A Fishy Option for Human Norovirus Research

Total Page:16

File Type:pdf, Size:1020Kb

A Fishy Option for Human Norovirus Research research highlights ANIMAL MODELS OF DISEASE A fshy option for human norovirus research Van Dycke, J., et al. PloS Pathog 15, e1008009 (2019) Norovirus may be the leading global cause passage, much smaller inoculation volumes, of foodborne illness—the highly contagious etc—but not all. The fish model involves virus triggers acute gastroenteritis in a non-physiological route of inoculation almost 700 million people annually and requiring a high titer stool sample, and contributes to 200,000 deaths—but it’s there’s no ability to generate a virus stock proven a tricky bug to study. It can be a from the fish, she noted. “Given the tools challenge to cultivate in the lab relative to available for the zebrafish model though, other viruses, explains pharmacist-turned- new basic science advances will surely follow biologist Joana Rocha-Pereira of KU Leuven from this discovery and that is always a win in Belgium; until the 1990s, it was difficult in my opinion. So I am very excited about to even detect in the first place. Since then, this finding!” researchers have gotten a handle on its A new study reveals that human norovirus Rocha-Pereira says the lab is already epidemiology and physical structure, but can infect and replicate within larval zebrafish. using the model for antiviral drug testing. gaps remain in our basic understanding of Credit: Paulo Oliveira / Alamy Stock Photo “Being a vertebrate model but still very, very norovirus biology, she says. What are its simple, it can be very powerful,” she says. receptors in its host? How does it replicate “It’s something you can put inside a 96 well and come to infect immune cells, in initially targets the enteric system, delivery plate...That’s almost as simple as running an addition to enteric ones? via the yolk, which feeds the larvae in those in vitro experiment.” But rather than cells, Answering those questions has been early developmental days, seemed the most it’s a whole organism being studied. Because limited by a dearth of animal options analogous option to mimic the food-borne it’s so very small, only small amounts of new in which to model human norovirus route by which humans become infected, drugs need to be synthesized for preliminary infection—particularly small animals Rocha-Pereira says. Given that they were testing; that can save time, money, and that can be used in larger numbers and at working with a virus capable of infecting effort, while garnering additional biological less cost than gnotobiotic pigs or calves. humans, they also had to figure out the detail at earlier time points relative to typical Rocha-Pereira had been working with most efficient way to inject many, many pipelines involving rodents, she says. a mouse model, but one infected with miniscule fish within the confines of a Beyond drug screening, the many a murine-specific norovirus; studying laminar flow cabinet; a microscope with a tools to make any number of different that surrogate viral form sufficed for a large screen helped. transgenic zebrafish lines might also help while but, with an eye towards moving Although the fish did not become visible the researchers more closely follow the preclinical drug candidates along the sick, human norovirus—of several different virus within the transparent larvae. “If we testing pipeline, she wanted to work with viral genotypes—did replicate within the want to look at the role of macrophages for human norovirus itself. Then one day, she larvae, peaking after two days but remaining example, there are transgenic lines that have was introduced to zebrafish. detectable for about a week. The team fluorescent macrophages,” she says. After Another group at KU Leuven was observed increased expression in several infection, what those macrophages do in using larval zebrafish to study epilepsy, genes involved with the innate immune response can easily be observed in the fish but a look into the literature revealed system, and the virus was also detected under a microscope. “That’s very powerful,” infection models of human influenza, in other tissues. These included caudal she says. “It’s not so easy to do with other chikungunya, and herpes simplex—three hematopoietic tissue. A broad-spectrum furry animals.” very different viruses with very different antiviral treatment, meanwhile, reduced The fish indeed won’t answer every means of infection and replication, she viral replication. human norovirus question, but Rocha- says. Human norovirus seemed worth a “I think this is a great advance that has Pereira is excited to move forward with the try—and it worked. Writing in the journal clear translational implications,” commented new model. “Finally, I can work with the PloS Pathogens, Rocha-Pereira and her Christiane Wobus from the University real thing,” she says. “We are working on colleagues describe their larval zebrafish of Michigan Medical School, who has the human viruses that are actually making model of human norovirus infection. developed a human norovirus mouse people sick—it’s not some lab-adapted There were number of practical model (Wobus has collaborated with the adapted strain people use in cell cultures.” challenges along the way to developing the KU Leuven group in the past but was not Stomach flu research might have a fishy model. There was the question of how to involved in the current zebrafish work). She future. deliver the virus itself. As it can be difficult cautions, however, that no model is perfect; to gavage such small animals, the team the zebrafish overcomes some of the issues Ellen P. Nef decided to inject stool samples from human with human norovirus mouse model—such norovirus patients into the egg yolk of three as infection with multiple viral genotypes, Published online: 14 October 2019 day post-fertilization zebrafish; as norovirus larger viral increases over time, ability to https://doi.org/10.1038/s41684-019-0427-2 LAB ANIMAL | VOL 48 | NOVEMBER 2019 | 329–334 | www.nature.com/laban 329.
Recommended publications
  • Noroviruses: Q&A
    University of California, Berkeley 2222 Bancroft Way Berkeley, CA 94720 Appointments 510/642-2000 Online Appointment www.uhs.berkeley.edu Noroviruses: Q&A What are noroviruses? Noroviruses are a group of viruses that cause the “stomach flu” or gastroenteritis (GAS-tro-enter-I-tis) in people. The term “norovirus” was recently approved as the official name for this group of viruses. Several other names have been used for noroviruses, including: • Norwalk-like viruses (NLVs) • caliciviruses (because they belong to the virus family Caliciviridae) • small round structured viruses. Viruses are very different from bacteria and parasites, some of which can cause illnesses similar to norovirus infection. Viruses are much smaller, are not affected by treatment with antibiotics, and cannot grow outside of a person’s body. What are the symptoms of illness caused by noroviruses? The symptoms of norovirus illness usually include nausea, vomiting, diarrhea, and some stomach cramping. Sometimes people additionally have a low-grade fever, chills, headache, muscle aches and a general sense of tiredness. The illness often begins suddenly, and the infected person may feel very sick. The illness is usually brief, with symptoms lasting only about one or two days. In general, children experience more vomiting than adults. Most people with norovirus illness have both of these symptoms. What is the name of the illness caused by noroviruses? Illness caused by norovirus infection has several names, including: • stomach flu – this “stomach flu” is not related to the flu (or influenza), which is a respiratory illness caused by influenza virus • viral gastroenteritis – the most common name for illness caused by norovirus.
    [Show full text]
  • Fact Sheet Norovirus
    New Hampshire Department of Health and Human Services Fact Sheet Division of Public Health Services Norovirus What is norovirus? How is norovirus infection diagnosed? Noroviruses are a group of viruses that cause Laboratory diagnosis is difficult but there are the “stomach flu,” or gastrointestinal tests that can be performed in the New (stomach and digestive) illness. Norovirus Hampshire Public Health Lab in situations infection occurs occasionally in only one or a where there are multiple cases. Diagnosis is few people or it can be responsible for large often based on the combination of symptoms outbreaks, such as in long-term care facilities. and the short time of the illness. Who gets norovirus? What is the treatment for norovirus Norovirus infects people of all ages infection? worldwide. It may, however, be more No specific treatment is available. People who common in adults and older children. become dehydrated might need to be rehydrated by taking liquids by mouth. How does someone get norovirus? Occasionally patients may need to be Norovirus is spread from person to person via hospitalized to receive intravenous fluids. feces, but some evidence suggests that the virus is spread through the air during How can norovirus be prevented? vomiting. Good hand washing is the most While there is no vaccine for norovirus, there important way to prevent the transmission of are precautions people should take: norovirus. Outbreaks have been linked to sick • Wash hands with soap and warm water food handlers, ill health care workers, cases in after using the bathroom and after facilities such as nursing homes spreading to changing diapers other residents, contaminated shellfish, and • Wash hands with soap and warm water water contaminated with sewage.
    [Show full text]
  • Diarrheal Illness
    Diarrheal Illness [Announcer] This program is presented by the Centers for Disease Control and Prevention. [Karen Hunter] Hi, I’m Karen Hunter and today I’m talking with Dr. Steve Monroe, director of CDC’s Division of High-Consequence Pathogens and Pathology. Our conversation is based on his paper about viral gastroenteritis, which appears in CDC's journal, Emerging Infectious Diseases. Welcome Dr. Monroe. [Steve Monroe] Thank you Karen, it’s a pleasure to be here. [Karen Hunter] Dr. Monroe, what is viral gastroenteritis? [Steve Monroe] Gastroenteritis is an irritation of the stomach or intestinal tract. Most people experience this as severe diarrhea, vomiting, and stomach pain. For this reason, it is often referred to as stomach flu, even though it is not caused by a flu virus. The more general term is “diarrheal illness.” When caused by a virus, it is known as viral gastroenteritis. There are several viruses that can cause this illness. [Karen Hunter] Your paper focuses on two of these viruses – norovirus and rotavirus. What are the main differences between the two of them? [Steve Monroe] The main differences between norovirus and rotavirus are in the age of people most affected and in the approaches we use for control and prevention. Norovirus can infect people of all ages, while rotavirus is most commonly found in young children. And, while there’s an effective vaccine to prevent rotavirus infection, current efforts to control norovirus illness rely primarily on emphasizing good personal hygiene and infection control practices. [Karen Hunter] We’d like to hear about both of these viruses.
    [Show full text]
  • Norovirus-Gen508.Pdf
    Norovirus Gastroenteritis: Management of Outbreaks in Healthcare Settings U.S. Department of Health and Human Services Centers for Disease Control and Prevention Norovirus The most common cause of cases of acute gastroenteritis and gastroenteritis outbreaks Can affect nearly everyone in the population (from children to the elderly and everyone in between!) particularly because there is no long term immunity to the virus Causes acute but self-limited diarrhea, often with vomiting, abdominal cramping, fever, and fatigue . Most individuals recover from acute symptoms with 2-3 days , but can be more severe in vulnerable populations Burden of Norovirus Infection #1 cause of acute gastroenteritis in U.S. 21 million cases annually . 1 in 14 Americans become ill each year . 71,000 hospitalized annually in U.S. 80 deaths annually among elderly in U.K. 91,000 emergency room visits overall in the U.S. Occurs year round with peak activity during the winter months Cases occur in all settings, across the globe Scallan et al. 2011. EID. 17(1): 7-15.; Patel et al. 2008. EID. 14(8); 1224-31.; Harris et al. 2008. EID. 14(10); 1546-52. Norovirus in Healthcare Facilities Norovirus is a recognized cause of gastroenteritis outbreaks in institutions. Healthcare facilities are the most commonly reported settings of norovirus gastroenteritis outbreaks in the US and other industrialized countries. Outbreaks of gastroenteritis in healthcare settings pose a risk to patients, healthcare personnel, and to the efficient provision of healthcare services. Norovirus Activity in Healthcare Incidence of norovirus outbreaks in acute care facilities and community hospitals within the United States remains unclear.
    [Show full text]
  • What Is Norovirus?
    What is norovirus? Norovirus is a serious gastrointestinal illness that causes inflammation of the stomach and/or intestines. This inflammation leads to nausea, vomiting, diarrhea, and abdominal pain. Norovirus is extremely contagious (easy to spread) from one person to another. Norovirus is not related to the flu (influenza), even though it is sometimes called the stomach flu. Anyone can get norovirus, and they can have the illness multiple times during their lifetime. Norovirus causes approximately 21 million illnesses each year. It is the leading cause of illness and outbreaks related to food in the United States. Symptoms start between 12 to 48 hours after being exposed and can last anywhere from one to three days. Symptoms include diarrhea, nausea, vomiting, and/or stomach pain. Dehydration is a big concern for people with norovirus, especially in the elderly and the very young, and a major reason for people being hospitalized. People are most contagious when they are actively sick and for the first few days after getting over the illness. How serious is norovirus? Norovirus is a serious illness that makes people feel extremely ill and vomit or have diarrhea. Most people get better within one to two days. Norovirus can be very serious among young children, the elderly, and people with other illnesses, and can lead to severe dehydration, hospitalization, and even death. How does norovirus spread? It generally spreads when infected food service workers touch food without washing their hands well or at all. Norovirus spreads from: • Person-to-person (e.g., shaking hands, sharing food or eating from the same utensils, or caring for someone who is ill with norovirus).
    [Show full text]
  • Latest Ncbi-Taxonomist Docker Image Can Be Pulled from Registry.Gitlab.Com/Janpb/ Ncbi-Taxonomist:Latest
    ncbi-taxonomist Documentation Release 1.2.1+8580b9b Jan P Buchmann 2020-11-15 Contents: 1 Installation 3 2 Basic functions 5 3 Cookbook 35 4 Container 39 5 Frequently Asked Questions 49 6 Module references 51 7 Synopsis 63 8 Requirements and Dependencies 65 9 Contact 67 10 Indices and tables 69 Python Module Index 71 Index 73 i ii ncbi-taxonomist Documentation, Release 1.2.1+8580b9b 1.2.1+8580b9b :: 2020-11-15 Contents: 1 ncbi-taxonomist Documentation, Release 1.2.1+8580b9b 2 Contents: CHAPTER 1 Installation Content • Local pip install (no root required) • Global pip install (root required) ncbi-taxonomist is available on PyPi via pip. If you use another Python package manager than pip, please consult its documentation. If you are installing ncbi-taxonomist on a non-Linux system, consider the propsed methods as guidelines and adjust as required. Important: Please note If some of the proposed commands are unfamiliar to you, don’t just invoke them but look them up, e.g. in man pages or search online. Should you be unfamiliar with pip, check pip -h Note: Python 3 vs. Python 2 Due to co-existing Python 2 and Python 3, some installation commands may be invoked slighty different. In addition, development and support for Python 2 did stop January 2020 and should not be used anymore. ncbi-taxonomist requires Python >= 3.8. Depending on your OS and/or distribution, the default pip command can install either Python 2 or Python 3 packages. Make sure you use pip for Python 3, e.g.
    [Show full text]
  • Quantitative Risk Profile for Viruses in Foods
    Quantitative risk profile for viruses in foods RIVM report 330371008/2013 M. Bouwknegt et al. National Institute for Public Health and the Environment P.O. Box 1 | 3720 BA Bilthoven www.rivm.com Quantitative risk profile for viruses in foods RIVM Report 330371008/2013 RIVM Report 330371008 Colophon © RIVM 2013 Parts of this publication may be reproduced, provided acknowledgement is given to the 'National Institute for Public Health and the Environment', along with the title and year of publication. M. Bouwknegt, LZO, RIVM/CIb K. Verhaelen, LZO, RIVM/CIb A.M. de Roda Husman, LZO, RIVM/CIb S.A. Rutjes, LZO, RIVM/CIb Contact: Saskia Rutjes Laboratory for Zoonoses and Environmental Microbiology [email protected] This investigation has been performed by order and for the account of Food- and Consumer Product Safety Authority, within the framework of V/330371/01/VV: viruses in food. Page 2 of 64 RIVM Report 330371008 Abstract Quantitative risk profile for viruses in food Viruses, similar to bacteria, can pose a risk to human health when present in food, but comparatively little is known about them in this context. In a study aimed at the health risks posed by viruses in food products, the RIVM has inventoried both current knowledge and pertinent information that is lacking. The inventory, which is presented in this report as a so-called risk profile, focuses on three viruses that can be transmitted to humans through food consumption. These are the hepatitis A viruses in shellfish, noroviruses in fresh fruits and vegetables and hepatitis E viruses in pork. The study was commissioned by the Dutch Food and Consumer Product Safety Authority.
    [Show full text]
  • Norovirus Illness: Key Facts Norovirus—The Stomach Bug Norovirus Is a Highly Contagious Virus
    Norovirus Illness: Key Facts Norovirus—the stomach bug Norovirus is a highly contagious virus. Norovirus infection causes gastroenteritis (inflammation of the stomach and intestines). This leads to diarrhea, vomiting, and stomach pain. Norovirus illness is often called by other names, such as food poisoning and stomach flu. Noroviruses can cause food poisoning, as can other germs and chemicals. Norovirus illness is not related to the flu (influenza). Though they share some of the same symptoms, the flu is a respiratory illness caused by influenza virus. Anyone can get norovirus illness • Norovirus is the most common cause of acute gastroenteritis in the U.S. • Each year, norovirus causes 19 to 21 million cases of acute gastroenteritis in the U.S. • There are many types of norovirus and you can get it more than once. Norovirus illness can be serious • Norovirus illness can make you feel extremely sick with diarrhea and vomiting many times a day. • Some people may get severely dehydrated, especially young children, the elderly, and people with other illnesses. • Each year, norovirus causes 56,000 to 71,000 hospitalizations and 570 to 800 deaths, mostly in young children and the elderly. Norovirus spreads very easily and quickly • It only takes a very small amount of norovirus particles (fewer than 100) to make you sick. • People with norovirus illness shed billions of virus particles in their stool and vomit and can easily infect others. • You are contagious from the moment you begin feeling sick and for the first few days after you recover. • Norovirus can spread quickly in enclosed places like daycare centers, nursing homes, schools, and cruise ships.
    [Show full text]
  • Rotavirus - Adenovirus Astrovirus - Norovirus
    Rotavirus - Adenovirus Astrovirus - Norovirus Rotavirus, Adenovirus and Astrovirus are the agents most frequently responsible for gas- troenteritis in infant and youth populations, as well as occasionally in adults. They are trans- mitted faeco-orally and their main symptoms are watery diarrhoea and vomiting. The concern for global public health cau- sed by Noroviruses has increased in recent years due to sporadic outbreaNs of signiÀcant morbidity and mortality. There are frequent outbreaks in schools, hospitals, cruise ships and other semi-closed institutions. Noroviruses are the main cause of gastroenteritis epidemics in the United States (approximately 90% of outbreaks of non-bacterial gastroenteritis). The symptoms associated with Novovirus infections are typical of gastroenteritis: vomiting, watery diarrhoea and abdominal cramps. Enteric viruses have been recognised as the most important aetiological agents behind acute diarrhoea, the principal cause of mortality in many countries. SpeciÀcally, the four categories of viruses considered to be the most clinically relevant are the Group A Rotavirus, Adenovirus, Astrovirus and Norovirus. They give rise to co-infections in 46% of children with acute diarrhoea. The new CERTEST combined test for Rotavirus, Adenovirus, Astrovirus and Norovirus means the four main enteric vi- ruses causing non-bacterial gastroenteritis can be simultaneously detected in stool samples using just a single test which is both rapid and accurate. folleto ingles rotavirus -adenovirus- astrovirus.indd 1 14/07/2014 20:50:55 Test procedure Cut the end of the cap and dispense exactly 4 drops into the “A” circular window marked with an arrow. Unscrew the cap Close the tube with the diluent step and use the stick step and stool sample.
    [Show full text]
  • Norovirus Detection and Genotyping for Children with Gastroenteritis
    DISPATCHES of age (median age 2.3 years) with acute diarrhea in Rio Norovirus de Janeiro, Brazil. Of these, 478 (19.7%) specimens were collected from hospitalized children (inpatients) and 1,943 Detection and from outpatient children (341 [14.1%] from the emergency department and 1,602 [66.2%] from the walk-in clinic). Of Genotyping for these samples, 14.3% were positive for rotavirus (9.8%) or adenovirus (4.5%). The median age was 12.5 months for Children with rotavirus-positive patients and 12.2 months for adenovirus- Gastroenteritis, positive patients. Overall, of the hospitalized, emergency department, and walk-in clinic patients, 11.7%, 6.2%, Brazil and 10.0%, respectively, had samples positive for rotavi- rus, and 4.8%, 4.1%, and 4.4%, respectively, had samples Caroline C. Soares,*1 Norma Santos,* positive for adenovirus. Enteropathogenic bacteria such as Rachel Suzanne Beard,† Maria Carolina M. Escherichia coli, Salmonella spp., Yersinia enterocolitica, Albuquerque,* Adriana G. Maranhão,* Campylobacter spp., and Shigella spp. were found in 8% Ludmila N. Rocha,* Maria Liz Ramírez,* of the specimens. Seven mixed infections were detected (2 Stephan S. Monroe,† Roger I. Glass,† adenovirus and Salmonella spp., 2 adenovirus and E. coli, and Jon Gentsch† 1 adenovirus and Campylobacter spp., 1 rotavirus and Sal- monella spp., and 1 rotavirus and E. coli). During 1998–2005, we analyzed stool samples from We selected 289 specimens that represented a random 289 children in Rio de Janeiro to detect and genotype no- subset of samples that had prior negative results for rotavi- rovirus strains. Previous tests showed all samples to be rus and enteric adenovirus.
    [Show full text]
  • Foodborne Viruses
    Available online at www.sciencedirect.com ScienceDirect Foodborne viruses 1,2 1,2 1,2 Albert Bosch , Rosa M Pinto´ and Susana Guix Among the wide variety of viral agents liable to be found as food mortality, although the actual global burden of unsafe contaminants, noroviruses and hepatitis A virus are responsible food consumption remains hard to estimate [1]. Several for most well characterized foodborne virus outbreaks. factors, among them the increasing population and the Additionally, hepatitis E virus has emerged as a potential demand for continuous availability of seasonal products zoonotic threat.Molecular methods, including an ISO standard, all year-around, lead to global food trade among regions are available for norovirus and hepatitis A virus detection in with different hygienic standards and the vulnerability of foodstuffs, although the significance of genome copy the food supply. detection with regard to the associated health risk is yet to be determined through viability assays.More precise and rapid The World Health Organization (WHO) Foodborne Dis- methods for early foodborne outbreak investigation are ease Burden Epidemiology Reference Group provided in being developed and they will need to be validated versus 2015 the first estimates of global foodborne disease inci- the ISO standard. In addition, protocols for next-generation dence, mortality, and disease burden in terms of Disability sequencing characterization of outbreak-related samples Adjusted Life Years (DALYs) [1]. The global burden of must be developed, harmonized and validated as well. foodborne hazards was 33 million DALYs in 2010 (95% Addresses uncertainty interval [UI] 25–46); 40% affecting children 1 Enteric Virus Group, Department of Microbiology, University of under 5 years of age.
    [Show full text]
  • Norovirus Classification and Proposed Strain Nomenclature
    University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln Public Health Resources Public Health Resources 2006 Norovirus Classification and Proposed Strain Nomenclature Du-Ping Zheng Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA Tamie Ando Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA Rebecca L. Fankhauser Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA R. Suzanne Beard Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA Roger I. Glass Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA See next page for additional authors Follow this and additional works at: https://digitalcommons.unl.edu/publichealthresources Part of the Public Health Commons Zheng, Du-Ping; Ando, Tamie; Fankhauser, Rebecca L.; Beard, R. Suzanne; Glass, Roger I.; and Monroe, Stephan S., "Norovirus Classification and Proposed Strain Nomenclature" (2006). Public Health Resources. 89. https://digitalcommons.unl.edu/publichealthresources/89 This Article is brought to you for free and open access by the Public Health Resources at DigitalCommons@University of Nebraska - Lincoln. It has been accepted for inclusion in Public Health Resources by an authorized administrator of DigitalCommons@University of Nebraska - Lincoln. Authors Du-Ping Zheng, Tamie Ando, Rebecca L.
    [Show full text]