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Ljungan virus a candidate virus in association with several human diseases found in bank voles and yellow-necked mice for the first time in northern Italy

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Academic year: 2021

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LJUNGAN VIRUS, A CANDIDATE VIRUS IN ASSOCIATION WITH SEVERAL HUMAN DISEASES, FOUND IN BANK VOLES AND YELLOW-NECKED MICE FOR THE FIRST TIME IN NORTHERN ITALY

HEIDI C. HAUFFE 1, 7, BO NIKLASSON 2, 3, THERESE OLSSON 2, ALESSANDRO BIANCHI 4, ANNAPAOLA RIZZOLI 1, and WILLIAM KLITZ 5, 6

1 Fondazione E. Mach, Centro di Ecologia Alpina, Viote del Monte Bondone, 38100 Trento, Italy; 2 Apodemus AB, Grevgatan 38, SE-114 53 Stockholm, Sweden; 3 Department of Medical Cell Biology, Uppsala University, Box 571, SE-751 23 Uppsala, Sweden; 4 Ambulatorio Veterinario Tavernerio, via Salvo d’Acquisto 8, 22038 Tavernerio (CO), Italy; 5 School of Public Health, University of California, 140 Warren Hall, Berkeley, CA 94720-7360, USA; 6 Public Health Institute, Oakland, CA 94607-4046, USA; 7 Corresponding author (e-mail: [email protected])

The Ljungan (picorna) virus (LV) was first isolated in 1998 from Swedish bank voles (Myodes glareolus) after clinically recognizable type-1 diabetes-like symptoms were noted in this species in Denmark. LV has subsequently been shown to induce type-2-like diabetes, as well as uterine

resorptions, malformations, and neonatal death in CD-1 laboratory house mice, and has been found in wild voles in the USA, as well as in lemmings and laboratory rats. Intriguingly, the incidence of type-1 diabetes, Guillain-Barré syndrome and myocarditis in the human population is correlated with rodent population cycles in Sweden. In addition, LV has been associated with intrauterine fetal death in Sweden, and a preliminary study showed that children newly diagnosed with type-1 diabetes have significantly increased levels of LV antibodies compared to controls. It has been hypothesized that the bank vole as well as other small rodents could act as reservoirs and/or vectors of LV that may be a zoonotic agent several human diseases or pathologies, including economically important type-1 diabetes. Consequently, knowledge of the distribution LV among wild and domestic mammal species is crucial to assess its potential importance as a human pathogen, identify possible zoonotic sources of the virus and lay groundwork for possible vaccine development. Here we provide a review of the current understanding of the ecopathology of LV and present the first results from southern Europe. Using Real Time RT PCR, LV was confirmed in 50% (10/20) of bank voles and in 10% (2/20) of yellow-necked mice (Apodemus flavicollis) collected from an alpine meadow in northern Italy during 2006. LV-positive animals included males and females, adults and subadults. This is the first time LV has been reported in Italy and in yellow-necked mice. These results significantly increase the

geographical and species range of LV. We believe the global distribution of this picornavirus, and its role as a zoonotic agent, deserve further attention.

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