Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa

The number of sporadic and epidemic dengue fever cases have reportedly been increasing in recent years in some West African countries, such as Senegal and Mali. The first epidemic of laboratory-confirmed dengue occurred in Nouakchott, the capital city of Mauritania situated in the Saharan desert, in...

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Autores principales: Toscane Fourié, Ahmed El Bara, Audrey Dubot-Pérès, Gilda Grard, Sébastien Briolant, Leonardo K. Basco, Mohamed Ouldabdallahi Moukah, Isabelle Leparc-Goffart
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spelling oai:doaj.org-article:56c5b0a7bf2144a593ad3662becc43112021-11-11T09:25:06ZEmergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa1935-27271935-2735https://doaj.org/article/56c5b0a7bf2144a593ad3662becc43112021-10-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568173/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735The number of sporadic and epidemic dengue fever cases have reportedly been increasing in recent years in some West African countries, such as Senegal and Mali. The first epidemic of laboratory-confirmed dengue occurred in Nouakchott, the capital city of Mauritania situated in the Saharan desert, in 2014. On-site diagnosis of dengue fever was established using a rapid diagnostic test for dengue. In parallel, the presence of Aedes aegypti mosquitoes in the city was confirmed. The initial diagnosis was confirmed by RT-PCR, which showed that all samples from the 2014 dengue epidemic in Nouakchott were dengue virus serotype 2 (DENV-2). The whole genome or envelope protein gene of these strains, together with other DENV-2 strains obtained from travelers returning from West African countries to France between 2016 and 2019 (including two Mauritanian strains in 2017 and 2018), were sequenced. Phylogenetic analysis suggested a recent emergence of an epidemic strain from the cosmopolitan genotype belonging to West African cosmopolitan lineage II, which is genetically distinct from African sylvatic genotype. The origin of this DENV-2 lineage is still unknown, but our data seem to suggest a recent and rapid dispersion of the epidemic strain throughout the region. More complete genome sequences of West African DENV-2 are required for a better understanding of the dynamics of its circulation. Arboviral surveillance and outbreak forecasting are urgently needed in West Africa. Author summary In Africa, dengue viruses 1 to 4 are transmitted to primates by Aedes mosquitoes in a sylvatic cycle or an urban/epidemic cycle involving humans. Infection in humans may be asymptomatic or may range from mild flu-like illness to severe hemorrhagic fever. The dengue viruses have a pantropical distribution, mostly in urbanized areas where vectors have become well adapted. This report shows dengue can also emerge in desert areas, as seen for the first time in an outbreak in 2014 in Nouakchott, Mauritania, where climatic, environmental, and human behavioral changes favor the emergence of Aedes mosquitoes. Dengue virus 2 was found in multiple human samples collected during the outbreak. Genomic analysis of dengue virus 2 isolates from the Mauritanian outbreak and from infected travelers revealed the rapid emergence of a specific “West African epidemic strain” of the virus throughout West Africa during the last decade, which is distinct from other strains found elsewhere and from historical or sylvatic strains. More genomic data would help us understand the circulation of dengue virus in West Africa, to help forecast and mitigate outbreaks in this region.Toscane FouriéAhmed El BaraAudrey Dubot-PérèsGilda GrardSébastien BriolantLeonardo K. BascoMohamed Ouldabdallahi MoukahIsabelle Leparc-GoffartPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Toscane Fourié
Ahmed El Bara
Audrey Dubot-Pérès
Gilda Grard
Sébastien Briolant
Leonardo K. Basco
Mohamed Ouldabdallahi Moukah
Isabelle Leparc-Goffart
Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa
description The number of sporadic and epidemic dengue fever cases have reportedly been increasing in recent years in some West African countries, such as Senegal and Mali. The first epidemic of laboratory-confirmed dengue occurred in Nouakchott, the capital city of Mauritania situated in the Saharan desert, in 2014. On-site diagnosis of dengue fever was established using a rapid diagnostic test for dengue. In parallel, the presence of Aedes aegypti mosquitoes in the city was confirmed. The initial diagnosis was confirmed by RT-PCR, which showed that all samples from the 2014 dengue epidemic in Nouakchott were dengue virus serotype 2 (DENV-2). The whole genome or envelope protein gene of these strains, together with other DENV-2 strains obtained from travelers returning from West African countries to France between 2016 and 2019 (including two Mauritanian strains in 2017 and 2018), were sequenced. Phylogenetic analysis suggested a recent emergence of an epidemic strain from the cosmopolitan genotype belonging to West African cosmopolitan lineage II, which is genetically distinct from African sylvatic genotype. The origin of this DENV-2 lineage is still unknown, but our data seem to suggest a recent and rapid dispersion of the epidemic strain throughout the region. More complete genome sequences of West African DENV-2 are required for a better understanding of the dynamics of its circulation. Arboviral surveillance and outbreak forecasting are urgently needed in West Africa. Author summary In Africa, dengue viruses 1 to 4 are transmitted to primates by Aedes mosquitoes in a sylvatic cycle or an urban/epidemic cycle involving humans. Infection in humans may be asymptomatic or may range from mild flu-like illness to severe hemorrhagic fever. The dengue viruses have a pantropical distribution, mostly in urbanized areas where vectors have become well adapted. This report shows dengue can also emerge in desert areas, as seen for the first time in an outbreak in 2014 in Nouakchott, Mauritania, where climatic, environmental, and human behavioral changes favor the emergence of Aedes mosquitoes. Dengue virus 2 was found in multiple human samples collected during the outbreak. Genomic analysis of dengue virus 2 isolates from the Mauritanian outbreak and from infected travelers revealed the rapid emergence of a specific “West African epidemic strain” of the virus throughout West Africa during the last decade, which is distinct from other strains found elsewhere and from historical or sylvatic strains. More genomic data would help us understand the circulation of dengue virus in West Africa, to help forecast and mitigate outbreaks in this region.
format article
author Toscane Fourié
Ahmed El Bara
Audrey Dubot-Pérès
Gilda Grard
Sébastien Briolant
Leonardo K. Basco
Mohamed Ouldabdallahi Moukah
Isabelle Leparc-Goffart
author_facet Toscane Fourié
Ahmed El Bara
Audrey Dubot-Pérès
Gilda Grard
Sébastien Briolant
Leonardo K. Basco
Mohamed Ouldabdallahi Moukah
Isabelle Leparc-Goffart
author_sort Toscane Fourié
title Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa
title_short Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa
title_full Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa
title_fullStr Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa
title_full_unstemmed Emergence of dengue virus serotype 2 in Mauritania and molecular characterization of its circulation in West Africa
title_sort emergence of dengue virus serotype 2 in mauritania and molecular characterization of its circulation in west africa
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/56c5b0a7bf2144a593ad3662becc4311
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