Evidence map›Paper›PMID 33008414›Full record

ArticleRetrovirology2020

Koala retrovirus diversity, transmissibility, and disease associations.

HaoQiang Zheng, Yi Pan, Shaohua Tang, Geoffrey W Pye, Cynthia K Stadler, Larry Vogelnest, Kimberly Vinette Herrin, Bruce A Rideout, William M Switzer

Open access · goldAbstract read
In one paragraph

Article in Retrovirology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. The Oral Microbiome in Queensland Free-Ranging Koalas (Animals : an open access journal from MDPI · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Koala retrovirus genetic diversity and transmission dynamics within captive koala populations.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  10. Review
  11. Toll-Like Receptor Expression Profiles in Koala (Animals : an open access journal from MDPI · 2021
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

HaoQiang ZhengLaboratory Branch, Division of HIV/AIDS Prevention, Center for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, MS G4530329, USA.
Yi PanQuantitative Sciences and Data Management Branch, Division of HIV/AIDS Prevention, Center for Disease Control and Prevention, Atlanta, GA, 30329, USA.
Shaohua TangLaboratory Branch, Division of HIV/AIDS Prevention, Center for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, MS G4530329, USA.
Geoffrey W PyeSan Diego Zoo Global, San Diego, CA, 92112, USA.
Cynthia K StadlerLos Angeles Zoo, 5333 Zoo Drive, Los Angeles, CA, 90027, USA.
Larry VogelnestTaronga Conservation Society Australia, Taronga Zoo, Mosman, NSW, 2088, Australia.
Kimberly Vinette HerrinTaronga Conservation Society Australia, Taronga Zoo, Mosman, NSW, 2088, Australia.
Bruce A RideoutSan Diego Zoo Global, San Diego, CA, 92112, USA.
William M SwitzerLaboratory Branch, Division of HIV/AIDS Prevention, Center for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, MS G4530329, USA. bswitzer@cdc.gov.ORCID 0000-0003-4591-8731
Centers for Disease Control and Prevention · USTaronga Conservation Society Australia · AUZoological Society of San Diego · USMinnesota Zoo · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKoalas are infected with the koala retrovirus (KoRV) that exists as exogenous or endogenous viruses. KoRV is genetically diverse with co-infection with up to ten envelope subtypes (A-J) possible; KoRV-A is the prototype endogenous form. KoRV-B, first found in a small number of koalas with an increased leukemia prevalence at one US zoo, has been associated with other cancers and increased chlamydial disease. To better understand the molecular epidemiology of KoRV variants and the effect of increased viral loads (VLs) on transmissibility and pathogenicity we developed subtype-specific quantitative PCR (qPCR) assays and tested blood and tissue samples from koalas at US zoos (n = 78), two Australian zoos (n = 27) and wild-caught (n = 21) in Australia. We analyzed PCR results with available clinical, demographic, and pedigree data.

resultsAll koalas were KoRV-A-infected. A small number of koalas (10.3%) at one US zoo were also infected with non-A subtypes, while a higher non-A subtype prevalence (59.3%) was found in koalas at Australian zoos. Wild koalas from one location were only infected with KoRV-A. We observed a significant association of infection and plasma VLs of non-A subtypes in koalas that died of leukemia/lymphoma and other neoplasias and report cancer diagnoses in KoRV-A-positive animals. Infection and VLs of non-A subtypes was not associated with age or sex. Transmission of non-A subtypes occurred from dam-to-offspring and likely following adult-to-adult contact, but associations with contact type were not evaluated. Brief antiretroviral treatment of one leukemic koala infected with high plasma levels of KoRV-A, -B, and -F did not affect VL or disease progression.

conclusionsOur results show a significant association of non-A KoRV infection and plasma VLs with leukemia and other cancers. Although we confirm dam-to-offspring transmission of these variants, we also show other routes are possible. Our validated qPCR assays will be useful to further understand KoRV epidemiology and its zoonotic transmission potential for humans exposed to koalas because KoRV can infect human cells.

Indexed as

AnimalsAnimals, WildAnimals, ZooAustraliaFemaleGammaretrovirusGenetic VariationMaleMolecular EpidemiologyPhascolarctidaePolymerase Chain ReactionPrevalenceRetroviridae InfectionsRNA, ViralTumor Virus InfectionsUnited StatesRNA, ViralDiversityEndogenousEnvelopeExogenousKoala retrovirusPathogenesisSubtypesTransmissionViral load

Identifiers

PMID33008414
PMCPMC7530975
OpenAlexW3090218254

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.