TY - JOUR
T1 - Genomic variability of monkeypox virus among humans, Democratic Republic of the Congo
AU - Kugelman, Jeffrey R.
AU - Johnston, Sara C.
AU - Mulembakani, Prime M.
AU - Kisalu, Neville
AU - Lee, Michael S.
AU - Koroleva, Galina
AU - McCarthy, Sarah E.
AU - Gestole, Marie C.
AU - Wolfe, Nathan D.
AU - Fair, Joseph N.
AU - Schneider, Bradley S.
AU - Wright, Linda L.
AU - Huggins, John
AU - Whitehouse, Chris A.
AU - Wemakoy, Emile Okitolonda
AU - Muyembe-Tamfum, Jean Jacques
AU - Hensley, Lisa E.
AU - Palacios, Gustavo F.
AU - Rimoin, Anne W.
PY - 2014/2
Y1 - 2014/2
N2 - Monkeypox virus is a zoonotic virus endemic to Central Africa. Although active disease surveillance has assessed monkeypox disease prevalence and geographic range, information about virus diversity is lacking. We therefore assessed genome diversity of viruses in 60 samples obtained from humans with primary and secondary cases of infection from 2005 through 2007. We detected 4 distinct lineages and a deletion that resulted in gene loss in 10 (16.7%) samples and that seemed to correlate with human-to-human transmission (p = 0.0544). The data suggest a high frequency of spillover events from the pool of viruses in nonhuman animals, active selection through genomic destabilization and gene loss, and increased disease transmissibility and severity. The potential for accelerated adaptation to humans should be monitored through improved surveillance.
AB - Monkeypox virus is a zoonotic virus endemic to Central Africa. Although active disease surveillance has assessed monkeypox disease prevalence and geographic range, information about virus diversity is lacking. We therefore assessed genome diversity of viruses in 60 samples obtained from humans with primary and secondary cases of infection from 2005 through 2007. We detected 4 distinct lineages and a deletion that resulted in gene loss in 10 (16.7%) samples and that seemed to correlate with human-to-human transmission (p = 0.0544). The data suggest a high frequency of spillover events from the pool of viruses in nonhuman animals, active selection through genomic destabilization and gene loss, and increased disease transmissibility and severity. The potential for accelerated adaptation to humans should be monitored through improved surveillance.
UR - http://www.scopus.com/inward/record.url?scp=84892579529&partnerID=8YFLogxK
U2 - 10.3201/eid2002.130118
DO - 10.3201/eid2002.130118
M3 - Article
C2 - 24457084
AN - SCOPUS:84892579529
SN - 1080-6040
VL - 20
SP - 232
EP - 239
JO - Emerging Infectious Diseases
JF - Emerging Infectious Diseases
IS - 2
ER -