Fetal demise and failed antibody therapy during Zika virus infection of pregnant macaques

被引:0
作者
Diogo M. Magnani
Thomas F. Rogers
Nicholas J. Maness
Nathan D. Grubaugh
Nathan Beutler
Varian K. Bailey
Lucas Gonzalez-Nieto
Martin J. Gutman
Núria Pedreño-Lopez
Jaclyn M. Kwal
Michael J. Ricciardi
Tereance A. Myers
Justin G. Julander
Rudolf P. Bohm
Margaret H. Gilbert
Faith Schiro
Pyone P. Aye
Robert V. Blair
Mauricio A. Martins
Kathrine P. Falkenstein
Amitinder Kaur
Christine L. Curry
Esper G. Kallas
Ronald C. Desrosiers
Pascal J. Goldschmidt-Clermont
Stephen S. Whitehead
Kristian G. Andersen
Myrna C. Bonaldo
Andrew A. Lackner
Antonito T. Panganiban
Dennis R. Burton
David I. Watkins
机构
[1] University of Miami Leonard M. Miller School of Medicine,Department of Pathology
[2] The Scripps Research Institute,Department of Immunology and Microbiology
[3] Tulane National Primate Research Center,Institute for Antiviral Research
[4] Utah State University,Department of Obstetrics and Gynecology
[5] University of Miami Leonard M. Miller School of Medicine,Division of Clinical Immunology and Allergy, School of Medicine
[6] University of São Paulo,Department of Medicine
[7] University of Miami Leonard M. Miller School of Medicine,Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases
[8] National Institutes of Health,Department of Integrative Structural and Computational Biology
[9] Scripps Translational Science Institute,Laboratório de Biologia Molecular de Flavivírus
[10] The Scripps Research Institute,Ragon Institute
[11] Instituto Oswaldo Cruz,undefined
[12] Fiocruz,undefined
[13] Harvard Medical School,undefined
来源
Nature Communications | / 9卷
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摘要
Zika virus (ZIKV) infection of pregnant women is associated with pathologic complications of fetal development. Here, we infect pregnant rhesus macaques (Macaca mulatta) with a minimally passaged ZIKV isolate from Rio de Janeiro, where a high rate of fetal development complications was observed. The infection of pregnant macaques with this virus results in maternal viremia, virus crossing into the amniotic fluid (AF), and in utero fetal deaths. We also treated three additional ZIKV-infected pregnant macaques with a cocktail of ZIKV-neutralizing human monoclonal antibodies (nmAbs) at peak viremia. While the nmAbs can be effective in clearing the virus from the maternal sera of treated monkeys, it is not sufficient to clear ZIKV from AF. Our report suggests that ZIKV from Brazil causes fetal demise in non-human primates (NHPs) without additional mutations or confounding co-factors. Treatment with a neutralizing anti-ZIKV nmAb cocktail is insufficient to fully stop vertical transmission.
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