Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 24, Number 9—September 2018
Research Letter

Case of Microcephaly after Congenital Infection with Asian Lineage Zika Virus, Thailand

Thidathip Wongsurawat1, Niracha Athipanyasilp1, Piroon Jenjaroenpun, Se-Ran Jun, Bualan Kaewnapan, Trudy M. Wassenaar, Nattawat Leelahakorn, Nasikarn Angkasekwinai, Wannee Kantakamalakul, David W. Ussery, Ruengpung Sutthent, Intawat Nookaew2Comments to Author , and Navin Horthongkham2Comments to Author 
Author affiliations: University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA (T. Wongsurawat, P. Jenjaroenpun, S.-R. Jun, D.W. Ussery, I. Nookaew); Siriraj Hospital, Mahidol University, Bangkok, Thailand (N. Athipanyasilp, B. Kaewnapan, N. Leelahakorn, N. Angkasekwinai, W. Kantakamalakul, R. Sutthent, N. Horthongkham); Molecular Microbiology and Genomics Consultants, Zotzenheim, Germany (T.M. Wassenaar)

Main Article

Figure

Maximum-likelihood phylogenetic analysis of nonredundant Zika virus genomes including 7 isolates from patients in Thailand, 2016–2017, and amino acid changes corresponding with 3 evolutionary events (2). Circles indicate the Zika virus isolates from this report; the Zika virus strains used by Liang et al. (3) are indicated by asterisks and Yuan et al. (4) by squares. The key amino acid residue changes corresponding with the 3 evolutionary events (2) are shown, and the conserved amino acid substi

Figure. Maximum-likelihood phylogenetic analysis of nonredundant Zika virus genomes including 7 isolates from patients in Thailand, 2016–2017, and amino acid changes corresponding with 3 evolutionary events (2). Circles indicate the Zika virus isolates from this report; the Zika virus strains used by Liang et al. (3) are indicated by asterisks and Yuan et al. (4) by squares. The key amino acid residue changes corresponding with the 3 evolutionary events (2) are shown, and the conserved amino acid substitution S17N, present in the American lineage but not in the other lineages, is in bold. The amino acid residues of the 7 isolates from this report are identical to those of the other Asian lineage isolates. C, capsid; prM, premembrane; NS, nonstructural protein. Scale bar indicates nucleotide changes per basepair.

Main Article

References
  1. Lim  SK, Lim  JK, Yoon  IK. An update on Zika virus in Asia. Infect Chemother. 2017;49:91100. DOIPubMedGoogle Scholar
  2. Jun  SR, Wassenaar  TM, Wanchai  V, Patumcharoenpol  P, Nookaew  I, Ussery  DW. Suggested mechanisms for Zika virus causing microcephaly: what do the genomes tell us? BMC Bioinformatics. 2017;18(Suppl 14):471. DOIPubMedGoogle Scholar
  3. Liang  Q, Luo  Z, Zeng  J, Chen  W, Foo  SS, Lee  SA, et al. Zika virus NS4A and NS4B proteins deregulate akt-mTOR signaling in human fetal neural stem cells to inhibit neurogenesis and induce autophagy. Cell Stem Cell. 2016;19:66371. DOIPubMedGoogle Scholar
  4. Yuan  L, Huang  XY, Liu  ZY, Zhang  F, Zhu  XL, Yu  JY, et al. A single mutation in the prM protein of Zika virus contributes to fetal microcephaly. Science. 2017;358:9336. DOIPubMedGoogle Scholar
  5. Driggers  RW, Ho  CY, Korhonen  EM, Kuivanen  S, Jääskeläinen  AJ, Smura  T, et al. Zika virus infection with prolonged maternal viremia and fetal brain abnormalities. N Engl J Med. 2016;374:214251. DOIPubMedGoogle Scholar
  6. Sohan  K, Cyrus  CA. Ultrasonographic observations of the fetal brain in the first 100 pregnant women with Zika virus infection in Trinidad and Tobago. Int J Gynaecol Obstet. 2017;139:27883. DOIPubMedGoogle Scholar
  7. Parra-Saavedra  M, Reefhuis  J, Piraquive  JP, Gilboa  SM, Badell  ML, Moore  CA, et al. Serial head and brain imaging of 17 fetuses with confirmed Zika virus infection in Colombia, South America. Obstet Gynecol. 2017;130:20712. DOIPubMedGoogle Scholar
  8. Kleber de Oliveira  W, Cortez-Escalante  J, De Oliveira  WT, do Carmo  GM, Henriques  CM, Coelho  GE, et al. Increase in reported prevalence of microcephaly in infants born to women living in areas with confirmed Zika virus transmission during the first trimester of pregnancy—Brazil, 2015. MMWR Morb Mortal Wkly Rep. 2016;65:2427. DOIPubMedGoogle Scholar
  9. Cuevas  EL, Tong  VT, Rozo  N, Valencia  D, Pacheco  O, Gilboa  SM, et al. Preliminary report of microcephaly potentially associated with Zika virus infection during pregnancy—Colombia, January–November 2016. MMWR Morb Mortal Wkly Rep. 2016;65:140913. DOIPubMedGoogle Scholar
  10. Reynolds  MR, Jones  AM, Petersen  EE, Lee  EH, Rice  ME, Bingham  A, et al.; U.S. Zika Pregnancy Registry Collaboration. Vital Signs: Update on Zika virus–associated birth defects and evaluation of all U.S. infants with congenital Zika virus exposure—U.S. Zika Pregnancy Registry, 2016. MMWR Morb Mortal Wkly Rep. 2017;66:36673. DOIPubMedGoogle Scholar

Main Article

1These first authors contributed equally to this article.

2These senior authors contributed equally to this article.

Page created: August 17, 2018
Page updated: August 17, 2018
Page reviewed: August 17, 2018
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external