Suqin Duan, Fengmei Yang, Yanyan Li, Yuan Zhao, Li Shi, Meng Qin, Quan Liu, Weihua Jin, Junbin Wang, Lixiong Chen, Wei Zhang, Yongjie Li, Ying Zhang, Jingjing Zhang, Shaohui Ma, Zhanlong He and Qihan Li. Pathogenic analysis of coxsackievirus A10 in rhesus macaques[J]. Virologica Sinica, 2022, 37(4): 610-618. doi: 10.1016/j.virs.2022.06.007
Citation: Suqin Duan, Fengmei Yang, Yanyan Li, Yuan Zhao, Li Shi, Meng Qin, Quan Liu, Weihua Jin, Junbin Wang, Lixiong Chen, Wei Zhang, Yongjie Li, Ying Zhang, Jingjing Zhang, Shaohui Ma, Zhanlong He, Qihan Li. Pathogenic analysis of coxsackievirus A10 in rhesus macaques .VIROLOGICA SINICA, 2022, 37(4) : 610-618.  http://dx.doi.org/10.1016/j.virs.2022.06.007

柯萨奇A10病毒在恒河猴体内的致病性分析

  • 柯萨奇病毒A10(CV-A10)是与手足口病(HFMD)相关的病原体之一,并且还会引起人类的多种疾病,包括肺炎和心肌炎。不同的人,尤其是幼儿,可能对感染有不同的免疫反应。目前的CV-A10感染动物模型仅提供了对该病毒发病机制和影响的初步了解。CV-A10在人类中感染、复制和脱落的特征仍然未知。在这项研究中,恒河猴通过呼吸或消化途径感染CV-A10,以模拟人类手足口病的发生。在急性感染(感染后1-11天)和恢复期(感染后12-180天),观察动物临床症状、病毒脱落、炎症反应和病理变化。急性感染期间,所有受感染的恒河猴均表现出明显的病毒血症和临床症状,与在人类中观察到的症状类似。并且,在包括肺、心脏、肝脏和肾脏在内的多个器官中观察到大量炎症性病理损害。在急性期,所有恒河猴都表现出临床症状、病毒排毒,血清细胞因子正常化、血清中和抗体增加,而炎症因子导致一些动物在恢复期出现严重的高血糖。此外,呼吸道或消化道感染动物之间没有显着差异。总体而言,所提供的所有数据表明,恒河猴提供了用于研究CV-A10病理生理学和评估潜在人类疗法的第一个非人类灵长类动物模型。

Pathogenic analysis of coxsackievirus A10 in rhesus macaques

  • Coxsackievirus A10 (CV-A10) is one of the etiological agents associated with hand, foot and mouth disease (HFMD) and also causes a variety of illnesses in humans, including pneumonia, and myocarditis. Different people, particularly young children, may have different immunological responses to infection. Current CV-A10 infection animal models provide only a rudimentary understanding of the pathogenesis and effects of this virus. The characteristics of CV-A10 infection, replication, and shedding in humans remain unknown. In this study, rhesus macaques were infected by CV-A10 via respiratory or digestive route to mimic the HFMD in humans. The clinical symptoms, viral shedding, inflammatory response and pathologic changes were investigated in acute infection (1–11 day post infection) and recovery period (12–180 day post infection). All infected rhesus macaques during acute infection showed obvious viremia and clinical symptoms which were comparable to those observed in humans. Substantial inflammatory pathological damages were observed in multi-organs, including the lung, heart, liver, and kidney. During the acute period, all rhesus macaques displayed clinical signs, viral shedding, normalization of serum cytokines, and increased serum neutralizing antibodies, whereas inflammatory factors caused some animals to develop severe hyperglycemia during the recovery period. In addition, there were no significant differences between respiratory and digestive tract infected animals. Overall, all data presented suggest that the rhesus macaques provide the first non-human primate animal model for investigating CV-A10 pathophysiology and assessing the development of potential human therapies.

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    1. B'Krong, N., Minh, N., Qui, P., Chau, T., Nghia, H., Do, L., Nhung, N., Van Vinh Chau, N., Thwaites, G., Van Tan, L., Thanh, T., 2018. Enterovirus serotypes in patients with central nervous system and respiratory infections in Viet Nam 1997–2010. Virol. J. 15, 69–75.

    2. Bian, L., Gao, F., Mao, Q., Sun, S., Wu, X., Liu, S., Yang, X., Liang, Z., 2019. Hand, foot, and mouth disease associated with coxsackievirus A10: more serious than it seems.Expert Rev. Anti Infect. Ther. 17, 233–242.

    3. Chang, L., Lin, T., Hsu, K., Huang, Y., Lee, C., 1999. Clinical features and risk factors of pulmonary oedema after enterovirus-71-related hand, foot, and mouth disease.Lancet 354, 1682–1686.

    4. Chang, L., Tsao, K., Hsia, S., Shih, S., Huang, C., Chan, W., Hsu, K., Fang, T., Huang, Y., 2014. Transmission and clinical features of enterovirus 71 infections in household contacts in taiwan. JAMA 291, 222–227.

    5. Chapman, N., Kim, K., 2008. Persistent coxsackievirus infection: enterovirus persistence in chronic myocarditis and dilated cardiomyopathy. Curr. Top. Microbiol. Immunol. 323, 275–292.

    6. Fuschino, M., Lamson, D., Rush, K., Carbone, L., Taff, M., Hua, Z., Landi, K., George, K., 2012. Detection of coxsackievirus A10 in multiple tissues of a fatal infant sepsis case.J. Clin. Virol. 53, 259–261.

    7. Ghazarian, L., Diana, J., Beaudoin, L., Larsson, P., Puri, R., Van Rooijen, N., Flodström-Tullberg, M., Lehuen, A., 2013. Protection against type 1 diabetes upon Coxsackievirus B4 infection and iNKT-cell stimulation: role of suppressive macrophages. Diabetes 62, 3785–3796.

    8. Góes, P., Paola, D., Brunolobo, M., Dias, L., 1959. Myocarditis produced by Coxsackie virus group A. An. Microbiol. 7, 13–34.

    9. Gonzalez, G., Carr, M., Kobayashi, M., Hanaoka, N., Fujimoto, T., 2019. Enterovirusassociated hand-foot and mouth disease and neurological complications in Japan and the rest of the world. Int. J. Mol. Sci. 20, 5201–5216.

    10. He, Y., Chen, L., Xu, W., Yang, H., Wang, H., Zong, W., Xian, H., Chen, H., Yao, X., Hu, Z., 2013. Emergence, circulation, and spatiotemporal phylogenetic analysis of coxsackievirus A6- and coxsackievirus A10-associated hand, foot, and mouth disease infections from 2008 to 2012 in shenzhen, China. J. Clin. Microbiol. 51, 3560–3566.

    11. He, X., Zhang, M., Chen, Zhao, Zheng, P., Zhang, X., Xu, J., 2021. From monovalent to multivalent vaccines, the exploration for potential preventive strategies against hand, foot, and mouth disease (HFMD). Virol. J. 36, 167–175.

    12. Jiang, H., Zhang, Z., Rao, Q., Qang, X., Wang, M., Du, T., Tantg, J., Long, S., Zhang, J., Luo, J., Pan, Y., Chen, J., 2021. The epidemiological characteristics of enterovirus infection before and after the use of enterovirus 71 inactivated vaccine in Kunming, China. Emerg. Microb. Infect. 10, 619–628.

    13. Kisáry, J., Barta, A., 1974. Method of determining virus neutralizing antibodies and the viral titer. Veterinariia 11, 121–122. (In Russian).

    14. Kyosuke, I., Katsunori, F., Hironobu, K., Masayoshi, S., Katsuhiko, K., Akihito, H., 2019. Anterior cingulate cortex involvement in non-paraneoplastic limbic encephalitis. Brain Dev. 41, 735–739.

    15. Lei, X., Xia, X., Wang, J., 2016. Innate immunity evasion by enteroviruses: insights into virus-host interaction. Viruses 8, 22–34.

    16. Li, S., Zhao, H., Yang, L., Hou, W., Xu, L., Wu, Y., Wang, W., Chen, C., Wan, J., Ye, X., 2017. A neonatal mouse model of coxsackievirus A10 infection for anti-viral evaluation. Antivir. Res. 144, 247–255.

    17. Li, J., Wang, X., Cai, J., Ge, Y., Zeng, M., 2020. Non-polio enterovirus infections in children with central nervous system disorders in Shanghai, 2016-2018. Serotypes and clinical characteristics 129, 104516–104522.

    18. Lloyd, R., Tamhankar, M., Lernmark, A., 2022. Enteroviruses and type 1 diabetes:multiple mechanisms and factors? Annu. Rev. Med. 73, 483–499.

    19. Lu, Q., Zhang, X., Wo, Y., Xu, H., Li, X., Wang, X., Ding, S., Chen, X.D., He, C., Liu, L., 2012. Circulation of coxsackievirus A10 and A6 in hand-foot-mouth disease in China, 2009–2011. PLoS One 7, 1–8.

    20. Mao, Q., Wang, Y., Bian, L., Xu, M., Liang, Z., 2016. EV-A71 vaccine licensure: a first step for multivalent enterovirus vaccine to control HFMD and other severe diseases. Emerg. Microb. Infect. 5, e75–81.

    21. Martin, A., Lemon, S., 2010. Hepatitis A virus: from discovery to vaccines. Hepatology 43, S164–S172.

    22. McMinn, P., 2002. An overview of the evolution of enterovirus 71 and its clinical and public health significance. FEMS. Microbiol. Rev. 26, 91–107.

    23. Pallansch, M., Oberste, M., Whitton, J., 2003. Enteroviruses: polioviruses, coxsackieviruses, echoviruses, and newer enteroviruses. A Practical Guide to Clinical Virology 14, 44–45.

    24. Ping, S., Wu, X., Li, H., Wu, Z., Yang, Z., Yao, H., 2017. Clinical significance of inflammatory cytokine and chemokine expression in hand, foot and mouth disease. Mol. Med. Rep. 15, 2859–2866.

    25. Rafik, H., Thomas, B., Olivier, D., Fatima, D., Shabir, O., Mahjoub, A., Bruno, P., 2010. Coxsackievirus B3 replication and persistence in intestinal cells from mice infected orally and in the human CaCo-2 cell line. J. Med. Virol. 74, 283–290.

    26. Serreze, D., Ottendorfer, E., Ellis, T., 2000. Acceleration of type 1 diabetes by a coxsackievirus infection requires a preexisting critical mass of autoreactive T-cells in pancreatic islets. Diabetes 49, 708–711.

    27. Shen, L., Chen, C., Huang, D., Wang, R., Zhang, M., Qian, L., Zhu, Y., Zhang, A.Z., Yang, E., Qaqish, A., 2017. Pathogenic events in a nonhuman primate model of oral poliovirus infection leading to paralytic poliomyelitis. J. Virol. 91, e02310–2316.

    28. Stalkup, J., Chilukuri, S., 2002. Enterovirus infections: a review of clinical presentation, diagnosis, and treatment. Dermatol. Clin. 20, 217–223.

    29. Tauriainen, S., Oikarinen, S., Oikarinen, M., Hyoty, H., 2011. Enteroviruses in the € pathogenesis of type 1 diabetes. Semin. Immunopathol. 33, 45–55.

    30. Taylor, W., Samir, S., Warren, W.C., Kibet, S., Shem, K., John, O., Hassan, A., Messeret, E., Melissa, C., Satish, P., 2014. Forewarning of poliovirus outbreaks in the Horn of Africa: an assessment of acute flaccid paralysis surveillance and routine immunization systems in Kenya. J. Infect. Dis. 210, S85–S90.

    31. Yeung, W., Rawlinson, W., Craig, M., 2011. Enterovirus infection and type 1 diabetes mellitus: systematic review and meta-analysis of observational molecular studies. BMJ 342, 421-421.

    32. Yang, F., Zhang, T., Hu, Y., Wang, X., Jin, Q., 2011. Survey of enterovirus infections from hand, foot and mouth disease outbreak in china, 2009. Virol. J. 8, 508.

    33. Yeung, W., Al-Shabeeb, A., Pang, C., Wilkins, M., Catteau, J., Howard, N., Rawlinson, W., Craig, M., 2012. Children with islet autoimmunity and enterovirus infection demonstrate a distinct cytokine profile. Diabetes 61, 1500–1508.

    34. Ying, Z., Wei, C., Liu, L., Wang, J., Qihan, L., 2011. Pathogenesis study of enterovirus 71 infection in rhesus monkeys. Lab. Invest. 91, 1337–1350.

    35. Ylipaasto, P., Smura, T., Gopalacharyulu, P., Paananen, A., Seppänen-Laakso, T., Kaijalainen, S., Ahlfors, H., Korsgren, O., Lakey, J., Lahesmaa, R., Piemonti, L., Oresic, M., Galama, J., Roivainen, M., 2012. Enterovirus-induced gene expression profile is critical for human pancreatic islet destruction. Diabetologia 55, 3273–3283.

    36. Zhang, Z., Dong, Z., Li, J., Carr, M., Zhuang, D., Wang, J., 2017. Protective efficacies of formaldehyde-inactivated whole-virus vaccine and antivirals in a murine model of coxsackievirus A10 infection. J. Virol. 91, e00333–17.

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    Pathogenic analysis of coxsackievirus A10 in rhesus macaques

      Corresponding author: Shaohui Ma, shaohuima@imbcams.com.cn
      Corresponding author: Zhanlong He, hzl@imbcams.com.cn
      Corresponding author: Qihan Li, liqihan@imbcams.com.cn
    • a Institute of Medical Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Yunnan Key Laboratory of Vaccine Research Development on Severe Infectious Disease, Kunming, 650118, China;
    • b Beijing Advanced Innovation Center for Soft Matter Science and Engineering College of Life Science and Technology, Beijing University of Chemical Technology, Beijing, 100029, China

    Abstract: Coxsackievirus A10 (CV-A10) is one of the etiological agents associated with hand, foot and mouth disease (HFMD) and also causes a variety of illnesses in humans, including pneumonia, and myocarditis. Different people, particularly young children, may have different immunological responses to infection. Current CV-A10 infection animal models provide only a rudimentary understanding of the pathogenesis and effects of this virus. The characteristics of CV-A10 infection, replication, and shedding in humans remain unknown. In this study, rhesus macaques were infected by CV-A10 via respiratory or digestive route to mimic the HFMD in humans. The clinical symptoms, viral shedding, inflammatory response and pathologic changes were investigated in acute infection (1–11 day post infection) and recovery period (12–180 day post infection). All infected rhesus macaques during acute infection showed obvious viremia and clinical symptoms which were comparable to those observed in humans. Substantial inflammatory pathological damages were observed in multi-organs, including the lung, heart, liver, and kidney. During the acute period, all rhesus macaques displayed clinical signs, viral shedding, normalization of serum cytokines, and increased serum neutralizing antibodies, whereas inflammatory factors caused some animals to develop severe hyperglycemia during the recovery period. In addition, there were no significant differences between respiratory and digestive tract infected animals. Overall, all data presented suggest that the rhesus macaques provide the first non-human primate animal model for investigating CV-A10 pathophysiology and assessing the development of potential human therapies.

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