A Re-emerging Respiratory Virus: Human Metapneumovirus (hMPV)

Baijayantimala Mishra1, Diksha Mohapatra1, Manisha Tripathy1

  • 1Microbiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

Cureus
|March 4, 2025
PubMed

Insights

Human metapneumovirus (hMPV) causes respiratory infections globally in all age groups. This review details hMPV

Area of Science:

  • Virology
  • Infectious Diseases
  • Public Health

Background:

  • Human metapneumovirus (hMPV) is a significant respiratory pathogen affecting diverse populations worldwide.
  • hMPV is an enveloped virus with a single-stranded, negative-sense RNA genome, contributing to its infectivity.
  • Global prevalence peaks during late winter and spring, with transmission via droplet and aerosol routes.

Purpose of the Study:

  • To provide a comprehensive overview of human metapneumovirus (hMPV).
  • To consolidate current knowledge on hMPV's structure, genetics, epidemiology, and clinical impact.
  • To review diagnostic, treatment, and outbreak data for hMPV.

Main Methods:

  • This study is a review article synthesizing existing research on hMPV.
  • Information was gathered from worldwide reports on hMPV structure, replication, and genotypes.
  • Epidemiological data, transmission dynamics, clinical presentations, and treatment strategies were analyzed.

Main Results:

  • hMPV presents with symptoms ranging from upper to lower respiratory tract infections, including fever, cough, pneumonia, and croup.
  • Reverse transcription polymerase chain reaction (RT-PCR) is the preferred diagnostic method due to difficulties in viral culture.
  • The virus exhibits distinct genotypes and seasonal patterns, influencing its epidemiological spread.

Conclusions:

  • hMPV is a globally significant respiratory virus with varied clinical manifestations.
  • Effective diagnosis relies on molecular methods like RT-PCR.
  • Understanding hMPV's characteristics is crucial for managing respiratory infections and potential outbreaks.

Related Concept Videos

Viral Recombination00:57

Viral Recombination

Cells are sometimes infected by more than one virus at once. When two viruses disassemble to expose their genomes for replication in the same cell, similar regions of their genomes can pair together and exchange sequences in a process called recombination. Alternatively, viruses with segmented genomes can swap segments in a process called reassortment.
23.2K
Pneumonia II: Pathophysiology01:29

Pneumonia II: Pathophysiology

The pathophysiology of pneumonia involves the following steps:
199
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
201
Viral Mutations00:36

Viral Mutations

A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
32.1K
Common Respiratory Disorders01:31

Common Respiratory Disorders

Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
202
Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
151