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Medical Entomology Unit, Institut Pasteur de Madagascar, Ambatofotsikely BP 1274 Antananarivo 101 Madagascar
| | - Steven M. Goodman
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Field Museum of Natural History 1400 South Lake Shore Drive Chicago
60605 Illinois USA
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Association Vahatra BP 3972 Antananarivo 101 Madagascar
| | - Tsirinaina Rakotondranaivo
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Medical Entomology Unit, Institut Pasteur de Madagascar, Ambatofotsikely BP 1274 Antananarivo 101 Madagascar
| | - Sébastien Boyer
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Medical Entomology Unit, Institut Pasteur de Madagascar, Ambatofotsikely BP 1274 Antananarivo 101 Madagascar
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29
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Vázquez A, Herrero L, Negredo A, Hernández L, Sánchez-Seco MP, Tenorio A. Real time PCR assay for detection of all known lineages of West Nile virus. J Virol Methods 2016; 236:266-270. [PMID: 27481597 DOI: 10.1016/j.jviromet.2016.07.026] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Revised: 07/29/2016] [Accepted: 07/29/2016] [Indexed: 11/17/2022]
Abstract
West Nile virus (WNV) is one of the most widespread arbovirus and a large variety of WNV strains and lineages have been described. The molecular methods for the diagnosis of WNV target mainly lineages 1 and 2, which have caused outbreaks in humans, equines and birds. But the last few years new and putative WNV lineages of unknown pathogenicity have been described. Here we describe a new sensitive and specific real-time PCR assay for the detection and quantification of all the WNV lineages described until now. Primers and probe were designed in the 3'-untranslated region (3'-UTR) of the WNV genome and were designed to match all sequenced WNV strains perfectly. The sensitivity of the assay ranged from 1,5 to 15 copies per reaction depending on the WNV lineage tested. The method was validated for WNV diagnosis using different viral strains, human samples (cerebrospinal fluid, biopsies, serum and plasma) and mosquito pools. The assay did not amplify any other phylogenetically or symptomatically related viruses. All of the above make it a very suitable tool for the diagnosis of WNV and for surveillance studies.
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Affiliation(s)
- Ana Vázquez
- Laboratory of Arboviruses and Imported Viral Diseases, National Centre for Microbiology, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km. 2, 28220 Majadahonda, Madrid, Spain.
| | - Laura Herrero
- Laboratory of Arboviruses and Imported Viral Diseases, National Centre for Microbiology, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km. 2, 28220 Majadahonda, Madrid, Spain
| | - Anabel Negredo
- Laboratory of Arboviruses and Imported Viral Diseases, National Centre for Microbiology, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km. 2, 28220 Majadahonda, Madrid, Spain
| | - Lourdes Hernández
- Laboratory of Arboviruses and Imported Viral Diseases, National Centre for Microbiology, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km. 2, 28220 Majadahonda, Madrid, Spain
| | - María Paz Sánchez-Seco
- Laboratory of Arboviruses and Imported Viral Diseases, National Centre for Microbiology, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km. 2, 28220 Majadahonda, Madrid, Spain
| | - Antonio Tenorio
- Laboratory of Arboviruses and Imported Viral Diseases, National Centre for Microbiology, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km. 2, 28220 Majadahonda, Madrid, Spain
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30
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Török E, Tomazatos A, Cadar D, Horváth C, Keresztes L, Jansen S, Becker N, Kaiser A, Popescu O, Schmidt-Chanasit J, Jöst H, Lühken R. Pilot longitudinal mosquito surveillance study in the Danube Delta Biosphere Reserve and the first reports of Anopheles algeriensis Theobald, 1903 and Aedes hungaricus Mihályi, 1955 for Romania. Parasit Vectors 2016; 9:196. [PMID: 27066827 PMCID: PMC4828890 DOI: 10.1186/s13071-016-1484-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 03/31/2016] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Mosquito-borne viruses (moboviruses) are of growing importance in many countries of Europe. In Romania and especially in the Danube Delta Biosphere Reserve (DDBR), mosquito and mobovirus surveillance are not performed on a regular basis. However, this type of study is crucially needed to evaluate the risk of pathogen transmission, to understand the ecology of emerging moboviruses, or to plan vector control programmes. METHODS We initiated a longitudinal mosquito surveillance study with carbon dioxide-baited Heavy Duty Encephalitis Vector Survey traps at four sampling sites to analyse the spatio-temporal pattern of the (i) mosquito species composition and diversity, (ii) functional groups of mosquitoes (oviposition sites, overwintering stage, and number of generations), and (iii) the occurrence of potential West Nile virus (WNV) vectors. RESULTS During 2014, a total of 240,546 female mosquitoes were collected. All species were identified using morphological characteristics and further confirmed by mitochondrial cytochrome c oxidase subunit I (COI) gene analysis of selected specimens. The two most common taxa were Coquilettidia richiardii (40.9 %) and Anopheles hyrcanus (34.1 %), followed by Culex pipiens (sensu lato) (s.l.)/Cx. torrentium (7.7 %), Aedes caspius (5.7 %), Cx. modestus (4.0 %), An. maculipennis (s.l.) (3.9 %), and Ae. vexans (3.0 %). A further seven species were less common in the area studied, including two new records for Romania: An. algeriensis and Ae. hungaricus. Phylogenetic analysis of COI gene demonstrated the evolutionary relatedness of most species with specimens of the same species collected in other European regions, except Ae. detritus and An. algeriensis, which exhibited high genetic diversity. Due to the dominance of Cq. richiardii and An. hyrcanus (75 % of all collected specimens), the overall phenology and temporal pattern of functional groups basically followed the phenology of both species. A huge proportion of the mosquito population in the course of the entire sampling period can be classified as potential WNV vectors. With 40 % of all collected specimens, the most frequent species Cq. richiardii is probably the most important vector of WNV in the DDBR. CONCLUSION This is the first DNA-barcoding supported analysis of the mosquito fauna in the DDBR. The detection of two new species highlights the lack of knowledge about the mosquito fauna in Romania and in the DDBR in particular. The results provide detailed insights into the spatial-temporal mosquito species composition, which might lead to a better understanding of mobovirus activity in Romania and thus, can be used for the development of vector control programs.
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Affiliation(s)
- Edina Török
- Department of Biology and Ecology, Babeş-Bolyai University, Cluj-Napoca, Romania.,Romanian Academy Institute of Biology, Bucharest, Romania.,Molecular Biology Center, Institute for Interdisciplinary Research in Bio-Nano-Sciences, Babes-Bolyai University, Cluj-Napoca, Romania
| | - Alexandru Tomazatos
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research National Reference Centre for Tropical Infectious Diseases, Hamburg, Germany
| | - Daniel Cadar
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research National Reference Centre for Tropical Infectious Diseases, Hamburg, Germany
| | - Cintia Horváth
- Department of Biology and Ecology, Babeş-Bolyai University, Cluj-Napoca, Romania
| | - Lujza Keresztes
- Department of Biology and Ecology, Babeş-Bolyai University, Cluj-Napoca, Romania
| | - Stephanie Jansen
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research National Reference Centre for Tropical Infectious Diseases, Hamburg, Germany
| | - Norbert Becker
- German Mosquito Control Association (KABS), Institute for Dipterology, Speyer, Germany.,University of Heidelberg, Heidelberg, Germany
| | - Achim Kaiser
- German Mosquito Control Association (KABS), Institute for Dipterology, Speyer, Germany
| | - Octavian Popescu
- Romanian Academy Institute of Biology, Bucharest, Romania.,Molecular Biology Center, Institute for Interdisciplinary Research in Bio-Nano-Sciences, Babes-Bolyai University, Cluj-Napoca, Romania
| | - Jonas Schmidt-Chanasit
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research National Reference Centre for Tropical Infectious Diseases, Hamburg, Germany.,Centre for Infection Research (DZIF), Partner site Hamburg-Luebeck-Borstel, Hamburg, Germany
| | - Hanna Jöst
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research National Reference Centre for Tropical Infectious Diseases, Hamburg, Germany.,Centre for Infection Research (DZIF), Partner site Hamburg-Luebeck-Borstel, Hamburg, Germany
| | - Renke Lühken
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research National Reference Centre for Tropical Infectious Diseases, Hamburg, Germany.
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31
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Szentpáli-Gavallér K, Lim SM, Dencső L, Bányai K, Koraka P, Osterhaus ADME, Martina BEE, Bakonyi T, Bálint Á. In Vitro and in Vivo Evaluation of Mutations in the NS Region of Lineage 2 West Nile Virus Associated with Neuroinvasiveness in a Mammalian Model. Viruses 2016; 8:v8020049. [PMID: 26907325 PMCID: PMC4776204 DOI: 10.3390/v8020049] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Revised: 01/19/2016] [Accepted: 02/09/2016] [Indexed: 12/25/2022] Open
Abstract
West Nile virus (WNV) strains may differ significantly in neuroinvasiveness in vertebrate hosts. In contrast to genetic lineage 1 WNVs, molecular determinants of pathogenic lineage 2 strains have not been experimentally confirmed so far. A full-length infectious clone of a neurovirulent WNV lineage 2 strain (578/10; Central Europe) was generated and amino acid substitutions that have been shown to attenuate lineage 1 WNVs were introduced into the nonstructural proteins (NS1 (P250L), NS2A (A30P), NS3 (P249H) NS4B (P38G, C102S, E249G)). The mouse neuroinvasive phenotype of each mutant virus was examined following intraperitoneal inoculation of C57BL/6 mice. Only the NS1-P250L mutation was associated with a significant attenuation of virulence in mice compared to the wild-type. Multiplication kinetics in cell culture revealed significantly lower infectious virus titres for the NS1 mutant compared to the wild-type, as well as significantly lower amounts of positive and negative stranded RNA.
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Affiliation(s)
| | - Stephanie M Lim
- Viroscience Laboratory, Erasmus Medical Centre, 3015CN, Rotterdam, The Netherlands.
| | - László Dencső
- Veterinary Diagnostic Directorate, National Food Chain Safety Office, H-1143, Budapest, Hungary.
| | - Krisztián Bányai
- Institute for Veterinary Medical Research, Centre for Agricultural Research, Hungarian Academy of Sciences, H-1143, Budapest, Hungary.
| | - Penelope Koraka
- Viroscience Laboratory, Erasmus Medical Centre, 3015CN, Rotterdam, The Netherlands.
| | | | - Byron E E Martina
- Viroscience Laboratory, Erasmus Medical Centre, 3015CN, Rotterdam, The Netherlands.
| | - Tamás Bakonyi
- Department of Microbiology and Infectious Diseases, Faculty of Veterinary Science, Szent István University, H-1143, Budapest, Hungary.
- Viral Zoonoses, Emerging and Vector-Borne Infections Group, Institute of Virology, University of Veterinary Medicine, A-1210, Vienna, Austria.
| | - Ádám Bálint
- Veterinary Diagnostic Directorate, National Food Chain Safety Office, H-1143, Budapest, Hungary.
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32
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Paştiu AI, Pap PL, Vágási CI, Niculae M, Páll E, Domşa C, Brudaşcă FG, Spînu M. Wild Birds in Romania Are More Exposed to West Nile Virus Than to Newcastle Disease Virus. Vector Borne Zoonotic Dis 2016; 16:176-80. [PMID: 26824796 DOI: 10.1089/vbz.2015.1805] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The aim of this study was to evaluate the seroprevalence of West Nile virus (WNV) and Newcastle disease virus (NDV) in wild and domestic birds from Romania. During 2011-2014, 159 plasma samples from wild birds assigned to 11 orders, 27 families, and 61 species and from 21 domestic birds (Gallus gallus domesticus, Anas platyrhynchos domesticus) were collected. The sera were assayed by two commercial competitive enzyme-linked immunosorbent assay (cELISA) kits for antibodies against WNV and NDV. We found a high prevalence of WNV antibodies in both domestic (19.1%) and wild (32.1%) birds captured after the human epidemic in 2010. Moreover, the presence of anti-NDV antibodies among wild birds from Romania (5.4%) was confirmed serologically for the first time, as far as we are aware. Our findings provide evidence that wild birds, especially resident ones are involved in local West Nile and Newcastle disease enzootic and epizootic cycles. These may allow virus maintenance and spread and also enhance the chance of new outbreaks.
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Affiliation(s)
- Anamaria Ioana Paştiu
- 1 Department of Infectious Diseases, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca , Cluj-Napoca, Romania
| | - Péter László Pap
- 2 Evolutionary Ecology Group, Hungarian Department of Biology and Ecology, Babeş-Bolyai University , Cluj Napoca, Romania
| | - Csongor István Vágási
- 2 Evolutionary Ecology Group, Hungarian Department of Biology and Ecology, Babeş-Bolyai University , Cluj Napoca, Romania .,3 MTA-DE "Lendület" Behavioural Ecology Research Group, Department of Evolutionary Zoology and Human Biology, University of Debrecen , Debrecen, Hungary
| | - Mihaela Niculae
- 1 Department of Infectious Diseases, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca , Cluj-Napoca, Romania
| | - Emőke Páll
- 1 Department of Infectious Diseases, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca , Cluj-Napoca, Romania
| | - Cristian Domşa
- 4 Parasitology and Parasitic Diseases Department, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca , Cluj-Napoca, Romania
| | - Florinel Ghe Brudaşcă
- 1 Department of Infectious Diseases, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca , Cluj-Napoca, Romania
| | - Marina Spînu
- 1 Department of Infectious Diseases, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca , Cluj-Napoca, Romania
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33
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Hadjichristodoulou C, Pournaras S, Mavrouli M, Marka A, Tserkezou P, Baka A, Billinis C, Katsioulis A, Psaroulaki A, Papa A, Papadopoulos N, Mamuris Z, Tsakris A, Kremastinou J. West Nile Virus Seroprevalence in the Greek Population in 2013: A Nationwide Cross-Sectional Survey. PLoS One 2015; 10:e0143803. [PMID: 26605539 PMCID: PMC4659653 DOI: 10.1371/journal.pone.0143803] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Accepted: 11/10/2015] [Indexed: 12/01/2022] Open
Abstract
Cases of West Nile Virus (WNV) disease were recorded for three consecutive years in Greece following the year 2010 outbreak. A cross-sectional serologic survey was conducted to estimate the WNV seroprevalence and assess the ratio of infection to neuroinvasive disease. A stratified left-over sampling methodology was used including age and residence strata. A total of 3,962 serum samples was collected and tested for WNV Immunoglobulin G (IgG) antibodies by Enzyme–Linked Immunosorbent Assay (ELISA). All positive samples were further tested by Plaque Reduction Neutralization Test (PRNT) and WNV Immunoglobulin M (IgM) antibodies. WNV IgG antibodies were detected in 82 samples and 61 were also positive in PRNT representing a weighted seroprevalence of 2.1% (95% C.I.: 1.7–2.6) and 1.5% (95% C.I.: 1.2–2.0), respectively. Multivariable analysis showed that seroprevalence was associated with age and residence. The overall ratio of neuroinvasive disease to infected persons was estimated at 1:376 (95% C.I.: 1:421–1:338), while the elderly people had the highest ratio. This nationwide study provided valuable data regarding the epidemiology of WNV in Greece based on the fact that elderly people have higher risk of being both infected and having severe disease.
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Affiliation(s)
- Christos Hadjichristodoulou
- Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa, Greece
- * E-mail:
| | - Spyros Pournaras
- Department of Microbiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Maria Mavrouli
- Department of Microbiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Andriani Marka
- Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa, Greece
| | - Persefoni Tserkezou
- Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa, Greece
| | - Agoritsa Baka
- Hellenic Centre for Disease Control & Prevention (KEELPNO), Athens, Greece
| | - Charalambos Billinis
- Laboratory of Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Thessaly, Karditsa, Greece
| | - Antonios Katsioulis
- Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa, Greece
| | - Anna Psaroulaki
- Laboratory of Bacteriology, Parasitology, Zoonoses and Geogrphical Medicine, School of Medicine, University of Crete, Heraklion, Greece
| | - Anna Papa
- National Reference Center for Arboviruses, Department of Microbiology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Nikos Papadopoulos
- Laboratory of Entomology and Agricultural Zoology, School of Agricultural Sciences, Department of Agriculture Crop Production and Rural Environment, University of Thessaly, Volos, Greece
| | - Zissis Mamuris
- Department of Biochemistry and Biotechnology, University of Thessaly, Larissa, Greece
| | - Athanasios Tsakris
- Department of Microbiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Jenny Kremastinou
- Hellenic Centre for Disease Control & Prevention (KEELPNO), Athens, Greece
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34
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Lustig Y, Hindiyeh M, Orshan L, Weiss L, Koren R, Katz-Likvornik S, Zadka H, Glatman-Freedman A, Mendelson E, Shulman LM. Mosquito Surveillance for 15 Years Reveals High Genetic Diversity Among West Nile Viruses in Israel. J Infect Dis 2015; 213:1107-14. [PMID: 26597260 DOI: 10.1093/infdis/jiv556] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Accepted: 11/12/2015] [Indexed: 12/16/2022] Open
Abstract
West Nile Virus (WNV) is endemic in Israel and has been the cause of several outbreaks in recent years. In 2000, a countrywide mosquito survey was established to monitor WNV activity and characterize viral genotypes in Israel. We analyzed data from 7135 pools containing 277 186 mosquitoes collected over the past 15 years and, here, report partial sequences of WNV genomes obtained from 102 of the 336 positive mosquito pools. Phylogenetic analysis demonstrated that cluster 4 and the Mediterranean and Eastern European subtypes of cluster 2 within WNV lineage 1 circulated in Israel, as did WNV lineage 2, highlighting a high genetic diversity of WNV genotypes in our region. As a major crossroads for bird migration between Africa and Eurasia and with a long history of human infection, Israel serves as a resource hub for WNV in Africa and Eurasia and provides valuable information on WNV circulation in these regions.
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Affiliation(s)
- Yaniv Lustig
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer
| | - Musa Hindiyeh
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Israel
| | - Laor Orshan
- Laboratory of Entomology, Ministry of Health, Jerusalem
| | - Leah Weiss
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer
| | - Ravit Koren
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer
| | - Shiri Katz-Likvornik
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer
| | - Hila Zadka
- Israel Center for Disease Control, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer
| | - Aharona Glatman-Freedman
- Israel Center for Disease Control, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer New York Medical College, Valhalla, New York
| | - Ella Mendelson
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Israel
| | - Lester M Shulman
- Central Virology Laboratory, Ministry of Health, Chaim Sheba Medical center, Tel-Hashomer Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Israel
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35
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Dridi M, Van Den Berg T, Lecollinet S, Lambrecht B. Evaluation of the pathogenicity of West Nile virus (WNV) lineage 2 strains in a SPF chicken model of infection: NS3-249Pro mutation is neither sufficient nor necessary for conferring virulence. Vet Res 2015; 46:130. [PMID: 26518144 PMCID: PMC4628354 DOI: 10.1186/s13567-015-0257-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Accepted: 09/21/2015] [Indexed: 01/28/2023] Open
Abstract
Lineage 2 West Nile virus (WNV) strains were reported for the first time in Europe in 2004. Despite an almost silent circulation around their entry point in Hungary, an upsurge of pathogenicity occurred in 2010 as 262 people suffered from neuroinvasive disease in Greece. This increase in virulence was imputed to the emergence of a His249Pro mutation in the viral NS3 helicase, as previously evidenced in American crows experimentally infected with the prototype lineage 1 North-American WNV strain. However, since 2003, WNV strains bearing the NS3Pro genotype are regularly isolated in Western-Mediterranean countries without being correlated to any virulent outbreak in vertebrates. We thus sought to evaluate the weight of the NS3249Pro genotype as a virulence marker of WNV in an in vivo avian model of WNV infection. We therefore characterized three genetically-related Eastern-Europe lineage 2 WNV strains in day-old specific pathogen-free (SPF) chickens: Hun2004 and Aus2008 which are both characterized by a NS3249His genotype, and Gr2011 which is characterized by a NS3249Pro genotype. Unlike Hun2004 and Aus2008, Gr2011 was weakly virulent in SPF chicks as Gr2011-induced viremia was lower and waned quicklier than in the Hun2004 and Aus2008 groups. Overall, this study showed that the presence of a proline residue at position 249 of the viral NS3 helicase is neither sufficient nor necessary to confer pathogenicity to any given lineage 2 WNV strain in birds.
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Affiliation(s)
- Maha Dridi
- Operational Direction of Viral Diseases, CODA-CERVA-Veterinary and Agrochemical Research Centre, 99 Groeselenberg, 1180, Brussels, Belgium.
| | - Thierry Van Den Berg
- Operational Direction of Viral Diseases, CODA-CERVA-Veterinary and Agrochemical Research Centre, 99 Groeselenberg, 1180, Brussels, Belgium.
| | - Sylvie Lecollinet
- UPE, UMR1161 Virologie, Institut National de la Recherche Agronomique (INRA), Agence Nationale de Sécurité Sanitaire de l'alimentation, de l'environnement et du travail (ANSES), Ecole Nationale Vétérinaire d'Alfort (ENVA), 14 rue Pierre et Marie Curie, 94701, Maisons-Alfort, France.
| | - Benedicte Lambrecht
- Operational Direction of Viral Diseases, CODA-CERVA-Veterinary and Agrochemical Research Centre, 99 Groeselenberg, 1180, Brussels, Belgium.
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36
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Fortuna C, Remoli ME, Di Luca M, Severini F, Toma L, Benedetti E, Bucci P, Montarsi F, Minelli G, Boccolini D, Romi R, Ciufolini MG. Experimental studies on comparison of the vector competence of four Italian Culex pipiens populations for West Nile virus. Parasit Vectors 2015; 8:463. [PMID: 26383834 PMCID: PMC4574231 DOI: 10.1186/s13071-015-1067-z] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Accepted: 09/01/2015] [Indexed: 12/25/2022] Open
Abstract
Background West Nile virus (WNV) is a vector-borne disease responsible for causing epidemics in many areas of the world. The virus is maintained in nature by an enzootic bird-mosquito-bird cycle and occasionally transmitted to other hosts, such as equines and humans. Culex species, in particular the ubiquitous species Culex pipiens is thought to play a major vector role both in enzootic and epizootic maintenance and transmission of WNV. Introduced in Europe in recent years, since 2008 WNV has been stably circulating mainly in the Northeastern regions of Italy, although sporadic equine and/or human cases, as well as WNV infected Cx. pipiens pools, have been recorded in other Italian areas. The scope of our study was to evaluate the potential competence of some Italian populations of Cx. pipiens to transmit WNV and to assess their ability for vertical transmission of the virus. For this purpose four Italian populations, from different areas, were experimentally infected. Methods After the infectious blood meal, fed females were monitored for 32 days to determine the length of viral extrinsic incubation period. WNV titre of infected mosquitoes was evaluated both by quantitative Real Time PCR and viral titration by Plaque Forming Units/ml (PFU/mL) in VERO cells. Potential Infection, Dissemination, Transmission rates (IR, DR, TR) were assessed by detection of the virus in body, legs plus wings and saliva of the fed females, respectively. Results All tested populations were susceptible to the WNV infection. The viral presence in legs and wings demonstrated the ability of WNV to disseminate in the mosquitoes. Viral RNA was detected in the saliva of tested populations. No significant differences in TR values were observed among the four studied populations. The offspring of the Cx. pipiens infected females were WNV negative. Conclusions Our study addressed an important issue in the knowledge on the complex WNV-vector relationships in Italy, indicating that all Italian Cx. pipiens populations tested exhibited vector competence for WNV. Further studies should be performed in order to better clarify the role of other factors (vector density, climatic conditions, reservoir presence etc.) in order to predict where and when WNV outbreaks could occur.
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Affiliation(s)
- Claudia Fortuna
- Unit of Viral diseases and attenuated vaccine, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Maria Elena Remoli
- Unit of Viral diseases and attenuated vaccine, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Marco Di Luca
- Unit of Vector-borne Diseases and International Health, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Francesco Severini
- Unit of Vector-borne Diseases and International Health, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Luciano Toma
- Unit of Vector-borne Diseases and International Health, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Eleonora Benedetti
- Unit of Viral diseases and attenuated vaccine, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Paola Bucci
- Unit of Viral diseases and attenuated vaccine, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Fabrizio Montarsi
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, PD, Italy.
| | - Giada Minelli
- National Centre for Epidemiology, Surveillance and Health Promotion, Unit of Statistics Istituto Superiore di Sanità, Rome, Italy.
| | - Daniela Boccolini
- Unit of Vector-borne Diseases and International Health, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Roberto Romi
- Unit of Vector-borne Diseases and International Health, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
| | - Maria Grazia Ciufolini
- Unit of Viral diseases and attenuated vaccine, Department of Infectious, Parasitic and Immune-Mediated Diseases Istituto Superiore di Sanità, Rome, Italy.
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37
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Barzon L, Pacenti M, Sinigaglia A, Berto A, Trevisan M, Palù G. West Nile virus infection in children. Expert Rev Anti Infect Ther 2015; 13:1373-86. [PMID: 26325613 DOI: 10.1586/14787210.2015.1083859] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
West Nile virus (WNV) is an emerging flavivirus responsible for an increasing number of outbreaks of neuroinvasive disease in North America, Europe, and neighboring countries. Almost all WNV infections in humans are transmitted through the bite of infected mosquitoes. Transmission during pregnancy and through breastfeeding has been reported, but the risk seems to be very low. West Nile disease in children is less common (1-5% of all WNV cases) and associated with milder symptoms and better outcome than in elderly individuals, even though severe neuroinvasive disease and death have been reported also among children. However, the incidence of WNV infection and disease in children is probably underestimated and the disease spectrum is not fully understood because of lack of reporting and underdiagnosis in children. Infection is diagnosed by detection of WNV-specific antibodies in serum and WNV RNA in plasma and urine. Since no effective WNV-specific drugs are available, therapy is mainly supportive.
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Affiliation(s)
- Luisa Barzon
- a 1 Department of Molecular Medicine, University of Padova, via A. Gabelli 63, 35121 Padova, Italy
| | - Monia Pacenti
- b 2 Microbiology and Virology Unit, Padova University Hospital, via Giustiniani 2, 35128 Padova, Italy
| | | | - Alessandro Berto
- a 1 Department of Molecular Medicine, University of Padova, via A. Gabelli 63, 35121 Padova, Italy
| | - Marta Trevisan
- a 1 Department of Molecular Medicine, University of Padova, via A. Gabelli 63, 35121 Padova, Italy
| | - Giorgio Palù
- a 1 Department of Molecular Medicine, University of Padova, via A. Gabelli 63, 35121 Padova, Italy
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38
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Ravagnan S, Montarsi F, Cazzin S, Porcellato E, Russo F, Palei M, Monne I, Savini G, Marangon S, Barzon L, Capelli G. First report outside Eastern Europe of West Nile virus lineage 2 related to the Volgograd 2007 strain, northeastern Italy, 2014. Parasit Vectors 2015; 8:418. [PMID: 26265490 PMCID: PMC4534017 DOI: 10.1186/s13071-015-1031-y] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Accepted: 08/04/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND West Nile virus (WNV) is a Flavivirus transmitted to vertebrate hosts by mosquitoes, maintained in nature through an enzootic bird-mosquito cycle. In Europe the virus became of major public health and veterinary concern in the 1990s. In Italy, WNV re-emerged in 2008, ten years after the previous outbreak and is currently endemic in many areas of the country. In particular, the northeastern part of Italy experience continuous viral circulation, with human outbreaks caused by different genovariants of WNV lineage 1, Western-European and Mediterranean subcluster, and WNV lineage 2, Hungarian clade. Alongside the WNV National Surveillance Program that has been in place since 2002, regional surveillance plans were implemented after 2008 targeting mosquitoes, animals and humans. FINDINGS In July and September 2014, West Nile virus lineage 2 was detected in pools of Culex pipiens s.l. mosquitoes from northeastern Italy. Whole genome sequencing and phylogenetic analysis of two representative samples identified the presence of WNV lineage 2 related to the Volgograd 2007 strain (99.3 % nucleotide sequence identity), in addition to WNV lineage 2 Hungarian clade. CONCLUSIONS This is the first evidence of the circulation of a WNV lineage 2 strain closely related to the Volgograd 2007 outside Eastern Europe, where it has caused large human outbreaks. This strain may pose a new threat to animal and human health in Italy.
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Affiliation(s)
- Silvia Ravagnan
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
| | - Fabrizio Montarsi
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
| | - Stefania Cazzin
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
| | - Elena Porcellato
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
| | - Francesca Russo
- Promotion and Development of Hygiene and Public Health, Veneto Region, Venezia, Italy.
| | - Manlio Palei
- Veterinary Public Health Service, Friuli Venezia Giulia Region, Udine, Italy.
| | - Isabella Monne
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
| | - Giovanni Savini
- Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise, Teramo, Italy.
| | - Stefano Marangon
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
| | - Luisa Barzon
- Department of Molecular Medicine, University of Padova, Padova, Italy.
| | - Gioia Capelli
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy.
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39
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Szentpáli-Gavallér K, Antal L, Tóth M, Kemenesi G, Soltész Z, Dán A, Erdélyi K, Bányai K, Bálint A, Jakab F, Bakonyi T. Monitoring of West Nile virus in mosquitoes between 2011-2012 in Hungary. Vector Borne Zoonotic Dis 2015; 14:648-55. [PMID: 25229703 DOI: 10.1089/vbz.2013.1549] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
West Nile virus (WNV) is a widely distributed mosquito-borne flavivirus. WNV strains are classified into several genetic lineages on the basis of phylogenetic differences. Whereas lineage 1 viruses are distributed worldwide, lineage 2 WNV was first detected outside of Africa in Hungary in 2004. Since then, WNV-associated disease and mortality in animal and human hosts have been documented periodically in Hungary. After the first detection of WNV from a pool of Culex pipiens mosquitoes in 2010, samples were collated from several sources and tested in a 2-year monitoring program. Collection areas were located in the Southern Transdanubium, in northeastern Hungary, in eastern Hungary, and in southeastern Hungary. During the 2 years, 23,193 mosquitoes in 645 pools were screened for WNV virus presence with RT-PCR. Three pools were found positive for WNV in 2011 (one pool of Ochlerotatus annulipes collected in Fényeslitke in June, one pool of Coquillettidia richiardii collected in Debrecen, Fancsika-tó, in July, and one pool of Cx. pipiens captured near Red-Footed Falcon colonies at Kardoskút in September). The minimal infection rate (MIR=proportion of infected mosquitoes per 1000 mosquitoes) of all mosquito pools was 0.25, whereas the MIR of infected species was 2.03 for O. annulipes, 0.63 for C. richiardii, and 2.70 for C.x pipiens. Molecular data have demonstrated that the same lineage 2 WNV strain has circulated in wild birds, horses, humans, and mosquitoes in Hungary since 2004. Mosquito-based surveillance successfully complemented the ongoing, long-term passive surveillance system and it was useful for the early detection of WNV circulation.
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Dinu S, Cotar AI, Pănculescu-Gătej IR, Fălcuţă E, Prioteasa FL, Sîrbu A, Oprişan G, Bădescu D, Reiter P, Ceianu CS. West Nile virus circulation in South-Eastern Romania, 2011 to 2013. ACTA ACUST UNITED AC 2015; 20. [PMID: 26027486 DOI: 10.2807/1560-7917.es2015.20.20.21130] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Lineage 2 West Nile virus (WNV), previously found only in sub-Saharan Africa and Madagascar, was identified in Hungary in 2004 and has rapidly expanded in Europe in the past decade. Following a significant outbreak of West Nile fever with neurological cases caused by lineage 1 WNV in Romania in 1996, scattered cases have been recorded in the south-east of the country in each transmission season. Another outbreak, affecting a larger area and caused by lineage 2 WNV, was recorded in 2010. We analysed human sera from neuroinvasive West Nile fever cases and mosquitoes, sampled in south-eastern Romania between 2011 and 2013, for the presence of WNV genome, and obtained partial NS5 and envelope glycoprotein sequences. Human- and mosquito-derived WNV sequences were highly similar (99%) to Volgograd 2007 lineage 2 WNV and differed from isolates previously detected in central and southern Europe. WNV was detected in one pool of Culex pipiens s.l. males, documenting vertical transmission. Lineage 4 WNV, of unknown pathogenicity to mammals, was found in the amphibian-feeding mosquito Uranotaenia unguiculata from the Danube Delta. Our results present molecular evidence for the maintenance of the same isolates of Volgograd 2007-like lineage 2 WNV in south-eastern Romania between 2011 and 2013.
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Affiliation(s)
- S Dinu
- Molecular Epidemiology Laboratory, Cantacuzino National Institute of Research-Development for Microbiology and Immunology, Bucharest, Romania
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Rizzoli A, Jimenez-Clavero MA, Barzon L, Cordioli P, Figuerola J, Koraka P, Martina B, Moreno A, Nowotny N, Pardigon N, Sanders N, Ulbert S, Tenorio A. The challenge of West Nile virus in Europe: knowledge gaps and research priorities. ACTA ACUST UNITED AC 2015; 20. [PMID: 26027485 DOI: 10.2807/1560-7917.es2015.20.20.21135] [Citation(s) in RCA: 121] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
West Nile virus (WNV) is continuously spreading across Europe, and other continents, i.e. North and South America and many other regions of the world. Despite the overall sporadic nature of outbreaks with cases of West Nile neuroinvasive disease (WNND) in Europe, the spillover events have increased and the virus has been introduced into new areas. The high genetic diversity of the virus, with remarkable phenotypic variation, and its endemic circulation in several countries, require an intensification of the integrated and multidisciplinary research efforts built under the 7th Framework Programme of the European Union (FP7). It is important to better clarify several aspects of WNV circulation in Europe, including its ecology, genomic diversity, pathogenicity, transmissibility, diagnosis and control options, under different environmental and socio-economic scenarios. Identifying WNV endemic as well as infection-free areas is becoming a need for the development of human vaccines and therapeutics and the application of blood and organs safety regulations. This review, produced as a joint initiative among European experts and based on analysis of 118 scientific papers published between 2004 and 2014, provides the state of knowledge on WNV and highlights the existing knowledge and research gaps that need to be addressed with high priority in Europe and neighbouring countries.
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Affiliation(s)
- A Rizzoli
- Fondazione Edmund Mach, Research and Innovation Centre, Department of Biodiversity and Molecular Ecology, San Michele all Adige (TN), Italy
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Kolodziejek J, Seidel B, Jungbauer C, Dimmel K, Kolodziejek M, Rudolf I, Hubálek Z, Allerberger F, Nowotny N. West Nile virus positive blood donation and subsequent entomological investigation, Austria, 2014. PLoS One 2015; 10:e0126381. [PMID: 25961567 PMCID: PMC4427133 DOI: 10.1371/journal.pone.0126381] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2014] [Accepted: 04/01/2015] [Indexed: 01/03/2023] Open
Abstract
The detection of West Nile virus (WNV) nucleic acid in a blood donation from Vienna, Austria, as well as in Culex pipiens pupae and egg rafts, sampled close to the donor’s residence, is reported. Complete genomic sequences of the human- and mosquito-derived viruses were established, genetically compared and phylogenetically analyzed. The viruses were not identical, but closely related to each other and to recent Czech and Italian isolates, indicating co-circulation of related WNV strains within a confined geographic area. The detection of WNV in a blood donation originating from an area with low WNV prevalence in humans (only three serologically diagnosed cases between 2008 and 2014) is surprising and emphasizes the importance of WNV nucleic acid testing of blood donations even in such areas, along with active mosquito surveillance programs.
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Affiliation(s)
- Jolanta Kolodziejek
- Viral Zoonoses, Emerging and Vector-Borne Infections Group, Institute of Virology, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Bernhard Seidel
- Technical Office of Ecology and Landscape Assessment, Persenbeug, Austria
| | - Christof Jungbauer
- Austrian Red Cross, Blood Service for Vienna, Lower Austria and Burgenland, Vienna, Austria
| | - Katharina Dimmel
- Viral Zoonoses, Emerging and Vector-Borne Infections Group, Institute of Virology, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Michael Kolodziejek
- Viral Zoonoses, Emerging and Vector-Borne Infections Group, Institute of Virology, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Ivo Rudolf
- Institute of Vertebrate Biology, Academy of Sciences of the Czech Republic, v.v.i., Brno, Czech Republic
| | - Zdenek Hubálek
- Institute of Vertebrate Biology, Academy of Sciences of the Czech Republic, v.v.i., Brno, Czech Republic
| | - Franz Allerberger
- Department of Public Health, Austrian Agency for Health and Food Safety (AGES), Vienna, Austria
| | - Norbert Nowotny
- Viral Zoonoses, Emerging and Vector-Borne Infections Group, Institute of Virology, University of Veterinary Medicine Vienna, Vienna, Austria
- Department of Microbiology and Immunology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
- * E-mail:
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Becker N, Krüger A, Kuhn C, Plenge-Bönig A, Thomas SM, Schmidt-Chanasit J, Tannich E. [Mosquitoes as vectors for exotic pathogens in Germany]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2015; 57:531-40. [PMID: 24781910 DOI: 10.1007/s00103-013-1918-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
As a result of intensified globalization of international trade and of substantial travel activities, mosquito-borne exotic pathogens are becoming an increasing threat for Europe. In Germany some 50 different mosquito species are known, several of which have vector competence for pathogens. During the last few years a number of zoonotic arboviruses that are pathogenic for humans have been isolated from mosquitoes in Germany including Usutu, Sindbis and Batai viruses. In addition, filarial worms, such as Dirofilaria repens have been repeatedly detected in mosquitoes from the federal state of Brandenburg. Other pathogens, in particular West Nile virus, are expected to emerge sooner or later in Germany as the virus is already circulating in neighboring countries, e.g. France, Austria and the Czech Republic. In upcoming years the risk for arbovirus transmission might increase in Germany due to increased occurrence of new so-called "invasive" mosquito species, such as the Asian bush mosquito Ochlerotatus japonicus or the Asian tiger mosquito Aedes albopictus. These invasive species are characterized by high vector competence for a broad range of pathogens and a preference for human blood meals. For risk assessment, a number of mosquito and pathogen surveillance projects have been initiated in Germany during the last few years; however, mosquito control strategies and plans of action have to be developed and put into place to allow early and efficient action against possible vector-borne epidemics.
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Riabi S, Gaaloul I, Mastouri M, Hassine M, Aouni M. An outbreak of West Nile Virus infection in the region of Monastir, Tunisia, 2003. Pathog Glob Health 2014; 108:148-57. [PMID: 24766339 DOI: 10.1179/2047773214y.0000000137] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND A West Nile (WN) fever epidemic occurred in the region of Monastir, Tunisia, between August and October 2003. AIM OF THE STUDY We attempt to describe the epidemiology, clinical presentation, and outcome of patients with confirmed West Nile virus (WNV) infection. METHODS Three groups of specimens were prepared. One was made up of serum only (n = 43), the other of cerebrospinal fluid (CSF) only (n = 30), and the third group was made up of both (n = 40). These specimens were obtained from 113 patients. A serological diagnosis and evidence of WNV genome by nested reverse-transcriptase polymerase chain reaction (nRT-PCR) and TaqMan reverse transcription-polymerase chain reaction (RT-PCR) were carried out. RESULTS Thirty-eight cases (33.6%) were serologically positive. Results of nRT-PCR showed a total of 10 positive cases of WNV (8.8%) detected in group 1 (n = 1/43), group 2 (n = 5/30), and group 3 (n = 4/40) whereas the PCR TaqMan showed 18 positive samples (15.9%) found in group 1 (n = 3/43), group 2 (n = 9/30), and group 3 (n = 6/40). All TaqMan PCR positive cases were nRT-PCR positive. In addition, four serologically probable cases were confirmed by TaqMan PCR. The attempts to isolate WNV by cell culture were unsuccessful. Considering the results of TaqMan assay and the serological diagnosis, WNV infection was confirmed in a total of 42 patients. The main clinical presentations were meningoencephalitis (40%), febrile disease (95%), and meningitis (36%). Eight patients (19%) died. The highest case-fatality rates occurred among patients aged ≧55 years. The phylogenetic analysis revealed that isolates of WNV were closely related to the Tunisian strain 1997 (PAH001) and the Israeli one (Is-98). CONCLUSIONS West Nile virus is a reemerging global pathogen that remains an important public health challenge in the next decade.
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Hernández-Triana LM, Jeffries CL, Mansfield KL, Carnell G, Fooks AR, Johnson N. Emergence of west nile virus lineage 2 in europe: a review on the introduction and spread of a mosquito-borne disease. Front Public Health 2014; 2:271. [PMID: 25538937 PMCID: PMC4258884 DOI: 10.3389/fpubh.2014.00271] [Citation(s) in RCA: 83] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2014] [Accepted: 11/23/2014] [Indexed: 11/13/2022] Open
Abstract
West Nile virus (WNV) is transmitted by mosquitoes and causes fever and encephalitis in humans, equines, and occasionally wild birds. The virus was first isolated in sub-Saharan Africa where it is endemic. WNV lineage 1 has been responsible for repeated disease outbreaks in the countries of the Mediterranean basin over the past 50 years. This lineage was also introduced into North America in 1999 causing widespread human, equine, and avian mortality. WNV lineage 2, the first WNV lineage to be isolated, was believed to be restricted to sub-Saharan Africa causing a relatively mild fever in humans. However, in 2004, an investigation in Hungary of a case of encephalitis in a wild goshawk (Accipiter gentiles) resulted in the isolation of WNV lineage 2. During the summer of 2004, and in subsequent years, the virus appeared to spread locally throughout Hungary and into neighboring Austria. Subsequently, WNV lineage 2 emerged in Greece in 2010 and in Italy in 2011, involving outbreaks on the Italian mainland and Sardinia. Further spread through the Balkan countries is also suspected. Whole genome sequencing has confirmed that the virus responsible for the outbreaks in Greece and Italy was almost identical to that isolated in Hungary. However, unlike the outbreaks in Hungary, the burden of disease in Mediterranean countries has fallen upon the human population with numerous cases of West Nile fever and a relatively higher mortality rate than in previous outbreaks. The emergence of WNV lineage 2 in Europe, its over-wintering and subsequent spread over large distances illustrates the repeated threat of emerging mosquito-borne diseases. This article will review the emergence of WNV lineage 2 in Europe; consider the pathways for virus spread and the public health implications for the continent.
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Affiliation(s)
- Luis M Hernández-Triana
- Wildlife Zoonoses and Vector-Borne Diseases Research Group, Animal and Plant Health Agency , Addlestone , UK
| | - Claire L Jeffries
- Wildlife Zoonoses and Vector-Borne Diseases Research Group, Animal and Plant Health Agency , Addlestone , UK
| | - Karen L Mansfield
- Wildlife Zoonoses and Vector-Borne Diseases Research Group, Animal and Plant Health Agency , Addlestone , UK
| | - George Carnell
- London School of Hygiene and Tropical Medicine , London , UK
| | - Anthony R Fooks
- Wildlife Zoonoses and Vector-Borne Diseases Research Group, Animal and Plant Health Agency , Addlestone , UK ; Department of Clinical Infection, University of Liverpool , Liverpool , UK
| | - Nicholas Johnson
- Wildlife Zoonoses and Vector-Borne Diseases Research Group, Animal and Plant Health Agency , Addlestone , UK
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Abstract
The objective of this chapter is to provide an updated and concise systematic review on taxonomy, history, arthropod vectors, vertebrate hosts, animal disease, and geographic distribution of all arboviruses known to date to cause disease in homeotherm (endotherm) vertebrates, except those affecting exclusively man. Fifty arboviruses pathogenic for animals have been documented worldwide, belonging to seven families: Togaviridae (mosquito-borne Eastern, Western, and Venezuelan equine encephalilitis viruses; Sindbis, Middelburg, Getah, and Semliki Forest viruses), Flaviviridae (mosquito-borne yellow fever, Japanese encephalitis, Murray Valley encephalitis, West Nile, Usutu, Israel turkey meningoencephalitis, Tembusu and Wesselsbron viruses; tick-borne encephalitis, louping ill, Omsk hemorrhagic fever, Kyasanur Forest disease, and Tyuleniy viruses), Bunyaviridae (tick-borne Nairobi sheep disease, Soldado, and Bhanja viruses; mosquito-borne Rift Valley fever, La Crosse, Snowshoe hare, and Cache Valley viruses; biting midges-borne Main Drain, Akabane, Aino, Shuni, and Schmallenberg viruses), Reoviridae (biting midges-borne African horse sickness, Kasba, bluetongue, epizootic hemorrhagic disease of deer, Ibaraki, equine encephalosis, Peruvian horse sickness, and Yunnan viruses), Rhabdoviridae (sandfly/mosquito-borne bovine ephemeral fever, vesicular stomatitis-Indiana, vesicular stomatitis-New Jersey, vesicular stomatitis-Alagoas, and Coccal viruses), Orthomyxoviridae (tick-borne Thogoto virus), and Asfarviridae (tick-borne African swine fever virus). They are transmitted to animals by five groups of hematophagous arthropods of the subphyllum Chelicerata (order Acarina, families Ixodidae and Argasidae-ticks) or members of the class Insecta: mosquitoes (family Culicidae); biting midges (family Ceratopogonidae); sandflies (subfamily Phlebotominae); and cimicid bugs (family Cimicidae). Arboviral diseases in endotherm animals may therefore be classified as: tick-borne (louping ill and tick-borne encephalitis, Omsk hemorrhagic fever, Kyasanur Forest disease, Tyuleniy fever, Nairobi sheep disease, Soldado fever, Bhanja fever, Thogoto fever, African swine fever), mosquito-borne (Eastern, Western, and Venezuelan equine encephalomyelitides, Highlands J disease, Getah disease, Semliki Forest disease, yellow fever, Japanese encephalitis, Murray Valley encephalitis, West Nile encephalitis, Usutu disease, Israel turkey meningoencephalitis, Tembusu disease/duck egg-drop syndrome, Wesselsbron disease, La Crosse encephalitis, Snowshoe hare encephalitis, Cache Valley disease, Main Drain disease, Rift Valley fever, Peruvian horse sickness, Yunnan disease), sandfly-borne (vesicular stomatitis-Indiana, New Jersey, and Alagoas, Cocal disease), midge-borne (Akabane disease, Aino disease, Schmallenberg disease, Shuni disease, African horse sickness, Kasba disease, bluetongue, epizootic hemorrhagic disease of deer, Ibaraki disease, equine encephalosis, bovine ephemeral fever, Kotonkan disease), and cimicid-borne (Buggy Creek disease). Animals infected with these arboviruses regularly develop a febrile disease accompanied by various nonspecific symptoms; however, additional severe syndromes may occur: neurological diseases (meningitis, encephalitis, encephalomyelitis); hemorrhagic symptoms; abortions and congenital disorders; or vesicular stomatitis. Certain arboviral diseases cause significant economic losses in domestic animals-for example, Eastern, Western and Venezuelan equine encephalitides, West Nile encephalitis, Nairobi sheep disease, Rift Valley fever, Akabane fever, Schmallenberg disease (emerged recently in Europe), African horse sickness, bluetongue, vesicular stomatitis, and African swine fever; all of these (except for Akabane and Schmallenberg diseases) are notifiable to the World Organisation for Animal Health (OIE, 2012).
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Affiliation(s)
- Zdenek Hubálek
- Medical Zoology Laboratory, Institute of Vertebrate Biology, Academy of Sciences, v.v.i., Brno, Czech Republic; Department of Experimental Biology, Faculty of Science, Masaryk University, Brno, Czech Republic.
| | - Ivo Rudolf
- Medical Zoology Laboratory, Institute of Vertebrate Biology, Academy of Sciences, v.v.i., Brno, Czech Republic; Department of Experimental Biology, Faculty of Science, Masaryk University, Brno, Czech Republic
| | - Norbert Nowotny
- Viral Zoonoses, Emerging and Vector-Borne Infections Group, Institute of Virology, University of Veterinary Medicine, Vienna, Austria; Department of Microbiology and Immunology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
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The complete sequence of a West Nile virus lineage 2 strain detected in a Hyalomma marginatum marginatum tick collected from a song thrush (Turdus philomelos) in eastern Romania in 2013 revealed closest genetic relationship to strain Volgograd 2007. PLoS One 2014; 9:e109905. [PMID: 25279973 PMCID: PMC4184904 DOI: 10.1371/journal.pone.0109905] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Accepted: 08/29/2014] [Indexed: 11/19/2022] Open
Abstract
In this study the first complete sequence of the West Nile virus (WNV) lineage 2 strain currently circulating in Romania was determined. The virus was detected in a Hyalomma marginatum marginatum tick collected from a juvenile song thrush (Turdus philomelos) in the Romanian Danube Delta close to the city of Tulcea, end of August 2013. Our finding emphasizes the role of ticks in introduction and maintenance of WNV infections. Sequence analyses revealed close genetic relationship of the Romanian WNV strain to strain Reb_Volgograd_07_H, which was isolated from human brain tissue during an outbreak of West Nile neuroinvasive disease (WNND) in Russia in 2007. In 2010 the Eastern European lineage 2 WNV caused an outbreak of human WNND in Romania. Partial sequences from subsequent years demonstrated that this WNV strain became endemic in Eastern Europe and has been causing outbreaks of varying sizes in southern Russia since 2007 and in Romania since 2010.
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Abstract
Approximately 2 years have passed since the detection of the first human case of West Nile virus (WNV) infection in Greece, which was the starting signal of a large outbreak in 2010, followed by a second one in 2011. More than 250 neuroinvasive disease cases with 15% fatality were observed during the two WNV seasons. WNV lineage 2 sequences were obtained from blood donors, Culex mosquitoes, wild birds and sentinel chickens. The Greek WNV strain shows high genetic relatedness to the goshawk-Hungary/04 WNV strain; an amino acid substitution in nonstructural protein 3 (H249P) is observed, which has been previously associated with increased virus transmission. This article provides an overview of the WNV outbreaks in Greece and discusses the knowledge gained from these events.
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Affiliation(s)
- Anna Papa
- Department of Microbiology, National Reference Centre for Arboviruses, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Del Amo J, Llorente F, Pérez-Ramirez E, Soriguer RC, Figuerola J, Nowotny N, Jiménez-Clavero MA. Experimental infection of house sparrows (Passer domesticus) with West Nile virus strains of lineages 1 and 2. Vet Microbiol 2014; 172:542-7. [DOI: 10.1016/j.vetmic.2014.06.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Revised: 06/01/2014] [Accepted: 06/03/2014] [Indexed: 11/16/2022]
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Chabierski S, Barzon L, Papa A, Niedrig M, Bramson JL, Richner JM, Palù G, Diamond MS, Ulbert S. Distinguishing West Nile virus infection using a recombinant envelope protein with mutations in the conserved fusion-loop. BMC Infect Dis 2014; 14:246. [PMID: 24884467 PMCID: PMC4028281 DOI: 10.1186/1471-2334-14-246] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Accepted: 05/06/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND West Nile Virus (WNV) is an emerging mosquito-transmitted flavivirus that continues to spread and cause disease throughout several parts of the world, including Europe and the Americas. Specific diagnosis of WNV infections using current serological testing is complicated by the high degree of cross-reactivity between antibodies against other clinically relevant flaviviruses, including dengue, tick-borne encephalitis (TBEV), Japanese encephalitis (JEV), and yellow fever (YFV) viruses. Cross-reactivity is particularly problematic in areas where different flaviviruses co-circulate or in populations that have been immunized with vaccines against TBEV, JEV, or YFV. The majority of cross-reactive antibodies against the immunodominant flavivirus envelope (E) protein target a conserved epitope in the fusion loop at the distal end of domain II. METHODS We tested a loss-of-function bacterially expressed recombinant WNV E protein containing mutations in the fusion loop and an adjacent loop domain as a possible diagnostic reagent. By comparing the binding of sera from humans infected with WNV or other flaviviruses to the wild type and the mutant E proteins, we analyzed the potential of this technology to specifically detect WNV antibodies. RESULTS Using this system, we could reliably determine WNV infections. Antibodies from WNV-infected individuals bound equally well to the wild type and the mutant protein. In contrast, sera from persons infected with other flaviviruses showed significantly decreased binding to the mutant protein. By calculating the mean differences between antibody signals detected using the wild type and the mutant proteins, a value could be assigned for each of the flaviviruses, which distinguished their pattern of reactivity. CONCLUSIONS Recombinant mutant E proteins can be used to discriminate infections with WNV from those with other flaviviruses. The data have important implications for the development of improved, specific serological assays for the detection of WNV antibodies in regions where other flaviviruses co-circulate or in populations that are immunized with other flavivirus vaccines.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Sebastian Ulbert
- Department of Immunology, Fraunhofer Institute for Cell Therapy and Immunology, Perlickstrasse 1, 04103 Leipzig, Germany.
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