First isolation of West Nile virus in Brazil

BACKGROUND Serological evidence of West Nile virus (WNV) infection has been reported in different regions of Brazil from equine and human hosts but the virus had never been isolated in the country. OBJECTIVES We sought to identify the viral etiology of equine encephalitis in Espírito Santo state. METHODS We performed viral culture in C6/36 cells, molecular detection of WNV genome, histopathology and immunohistochemistry from horse cerebral tissue. We also carried out sequencing, phylogenetic analysis and molecular clock. FINDINGS Histopathologic analysis from horse cerebral tissue showed injury related to encephalitis and WNV infection was confirmed by immunohistochemistry. The virus was detected by reverse transcription quantitative polymerase chain reaction (RT-qPCR) from brain tissue and subsequently isolated in C6/36 cells. WNV full-length genome was sequenced showing the isolated strain belongs to lineage 1a. The molecular clock indicated that Brazilian WNV strain share the same common ancestor that were circulating in US during 2002-2005. MAIN CONCLUSIONS Here we report the first isolation of WNV in Brazil from a horse with neurologic disease, which was clustered into lineage 1a with others US WNV strains isolated in beginning of 2000's decade.

Potential role of dengue virus, chikungunya virus and Zika virus in neurological diseases

This study showed that laboratory markers of recent infection by dengue, Zika or chikungunya arboviruses were detected in the biological samples of approximately one-third of patients with encephalitis, myelitis, encephalomyelitis or Guillain-Barré syndrome, in a surveillance programme in Piauí state, Brazil, between 2015-2016. Fever and myalgia had been associated with these cases. Since in non-tropical countries most infections or parainfectious diseases associated with the nervous system are attributed to herpesviruses, enteroviruses, and Campylobacter jejuni, the present findings indicate that in tropical countries, arboviruses may now play a more important role and reinforce the need for their surveillance and systematic investigation in the tropics.

Molecular characterisation of dengue virus type 1 reveals lineage replacement during circulation in Brazilian territory

Dengue fever is the most important arbovirus infection found in tropical regions around the world. Dispersal of the vector and an increase in migratory flow between countries have led to large epidemics and severe clinical outcomes, such as dengue haemorrhagic fever and dengue shock syndrome. This study analysed the genetic variability of the dengue virus serotype 1 (DENV-1) in Brazil with regard to the full-length structural genes C/prM/M/E among 34 strains isolated during epidemics that occurred in the country between 1994-2011. Virus phylogeny and time of divergence were also evaluated with only the E gene of the strains isolated from 1994-2008. An analysis of amino acid differences between these strains and the French Guiana strain (FGA/89) revealed the presence of important nonsynonymous substitutions in the amino acid sequences, including residues E297 (Met→Thr) and E338 (Ser→Leu). A phylogenetic analysis of E proteins comparing the studied isolates and other strains selected from the GenBank database showed that the Brazilian DENV-1 strains since 1982 belonged to genotype V. This analysis also showed that different introductions of strains from the 1990s represented lineage replacement, with the identification of three lineages that cluster all isolates from the Americas. An analysis of the divergence time of DENV-1 indicated that the lineage circulating in Brazil emerged from an ancestral lineage that originated approximately 44.35 years ago.

Vigilância sorológica para arbovírus em Juruti, Pará, Brasil / Serological survey for arboviruses in Juruti, Pará State, Brazil

O objetivo foi avaliar a prevalência de anticorpos para arbovírus na área de influência do Projeto Juruti antes da exploração mineral local. Foram examinados 1.597 soros humanos e 85 de animais silvestres. A pesquisa de anticorpos foi realizada pelo teste de inibição da hemaglutinação contra antígenos dos arbovírus mais prevalentes na Amazônia brasileira e IgM-ELISA para dengue e febre amarela. Soros humanos inibidores da hemaglutinação positivos para Mayaro e Oropouche foram também testados por IgM-ELISA. Anticorpos inibidores da hemaglutinação para alfavírus, orthobunyavirus e/ou flavivírus foram detectados, sendo 28,7 por cento reações monotípicas. Infecções recentes para Oropouche (n = 23), Mayaro (n = 5), e dengue (n = 20) foram confirmadas por IgM-ELISA. A prevalência de anticorpos inibidores da hemaglutinação em soros de animais silvestres foi de 8,2 por cento para flavivírus. Os resultados obtidos mostram que houve circulação ativa dos vírus Mayaro, Oropouche e dengue no período do estudo em humanos em Juruti, Pará, Brasil, e de diversos arbovírus em animais silvestres, indicando presença desses vírus em áreas do Município de Juruti.

This study aimed to measure the prevalence of antibodies to arboviruses in the area affected by the Juruti Project before local mining operations. A total of 1,597 human and 85 wild animal sera were examined, using the hemagglutination inhibition test against 19 antigens from the most prevalent arboviruses in the Brazilian Amazon and IgM-ELISA for dengue and yellow fever. Positive sera for Mayaro and Oropouche viruses were also tested by IgM-ELISA. Prevalence of hemagglutination inhibition antibodies to alphaviruses, flaviviruses, and orthobunyaviruses in humans was 28.7 percent, while for wild animals it was 8.2 percent for flaviviruses. Recent infections based on presence of IgM was confirmed for Mayaro (n = 5), Oropouche (n = 23), and dengue (n = 20). The results showed active circulation of the dengue, Mayaro, and Oropouche viruses in Juruti, as well as flaviviruses in wild animals, suggesting the circulation of these viruses in the Municipality of Juruti.

Caracterização molecular e biológica do vírus dengue circulante no Brasil / Molecular and biological characterization of dengue virus circulating in Brazil

A febre do dengue está amplamente distribuída por todas as áreas tropicais do mundo. Em certas áreas endêmicas, as formas graves da doença, febre hemorrágica do dengue (FHD) e síndrome de choque do dengue (SCD), ocorrem com frequência. Outras manifestações clínicas, como, por exemplo, encefalopatias, encefalites, mielite transversa, também tem sido observadas. O nosso objetivo foi a caracterização genética e biológica de amostras de vírus VDEN2 e 3, com ênfase no caráter de neurovirulência do vóirus VDEN2. As amostras de VDEN 2 e 3 utilizadas foram isoladas na Serviço de Arbovírus do Instituto Evandro Chagas a partir de soro de pacientes com quadro clínico de dengue (FD e FHD) e manifestações neurológicas. Os vírus padrão foram o VDEN2 Nova Guiné C e 44-2, VDEN3 H87. As 11 sequências do vírus VDEN2 quando comparados entre si e com 16 outras sequências do VDN2 apresentaram percentual médio de identidade nucleotídica e aminoácido de 89,5 e 99,8 por cento respectivamente. Os estudos filogenéticos realizados mostram os isolados brasileiros pertencem ao genótipo III de origem Asiática. As 10 sequências do vírus VDEN3 quando comparados entre si e com 16 outras sequências do VDEN3 apresentaram percentual médio identidade nucleotídica e aminoácido de 89,6 e 100 por cento respectivamente. Os estudos filogenéticos realizados mostram que estão agrupados ao genótipo III também de origem Asiática. O vírus VDEN2 isolado a partir de caso mielite transversa (Bel61082) foi caracterizado pelo sequenciamento nucleotidico da região estrutural assim como em testes de neurovirulência em camundongos recém-nascidos. A susceptibilidade de culturas primárias de neurônios e astrócitos, células de glioma humano, também foi estudada para fins de caracterização do caráter neurovirulento do vírus. O estudo de neurovirulência em infecção de camundongo mostrou sinais aparentes de doença apenas após a inoculação da cepa NGC, mas a replicação do vírus Bel 61082 pode ser detectada...pró-apoptótica.