Evolution of ocular defects in infant macaques following in utero Zika virus infection

Congenital Zika syndrome (CZS) is associated with microcephaly and various neurological, musculoskeletal, and ocular abnormalities, but the long-term pathogenesis and postnatal progression of ocular defects in infants are not well characterized. Rhesus macaques are superior to rodents as models of C...

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Main Authors: Glenn Yiu, Sara M. Thomasy, M. Isabel Casanova, Alexander Rusakevich, Rebekah I. Keesler, Jennifer Watanabe, Jodie Usachenko, Anil Singapuri, Erin E. Ball, Eliza Bliss-Moreau, Wendi Guo, Helen Webster, Tulika Singh, Sallie Permar, Amir Ardeshir, Lark L. Coffey, Koen K.A. Van Rompay
Format: Article
Language:English
Published: American Society for Clinical investigation 2020-12-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.143947
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author Glenn Yiu
Sara M. Thomasy
M. Isabel Casanova
Alexander Rusakevich
Rebekah I. Keesler
Jennifer Watanabe
Jodie Usachenko
Anil Singapuri
Erin E. Ball
Eliza Bliss-Moreau
Wendi Guo
Helen Webster
Tulika Singh
Sallie Permar
Amir Ardeshir
Lark L. Coffey
Koen K.A. Van Rompay
author_facet Glenn Yiu
Sara M. Thomasy
M. Isabel Casanova
Alexander Rusakevich
Rebekah I. Keesler
Jennifer Watanabe
Jodie Usachenko
Anil Singapuri
Erin E. Ball
Eliza Bliss-Moreau
Wendi Guo
Helen Webster
Tulika Singh
Sallie Permar
Amir Ardeshir
Lark L. Coffey
Koen K.A. Van Rompay
author_sort Glenn Yiu
collection DOAJ
description Congenital Zika syndrome (CZS) is associated with microcephaly and various neurological, musculoskeletal, and ocular abnormalities, but the long-term pathogenesis and postnatal progression of ocular defects in infants are not well characterized. Rhesus macaques are superior to rodents as models of CZS because they are natural hosts of the virus and share similar immune and ocular characteristics, including blood–retinal barrier characteristics and the unique presence of a macula. Using a previously described model of CZS, we infected pregnant rhesus macaques with Zika virus (ZIKV) during the late first trimester and characterized postnatal ocular development and evolution of ocular defects in 2 infant macaques over 2 years. We found that one of them exhibited colobomatous chorioretinal atrophic lesions with macular and vascular dragging as well as retinal thinning caused by loss of retinal ganglion neuron and photoreceptor layers. Despite these congenital ocular malformations, axial elongation and retinal development in these infants progressed at normal rates compared with healthy animals. The ZIKV-exposed infants displayed a rapid loss of ZIKV-specific antibodies, suggesting the absence of viral replication after birth, and did not show any behavioral or neurological defects postnatally. Our findings suggest that ZIKV infection during early pregnancy can impact fetal retinal development and cause congenital ocular anomalies but does not appear to affect postnatal ocular growth.
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spelling doaj.art-2cd2489dc6de4c538a3e5cd3e3879e742022-12-21T22:31:47ZengAmerican Society for Clinical investigationJCI Insight2379-37082020-12-01524Evolution of ocular defects in infant macaques following in utero Zika virus infectionGlenn YiuSara M. ThomasyM. Isabel CasanovaAlexander RusakevichRebekah I. KeeslerJennifer WatanabeJodie UsachenkoAnil SingapuriErin E. BallEliza Bliss-MoreauWendi GuoHelen WebsterTulika SinghSallie PermarAmir ArdeshirLark L. CoffeyKoen K.A. Van RompayCongenital Zika syndrome (CZS) is associated with microcephaly and various neurological, musculoskeletal, and ocular abnormalities, but the long-term pathogenesis and postnatal progression of ocular defects in infants are not well characterized. Rhesus macaques are superior to rodents as models of CZS because they are natural hosts of the virus and share similar immune and ocular characteristics, including blood–retinal barrier characteristics and the unique presence of a macula. Using a previously described model of CZS, we infected pregnant rhesus macaques with Zika virus (ZIKV) during the late first trimester and characterized postnatal ocular development and evolution of ocular defects in 2 infant macaques over 2 years. We found that one of them exhibited colobomatous chorioretinal atrophic lesions with macular and vascular dragging as well as retinal thinning caused by loss of retinal ganglion neuron and photoreceptor layers. Despite these congenital ocular malformations, axial elongation and retinal development in these infants progressed at normal rates compared with healthy animals. The ZIKV-exposed infants displayed a rapid loss of ZIKV-specific antibodies, suggesting the absence of viral replication after birth, and did not show any behavioral or neurological defects postnatally. Our findings suggest that ZIKV infection during early pregnancy can impact fetal retinal development and cause congenital ocular anomalies but does not appear to affect postnatal ocular growth.https://doi.org/10.1172/jci.insight.143947ImmunologyOphthalmology
spellingShingle Glenn Yiu
Sara M. Thomasy
M. Isabel Casanova
Alexander Rusakevich
Rebekah I. Keesler
Jennifer Watanabe
Jodie Usachenko
Anil Singapuri
Erin E. Ball
Eliza Bliss-Moreau
Wendi Guo
Helen Webster
Tulika Singh
Sallie Permar
Amir Ardeshir
Lark L. Coffey
Koen K.A. Van Rompay
Evolution of ocular defects in infant macaques following in utero Zika virus infection
JCI Insight
Immunology
Ophthalmology
title Evolution of ocular defects in infant macaques following in utero Zika virus infection
title_full Evolution of ocular defects in infant macaques following in utero Zika virus infection
title_fullStr Evolution of ocular defects in infant macaques following in utero Zika virus infection
title_full_unstemmed Evolution of ocular defects in infant macaques following in utero Zika virus infection
title_short Evolution of ocular defects in infant macaques following in utero Zika virus infection
title_sort evolution of ocular defects in infant macaques following in utero zika virus infection
topic Immunology
Ophthalmology
url https://doi.org/10.1172/jci.insight.143947
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