Zika Virus RNA Replication and Persistence in Brain and Placental Tissue

被引:167
作者
Bhatnagar, Julu [1 ,5 ]
Rabeneck, Demi B. [1 ]
Martines, Roosecelis B. [1 ]
Reagan-Steiner, Sarah [1 ]
Ermias, Yokabed [1 ]
Estetter, Lindsey B. C. [1 ]
Suzuki, Tadaki [1 ]
Ritter, Jana [1 ]
Keating, M. Kelly [1 ]
Hale, Gillian [1 ]
Gary, Joy [1 ]
Muehlenbachs, Atis [1 ]
Lambert, Amy [2 ]
Lanciotti, Robert [2 ]
Oduyebo, Titilope [1 ]
Meaney-Delman, Dana [1 ]
Bolanos, Fernando [3 ]
Saad, Edgar Alberto Parra [4 ]
Shieh, Wun-Ju [1 ]
Zaki, Sherif R. [1 ]
机构
[1] Ctr Dis Control & Prevent, 1600 Clifton Rd NE,Mailstop G32, Atlanta, GA 30329 USA
[2] Ctr Dis Control & Prevent, Ft Collins, CO USA
[3] Patol Hosp Univ Neiva, Neiva, Colombia
[4] Inst Nacl Salud, Bogota, Colombia
[5] CDC, Mol Pathol, Infect Dis Pathol Branch, Div High Consequence Pathogens & Pathol,Natl Ctr, Atlanta, GA 30333 USA
关键词
RT-PCR; INFECTION; PREGNANCY; ANTIBODY; DEFECTS; BRAZIL;
D O I
10.3201/eid2303.161499
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Zika virus is causally linked with congenital microcephaly and may be associated with pregnancy loss. However, the mechanisms of Zika virus intrauterine transmission, replication, and tropism and persistence in tissues are poorly understood. We tested tissues from 52 case-patients: 8 infants with microcephaly who died and 44 women suspected of being infected with Zika virus during pregnancy. By reverse transcription PCR, tissues from 32 (62%) case-patients (brains from 8 infants with microcephaly and placental/fetal tissues from 24 women) were positive for Zika virus. In situ hybridization localized replicative Zika virus RNA in brains of 7 infants and in placentas of 9 women who had pregnancy losses during the first or second trimester. These findings demonstrate that Zika virus replicates and persists in fetal brains and placentas, providing direct evidence of its association with microcephaly. Tissue-based reverse transcription PCR extends the time frame of Zika virus detection in congenital and pregnancy-associated infections.
引用
收藏
页码:405 / 414
页数:10
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