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1.
Virus Genes ; 60(4): 370-376, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38847934

RESUMEN

Since its initial detection in Africa, the West Nile virus has disseminated widely across all continents, becoming endemic in numerous countries, including the Russian Federation. A substantial expansion of the West Nile virus range was observed in the European part of the Russian territory in 1999. In light of this epidemiological trend, research endeavours focusing on monitoring West Nile virus circulation activity in endemic regions of the country have gained paramount significance. A substantial dataset has been accrued from 2007 onwards regarding genomic variability and dissemination dynamics across the country throughout the entire monitoring period for the West Nile fever pathogen. The objective of this study was to characterise West Nile virus isolates that have been circulating in the Russian Federation and identify their molecular and genetic characteristics. A phylogenetic analysis of 55 complete genome sequences revealed that the West Nile virus population within the Russian Federation is genetically heterogeneous and is represented by four major clades. One of these clades is currently exhibiting extensive spread into new regions of the country.


Asunto(s)
Variación Genética , Filogenia , Fiebre del Nilo Occidental , Virus del Nilo Occidental , Virus del Nilo Occidental/genética , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/aislamiento & purificación , Federación de Rusia/epidemiología , Fiebre del Nilo Occidental/virología , Fiebre del Nilo Occidental/epidemiología , Humanos , Genoma Viral/genética , Animales
2.
Infect Dis (Lond) ; 56(9): 743-758, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38836293

RESUMEN

BACKGROUND: West Nile Virus (WNV) is a zoonotic arbovirus worldwide spread. Seasonal WNV outbreaks occur in the Mediterranean basin since the late 1990's with ever-increasing incidence. In Southern Spain WNV is endemic, as disease foci - caused by WNV lineage 1 (WNV-L1) strains - occur every year. On the contrary, WNV-L2 is the dominant lineage in Europe, so most European WNV sequences available belong to this lineage, WNV-L1 sequences being still scarce. METHODS: To fill this gap, this study reports the genetic characterisation of 27 newly described WNV-L1 strains, involved in outbreaks affecting wild birds and horses during the last decade in South-Western Spain. RESULTS: All strains except one belong to the Western Mediterranean-1 sub-cluster (WMed-1), related phylogenetically to Italian, French, Portuguese, Moroccan and, remarkably, Senegalese strains. This sub-cluster persisted, spread and evolved into three distinguishable WMed-1 phylogenetic groups that co-circulated, notably, in the same province (Cádiz). They displayed different behaviours: from long-term persistence and rapid spread to neighbouring regions within Spain, to long-distance spread to different countries, including transcontinental spread to Africa. Among the different introductions of WNV in Spain revealed in this study, some of them succeeded to get established, some extinguished from the territory shortly afterwards. Furthermore, Spain's southernmost province, Cádiz, constitutes a hotspot for virus incursion. CONCLUSION: Southern Spain seems a likely scenario for emergence of exotic pathogens of African origin. Therefore, circulation of diverse WNV-L1 variants in Spain prompts for an extensive surveillance under a One Health approach.


Asunto(s)
Aves , Filogenia , Fiebre del Nilo Occidental , Virus del Nilo Occidental , Virus del Nilo Occidental/genética , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/aislamiento & purificación , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/virología , Fiebre del Nilo Occidental/transmisión , Animales , España/epidemiología , Aves/virología , Enfermedades de las Aves/virología , Enfermedades de las Aves/epidemiología , Caballos/virología , Europa (Continente)/epidemiología , Brotes de Enfermedades , África/epidemiología , Enfermedades de los Caballos/virología , Enfermedades de los Caballos/epidemiología , Humanos , Animales Salvajes/virología
3.
Viruses ; 13(12)2021 12 09.
Artículo en Inglés | MEDLINE | ID: mdl-34960732

RESUMEN

Mosquitoes collected from mid-December 2020 to early March 2021 from hibernacula in northeastern Germany, a region of West Nile virus (WNV) activity since 2018, were examined for WNV-RNA. Among the 6101 mosquitoes tested in 722 pools of up to 12 specimens, one pool of 10 Culex pipiens complex mosquitoes collected in early March 2021 in the cellar of a medieval castle in Rosslau, federal state of Saxony-Anhalt, tested positive. Subsequent mosquito DNA analysis produced Culex pipiens biotype pipiens. The pool homogenate remaining after nucleic acid extraction failed to grow the virus on Vero and C6/36 cells. Sequencing of the viral NS2B-NS3 coding region, however, demonstrated high homology with virus strains previously collected in Germany, e.g., from humans, birds, and mosquitoes, which have been designated the East German WNV clade. The finding confirms the expectation that WNV can overwinter in mosquitoes in Germany, facilitating an early start to the natural transmission season in the subsequent year. On the other hand, the calculated low infection prevalence of 0.016-0.20%, depending on whether one or twelve of the mosquitoes in the positive pool was/were infected, indicates a slow epidemic progress and mirrors the still-hypoendemic situation in Germany. In any case, local overwintering of the virus in mosquitoes suggests its long-term persistence and an enduring public health issue.


Asunto(s)
Culicidae/virología , Mosquitos Vectores/virología , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/aislamiento & purificación , Animales , Culicidae/clasificación , Culicidae/fisiología , Alemania , Humanos , Mosquitos Vectores/clasificación , Mosquitos Vectores/fisiología , Estaciones del Año , Fiebre del Nilo Occidental/transmisión , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética
4.
Viruses ; 13(9)2021 09 12.
Artículo en Inglés | MEDLINE | ID: mdl-34578392

RESUMEN

Mosquito-borne West Nile virus (WNV) is the causative agent of West Nile disease in humans, horses, and some bird species. Since the initial introduction of WNV to the United States (US), approximately 30,000 horses have been impacted by West Nile neurologic disease and hundreds of additional horses are infected each year. Research describing the drivers of West Nile disease in horses is greatly needed to better anticipate the spatial and temporal extent of disease risk, improve disease surveillance, and alleviate future economic impacts to the equine industry and private horse owners. To help meet this need, we integrated techniques from spatiotemporal epidemiology, eco-phylogenetics, and distributional ecology to assess West Nile disease risk in horses throughout the contiguous US. Our integrated approach considered horse abundance and virus exposure, vector and host distributions, and a variety of extrinsic climatic, socio-economic, and environmental risk factors. Birds are WNV reservoir hosts, and therefore we quantified avian host community dynamics across the continental US to show intra-annual variability in host phylogenetic structure and demonstrate host phylodiversity as a mechanism for virus amplification in time and virus dilution in space. We identified drought as a potential amplifier of virus transmission and demonstrated the importance of accounting for spatial non-stationarity when quantifying interaction between disease risk and meteorological influences such as temperature and precipitation. Our results delineated the timing and location of several areas at high risk of West Nile disease and can be used to prioritize vaccination programs and optimize virus surveillance and monitoring.


Asunto(s)
Brotes de Enfermedades/veterinaria , Reservorios de Enfermedades/veterinaria , Ecología , Filogenia , Análisis Espacio-Temporal , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/veterinaria , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética , Animales , Aves/virología , Culicidae/virología , Reservorios de Enfermedades/virología , Caballos/virología , Mosquitos Vectores/virología , Estaciones del Año , Fiebre del Nilo Occidental/transmisión
5.
Viruses ; 13(5)2021 05 05.
Artículo en Inglés | MEDLINE | ID: mdl-34063166

RESUMEN

During recent decades West Nile Virus (WNV) outbreaks have continuously occurred in the Mediterranean area. In August 2020 a new WNV outbreak affected 71 people with meningoencephalitis in Andalusia and six more cases were detected in Extremadura (south-west of Spain), causing a total of eight deaths. The whole genomes of four viruses were obtained and phylogenetically analyzed in the context of recent outbreaks. The Andalusian viral samples belonged to lineage 1 and were relatively similar to those of previous outbreaks which occurred in the Mediterranean region. Here we present a detailed analysis of the outbreak, including an extensive phylogenetic study. As part on this effort, we implemented a local Nextstrain server, which has become a constituent piece of regional epidemiological surveillance, wherein forthcoming genomes of environmental samples or, eventually, future outbreaks, will be included.


Asunto(s)
Filogenia , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/aislamiento & purificación , Brotes de Enfermedades , Humanos , Mutación , España/epidemiología , Fiebre del Nilo Occidental/epidemiología , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética
6.
Viruses ; 13(6)2021 05 26.
Artículo en Inglés | MEDLINE | ID: mdl-34073485

RESUMEN

West Nile virus (WNV) has never been reported from Lebanon. Yet, this country is located on the flyway of migratory birds in the Middle East region. Serological screening was conducted to assess the potential circulation of this virus. Human, horse, and chicken sera were collected from the Bekaa and North districts. Specific IgG and IgY were first screened by ELISA. Then, positive samples were confirmed by plaque reduction neutralization test (PRNT). Besides this, adult mosquitoes were collected and tested for the presence of WNV RNA using conventional RT-PCR. Sera screening revealed a seroprevalence rate reaching 1.86% among humans and 2.47% among horses. Cross-reactions revealed by ELISA suggested the circulation of flaviviruses other than WNV. None of the tested mosquitoes was positive for WNV. The observed results constitute strong evidence of local exposure of the Lebanese population to this virus and the first report of equine WNV in Lebanon.


Asunto(s)
Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental , Anticuerpos Neutralizantes/sangre , Anticuerpos Neutralizantes/inmunología , Anticuerpos Antivirales/sangre , Anticuerpos Antivirales/inmunología , Ensayo de Inmunoadsorción Enzimática , Geografía Médica , Humanos , Líbano/epidemiología , Tamizaje Masivo , Pruebas de Neutralización , Vigilancia en Salud Pública , Estudios Seroepidemiológicos , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/inmunología
7.
Parasit Vectors ; 14(1): 243, 2021 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-33962673

RESUMEN

BACKGROUND: West Nile (WNV) and Usutu (USUV) are emerging vector-borne zoonotic flaviviruses. They are antigenically very similar, sharing the same life cycle with birds as amplification host, Culicidae as vector, and man/horse as dead-end host. They can co-circulate in an overlapping geographic range. In Europe, surveillance plans annually detect several outbreaks. METHODS: In Italy, a WNV/USUV surveillance plan is in place through passive and active surveillance. After a 2018 WNV outbreak, a reinforced integrated risk-based surveillance was performed in four municipalities through clinical and serological surveillance in horses, Culicidae catches, and testing on human blood-based products for transfusion. RESULTS: Eight WNV cases in eight equine holdings were detected. Twenty-three mosquitoe catches were performed and 2367 specimens of Culex pipiens caught; 17 pools were USUV positive. A total of 8889 human blood donations were tested, and two asymptomatic donors were USUV positive. CONCLUSIONS: Different surveillance components simultaneously detected WNV only in horses and USUV only in humans and mosquitoes. While in endemic areas (i.e. northern Italy) entomological surveillance is successfully used as an early detection warning, this method in central Italy seems ineffective. To achieve a high level of sensitivity, the entomological trapping effort should probably exceed a reasonable balance between cost and performance. Besides, WNV/USUV early detection can be addressed by horses and birds. Further research is needed to adapt the surveillance components in different epidemiological contexts.


Asunto(s)
Culex/virología , Infecciones por Flavivirus/veterinaria , Infecciones por Flavivirus/virología , Flavivirus/aislamiento & purificación , Mosquitos Vectores/virología , Fiebre del Nilo Occidental/veterinaria , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/aislamiento & purificación , Animales , Culex/fisiología , Monitoreo Epidemiológico , Flavivirus/clasificación , Flavivirus/genética , Infecciones por Flavivirus/epidemiología , Infecciones por Flavivirus/transmisión , Enfermedades de los Caballos/epidemiología , Enfermedades de los Caballos/transmisión , Enfermedades de los Caballos/virología , Caballos , Humanos , Italia/epidemiología , Mosquitos Vectores/fisiología , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/transmisión , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética
8.
Dtsch Med Wochenschr ; 146(7): 482-486, 2021 04.
Artículo en Alemán | MEDLINE | ID: mdl-33780997

RESUMEN

BACKGROUND: West-Nile-Virus (WNV) is a widely distributed flavivirus that is mainly transmitted between birds through different mosquito species (e. g. Culex, Aedes), but may also be transmitted to mammals including humans. WNV causes a spectrum of disease, ranging from asymptomatic infection to encephalitis in a minority of cases. Risk factors for severe disease are older age, cardiovascular disease and an immunocompromised state. MEDICAL HISTORY AND CLINICAL EXAMINATION: Here we report about a 60-year-old male patient who was referred to the University Hospital of Halle (Saale) with severe fever two years after kidney transplantation due to hypertensive nephropathy. No infection focus could be found and by day 6 in the course of his illness the patient developed neurologic symptoms and viral encephalitis was suspected. TREATMENT AND COURSE: The patient was initially treated with aciclovir. After initial reduction of immunosuppression, coincident graft dysfunction was treated with methylprednisolon. WNV-infection was suspected due to recent emerging human cases in the nearby area of the city of Leipzig. WNV lineage 2 was detected in the patient's urine by RT-PCR and seroconversion with presence of anti WNV IgM and IgG could be demonstrated. Consecutively, aciclovir treatment was stopped. The patient fully recovered and the transplanted kidney regained adequate function. Kidney biopsy did not reveal gross rejection of the transplant. CONCLUSION: This case highlights the need to consider rarer causes of illness like WNV-infection particularly in risk groups for more severe outcomes of infectious disease. WNV may be detected by PCR in the blood and cerebrospinal fluid early in the course of infection but it is also excreted for a prolonged period of time in the urine. Seroconversion to anti WNV IgG and IgM may be shown but serologic cross-reactivity among members of the flaviviridae family must be considered.


Asunto(s)
Trasplante de Riñón , Receptores de Trasplantes , Fiebre del Nilo Occidental/etiología , Alemania , Humanos , Masculino , Persona de Mediana Edad , Filogenia , Factores de Riesgo , Fiebre del Nilo Occidental/diagnóstico , Fiebre del Nilo Occidental/tratamiento farmacológico , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética
9.
Infect Genet Evol ; 88: 104711, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33421655

RESUMEN

The Astrakhan region of Russia is endemic for the number of arboviruses. In this paper, we describe the results of the detection of the list of neglected arboviruses in the Astrakhan region for the 2018 season. For the purpose of the study in-house PCR assays for detection of 18 arboviruses have been developed and validated using arboviruses obtained from Russian State Collection of Viruses. Pools of ticks (n = 463) and mosquitoes (n = 312) as well as 420 samples of human patients sera have been collected and analyzed. Using developed multiplex real-time PCR assays we were able to detect RNA of eight arboviruses (Crimean-Congo hemorrhagic fever virus, Dhori (Batken strain) virus, Batai virus, Tahyna virus, Uukuniemi virus, Inkoo virus, Sindbis virus and West Nile fever virus). All discovered viruses are capable of infecting humans causing fever and in some cases severe forms with hemorrhagic or neurologic symptoms. From PCR-positive samples, we were able to recover one isolate each of Dhori (Batken strain) virus and Crimean-Congo hemorrhagic fever virus which were further characterized by next-generation sequencing. The genomic sequences of identified Dhori (Batken strain) virus strain represent the most complete genome of Batken virus strain among previously reported.


Asunto(s)
Infecciones por Arbovirus/virología , Arbovirus/clasificación , Arbovirus/genética , Culicidae/virología , Virus de la Fiebre Hemorrágica de Crimea-Congo/genética , Thogotovirus/genética , Garrapatas/virología , Animales , Arbovirus/aislamiento & purificación , Virus Bunyamwera/clasificación , Virus Bunyamwera/genética , Virus de la Encefalitis de California/clasificación , Virus de la Encefalitis de California/genética , Genoma Viral , Virus de la Fiebre Hemorrágica de Crimea-Congo/clasificación , Virus de la Fiebre Hemorrágica de Crimea-Congo/aislamiento & purificación , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Reacción en Cadena de la Polimerasa Multiplex/métodos , Patología Molecular/métodos , Filogenia , ARN Viral , Federación de Rusia/epidemiología , Virus Sindbis/clasificación , Virus Sindbis/genética , Thogotovirus/clasificación , Thogotovirus/aislamiento & purificación , Virus Uukuniemi/clasificación , Virus Uukuniemi/genética , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética
10.
Viruses ; 14(1)2021 12 30.
Artículo en Inglés | MEDLINE | ID: mdl-35062268

RESUMEN

In Italy, West Nile virus (WNV) appeared for the first time in the Tuscany region in 1998. After 10 years of absence, it re-appeared in the areas surrounding the Po River delta, affecting eight provinces in three regions. Thereafter, WNV epidemics caused by genetically divergent isolates have been documented every year in the country. Since 2018, only WNV Lineage 2 has been reported in the Italian territory. In October 2020, WNV Lineage 1 (WNV-L1) re-emerged in Italy, in the Campania region. This is the first occurrence of WNV-L1 detection in the Italian territory since 2017. WNV was detected in the internal organs of a goshawk (Accipiter gentilis) and a kestrel (Falco tinnunculus). The RNA extracted in the goshawk tissue samples was sequenced, and a Bayesian phylogenetic analysis was performed by a maximum-likelihood tree. Genome analysis, conducted on the goshawk WNV complete genome sequence, indicates that the strain belongs to the WNV-L1 Western-Mediterranean (WMed) cluster. Moreover, a close phylogenetic similarity is observed between the goshawk strain, the 2008-2011 group of Italian sequences, and European strains belonging to the Wmed cluster. Our results evidence the possibility of both a new re-introduction or unnoticed silent circulation in Italy, and the strong importance of keeping the WNV surveillance system in the Italian territory active.


Asunto(s)
Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética , Virus del Nilo Occidental/aislamiento & purificación , Animales , Teorema de Bayes , Humanos , Italia , Filogenia , ARN Viral , Análisis de Secuencia , Secuenciación Completa del Genoma
11.
Nat Commun ; 11(1): 5620, 2020 11 06.
Artículo en Inglés | MEDLINE | ID: mdl-33159066

RESUMEN

Computational analyses of pathogen genomes are increasingly used to unravel the dispersal history and transmission dynamics of epidemics. Here, we show how to go beyond historical reconstructions and use spatially-explicit phylogeographic and phylodynamic approaches to formally test epidemiological hypotheses. We illustrate our approach by focusing on the West Nile virus (WNV) spread in North America that has substantially impacted public, veterinary, and wildlife health. We apply an analytical workflow to a comprehensive WNV genome collection to test the impact of environmental factors on the dispersal of viral lineages and on viral population genetic diversity through time. We find that WNV lineages tend to disperse faster in areas with higher temperatures and we identify temporal variation in temperature as a main predictor of viral genetic diversity through time. By contrasting inference with simulation, we find no evidence for viral lineages to preferentially circulate within the same migratory bird flyway, suggesting a substantial role for non-migratory birds or mosquito dispersal along the longitudinal gradient.


Asunto(s)
Enfermedades de las Aves/epidemiología , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/veterinaria , Virus del Nilo Occidental/genética , Animales , Enfermedades de las Aves/virología , Ecosistema , Ambiente , Variación Genética , Genoma Viral , Humanos , América del Norte , Filogenia , Filogeografía , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/aislamiento & purificación
12.
Euro Surveill ; 25(40)2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33034280

RESUMEN

On 22 August, a common whitethroat in the Netherlands tested positive for West Nile virus lineage 2. The same bird had tested negative in spring. Subsequent testing of Culex mosquitoes collected in August and early September in the same location generated two of 44 positive mosquito pools, providing first evidence for enzootic transmission in the Netherlands. Sequences generated from the positive mosquito pools clustered with sequences that originate from Germany, Austria and the Czech Republic.


Asunto(s)
Culex/virología , Fiebre del Nilo Occidental/veterinaria , Virus del Nilo Occidental/genética , Virus del Nilo Occidental/aislamiento & purificación , Animales , Aves , Culicidae/virología , Interacciones Huésped-Parásitos , Países Bajos/epidemiología , ARN Viral/genética , ARN Viral/aislamiento & purificación , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Vigilancia de Guardia/veterinaria , Especificidad de la Especie , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/clasificación
13.
Viruses ; 12(7)2020 07 03.
Artículo en Inglés | MEDLINE | ID: mdl-32635155

RESUMEN

West Nile virus (WNV) is a flavivirus transmitted by mosquitoes. Birds are the reservoir for the virus; humans, horses and other mammals are dead-end hosts. Infections caused by WNV in humans can vary from asymptomatic infections to West Nile fever (WNF) or West Nile neuroinvasive disease (WNND). In 1995, a serosurvey was performed in Slovenia on forest workers, and WNV specific IgG antibodies were confirmed in 6.8% of the screened samples, indicating that WNV is circulating in Slovenia. No human disease cases were detected in Slovenia until 2013, when the first case of WNV infection was confirmed in a retrospective study in a 79-year old man with meningitis. In 2018, three patients with WNND were confirmed by laboratory tests, with detection of IgM antibodies in the cerebrospinal fluid of the patients. In one of the patients, WNV RNA was detected in the urine sample. In 2017, 2018 and 2019, a mosquito study was performed in Slovenia. Mosquitoes were sampled on 14 control locations and 35 additional locations in 2019. No WNV was detected in mosquitoes in 2017 and 2019, but we confirmed the virus in a pool of Culex sp. mosquitoes in 2018. The virus was successfully isolated, and complete genome sequence was acquired. The whole genome of the WNV was also sequenced from the patient's urine sample. The whole genome sequences of the WNV virus detected in Slovenian patient and mosquito indicate the virus most likely spread from the north, because of the geographic proximity and because the sequences cluster with the Austrian and Hungarian sequences. A sentinel study was performed on dog sera samples, and we were able to confirm IgG antibodies in 1.8% and 4.3% of the samples in 2017 and 2018, respectively. Though Slovenia is not a highly endemic country for WNV, we have established that the virus circulates in Slovenia.


Asunto(s)
Enfermedades de los Perros/virología , Fiebre del Nilo Occidental/veterinaria , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/aislamiento & purificación , Anciano , Animales , Anticuerpos Antivirales/sangre , Culex , Culicidae/clasificación , Culicidae/fisiología , Culicidae/virología , Enfermedades de los Perros/sangre , Enfermedades de los Perros/diagnóstico , Enfermedades de los Perros/epidemiología , Perros , Femenino , Genoma Viral , Humanos , Masculino , Persona de Mediana Edad , Filogenia , Estudios Retrospectivos , Eslovenia/epidemiología , Fiebre del Nilo Occidental/sangre , Fiebre del Nilo Occidental/epidemiología , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética , Virus del Nilo Occidental/inmunología
14.
Viruses ; 12(4)2020 04 18.
Artículo en Inglés | MEDLINE | ID: mdl-32325716

RESUMEN

West Nile virus (WNV) lineage 2 is expanding and causing large outbreaks in Europe. In this study, we analyzed the epidemiological, clinical, and virological features of WNV lineage 2 infection during the large outbreak that occurred in northern Italy in 2018. The study population included 86 patients with neuroinvasive disease (WNND), 307 with fever (WNF), and 34 blood donors. Phylogenetic analysis of WNV full genome sequences from patients' samples showed that the virus belonged to the widespread central/southern European clade of WNV lineage 2 and was circulating in the area at least since 2014. The incidence of WNND and WNF progressively increased with age and was higher in males than in females. Among WNND patients, the case fatality rate was 22%. About 70% of blood donors reported symptoms during follow-up. Within the first week after symptom onset, WNV RNA was detectable in the blood or urine of 80% of patients, while 20% and 40% of WNND and WNF patients, respectively, were WNV IgM-seronegative. In CSF samples of WNND patients, WNV RNA was typically detectable when WNV IgM antibodies were absent. Blunted or no WNV IgM response and high WNV IgG levels were observed in seven patients with previous flavivirus immunity.


Asunto(s)
Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/genética , Anciano , Anciano de 80 o más Años , Animales , Anticuerpos Antivirales/sangre , Anticuerpos Antivirales/inmunología , Culicidae/virología , Brotes de Enfermedades , Femenino , Genoma Viral , Geografía Médica , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina G/inmunología , Inmunoglobulina M/sangre , Inmunoglobulina M/inmunología , Incidencia , Masculino , Persona de Mediana Edad , Vigilancia en Salud Pública , Fiebre del Nilo Occidental/diagnóstico , Fiebre del Nilo Occidental/transmisión , Virus del Nilo Occidental/inmunología
15.
J Clin Virol ; 127: 104365, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32305885

RESUMEN

BACKGROUND: West Nile virus (WNV) lineage 2, and especially the Hungarian clade, predominates in Europe. Most of the Hungarian clade strains cluster into 2 groups: Central/South-West European and Balkan. OBJECTIVES: Since there was not any study on WNV in mosquitoes in Bulgaria, the present study was designed to test Culex spp. mosquitoes in areas near the Danube river. The aim of the study was to gain an insight into the recent molecular epidemiology of WNV in Bulgaria. STUDY DESIGN: A total of 1871 Culex pipiens mosquitoes collected in 2018 and clinical samples from 23 patients with West Nile neuroinavsive disease observed in 2018 and 2019 were tested by TaqMan RT-PCR and RT-nested PCR and PCR products were sequenced. RESULTS: WNV RNA was detected in clinical samples from 10 patients and in five (12.2 %) of 41 pools of Cx. pipiens mosquitos by realtime RT-PCR, resulting in a minimum infection rate of mosquitoes of 0.27 %. Phylogenetic analysis based on partial NS3 gene sequences from one clinical sample and four mosquito pools showed that all sequences clustered into the Hungarian clade of WNV lineage 2 and all but one were identical to respective sequences from Romania. Whole genome sequences of one mosquito pool belong to the Hungarian group of WNV lineage 2 and cluster in a separate subclade from the Bulgarian strain from 2015, suggesting that at least two different introductions occurred in Bulgaria. CONCLUSIONS: The current study provides insights into the geographic distribution of WNV in Bulgaria.


Asunto(s)
Culex/virología , Mosquitos Vectores/virología , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/clasificación , Animales , Bulgaria , Genoma Viral , Humanos , Filogenia , Virus del Nilo Occidental/aislamiento & purificación , Secuenciación Completa del Genoma
16.
Zoonoses Public Health ; 67(4): 416-424, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32162489

RESUMEN

West Nile virus (WNV), a zoonotic arbovirus, has recently established an autochthonous transmission cycle in Germany. In dead-end hosts like humans and horses the WNV infection may cause severe symptoms in the central nervous system. In nature, WNV is maintained in an enzootic transmission cycle between birds and ornithophilic mosquitoes. Bridge vector species, such as members of the Culex pipiens complex and Aedes spp., also widely distributed in Germany, might transmit WNV to other vertebrate host species. This study determined and compared the vector competence of field-collected northern-German Cx. pipiens biotype pipiens and laboratory-reared Ae. vexans Green River (GR) for WNV lineage 1 (strain: Magpie/Italy/203204) and WNV lineage 2 (strain: "Austria") under temperatures typical for northern Germany in spring/summer and autumn. For assessment of vector competence, 7- to 14-day-old female mosquitoes were offered a WNV containing blood meal via Hemotek membrane feeding system or cotton-stick feeding. After incubation at 18°C respectively 24°C for 14 days engorged female mosquitoes were salivated and dissected for determination of infection, dissemination and transmission rates by reverse transcriptase quantitative real-time PCR (RT-qPCR). Both Ae. vexans GR and Cx. pipiens biotype pipiens were infected with both tested WNV strains and tested 14 days post-inoculation. Disseminated infections were detected only in Ae. vexans GR incubated at 18°C and in Cx. pipiens pipiens incubated at 24°C after infection with WNV lineage 1. Transmission of WNV lineage 1 was detected in Cx. pipiens pipiens incubated at 24°C. These results indicate that Cx. pipiens pipiens from Northern Germany may be involved in the transmission of WNV, also to dead-end hosts like humans and horses.


Asunto(s)
Aedes , Culex , Mosquitos Vectores/virología , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/fisiología , Animales , Chlorocebus aethiops , Interacciones Huésped-Patógeno , Células Vero
17.
Viruses ; 12(2)2020 01 29.
Artículo en Inglés | MEDLINE | ID: mdl-32013149

RESUMEN

We report the first human case of West Nile virus (WNV) lineage 2 infection imported to Spain by a traveler returning from Romania. Serum, cerebrospinal fluid and urine samples were analyzed and West Nile virus infection was identified by PCR and serological tests. The patient developed fever, diarrhea and neurological symptoms, accompanied by mild pancreatitis, described previously in very few cases as a complication of WNV infection and by alithiasic cholecystitis. Viral RNA was detected in urine until 30 days after the onset of symptoms and neutralizing antibodies were detected at very low titers. The phylogenetic analysis in a fragment of the NS5 gene of the virus showed a homology with sequences from WNV lineage 2 belonging to the monophyletic Central/Southern European group.


Asunto(s)
Anticuerpos Antivirales/sangre , Enfermedades Transmisibles Importadas/virología , Enfermedades Gastrointestinales/virología , Enfermedades del Sistema Nervioso/virología , Fiebre del Nilo Occidental/complicaciones , Virus del Nilo Occidental/genética , Anticuerpos Neutralizantes/sangre , Enfermedades Transmisibles Importadas/complicaciones , Enfermedades Transmisibles Importadas/diagnóstico , Brotes de Enfermedades , Humanos , Masculino , Persona de Mediana Edad , Filogenia , ARN Viral/orina , Rumanía , España , Proteínas no Estructurales Virales/genética , Fiebre del Nilo Occidental/diagnóstico , Virus del Nilo Occidental/clasificación
18.
Viruses ; 12(2)2020 02 11.
Artículo en Inglés | MEDLINE | ID: mdl-32054016

RESUMEN

West Nile virus, Kunjin strain (WNVKUN) is endemic in Northern Australia, but rarely causes clinical disease in humans and horses. Recently, WNVKUN genomic material was detected in cutaneous lesions of farmed saltwater crocodiles (Crocodylus porosus), but live virus could not be isolated, begging the question of the pathogenesis of these lesions. Crocodile hatchlings were experimentally infected with either 105 (n = 10) or 104 (n = 11) TCID50-doses of WNVKUN and each group co-housed with six uninfected hatchlings in a mosquito-free facility. Seven hatchlings were mock-infected and housed separately. Each crocodile was rotationally examined and blood-sampled every third day over a 3-week period. Eleven animals, including three crocodiles developing typical skin lesions, were culled and sampled 21 days post-infection (dpi). The remaining hatchlings were blood-sampled fortnightly until experimental endpoint 87 dpi. All hatchlings remained free of overt clinical disease, apart from skin lesions, throughout the experiment. Viremia was detected by qRT-PCR in infected animals during 2-17 dpi and in-contact animals 11-21 dpi, indicating horizontal mosquito-independent transmission. Detection of viral genome in tank-water as well as oral and cloacal swabs, collected on multiple days, suggests that shedding into pen-water and subsequent mucosal infection is the most likely route. All inoculated animals and some in-contact animals developed virus-neutralizing antibodies detectable from 17 dpi. Virus-neutralizing antibody titers continued to increase in exposed animals until the experimental endpoint, suggestive of persisting viral antigen. However, no viral antigen was detected by immunohistochemistry in any tissue sample, including from skin and intestine. While this study confirmed that infection of saltwater crocodiles with WNVKUN was associated with the formation of skin lesions, we were unable to elucidate the pathogenesis of these lesions or the nidus of viral persistence. Our results nevertheless suggest that prevention of WNVKUN infection and induction of skin lesions in farmed crocodiles may require management of both mosquito-borne and water-borne viral transmission in addition to vaccination strategies.


Asunto(s)
Caimanes y Cocodrilos/virología , Acuicultura , Fiebre del Nilo Occidental/transmisión , Animales , Animales Recién Nacidos/virología , Australia , Culicidae , Transmisión de Enfermedad Infecciosa , Genoma Viral , Genómica , Agua de Mar/virología , Piel/patología , Piel/virología , Fiebre del Nilo Occidental/sangre , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/clasificación
19.
Acta Trop ; 202: 105223, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31647898

RESUMEN

Tunisia has experienced various West Nile disease outbreaks. Notwithstanding the serological and molecular confirmations in humans, horses and birds, the human surveillance system can still be improved. Three sentinel chicken flocks were placed in different Tunisian endemic regions and followed up from September 2016 to January 2017. A total of 422 sera from Sejnene (north of Tunisia), 392 from Moknine (east coast of Tunisia) and 386 from Tozeur (south of Tunisia) were tested for West Nile-specific antibodies and viral RNA. The WNV elisa positive rate in sentinel chickens in Sejnene was 10.7% (95% CI: 5.08-21.52). No positive samples were detected in Moknine. In Tozeur, the overall serological elisa positive rate during the study period was 9.8% (95% CI:4.35-21.03). West Nile virus nucleic acid was detected in two chickens in Sejnene.Phylogenetic analysis of one of the detected partial NS3 gene sequences showed that recent Tunisian WNV strain belong to WNV lineage 1 and is closely related to Italian strains detected in mosquitoes in 2016 and in a sparrow hawk in 2017. This report showed the circulation, first molecular detection and sequencing of WNV lineage 1 in chickens in the north of Tunisia and highlights the use of poultry as a surveillance tool to detect WNV transmission in a peri-domestic area.


Asunto(s)
Pollos/virología , Fiebre del Nilo Occidental/veterinaria , Virus del Nilo Occidental/clasificación , Animales , Caballos , Humanos , Filogenia , ARN Viral/genética , Vigilancia de Guardia , Túnez/epidemiología , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/virología , Virus del Nilo Occidental/genética , Virus del Nilo Occidental/aislamiento & purificación
20.
J Vector Borne Dis ; 57(1): 37-39, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33818453

RESUMEN

BACKGROUND & OBJECTIVES: West Nile virus (WNV) is a positive-sense, single-stranded RNA virion, that belongs to the Flaviviridae family. This virus is preserved in a bird-mosquito cycle that is capable of inducing diseases as a dead-end or endpoint host in humans as well as horses. In 2016, a suspicious case of crow population death was reported by the Department of Environment, Ministry of Health, Iran. Considering the mass migration of birds together with the WNV-related symptoms, including uncoordinated walking, ataxia, inability to fly, lack of awareness, and abnormal body posture, it was necessary to further investigate the possible causes of this incident. The objective of this study was molecular detection of WNV in crows utilizing the real-time PCR method in the northern provinces of Iran. METHODS: A total of 12 crows (8 dead, 4 alive) with a possible WNV infection, were collected from the northern provinces of Iran (Golestan, Mazandaran, and Guilan). A tissue sample of the liver, kidney, or lung was collected from all the crows, and RNA was isolated using an RNA extraction kit. A one-step real-time PCR method using a TaqMan probe was used for virus detection. RESULTS: All the infected crows were positive for WNV. The 132-bp real-time PCR amplicon of the genome was detected in all the samples. Comparative phylogenetic analysis revealed that WNV isolated from Iran clustered with strains from the USA, Hungary, and Culex pipiens. INTERPRETATION & CONCLUSION: The WNV genome sequence was detected in all the infected crows. The results confirmed the connection of this isolation with clade1a strains. Hence, determining the epidemiologic and prevalence characteristics of the WNV for transmission control is of critical importance in Iran.


Asunto(s)
Cuervos/virología , Reacción en Cadena en Tiempo Real de la Polimerasa , Fiebre del Nilo Occidental/epidemiología , Fiebre del Nilo Occidental/veterinaria , Virus del Nilo Occidental/genética , Animales , Genoma Viral , Geografía , Irán/epidemiología , Filogenia , ARN Viral/genética , Estaciones del Año , Fiebre del Nilo Occidental/transmisión , Virus del Nilo Occidental/clasificación , Virus del Nilo Occidental/aislamiento & purificación
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