Unprecedented Oropouche Fever Outbreak in Brazil: Could the M Segment‐Encoded Proteins Provide Clues to Possible Insights? DOI Open Access
José Valter Joaquim Silva Júnior, Thaísa Regina Rocha Lopes, Natália Hettwer Pedroso

et al.

Journal of Medical Virology, Journal Year: 2024, Volume and Issue: 96(12)

Published: Dec. 1, 2024

Oropouche virus (OROV) infections usually lead to a self-limiting disease, with some severe cases resulting in neurological impairment or bleeding [1]. In Brazil, OROV infection has been reported since the 1960s, mainly northern region [2]. Although it is difficult estimate number/distribution of fever worrying number positive have recorded 2024. As August 27, 2024, 7848 were confirmed, including areas no previous records circulation [3]. Furthermore, unusual outcomes also described, fatal adults, fetal deaths and malformations [4, 5]. Previous studies raised important issues related recent possible viral reassortment [6, 7]; however, reasons for current scenario remains uncertain. (species Orthobunyavirus oropoucheense, genus family Peribunyaviridae) trisegmented (S, M L segments), single-stranded, negative-sense RNA arbovirus [8, 9]. During replication, segment translated into polyprotein, which processed three individual proteins, glycoproteins Gc Gn nonstructural protein NSm [9]. are organized heterodimers mediate attachment (Gc and/or Gn) fusion/entry (Gc) addition, major target neutralizing antibodies [10]. only encoded by segment, being more conserved than [11]. function orthobunyaviruses still discussed, authors demonstrated its role assembly budding other viruses previously grouped former Bunyaviridae, such as Rift Valley (RVFV) (now Phenuiviridae) tomato spotted wilt (TSWV) (Tospoviridae) [8], implicated mosquito vector [12, 13] cell-to-cell spread [14]. evading host immune response inhibiting virus-induced apoptosis [15]. Recognizing importance segment-encoded contribute discussions on evolution, well we analyzed amino acid (aa) partial complete sequences polyprotein deposited GenBank until 11, The data set included 461 from samples collected between 1955 2024 Ecuador, Peru, Colombia, French Guiana, Trinidad Tobago Italy (Supporting Information S1: Supplementary File 1). aligned MAFFT (Multiple Alignment using Fast Fourier Transform) version 7 (https://mafft.cbrc.jp/alignment/server/index.html) aa generated visualized Molecular Evolutionary Genetics Analysis 11 [16]. reading frames our confirmed comparison corresponding GenBank. Finally, was carefully evaluated identification potential mutations sequenced years. Herein, identified two residues that might deserve special attention: 393 521 (reference KP052851.1, first methionine counting), changed most recently Brazil (Figure At residue 393, observed change isoleucine (I) (nonpolar aa) threonine (T) (polar (I393T) all 2022 (n = 390). 393T Ecuador (2016; MF926353.1 MK506823.1-MK506827.1), Colombia (2017, 2020 2021; MK643116.1, OP244878.1, OP244884.1 OP244881.1), Guiana (2020; OL689333.1), Peru (2022-2024; PP966972.1-PP966979.1) (2024; PP952118.2). On hand, before (1960-2018) 48), except sample/isolate ILMD_TF29 (2015; PP154171.1), presented I393 47/48). found older outside an unidentified collection country: (1955; KP026180.1), unavailable country (1961; MF620128.1) Haiti (2014; MN264268.1). addition this profile, I393T substitution resulted new phosphorylation site kinase C (score > 0.7) (NetPhos - 3.1; https://services.healthtech.dtu.dk/services/NetPhos-3.1/). Interestingly, located NSm, shown orthobunyavirus assembly/budding [9], evasion RFVF 13, 15]. Overall, position/residue (in protein) combined viruses, suggests be evolution. 521, phenylalanine (F) leucine (L) serine (S) (F/L521S); nonpolar polar aa. All 390), LACENAM_ILMD_1197FSM PQ065193.1), 521S 389/390). Among (2023 2024; PP966976.1-PP966978.1) Conversely, (1960–2018) F/L521 48). MN264268.1), (2022–2024; PP966972.1-PP966975.1 PP966979.1) F/L521. discussed I393T, F/L521S (nonspecific prediction, score 0.9; NetPhos 3.1). Gc, specifically head 2), described Importantly, believed involved entry Considering replication response, OROV, believe investigation may insights sites under selection already [17]. contributions these changes fitness unknown, they play virus-host interaction. understand limitations study, inherent little attention given throughout history: (i) few per period; (ii) large periods without samples; (iii) sequences; (iv) Taken together, make assess real extent impact here when became prevalent, discuss their eventual association epidemiological scenario. Indeed, although cannot establish link substitutions fitness, would timely if investigated future reverse genetics studies, suitable animal models, influence phenotype interactions. monitoring above, investigating others positions proteins provide José Valter Joaquim Silva Júnior: conceptualization, methodology, investigation, visualization writing–original draft. Thaísa Regina Rocha Lopes: methodology Natália Hettwer Pedroso: Ricardo Durães-Carvalho: writing–review editing. Rudi Weiblen: Eduardo Furtado Flores: Laura Helena Vega Gonzales Gil: writing–review, editing supervision. R.D.C. supported São Paulo Research Foundation (FAPESP), Young Investigator Program, grants 2019/01255-9 2021/03684-4. E.F.F. (301414/2010-6), R.W. (303981/2022-9) L.H.V.G.G. (317296/2021-3) CNPq research fellowships. nothing report. declare conflicts interest. Data supporting study available Genbank , Protein Bank 1. Please note: publisher not responsible content functionality any information supplied authors. Any queries (other missing content) should directed author article.

Language: Английский

Reemergence of Oropouche virus between 2023 and 2024 in Brazil DOI Creative Commons
Gabriel C Scachetti, Julia Forato, Ingra Morales Claro

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: July 30, 2024

Oropouche virus (OROV; species

Language: Английский

Citations

23

Oropouche Virus (OROV) in Pregnancy: An Emerging Cause of Placental and Fetal Infection Associated with Stillbirth and Microcephaly following Vertical Transmission DOI Creative Commons
David A. Schwartz, Pradip Dashraath, David Baud

et al.

Viruses, Journal Year: 2024, Volume and Issue: 16(9), P. 1435 - 1435

Published: Sept. 9, 2024

Oropouche virus (OROV) is an emerging arbovirus endemic in Latin America and the Caribbean that causes fever, a febrile illness clinically resembles some other arboviral infections. It currently spreading through Brazil surrounding countries, where, from 1 January to August 2024, more than 8000 cases have been identified Bolivia, Brazil, Columbia, Peru for first time Cuba. Travelers with fever United States Europe. A significant occurrence during this epidemic has report of pregnant women infected OROV who had miscarriages stillborn fetuses placental, umbilical blood fetal somatic organ samples were RT-PCR positive negative arboviruses. In addition, there four newborn infants having microcephaly, which cerebrospinal fluid tested IgM antibodies This communication examines biology, epidemiology, clinical features OROV, summarizes 2023–2024 epidemic, describes reported vertical transmission congenital infection, death, microcephaly addresses experimental animal infections potential placental pathology findings reviews bunyavirus agents can cause transmission. Recommendations are made travelling regions affected by epidemic.

Language: Английский

Citations

21

Novel Reassortants of Oropouche Virus (OROV) Are Causing Maternal–Fetal Infection During Pregnancy, Stillbirth, Congenital Microcephaly and Malformation Syndromes DOI Open Access
David A. Schwartz

Genes, Journal Year: 2025, Volume and Issue: 16(1), P. 87 - 87

Published: Jan. 15, 2025

Oropouche virus (OROV) is an orthobunyavirus endemic in the Brazilian Amazon that has caused numerous outbreaks of febrile disease since its discovery 1955. During 2024, fever spread from regions Brazil into non-endemic areas and other Latin American Caribbean countries, resulting 13,014 confirmed infections. Similarly to orthobunyaviruses, OROV can undergo genetic reassortment events with itself as well viruses. This occurred during this current outbreak, novel strains increased pathogenicity levels transmission. For first time, pregnant women have sustained poor perinatal outcomes, including miscarriage, fetal demise, stillbirths malformation syndromes microcephaly. In July PAHO issued Epidemiological Alert warning association vertical now been identified blood, cerebrospinal fluid, placenta umbilical cords, somatic organs liver, kidneys, brain, spleen, heart, lungs using nucleic acid antigen testing. Perinatal autopsy pathology central nervous system infection infants congenital microcephaly, ventriculomegaly, agenesis corpus callosum, neuronal necrosis. The latest data show 3 cases transmission; 2 death; 1 case malformation; ongoing investigations role 15 death, malformations 5 spontaneous miscarriages. Commentary discusses mechanisms significance development reassortant outbreak their recent recognition causing adverse outcomes among fever.

Language: Английский

Citations

3

Oropouche virus genomic surveillance in Brazil DOI
Filipe Romero Rebello Moreira, João Victor Rodrigues Dutra, André Henrique Barbosa de Carvalho

et al.

The Lancet Infectious Diseases, Journal Year: 2024, Volume and Issue: 24(11), P. e664 - e666

Published: Aug. 27, 2024

Citations

12

Rapid Viral Expansion Beyond the Amazon Basin: Increased Epidemic Activity of Oropouche Virus Across the Americas DOI Creative Commons
Felipe Campos de Melo Iani, Felicidade Mota Pereira, Elaine Cristina de Oliveira

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 4, 2024

Abstract Summary Oropouche virus (OROV), initially detected in Trinidad and Tobago 1955, has been historically confined to the Amazon Basin. However, since late 2022, OROV reported northern Brazil as well urban centers Bolivia, Colombia, Cuba, Peru. Herein, we describe generation of 133 new publicly available full genomes. We show how evolved via genome component reassortment it rapidly spread across multiple states Brazil, causing largest outbreak ever recorded outside basin, including first deaths. This work highlights need for heightened epidemiological genomic surveillance implementation adequate measures order mitigate transmission impacts on population. Background was identified 1955 later found 1960. Historically, have caused around 30 outbreaks, mostly within Basin, where circulates among forest animals, but also areas is known be transmitted by midge Culicoides paraensis . Recently, seen a surge cases, with more than 7000 mid-2024 alone. Methods In collaboration Central Public Health Laboratories Brazilian regions, integrated metadata analyses recently sampled cases. initiative resulted whole sequences from three segments (L, M, S) virus, genomes obtained regions fatal Findings All 2024 form monophyletic group phylogenetic tree Basin 2022. Our revealed rapid north-to-south viral movement into non-endemic regions. 21 events, although remains unclear if evolution enabled adapt local ecological conditions evolve phenotypes public health importance. Interpretation Both recent spatial expansion fatalities associated (and other outcomes under investigation) underscore importance enhancing this evolving pathogen Region. Without any obvious changes human population over past 2 years, possible that adaptation, deforestation climate change, either alone or combination, propelled beyond Research context Evidence before study Before study, (OROV) cause periodic outbreaks primarily Initially had responsible approximately Latin America, region. The typically animals humans bite There an historical dearth data, so far not well-documented. Added value provides timely comprehensive analysis data By generating various reveals few years north-south historic endemicity clear epidemic potential. identify occurrence adaptation environments. report cases infection patients without underlying relevant comorbidities, underscoring risk future increased awareness surveillance. Implications all evidence 3500 Km distant, coupled identification raises possibility adapting environments its increasing landscape. could lead emergence phenotypes, potential at levels, vector efficiency disease outcome, raising challenge managing outbreaks. underscores critical enhanced systems national continental particularly appear hit hard during expansion, detect respond promptly.

Language: Английский

Citations

11

Oropouche Virus: An Emerging Orthobunyavirus DOI
Natasha L. Tilston‐Lunel

Journal of General Virology, Journal Year: 2024, Volume and Issue: 105(10)

Published: Oct. 1, 2024

On 2 February 2024, the Pan American Health Organization/World Organization issued an epidemiological alert on rising Oropouche virus (OROV) infections in South America. By 3 August this level had escalated from medium to high. OROV has been a public health concern Central and America since its emergence Brazil 1960s. However, 2024 outbreak marks turning point, with sustained transmission non-endemic regions of Brazil, local Cuba, two fatalities several cases vertical transmission. As end 9852 have confirmed. The underscores critical gaps our understanding pathogenesis highlights urgent need for antivirals vaccines. This review aims provide concise overview OROV, neglected orthobunyavirus.

Language: Английский

Citations

6

Genomic and phenotypic characterization of an Oropouche virus strain implicated in the 2023-24 large-scale outbreak in Brazil DOI Creative Commons
Elisa de Almeida Neves Azevedo, Alexandre Freitas da Silva,

Verônica Gomes da Silva

et al.

bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 2, 2024

Abstract The Orthobunyavirus oropoucheense in a arthropod borne zoonotic pathogen known to infect sylvatic animals and humans by means of biting midges transmission. Several large-scale human outbreaks Oropouche virus (OROV), primarily confined the Amazon region, were documented over decades. However, since 2022, more widespread OROV have been unfolding Brazil across South America, with cases exported Cuba, Italy, Germany. I In Brazil, has reached established communitary transmission states from all major regions country. Here we isolated, characterized cytopathic effect full genomic sequence two isolates current outbreak. Our data shows that can readily replicate non-human primate cells, supporting role primates as important reservoirs. Phylogenetic supports direct introduction same lineages causing 2022-24 outbreak Amazonas state, epicenter epidemics Brazil. Lastly, case counts accumulate state Northeast clear evidence sustained Continued studies are critical understand cycle this most vectors reservoirs, appropriately deploy control measures.

Language: Английский

Citations

5

Mysterious Oropouche virus: Transmission, symptoms, and control DOI Creative Commons

S Porwal,

Rishabha Malviya, Sathvik Belagodu Sridhar

et al.

Infectious Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 100177 - 100177

Published: March 1, 2025

Language: Английский

Citations

0

Co-circulation of two lineages of Oropouche virus in the Amazon basin, Colombia, 2024 DOI Creative Commons
Jaime Úsuga, Daniel Limonta, Laura S. Pérez-Restrepo

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 4, 2024

Abstract In early 2024, explosive outbreaks of Oropouche virus (OROV) linked to a novel viral lineage were documented in the Brazilian Amazon. Here, we report introduction this emerging orthobunyavirus into Colombia and its co-circulation with another OROV lineage. This investigation highlights complex arbovirus dynamics South America.

Language: Английский

Citations

1

Revisión sistemática viva de las manifestaciones clínicas de la fiebre de Oropouche: claves para diferenciarla del dengue y otras arbovirosis DOI Creative Commons
Fernando Tortosa, Gerardo M. Castillo, Ariel Izcovich

et al.

Revista Panamericana de Salud Pública, Journal Year: 2024, Volume and Issue: 48, P. 1 - 1

Published: Nov. 15, 2024

To assess the frequency of symptoms in patients with Oropouche fever and compare them those observed dengue other arboviral diseases.

Language: Английский

Citations

0