Article
Infection by Brazilian and Dutch swine hepatitis E virus strains induces haematological changes in Macaca fascicularis
Registro en:
CARVALHO, Lilian G. de; et al. Infection by Brazilian and Dutch swine hepatitis E virus strains induces haematological changes in Macaca fascicularis. BMC Infectious Diseases, v.13, n.495, 11p, 2013.
10.1186/1471-2334-13-495
Autor
Carvalho, Lilian G. de
Marchevsky, Renato S.
Santos, Debora R. L. dos
Oliveira, Jaqueline M. de
Paula, Vanessa S. de
Lopes, Leilane M.
Van der Poel, Wilhelmus H. M.
González, Jorge E.
Munné, Maria S.
Moran, Julio
Cajaraville, Ana Carolina R. A.
Machado, Marcelo Pelajo
Cruz, Oswaldo Gonçalves
Pinto, Marcelo A.
Resumen
Background: Hepatitis E virus (HEV) has been described as an emerging pathogen in Brazil and seems to be widely
disseminated among swine herds. An autochthonous human case of acute hepatitis E was recently reported. To
obtain a better understanding of the phenotypic profiles of both human and swine HEV strains, a experimental
study was conducted using the animal model, Macaca fascicularis.
Methods: Six cynomolgus monkeys (Macaca fascicularis) were inoculated intravenously with swine HEV genotype 3
that was isolated from naturally and experimentally infected pigs in Brazil and the Netherlands. Two other monkeys
were inoculated with HEV genotype 3 that was recovered from Brazilian and Argentinean patients with locally
acquired acute and fulminant hepatitis E. The haematological, biochemical, and virological parameters of all animals
were monitored for 67 days.
Results: Subclinical hepatitis was observed in all monkeys after inoculation with HEV genotype 3 that was
recovered from the infected swine and human patients. HEV RNA was detected in the serum and/or faeces of 6 out
of the 8 cynomolgus monkeys between 5 and 53 days after inoculation. The mild inflammation of liver tissues and
elevations of discrete liver enzymes were observed. Seroconversions to anti-HEV IgM and/or IgG were detected in 7
animals. Reactivities to anti-HEV IgA were also detected in the salivary samples of 3 animals. Interestingly, all of the
infected monkeys showed severe lymphopenia and a trend toward monocytosis, which coincided with elevations
in alanine aminotransferase and antibody titres.
Conclusions: The ability of HEV to cross the species barrier was confirmed for both the swine (Brazilian and Dutch)
and human (Argentinean) strains, thus reinforcing the zoonotic risk of hepatitis E in South America. Cynomolgus
monkeys that were infected with HEV genotype 3 developed subclinical hepatitis that was associated with
haematological changes. Haematological approaches should be considered in future studies of HEV infection.