2021
DOI: 10.1038/s42003-020-01543-7
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Systemic viral spreading and defective host responses are associated with fatal Lassa fever in macaques

Abstract: Lassa virus (LASV) is endemic in West Africa and induces a viral hemorrhagic fever (VHF) with up to 30% lethality among clinical cases. The mechanisms involved in control of Lassa fever or, in contrast, the ensuing catastrophic illness and death are poorly understood. We used the cynomolgus monkey model to reproduce the human disease with asymptomatic to mild or fatal disease. After initial replication at the inoculation site, LASV reached the secondary lymphoid organs. LASV did not spread further in nonfatal … Show more

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Cited by 21 publications
(34 citation statements)
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“…Neutralizing antibodies, if at all, only appear several months post-infection [37]. Similar observations were made with non-human primates, which develop no or only low levels of neutralizing antibodies after LASV infection [38,39]. Furthermore, experiments with plasma transfer from LASV survivors in non-human primates and humans show variable outcomes, and protection was only achieved in some cases [40][41][42].…”
Section: Discussionsupporting
confidence: 58%
See 1 more Smart Citation
“…Neutralizing antibodies, if at all, only appear several months post-infection [37]. Similar observations were made with non-human primates, which develop no or only low levels of neutralizing antibodies after LASV infection [38,39]. Furthermore, experiments with plasma transfer from LASV survivors in non-human primates and humans show variable outcomes, and protection was only achieved in some cases [40][41][42].…”
Section: Discussionsupporting
confidence: 58%
“…T cells have already been shown to be important for LASV, MORV, and MOBV clearance in experimentally infected interferon-alpha/beta receptor-deficient mice [28]. Moreover, they also play a crucial role in the disease progression and outcome of LASV infections in humans and non-human primates [38,39,49,50].…”
Section: Discussionmentioning
confidence: 99%
“…A noticeable sub-group of CD3-low T-lymphocytes appeared in which HERV-W ENV protein was predominantly expressed, whereas it remained minimal and HERV-W negative in control cultures not exposed to the virus. These observations may corroborate previous works describing superantigen motifs of SARS-CoV-2 spike protein 43 , and may involve cellular mechanisms associated to lymphopenia and hyperin ammation already characterized for other emerging viruses (e.g., Ebola or Lassa) 48,49 . However, because HERV-W ENV was also shown to display superantigen-like effect 28 , the origin of this effect on T-lymphocytes or potentially combined effects are questioned.…”
Section: Discussionsupporting
confidence: 91%
“…In previously described [72]. Alternatively, in COVID-19 patients, our observations may corroborate previous reports describing superantigen motifs of SARS-CoV-2 spike protein [73], and may involve cellular mechanisms associated to lymphopenia and hyperinflammation as already characterized for other emerging viruses (e.g., Ebola or Lassa) [78,79]. However, because HERV-W ENV has also been shown to display superantigen-like effect [51], the origin of this short-term effect on T-lymphocytes may be questioned.…”
Section: Discussionsupporting
confidence: 90%