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VOLUME ONE HUNDRED AND THIRTEEN
ADVANCES IN
VIRUS RESEARCH
Serial Editors
MARGARET KIELIAN
THOMAS C. METTENLEITER
MARILYN J. ROOSSINCK
ADVISORY BOARD
SHOUWEI DING
JOHN FAZAKERLY
KARLA KIRKEGAARD
JULIE OVERBAUGH
DAVID PRANGISHVILI
FELIX A. REY
JUERGEN RICHT
JOHN J. SKEHEL
GEOFFREY SMITH
MARC H.V. VAN REGENMORTEL
VERONIKA VON MESSLING
VOLUME ONE HUNDRED AND THIRTEEN
ADVANCES IN
VIRUS RESEARCH
Edited by
MARGARET KIELIAN
Albert Einstein College of Medicine,
Bronx, New York, United States
THOMAS C. METTENLEITER
Friedrich-Loeffler-Institut,
Federal Research Institute for Animal Health,
Greifswald – Insel Riems, Germany
MARILYN J. ROOSSINCK
Department of Plant Pathology and
Environmental Microbiology,
Center for Infectious Disease Dynamics,
Penn State University, University Park,
PA, United States
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Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating
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ISBN: 978-0-323-98992-3
ISSN: 0065-3527
Contributors vii
v
This page intentionally left blank
Contributors
Carolyn B. Coyne
Department of Molecular Genetics and Microbiology; Department of Pathology, Duke
University School of Medicine, Durham, NC, United States
Emma Heckenberg
Department of Molecular Genetics and Microbiology, Duke University School of Medicine,
Durham, NC, United States
Cormac J. Lucas
Department of Immunology and Microbiology; RNA Bioscience Initiative, University of
Colorado School of Medicine, Aurora, CO, United States
Chikara Masuta
Research Faculty of Agriculture, Hokkaido University, Sapporo, Japan
Thomas E. Morrison
Department of Immunology and Microbiology, University of Colorado School of Medicine,
Aurora, CO, United States
Vitantonio Pantaleo
Department of Biology, Agricultural and Food Sciences, Institute for Sustainable Plant
Protection, Bari, Italy
Justin T. Steppe
Department of Pathology, Duke University School of Medicine, Durham, NC,
United States
vii
This page intentionally left blank
CHAPTER ONE
Contents
1. Introduction 2
2. Principles of RNA silencing pathways in plants 3
2.1 Diversification of RNA silencing suppressors 4
2.2 Suppression strategies 5
3. Multilayer strategies of viruses for suppressing RNA silencing at the cellular level 6
3.1 Geminiviruses: A complete armamentarium of small and large antiviral
defense suppressors 6
3.2 Potyviruses: Multitasking HCPro 9
3.3 Tombusviruses: Different effects of p19: siRNA-binding ability and beyond 10
3.4 Cucumoviruses: Further expansion of 2b protein functionality by
post-translational modification 13
4. Concluding remarks 15
Acknowledgments 17
References 17
Abstract
RNA silencing is an evolutionarily conserved and homology-dependent gene inactiva-
tion system that regulates most biological processes at either the transcriptional or
post-transcriptional level. In plants, insects and certain mammalian systems, RNA silenc-
ing constitutes the basis of the antiviral defense mechanism. To counteract RNA
silencing-based antiviral responses viruses adopt strategies of replication and host
invasion that include mechanisms of RNA silencing suppression. Indeed, viruses can
express proteins known as RNA silencing suppressors (RSSs).
Over the last two decades, silencing studies in plant virology have been largely
devoted to the discovery and description of RSSs. The result has been exciting and these
studies have revealed (i) an incredible diversity of proteins and mechanisms of RSSs
belonging to various viral taxonomic groups, (ii) the multifunctionality of RSSs: they
can fulfill several functions during viral infection and target one or more key points
in the RNA silencing machinery.
Some RSSs of model viral systems have been the subject of exceptional in-depth
studies; they have proven to be real molecular tools for studying plant physiology,
plant biology and virus–plant interactions, even in some cases extending the knowl-
edge of the response of plants to other biotic and abiotic stressors. RSS diversity in phyl-
ogenesis, in mechanism of action and the frequent presence of more than one RSS in a
single viral genome all suggest that they are extremely plastic in evolving to overcome
host defenses. In this chapter, we present and discuss the most recent findings related
to the well-studied RSSs of four viral taxonomic groups: geminiviruses, potyviruses,
tombusviruses and cucumoviruses.
1. Introduction
Viruses are infectious entities that invade the cells of living organisms
of every kingdom, including bacteria, protists, archea, fungi plants and
animals. Viruses likely represent the most extensive genetic and biological
diversity on the planet as revealed by genomic data. Viral diversity is defined
by a wide array of virus types, such as those with double-stranded (ds)
DNA, single-stranded (ss) DNA, as well as dsRNA and ssRNA genomes,
and reverse transcribing genomes (ICTV, 2012).
Viruses can also be pathogens, and plant viruses are among the most
important pathogens, causal or co-causal agents of devastating crop
diseases around the globe. As such they are capable of affecting entire
agro-ecosystems and associated industrial systems and of generating relevant
social impacts (Hull, 2002). The scientific community’s interest in studying
viral replication mechanisms and plant defense strategies stems from the
fact that such knowledge can help develop disease protection and crop
improvement strategies.
The difference in viral genome organization implies a difference in
replication strategy. The genetic information held and orchestrated by the
viral genome encodes a minimal number of proteins with indefinite func-
tionality, which interact and interfere with, modify, redirect, inhibit, utilize,
or hijack host proteins. Indeed, plant viruses invade the host plants following
various steps such as intra- and intercellular movement, suppression of ant-
iviral defenses, genome replication, viral gene expression, and acquisition
and transmission by vectors and spread into the environment exploring
novel hosts. As previously stated, viruses are obligate infectious entities.
However, to ensure infection, key essential functions need to be provided
Viral suppressors of RNA silencing in plants 3
and are frequently gained and lost over evolutionary time scales. Conversely,
plant antiviral RNA silencing genes show high rates of adaptive evolution
and motif conservation. The relative rate of protein evolution is higher
for RSSs than for other genes. In addition, specific studies carried out in
several plant viruses have shown that strong RSS evolution/diversification
is attributable to episodic selection rather than to pervasive positive
selection (Murray et al., 2013). In other words, the diversification of plant
virus RSSs is strongly boosted by frequent jumps between host species/
genotypes rather than a one-to-one coevolution.
have also revealed the importance of Cajal bodies (i.e., spherical nuclear
bodies largely consisting of proteins and RNAs) in gene regulation mech-
anisms, drawing a clear link between them and RdDM. Indeed, Wang
et al. (2020) showed that the viral genome is subject to AGO4-mediated
TGS in the presence of Cajal bodies and that this antiviral defense is reduced
in the presence of V2 or altogether abolished in the absence of Cajal
bodies (where V2 colocalizes with AGO4).
TYLCV C2 and C4 suppress cellular PTGS and the cell-to-cell move-
ment of PTGS, respectively; both alter phythormone signaling, such as
jasmonic acid (JA) signaling and salicylic acid (SA)-dependent defenses
(Lozano-Durán et al., 2011; Luna et al., 2012; Rosas-Diaz et al., 2018).
It is worth pointing out that the notable multifunctionality of C4 has
recently been discovered thanks to the identification of protein signals that
mediate its association with the plasma membrane (including those structur-
ally included in plasmodesmata) and chloroplast membrane (chloroplast
transit peptides). Indeed, at the PM, C4 interacts with the receptor-like
kinases (RLKs) BAM1 and BAM2 and hinders the intercellular diffusion
of PTGS (either vsiRNA-mediated or miRNA-mediated, Fan et al.,
2021; Rosas-Diaz et al., 2018). Following defense activation, which is
triggered by the presence or activity of the virus-encoded Rep protein,
plasma membrane-associated C4 (but not plasmodesmata-associated C4)
is translocated to the chloroplast, where it interacts with calcium sensing
receptor-dependent defense responses, including induced transcriptional
reprogramming by pathogen associated molecular pattern triggered immu-
nity, SA biosynthesis, callose deposition, and broad-spectrum anti-bacterial
and anti-fungal resistance. Meanwhile, C4 is localized at plasmodesmata to
perform the functions of the “guardian” to prevent the cell-to-cell move-
ment of PTGS (Medina-Puche et al., 2020).
The RSS repertoire of geminiviruses has been recently expanded.
Neglected small ORFs, other than those previously described, are indeed
expressed during infection. Some of these ORFs encode small proteins less
than 10 kDa. They can harbor distinctive features, such as transmembrane
signals, and localize in specific subcellular compartments that have not been
previously described for any of the other viral proteins. The novel localiza-
tions include the Golgi apparatus and mitochondria (Gong et al., 2021). It
should be noted that the recent report by Gong and collaborators
(2021) identified up to 21 neglected transcription initiation sites within
the TYLCV genome by taking advantage of cap-snatching by rice stripe
virus (Lin et al., 2017). One of the additional ORFs of TYLCV is conserved
8 Vitantonio Pantaleo and Chikara Masuta
by Ivanov et al. (2016) introduced the possibility that HCPro has a third
mechanism of action as an RSS; i.e., that ribosome-associated multiprotein
complexes containing HCPro relieve viral genomic RNA from transla-
tional repression (Ivanov et al., 2016).
The same authors have recently refined the model by which HCPro
associates with the translation machinery of the viral genome and rescues
it from translation inhibition. That is, the “AELPR” motif of PVA
HCPro ensures interaction with the VARICOSE group of regulatory
proteins containing WD40 domains. Disruption of HCPro’s interaction with
VARICOSE proteins also prevents silencing suppression (De et al., 2020).
AGO1-mRNA
miR168
DCL1-mRNA
pre-miR168
miR162
binding miRNAs
p19 preference
vsiRNAs
miR403
AGO2-mRNA (@Plasmodesmata)
BAM1/2
4. Concluding remarks
Review articles on viral RSSs to date have focused on discovering
and introducing the mechanism of action of viral RSSs. Even if the RSSs
of a particular virus are described as having multiple action points, it has
not been discussed why the virus evolves for multilayered RSS activity.
In this review, we provide a detailed description regarding the fact that
the RSSs of potyviruses, cucumoviruses, tombusviruses, and geminiviruses
are multifunctional proteins that not only possess multi-layered RSS activity
but also exhibit a variety of intracellular functions (resumed in Fig. 2). The
multilayered RSSs activity is definitely advantageous for viral survival when
the virus adapts to a new host, and subsequent episodic positive selection
results in the acquisition of new intracellular functions that are suited to each
successive viral infection. Because all of the viruses presented in this review
have a wide host range, it is likely that RSSs have been the driving force
behind viral host switching.
It has been widely recognized that many RSSs, if not all, are involved in
determining the disease phenotype, i.e., strong, mild or symptomless.
Importantly, RSSs may determine the breakdown of resistance, which
underscores the importance of gaining insight into their mechanisms of
action and potential implications for disease control. The functionalities
of RSS described so far suggest that plant viruses adopt very diverse strategies
against plant’s RNA silencing, which are entrusted to one or more RSSs in
well-coordinated spatio-temporal action. This implies that viral RSSs are
tools at the service of viruses and that the advanced assumptions of their
strong interference with gene regulation processes mediated by endogenous
miRNAs or siRNAs are not entirely well supported (unless RSSs are tran-
siently or transgenically overexpressed). Nevertheless, the notion that RSSs
are symptom determinants remains firmly established. It is therefore likely
that most viral-specific symptoms are due to the viral titre in tissues, which
is indirectly influenced by the action of RSS, while specific symptoms are
due to gene silencing mediated by vsiRNAs that escape RSS sequestration
(Fig. 3). Specific and functional selectivity of RSSs for vsiRNAs remains to
be established.
Lastly, the full exploitation of the functional properties of viral RSSs,
such as those described in this review, is deepening our understanding of
the intricate plant–virus interaction. Consequently, more insight is acquired
into both virus evolution and differentiation and plant gene expression and
signal transduction.
RSS strategies
DNA methylation
Load
Positive
selection SA/JA-related genes
pressure Episodic
Initial infection
Environmental changes selection
Host
adaptation Multi-layer RSSs Host jumping
Autophagy/Proteasome
Viral protein
for RSS
Simple RSS
Load Change in subcellular
localization
Translation inhibition
Modification in DNA
methylation
Fig. 2 Schematic representation of the diversity of viral RSSs that may have gained new cellular functions in molecular evolution driven by
episodic positive selection. The newly gained functions are important for viruses to survive when adapting to new hosts. Considering that
viral RSSs should mainly work for host adaptation, the virus with multilayer RSS strategies is at an advantage. As for the newly acquired
functions and multiple mechanisms of RSS activity, whether the two work in tandem will depend on a case by case basis.
Viral suppressors of RNA silencing in plants 17
miRNA
Expression sequestration
Isi mpaired
Viral enrtry into cell
Fig. 3 Viral RSSs as symptom determinants. RSSs with strong 21- to 24-nt short RNA
sequestration activity, such as p19 of tombusviruses, express a different sequence-
specific affinity for highly conserved “anti-viral” miRNAs and a low affinity for “pro-viral”
miRNAs. This results in an immediate ability of the virus in the permissive host to over-
come the antiviral RNA silencing barriers and trigger viral replication processes in
the cells. This leads to an increase in viral titre and invasion of the host with specific
symptoms and, at the extreme limit, death of the host plant. This “escalation” is assisted
by the RSS that sequesters vsiRNAs preventing their incorporation into anti-viral gene
silencing complexes. RSSs thus become saturated with vsiRNAs and fail to bind plant
miRNAs in a significant manner causing the direct dysfunction of miRNA gene regula-
tion. Rather, vsiRNAs can escape RSS sequestration (i.e., due also to RSS-vsiRNA affinities)
and when incorporated into gene silencing complexes are able to silence host genes in
a sequence-specific manner and cause virus-specific disease symptoms.
Acknowledgments
This work is financially supported by the Prize 2021 to V.P. from the Department of Biology,
Agricultural and Food Sciences of the National Research Council for the project
“AmaVirALS.”
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CHAPTER TWO
Contents
1. Introduction 26
2. Alphavirus transmission cycles 27
3. Human clinical disease 29
3.1 Arthritogenic alphaviruses 29
3.2 Encephalitic Alphaviruses 32
4. Animal models 34
4.1 Natural reservoir hosts 34
4.2 Vectors 38
5. Animal models of human disease 41
5.1 Mice 41
5.2 Other rodents 52
5.3 Non-human primates 55
6. Animal models of unique aspects of alphavirus infection 58
6.1 Transmission studies 58
6.2 Co-infection studies 61
7. Virus strains used in animal models 63
8. Conclusions 67
Acknowledgments 68
References 68
Abstract
Alphaviruses are a large group (>30 species) of enveloped, positive-strand RNA viruses.
The re-emergence of mosquito-transmitted alphaviruses associated with human
diseases ranging from severe and potentially fatal neurological disease to chronic
arthritic disease highlights the need to understand the biology and pathogenesis of
alphaviruses. Here, we review the development and use of animal models of alphavirus
transmission and human disease, and discuss areas for continued refinement of these
models including possible avenues for future investigation.
Abbreviations
BBB blood-brain barrier
BFV Barmah Forest virus
CHIKV chikungunya virus
CNS central nervous system
CSF cerebrospinal fluid
DENV dengue virus
ECSA East Central South African
EEEV Eastern equine encephalitis virus
IHC immunohistochemistry
IOL Indian Ocean lineage
MADV Madariaga virus
MAYV Mayaro virus
MBL mannose-binding lectin
NHP non-human primate
NSV neuronal-adapted Sindbis virus
ONNV o’nyong ‘nyong virus
PFU plaque-forming unit
PPI pre-pulse inhibition
RNAi RNA interference
RRV Ross River virus
SESV Southern elephant seal virus
SFV Semliki Forest virus
SG salivary gland
SGE salivary gland extract
SINV Sindbis virus
SPDV salmon pancreatic disease virus
spp. species
VEEV Venezuelan equine encephalitis virus
WEEV Western equine encephalitis virus
ZIKV Zika virus
μCT microcomputed tomographic
1. Introduction
The re-emergence and geographic expansion of mosquito-
transmitted alphaviruses such as chikungunya virus (CHIKV), Mayaro virus
(MAYV), and Eastern equine encephalitis virus (EEEV) highlights the
need to better understand mechanisms of alphavirus transmission and repli-
cation, correlates of clinical disease outcomes, and protective and pathogenic
innate and adaptive immune responses (Azar et al., 2020; Cunha et al.,
2020). Ethical and practical considerations have limited clinical studies of
Animal models of alphavirus infection and human disease 27
Nevertheless, the current consensus is that RRV and BFV are predominantly
transmitted between Aedes spp. or Culex annulirostris mosquitoes and marsu-
pials (RRV) or birds (BFV), whereas A. vigilax and A. procax are important
vectors for human-mosquito-human transmission (Claflin and Webb, 2015;
Kain et al., 2021; Stephenson et al., 2018).
The related arthritogenic alphaviruses o’nyong’nyong virus (ONNV)
and Mayaro virus (MAYV) do not appear to have established consistent
urban human-mosquito-human transmission cycles. Most studies indicate
that MAYV is transmitted in Central and South America between
Haemagogus spp. mosquitoes and NHPs, and possibly birds (Pezzi et al.,
2020). In contrast to most arboviruses, ONNV is transmitted by anopheline
mosquitoes, including Anopheles funestus and Anopheles gambiae (an important
vector of malaria in Sub-Saharan Africa) (Pezzi et al., 2020). ONNV can be
transmitted human-mosquito-human, but the vertebrate hosts that partici-
pate in enzootic transmission of ONNV remain unidentified (Celone et al.,
2021; Pezzi et al., 2020).
Sindbis virus (SINV) is naturally maintained between Culex unnivatus,
Culex torrentium, and Culiseta morsistans mosquitoes and passerine birds in
South Africa and Northern Europe, although incidental transmission to
humans, which are dead end hosts, by Aedes and Ochlerotatus spp. mosquitoes
does occur (Adouchief et al., 2016).
The equine encephalitis viruses are endemic in the Americas. Eastern
equine encephalitis virus (EEEV) is transmitted between Culiseta melanura
mosquitoes and passerine birds (enzootic) or Aedes and Culex spp. and
equines and humans (epizootic) (Armstrong and Andreadis, 2022;
Burkett-Cadena et al., 2022). Venezuelan equine encephalitis virus
(VEEV) cycles between spiny rats and cotton rats (Sigmodon spp.) and
Aedes spp., Ochlerotatus taeniorhynchus, and Psorophora spp. mosquitoes for
epizootic strains or Culex spp. mosquitoes for enzootic strains (Weaver
et al., 2004). Western equine encephalitis (WEEV) epizootic transmission
is associated with similar vectors as EEEV, but the primary enzootic vector
for WEEV is Culex tarsalis (Weaver and Barrett, 2004). Importantly, horses
serve as potent amplifying hosts for EEEV and VEEV, as outbreaks in
equines characterized by high equine viremia are often associated with
human cases (Gonzalez-Salazar et al., 2003). In addition, the encephalitic
alphaviruses can be efficiently transmitted by aerosol, leading to their devel-
opment as biowarfare agents (Croddy et al., 2002).
Animal models of alphavirus infection and human disease 29
Fig. 1 Human clinical disease signs and symptoms during alphavirus infection. Shared
and unique disease signs and symptoms of arthritogenic (CHIKV, MAYV, ONNV, RRV,
SINV) and encephalitic (EEEV, VEEV, WEEV) alphavirus infection in patients. This
figure was made using Biorender.com.
30 Cormac J. Lucas and Thomas E. Morrison
In most cases, the arthritis and arthralgia are symmetrical and affect multiple
joints (i.e., polyarthritis/polyarthralgia), especially joints in the fingers,
wrists, ankles, and feet (Zaid et al., 2021). Notably, infection with any
of the arthritogenic alphaviruses can progress to post-acute (3 weeks to
3 months post illness onset) and chronic stages (>3 months post illness onset)
characterized by the persistence of musculoskeletal tissue pain and inflam-
mation that can be debilitating. In addition, atypical presentations have been
observed, including encephalitis in the young and the aged and cardiovas-
cular symptoms (Bonifay et al., 2018; Cotella et al., 2021; Gerardin et al.,
2016). Fatal CHIKV cases are rare and often associated with pre-existing
comorbidities, such as diabetes, and atypical disease presentations including
encephalitis (de Lima et al., 2021; Gerardin et al., 2016).
3.1.2 Pathology
In general, there is a paucity of information regarding tissue pathology asso-
ciated with acute arthritogenic alphavirus infection of humans. During
RRV infection, the accumulation of monocytes, vacuolated macrophages,
and natural killer cells in synovial fluid has been reported (Fraser et al., 1981;
Hazelton et al., 1985). In acute CHIKV infection, T cell and macrophage
cellular infiltrates were detected in skeletal muscle tissue (Ozden et al.,
2007). In addition, in a post-mortem study of fatal CHIKV cases, mononu-
clear infiltrates were detected in connective tissue and the synovial sheath
surrounding tendons in the hand (Sharp et al., 2021). The limited knowl-
edge of tissue pathology associated with post-acute and chronic stages of
alphavirus-induced musculoskeletal disease comes predominantly from
studies of human CHIKV infection. Imaging analysis of affected joints
(e.g., wrists, ankles, fingers) has revealed synovitis and tenosynovitis, joint
effusion, and myositis (Manimunda et al., 2010; Mogami et al., 2017;
Simon et al., 2007). In addition, joint degeneration and bone lesions, detect-
able by MRI and X-ray, have been observed ( Javelle et al., 2015;
Manimunda et al., 2010). Analysis of synovial fluid collected from a single
patient with chronic CHIKV disease identified the presence of vacuolated
macrophages, CD14+ monocytes, and activated CD56+ NK cells, as well
as CD4+ and CD8+ T cells (Hoarau et al., 2010). In addition, synovial lining
hyperplasia and cellular infiltrates including macrophages and T cells were
identified in synovial tissue biopsy material collected from the same individ-
ual (Hoarau et al., 2010). Similarly, synovial hyperplasia and mononuclear
cell infiltrates were detected in knee biopsy tissue obtained from patients
with post-acute (i.e., 5 weeks post symptom onset) RRV arthritis (Soden
et al., 2000).
Animal models of alphavirus infection and human disease 31
3.1.3 Virology
Arthritogenic alphavirus infection of humans often results in detectable vire-
mia (Fig. 2). Viremia can range from 101 to 108 plaque-forming units
(PFU)/mL of blood, and typically lasts 2–8 days (Appassakij et al., 2013;
Chusri et al., 2014; Kain et al., 2021; Riswari et al., 2016). As such, most
clinical isolates of arthritogenic alphaviruses have been obtained from
human serum or plasma, although a small number have been obtained
from skin lesions (Kurkela et al., 2004; Malherbe et al., 1963). Ross
River virus antigen was detected by specific immunofluorescence in mono-
cytes and macrophages present in synovial fluid collected from four acute
Fig. 2 Viral and pathologic features during acute and chronic arthritogenic alphavirus
infection. Acute arthritogenic alphavirus infection is characterized by viremia. In multi-
ple joints, typically symmetrical, synovitis and tenosynovitis with mononuclear cell
infiltration and viral antigen and RNA are observed. In patients that do not resolve
disease, viral RNA has been detected in synovial biopsies, and viral antigen has been
reported in synovial macrophages. This figure was made using Biorender.com.
32 Cormac J. Lucas and Thomas E. Morrison
cases, but intact virus was not identified by electron microscopy or cell
culture (Fraser et al., 1981). In tissue biopsy samples from humans with
acute CHIKV infection, CHIKV antigen was detected in skeletal muscle
fascia, muscle satellite cells, fibroblasts of the joint capsule, and dermis
(Couderc et al., 2008; Ozden et al., 2007). During the chronic phase of
disease, immunostaining of synovial and muscle tissue biopsy material iden-
tified perivascular macrophages and muscle satellite cells, respectively, as
positive for CHIKV antigen (Fig. 2) (Hoarau et al., 2010; Ozden et al.,
2007). The synovial tissue also was positive for CHIKV nucleic acid by
RT-PCR (Hoarau et al., 2010). Consistent with these findings, synovial
biopsy tissue collected from the knees of patients with RRV arthritis 5 weeks
after symptom onset was positive for RRV RNA (Soden et al., 2000).
3.2.2 Pathology
Characterization of the pathology that occurs during human infection with
encephalitic alphaviruses remains limited. In some neurological cases of
EEEV and VEEV, pleocytosis in the cerebrospinal fluid has been detected
(Deresiewicz et al., 1997; Soto et al., 2022). Autopsies of severe, fatal cases
Animal models of alphavirus infection and human disease 33
Fig. 3 Viral and pathologic features during encephalitic alphavirus infection. Cerebral
edema, neuronal necrosis, and CNS lesions are observed during acute infection with
EEEV, VEEV, and WEEV with polymorphonuclear and lymphocytic cellular infiltrates in
the brain parenchyma and spinal cord meninges. Viral RNA and antigen are detectable
in the brain while infectious virus has been recovered from cerebrospinal fluid. Viremia
also occur, especially with VEEV infection. Viral and pathologic features of chronic
infection are understudied. This figure was made using Biorender.com.
34 Cormac J. Lucas and Thomas E. Morrison
3.2.3 Virology
There are limited virological data from human infections with encephalitic
alphaviruses. During acute VEEV infection, viremia of up to 102–106
PFU/mL has been detected (Fig. 3), with peak virus titers occurring the
day after the onset of symptoms (Bowen and Calisher, 1976; Franck and
Johnson, 1970; Scherer et al., 1972). Infectious VEEV also has been detected
in throat swabs and the CSF of patients with acute VEE (Fig. 3) (Bastian
et al., 1975; Bowen and Calisher, 1976; Franck and Johnson, 1970;
Scherer et al., 1972; Soto et al., 2022). In general, EEEV and WEEV are
undetectable in the blood at the time of neurological symptom onset,
possibly due to a lengthy prodrome. However, EEEV has been isolated
on rare occasions from the blood of human patients (Clarke, 1961). In
the brain of a fatal case, EEEV antigen was detected in the cell body and den-
drites of neurons (Garen et al., 1999). In addition, EEEV RNA was detected
in the brain and CSF from a fatal case in a person receiving B cell depleting
rituximab therapy (Hughes et al., 2021).
4. Animal models
4.1 Natural reservoir hosts
4.1.1 Natural reservoir hosts
Understanding alphavirus infection of natural reservoir species can shed light
on the determinants of human clinical disease described above, how geo-
graphic differences in the biology of these species influence viral transmis-
sion, and the potential for enzootic alphaviruses to spillover and become
epizootic. Alphavirus vertebrate reservoirs are species from which virus
can be isolated, demonstrate high levels of virus-specific antibodies in
seroprevalence surveys, and support high viremia under experimental labo-
ratory infection. However, these species must also be sufficiently abundant
that their presence increases the incidence of human disease (Kuno and
Chang, 2005; Stephenson et al., 2018). These parameters should be
supported by additional ecological and behavioral data, as some species that
fulfill these criteria may have minor roles in transmission in certain regions.
For example, a recent investigation of the role of monkeys in the sylvatic
transmission cycle of CHIKV noted that infant monkeys were positive
for CHIKV exposure even when virus could not be detected in native mos-
quito populations and when monkey herd immunity was high, leading the
authors to suggest, that at least in Senegal, monkeys serve as amplification
Animal models of alphavirus infection and human disease 35
Fig. 4 Utility of alphavirus natural reservoir host and vector models. Species of rodents
(cotton rats, spiny rats), birds (wading birds, passerine birds), and equines can be exper-
imentally infected with alphaviruses to assess disease, viremia, and transmission poten-
tial. Similarly, experimental infection of mosquito species (Aedes spp., Anopheles spp.,
Culex spp., Culiseta spp.) reveals how alphavirus infection affects fecundity, vector
competence, and insect antiviral responses. This figure was made using Biorender.com
4.1.2 Rodents
Historical evidence indicates that viruses in the VEEV complex are
maintained naturally in rodent populations native to Central and South
America, specifically species of spiny and cotton rats. This evidence includes
infection of these rodents in nature, high rates of immunity in wild-caught
rodents, and the ability of these rodents to support viremia following exper-
imental virus inoculation in laboratory studies (Carrara et al., 2005; Carrara
et al., 2007; Coffey et al., 2004; Johnson and Martin, 1974). Laboratory
infection of spiny rats (Proechimys spp.) with the enzootic VEEV strains
Co97-0054, a sympatric strain to the Colombian forest in which the spiny
36 Cormac J. Lucas and Thomas E. Morrison
rats of this study originated, and 66,637, an allopatric strain from Venezuela,
resulted in the development of viremia and later seroconversion despite a
lack of detectable disease (Carrara et al., 2005), supporting the idea that
these rodents are reservoir hosts. However, it was not evaluated whether
the viremia was of sufficient magnitude to infect a mosquito during a blood
meal. Additional studies in cotton rats with the enzootic VEEV subtypes
ID (strain Co97-0054) and IE (strain 68 U201) similarly observed detectable
viremia, seroconversion, and little to no signs of encephalitis, fever, or
malaise (Carrara et al., 2007; Coffey et al., 2004), although disease appears
to be dependent on VEEV subtype, as infection with a Texas epizootic IB
strain was associated with illness and death in cotton rats (Howard, 1974).
Studies in cotton rats also have emphasized the importance of geographical
differences in reservoir populations as infection of cotton rats from
VEEV-naı̈ve areas with both enzootic and epizootic strains of VEEV
resulted in variable development of viremia, inconsistent antibody produc-
tion, and VEEV strain-dependent mortality (Carrara et al., 2007; Coffey
et al., 2004; Deardorff et al., 2009). Remarkably, infection of VEEV-
naı̈ve cotton rats collected from VEEV-endemic areas resulted in little to
no disease despite the development of viremia (Coffey et al., 2004,
Deardorff et al., 2009), suggesting allopatric speciation of both virus strains
and rat populations over time. Expanding beyond cotton rats, Deardorff
et al. collected multiple rodent species from the Chiapas state of Mexico
consisting of two species of mice and three species of rats, including cotton
rats, and infected them with VEEV MX01-22, a VEE-IE strain isolated from
Chiapas in 2001 and genetically similar to the virulent strains isolated
from equines during the previous two Chiapas outbreaks (Deardorff
et al., 2009). Strikingly, only Baiomys musculus (southern pygmy mouse)
uniformly developed encephalitic disease and succumbed to infection while
the other four rodent species developed viremia at levels considered capable
of infecting Culex spp. mosquitoes without any signs of disease; the authors
suggested that these data support the hypothesis that circulating VEEV
selects for disease resistance in wild rodents (Deardorff et al., 2009). In addi-
tion to VEEV, it is thought that South American (SA) EEEV strains (now
known as MADV) exist in a natural cycle between Culex mosquitoes and
rodents, although a study in which cotton rats and house sparrows were
experimentally infected with a North American (NA) EEEV strain
(FL93-939), or two different MADV strains (PE70 and CO2) resulted in
productive infection in both species for all 3 strains, albeit reduced survival
of house sparrows upon infection with FL93-939 (Arrigo et al., 2010a;
Arrigo et al., 2010b). Slight differences in peak viremic titers between cotton
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vivere. Venivano dalle cose che erano vive e ritornavano a muoversi,
cose che erano state come morte, in letargo, durante i lunghi mesi di
gelo. La linfa saliva su per i pini. Dai salci e dalle tremule
sbocciavano giovani gemme; i cespugli e le viti selvatiche si
rivestivano di verde; i grilli cantavano, la notte; e esseri striscianti e
rampicanti, d’ogni genere, uscivano, con infiniti fruscii, al sole.
Pernici e picchi risuonavano e picchiettavano nella foresta; gli
scoiattoli, cianciavano, gli uccelli cantavano, e sopra il capo
s’udivano le anitre selvatiche che venivano dal Sud disposte in abili
stormi a cuneo, che tagliavano l’aria.
Da ogni pendice giungeva il mormorìo d’acque correnti, la musica
d’invisibili fontane. Tutte le cose sgelavano, si piegavano, s’aprivano.
Il Yukon si sforzava di rompere il ghiaccio che lo teneva fermo,
rodendolo di sotto; mentre il sole rodeva di sopra. Si formavano dei
fori d’aria, si aprivano e s’allargavano fessure, mentre sezioni sottili
di ghiaccio cadevano intere nel fiume. E in mezzo a tutto questo
aprirsi, sbocciare e palpitare di vita che si risvegliava, sotto il sole
fiammeggiante e al dolce sospiro delle brezze, come viandanti della
morte, barcollavano i due uomini, la donna e gli huskies.
Coi cani cadenti e Mercede che piangeva sulla slitta, e Rico che
bestemmiava, e gli occhi di Carlo terribilmente acquosi, essi
entrarono barcollando nell’accampamento di Giovanni Thornton, alla
foce del fiume Bianco. Quando si fermarono, i cani caddero come
fulminati. Mercede s’asciugò gli occhi e guardò Giovanni Thornton.
Carlo si sedette a riposare s’un tronco d’albero: sedette molto
lentamente e dolorando, a causa del suo grande indolenzimento.
Rico parlò anche per gli altri. Giovanni Thornton stava dando gli
ultimi colpi di coltello ad un manico d’ascia che aveva fatto con un
pezzo di betulla. Tagliava e ascoltava, e rispondeva con monosillabi,
dando, solo quando era richiesto, chiari e concisi consigli.
Conosceva quella razza di gente, e dava consiglio con la sicurezza
che non sarebbe stato seguito.
— Ci hanno detto lassù che il fondo avrebbe ceduto, e che la miglior
cosa per noi era attendere, — disse Rico, in risposta
all’ammonimento di Thornton di non tornare ad esporsi a pericoli sul
cattivo ghiaccio. — Ci hanno detto che non avremmo potuto
raggiungere il fiume Bianco, ed eccoci qui. — Quest’ultime parole le
pronunciò in tono di dileggio trionfante.
— Vi hanno detto la verità, — rispose Giovanni Thornton, — Il fondo
può cedere ad ogni momento. Soltanto dei pazzi, assistiti dalla cieca
fortuna dei pazzi, possono essere giunti fin qui. Vi dico, francamente,
che non rischierei la mia carcassa su quel ghiaccio, per tutto l’oro
dell’Alaska.
— Forse perchè non siete un pazzo, — disse Rico. — Ciò
nonostante, noi proseguiremo per Dawson. — E agitò la frusta. —
Su, là, Buck! Ih! ih! Su, là! Avanti!
Thornton continuò a levigare il suo manico. Era tempo perso, lo
sapeva, interporsi tra un pazzo e la sua pazzia; mentre due o tre
pazzi o stupidi di più o di meno non avrebbero mutato la faccia del
mondo.
Ma i cani non si alzarono al comando. Da lungo tempo ormai erano
ridotti in uno stato tale, che a smuoverli e a rialzarli erano necessari
dei colpi. La frusta fischiò qua e là, senza pietà. Giovanni Thornton
strinse le labbra. Sol-leks fu il primo a levarsi a fatica in piedi. Segui
Teek. Poi venne Joe, che ululava dalla pena. Pike fece degli sforzi
penosi. Due volte cadde, quand’era già mezzo in piedi, e al terzo
sforzo riuscì a levarsi. Buck non fece alcun sforzo. Giaceva tranquillo
dove era caduto. La frusta lo colpì ripetutamente, ma egli nè mugolò
nè si mosse. Parecchie volte Thornton fece l’atto di voler parlare, ma
poi mutò idea. Mentre gli occhi gli s’inumidivano e le sferzate
continuavano, egli si alzò e si mise a camminare in su e in giù,
irrisoluto.
Quella era la prima volta che Buck mancava, ragione sufficiente per
far diventare furioso Rico. Egli lasciò la frusta e prese la mazza.
Buck rifiutò di alzarsi anche sotto la scarica di pesanti colpi che ora
s’abbattevano su lui. Come i suoi compagni, egli aveva appena la
forza sufficiente per alzarsi, ma, contrariamente a loro, aveva deciso
di non alzarsi. Egli aveva la vaga sensazione del destino che gli
sovrastava. Questa sensazione era stata fortissima in lui dacchè era
entrato nel banco, e non l’aveva più lasciato. Il ghiaccio sottile e
cattivo che sentiva sotto le zampe, tutto il giorno, pareva che gli
annunciasse un disastro vicino, e fuori, sul ghiaccio dove il suo
padrone cercava di trascinarlo. Rifiutò di muoversi. Egli aveva
talmente sofferto, ed era in così cattive condizioni, che i colpi non gli
facevano ormai molto male. Mentre essi continuavano a cadere su di
lui, quella scintilla di vita che gli rimaneva, vacillò e si spense. Egli
era quasi finito: si sentiva stranamente intorpidito. Quei colpi gli
arrivavano come da una lunga distanza. Le ultime sensazioni di
pena erano scomparse. Egli non sentiva più nulla, tranne, come
attutito, l’urto della mazza sul suo corpo, anzi su quello che non
pareva più il suo corpo; tanto era lontano.
Ma, improvvisamente, in modo inatteso, emettendo un grido
inarticolato simile al grido di un animale, Giovanni Thornton balzò
sull’uomo che maneggiava la mazza, e Rico fu scaraventato indietro,
come colpito dalla caduta di un albero. E mentre Mercede strillava,
Carlo guardava pensosamente asciugandosi gli occhi pieni d’acqua,
immoto, a causa del suo indolenzimento.
Giovanni Thornton stette davanti a Buck, facendo sforzi per
dominarsi, troppo agitato dalla collera per parlare.
— Se voi colpite ancora una volta questo cane, vi uccido, — riuscì a
dire alla fine, con voce rauca.
— È il mio cane, — rispose Rico, asciugandosi il sangue dalla bocca
mentre ritornava sui suoi passi. — Levatevi d’innanzi, o vi accomodo
io. Vado a Dawson.
Thornton stava in piedi tra lui e Buck, e non mostrava alcuna
intenzione di togliersi di là. Rico tirò fuori il suo lungo coltello da
caccia, mentre Mercede strillava, piangeva, rideva, in preda a una
crisi d’isterismo. Thornton battè le nocche della mano di Rico col
manico dell’ascia, facendo cadere il coltello a terra; e quando l’altro
cercò di raccogliere l’arma, picchiò, nuovamente; poi s’abbassò,
prese il coltello, e con due colpi tagliò i tiranti di Buck.
Rico non aveva più modo di lottare, ma aveva le mani, o, piuttosto,
le braccia piene di sua sorella; mentre Buck era quasi finito e non
poteva servire pel tiro della slitta. Alcuni minuti dopo uscirono dal
banco, e scesero giù per il fiume. Buck li udì andarsene e alzò la
testa a guardare.
Pike conduceva, Sol-leks era al timone, e tra loro erano Joe e Teek.
Zoppicavano e barcollavano. Mercede era adagiata sul carico della
slitta. Rico guidava, al timone, e Carlo veniva dietro zoppicando.
Mentre Buck li guardava, Thornton s’inginocchiava accanto al cane e
con ruvide mani gentili, tastando, cercava di accertarsi se vi fosse
qualche osso spezzato. Quando ebbe accertato che il solo male,
erano le molte ammaccature e uno stato di terribile sfinimento per
fame, la slitta era già a un quarto di miglio lontana. Il cane e l’uomo
stettero a guardarla mentre strisciava sul ghiaccio.
Improvvisamente videro sprofondare l’estremità posteriore, come in
un alto solco, e la stanga, con Rico che la teneva afferrata, agitarsi
nell’aria, mentre giungeva ai loro orecchi uno strido di Mercede.
Videro Carlo voltarsi e fare un passo per correre indietro, ma in quel
momento un’intera sezione del ghiaccio cedette, e cani e creature
umane scomparvero. S’era spalancato come un baratro, sotto il
ghiaccio, che aveva ceduto al peso della slitta.
Giovanni Thornton e Buck si guardarono.
— Povero diavolo! — fece Giovanni Thornton, e Buck gli leccò la
mano.
CAPITOLO VI.
PER L’AMORE DI UN UOMO.