Memoria para optar al título profesional de Bioquímico / El Metapneumovirus humano (hMPV) es el segundo agente viral causante de bronquiolitis en niños de todo el mundo. Es el origen etiológico de variados cuadros clínicos del tracto respiratorio y afecto principalmente a niños y ancianos. La infección induce una respuesta Th2 por parte del sistema inmune del hospedero produciéndose una inflamación patológica de las vías respiratorias. Luego de la resolución de la enfermedad no hay inducción de memoria inmunológica, por lo que la enfermedad causada por la infección con hMPV puede recurrir en el mismo paciente. Por esta razón una vacuna contra hMPV que induzca una respuesta inmune protectora que perdure en el tiempo es un objetivo importante para la salud pública mundial. Hasta la fecha no hay una vacuna efectiva disponible contra este virus. Este estudio evalúa la inducción de respuesta inmune protectora contra hMPV mediante vacunación con la nucleoproteína N del virus más el adyuvante ABISCO-100. Los datos muestran que los ratones vacunados desarrollan una respuesta inmune protectora frente a una infección posterior con el virus. En estos ratones vacunados y luego desafiados con el virus se midió una disminución del transcrito del gen de la nucleoproteína N de hMPV en pulmones y una reversión en la pérdida de peso comparado con los ratones infectados que no fueron vacunados. Además en pulmón se observó una reducción en la infiltración de granulocitos y células dendríticas inflamatorias (CD11b-/CD11c+) en el grupo vacunado y desafiado con el virus. Por otro lado, al estimular con proteína N del virus a esplenocitos provenientes del grupo vacunado se midió un aumento en la secreción de IFN-γ, IL-10 e IL-17A. También se observó un aumento en la concentración de anticuerpos isotipo IgG tipo IgG2A en sangre en el grupo vacunado y desafiado. Por último se determinó que la vacuna no tiene por si misma efecto en la producción de anticuerpos neutralizantes. Los resultados obtenidos en esta investigación sugieren que los ratones vacunados desarrollaron una respuesta inmunitaria protectora mediada por células T con un perfil combinado Th1/Th17 que los protegió contra la infección con hMPV y su patología asociada y que la proteína N podría ser un buen antígeno para el desarrollo de una vacuna / Worldwide, human Metapneumovirus (hMPV) is the second cause of acute respiratory tract infection in children such as bronchiolitis and pneumonia. It is the etiological origin of several clinical manifestations of the respiratory tract and mainly affects children and the elderly. The hMPV infection has been associated with an unbalanced Th2 pathological response causing inflammation and obstruction in the respiratory tract. Because a poor immunological memory induction is developed, the airway infections with hMPV and disease associated are recurrent. In consequence, an hMPV vaccine that generates protective immune response is necessary. To date there is no effective vaccine available against this virus. This study shows that vaccinated mice with N-hMPV-ABISCO developed a protective immune response against hMPV infection. Compared to non-vaccinated mice, we measured a reduction in the transcripts of the N gene of hMPV in lungs and a reduction in weight loss in vaccinated mice. Besides, in these mice there is a decrease of granulocyte infiltration and of dendritic cell infiltration of conventional migratory DCs (CD11b-/CD11c+) in lungs. Moreover, we isolated splenocytes from vaccinated and non-vaccinated mice and stimulated these cells with recombinant N protein of hMPV. The induced cytokines was measured in the supernatant tissue culture medium. We observed an increase of IFN-γ, IL-10 and IL-17A in splenocytes obtained from vaccinated mice. Total and IgG subclasses was measured in serum and higher levels of IgG and IgG2a were detected in the serum of vaccinated and challenged mice compared to naïve mice. The results obtained in this investigation suggest that the vaccinated mice developed a protective T cell-mediated immune response with a combined Th1 / Th17 profile that protected them against infection with hMPV and its associated pathology and that N protein could be a good candidate for a vaccine

Human metapneumovirus (HMPV) is a worldwide respiratory pathogen that belongs to the paramyxovirus family of enveloped viruses and affects primarily the pediatric, geriatric, and immunocompromised populations. Despite its prevalence and importance to human health, no therapies are available against this pathogen. For paramyxoviruses, it is believed that infection starts by attachment of the virus to the surface of the cell through the viral attachment protein followed by fusion between the viral and cellular membranes, a process mediated by the fusion (F) protein at the plasma membrane and at neutral pH. Previous work showed that HMPV infection can occur in the absence of the attachment protein and membrane fusion triggered by the F protein can be promoted by low pH. The work presented here are significant advances in our understanding of the entry process of HMPV. We confirmed that the F protein has receptorbinding functions and identified the cellular binding partner to be heparan sulfate proteoglycans (HSPGs). Additionally, we provide evidence that electrostatic interactions at two different regions play important roles for the proper folding, stability, and low pH triggering of the HMPV F protein. We confirmed the hypothesis that protonation of H435 is important for HMPV F triggering and provide additional evidence that the entry of HMPV may be occurring through endocytosis. Therefore, we hypothesize that HMPV entry occurs through endocytosis after viral binding to HSPGs through the F protein and membrane fusion occurs in an acidified compartment.

Fever in infants younger than 2 months of age causes a significant number of emergency department visits and is particularly worrisome because of the potential for serious infection. Management of febrile infants is problematic because clinical observation is not a reliable indicator of serious bacterial illness (SBI), such as bacteremia, meningitis, and urinary tract infection (UTI). Numerous investigators have proposed methods of screening laboratory tests to ascertain the risk of SBI in febrile infants. These screening tests could potentially avoid the invasive and costly sepsis work-up, which usually includes complete blood count (CBC), blood culture, urinalysis, urine culture, and lumbar puncture. We conducted a prospective, cross-sectional study that examined the prevalence of rhinovirus (RV) and coronavirus (CoV), which are two of the most common causes of upper respiratory infections in the first year of life, and human metapneumovirus (hMPV), which is a common cause of bronchiolitis, in infants younger than 2 months of age. This study also examined whether febrile infants with RV were more or less likely to also have a SBI than infants without a viral respiratory infection. Methodology: Fever was defined as rectal temperatures greater than 37.9C or a historical fever greater than 100.3F. Nasal swabs were tested with reverse transcriptase polymerase chain reaction (rt-PCR) techniques for rhinoviruses (RV), human metapneumovirus (hMPV) and coronaviruses (CoV). Nasal samples were also tested for RSV, influenza A and B, parainfluenza types 1, 2 and 3, and adenovirus via direct fluorescent antibody (DFA). Conclusion: Rhinovirus (RV) was the most commonly detected respiratory viral pathogen in our cohort (14% out of 98 total enrolled patients). Coronovirus (CoV) and human metapneumovirus (hMPV) were both detected but in only one patient (1%) each. RV occurred predominantly in the summer (79%). This cohort of patients showed no difference between the incidence of serious bacterial illness (SBI) with and without RV infection (p=0.84).

The use of PCR as a tool for the diagnostic virology and viral research laboratories has greatly increased in recent years, however the use of conventional PCR and amplicon detection systems can be a complex and relatively slow process that increases the risk of amplicon carry-over contamination. Many conventional PCR systems are unsuited for, or unable to perform as accurate diagnostic and quantitative tools because viruses are present in such a diverse variety of patient tissues and in a broad range of concentrations. Traditional viral culture, while still the gold standard for the detection of many viruses, is lengthy, expensive and often subjective. In addition, successful isolation of infectious virus is variable and dependent upon appropriate cell lines, lengthy incubations and careful transport and storage of clinical specimens. Many of the disadvantages arising from the use of traditional assays for the detection of viruses have been overcome by the development of real-time PCR. The technology has continued to develop due to the introduction of several commercial thermal cycling platforms and the appearance of numerous specific and non-specific fluorogenic chemistries. For the purpose of this thesis, human virology was sectioned into three diagnostic divisions containing the synthetic viruses, the well characterised viruses and the new or emerging viruses. This thesis proposes the hypothesis that real-time PCR could greatly improve upon traditional techniques for the detection, quantitation and characterisation of the members of these three divisions in both research and diagnostic environments. Conventional competitive quantitative PCR assays and a non-oligoprobe real-time PCR assay were constructed to detect novel synthetic gene therapy vectors developed from retroviruses. When compared to oligoprobe-based real-time PCR, it was clear that conventional molecular assays, whilst improving upon traditional methods of viral culture and immunofluorescence, were slower, more complex, less versatile and were hindered by a limited dynamic range. Synthetic control templates were developed and an improved method of assaying these template preparations was devised. The controls were used to precisely optimise each assay, create quality assurance reagents and to construct external standard curves permitting the absolute quantitation of viral templates. Real-time PCR achieved several significant goals during the studies performed for this thesis. The new assays detected human enterovirus (HEV) and the emerging pathogen, human metapneumovirus (hMPV) which were both responsible for seasonal outbreaks of serious disease that would otherwise have gone undiagnosed. These data led to the first description of hMPV outside of the Netherlands, as well as the first description of two validated rapid diagnostic RT-PCR assays which permitted the definitive classification of hMPV as a global pathogen of children and adults. Building upon its detection, an extensive molecular epidemiological study permitted the description of subtle differences between Australian and the more recently described international hMPV strains resulting in the classification of two distinct types of hMPV (A and B) and within these, four subtypes (A1, A2, B1 and B2). Real-time PCR rapidly detected, quantitated and genotyped herpes simplex viruses in a single reaction and determined the successful delivery of human and non-human genes by novel retroviral vectors in less time than any other phenotype detection assay. Additionally, these studies produced quantitative data which permitted the rapid calculation of transduction efficiency. Real-time PCR was able to quickly assess the efficiency of the PCR either in response to the titration of individual reaction components or as a result of amplification modifiers present within specimen extracts. The use of nucleotide sequencing studies ideally complemented earlier diagnostic studies of HEV and permitted the discrimination of pathogenic enterovirus 71. This thesis demonstrated that real-time PCR is more able to accommodate the demanding aspects of viral research and diagnostics than any other single method, and is now in a position to replace many of the traditional techniques still used by laboratories unfamiliar with the benefits of real-time PCR. The assays, techniques, reagents and publications resulting from these studies have benefited several areas of viral research and diagnostics and have improved the understanding of the role of real-time PCR in virology and of the technique in general, among the greater scientific community whilst successfully addressing the proposed hypothesis.

Orientadores: Clarice Weis Arns, Fernando Rosado Spilki / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-16T04:41:41Z (GMT). No. of bitstreams: 1 Santos_MarciaMercesAparecidaBianchidos_D.pdf: 3376725 bytes, checksum: 4e17791ec1d7e56265e067f2ce1f62bf (MD5) Previous issue date: 2010 / Resumo: O Metapneumovirus aviário (aMPV) pertence à família Paramyxoviridae, subfamília Pneumovirinae, gênero Metapneumovirus. O vírus, relatado pela primeira vez no Brasil em 1995, é o agente etiológico da Rinotraqueíte em perus (TRT) e está associado também à Síndrome da Cabeça Inchada (SHS) em frangos e poedeiras comerciais. O presente estudo foi dividido em três partes. Na primeira foi avaliada a suscetibilidades de oito sistemas celulares para a propagação de amostras virais do aMPV subtipos A e B. As células chicken embryo related (CER), Vero e baby hamster kidney cells (BHK-21) demonstraram ser as mais apropriadas para a multiplicação de ambos os subtipos. Além disso, cultivo de anel de traquéia (TOC) e cultivo primário de embrião de galinha (CEF) foram permissíveis à infecção por aMPV após terem sido isolados e propagados em CER. As curvas da cinética viral foram realizadas nas três linhagens celulares e ambos os subtipos tiveram títulos mais altos em CER durante as primeiras 30 horas após a infecção. Não foram observadas diferenças significativas entre os títulos obtidos em células CER e Vero, demonstrando que as células CER são tão adequadas à propagação do aMPV quanto as células Vero. A segunda parte do trabalho consistiu em analisar a virulência de uma amostra de aMPV subtipo B após sofrer passagens seriadas em células CER. Cinco variantes provenientes das passagens em CER foram inoculadas em galinhas e a excreção viral foi analisada. Os resultados obtidos com as amostras de traquéia demonstram que a virulência do aMPV diminui gradualmente enquanto o título viral aumenta com o número de passagens. Em contrapartida, nas amostras de seio nasal foi observado aumento da carga viral, demonstrando que não houve diminuição no fitness viral para este órgão. As seqüências do gene G das amostras utilizadas para desafio foram obtidas, porém este gene parece não ser afetado pela propagação em células CER. Na terceira e última parte deste estudo, foi avaliada a proteção viral conferida por uma vacina comercial contra isolados brasileiros do aMPV subtipos A e B em frangos de corte. Para tanto, uma amostra de cada subtipo foi avaliada quanto à sua virulência. O isolado do subtipo B foi detectado em um período mais longo e em maiores quantidades quando comparado ao subtipo A. Os resultados da analise da proteção demonstram que algumas aves imunizadas receberam proteção viral completa contra o vírus virulento heterólogo. Porém, a mesma vacina forneceu proteção viral parcial quando as aves foram desafiadas com o vírus virulento homologo ao vacinal / Abstract: Avian metapneumovirus (aMPV) belongs to the Paramyxoviridae family, Pneumovirinae subfamily, within the genus Metapneumovirus. The virus, first described in Brazil in 1995, is responsible for an acute rhinotracheitis in turkeys (TRT) and is associated with swollen head syndrome in broiler chickens and layer hens. The present study is divided in three parts. In the first part, eight cell culture systems were evaluate for the propagation of aMPV subtypes A and B. The chicken embryo related (CER) cells, Vero and baby hamster kidney cells (BHK-21) cells were shown to be the most appropriate for propagation of both subtypes of aMPV. In addition, propagation of aMPV in chicken embryo fibroblasts (CEF) and tracheal organ culture (TOC) remained efficient after the primary isolation and several passages of viruses in the CER cell line. The growth curves were created using CER, Vero and BHK-21 cell lines. Compared with growth, both yielded higher titres in CER cells during the first 30 hours after infection, but no significant difference was observed in the results obtained from CER and Vero cells. This data show that CER cell are adequate for aMPV propagation, giving similar results to Vero cells. The second part of this study was conducted to analyze the virulence of an aMPV subtype B strain after serial passage in CER cells. To accomplish this, chickens were infected with 5 different variants derived from serial passage and the amount of viral shedding was determined. The results of tracheal samples showed that the virulence decreases gradually with passage, while in vitro viral titre increases. However, an increase in viral shedding was observed in sinusal samples, demonstrating no decrease in fitness for this organ. The G gene sequences of challenge samples were analyzed, however this gene appears to not be affected when aMPV is propagated in CER cells. Finally, the last part of this study aimed to examine a commercially available vaccine in broiler chickens in terms of it ability to provide virological protection against aMPV subtypes A and B. To accomplish this, the virulence of each virulent strain was analyzed. The results demonstrate that the subtype B virulent strain could be observed longer and in larger quantities compared to subtype A. A complete heterologous virological protection was provided by the subtype B vaccine; however, a lack of complete homologous virological protection was observed when chickens were challenged with the homologous subtype B strain / Doutorado / Microbiologia / Doutor em Genetica e Biologia Molecular

Les paramyxovirus possèdent deux glycoprotéines d’enveloppe (gps): la protéine F, permettant la fusion avec la cellule hôte, et la protéine d’attachement appelée G, H ou HN. Les gps H et F d’une souche vaccinale du virus de la rougeole peuvent être incorporées sur des vecteurs lentiviraux (H/F-LV) permettant une transduction efficace des lymphocytes T et B humains non stimulés, habituellement réfractaires. Nous avons montré que les vecteurs H/F-LV sont capables de transduire des cellules B cancéreuses, activées et quiescentes, contrairement aux VSV-G-LV classiques. Leur utilisation in vivo est cependant confrontée à la présence d’anticorps neutralisants induits par la vaccination, dirigés majoritairement contre H. Après la mutation des 2 épitopes immunodominants de H, les vecteurs conservent leur tropisme et échappent à la neutralisation par les anticorps monoclonaux, mais sont toujours neutralisés par le sérum humain. Les souches émergentes de rougeole de génotype D, qui paraissent résister à la vaccination, présentent une glycosylation supplémentaire de la H. Introduite dans notre mutant, elle permet aux H/F-LV de transduire efficacement les cellules T et B en présence de sérum ou de sang total. Les pneumovirinae (le Virus Respiratoire Syncytial et le Métapneumovirus Humain (HMPV)) sont la première cause d’infections respiratoires chez le nourrisson, il n’existe pas de vaccin contre ces virus. Nous avons mis au point un système de Virus-Like Particle rétrovirales incorporant les gps F et G de HMPV (HMPV-VLPs). Injectées à des souris, les HMPV-VLP induisent une forte réponse d’anticorps neutralisants. De plus, suite à une épreuve virale, les souris sont protégées de l’infection par hMPV. / Paramyxoviruses contain two envelope glycoproteins : the F protein allowing fusion with the host cell and an attachment protein, called G, H or HN. Lentiviral vectors pseudotyped with the Edmonston measles virus hemagglutinin and fusion glycoproteins (H/F-LVs) allowed for the first time efficient transduction of quiescent human T and B cells. We showed that H/F-LVs were also able to efficiently transduce quiescent and activated cancer B cells, in contrast to the classical VSV-G-LVs. However, a major obstacle in the use of H/F-LVs in vivo is that most of the human population is vaccinated against measles inducing a humoral immune response exclusively directed against H. LVs pseudotyped with H-glycoproteins mutated in the 2 major epitopes escaped inactivation by monoclonal antibodies but were still neutralized by human serum. Consequently, we took advantage of newly emerged MV-D genotypes that were less sensitive to MV vaccination due to a different glycosylation pattern. The mutation responsible was introduced into the mutated H/F-LVs allowing efficient transduction of quiescent lymphocytes in the presence of high concentration of MV antibody-positive human serum or total blood. Pneumovirinae (Respiratory Syncitial Virus and human metapnemovirus (HMPV)) are the leading cause of respiratory infections in infants and no vaccine is available against these viruses. We designed retroviral Virus-Like Particle incorporating HMPV F and G gps (HMPV-VLPs). HMPV-VLPs injected to mice induce a strong neutralizing antibody immune response in vivo. Furthermore, upon a viral challenge, HMPV-VLP vaccinated mice are protected against hMPV infection.

Legeleistungseinbußen – vor allem mit verminderter Eischalenqualität – stellen in einem Legehennenbetrieb hohe wirtschaftliche Verluste dar. Impfungen gegen entsprechende Erreger, u.a. gegen das aviäre Metapneumovirus (aMPV), sind daher weit verbreitet. AMPV ist seit den 70er Jahren als Auslöser der Rhinotracheitis der Puten (Turkey Rhinotracheitis; TRT) und des sogenannten Swollen Head Syndroms (SHS) der Hühner bekannt. Jedoch liegen nur wenige epidemiologische Studien zu der Verbreitung des Virus und dessen Subtypen in Legehennenbetrieben vor. Ziel der vorliegenden Studie war es daher, die Verbreitung des aMPV, vor allem der Subtypen A und B, zu unterschiedlichen Zeiten der Legeperiode zu untersuchen, um ein besseres Verständnis über den Zeitpunkt der Erstinfektionen sowie evtl. Re- oder Neuinfektionen zu erhalten. Dafür wurden erstmals 18 Legehennenherden in Sachsen alle drei Monate über die gesamte Legeperiode auf das Vorkommen von aMPV-RNA und aMPV-spezifischer Antikörper untersucht. Verschiedene Haltungssysteme wurden berücksichtigt, um ein unterschiedliches seuchenhygienisches Risiko unter Praxisbedingungen bewerten zu können. Pro Herde wurden von je zehn Hühnern Trachealtupfer und Serumproben entnommen. Die Tupferproben wurden mittels duplex nested RT-PCR untersucht, die Serumproben mittels zweier kommerzieller ELISA-Tests. In jeder Herde gelang der aMPV-RNA-Nachweis mindestens einmal zu unterschiedlichen Zeitpunkten. Bereits bei der Einstallung konnten in 17 Herden aMPV-spezifische Antikörper und/oder aMPV-RNA nachgewiesen werden. Diese Ergebnisse zeigen die hohe Verbreitungsrate des aMPV in Legehennenbetrieben. Bereits in der Aufzucht fand in der Mehrzahl der Herden eine aMPV-Infektion statt; während der Legeperiode kam es zu häufigen Re- oder Neuinfektionen bzw. zu einer langen Persistenz des Virus. Subtyp A kam alleine (51%) mehr als doppelt so häufig vor wie ausschließlich Subtyp B (22%). Doppelinfektionen mit den Subtypen A und B (27%) wurden ungefähr so häufig gefunden wie eine Infektion ausschließlich mit Subtyp B. Ein Wechsel der Subtypen A und B während einer Legeperiode wurde am häufigsten beobachtet: zehn der 18 Herden (56%) zeigten diesen Verlauf. Ausschließlich Subtyp A in allen positiven Entnahmen pro Betrieb wurde in vier von 18 Herden gefunden, ausschließlich Subtyp B in drei von 18 Herden, Subtyp A gemeinsam mit Subtyp B in einer von 18 Herden. Dies verdeutlicht die Dominanz des Subtyps A in Legehennenbetrieben. Obwohl drei Herden während der Aufzucht mit einer Subtyp B-Vakzine geimpft wurden, gelang der aMPV-RNA Nachweis in bis zu vier Probenentnahmen. Der Subtyp A dominierte auch in den geimpften Herden. Neben dem Subtyp B Feldvirus wurde in einer Herde zum Zeitpunkt der Einstallung auch ein Subtyp B ähnlich dem Impfstamm nachgewiesen. Es ist daher davon auszugehen, dass trotz bekannter Kreuzimmunität eine Impfung nicht vor Infektionen schützt, aber die Persistenz von Subtyp B vermindert. Die Analyse der Serumproben mit zwei kommerziellen ELISA-Tests ergab zum Teil konträre Ergebnisse. Da die Diagnose einer aMPV-Infektion häufig nur über diese Methode gestellt wird, ist dies von praktischer Relevanz. Eine Evaluierung des ELISA-Tests mit der höchsten Spezifität und Sensitivität sollte daher folgen.

Contexte : Les infections respiratoires aiguës (ARI) sont reconnues comme une cause importante de morbidité, de mortalité et d'hospitalisation chez les enfants dans les pays en développement. Le virus respiratoire syncytial humain (HRSV) est l’agent étiologique principal de maladie sévère des voies respiratoires basses chez les nourrissons, les jeunes enfants et les personnes âgées. Identifié en 2001, le Metapneumovirus humain (HMPV) est un nouveau paramyxovirus. Les études ont montré la cocirculation des sous groupes de ces deux virus avec la domination de l’un des sous groupes selon les zones géographiques et selon les années. Les données restent cependant limitées dans les pays de l’Afrique subsaharienne, sur la prévalence, la saisonnalité et la caractérisation génétique de ces deux virus respiratoires. Au Cameroun, ces deux virus ont été décrits seulement une seule fois (5,7 et 5% pour HRSV et HMPV respectivement) chez des patients présentant des syndromes grippaux en 2012. Objectif : Cette étude rapporte la prévalence, la saisonnalité et la variabilité génétique des souches HRSV et HMPV chez des enfants camerounais pendant 3 saisons épidémiques consécutives (de Septembre 2011 à Octobre 2014). Par ailleurs, la diversité génétique d’autres virus respiratoires détectés au cours de ce travail est présentée comme objectif secondaire.Méthodes : Une surveillance prospective a été menée pour identifier les enfants hospitalisés et ambulatoires âgés de moins de 15 ans présentant des symptômes respiratoires ≤ 5 jours. Les échantillons nasopharyngés ont été testés pour 17 virus respiratoires en utilisant une réaction multiplex de polymérisation en chaîne. La distribution virale et les données démographiques ont été analysées statistiquement. Les échantillons positifs du HRSV et HMPV ont été amplifiés par polymérisation en chaine semi nichée puis séquencés partiellement au niveau du gène G. Des analyses phylogénétiques ont été effectuées sur les séquences nucléotidiques et protéiques partielles du gène G.Résultats : De septembre 2011 à octobre 2014, 822 enfants âgés de moins de 15 ans ont été inscrits dans l’étude. Au moins un virus a été identifié chez chacun des 72,6% (597/822) d'enfants, dont 31,7% (189/597) étaient des codétections; 28,5% (226/822) étaient positifs pour l'adénovirus humain, 21,4% (176/822) pour le virus Influenza, 15,5% (127.822) pour le rhinovirus/entérovirus, 9,4% (77/822) pour le bocavirus, 9% (74/822) pour le HRSV, 8,2% (67/822) pour les coronavirus humain, 6,2% (50/822) pour le parainfluenzavirus humain et 3,9% (32/822) pour le HMPV. L’infection HRSV était plus fréquente chez les enfants de moins de 2 ans (70,3% ; 52/74) et chez les participants hospitalisés (70,3% ; 52/74). Alors que le HRSV a montré un profil saisonnier avec une circulation de septembre à décembre, des cas sporadiques de HMPV ont été détectés tout au long de l'année. HRSV-A (19,1%, 9/47) et HRSV-B (17% ; 8/47) ont été observés relativement à la même fréquence avec (63,8% ; 30/47) de cas en codétection HRSV-A/HRSV-B alors que HMPV-A (71,4% ; 10/14) était majoritaire comparé à HMPV-B (28,6 ; 4/14). L'analyse phylogénétique a révélé que les souches HRSV de l’étude sont groupées au sein du sous groupe NA-1 (pour HRSV-A) et BA-9 (pour HRSV-B). Les souches HMPV camerounaises sont groupés parmi les membres du génotype A2b (pour HMPV-A), B1 et B2 (pour HMPV-B).Conclusion : Cette étude suggère qu’environ 70% des ARI enregistrés chez des enfants au Cameroun sont causés par des virus. La présente étude est également le premier rapport sur la variabilité génétique du gène G des souches de HRSV et HMPV dans la région. Bien que ce travail comble partiellement certaines lacunes d’informations, des études supplémentaires sont requises pour une clarification de l’épidémiologie moléculaire et du mode d’évolution des virus respiratoires présents en Afrique subsaharienne en général et plus singulièrement au Cameroun. / Background: Acute respiratory infections (ARI) are recognized as an important cause of morbidity, mortality and hospitalization among children in developing countries. Human respiratory syncytial virus (HRSV) is the main cause of severe lower respiratory tract disease in infants, young children and the elderly. Identified in 2001, Human Metapneumovirus (HMPV) is a new paramyxovirus. Studies have shown the co-circulation of the subgroups of these two viruses with domination of one of the sub-groups according to the geographical zones and according of years. These two viruses encode two major surface glycoproteins, the highly conserved fusion F protein and the highly variable attachment G protein. Data are still limited in sub-Saharan African countries on prevalence, seasonality and genetic characterization of these two respiratory viruses. In Cameroon, these two viruses have been described only once (5.7 and 5% for HRSV and HMPV respectively) in patients with influenza-like illness in 2012.Objective: This study reports the prevalence, seasonality and the genetic variability of HRSV and HMPV strains in Cameroonian children for 3 consecutive epidemic seasons (September 2011-October 2014). Moreover, the genetic diversity of other respiratory viruses detected during this work is presented as a secondary objective.Methods: A prospective surveillance was conducted to identify inpatient and outpatient children less than 15 years with respiratory symptoms ≤ 5 days. The nasopharyngeal samples were tested for 17 respiratory viruses using a multiplex polymerase chain reaction. Viral distribution and demographic data were analyzed statistically. Positive samples for HRSV and HMPV were amplified by semi-nested polymerize chain reaction and then partially sequenced at the G gene. Phylogenetic analyzes were performed on the partial nucleotide and protein sequences of the G gene.Results: From September 2011 to October 2014, 822 children under 15 years were enrolled in the study. At least one virus was identified in each of 72.6% (577/822) of children, 31.7% (189/597) of whom were co-detections; 28.5% (226/822) were positive for human adenovirus, 21.4% (176/822) for influenza virus, 15.5% (127.822) for rhinovirus/enterovirus, 9.4% (77/822) for bocavirus, 9% (74/822) for HRSV, 8.2% (67/822) for human coronavirus, 6.2% (50/822) for human parainfluenzavirus, and 3.9% (32/822) for HMPV. HRSV infection was more frequent in children under 2 years (70.3%, 52/74) and hospitalized participants (70.3%, 52/74). While HRSV showed a seasonal pattern with circulation from September to December, sporadic cases of HMPV were detected throughout the year. HRSV-A (19.1%, 9/47) and HRSV-B (17%; 8/47) were observed relatively at the same frequency with (63.8%, 30/47) codetections of HRSV-A/HRSV-B. HMPV-A (71.4%; 10/14) was predominant compared to HMPV-B (28.6; 4/14). Phylogenetic analysis revealed that the HRSV strains of the study are grouped within subgroup NA-1 (for HRSV-A) and BA-9 (for HRSV-B). Cameroonian HMPV strains are grouped among the members of genotype A2b (for HMPV-A), B1 and B2 (for HMPV-B).Conclusion: This study suggests that about 70% of ARI recorded in children in Cameroon are caused by viruses. The present study is also the first report on the genetic variability of the G gene of HRSV and HMPV strains in the region. Although this work partially fills gaps for some information, additional studies are required to clarify the molecular epidemiology and evolutionary pattern of respiratory viruses in sub-Saharan Africa in general and more particularly in Cameroon.

Legeleistungseinbußen – vor allem mit verminderter Eischalenqualität – stellen in einem Legehennenbetrieb hohe wirtschaftliche Verluste dar. Impfungen gegen entsprechende Erreger, u.a. gegen das aviäre Metapneumovirus (aMPV), sind daher weit verbreitet. AMPV ist seit den 70er Jahren als Auslöser der Rhinotracheitis der Puten (Turkey Rhinotracheitis; TRT) und des sogenannten Swollen Head Syndroms (SHS) der Hühner bekannt. Jedoch liegen nur wenige epidemiologische Studien zu der Verbreitung des Virus und dessen Subtypen in Legehennenbetrieben vor. Ziel der vorliegenden Studie war es daher, die Verbreitung des aMPV, vor allem der Subtypen A und B, zu unterschiedlichen Zeiten der Legeperiode zu untersuchen, um ein besseres Verständnis über den Zeitpunkt der Erstinfektionen sowie evtl. Re- oder Neuinfektionen zu erhalten. Dafür wurden erstmals 18 Legehennenherden in Sachsen alle drei Monate über die gesamte Legeperiode auf das Vorkommen von aMPV-RNA und aMPV-spezifischer Antikörper untersucht. Verschiedene Haltungssysteme wurden berücksichtigt, um ein unterschiedliches seuchenhygienisches Risiko unter Praxisbedingungen bewerten zu können. Pro Herde wurden von je zehn Hühnern Trachealtupfer und Serumproben entnommen. Die Tupferproben wurden mittels duplex nested RT-PCR untersucht, die Serumproben mittels zweier kommerzieller ELISA-Tests. In jeder Herde gelang der aMPV-RNA-Nachweis mindestens einmal zu unterschiedlichen Zeitpunkten. Bereits bei der Einstallung konnten in 17 Herden aMPV-spezifische Antikörper und/oder aMPV-RNA nachgewiesen werden. Diese Ergebnisse zeigen die hohe Verbreitungsrate des aMPV in Legehennenbetrieben. Bereits in der Aufzucht fand in der Mehrzahl der Herden eine aMPV-Infektion statt; während der Legeperiode kam es zu häufigen Re- oder Neuinfektionen bzw. zu einer langen Persistenz des Virus. Subtyp A kam alleine (51%) mehr als doppelt so häufig vor wie ausschließlich Subtyp B (22%). Doppelinfektionen mit den Subtypen A und B (27%) wurden ungefähr so häufig gefunden wie eine Infektion ausschließlich mit Subtyp B. Ein Wechsel der Subtypen A und B während einer Legeperiode wurde am häufigsten beobachtet: zehn der 18 Herden (56%) zeigten diesen Verlauf. Ausschließlich Subtyp A in allen positiven Entnahmen pro Betrieb wurde in vier von 18 Herden gefunden, ausschließlich Subtyp B in drei von 18 Herden, Subtyp A gemeinsam mit Subtyp B in einer von 18 Herden. Dies verdeutlicht die Dominanz des Subtyps A in Legehennenbetrieben. Obwohl drei Herden während der Aufzucht mit einer Subtyp B-Vakzine geimpft wurden, gelang der aMPV-RNA Nachweis in bis zu vier Probenentnahmen. Der Subtyp A dominierte auch in den geimpften Herden. Neben dem Subtyp B Feldvirus wurde in einer Herde zum Zeitpunkt der Einstallung auch ein Subtyp B ähnlich dem Impfstamm nachgewiesen. Es ist daher davon auszugehen, dass trotz bekannter Kreuzimmunität eine Impfung nicht vor Infektionen schützt, aber die Persistenz von Subtyp B vermindert. Die Analyse der Serumproben mit zwei kommerziellen ELISA-Tests ergab zum Teil konträre Ergebnisse. Da die Diagnose einer aMPV-Infektion häufig nur über diese Methode gestellt wird, ist dies von praktischer Relevanz. Eine Evaluierung des ELISA-Tests mit der höchsten Spezifität und Sensitivität sollte daher folgen.

Human metapneumovirus (HMPV) is a respiratory pathogen in Paramyxovirus family that demonstrates extremely high morbidity in the population, with most individuals having been infected by the age of five. Despite the prevalence of this negative-sense RNA virus in the population for decades, it was only identified in 2001. As such, there is currently no specific treatment for HMPV and the potentially severe consequences of infection for elderly and immunocompromised individuals and particularly infants make development of antivirals targeting HMPV of high significance. HMPV constitutes a quarter of all respiratory hospitalizations among infants, placing it second only to RSV, in addition to becoming a greater concern in concentrated populations of seniors. For these susceptible populations, the consequences of infection have a much greater probability of leading to pneumonia, bronchiolitis and even death. These studies investigate events throughout the infectious cycle of HMPV. They describe specific amino acids that modulate the triggering of viral fusion activity in response to low pH. They also include a report on the dynamic and variable control exercised over gene transcription by viral promoters. Finally, the interplay between viral nonstructural proteins and their distinct roles in both replication and assembly are examined. Ultimately, this work seeks to elucidate the goings-on within an HMPV-infected cell at multiple points throughout the process.