寨卡病毒在恒河猴和食蟹猴体内的动力学及排毒情况

Zika viral dynamics and shedding in rhesus and cynomolgus macaques.

作者信息

Osuna Christa E, Lim So-Yon, Deleage Claire, Griffin Bryan D, Stein Derek, Schroeder Lukas T, Omange Robert Were, Best Katharine, Luo Ma, Hraber Peter T, Andersen-Elyard Hanne, Ojeda Erwing Fabian Cardozo, Huang Scott, Vanlandingham Dana L, Higgs Stephen, Perelson Alan S, Estes Jacob D, Safronetz David, Lewis Mark G, Whitney James B

机构信息

Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Leidos Biomedical Research, Frederick National Laboratory for Cancer Research, Frederick, Maryland.

出版信息

Nat Med. 2016 Dec;22(12):1448-1455. doi: 10.1038/nm.4206. Epub 2016 Oct 3.

Abstract

Infection with Zika virus has been associated with serious neurological complications and fetal abnormalities. However, the dynamics of viral infection, replication and shedding are poorly understood. Here we show that both rhesus and cynomolgus macaques are highly susceptible to infection by lineages of Zika virus that are closely related to, or are currently circulating in, the Americas. After subcutaneous viral inoculation, viral RNA was detected in blood plasma as early as 1 d after infection. Viral RNA was also detected in saliva, urine, cerebrospinal fluid (CSF) and semen, but transiently in vaginal secretions. Although viral RNA during primary infection was cleared from blood plasma and urine within 10 d, viral RNA was detectable in saliva and seminal fluids until the end of the study, 3 weeks after the resolution of viremia in the blood. The control of primary Zika virus infection in the blood was correlated with rapid innate and adaptive immune responses. We also identified Zika RNA in tissues, including the brain and male and female reproductive tissues, during early and late stages of infection. Re-infection of six animals 45 d after primary infection with a heterologous strain resulted in complete protection, which suggests that primary Zika virus infection elicits protective immunity. Early invasion of Zika virus into the nervous system of healthy animals and the extent and duration of shedding in saliva and semen underscore possible concern for additional neurologic complications and nonarthropod-mediated transmission in humans.

摘要

寨卡病毒感染与严重的神经并发症和胎儿异常有关。然而,病毒感染、复制和脱落的动态过程仍知之甚少。在此,我们表明恒河猴和食蟹猴对与美洲密切相关或目前在美洲流行的寨卡病毒谱系高度易感。皮下接种病毒后,最早在感染后1天就能在血浆中检测到病毒RNA。在唾液、尿液、脑脊液(CSF)和精液中也检测到了病毒RNA,但在阴道分泌物中只是短暂检测到。虽然初次感染期间的病毒RNA在10天内从血浆和尿液中清除,但在研究结束时,即血液中病毒血症消退3周后,仍能在唾液和精液中检测到病毒RNA。血液中初次寨卡病毒感染的控制与快速的先天免疫和适应性免疫反应相关。我们还在感染的早期和晚期在包括脑以及雄性和雌性生殖组织在内的组织中鉴定出了寨卡病毒RNA。用异源毒株对6只动物在初次感染45天后进行再次感染,结果显示有完全的保护作用,这表明初次寨卡病毒感染可引发保护性免疫。寨卡病毒早期侵入健康动物的神经系统以及在唾液和精液中排出的程度和持续时间,凸显了对人类可能出现的其他神经并发症和非节肢动物介导传播的担忧。

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