Transmission dynamics of MERS-CoV in a transgenic human DPP4 mouse model

Neeltje van Doremalen1, Trenton Bushmaker1, Robert J Fischer1

  • 1Division of Intramural Research, Laboratory of Virology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USA.

Npj Viruses
|April 28, 2025
PubMed

Insights

A new mouse model shows limited transmission of Middle East respiratory syndrome coronavirus (MERS-CoV) via fomites, direct contact, and airborne routes. This model aids in understanding MERS-CoV evolution and human-to-human transmission potential.

Area of Science:

  • Virology
  • Infectious Diseases
  • Animal Models

Background:

  • Three novel coronavirus outbreaks (SARS-CoV-1, MERS-CoV, SARS-CoV-2) since 2002 highlight the need to understand transmission.
  • Understanding coronavirus transmission is crucial for effective infection control and preventing widespread outbreaks.
  • Environmental stability and transmission modeling are key to managing coronavirus spread.

Purpose of the Study:

  • To investigate the transmission potential of Middle East respiratory syndrome coronavirus (MERS-CoV) in a novel animal model.
  • To assess MERS-CoV transmission via fomites, direct contact, and airborne routes.
  • To establish a human dipeptidyl peptidase 4 (hDPP4) transgenic mouse model for studying MERS-CoV evolution and transmission.

Main Methods:

  • Transgenic mice expressing human DPP4 (hDPP4) were infected with MERS-CoV.
  • Exposure to MERS-CoV-infected donor mice via fomites, direct contact, and airborne routes was evaluated.
  • Sentinel mice were used to assess transmission from infected donor mice.

Main Results:

  • Transgenic mice expressing hDPP4 were susceptible to MERS-CoV infection via the aerosol route.
  • Limited transmission was observed via fomites (15/20 and 11/18 animals), direct contact (1/38 mice), and airborne routes (4/54 mice).
  • Higher MERS-CoV doses resulted in limited transmission, while lower doses showed no transmission via direct or airborne contact.

Conclusions:

  • The hDPP4 mouse model demonstrates limited MERS-CoV transmission through fomites, direct contact, and airborne routes.
  • This model is valuable for assessing MERS-CoV evolution, particularly in acquiring enhanced human-to-human transmission.
  • Findings will inform the development of future MERS-CoV transmission models and intervention strategies.