Viruses in Bats and Potential Spillover to Animals and Humans Wang and Anderson 81

Available online at www.sciencedirect.com ScienceDirect Viruses in bats and potential spillover to animals and humans Lin-Fa Wang and Danielle E Anderson In the last two decades, several high impact zoonotic disease viruses occupy a greater proportion than viruses from any outbreaks have been linked to bat-borne viruses. These include other mammalian order [5 ,6 ,7,8]. Several studies have SARS coronavirus, Hendra virus and Nipah virus. In addition, it now concluded that bats are exceptional in their ability to has been suspected that ebolaviruses and MERS coronavirus act as natural reservoir of viruses and they are able to are also linked to bats. It is being increasingly accepted that harbour more diverse viruses per animal species [6 ,9]. bats are potential reservoirs of a large number of known and While the underlying biology for this observation is yet to unknown viruses, many of which could spillover into animal and be uncovered, it is certain that we will witness more disease human populations. However, our knowledge into basic bat outbreaks from bat-borne viruses in the years to come. biology and immunology is very limited and we have little understanding of major factors contributing to the risk of bat At the present time, it is impossible to predict the risk of virus spillover events. Here we provide a brief review of the spillover potential for the vast number of viruses or viral latest findings in bat viruses and their potential risk of cross- sequences which have been detected in bats around the species transmission. world. But it will be a good start to focus on the viruses in the ‘known unknown’ category, that is new or variant Address strains of bat viruses related to those which have already Programme in Emerging Infectious Diseases, Duke-NUS Medical spilled over into and caused diseases in animals or School, 169857, Singapore humans. Although bats are known to also carry DNA Corresponding author: Wang, Lin-Fa ([email protected]) viruses, all of the disease-causing and species-jumping bat-viruses are so far limited to RNA viruses. Current Opinion in Virology 2019, 34:79–89 In this brief review, we will focus on the major RNA virus This review comes from a themed issue on Emerging viruses: inter- families harboured by bats that have demonstrated spill- species transmission over and severe disease-causing potential. Edited by Adolfo Garcıá-Sastre and Juergen A Richt For a complete overview see the Issue and the Editorial Bats as a rich source of emerging viruses Available online 18th January 2019 Bats, order Chiroptera, are the only mammals capable of https://doi.org/10.1016/j.coviro.2018.12.007 powered flight and are among the most ancient of mammals and underwent extensive speciation for the last 1879-6257/ã 2019 Published by Elsevier B.V. 100 million years. There are currently more than 1000 species of bats, making them the second most diverse mammalian group, after rodents, and representing 20% of extant mammalian species [10]. Although the recent surge of interest in bats is mainly driven by their associa- tion with many of the most lethal viruses, bats are known Introduction for their exceptionally long life span and for being less Although there have been significant advances in diagnos- prone to cancer [8]. tics and medical countermeasures during the past century, the risk of cross-species transmission of known and Bats are not only rich in species diversity, but also have unknown pathogens has emerged as a threat to human great variation in their geographical locations, dietary and animal populations due to a various factors, including preferences, physiological range of body temperatures, industrialization, intensive farming, urbanization, rapid social behaviour and navigation and vision systems [11]. It transportation and climate change [1,2 ]. It is generally is therefore important to recognise that such immense accepted that approximately 75% of emerging infectious diversity makes it difficult to generalize-specific associa- diseases for humans are zoonoses [1,3,4]. The rate of tions relating to bats and viruses to all members of the emergence of novel viruses appears to be increasing as a chiropteran order. In addition, due to the large number of result of both increased spillover from their natural reser- bats around the world and the fact that similar bats can voirs and our improved ability in detection [3]. live in different geographical locations and multiple bat species can co-exist in similar ecological habitats, any Among the newly emerged and most deadly zoonotic virus surveillance or virome detection study should not be viruses discovered in the past few decades, bat-borne viewed as a holistic examination of any given systems. www.sciencedirect.com Current Opinion in Virology 2019, 34:79–89 80 Emerging virus: intraspecies transmission Instead, they are more likely to be a transient snapshot of viral diversity and continuous zoonotic transmission a specialised system at a given time. [27 ,31]. While recognising that there are limitations on current Severe disease outbreaks caused by CoVs related to investigations of viruses in bats, we are also optimistic that viruses associated with bats are not limited to humans. with the increasing interest and research activities in this In 2016–2017, there was a major outbreak of swine acute field, we will gain a more accurate panoramic view of bats diarrhoea syndrome (SADS) in piglets in multiple south- and viruses in the not too distant future. As a matter of fact, ern China farms in a region geographically close to where the findings accumulated in the last few decades have the SARS outbreak began in 2002 [32 ]. The origin of the already pointed towards a few virus families as being both causative agent, SADS-CoV, was quickly traced back to a more prevalent in bats and with proven potential for spill- bat colony in the vicinity of the pig farms where bat CoV over into other animal species [5 ,12]. The summary below with more than 98% genome sequence identity was highlights these virus families, followed by other bat viruses detected in Rhinolophus spp. bats. SADS-CoV belongs which may possess spillover potential and are considered to to the genus Alphacoronavirus and is genetically most be important enough to keep on our watch list. closely related to HKU2, a previously reported bat CoV [32 ]. Human coronavirus 229E is in the same Coronaviruses genus, but is only distantly related to those bat CoVs. Coronaviruses were not known to cause severe diseases in Examination of pig farmers with close contact with sick humans before the emergence of severe acute respiratory and dying piglets did not yield evidence of human infec- syndrome (SARS) coronavirus (CoV). The SARS out- tion, hence humans may not be susceptible to SADS- break in 2002–2003 remains as one the most impactful CoV. Further study is required to determine the true pandemic outbreaks of the 21st century mainly due to the zoonotic potential of SADS-CoV and closely related bat fact that the aetiology was totally unknown during the CoVs. outbreak, which made accurate diagnosis and effective control impossible [13,14]. The outbreak lasted more For unknown reasons, despite of the wide presence of than six months with rapid spread of the virus from CoVs in bats of different locations and species with southern China to more than 30 countries on all major relative high viral genome levels, multiple attempts by continents, and resulted in more than 8000 human infec- different international groups to isolate bat CoVs have tions and 774 deaths [14]. Multiple international teams been largely unsuccessful. The only successful isolation spent the next decade hunting for the origin of SARS- was achieved with SARS-like viruses by direct isolation CoV and serendipitously found many SARS-CoV related using Vero E6 cells [18 ] or inoculation into the brain of viruses in bats, most abundantly from the genus Rhino- suckling rats [17]. lophus (horseshoe bats) [15–17]. The most conclusive evidence came from the isolation of a CoV from bats in Paramyxoviruses China which was more than 98% identical in genome One of the first bat-borne BSL4 agents identified was sequence to SARS-CoV and capable of using the SARS- Hendra virus (HeV) in Australia in 1994 [33 ], an emerg- CoV receptor, ACE2, on human cells [18 ]. While it is not ing pathogen that caused the deaths of 7 people. Addi- easy to assess the spillover potential of many SARS-CoV tionally, 103 equine and 2 canine cases have been related bat CoVs due to unsuccessful attempts to isolate reported [34,35]. In humans the case fatality rate from the viruses, it should be noted that a ‘consensus’ virus HeV infection is 57%. All four species of flying fox in constructed via reverse genetics pointed to a high proba- Australia (Pteropus poliocephalus, P. alecto, P. scapulatus and bility of human infection [19]. P. conspicillatus) have been found to be seropositive for HeV antibodies and all have detectable virus in their Although a significant amount of attention was focused on urine with black flying fox (Pteropus alecto) being the SARS-CoV related viruses, the international community major reservoir host [36]. A closely related virus, Nipah was again caught by surprise with the emergence of the virus (NiV) emerged in 1998 in Malaysia, which trans- Middle East respiratory syndrome (MERS)-CoV in mitted from bats to humans via pigs as an intermediate 2012 [20 ]. MERS-CoV is genetically quite different from and amplifying host [37]. In total, that outbreak resulted SARS-CoV (Figure 1), despite both viruses belonging to in 283 human cases and 109 deaths (39% case fatality) in the genus Betacoronavrius.

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