Bigeard Clément, Pezzi Laura, Klitting Raphaelle, Ayhan Nazli, L'Ambert Grégory, Gomez Nicolas, Piorkowski Géraldine, Amaral Rayane, Durand Guillaume André, Colmant Agathe M G, Giraud Cynthia, Ramiara Katia, Migné Camille, Grard Gilda, Touzet Thierry, Zientara Stéphan, Charrel Rémi, Gonzalez Gaëlle, Duvignaud Alexandre, Malvy Denis, de Lamballerie Xavier, Fontaine Albin
Department of Infectious Diseases and Tropical Medicine, CHU Bordeaux, France; National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, University of Bordeaux, Bordeaux, France.
ANSES, INRAE, Ecole Nationale Vétérinaire d'Alfort, UMR Virologie, Laboratoire de Santé Animale, Maisons-Alfort, France.
PLoS Negl Trop Dis. 2024 Dec 26;18(12):e0012754. doi: 10.1371/journal.pntd.0012754. eCollection 2024 Dec.
West Nile Virus (WNV) and Usutu virus (USUV) circulate through complex cryptic transmission cycles involving mosquitoes as vectors, birds as amplifying hosts and several mammal species as dead-end hosts. Both viruses can be transmitted to humans through mosquito bites, which can lead to neuroinvasive and potentially fatal disease. Notably, WNV can also be transmitted through blood donations and organ transplants. The high proportion of asymptomatic infections caused by these viruses and their cryptic enzootic circulation make their early detection in the environment challenging. Viral surveillance in France still heavily relies on human and animal surveillance, i.e. late indicators of viral circulation. Entomological surveillance is a method of choice for identifying virus circulation ahead of the first human and animal cases and to reveal their genetic identity, but performing molecular screening of vectors is expensive, and time-consuming. Here we show substantial WNV and USUV co-circulation in Atlantic seaboard of France between July and August 2023 using a non-invasive MX (Molecular Xenomonitoring) method that use trapped mosquito excreta. MX offers significant advantages over traditional entomological surveillance: it is cost-effective and efficient, enabling viral RNA screening from a community of trapped mosquitoes via their excreta, which can be transported at room temperature. Additionally, MX extends the longevity of trapped mosquitoes, enhancing virus detection and simplifying logistics, and is easy to implement without requiring specialized skills. At the crossroads between entomological and environmental surveillance, MX can detect the circulation of zoonotic pathogens in the environment before cases are observed in humans and horses, enabling the timely alerts to health policy makers, allowing them to take suitable control measures.
西尼罗河病毒(WNV)和乌苏图病毒(USUV)通过复杂的隐匿传播循环进行传播,该循环涉及以蚊子为媒介、鸟类为扩增宿主以及几种哺乳动物为终末宿主。这两种病毒都可通过蚊虫叮咬传播给人类,进而导致神经侵袭性疾病,甚至可能致命。值得注意的是,WNV还可通过输血和器官移植传播。这些病毒引起的无症状感染比例很高,且其隐匿的动物疫源性传播使得在环境中对它们进行早期检测具有挑战性。法国的病毒监测仍严重依赖于对人和动物的监测,即病毒传播的晚期指标。昆虫学监测是在首例人类和动物病例出现之前识别病毒传播并揭示其基因特征的一种首选方法,但对媒介进行分子筛查既昂贵又耗时。在此,我们使用一种非侵入性的MX(分子虫媒监测)方法,利用捕获蚊子的排泄物,展示了2023年7月至8月期间法国大西洋沿岸存在大量的WNV和USUV共同传播情况。与传统的昆虫学监测相比,MX具有显著优势:它具有成本效益且效率高,能够通过捕获蚊子群体的排泄物进行病毒RNA筛查,排泄物可在室温下运输。此外,MX延长了捕获蚊子的存活时间,增强了病毒检测并简化了后勤工作,且易于实施,无需专门技能。处于昆虫学监测和环境监测的交叉点,MX能够在人类和马匹出现病例之前检测到环境中动物源性病原体的传播,从而及时向卫生政策制定者发出警报,使他们能够采取适当的控制措施。