Mucosal Responses to Zika Virus Infection in Cynomolgus Macaques

Neil Berry1, Monja Stein2, Deborah Ferguson1

  • 1Division of Infectious Disease Diagnostics, National Institute for Biological Standards and Control (NIBSC), Potters Bar EN6 3QC, UK.

Insights

Zika virus (ZIKV) infection impacts mucosal tissues differently depending on exposure route. Vaginal ZIKV exposure causes inflammation and distinct proteomic changes, suggesting mucosal cytokine profiles may indicate persistent infection.

Area of Science:

  • Virology
  • Immunology
  • Infectious Diseases

Background:

  • Zika virus (ZIKV) continues to be reported globally, with no approved vaccines or antiviral treatments.
  • While primarily mosquito-borne, ZIKV exhibits sexual transmission and prolonged presence in semen.
  • Understanding mucosal immune responses is crucial for managing ZIKV infection.

Purpose of the Study:

  • To investigate mucosal immune responses to Zika virus (ZIKV) following subcutaneous and mucosal exposure in cynomolgus macaques.
  • To characterize tissue-specific changes and proteomic profiles during acute and chronic ZIKV infection.
  • To explore the potential of mucosal cytokine profiles as biomarkers for persistent ZIKV infection.

Main Methods:

  • Observational study involving subcutaneous and vaginal ZIKV challenge in cynomolgus macaques.
  • Analysis of growth factor VEGF and cytokine profiles in colorectal, cervicovaginal, and uterine tissues at 100 days post-challenge.
  • Ex vivo challenge of mucosal explants to assess acute-phase immune responses.
  • Proteomic analysis to differentiate between productive and non-productive infections.

Main Results:

  • Subcutaneous ZIKV challenge decreased VEGF in colorectal and cervicovaginal tissues, while vaginal challenge increased it.
  • VEGF was upregulated in the uterus irrespective of the challenge route.
  • Vaginal ZIKV challenge induced a pro-inflammatory profile in mucosal tissues during late chronic infection.
  • Distinct proteomic profiles were observed in non-productive versus productive infections, with altered VEGF and IL-10 levels.
  • Ex vivo challenge revealed tissue-specific cytokine modulation during the acute phase.

Conclusions:

  • Mucosal immune responses to ZIKV are route-dependent, with significant differences observed between subcutaneous and vaginal exposure.
  • Vaginal ZIKV infection elicits a pro-inflammatory response and distinct proteomic signatures, particularly in later stages.
  • Mucosal cytokine profiles show potential as diagnostic biomarkers for identifying persistent ZIKV infection.

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