Marburg Virus Disease: An Emerging Public Health Challenge
DOI:
https://doi.org/10.31674/mjmr.2023.v07i01.003Abstract
Marburg Virus is a contagious virus belonging to the family Filoviridae, which is shared by Ebola Virus. It leads to a disease which is typically characterized by viral haemorrhagic fever (VHF). The infection can get systemic during the late organ phase, which eventually leads to multi-organ dysfunction, thereby making it a deadly disease. An important factor contributing to its tissue tropism is the Marburg Virus glycoprotein (MARV GP), while a host of nucleocapsid-associated as well as matrix-associated proteins contribute to its features of immune evasion and viral spread. Till now, all of the major outbreaks have been traced to African origins and efforts are being made to raise awareness regarding this emerging infectious disease. Prevention is dependent on early diagnosis or detection, which relies upon RT-PCR, Antigen ELISA, Antibody ELISA, etc., as well as protection against the natural reservoirs, the Egyptian fruit bat, and their droppings. Adequate protection and distancing from the infected vectors, the non-human primates (NHPs) is also crucial. This review discusses some key aspects of Marburg Virus and the disease that it causes, while also throwing light on prevention and control strategies, in the backdrop of the recent outbreak in Ghana. The review concludes by drawing a parallel between MARV and other bat-borne as well as RNA viruses, integrated with the selection pressure on this virus to delineate the potentiality of a future large-scale outbreak of MVD.
Keywords:
Egyptian fruit bat, Filoviridae, Immune evasion, MARV GP, NHP, Selection pressure, Tissue tropism, Vector, VHFDownloads
References
Abir, M. H., Rahman, T., Das, A., Etu, S. N., Nafiz, I. H., Rakib, A., Mitra, S., Emran, T. B., Dhama, K., Islam, A., Siyadatpanah, A., Mahmud, S., Kim, B., & Hassan, M. M. (2022). Pathogenicity and virulence of Marburg virus. Virulence, 13(1), 609–633. https://doi.org/10.1080/21505594.2022.2054760
Ajelli, M., & Merler, S. (2012). Transmission potential and design of adequate control measures for Marburg hemorrhagic fever. PloS one, 7(12), e50948. https://doi.org/10.1371/journal.pone.0050948
Amman, B. R., Bird, B. H., Bakarr, I. A., Bangura, J., Schuh, A. J., Johnny, J., Sealy, T. K., Conteh, I., Koroma, A. H., Foday, I., Amara, E., Bangura, A. A., Gbakima, A. A., Tremeau-Bravard, A., Belaganahalli, M., Dhanota, J., Chow, A., Ontiveros, V., Gibson, A., Turay, J., … Lebbie, A. (2020). Isolation of Angola-like Marburg virus from Egyptian rousette bats from West Africa. Nature communications, 11(1), 510. https://doi.org/10.1038/s41467-020-14327-8
Amman, B. R., Carroll, S. A., Reed, Z. D., Sealy, T. K., Balinandi, S., Swanepoel, R., Kemp, A., Erickson, B. R., Comer, J. A., Campbell, S., Cannon, D. L., Khristova, M. L., Atimnedi, P., Paddock, C. D., Crockett, R. J., Flietstra, T. D., Warfield, K. L., Unfer, R., Katongole-Mbidde, E., Downing, R., … Towner, J. S. (2012). Seasonal pulses of Marburg virus circulation in juvenile Rousettus aegyptiacus bats coincide with periods of increased risk of human infection. PLoS pathogens, 8(10), e1002877. https://doi.org/10.1371/journal.ppat.1002877
Amman, B. R., Jones, M. E., Sealy, T. K., Uebelhoer, L. S., Schuh, A. J., Bird, B. H., Coleman-McCray, J. D., Martin, B. E., Nichol, S. T., & Towner, J. S. (2015). Oral shedding of Marburg virus in experimentally infected Egyptian fruit bats (Rousettus aegyptiacus). Journal of wildlife diseases, 51(1), 113–124. https://doi.org/10.7589/2014-08-198
Amman, B. R., Schuh, A. J., Albariño, C. G., & Towner, J. S. (2021). Marburg Virus Persistence on Fruit as a Plausible Route of Bat to Primate Filovirus Transmission. Viruses, 13(12), 2394. https://doi.org/10.3390/v13122394
Bebell, L. M., & Riley, L. E. (2015). Ebola virus disease and Marburg disease in pregnancy: a review and management considerations for filovirus infection. Obstetrics and gynecology, 125(6), 1293–1298. https://doi.org/10.1097/AOG.0000000000000853
Bente, D., Gren, J., Strong, J. E., & Feldmann, H. (2009). Disease modeling for Ebola and Marburg viruses. Disease models & mechanisms, 2(1-2), 12–17. https://doi.org/10.1242/dmm.000471
Bhattacharya, S., Sinha, S., Tilak, R., & Mardihusodo, S. J. (2020). The relationship between bats and human coronavirus: An exploratory review. Journal of Health and Social Science, 5(2), 219-230. https://doi.org/10.19204/2020/thrl7
Boadu, A., Karpoormath, R., & Nlooto, M. (2021). Exploration of alternate therapeutic remedies in Ebola virus disease: the case of reported antiviral phytochemical derived from the leaves Spondias Mombin linn. Advances in Traditional Medicine, 1-12. https://doi.org/10.1007/s13596-021-00603-5
Feldmann, F., Shupert, W. L., Haddock, E., Twardoski, B., & Feldmann, H. (2019). Gamma Irradiation as an Effective Method for Inactivation of Emerging Viral Pathogens. The American journal of tropical medicine and hygiene, 100(5), 1275–1277. https://doi.org/10.4269/ajtmh.18-0937
Fouchier, R. A., Kuiken, T., Schutten, M., van Amerongen, G., van Doornum, G. J., van den Hoogen, B. G., Peiris, M., Lim, W., Stöhr, K., & Osterhaus, A. D. (2003). Aetiology: Koch's postulates fulfilled for SARS virus. Nature, 423(6937), 240. https://doi.org/10.1038/423240a
Gordon, T. B., Hayward, J. A., Marsh, G. A., Baker, M. L., & Tachedjian, G. (2019). Host and Viral Proteins Modulating Ebola and Marburg Virus Egress. Viruses, 11(1), 25. https://doi.org/10.3390/v11010025
ICTV (2020). Genus Marburgvirus. Available at: https://talk.ictvonline.org/ictv-reports/ictv_online_report/negative-sense-rna-viruses/w/filoviridae/1087/genus-marburgvirus
Johnston, S. C., Lin, K. L., Twenhafel, N. A., Raymond, J. L., Shamblin, J. D., Wollen, S. E., Wlazlowski, C. B., Wilkinson, E. R., Botto, M. A., & Goff, A. J. (2015). Dose Response of MARV/Angola Infection in Cynomolgus Macaques following IM or Aerosol Exposure. PloS one, 10(9), e0138843. https://doi.org/10.1371/journal.pone.0138843
Jones, M. E., Schuh, A. J., Amman, B. R., Sealy, T. K., Zaki, S. R., Nichol, S. T., & Towner, J. S. (2015). Experimental Inoculation of Egyptian Rousette Bats (Rousettus aegyptiacus) with Viruses of the Ebolavirus and Marburgvirus Genera. Viruses, 7(7), 3420–3442. https://doi.org/10.3390/v7072779
Klempner, M. S., & Shapiro, D. S. (2004). Crossing the species barrier--one small step to man, one giant leap to mankind. The New England journal of medicine, 350(12), 1171–1172. https://doi.org/10.1056/NEJMp048039
Kortepeter, M. G., Dierberg, K., Shenoy, E. S., Cieslak, T. J., & Medical Countermeasures Working Group of the National Ebola Training and Education Center's (NETEC) Special Pathogens Research Network (SPRN) (2020). Marburg virus disease: A summary for clinicians. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 99, 233–242. https://doi.org/10.1016/j.ijid.2020.07.042
Kuhn J. H. (2008). Filoviruses. A compendium of 40 years of epidemiological, clinical, and laboratory studies. Archives of virology. Supplementum, 20, 13–360.
Marburg (Marburg Virus Disease), (2021) Centers for Disease Control and Prevention (August 13, 2021). https://www.cdc.gov/vhf/marburg/treatment/index.html
Marburg (Marburg Virus Disease), (2022) Centers for Disease Control and Prevention (August 8, 2022). https://www.cdc.gov/vhf/marburg/index.html
Mehedi, M., Groseth, A., Feldmann, H., & Ebihara, H. (2011). Clinical aspects of Marburg hemorrhagic fever. Future virology, 6(9), 1091–1106. https://doi.org/10.2217/fvl.11.79
Messaoudi, I., Amarasinghe, G. K., & Basler, C. F. (2015). Filovirus pathogenesis and immune evasion: insights from Ebola virus and Marburg virus. Nature reviews. Microbiology, 13(11), 663–676. https://doi.org/10.1038/nrmicro3524
Mulangu, S., Dodd, L. E., Davey, R. T., Jr, Tshiani Mbaya, O., Proschan, M., Mukadi, D., Lusakibanza Manzo, M., Nzolo, D., Tshomba Oloma, A., Ibanda, A., Ali, R., Coulibaly, S., Levine, A. C., Grais, R., Diaz, J., Lane, H. C., Muyembe-Tamfum, J. J., PALM Writing Group, Sivahera, B., Camara, M., … PALM Consortium Study Team (2019). A Randomized, Controlled Trial of Ebola Virus Disease Therapeutics. The New England journal of medicine, 381(24), 2293–2303. https://doi.org/10.1056/NEJMoa1910993
Olejnik, J., Mühlberger, E., & Hume, A. J. (2019). Recent advances in marburgvirus research. F1000Research, 8, F1000 Faculty Rev-704. https://doi.org/10.12688/f1000research.17573.1
Paweska, J. T., Jansen van Vuren, P., Masumu, J., Leman, P. A., Grobbelaar, A. A., Birkhead, M., Clift, S., Swanepoel, R., & Kemp, A. (2012). Virological and serological findings in Rousettus aegyptiacus experimentally inoculated with vero cells-adapted hogan strain of Marburg virus. PloS one, 7(9), e45479. https://doi.org/10.1371/journal.pone.0045479
Piercy, T. J., Smither, S. J., Steward, J. A., Eastaugh, L., & Lever, M. S. (2010). The survival of filoviruses in liquids, on solid substrates and in a dynamic aerosol. Journal of applied microbiology, 109(5), 1531–1539. https://doi.org/10.1111/j.1365-2672.2010.04778.x
Qian, G., Edmunds, W. J., Bausch, D. G., & Jombart, T. (2022). Modelling Vaccination Strategies for the Control of Marburg Virus Disease Outbreaks. medRxiv15: 42 https://doi.org/10.1101/2022.06.17.22276538
Schuh, A. J., Amman, B. R., Jones, M. E., Sealy, T. K., Uebelhoer, L. S., Spengler, J. R., Martin, B. E., Coleman-McCray, J. A., Nichol, S. T., & Towner, J. S. (2017). Modelling filovirus maintenance in nature by experimental transmission of Marburg virus between Egyptian rousette bats. Nature communications, 8, 14446. https://doi.org/10.1038/ncomms14446
Valmas, C., & Basler, C. F. (2011). Marburg virus VP40 antagonizes interferon signaling in a species-specific manner. Journal of virology, 85(9), 4309–4317. https://doi.org/10.1128/JVI.02575-10
Valmas, C., Grosch, M. N., Schümann, M., Olejnik, J., Martinez, O., Best, S. M., Krähling, V., Basler, C. F., & Mühlberger, E. (2010). Marburg virus evades interferon responses by a mechanism distinct from ebola virus. PLoS pathogens, 6(1), e1000721. https://doi.org/10.1371/journal.ppat.1000721
Wunderink R. G. (2015). Viruses and the Lung: Infections and Non-Infectious Viral-Linked Lung Disorders. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 60(5), 830. https://doi.org/10.1093/cid/ciu917
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Malaysian Journal of Medical Research (MJMR)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.