Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
BACKGROUND: Evidence of human sexual transmission during Zika virus emergence is a matter of concern, particularly in procreation, but to date, kinetics of seminal shedding and the effects of infection on human reproductive function have not been described. To investigate the effects of Zika virus infection on semen and clearance of Zika virus from semen and body fluids, we aimed to study a cohort of Zika virus-infected men. METHODS: This prospective observational study recruited men presenting with acute Zika virus infection at Pointe-à-Pitre University Hospital in Guadeloupe, French Caribbean, where a Zika virus outbreak occurred between April and November, 2016. Blood, urine, and semen were collected at days 7, 11, 20, 30, 60, 90, and 120 after symptom onset, and semen characteristics, such as total sperm count, sperm motility, vitality, and morphology, and reproductive hormone concentrations, such as testosterone, inhibin, follicle-stimulating hormone, and luteinising hormone, were assessed. At days 7, 11, and 20, semen was processed to isolate motile spermatozoa. Zika virus RNA was detected by RT-PCR using whole blood, serum, urine, seminal plasma, semen cells, and motile spermatozoa fractions. Zika virus was isolated from different sperm fractions on Vero E6 cultures. FINDINGS: 15 male volunteers (mean age 35 years [SD 5; range 25-44) with acute Zika virus infection and positive Zika virus RNA detection in blood or urine were enrolled. Total sperm count was decreased from median 119 × 10(6) spermatozoa (IQR 22-234) at day 7 to 45·2 × 10(6) (16·5-89·6) at day 30 and 70 × 10(6) (28·5-81·4) at day 60, respectively, after Zika virus infection. Inhibin values increased from 93·5 pg/mL (IQR 55-162) at day 7 to 150 pg/mL (78-209) at day 120 when total sperm count recovered. In motile spermatozoa obtained after density gradient separation, Zika virus RNA was found in three of 14 patients at day 7, four of 15 at day 11, and four of 15 at day 20, and replication-competent virus was found in the tested patient. Seminal shedding kinetics seemed heterogeneous among patients. Whole blood was the fluid most frequently positive for Zika virus RNA (62 of 92 samples) and three patients remained positive at day 120. INTERPRETATION: Semen alterations early after acute Zika virus infection might affect fertility and could be explained by virus effects on the testis and epididymis. Frequency of shedding and high viral load in semen, together with the presence of replicative virus in a motile spermatozoa fraction, can lead to Zika virus transmission during sexual contact and assisted reproduction procedures. Whole blood seems to be the best specimen for Zika virus RNA detection, diagnosis, and follow-up. FUNDING: Agence de la Biomédecine/Agence Régionale de Santé de la Guadeloupe/Inserm-REACTing.
ISSN: 0140-6736

hal-01647078
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01647078
DOI : 10.1016/S1473-3099(17)30444-9
PUBMED : 28838639

Éditeur(s) : HAL CCSD Masson
Résumé : National audience
Started in 2015 in Brazil, an outbreak linked to a little known arbovirus, Zika virus spread throughout Latin America. This virus, considered until recently as responsible of only mild symptoms, made mention of previously unsuspected complications, with severe neurological manifestations in adults and malformations of the central nervous system, including microcephaly, in newborns of mother infected during the pregnancy. While the continent is more accustomed to the succession of arbovirus epidemics, suspected complications and the many unknowns keys of the latter arriving raise many public health issues. French Guiana, a French territory located in the north-east of the continent, combines both European level of resources and climate and issues specific to the Amazon region and Latin America. We discuss here the issues for 2016 Zika virus epidemic in our region, many of them are generalizable to neighboring countries.
ISSN: 0037-9085

inserm-01422054
http://www.hal.inserm.fr/inserm-01422054
http://www.hal.inserm.fr/inserm-01422054/document
http://www.hal.inserm.fr/inserm-01422054/file/2016%2C%20Epelboin%20-%20%C3%89pid%C3%A9mie%20de%20virus%20Zika%20en%20Am%C3%A9rique%20latine%20-%20quels%20enjeux%20pour%20la%20Guyane%20%281%29.pdf
DOI : 10.1007/s13149-016-0490-5

Éditeur(s) : HAL CCSD American Society of Hematology
Résumé : International audience
Zika fever is an Aedes-borne disease caused by a flavivirus (Zika virus, ZIKV, genus Flavivirus). During the past years ZIKV spread in Polynesia, South-America and the Caribbean. Most ZIKV infections are asymptomatic or result in mild febrile disease with rash and conjunctivitis. Attention was recently drawn to non-vectored ZIKV transmission, including sexual, probable blood-borne and mother-to-fetus transmission, and to severe forms such as Guillain-Barré syndrome, acute neurological infections and fetal abnormalities (including microcephaly). Many aspects of Zika fever natural history remain unknown, e.g. the proportion of asymptomatic cases and the duration of viremia. Estimating the prevalence of Zika infections is difficult because a large proportion of infected individuals do not seek medical attention and seroprevalence studies are hampered by antigenic cross-reactivity with other flaviviruses, e.g. dengue virus. Here, we present a study of ZIKV infection in blooddonors from Martinique island (French West Indies, Caribbean region), with novel epidemiological, biological and clinical information that refine the picture of Zika fever in adults.
ISSN: 0006-4971

inserm-01415646
http://www.hal.inserm.fr/inserm-01415646
http://www.hal.inserm.fr/inserm-01415646/document
http://www.hal.inserm.fr/inserm-01415646/file/2016%2C%20Gallian%20et%20al%20-%20Zika%20virus%20in%20asymptomatic%20blood%20donors%2C%20Martinique%20%281%29.pdf
DOI : 10.1182/blood-2016-09-737981

Éditeur(s) : HAL CCSD European Centre for Disease Prevention and Control
Résumé : International audience
Following of the emergence of Zika virus in Brazil in 2015, an epidemiological surveillance system was quickly implemented in the French overseas Territories of America (FTA) according to previous experience with dengue and chikungunya and has detected first cases of Zika. General practitioners and medical microbiologists were invited to report all clinically suspectedcases of Zika, laboratory investigations were systematically conducted (RT-PCR). On 18 December, the first autochthonous case of Zika virus infection was confirmed by RT-PCR on French Guiana and Martinique, indicating introduction of Zika virus inFTA. The viral circulation of Zika virus was then also confirmed on Guadeloupe and Saint-Martin. We report here early findings on 203 confirmed cases of Zika virus infection identified by RT-PCR or seroneutralisation on Martinique Island between 24 November 2015 and 20 January 2016. All cases were investigated. Common clinical signs were observed (maculopapularrash, arthralgia, fever, myalgia and conjunctival hyperaemia) among these patients, but the rash, the foundation of our case definition, may be absent in a significant proportion of patients (16%). These results are important for the implementation of a suspected case definition, the main tool for epidemiological surveillance, in territories that may be affected by ZIKV emergence, including Europe.
ISSN: 1025-496X

Droits : info:eu-repo/semantics/OpenAccess
inserm-01415215
http://www.hal.inserm.fr/inserm-01415215
http://www.hal.inserm.fr/inserm-01415215/document
http://www.hal.inserm.fr/inserm-01415215/file/2016%2C%20Daudens-Vaysse%20-%20Zika%20emergence%20in%20the%20French%20Territories%20of%20America%20and%20description%20of%20first%20confirmed%20cases%20of%20Zika%20virus%20infection%20on%20Martinique%20.pdf
DOI : 10.2807/1560-7917.ES.2016.21.28.30285

Éditeur(s) : HAL CCSD Wiley Online Library
Résumé : International audience
Zika virus is an Aedes-borne Flavivirus causing fever, arthralgia, myalgia rash, associated with Guillain-Barré syndrome and suspected to induce microcephaly in the fetus. We report here the complete coding sequence of the first characterized Caribbean Zika virus strain, isolated from a patient from Martinique in December, 2015.
ISSN: 2052-2975

hal-01331574
https://hal.archives-ouvertes.fr/hal-01331574
PUBMED : 27274849
PUBMEDCENTRAL : PMC4879239

Éditeur(s) : HAL CCSD
Résumé : The mosquito species Aedes (Stegomyia) aegypti (Linnaeus 1762) was introduced into the Americas some 400 years ago from the African continent. Currently, this species is the primary agent behind dengue and chikungunya outbreaks in the pan-tropical area and its widespread distribution has likely played an important role in the recent expansion of the Zika virus. The biology of Ae. (Stg.) aegypti is particularly well known, which is not the case for its ecology. By adopting a cross-disciplinary approach I attempted to understand the relative contribution of biotic and abiotic factors as well as some evolutionary processes in the distribution of this species at the local and regional scales in French Guiana.Initially, I was interested in revising the core knowledge concerning the diversity of mosquitoes in French Guiana. By combining traditional and molecular taxonomy, this step allowed my colleagues and I to discover several new species and to create the appropriate tools to manage this type of entomological data.Secondly, we studied the spatio-temporal structure of resident aquatic macroinvertebrate communities in urban areas. This highlighted the existence of antagonistic and mutualistic interactions. In particular, the native mosquito Limatus durhamii Theobald 1901 appears to prevent the sustainable establishment of Ae. (Stg.) aegypti in slightly urbanized environments via a mechanism of competitive exclusion.
Le moustique Aedes (Stegomyia) aegypti (Linnaeus 1762) a été introduit dans les Amériques depuis le continent africain il y a environ 400 ans. Actuellement, cette espèce est la principale responsable des épidémies de dengue et de chikungunya dans la zone pantropicale et sa large répartition a très probablement joué un rôle important dans l’expansion récente du virus Zika. La biologie d’Ae. (Stg.) aegypti est particulièrement bien connue, ce qui n’est pas le cas de son écologie, en particulier de ses interactions avec les communautés résidentes. En adoptant une démarche pluridisciplinaire je me suis intéressé à la contribution relative des facteurs biotiques et abiotiques ainsi que de certains processus évolutifs dans la distribution de cette espèce à différentes échelles en Guyane française.Dans un premier temps j’ai participé à la révision des connaissances fondamentales sur la diversité des moustiques de Guyane. En alliant la taxonomie classique et moléculaire, cette étape a permis de découvrir plusieurs nouvelles espèces et de mettre en place des outils adaptés à la gestion de ce type de données, notamment pour une utilisation future.Dans un second temps la structuration spatio-temporelle des communautés résidentes de macro-invertébrés aquatiques a été étudiée en milieu urbain. Cela a permis de mettre en évidence l’existence d’interactions antagonistes et mutualistes avec les taxons des communautés résidentes. En particulier, le moustique autochtone Limatus durhamii Theobald 1901 semble empêcher l’établissement durable d’Ae. (Stg.) aegypti dans les milieux faiblement urbanisés via un mécanisme d’exclusion compétitive.
https://tel.archives-ouvertes.fr/tel-01405425

NNT : 2016YANE0001
tel-01405425
https://tel.archives-ouvertes.fr/tel-01405425
https://tel.archives-ouvertes.fr/tel-01405425/document
https://tel.archives-ouvertes.fr/tel-01405425/file/These_Def_Talaga.pdf

Éditeur(s) : HAL CCSD BMJ Publishing Group
Résumé : International audience
ISSN: 0959-8138

hal-01483389
http://hal.univ-reunion.fr/hal-01483389
DOI : 10.1136/bmj.i4850