domingo, 24 de julio de 2011


Novel Lyssavirus in Natterer’s Bat, Germany
Conrad Freuling, Martin Beer, Franz J. Conraths, Stefan Finke, Bernd Hoffmann, Barbara Keller, Jeannette Kliemt, Thomas C. Mettenleiter, Elke Mühlbach, Jens P. Teifke, Peter Wohlsein, and Thomas Müller

A virus isolated from a Natterer’s bat (Myotis nattererii) in Germany was differentiated from other lyssaviruses on the basis of the reaction pattern of a panel of monoclonal antibodies. Phylogenetic analysis supported the assumption that the isolated virus, Bokeloh bat lyssavirus, may represent a new member of the genus Lyssavirus.
Bats have been identified as carriers or reservoirs for a plethora of viruses, including human pathogens like severe acute respiratory syndrome coronavirus, henipaviruses, filoviruses, or lyssaviruses, which cause rabies (1). The genus Lyssavirus within the family Rhabdoviridae contains 11 viruses: rabies virus (RABV), Lagos bat virus, Mokola virus, Duvenhage virus, European bat lyssaviruses types 1 and 2 (EBLV-1 and EBLV-2), Australian bat lyssavirus, Aravan virus (ARAV), Khujand virus (KHUV), Irkut virus, and West Caucasian bat virus (2). A proposed new species, Shimoni bat virus has recently been isolated from Hipposideros commersoni leaf-nosed bats (3). Although RABV, which circulates in dogs, causes most of the ≈55,000 human deaths from rabies per year, most bat lyssaviruses have been demonstrated to cause human rabies (4).

From 1977 through 2009, a total of 928 cases of bat rabies (EBLV-1 and EBLV-2) were detected in Europe, but only 10 of the 45 known indigenous bat species tested positive for lyssavirus; most were serotine bats (Eptesicus serotinus) associated with EBLV-1 (5,6). In Germany, bat rabies has been known since the middle of the 20th century, and most isolated viruses were characterized as EBLV-1 (6). EBLV-2 is associated with Myotis spp. bats (M. daubentonii and M. dascyneme) and has only sporadically been found in Europe and in Germany (7). The transmission of EBLV-1 and EBLV-2 in bats in Europe is still only poorly understood (8). On the basis of our animal disease notification process, a virologic result is defined as a rabies case, but was considered a lyssavirus infection.

The Study
In November 2009, a bat was found on the ground in Bokeloh, Lower Saxony, Germany (52°25′13.99″N; 9°23′31.56″E). The bat was morphologically identified as a Natterer’s bat (M. nattererii). It was given mealworms and water ad libitum supplemented with minerals and vitamins. In February 2010, the bat began to act aggressively, directly approaching any moving object, vigorously trying to bite, and screaming ferociously. This agitated stage lasted for 7 days and was followed by general weakness, lethargy, and paralysis. After the first 3 days of the clinical course, the bat stopped drinking and eating. Ten days after recognition of the first clinical signs, the animal died.
The bat was submitted for testing, and rabies diagnosis was performed by using immunohistochemical anlaysis. Lyssavirus antigen was detected in numerous neurons of the cerebral cortex, cerebellum, and especially the nucleus funiculi lateralis and the nucleus olivaris of the medulla (Figure 1). Organs other than the central nervous system, e.g., the salivary glands, did not contain lyssavirus antigen. After the first cell passage in rabies tissue culture infection test (9), virus was isolated from brain tissue. Antigenic typing performed with a panel of 10 antinucleocapsid monoclonal antibodies (10) clearly differentiated the isolated virus from all other tested lyssavirus species (Table). Thus, the virus isolate was tentatively named Bokeloh bat lyssavirus (BBLV).
Results of discriminatory reverse transcription PCR results for EBLV-1 and EBLV-2 (11,12) were negative, and only a generic reverse transcription PCR (13) yielded a 605-bp amplification product similar to that of the positive control. The nucleotide sequence was determined by using standard methods (primers and protocols are available upon request). Sequence analysis of the nucleoprotein gene performed with MEGA version 4.0 software ( showed that BBLV differed from all other published lyssavirus sequences with the highest nucleotide identity to KHUV (80%), followed by ARAV (79%), EBLV-2 (79%), Australia bat lyssavirus (77%), EBLV-1 (77%), Irkut virus (76%), Shimoni virus (76%), RABV (73-75%) and Duvenhage virus (75%). Lagos bat virus (72-74%), Mokola virus (72%), and West Caucasian bat virus CBV (72%) showed the highest divergence to BBLV. Also, phylogenetic analysis based on concatenated N-P-M-G-L nucleotide sequences showed that BBLV is most closely related to KHUV, followed by EBLV-2 (Figure 2).

We report the discovery of a lyssavirus (designated as BBLV) from a Natterer’s bat that died with rabies-like clinical signs. Initially, a distinctive pattern in the reaction with a panel of antinucleocapsid monoclonal antibodies indicated the presence of an antigenically atypical isolate. The differentiation from other lyssavirus species was confirmed by phylogenetic analysis (Figure 2).
BBLV is pathogenic because it caused a fatal disease in the Natterer’s bat that was similar to the clinical picture of rabies seen in other bats. Viral antigen was present in many locations of the brain (Figure 1) but surprisingly not in the salivary glands.
Since the exact date of infection is unknown, the incubation period can only be estimated as >4 months. Whether the Natterer’s bat is the natural reservoir species of BBLV or whether it was a cross-species spillover reservoir remains a subject for further studies. However, closely related lyssavirus species were also isolated from Myotis spp. bats (EBLV-2 from M. daubentonii, M. dasycneme, KHUV from M. mystacinus, and ARAV from M. blythii) indicating that Myotis spp. bats play a key role in lyssavirus epidemiology. If one considers the history of bat rabies in Europe, it seems unlikely that BBLV had spread from a distant origin into central Europe or that the bat itself was translocated over long distances.
The fact that BBLV has been identified only in 1 bat is puzzling, considering the relatively high level of surveillance in Germany. Also, of 63 Natterer’s bats tested during 1999–2010 in a retrospective study, none tested positive for rabies (T. Müller et al., unpub. data). Germany is the only country where several bat species other than serotine bats, i.e., Pipistrellus nathusii, Pipistrellus pipistrellus, and Plecotus auritus, have been found infected with EBLV-1 during a retrospective study (T. Müller et al., unpub. data), and this is the second discovery in recent years of a new lyssavirus species through routine passive bat rabies surveillance. Also, in 2007 a Daubenton’s bat found on the ground was taken to a rehabilitation center, where it died and subsequently tested positive for EBLV-2 (7). In both cases, the person who took care of the animal had completed the full preexposure vaccination, as a required risk-mitigating measure.
An encounter with a BBLV-infected Natterer’s bat could lead to a fatal outcome because bat lyssaviruses have caused several human cases of infection (4). In Europe, species conservation and research require the handling of bats by bat workers. During 2000–2010, a total of 37,140 handlings were recorded for the Natterer’s bat (Bat Marking Centre, Saxon State Office for Environment and Geology, Dresden, Germany), underlining the need for adequate prophylaxis for bat handlers. If one considers the close phylogenetic relationship between BBLV and EBLV-2humans who receive rabies prophylaxis will likely be protected. However, recent studies of the antigenic relationships of lyssaviruses have shown the difficulty of interpreting antigenic differences by using sequences alone (14). Thus, in vitro and in vivo cross-neutralization and protection studies with current anti-RABV vaccines are urgently required for assessing the public health risk posed by this new lyssavirus.

We thank Christian Korthase and Susanne Schares for excellent technical support and 2 anonymous reviewers for their comments.
This study was partially supported by the Federal Ministry of Education and Research (grant 01KI1016A) and the German Ministry of Nutrition, Agriculture, and Consumer Protection.
Dr Freuling is a veterinarian and scientist at the Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health and editor of the World Health Organization Rabies Bulletin Europe. His research interests include diagnosis and epidemiology of viruses, particularly lyssaviruses.

1. Calisher CH, Childs JE, Field HE, Holmes KV, Schountz T. Bats: important reservoir hosts of emerging viruses. Clin Microbiol Rev. 2006;19:531–45. PubMed doi:10.1128/CMR.00017-06
Page 5 of 8
2. Dietzgen RG, Calisher CH, Kurath G, Kuzmin IV, Rodriguez LL, Stone DM, et al. Family Rhabdoviridae. In: King AM, Adams MJ, Carstens EB, Lefkowitz EJ, editors. Virus taxonomy: classification and nomenclature of viruses. Ninth Report of the International Committee on Taxonomy of Viruses. San Diego: Elsevier; 2011. In press.
3. Kuzmin IV, Mayer AE, Niezgoda M, Markotter W, Agwanda B, Breiman RF, et al. Shimoni bat virus, a new representative of the Lyssavirus genus. Virus Res. 2010;149:197–210. PubMed doi:10.1016/j.virusres.2010.01.018
4. Johnson N, Vos A, Freuling C, Tordo N, Fooks A, Muller T. Human rabies due to lyssavirus infection of bat origin. Vet Microbiol. 2010;142:151–9. PubMed doi:10.1016/j.vetmic.2010.02.001
5. King AA, Haagsma J, Kappeler A. Lyssavirus infections in European bats. In: King AA, Fooks AR, Aubert M, Wandeler AI, editors. Historical perspective of rabies in Europe and the Mediterranean Basin: a testament to rabies by Dr Arthur A. King, 2004. Paris: World Organisation for Animal Health; 2004. p. 221–41.
6. Müller T, Johnson N, Freuling CM, Fooks AR, Selhorst T, Vos A. Epidemiology of bat rabies in Germany. Arch Virol. 2007;152:273–88. PubMed doi:10.1007/s00705-006-0853-5
7. Freuling C, Grossmann E, Conraths FJ, Schameitat A, Kliemt J, Auer E, et al. First isolation of EBLV-2 in Germany. Vet Microbiol. 2008;131:26–34. PubMed doi:10.1016/j.vetmic.2008.02.028
8. Vos A, Kaipf I, Denzinger A, Fooks AR, Johnson N, Müller T. European bat lyssaviruses: an ecological enigma. Acta Chiroptologica. 2007;9:283–96. doi:10.3161/1733-5329(2007)9[283:EBLAEE]2.0.CO;2
9. Webster WA, Casey GA. Virus isolation in neuroblastoma cell culture. In: Meslin FX, Kaplan MM, Koprowski H, editors. Laboratory techniques in rabies. 4th ed. Geneva: World Health Organization; 1996. p. 93–104.
10. Schneider LG, Barnard BJ, Schneider HP. Application of monoclonal antibodies for epidemiological investigations and oral vaccination studies. In: Kuwert E, Merieux C, Koprowski H, Bagel K, editors. Rabies in the tropics. Berlin: Springer Verlag, 1985; p. 47–59.
11. Müller T, Cox J, Peter W, Schafer R, Johnson N, McElhinney LM, et al. Spill-over of European bat lyssavirus type 1 into a stone marten (Martes foina) in Germany. J Vet Med B. 2004;51:49–54. PubMed doi:10.1111/j.1439-0450.2003.00725.x
Page 6 of 8
12. Vos A, Muller T, Cox J, Neubert L, Fooks AR. Susceptibility of ferrets (Mustela putorius furo) to experimentally induced rabies with European bat lyssaviruses (EBLV). J Vet Med B. 2004;51:55–60. PubMed doi:10.1111/j.1439-0450.2004.00730.x
13. Heaton PR, Johnstone P, McElhinney LM, Cowley R, O’Sullivan E, Whitby JE. Heminested PCR assay for detection of six genotypes of rabies and rabies-related viruses. J Clin Microbiol. 1997;35:2762–6. PubMed
14. Horton DL, McElhinney LM, Marston DA, Wood JL, Russell CA, Lewis N, et al. Quantifying antigenic relationships among the lyssaviruses. J Virol. 2010;84:11841–8. PubMed doi:10.1128/JVI.01153-10
Address for correspondence: Conrad Freuling, Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Epidemiology, World Health Organization Collaborating Centre for Rabies Surveillance and Research, D-16868 Wusterhausen, Germany; email:

No hay comentarios:

Publicar un comentario