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      Neotropical bats that co-habit with humans function as dead-end hosts for dengue virus

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          Abstract

          Several studies have shown Dengue Virus (DENV) nucleic acids and/or antibodies present in Neotropical wildlife including bats, suggesting that some bat species may be susceptible to DENV infection. Here we aim to elucidate the role of house-roosting bats in the DENV transmission cycle. Bats were sampled in households located in high and low dengue incidence regions during rainy and dry seasons in Costa Rica. We captured 318 bats from 12 different species in 29 households. Necropsies were performed in 205 bats to analyze virus presence in heart, lung, spleen, liver, intestine, kidney, and brain tissue. Histopathology studies from all organs showed no significant findings of disease or infection. Sera were analyzed by PRNT 90 for a seroprevalence of 21.2% (51/241), and by PCR for 8.8% (28/318) positive bats for DENV RNA. From these 28 bats, 11 intestine samples were analyzed by RT-PCR. Two intestines were DENV RNA positive for the same dengue serotype detected in blood. Viral isolation from all positive organs or blood was unsuccessful. Additionally, viral load analyses in positive blood samples by qRT-PCR showed virus concentrations under the minimal dose required for mosquito infection. Simultaneously, 651 mosquitoes were collected using EVS-CO 2 traps and analyzed for DENV and feeding preferences (bat cytochrome b). Only three mosquitoes were found DENV positive and none was positive for bat cytochrome b. Our results suggest an accidental presence of DENV in bats probably caused from oral ingestion of infected mosquitoes. Phylogenetic analyses suggest also a spillover event from humans to bats. Therefore, we conclude that bats in these urban environments do not sustain DENV amplification, they do not have a role as reservoirs, but function as epidemiological dead end hosts for this virus.

          Author summary

          Dengue is the most important human vector-borne disease. Several studies have shown DENV presence in mammalian wildlife such as bats, thus considering them putative reservoirs or hosts. We aimed to elucidate if bats that cohabit in houses in close proximity with humans may be involved in a dengue transmission cycle. We sampled bats in low and high dengue incidence areas during the dry (low mosquito abundance) and wet (high mosquito abundance) seasons. We analyzed blood and several organs. As previously reported, we found DENV nucleic acid and neutralizing antibodies in a small percentage of blood samples, but virus detection in all organs was negative. We were able to show that dengue found in all positive samples was in low concentration and thus virus isolation was unsuccessful. We found positive intestine samples which may suggest infection through DENV-positive mosquito ingestion. Furthermore, mosquitoes sampled in close vicinity of bats’ roosting place were not feeding on these mammals. Virus sequence analysis from bats and humans show a spillover effect from humans to bats. Taken together, our results indicate that bats do not sustain sufficient virus amplification in order to function as reservoirs and exclude them as players in the dengue virus transmission cycle.

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          Most cited references55

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          Epidemiology of dengue: past, present and future prospects

          Dengue is currently regarded globally as the most important mosquito-borne viral disease. A history of symptoms compatible with dengue can be traced back to the Chin Dynasty of 265–420 AD. The virus and its vectors have now become widely distributed throughout tropical and subtropical regions of the world, particularly over the last half-century. Significant geographic expansion has been coupled with rapid increases in incident cases, epidemics, and hyperendemicity, leading to the more severe forms of dengue. Transmission of dengue is now present in every World Health Organization (WHO) region of the world and more than 125 countries are known to be dengue endemic. The true impact of dengue globally is difficult to ascertain due to factors such as inadequate disease surveillance, misdiagnosis, and low levels of reporting. Currently available data likely grossly underestimates the social, economic, and disease burden. Estimates of the global incidence of dengue infections per year have ranged between 50 million and 200 million; however, recent estimates using cartographic approaches suggest this number is closer to almost 400 million. The expansion of dengue is expected to increase due to factors such as the modern dynamics of climate change, globalization, travel, trade, socioeconomics, settlement and also viral evolution. No vaccine or specific antiviral therapy currently exists to address the growing threat of dengue. Prompt case detection and appropriate clinical management can reduce the mortality from severe dengue. Effective vector control is the mainstay of dengue prevention and control. Surveillance and improved reporting of dengue cases is also essential to gauge the true global situation as indicated in the objectives of the WHO Global Strategy for Dengue Prevention and Control, 2012–2020. More accurate data will inform the prioritization of research, health policy, and financial resources toward reducing this poorly controlled disease. The objective of this paper is to review historical and current epidemiology of dengue worldwide and, additionally, reflect on some potential reasons for expansion of dengue into the future.
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            The global emergence/resurgence of arboviral diseases as public health problems.

            During the past 20 years there has been a dramatic resurgence or emergence of epidemic arboviral diseases affecting both humans and domestic animals. These epidemics have been caused primarily by viruses thought to be under control such as dengue, Japanese encephalitis, yellow fever, and Venezuelan equine encephalitis, or viruses that have expanded their geographic distribution such as West Nile and Rift Valley fever. Several of these viruses are presented as case studies to illustrate the changing epidemiology. The factors responsible for the dramatic resurgence of arboviral diseases in the waning years of the 20th century are discussed, as is the need for rebuilding the public health infrastructure to deal with epidemic vector-borne diseases in the 21st century.
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              Global Spread and Persistence of Dengue

              Dengue is a spectrum of disease caused by four serotypes of the most prevalent arthropod-borne virus affecting humans today, and its incidence has increased dramatically in the past 50 years. Due in part to population growth and uncontrolled urbanization in tropical and subtropical countries, breeding sites for the mosquitoes that transmit dengue virus have proliferated, and successful vector control has proven problematic. Dengue viruses have evolved rapidly as they have spread worldwide, and genotypes associated with increased virulence have expanded from South and Southeast Asia into the Pacific and the Americas. This review explores the human, mosquito, and viral factors that contribute to the global spread and persistence of dengue, as well as the interaction between the three spheres, in the context of ecological and climate changes. What is known, as well as gaps in knowledge, is emphasized in light of future prospects for control and prevention of this pandemic disease.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Negl Trop Dis
                PLoS Negl Trop Dis
                plos
                plosntds
                PLoS Neglected Tropical Diseases
                Public Library of Science (San Francisco, CA USA )
                1935-2727
                1935-2735
                18 May 2017
                May 2017
                : 11
                : 5
                : e0005537
                Affiliations
                [1 ]Virology-CIET (Research Center for Tropical Diseases), Microbiology, University of Costa Rica, San José, Costa Rica
                [2 ]Biology, University of Costa Rica, San José, Costa Rica
                [3 ]Institute of Virology, University of Bonn Medical Centre, Bonn, Germany
                [4 ]Exact and Natural Sciences School, National Distance Education University, San José, Costa Rica
                [5 ]German Centre for Infection Research, Bonn-Cologne, Germany
                [6 ]Department of Pathology, School of Veterinary Medicine, National University, Heredia, Costa Rica
                University of Washington, UNITED STATES
                Author notes

                The authors have declared that no competing interests exist.

                • Conceptualization: AVS AMS AC BRH ECA.

                • Data curation: AVS.

                • Formal analysis: AVS AMS CSG.

                • Funding acquisition: AVS AMS AC ECA.

                • Investigation: AVS AMS CSG AC LGC JAM AAA ECA.

                • Methodology: AVS AMS CSG LGC AC JFD JAM AAA BRH ECA.

                • Project administration: AVS AC ECA.

                • Resources: AVS LGC JFD ECA.

                • Supervision: JFD AC BRH ECA.

                • Validation: AVS AMS CSG JFD ECA.

                • Visualization: AVS AMS CSG.

                • Writing – original draft: AVS AMS CSG AC JFD ECA.

                • Writing – review & editing: AVS ECA.

                Author information
                http://orcid.org/0000-0002-0845-8329
                Article
                PNTD-D-16-01650
                10.1371/journal.pntd.0005537
                5451070
                28545090
                f676e14d-3f83-471b-9755-26bb466be4c5
                © 2017 Vicente-Santos et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 13 September 2016
                : 29 March 2017
                Page count
                Figures: 3, Tables: 0, Pages: 18
                Funding
                Funded by: FEES-CONARE
                Award ID: VI-803-B4-656
                Award Recipient :
                Funded by: Graduate Studies System Fund of the University of Costa Rica
                Award ID: SEP- FR-082
                Award Recipient :
                Funded by: Incentive Fund from the Postgraduate Studies Program of the National Council for Scientific and Technological Research (CONICIT)
                Award Recipient :
                This work was supported by FEES-CONARE VI-803-B4-656, the Graduate Studies System Fund of the University of Costa Rica (SEP- FR-082), and the Incentive Fund from the Postgraduate Studies Program of the National Council for Scientific and Technological Research (CONICIT). This work was also supported by the European Union’s Horizon 2020 research and innovation programme (ZIKAlliance grant agreement no. 734548). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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                2017-05-31
                All Supporting Information files are available from the GenBank database (accession numbers KY461756-KY461776 and KY474382).

                Infectious disease & Microbiology
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