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Current sampling and sequencing biases of Lassa mammarenavirus limit inference from phylogeography and molecular epidemiology in Lassa fever endemic regions.
Arruda, Liã Bárbara; Free, Hayley Beth; Simons, David; Ansumana, Rashid; Elton, Linzy; Haider, Najmul; Honeyborne, Isobella; Asogun, Danny; McHugh, Timothy D; Ntoumi, Francine; Zumla, Alimuddin; Kock, Richard.
Afiliación
  • Arruda LB; Division of Infection and Immunity, Centre for Clinical Microbiology, University College London, London, United Kingdom.
  • Free HB; The Royal Veterinary College, University of London, Hatfield, United Kingdom.
  • Simons D; The Royal Veterinary College, University of London, Hatfield, United Kingdom.
  • Ansumana R; School of Community Health Sciences, Njala University, Bo, Sierra Leone.
  • Elton L; Division of Infection and Immunity, Centre for Clinical Microbiology, University College London, London, United Kingdom.
  • Haider N; The Royal Veterinary College, University of London, Hatfield, United Kingdom.
  • Honeyborne I; Division of Infection and Immunity, Centre for Clinical Microbiology, University College London, London, United Kingdom.
  • Asogun D; Ekpoma and Irrua Specialist Teaching Hospital, Ambrose Alli University, Irrua, Nigeria.
  • McHugh TD; Division of Infection and Immunity, Centre for Clinical Microbiology, University College London, London, United Kingdom.
  • Ntoumi F; Fondation Congolaise Pour la Recherche Médicale (FCRM), Brazzaville, Republic of Congo.
  • Zumla A; Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany.
  • Kock R; Division of Infection and Immunity, Centre for Clinical Microbiology, University College London, London, United Kingdom.
PLOS Glob Public Health ; 3(11): e0002159, 2023.
Article en En | MEDLINE | ID: mdl-37939051
Lassa fever (LF) is a potentially lethal viral haemorrhagic infection of humans caused by Lassa mammarenavirus (LASV). It is an important endemic zoonotic disease in West Africa with growing evidence for increasing frequency and sizes of outbreaks. Phylogeographic and molecular epidemiology methods have projected expansion of the Lassa fever endemic zone in the context of future global change. The Natal multimammate mouse (Mastomys natalensis) is the predominant LASV reservoir, with few studies investigating the role of other animal species. To explore host sequencing biases, all LASV nucleotide sequences and associated metadata available on GenBank (n = 2,298) were retrieved. Most data originated from Nigeria (54%), Guinea (20%) and Sierra Leone (14%). Data from non-human hosts (n = 703) were limited and only 69 sequences encompassed complete genes. We found a strong positive correlation between the number of confirmed human cases and sequences at the country level (r = 0.93 (95% Confidence Interval = 0.71-0.98), p < 0.001) but no correlation exists between confirmed cases and the number of available rodent sequences (r = -0.019 (95% C.I. -0.71-0.69), p = 0.96). Spatial modelling of sequencing effort highlighted current biases in locations of available sequences, with increased sequencing effort observed in Southern Guinea and Southern Nigeria. Phylogenetic analyses showed geographic clustering of LASV lineages, suggestive of isolated events of human-to-rodent transmission and the emergence of currently circulating strains of LASV from the year 1498 in Nigeria. Overall, the current study highlights significant geographic limitations in LASV surveillance, particularly, in non-human hosts. Further investigation of the non-human reservoir of LASV, alongside expanded surveillance, are required for precise characterisation of the emergence and dispersal of LASV. Accurate surveillance of LASV circulation in non-human hosts is vital to guide early detection and initiation of public health interventions for future Lassa fever outbreaks.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: PLOS Glob Public Health Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: PLOS Glob Public Health Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos