Monkeypox Virus (MPXV) Infection: A Review

Article ID: e120124225558 Pages: 7

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Abstract

Monkeypox is a viral disease; its outbreak was recently declared a global emergency by the World Health Organization. For the first time, a monkeypox virus (MPXV)-infected patient was found in India. Various researchers back-to-back tried to find the solution to this health emergency just after COVID-19. In this review, we discuss the current outbreak status of India, its transmission, virulence factors, symptoms, treatment, and the preventive guidelines generated by the Indian Health Ministry. We found that monkeypox virus (MPXV) disease is different from smallpox, and the age group between 30-40 years old is more prone to MPXV disease. We also found that, besides homosexuals, gays, bisexuals, and non-vegetarians, it also affects normal straight men and women who have no history of travel. Close contact should be avoided from rats, monkeys and sick people who are affected by monkeypox. To date, there are no monkeypox drugs, but Tecovirimat is more effective than other drugs that are used for other viral diseases like smallpox. Therefore, we need to develop an effective antiviral agent against the virulence factor of MXPV.

Graphical Abstract

[1]
Guarner J, del Rio C, Malani PN. Monkeypox in 2022-what clinicians need to know. JAMA 2022; 328(2): 139-40.
[http://dx.doi.org/10.1001/jama.2022.10802] [PMID: 35696257]
[2]
WHO. Monkeypox Available from: https://www.who.int/multi-media/details/monkeypox--what-you-need-to-know (Accessed on:July 25, 2022)
[3]
Breman JG. Kalisa-Ruti, Steniowski MV, Zanotto E, Gromyko AI, Arita I. Human monkeypox, 1970-79. Bull World Health Organ 1980; 58(2): 165-82.
[PMID: 6249508]
[4]
Bunge EM, Hoet B, Chen L, et al. The changing epidemiology of human monkeypox-A potential threat? A systematic review. PLoS Negl Trop Dis 2022; 16(2): e0010141.
[http://dx.doi.org/10.1371/journal.pntd.0010141] [PMID: 35148313]
[5]
Esteban DJ, Hutchinson AP. Genes in the terminal regions of orthopoxvirus genomes experience adaptive molecular evolution. BMC Genomics 2011; 12(1): 261.
[http://dx.doi.org/10.1186/1471-2164-12-261] [PMID: 21605412]
[6]
Cheema AY, Ogedegbe OJ, Munir M, Alugba G, Ojo TK. Monkeypox: A review of clinical features, diagnosis, and treatment. Cureus 2022; 14(7): e26756.
[http://dx.doi.org/10.7759/cureus.26756] [PMID: 35967174]
[7]
Alkhalil A, Hammamieh R, Hardick J, Ichou MA, Jett M, Ibrahim S. Gene expression profiling of monkeypox virus-infected cells reveals novel interfaces for host-virus interactions. Virol J 2010; 7(1): 173.
[http://dx.doi.org/10.1186/1743-422X-7-173] [PMID: 20667104]
[8]
Vivancos R, Anderson C, Blomquist P, et al. Community transmission of monkeypox in the United Kingdom, April to May 2022. Euro Surveill 2022; 27(22): 2200422.
[http://dx.doi.org/10.2807/1560-7917.ES.2022.27.22.2200422] [PMID: 35656834]
[9]
Alakunle E, Moens U, Nchinda G, Okeke MI. Monkeypox virus in Nigeria: Infection biology, epidemiology, and evolution. Viruses 2020; 12(11): 1257.
[http://dx.doi.org/10.3390/v12111257] [PMID: 33167496]
[10]
Monkeypox. World Health Organization. Available from: https://www.who.int/news-room/questions-and-answers/item/monkeypox (Accessed on:July 25, 2022).
[11]
Thornhill JP, Barkati S, Walmsley S, et al. Monkeypox virus infection in humans across 16 countries—April–June 2022. N Engl J Med 2022; 387(8): 679-91.
[http://dx.doi.org/10.1056/NEJMoa2207323] [PMID: 35866746]
[12]
Mbala PK, Huggins JW, Riu-Rovira T, et al. Maternal and fetal outcomes among pregnant women with human monkeypox infection in the Democratic Republic of Congo. J Infect Dis 2017; 216(7): 824-8.
[http://dx.doi.org/10.1093/infdis/jix260] [PMID: 29029147]
[13]
Bragazzi NL, Kong JD, Mahroum N, et al. Epidemiological trends and clinical features of the ongoing monkeypox epidemic: A preliminary pooled data analysis and literature review. J Med Virol 2023; 95(1): e27931.
[http://dx.doi.org/10.1002/jmv.27931] [PMID: 35692117]
[14]
Cho CT, Wenner HA. Monkeypox virus. Bacteriol Rev 1973; 37(1): 1-18.
[http://dx.doi.org/10.1128/br.37.1.1-18.1973] [PMID: 4349404]
[15]
Pickup DJ. Extracellular virions: The advance guard of poxvirus infections. PLoS Pathog 2015; 11(7): e1004904.
[http://dx.doi.org/10.1371/journal.ppat.1004904] [PMID: 26135739]
[16]
Gessain A, Nakoune E, Yazdanpanah Y. Monkeypox. N Engl J Med 2022; 387(19): 1783-93.
[http://dx.doi.org/10.1056/NEJMra2208860] [PMID: 36286263]
[17]
Kugelman JR, Johnston SC, Mulembakani PM, et al. Genomic variability of monkeypox virus among humans, Democratic Republic of the Congo. Emerg Infect Dis 2014; 20(2): 232-9.
[http://dx.doi.org/10.3201/eid2002.130118] [PMID: 24457084]
[18]
Esposito JJ, Knight JC. Orthopoxvirus DNA: A comparison of restriction profiles and maps. Virology 1985; 143(1): 230-51.
[http://dx.doi.org/10.1016/0042-6822(85)90111-4] [PMID: 2998003]
[19]
Rahman MJ, Haller SL, Stoian AMM, Li J, Brennan G, Rothenburg S. LINE-1 retrotransposons facilitate horizontal gene transfer into poxviruses. eLife 2022; 11: e63327.
[http://dx.doi.org/10.7554/eLife.63327] [PMID: 36069678]
[20]
Gong Q, Wang C, Chuai X, Chiu S. Monkeypox virus: A re-emergent threat to humans. Virol Sin 2022; 37(4): 477-82.
[http://dx.doi.org/10.1016/j.virs.2022.07.006] [PMID: 35820590]
[21]
Mukherjee AG, Wanjari UR, Kannampuzha S, et al. The pathophysiological and immunological background of the monkeypox virus infection: An update. J Med Virol 2023; 95(1): e28206.
[http://dx.doi.org/10.1002/jmv.28206] [PMID: 36217803]
[22]
Chen N, Li G, Liszewski MK, et al. Virulence differences between monkeypox virus isolates from West Africa and the Congo basin. Virology 2005; 340(1): 46-63.
[http://dx.doi.org/10.1016/j.virol.2005.05.030] [PMID: 16023693]
[23]
Forsyth KS, Roy NH, Peauroi E, et al. Ectromelia-encoded virulence factor C15 specifically inhibits antigen presentation to CD4+ T cells post peptide loading. PLoS Pathog 2020; 16(8): e1008685.
[http://dx.doi.org/10.1371/journal.ppat.1008685] [PMID: 32745153]
[24]
Song H, Josleyn N, Janosko K, et al. Monkeypox virus infection of rhesus macaques induces massive expansion of natural killer cells but suppresses natural killer cell functions. PLoS One 2013; 8(10): e77804.
[http://dx.doi.org/10.1371/journal.pone.0077804] [PMID: 24147080]
[25]
Lopera JG, Falendysz EA, Rocke TE, Osorio JE. Attenuation of monkeypox virus by deletion of genomic regions. Virology 2015; 475: 129-38.
[http://dx.doi.org/10.1016/j.virol.2014.11.009] [PMID: 25462353]
[26]
Unterholzner L, Sumner RP, Baran M, et al. Vaccinia virus protein C6 is a virulence factor that binds TBK-1 adaptor proteins and inhibits activation of IRF3 and IRF7. PLoS Pathog 2011; 7(9): e1002247.
[http://dx.doi.org/10.1371/journal.ppat.1002247] [PMID: 21931555]
[27]
Fernández de Marco MM, Alejo A, Hudson P, Damon IK, Alcami A. The highly virulent variola and monkeypox viruses express secreted inhibitors of type I interferon. FASEB J 2010; 24(5): 1479-88.
[http://dx.doi.org/10.1096/fj.09-144733] [PMID: 20019241]
[28]
Huang J, Huang Q, Zhou X, et al. The poxvirus p28 virulence factor is an E3 ubiquitin ligase. J Biol Chem 2004; 279(52): 54110-6.
[http://dx.doi.org/10.1074/jbc.M410583200] [PMID: 15496420]
[29]
Scutts SR, Ember SW, Ren H, et al. DNA-PK is targeted by multiple vaccinia virus proteins to inhibit DNA sensing. Cell Rep 2018; 25(7): 1953-1965.e4.
[http://dx.doi.org/10.1016/j.celrep.2018.10.034] [PMID: 30428360]
[30]
Hudson PN, Self J, Weiss S, et al. Elucidating the role of the complement control protein in monkeypox pathogenicity. PLoS One 2012; 7(4): e35086.
[http://dx.doi.org/10.1371/journal.pone.0035086] [PMID: 22496894]
[31]
Huggins J, Goff A, Hensley L, et al. Nonhuman primates are protected from smallpox virus or monkeypox virus challenges by the antiviral drug ST-246. Antimicrob Agents Chemother 2009; 53(6): 2620-5.
[http://dx.doi.org/10.1128/AAC.00021-09] [PMID: 19349521]
[32]
Kieser Q, Noyce RS, Shenouda M, Lin YCJ, Evans DH. Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants. PLoS One 2020; 15(1): e0228028.
[http://dx.doi.org/10.1371/journal.pone.0228028] [PMID: 31945138]
[33]
Begum JPS, Ngangom L, Semwal P, Painuli S, Sharma R, Gupta A. Emergence of monkeypox: A worldwide public health crisis. Hum Cell 2023; 36(3): 877-93.
[http://dx.doi.org/10.1007/s13577-023-00870-1] [PMID: 36749539]
[34]
Niu L, Liang D, Ling Q, et al. Insights into monkeypox pathophysiology, global prevalence, clinical manifestation and treatments. Front Immunol 2023; 14: 1132250.
[http://dx.doi.org/10.3389/fimmu.2023.1132250] [PMID: 37026012]
[35]
Rampogu S, Kim Y, Kim SW, Lee KW. An overview on monkeypox virus: Pathogenesis, transmission, host interaction and therapeutics. Front Cell Infect Microbiol 2023; 13: 1076251.
[http://dx.doi.org/10.3389/fcimb.2023.1076251] [PMID: 36844409]
[36]
Sklenovská N. Monkeypox virus. In: Animal-origin viral zoonoses. Singapore: Springer 2020; pp. 39-68.
[http://dx.doi.org/10.1007/978-981-15-2651-0_2]
[37]
Bose S, Aggarwal S, Singh DV, Acharya N. Extracellular vesicles: An emerging platform in gram-positive bacteria. Microb Cell 2020; 7(12): 312-22.
[http://dx.doi.org/10.15698/mic2020.12.737] [PMID: 33335921]
[38]
Kaler J, Hussain A, Flores G, Kheiri S, Desrosiers D. Monkeypox: A comprehensive review of transmission, pathogenesis, and manifestation. Cureus 2022; 14(7): e26531.
[http://dx.doi.org/10.7759/cureus.26531] [PMID: 35928395]
[39]
Kmiec D, Kirchhoff F. Monkeypox: a new threat? Int J Mol Sci 2022; 23(14): 7866.
[http://dx.doi.org/10.3390/ijms23147866] [PMID: 35887214]
[40]
Moss B. Poxvirus DNA replication. Cold Spring Harb Perspect Biol 2013; 5(9): a010199.
[http://dx.doi.org/10.1101/cshperspect.a010199] [PMID: 23838441]
[41]
Wang Y, Kang W, Yang W, Zhang J, Li D, Zheng H. Structure of African swine fever virus and associated molecular mechanisms underlying infection and immunosuppression: A review. Front Immunol 2021; 12: 715582.
[http://dx.doi.org/10.3389/fimmu.2021.715582] [PMID: 34552586]
[42]
van Heuvel Y, Schatz S, Rosengarten JF, Stitz J. Infectious RNA: Human immunodeficiency virus (HIV) biology, therapeutic intervention, and the quest for a vaccine. Toxins 2022; 14(2): 138.
[http://dx.doi.org/10.3390/toxins14020138] [PMID: 35202165]
[43]
Erez N, Achdout H, Milrot E, et al. Diagnosis of imported monkeypox, Israel, 2018. Emerg Infect Dis 2019; 25(5): 980-3.
[http://dx.doi.org/10.3201/eid2505.190076] [PMID: 30848724]
[44]
Luo Q, Han J. Preparedness for a monkeypox outbreak. Infect Med 2022; 1(2): 124-34.
[http://dx.doi.org/10.1016/j.imj.2022.07.001]
[45]
Nalca A, Livingston VA, Garza NL, et al. Experimental infection of cynomolgus macaques (Macaca fascicularis) with aerosolized monkeypox virus. PLoS One 2010; 5(9): e12880.
[http://dx.doi.org/10.1371/journal.pone.0012880] [PMID: 20862223]
[46]
Falendysz EA, Lopera JG, Doty JB, et al. Characterization of Monkeypox virus infection in African rope squirrels (Funisciurus sp.). PLoS Negl Trop Dis 2017; 11(8): e0005809.
[http://dx.doi.org/10.1371/journal.pntd.0005809] [PMID: 28827792]
[47]
McCollum AM, Damon IK. Human monkeypox. Clin Infect Dis 2014; 58(2): 260-7.
[http://dx.doi.org/10.1093/cid/cit703] [PMID: 24158414]
[48]
Mileto D, Riva A, Cutrera M, et al. New challenges in human monkeypox outside Africa: A review and case report from Italy. Travel Med Infect Dis 2022; 49: 102386.
[http://dx.doi.org/10.1016/j.tmaid.2022.102386] [PMID: 35738529]
[49]
Rizk JG, Lippi G, Henry BM, Forthal DN, Rizk Y. Prevention and treatment of monkeypox. Drugs 2022; 82(9): 957-63.
[http://dx.doi.org/10.1007/s40265-022-01742-y] [PMID: 35763248]
[50]
Stittelaar KJ, Neyts J, Naesens L, et al. Antiviral treatment is more effective than smallpox vaccination upon lethal monkeypox virus infection. Nature 2006; 439(7077): 745-8.
[http://dx.doi.org/10.1038/nature04295] [PMID: 16341204]
[51]
Smith SK, Self J, Weiss S, et al. Effective antiviral treatment of systemic orthopoxvirus disease: ST-246 treatment of prairie dogs infected with monkeypox virus. J Virol 2011; 85(17): 9176-87.
[http://dx.doi.org/10.1128/JVI.02173-10] [PMID: 21697474]
[52]
Johnston SC, Lin KL, Connor JH, Ruthel G, Goff A, Hensley LE. In vitro inhibition of monkeypox virus production and spread by Interferon-β. Virol J 2012; 9(1): 5.
[http://dx.doi.org/10.1186/1743-422X-9-5] [PMID: 22225589]
[53]
Zovi A, Ferrara F, Langella R, Vitiello A. Prarmacological agents with antiviral activity against monkeypox infection. Int J Mol Sci 2022; 23(24): 15941.
[http://dx.doi.org/10.3390/ijms232415941] [PMID: 36555584]
[54]
Dirchi R. India reports its 4th monkeypox case; WHO declares global emergency. Available from: https://www.livemint.com (Accessed on:July 25, 2022).