Abstract

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging zoonotic disease, which causes high fever, thrombocytopenia, and death in humans and animals in East Asian countries. The pathogenicity of SFTS virus (SFTSV) remains unclear. We intraperitoneally infected three groups of mice: wild-type (WT), mice treated with blocking anti-type I interferon (IFN)-α receptor antibody (IFNAR Ab), and IFNAR knockout (IFNAR−/−) mice, with four doses of SFTSV (KH1, 5 × 105 to 5 × 102 FAID50). The WT mice survived all SFTSV infective doses. The IFNAR Ab mice died within 7 days post-infection (dpi) with all doses of SFTSV except that the mice were infected with 5 × 102 FAID50 SFTSV. The IFNAR−/− mice died after infection with all doses of SFTSV within four dpi. No SFTSV infection caused hyperthermia in any mice, whereas all the dead mice showed hypothermia and weight loss. In the WT mice, SFTSV RNA was detected in the eyes, oral swabs, urine, and feces at 5 dpi. Similar patterns were observed in the IFNAR Ab and IFNAR−/− mice after 3 dpi, but not in feces. The IFNAR Ab mice showed viral shedding until 7 dpi. The SFTSV RNA loads were higher in organs of the IFNAR−/− mice compared to the other groups. Histopathologically, coagulation necrosis and mononuclear inflammatory cell infiltration in the liver and white pulp atrophy in the spleen were seen as the main lesions in the IFN signaling lacking mice. Immunohistochemically, SFTSV antigens were mainly detected in the marginal zone of the white pulp of the spleen in all groups of mice, but more viral antigens were observed in the spleen of the IFNAR−/− mice. Collectively, the IFN signaling-deficient mice were highly susceptible to SFTSV and more viral burden could be demonstrated in various excreta and organs of the mice when IFN signaling was inhibited.

Highlights

  • Severe fever with thrombocytopenia syndrome (SFTS) is an emerging viral zoonotic disease, caused by Dabie Bandavirus [former SFTS virus (SFTSV)]

  • In the 5 × 102 Fluorescence active infectious dose (FAID50) SFTSV infection experiment, the IFNAR IFN-α receptor antibody (Ab) mice did not succumb to SFTSV and recovered the lost weight after 7 dpi (Fig. 1b)

  • This finding in the IFNAR Ab mice given a low were analyzed dose SFTSV infection might be due to the half-life of IFNAR Ab, which is 5.2 days

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Summary

Introduction

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging viral zoonotic disease, caused by Dabie Bandavirus [former SFTS virus (SFTSV)]. SFTSV is a tick-borne virus belonging to the Genus Bandavirus (former Huaiyangshan Banyangvirus), Family Phenuiviridae. SFTSV causes high fever, thrombocytopenia, and leukocytopenia, followed by multi-organ dysfunction (MOD) and death in humans in East Asian countries [1]. Since SFTSV was first identified in China in 2010, SFTS cases have been identified in China, Japan, South Korea, Vietnam, and Taiwan [2]. The fatality rate of SFTS is high (6–32%) but more specific or effective treatments or vaccines have not been developed yet [3]. SFTS is listed in the World Health Organization Prioritized Pathogens, which pose major public health risks and further research and development are needed [4]

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