Adenoviruses in Côte d`Ivoire: investigation of diversity and interspecies transmission

Sub-Saharan Africa is considered to be a hotspot for emerging infectious diseases (EID) and the majority of these EID in humans originated from animal hosts and many are caused by viruses. In this first study on Adenovirus (AdV) in humans and domestic animals in Côte d`Ivoire, not only the prevalence and diversity of AdV shedding was assessed, but also the zoonotic and recombination potential of AdV was elucidated. The study region is situated next to the Taï National Park, the largest tropical forest of Western Africa. During two field missions in 2012, various samples were collected from the local population and from their domestic animals. Moreover the study participants were asked to fill out a questionnaire focusing on exposure to domestic animals and wildlife. Careful observations during the field missions, as well as the statistical analysis of the questionnaires revealed many risk factors for zoonotic disease emergence. Among others the following major drivers for zoonotic EID were identified: frequent contact to body fluids of domestic and wild animals (e.g. of non-human primates), poor hygiene standards (e.g. only limited access to drinking water and clean sanitary facilities), lack of veterinary inspections, insufficient medical care and demographic changes (massive immigration from neighboring countries). Hence we assumed that this region might be the ideal location to investigate whether and how human and animal habitat overlap influences rates and patterns of pathogen transmission between humans, livestock and wildlife. AdV have been detected in mammals, birds, fishes, amphibians and reptiles, worldwide. Even though many AdV infections are asymptomatic in human and animal hosts, AdV-induced symptoms (e.g. gastroenteritis, kerato-konjunctivitis and pneumonitis) have been reported in different species. Bacterial co-infection, young age and immunosuppression enhance the risk to develop severe symptoms. AdV prevalence and diversity in stool samples of humans and rectum/cloacal swabs of various animals (sheep, goat, cow, pig, dog, chickens and monkey) were determined with different PCR systems and subsequent sequencing. By phylogenetic and recombination analyses, the detected AdV strains were characterized, and their phylogenetic relation to recognized AdV types determined. Correlation between AdV infection and disease symptoms, and the effect of age and gender on infection status were analyzed statistically by descriptive statistics and by the application of generalized linear mixed models. The prevalence of human AdV D (HAdV D) in human stool samples in the investigated sites was estimated to be 66 % in CI, 48 % in DR Congo, 28 % in Central African Republic (adults only) and 65 % in Uganda (adults only). Highly diverse HAdV D sequences were identified, among which a number are likely to stand for novel types. Younger individuals were more frequently infected than adults. There was no difference in HAdV D occurrence between genders. Moreover, no correlation was observed between HAdV D infection and clinical symptoms. The overall prevalence of AdV shed was estimated to be 21.7 % for domestic mammals and 42.9 % for chickens. There was no difference in AdV occurrence between age groups. However, female animals were significantly more frequently infected than male animals. Highly diverse and potentially novel AdV apparently circulate among the animal population: strains from 3 different AdV genera Summary 122 (Mastadenovirus, Aviadenovirus and Siadenovirus) were identified and intriguingly HAdV were repeatedly detected in animal rectum swabs. On one hand animals shedding various AdV (including HAdV) can be considered to be reservoir or mixing vessels; on the other hand shedding might only be due to the ingestion of contaminated material and following passive passage. However, it can be assumed that this shedding might play an important role for virus spread and probably for human and animal health. Moreover, potential pathogenicity, modes of transmission, and sources in nature were discussed. To conclude, AdV were detected with a high prevalence and diversity in the human and animal study populations. Further investigations are needed to pinpoint pathological potential of each of the identified viruses. The study findings revealed evidence for anthropozoonotic (human-to-animal) and cross-species transmission of AdV and for recombination. Although no zoonotic transmission (animal-to-human) of AdV was detected, the observed multitude of risk factors for zoonotic transmission certainly favors the cross-species transmission of other pathogens and underlines the importance of research in this potential hotspot for EID. The information gathered may be beneficial in formulating prevention recommendations to reduce pathogen transmission in areas where humans, livestock and wildlife cohabit

Seroprevalence of ToRCH Pathogens in Southeast Asia

ToRCH is the acronym for several pathogens associated with pregnancy complications and sequelae in the unborn or newborn child. Particularly primary infections during pregnancy are associated with increased risk. Seroprevalence data of ToRCH infections are important, especially in countries with weak disease surveillance systems, to estimate immunity and vaccination levels, as well as exposure rates and thus the risk of infection during pregnancy. A systematic literature search spanning a 30-year time period was conducted to identify serosurveys on ToRCH pathogens in Southeast Asia. The 96 identified studies showed that some pathogens were well studied, while only limited data were available for others. Studies from the better-developed countries of the region were more abundant. Moreover, seroprevalence data were often limited to a certain geographical region within the country or to certain cohorts, there was an evident lack of recent serosurveys, and the study quality was often not adequate. Well-designed and area-wide serosurveys of ToRCH pathogens are clearly warranted. If combined with risk factor analysis, these studies may guide the development and implementation of effective measures for infection prevention, especially during pregnancy. In addition, educational programs for health care workers and for pregnant women during antenatal care are urgently needed

High prevalence and diversity of species D adenoviruses (HAdV-D) in human populations of four Sub-Saharan countries

Abstract. Background: Human adenoviruses of species D (HAdV-D) can be associated with acute respiratory illness, epidemic ker

Novel polyomaviruses in mammals from multiple orders and reassessment of polyomavirus evolution and taxonomy

As the phylogenetic organization of mammalian polyomaviruses is complex and currently incompletely resolved, we aimed at a deeper insight into their evolution by identifying polyomaviruses in host orders and families that have either rarely or not been studied. Sixteen unknown and two known polyomaviruses were identified in animals that belong to 5 orders, 16 genera, and 16 species. From 11 novel polyomaviruses, full genomes could be determined. Splice sites were predicted for large and small T antigen (LTAg, STAg) coding sequences (CDS) and examined experimentally in transfected cell culture. In addition, splice sites of seven published polyomaviruses were analyzed. Based on these data, LTAg and STAg annotations were corrected for 10/86 and 74/86 published polyomaviruses, respectively. For 25 polyomaviruses, a spliced middle T CDS was observed or predicted. Splice sites that likely indicate expression of additional, alternative T antigens, were experimentally detected for six polyomaviruses. In contrast to all other mammalian polyomaviruses, three closely related cetartiodactyl polyomaviruses display two introns within their LTAg CDS. In addition, the VP2 of Glis glis (edible dormouse) polyomavirus 1 was observed to be encoded by a spliced transcript, a unique experimental finding within the Polyomaviridae family. Co-phylogenetic analyses based on LTAg CDS revealed a measurable signal of codivergence when considering all mammalian polyomaviruses, most likely driven by relatively recent codivergence events. Lineage duplication was the only other process whose influence on polyomavirus evolution was unambiguous. Finally, our analyses suggest that an update of the taxonomy of the family is required, including the creation of novel genera of mammalian and non-mammalian polyomaviruses.info:eu-repo/semantics/publishedVersio

Genetic identification of cytomegaloviruses in a rural population of Côte d'Ivoire.

BACKGROUND: Cytomegaloviruses (CMVs) are herpesviruses that infect many mammalian species, including humans. Infection generally passes undetected, but the virus can cause serious disease in individuals with impaired immune function. Human CMV (HCMV) is circulating with high seroprevalence (60-100 %) on all continents. However, little information is available on HCMV genoprevalence and genetic diversity in subsaharan Africa, especially in rural areas of West Africa that are at high risk of human-to-human HCMV transmission. In addition, there is a potential for zoonotic spillover of pathogens through bushmeat hunting and handling in these areas as shown for various retroviruses. Although HCMV and nonhuman CMVs are regarded as species-specific, potential human infection with CMVs of non-human primate (NHP) origin, shown to circulate in the local NHP population, has not been studied. FINDINGS: Analysis of 657 human oral swabs and fecal samples collected from 518 individuals living in 8 villages of Côte d'Ivoire with generic PCR for identification of human and NHP CMVs revealed shedding of HCMV in 2.5 % of the individuals. Determination of glycoprotein B sequences showed identity with strains Towne, AD169 and Toledo, respectively. NHP CMV sequences were not detected. CONCLUSIONS: HCMV is actively circulating in a proportion of the rural Côte d'Ivoire human population with circulating strains being closely related to those previously identified in non-African countries. The lack of NHP CMVs in human populations in an environment conducive to cross-species infection supports zoonotic transmission of CMVs to humans being at most a rare event

Shark Tooth Weapons from the 19th Century Reflect Shifting Baselines in Central Pacific Predator Assemblies

The reefs surrounding the Gilbert Islands (Republic of Kiribati, Central Pacific), like many throughout the world, have undergone a period of rapid and intensive environmental perturbation over the past 100 years. A byproduct of this perturbation has been a reduction of the number of shark species present in their waters, even though sharks play an important in the economy and culture of the Gilbertese. Here we examine how shark communities changed over time periods that predate the written record in order to understand the magnitude of ecosystem changes in the Central Pacific. Using a novel data source, the shark tooth weapons of the Gilbertese Islanders housed in natural history museums, we show that two species of shark, the Spot-tail (Carcharhinus sorrah) and the Dusky (C. obscurus), were present in the islands during the last half of the 19th century but not reported in any historical literature or contemporary ichthyological surveys of the region. Given the importance of these species to the ecology of the Gilbert Island reefs and to the culture of the Gilbertese people, documenting these shifts in baseline fauna represents an important step toward restoring the vivid splendor of both ecological and cultural diversity

High prevalence of helminth infections in mother-child pairs from three central provinces of Lao People's Democratic Republic

In Southeast Asia, the large majority of the population remains affected by parasitic worms despite longstanding mass treatment and health education campaigns. Soil-transmitted helminths and also the fish-borne liver fluke negatively affect development during early childhood. Here, the prevalence of helminth infections in stool samples of 610 mother-child pairs from Khammouane, Bolikhamxay and Vientiane provinces in Lao People's Democratic Republic was determined by formalin-ethyl acetate concentration technique. Overall, 15.1% of the children and 46.9% of the mothers were positive for at least one helminth species. Helminth detection rates varied significantly by province with the highest prevelance in Khammouane and the lowest in Bolikhamxay province. Mothers that were positive for soil-transmitted helminths were significantly more likely to have children positive for the same helminth species (p < 0.01) but this was not the case for the liver fluke Opisthorchis viverrini. A protective effect of breastfeeding against soil-transmitted helminths was revealed. Our data reconfirm the generally high helminth burden among mother-child pairs who likely share a number of risky lifestyle behaviors also with other family members. To reduce maternal burden of helminths, we propose that anti-helmintic treatment of women of childbearing age and of mothers during postnatal care should be included in the national strategy

Immunity levels to poliovirus in Lao children and adults before the vaccine-derived poliovirus outbreak: A retrospective study

In 2015, several provinces in Lao People's Democratic Republic (Lao PDR) experienced a vaccine-derived poliovirus outbreak. This survey was conducted (i) to evaluate the vaccination coverage in different settings and cohorts using the seroprevalence of anti-poliovirus (PV) antibodies as a surrogate measure, and (ii) to explore the usefulness of an ELISA in a country with limited resources and a specific epidemiological setting. IgG antibodies were assessed by ELISA in Lao children (n = 1216) and adults (n = 1228), including blood donors and health care workers. Protective antibody titers against the 3 vaccine serotypes were determined by microneutralization (VNT) in a subset of participants. More than 92% of the children had anti-poliovirus antibodies, regardless of nutritional status or access to health care, highlighting the success of the vaccination outreach activities in the country. In contrast, anti-poliovirus seroprevalence reached only 81.7% in blood donors and 71.9% in health care workers. Participants born before the introduction of poliovirus vaccination in Lao PDR were considerably less likely to be seropositive. These findings align with the epidemiology of the outbreak. Neutralizing antibodies against at least one of the 3 poliovirus serotypes were detected in all children (99/99) and 93/99 had antibodies against all serotypes. Similarly, all health care workers had neutralizing antibodies against at least one and 92/99 against all serotypes. The comparison of both assays shows an acceptable underestimation of vaccine coverage in children by ELISA, but a low sensitivity of the ELISA in the adults. We show that the ELISA is a reasonable alternative to the VNT in particular in vaccinated children, that an improved version should be serotype specific, and that negativity thresholds should be revisited for optimal sensitivity and specificity. Thus, polio-free countries with an uncertain vaccination coverage and limited laboratory capacity, that are at risk of vaccine-derived poliovirus outbreaks or of re-importation of wild poliovirus may benefit from an improved ELISA for cohort studies to evaluate their immunization program in children.Peer Reviewe

Adenovirus in Rural Côte D`Ivoire: High Diversity and Cross-Species Detection

The Taï region in Western Côte d`Ivoire is characterized by extensive overlap of human and animal habitats. This could influence patterns of adenovirus transmission between humans and domestic animals. Fecal samples from humans and various domestic animals were tested for the presence of adenoviruses by PCR. Phylogenetic and species delineation analyses were performed to further characterize the adenoviruses circulating in the region and to identify potential cross-species transmission events. Among domestic animals, adenovirus shedding was frequent (21.6% of domestic mammals and 41.5% of chickens) and the detected strains were highly diverse, several of them representing novel types. Although no evidence for zoonotic transmission of animal adenovirus was obtained, the present study provides concordant evidence in favor of common cross-species transmission of adenoviruses between different animal species and first indications for adenovirus transmission from humans to animals. These findings underline the thus far underestimated importance of reverse zoonotic transmission of viruses and of the role of domestic animals as pathogen reservoirs, “bridge species,” or intermediate hosts