Evidence map›Paper›PMID 34120576›Full record

ArticleEmerging microbes & infections2021

Systemic inflammation, innate immunity and pathogenesis after Zika virus infection in cynomolgus macaques are modulated by strain-specificity within the Asian lineage.

Ruklanthi de Alwis, Raphaël M Zellweger, Edmond Chua, Lin-Fa Wang, Tanu Chawla, October M Sessions, Damien Marlier, John E Connolly, Veronika von Messling, Danielle E Anderson

Open access · goldAbstract readComparative Study
In one paragraph

Article in Emerging microbes & infections, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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  7. Viruses · 2022
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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

10 authors at 6 institutions in 5 countries.

Ruklanthi de AlwisProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.ORCID https://orcid.org/0000-0002-2319-3701
Raphaël M ZellwegerInternational Vaccine Institute, Seoul, South Korea.ORCID https://orcid.org/0000-0003-1829-058X
Edmond ChuaInstitute of Molecular and Cell Biology, A*STAR, Singapore.
Lin-Fa WangProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.ORCID https://orcid.org/0000-0003-2752-0535
Tanu ChawlaProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.ORCID https://orcid.org/0000-0002-7869-3818
October M SessionsProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.ORCID https://orcid.org/0000-0002-1370-2744
Damien MarlierInstitute of Molecular and Cell Biology, A*STAR, Singapore.
John E ConnollyInstitute of Molecular and Cell Biology, A*STAR, Singapore.ORCID https://orcid.org/0000-0002-9680-3216
Veronika von MesslingProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Danielle E AndersonProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.ORCID https://orcid.org/0000-0003-4791-5024
Agency for Science, Technology and Research · SGDuke-NUS Medical School · SGInternational Vaccine Institute · KRNational University of Singapore · SGSingHealth Duke-NUS Academic Medical Centre · SGThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zika virus (ZIKV) is an emerging arbovirus with recent global expansion. Historically, ZIKV infections with Asian lineages have been associated with mild disease such as rash and fever. However, recent Asian sub-lineages have caused outbreaks in the South Pacific and Latin America with increased prevalence of neurological disorders in infants and adults. Asian sub-lineage differences may partially explain the range of disease severity observed. However, the effect of Asian sub-lineage differences on pathogenesis remains poorly characterized. Current study conducts a head-to-head comparison of three Asian sub-lineages that are representative of the circulating ancestral mild Asian strain (ZIKV-SG), the 2007 epidemic French Polynesian strain (ZIKV-FP), and the 2013 epidemic Brazil strain (ZIKV-Brazil) in adult Cynomolgus macaques. Animals infected intervenously or subcutaneously with either of the three clinical isolates showed sub-lineage-specific differences in viral pathogenesis, early innate immune responses and systemic inflammation. Despite the lack of neurological symptoms in infected animals, the epidemiologically neurotropic ZIKV sub-lineages (ZIKV-Brazil and/or ZIKV-FP) were associated with more sustained viral replication, higher systemic inflammation (i.e. higher levels of TNFα, MCP-1, IL15 and G-CSF) and greater percentage of CD14+ monocytes and dendritic cells in blood. Multidimensional analysis showed clustering of ZIKV-SG away from ZIKV-Brazil and ZIKV-FP, further confirming sub-lineage differences in the measured parameters. These findings highlight greater systemic inflammation and monocyte recruitment as possible risk factors of adult ZIKV disease observed during the 2007 FP and 2013 Brazil epidemics. Future studies should explore the use of anti-inflammatory therapeutics as early treatment to prevent ZIKV-associated disease in adults.

Indexed as

Immunity, InnateAdultAnimalsAsiaBrazilDendritic CellsDisease Models, AnimalHumansInterleukin-15Macaca fascicularisMonocytesSpecies SpecificityTumor Necrosis Factor-alphaVirulenceVirus ReplicationZika VirusInterleukin-15Tumor Necrosis Factor-alphaarbovirusflavivirusinflammationinnate immunityNHPZika virus

Identifiers

PMID34120576
PMCPMC8300938
OpenAlexW3166527662

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.