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More than half of the infectious diseases in humans are caused by zoonotic pathogens or pathogens of animal origin that were transmitted to humans a long time ago. Two important rodent-associated zoonotic pathogens are hantaviruses and human-pathogenic Leptospira spp. Both pathogens induce lifelong infection in the rodent hosts that shed the pathogen. Infection with these zoonotic pathogens in humans can cause clinical symptoms. Since some rodents, like the common vole (Microtus arvalis) and the bank vole (Clethrionomys glareolus syn. Myodes glareolus), have cyclic mass reproduction, this can result in years of population outbreaks in an increased number of disease cases in humans. This was found to be the case with the leptospirosis outbreaks in Germany and tularemia outbreaks in Spain, which were traced back to increased common vole density, as well as with the hantavirus disease outbreaks in several European countries, which were associated with bank vole population outbreaks.
The aim of this work was to define the distribution and prevalence of different hantaviruses and leptospires as well as their coinfection in different European rodents, with a focus on voles from the genus Microtus and the identification of factors that affect the pathogen prevalence in rodent hosts. Therefore, common voles, bank voles, striped field mice (Apodemus agrarius) and other rodents were screened by molecular methods for the presence and prevalence of Leptospira spp. and different hantaviruses. Additionally, in selected studies, the presence of anti-hantavirus antibodies was screened by enzyme-linked immunosorbent assay (ELISA) using recombinant hantavirus-nucleocapsid proteins. The prevalence of hantavirus, Leptospira spp. and double-infections with both pathogens was analyzed using individual and population-based factors. Small mammals from four different European countries, Spain in the West, Germany and Austria in Central and Lithuania in Northeastern Europe, were included in the studies.
With the molecular screenings, two new hantavirus strains were detected in continental Europe and were named Traemmersee hantavirus (TRAV) and Rusne hantavirus (RUSV) after the trapping locations in Germany and Lithuania, respectively. TRAV was detected in a field vole (Microtus agrestis) from the federal state of Brandenburg, Germany, while RUSV was detected in root voles (Microtus oeconomus) from Lithuania. Phylogenetic analysis of both hantaviruses indicates their close relation to Tatenale hantavirus and Kielder hantavirus, which were discovered in field voles in Great Britain. A pairwise evolutionary distance (PED) analysis showed that all four hantaviruses belong to the same hantavirus species, for which the putative name “Tatenale orthohantavirus” was proposed. Additionally, a recombinant RUSV antigen was generated and used successfully in ELISA for the detection of RUSV-specific antibodies and for the analysis of the cross-reactivity of monoclonal and polyclonal antibodies.
In Germany, Tula orthohantavirus (TULV) was foremost detected in common voles in Thuringia and Brandenburg but was also detected in field voles in Brandenburg. Puumala orthohantavirus (PUUV) was detected in Thuringia at the virus distribution border, but sequences differed strongly from known sequences from another neighboring trapping location. While in Austria Dobrava-Belgrade orthohantavirus (DOBV), genotype Kurkino, was detected for the first time in striped field mice, no hantavirus RNA was detected in common voles from Spain. The cause of this absence in the Iberian common vole population might be its long-term isolation from the common vole populations more to the east. The TULV prevalence in Germany in this study was dependent on the season and on the prior growth of the reservoir population. An individual factor that affected the hantavirus prevalence, was the increasing age of the common vole.
Leptospira spp.-DNA was detected in common voles from Spain and Germany, as well as in one striped field mouse from Austria. Except for the two detections of L. borgpetersenii in Spain, which were probably the result of spillover infections, only the genomospecies L. kirschneri was detected in common voles from Spain and Germany. The high prevalence of Leptospira spp., as well as the detection of only one genomospecies, confirm that L. kirschneri is the genomospecies for which the common vole is the main reservoir. Important factors for the Leptospira spp. prevalence were found to be, in addition to temperature and rainfall, the season and the preceding common vole density. Like the case with hantavirus, the age of the vole was found to be an influencing factor.
In Germany, coinfections of TULV and Leptospira spp. were detected. These were associated with high common vole density and increased with the age of the common vole. Furthermore, the incidence of coinfections seems to be impacted more by the Leptospira spp. than by the hantavirus prevalence.
As part of this thesis, TULV and PUUV were detected in previously untested regions in Germany, DOBV was detected for the first time in Austria and the distribution range of the putative species “Tatenale orthohantavirus” was extended to continental Europe for the first time with detection in two countries. Screenings in Spain indicate that certain common vole populations can be free from TULV infection. Furthermore, leptospires were detected in rodents from Spain, Germany and Austria. It was verified that certain Leptospira genomospecies are host-specific. Factors that influence the prevalence of infection or coinfection by hantaviruses and leptospires were determined.
The origin and hosts associated with the Tatenale orthohantavirus should be clarified in further studies including the field vole and the root vole as well as other members of the genus Microtus in Europe and Asia. The development of a RUSV-antigen-based ELISA will enable future screening in humans and therefore might provide information about the human pathogenicity of this pathogen. For final confirmation of the zoonotic potential, isolation of the virus and development of a focus reduction neutralization test are necessary. The expansion of the striped field mouse to Austria and the detectable carryover of DOBV associated with this implies that further screening studies to more precisely characterize the distribution of DOBV (and other pathogens) are needed. The studies of DOBV spread in Austria as well as PUUV spread in Germany could help to better understand the emergence of zoonotic pathogens in new regions. The here described hantavirus-Leptospira spp. and Neoehrlichia mikurensis-Bartonella spp. coinfections should be further analyzed to characterize the interactions of the pathogens in the context of a microbiome and their influence on epidemiological aspects of the involved pathogens. The here identified individual and population-based impact factors for the TULV and Leptospira spp. prevalence should support the development and optimization of prediction models.
Orthohantaviruses are rodent-borne pathogens distributed all over the world, which do not cause visible disease in their reservoir host. Puumala orthohantavirus (PUUV) causes most human hantavirus disease cases in Europe and is transmitted by the bank vole (Clethrionomys glareolus). Hantaviruses have a tri-segmented genome consisting of the large (L) segment, coding for the RNA-dependent RNA polymerase (RdRP), the medium (M) segment, encoding the glycoproteins, and the small (S) segment. The S-segment contains two major overlapping open reading frames (ORF) coding for the nucleocapsid (N) protein and a non-structural (NSs) protein, a putative type I interferon (IFN-I) antagonist. To date, pathogenesis and reservoir host adaptation of hantaviruses are poorly understood due to missing adequate cell culture and animal models.
In contrast to previous studies, in this work, data from spring and summer 2019 indicated a high vole abundance, a high PUUV prevalence in voles and high human incidence for some endemic regions in Germany, but elsewhere values were low to moderate. Regional and local human health institutions need to be aware about the heterogeneous distribution of human PUUV infection risk.
For a better understanding of virus-host associations, two novel cell lines from bank voles and common voles each were generated and their susceptibility and replication capacities for a variety of zoonotic and non-zoonotic viruses were analyzed. The PUUV strain Vranica/Hällnäs showed efficient replication in a new bank vole kidney cell line, but not in four other cell lines of bank and common voles. Vice versa, Tula orthohantavirus (TULV) replicated in the kidney cell line of common voles, but was hampered in its replication in other cell lines. Several viruses, such as Cowpox virus, Vaccinia virus, Rift Valley fever virus, and Encephalomyocarditis virus 1 replicated in all four cell lines. West Nile virus, Usutu virus, Sindbis virus and Tick-borne encephalitis virus replicated only in a part of the cell lines. These results indicate a tissue or species specific tropism for many of the tested viruses and the potential value of vole cell lines to address such questions in detail.
Using one of these new cell lines, the first German PUUV strains were isolated from bank voles caught in the highly endemic region around Osnabrück. Complete genomes were determined by target-enrichment-mediated high-throughput sequencing from original lung tissue, after isolation and after additional passaging in VeroE6 cells and a bank vole-derived kidney cell line. Different single amino acid substitutions were observed in the RdRP of the two stable PUUV isolates. The PUUV strain isolated on VeroE6 cells showed a lower titer when propagated on bank vole cells compared to VeroE6 cells. Additionally, glycoprotein precursor (GPC)-derived virus-like particles of a German PUUV strain from the same region allowed the generation of monoclonal antibodies that reacted with the isolated PUUV strains.
To investigate the role of PUUV and other vole-borne hantavirus NSs proteins, the evolution of the NSs and N encoding sequences was investigated by a field study in bank voles and the NSs sequences were characterized in vitro for their inhibitory effect on the human interferon-β promoter. Analysis of blood and lung samples of 851 bank voles trapped during 2010-2014 in Baden-Wuerttemberg and North Rhine-Westphalia resulted in detection of 27.8% PUUV-specific antibody positive bank voles, whereas in 22.3% PUUV-specific RNA was detected. In the hantavirus outbreak years 2010 and 2012 PUUV prevalence in bank voles was higher compared to 2011, 2013 and 2014. Sequences of the S segment of all positive bank voles showed amino acid and nucleotide sequence types of the NSs-ORF with temporal and/or local variation, whereas the N-ORF was highly conserved. One sequence type persisted over the whole observation period in both regions. The NSs coding sequence was highly divergent among regional bank vole populations in the outbreak year 2012.
Transfection experiments resulted in the detection of different products of the NSs-ORF of PUUV, TULV, Prospect Hill and Khabarovsk orthohantaviruses, due to translation initiation at different methionine codons along the coding sequence. Using luciferase reporter assays, the NSs proteins of PUUV, TULV, Prospect Hill and Khabarovsk orthohantaviruses showed inhibition of IFN-I induction of up to 70%, whereas Sin Nombre and Andes orthohantavirus NSs proteins showed a reduced effect compared to the other NSs proteins. The first 20 amino acids of the N-terminal region of PUUV NSs were found to be crucial for IFN-I promoter inhibition.
In conclusion, the newly established cell lines, antibodies, reporter assays and PUUV isolates are highly valuable tools for future hantavirus research. The activity of PUUV NSs protein in human cells contributes to our understanding of virus-host interactions and highlights the importance of corresponding future reservoir host studies. Hantavirus surveillance studies showed the necessity for timely information of the potential human PUUV infection risk to public health institutions in endemic areas to initiate appropriate actions.