Medical Science Program, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, 80160, Thailand.
Arch Virol. 2021 Dec;166(12):3387-3398. doi: 10.1007/s00705-021-05243-3. Epub 2021 Oct 8.
Chikungunya virus (CHIKV) is a mosquito-borne emerging pathogen that is transmitted to humans through the bite of female Aedes mosquitoes. CHIKV infection has become a major public health concern worldwide, as it has a significant impact on the healthcare system. Since 2004, the virus has emerged in Africa and subsequently spread to countries located near the Indian Ocean, including India, and to Europe, the Americas, and Asia. In Thailand, a large CHIKV outbreak occurred during 2008-2009 and was caused by a virus originating from the east/central/south African (ECSA) CHIKV genotype. Since then, the ECSA genotype of CHIKV has continued to circulate and has caused sporadic cases in different areas in Thailand. Approximately 20,000 reported cases have been confirmed by the Bureau of Epidemiology, Ministry of Public Health, Thailand, from January 1, 2018 to July 31, 2020. However, the causes of this CHIKV re-emergence remain unclear. To obtain a better understanding of CHIKV circulation during the recent outbreak in Bangkok, Thailand, complete genome analysis of CHIKV isolates from field-caught mosquitoes collected in outbreak areas was performed. A total of 28 Ae. aegypti samples (21 females and 7 males) were collected, and individual mosquitoes were used for CHIKV detection and isolation. Eleven of 28 (39.29%) female and three of 28 (10.71%) male mosquitoes were positive for CHIKV by E1 nested RT-PCR. Four CHIKV isolates were successfully isolated from four female Ae. aegypti mosquitoes. Based on complete genome analysis, several amino acid substitutions were identified in the protein coding region. The E1:K211E and E2:V264A mutations in the background of the E1:226A mutation were observed in all four CHIKV isolates. An important observation was the presence of one amino acid substitution, leading to an E1:K245R change. This mutation was found in all four CHIKV isolates from mosquitoes in this study and in Thai patients described previously. Additionally, phylogenetic analysis indicated that the four CHIKV isolates belonged to the Indian Ocean clade of the ECSA genotype. The results obtained in this study provide detailed information on the molecular characteristics and evolution of currently circulating CHIKV strains in Thailand, which are useful for developing prevention and control strategies.
基孔肯雅病毒(CHIKV)是一种通过雌性伊蚊叮咬传播给人类的蚊媒新兴病原体。CHIKV 感染已成为全球主要的公共卫生关注点,因为它对医疗保健系统有重大影响。自 2004 年以来,该病毒已在非洲出现,并随后传播到印度洋附近的国家,包括印度,以及欧洲、美洲和亚洲。在泰国,2008-2009 年发生了大规模的 CHIKV 疫情,由源自东/中/南非(ECSA)CHIKV 基因型的病毒引起。此后,ECSA 基因型的 CHIKV 继续传播,并在泰国不同地区引起散发病例。泰国公共卫生部传染病局自 2018 年 1 月 1 日至 2020 年 7 月 31 日已确认约 20000 例报告病例。然而,CHIKV 再次出现的原因仍不清楚。为了更好地了解泰国曼谷最近爆发的 CHIKV 传播情况,对从疫情地区捕获的野外蚊子中分离的 CHIKV 分离株进行了全基因组分析。共采集了 28 只埃及伊蚊样本(21 只雌蚊和 7 只雄蚊),并对单个蚊子进行了 CHIKV 检测和分离。通过 E1 嵌套 RT-PCR,28 只雌蚊中有 11 只(39.29%)和 28 只雄蚊中有 3 只(10.71%)为 CHIKV 阳性。从 4 只埃及伊蚊雌蚊中成功分离出 4 株 CHIKV。基于全基因组分析,在蛋白编码区发现了几个氨基酸替换。在 E1:226A 突变的背景下,观察到 E1:K211E 和 E2:V264A 突变,这 4 株 CHIKV 分离株均存在。一个重要的观察结果是存在一个氨基酸替换,导致 E1:K245R 改变。这种突变存在于本研究中从蚊子中分离的 4 株 CHIKV 分离株和泰国之前描述的患者中。此外,系统进化分析表明,这 4 株 CHIKV 分离株属于 ECSA 基因型的印度洋分支。本研究结果提供了关于目前在泰国流行的 CHIKV 株的分子特征和进化的详细信息,这对于制定预防和控制策略非常有用。