Abstract

The mosquito-borne Zika virus (ZIKV) is responsible for an explosive ongoing outbreak of febrile illness across the Americas. ZIKV was previously thought to cause only a mild, flu-like illness, but during the current outbreak, an association with Guillain–Barré syndrome and microcephaly in neonates has been detected. A previous study showed that ZIKV requires murine adaptation to generate reproducible murine disease. In our study, a low-passage Cambodian isolate caused disease and mortality in mice lacking the interferon (IFN) alpha receptor (A129 mice) in an age-dependent manner, but not in similarly aged immunocompetent mice. In A129 mice, viremia peaked at ∼107 plaque-forming units/mL by day 2 postinfection (PI) and reached high titers in the spleen by day 1. ZIKV was detected in the brain on day 3 PI and caused signs of neurologic disease, including tremors, by day 6. Robust replication was also noted in the testis. In this model, all mice infected at the youngest age (3 weeks) succumbed to illness by day 7 PI. Older mice (11 weeks) showed signs of illness, viremia, and weight loss but recovered starting on day 8. In addition, AG129 mice, which lack both type I and II IFN responses, supported similar infection kinetics to A129 mice, but with exaggerated disease signs. This characterization of an Asian lineage ZIKV strain in a murine model, and one of the few studies reporting a model of Zika disease and demonstrating age-dependent morbidity and mortality, could provide a platform for testing the efficacy of antivirals and vaccines.

Highlights

  • Zika virus (ZIKV) is an emerging mosquito-borne pathogen that is part of the Spondweni serocomplex of the genus Flavivirus, family Flaviviridae

  • Patients with symptomatic ZIKV infection usually present with a mild febrile illness characterized by fever, rash, arthralgia, myalgia, headache, and conjunctivitis, similar to infections with other arboviruses circulating in ranges that overlap ZIKV, including dengue virus (DENV) and chikungunya virus (CHIKV).[5]

  • We developed and characterized a mouse model of lethal and nonlethal ZIKV infection in 3, 5, and 11-week-old immunocompromised mice lacking the receptor for type I interferon

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Summary

Introduction

Zika virus (ZIKV) is an emerging mosquito-borne pathogen that is part of the Spondweni serocomplex of the genus Flavivirus, family Flaviviridae. The Flavivirus genus includes many viruses that produce disease in humans, including dengue, yellow fever, St. Louis encephalitis, Japanese encephalitis, West Nile encephalitis, and tick-borne encephalitis.[1,2] Relatively little research has been conducted on ZIKV since its first isolation almost 70 years ago from the blood of a sentinel rhesus monkey in the Zika forest of Uganda.[1,3,4] Before 2007, reported cases of ZIKV infection (Zika fever) have been sporadic and benign. Recent outbreaks, including those in French Polynesia, Brazil, have suggested an association of ZIKV infection with serious complications, such as the neurological autoimmune disorder Guillain–Barré syndrome and microcephaly in the infants of mothers infected during pregnancy.[6,7,8]

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