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      Laboratory Investigations of African Pouched Rats ( Cricetomys gambianus) as a Potential Reservoir Host Species for Monkeypox Virus

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          Abstract

          Monkeypox is a zoonotic disease endemic to central and western Africa, where it is a major public health concern. Although Monkeypox virus (MPXV) and monkeypox disease in humans have been well characterized, little is known about its natural history, or its maintenance in animal populations of sylvatic reservoir(s). In 2003, several species of rodents imported from Ghana were involved in a monkeypox outbreak in the United States with individuals of three African rodent genera ( Cricetomys, Graphiurus, Funisciurus) shown to be infected with MPXV. Here, we examine the course of MPXV infection in Cricetomys gambianus (pouched Gambian rats) and this rodent species’ competence as a host for the virus. We obtained ten Gambian rats from an introduced colony in Grassy Key, Florida and infected eight of these via scarification with a challenge dose of 4X10 4 plaque forming units (pfu) from either of the two primary clades of MPXV: Congo Basin (C-MPXV: n = 4) or West African (W-MPXV: n = 4); an additional 2 animals served as PBS controls. Viral shedding and the effect of infection on activity and physiological aspects of the animals were measured. MPXV challenged animals had significantly higher core body temperatures, reduced activity and increased weight loss than PBS controls. Viable virus was found in samples taken from animals in both experimental groups (C-MPXV and W-MPXV) between 3 and 27 days post infection (p.i.) (up to 1X10 8 pfu/ml), with viral DNA found until day 56 p.i. The results from this work show that Cricetomys gambianus (and by inference, probably the closely related species, Cricetomys emini) can be infected with MPXV and shed viable virus particles; thus suggesting that these animals may be involved in the maintenance of MPXV in wildlife mammalian populations. More research is needed to elucidate the epidemiology of MPXV and the role of Gambian rats and other species.

          Author Summary

          Post smallpox eradication, Monkeypox virus (MPXV) has emerged as the most important human health threat within the Orthopoxvirus genus. Sporadic outbreaks of monkeypox within Africa, concern over the potential of the virus to move outside of its natural range, as well as the increasing proportion of unvaccinated people now susceptible to MPXV (due to cessation of smallpox vaccination), makes it important to understand how the virus is transmitted to humans within Africa. Thus far the natural reservoir(s) of MXPV has eluded identification; however several rodent species including African pouched rats ( Cricetomys spp.) have been implicated as possible reservoirs. Cricetomys are often found living in close proximity to humans (and invading homes) and additionally serve as a food source within Africa. Therefore, it is important to utilize laboratory methods to examine the course of MPXV infection in Cricetomys and thus determine this rodent species’ competence as a host for the virus. We challenged eight animals with MPXV (4X10 4 pfu) and assessed clinical symptoms and molecular markers of disease. Our results show Cricetomys can be infected with MPXV and shed high loads of virus via multiple routes, supporting the hypothesis that they may be involved in the maintenance and transmission of the virus within Africa.

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          The detection of monkeypox in humans in the Western Hemisphere.

          During May and June 2003, an outbreak of febrile illness with vesiculopustular eruptions occurred among persons in the midwestern United States who had had contact with ill pet prairie dogs obtained through a common distributor. Zoonotic transmission of a bacterial or viral pathogen was suspected. We reviewed medical records, conducted interviews and examinations, and collected blood and tissue samples for analysis from 11 patients and one prairie dog. Histopathological and electron-microscopical examinations, microbiologic cultures, and molecular assays were performed to identify the etiologic agent. The initial Wisconsin cases evaluated in this outbreak occurred in five males and six females ranging in age from 3 to 43 years. All patients reported having direct contact with ill prairie dogs before experiencing a febrile illness with skin eruptions. We found immunohistochemical or ultrastructural evidence of poxvirus infection in skin-lesion tissue from four patients. Monkeypox virus was recovered in cell cultures of seven samples from patients and from the prairie dog. The virus was identified by detection of monkeypox-specific DNA sequences in tissues or isolates from six patients and the prairie dog. Epidemiologic investigation suggested that the prairie dogs had been exposed to at least one species of rodent recently imported into the United States from West Africa. Our investigation documents the isolation and identification of monkeypox virus from humans in the Western Hemisphere. Infection of humans was associated with direct contact with ill prairie dogs that were being kept or sold as pets. Copyright 2004 Massachusetts Medical Society
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            A tale of two clades: monkeypox viruses.

            Human monkeypox was first recognized outside Africa in 2003 during an outbreak in the USA that was traced to imported monkeypox virus (MPXV)-infected West African rodents. Unlike the smallpox-like disease described in the Democratic Republic of the Congo (DRC; a Congo Basin country), disease in the USA appeared milder. Here, analyses compared clinical, laboratory and epidemiological features of confirmed human monkeypox case-patients, using data from outbreaks in the USA and the Congo Basin, and the results suggested that human disease pathogenicity was associated with the viral strain. Genomic sequencing of USA, Western and Central African MPXV isolates confirmed the existence of two MPXV clades. A comparison of open reading frames between MPXV clades permitted prediction of viral proteins that could cause the observed differences in human pathogenicity between these two clades. Understanding the molecular pathogenesis and clinical and epidemiological properties of MPXV can improve monkeypox prevention and control.
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              Real-time PCR assays for the specific detection of monkeypox virus West African and Congo Basin strain DNA

              Orthopoxvirus monkeypox (MPXV) forms two distinct clades: the MPXV Congo Basin clade viruses are endemic in the Congo Basin, human illness typically presents with symptoms similar to discrete, ordinary smallpox and has a case fatality rate of approximately 10% in unvaccinated populations; the MPXV West African clade viruses have been isolated in West Africa and appear to cause a less severe, and less inter-human transmissible disease. Recently, monkeypox outbreaks were reported in US and Sudan caused by MPXV West African and Congo Basin strains respectively. These events demonstrated the ability and trend of the virus to exploit new hosts and emerge globally; it also emphasizes the need for the diagnosis of MPXV, especially the ability to distinguish between Congo Basin and West African monkeypox strains. In this study, three new real-time PCR assays based on TaqMan probe technology were reported: the MPXV West African specific, Congo Basin strain specific and MPXV generic assays. The new assays demonstrated good specificity and sensitivity in the validation study with multiple platforms and various PCR reagent kits, and will improve the rapid detection and differentiation of monkeypox infections from other rash illness.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Negl Trop Dis
                PLoS Negl Trop Dis
                plos
                plosntds
                PLoS Neglected Tropical Diseases
                Public Library of Science (San Francisco, CA USA )
                1935-2727
                1935-2735
                30 October 2015
                October 2015
                : 9
                : 10
                : e0004013
                Affiliations
                [1 ]Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
                [2 ]Department of Biology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
                [3 ]Animal Resources Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
                [4 ]U.S. Geological Survey-National Wildlife Health Center, Madison, Wisconsin, United States of America
                [5 ]Department of Pathobiological Science, School of Veterinary Medicine, University of Wisconsin, Madison, Wisconsin, United States of America
                The George Washington University School of Medicine and Health Sciences, UNITED STATES
                Author notes

                The authors have declared that no competing interests exist.

                Conceived and designed the experiments: DSC CLH JS VAO RLR ZB SW JM KLK TER JEO IKD. Performed the experiments: DSC CLH JS RLR ZB SW EJ MT KLK. Analyzed the data: DSC CLH YJN VAO ZB SW KLK IKD. Wrote the paper: DSC CLH YJN VAO RLR JM KLK TER JEO.

                Article
                PNTD-D-15-00304
                10.1371/journal.pntd.0004013
                4627651
                26517724
                94963603-4af2-4a8f-8faa-6ff45be2b78f

                This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication

                History
                : 24 February 2015
                : 28 July 2015
                Page count
                Figures: 6, Tables: 3, Pages: 20
                Funding
                This research was supported by the National Institutes of Health (NIH) grant 1R01TW008859-01 (“Sylvatic Reservoirs of Human Monkeypox”). The NIH funders had no role in our study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Custom metadata
                All relevant data are within the paper and its Supporting Information files.

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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