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Published on: May 15, 2014
Smallpox virus plaque phenotypes: genetic, geographical and case fatality relationships
Victoria A Olson1, Kevin L Karem1, Scott K Smith1
1Poxvirus Team, Poxvirus and Rabies Branch, Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention, Mail Stop G-06, 1600 Clifton Road NE, Atlanta, GA 30333, USA.
Smallpox (Orthopoxvirus variola) virus comet formation, linked to extracellular enveloped virus (EEV) production, correlates with variola virus phylogeny and origin, not directly with case-fatality rates. Pathogenicity likely involves complex host and pathogen interactions.
Area of Science:
- Virology
- Infectious Diseases
- Epidemiology
Background:
- Smallpox, caused by Orthopoxvirus variola, is eradicated but remains a historical concern.
- Variability in smallpox case-fatality rates (CFRs) is not fully understood.
- The extracellular enveloped virus (EEV) form is hypothesized to spread orthopoxvirus infections.
Purpose of the Study:
- To investigate the association between comet formation (EEV production) in variola virus strains and their pathogenicity.
- To determine if EEV production correlates with historical smallpox outbreak case-fatality rates (CFRs).
Main Methods:
- Analysis of comet formation phenotypes in a diverse collection of variola virus strains.
- Correlation of comet formation with variola virus strain phylogeny and geographical origin.
- Comparison of comet formation and plaque size with outbreak-related CFRs.
Main Results:
- Increased comet formation in variola virus strains associated with strain phylogeny and geographical origin.
- No direct correlation found between increased comet formation and higher outbreak-related CFRs.
- A potential association between plaque size and CFR within specific variola virus clades was observed.
Conclusions:
- EEV production, indicated by comet formation, is linked to variola virus strain characteristics but not directly to overall pathogenicity or CFR.
- Variola virus pathogenicity is likely multifactorial, involving interactions between host and pathogen elements.
- Further research is needed to elucidate the precise mechanisms driving variola virus virulence.
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