Evidence map›Paper›PMID 39448916›Full record

ArticleBMC infectious diseases2024

Emergence of ECSA-IOL E1-K211E/E2-V264A Lineage of Chikungunya virus during Malaysian 2021 outbreak.

Jeevanathan Kalyanasundram, Zarina Mohd Zawawi, Khayri Azizi Kamel, Emmanuel Tiagaraj Aroidoss, Kavithambigai Ellan, Mohd Ishtiaq Anasir, Muhammad Afif Azizan, Murni Maya Sari Zulkifli, Rozainanee Mohd Zain

Abstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Review
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  9. The Re-emergence of Chikungunya in Sri Lanka: A Genomic investigation.medRxiv : the preprint server for health sciences · 2025
    Article
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  11. 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.

Jeevanathan KalyanasundramVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia. jeevan@moh.gov.my.
Zarina Mohd ZawawiVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Khayri Azizi KamelVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Emmanuel Tiagaraj AroidossVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Kavithambigai EllanVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Mohd Ishtiaq AnasirVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Muhammad Afif AzizanVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Murni Maya Sari ZulkifliVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Rozainanee Mohd ZainVirology Unit, Infectious Disease Research Centre (IDRC), Institute for Medical Research (IMR), National Institute of Health (NIH), Seksyen U13 Setia Alam, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.

Funding

Kementerian Kesihatan Malaysia NMRR-22-01162-PDE/ 22-018
6 · The paper itself

Abstract

backgroundChikungunya cases was reported to be on the rise in Malaysia from 2019 to 2021. Although potential endemicity was described previously, genotype shift during 2008 outbreak originating from the 2004 Indian Ocean Islands outbreak presents the probability of current CHIKV spread from neighboring countries. This is due to the prevalence of the new IOL sub-lineage which consists of E1-226A wildtype or reverted strains that are circulating in the Indian subcontinent before spreading to neighboring Thailand during 2018-2019 outbreak.

methodIn this study, samples received mostly from the Tangkak, Johor were analyzed. A total 56 CHIKV positive serum samples received in 2021 by Institute of Medical Research Malaysia (IMR), were collected based on sample selection criteria. Selected samples were subjected to total RNA extraction, whole-genome sequencing as well as bioinformatic analysis such as phylogenetic, variant and mutation analysis.

resultsBased on the genomic and phylogenetic analysis, the CHIKV samples from 2021 outbreak were of ECSA-IOL genotype. Genome similarity analysis also revealed that these CHIKVs were highly similar to 2018-2019 outbreak strain from Thailand. In comparison to the 2008 outbreak CHIKV isolate, the current CHIKVs lacked the E1-A226V mutation and harbored the new E1-K211E/E2-V264A sub-linage mutation. Since the E1-K211E/E2-V264A mutation facilitates adaptation to Ae. aegypti as opposed to the E1-A226V mutation which improves adaptation to Ae. albopictus, the emergence 2021 CHIKV outbreak in Malaysia can be postulated due to vector shift. Interestingly, a novel nsP3-T441A/V mutation detected in this study, may also play a role in virus transmission, pathogenicity, fitness and vector adaptation.

conclusionIn summary, the current CHIKV outbreak are strains originated from the Indian subcontinent through Thailand which may have capitalized on vector shifting by adapting to Ae. aegypti. The presence of novel nsP3-T441A/V mutation may also contribute to the spread of this virus across peninsular Malaysia.

Indexed as

Chikungunya FeverChikungunya virusDisease OutbreaksGenotypePhylogenyAdultFemaleGenome, ViralHumansMalaysiaMutationWhole Genome SequencingChikungunyaCHIKVMalaysiaSequencingWhole-genome

Identifiers

PMID39448916
PMCPMC11515639

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Registered trials

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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.