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Arenaviruses
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What
are the Arenaviridae? |
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The Arenaviridae
are a family of viruses whose members are generally associated with
rodent-transmitted disease in humans. Each virus usually is associated
with a particular rodent host species in which it is maintained.
Arenavirus infections are relatively common in humans in some areas
of the world and can cause severe illnesses.
The virus particles
are spherical and have an average diameter of 110-130 nanometers.
All are enveloped in a lipid (fat) membrane. Viewed in cross-section,
they show grainy particles that are ribosomes acquired from their
host cells. It is this characteristic that gave them their name,
derived from the Latin "arena," which means "sandy."
Their genome, or genetic material, is composed of RNA only, and
while their replication strategy is not completely understood, we
know that new viral particles, called virions, are created by budding
from the surface of their hosts cells.
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Vero
E6 tissue culture cell infected with an arenavirus. Image
shows extracellular virus particles budding from the cell surface.
Click the image to see a high-resolution version. Image courtesy
Cynthia Goldsmith, MS, Infectious Disease Pathology Activity, DVRD,
NCID, CDC. Go to high-resolution
version.
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When
were the members of this virus family recognized? |
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The first arenavirus,
lymphocytic choriomeningitis virus (LCMV), was
isolated in 1933 during a study of an epidemic of St. Louis encephalitis.
Although not the cause of the outbreak, LCMV was found to be a cause of
aseptic (nonbacterial) meningitis. By the 1960s, several similar viruses
had been discovered and they were classified into the new family Arenaviridae.
Since Tacaribe virus was found in 1956, new arenaviruses have been discovered
on the average of every one to three years. A number of arenaviruses cause
hemorrhagic disease. Junin virus, isolated in 1958, was the first of these
to be recognized. This virus causes Argentine hemorrhagic fever in a limited
agricultural area of the pampas in Argentina. Several years later, in
1963, in the remote savannas of the Beni province of Bolivia, Machupo
virus was isolated. The next member of the virus family to be associated
with an outbreak of human illness was Lassa virus in Africa in 1969. Most
recently, Guanarito and Sabia viruses were added to this family.
What
viruses are included in the virus family? |
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The arenaviruses
are divided into two groups: the New World or Tacaribe complex and the
Old World or LCM/Lassa complex. Viruses in these groups that cause illness
in humans are listed below:
Virus |
Disease |
Lassa
virus |
Lassa
fever |
Junin
virus |
Argentine
hemorrhagic fever |
Machupo
virus |
Bolivian
hemorrhagic fever |
Guanarito
virus |
Venezuelan
hemorrhagic fever |
Sabia |
Brazilian
hemorrhagic fever |
What
kinds of animal hosts do these viruses have? |
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These viruses are
zoonotic, meaning that, in nature, they are found in animals. Each virus
is associated with either one species or a few closely related rodents,
which constitute the virus natural reservoir. Tacaribe complex viruses
are generally associated with the New World rats and mice (family Muridae,
subfamily Sigmodontinae). The LCM/Lassa complex viruses are associated
with the Old World rats and mice (family Muridae, subfamily Murinae).
Taken together, these types of rodents are located across the greater
proportion of the earths land mass, including Europe, Asia, Africa,
and the Americas. One notable exception is Tacaribe virus, found in Trinidad,
which was isolated from a bat.
How
are arenaviruses spread? |
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The rodent hosts
of arenaviruses are chronically infected with the viruses; however, the
viruses do not appear to cause obvious illness in them. Some Old World
arenaviruses appear to be passed from mother rodents to their offspring
during pregnancy, and thus remain in the rodent population generation
after generation. Some New World arenaviruses are transmitted among adult
rodents, likely via fighting and inflicting bites. Only a portion of the
rodents in each host species is infected at any one time, and in many
cases only in a limited portion of the hosts geographical range.
The viruses are shed into the environment in the urine or droppings of
their infected hosts.
Human infection with
arenaviruses is incidental to the natural cycle of the viruses and occurs
when an individual comes into contact with the excretions or materials
contaminated with the excretions of an infected rodent, such as ingestion
of contaminated food, or by direct contact of abraded or broken skin with
rodent excrement. Infection can also occur by inhalation of tiny particles
soiled with rodent urine or saliva (aerosol transmission). The types of
incidental contact depend on the habits of both humans and rodents. For
example, where the infected rodent species prefers a field habitat, human
infection is associated with agricultural work. In areas where the rodent
species habitat includes human homes or other buildings, infection
occurs in domestic settings.
Some arenaviruses,
such as Lassa and Machupo viruses, are associated with secondary person-to-person
and nosocomial (health-care setting) transmission. This occurs when a
person infected by exposure to the virus from the rodent host spreads
the virus to other humans. This may occur in a variety of ways. Person-to-person
transmission is associated with direct contact with the blood or other
excretions, containing virus particles, of infected individuals. Airborne
transmission has also been reported in connection with certain viruses.
Contact with objects contaminated with these materials, such as medical
equipment, is also associated with transmission. In these situations,
use of protective clothing and disinfection procedures (together called
barrier nursing) help prevent further spread of illness.
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