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Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Mini-Review Article

Human Monkeypox Virus: Current State of Knowledge and Implications for the Imminent Days

Author(s): Suman Kumar Ray and Sukhes Mukherjee*

Volume 23, Issue 6, 2023

Published on: 17 May, 2023

Article ID: e270423216283 Pages: 6

DOI: 10.2174/1871526523666230427144755

Price: $65

Abstract

Monkeypox, a zoonotic orthopoxvirus, unintentionally infects humans and causes a condition resembling smallpox with noticeably reduced fatality. Despite the name monkeypox, the virus did not originate in monkeys. The virus has been linked to several rodents and small mammals, but the real source of monkeypox is still unknown. It was first noticed in macaque monkeys; hence it is named monkeypox. Although monkeypox transmission from person to person is extremely uncommon, it is frequently linked to respiratory droplets or close contact with mucocutaneous lesions of an infected person. This virus is indigenous to western and central Africa, with outbreaks in the Western Hemisphere linked to the exotic pet trade and international travel, making it clinically significant. The immunization against vaccinia virus provided coincidental immunity to monkeypox, but the eradication of smallpox and the consequent lack of vaccination campaigns allowed monkeypox to become clinically relevant. Even though the smallpox vaccine offers protection against the monkeypox virus, the incidence is increasing because of newly non-immunized generations. There is currently no designated treatment for infected individuals; however, supportive treatments are used to relieve symptoms. In extremely severe cases, medications such as tecovirimat may be effective and are used in Europe. Because there are no precise recommendations for symptom alleviation, many treatments are on trial. Smallpox immunizations like JYNNEOS and ACAM2000 are also used as prophylactic measures in the case of the monkeypox virus. This article describes the assessment and treatment of monkeypox infections in humans and emphasizes the need for a multidisciplinary team to treat patients with this condition and prevent disease outbreaks.

Graphical Abstract

[1]
Hutson CL, Nakazawa YJ, Self J, et al. Laboratory investigations of African pouched rats (Cricetomys gambianus) as a potential reservoir host species for monkeypox virus. PLoS Negl Trop Dis 2015; 9(10): e0004013.
[http://dx.doi.org/10.1371/journal.pntd.0004013] [PMID: 26517724]
[2]
Brown K, Leggat P. Human monkeypox: Current state of knowledge and implications for the future. Trop Med Infect Dis 2016; 1(1): 8.
[http://dx.doi.org/10.3390/tropicalmed1010008] [PMID: 30270859]
[3]
MacNeil A, Reynolds MG, Braden Z, et al. Transmission of atypical varicella-zoster virus infections involving palm and sole manifestations in an area with monkeypox endemicity. Clin Infect Dis 2009; 48(1): e6-8.
[http://dx.doi.org/10.1086/595552] [PMID: 19025497]
[4]
Radonić A, Metzger S, Dabrowski PW, et al. Fatal monkeypox in wild-living sooty mangabey, Côte d’Ivoire, 2012. Emerg Infect Dis 2014; 20(6): 1009-11.
[http://dx.doi.org/10.3201/eid2006.131329] [PMID: 24857667]
[5]
Di Giulio DB, Eckburg PB. Human monkeypox: An emerging zoonosis. Lancet Infect Dis 2004; 4(1): 15-25.
[http://dx.doi.org/10.1016/S1473-3099(03)00856-9] [PMID: 14720564]
[6]
Sutcliffe CG, Rimone AW, Moss WJ. Poxviruses. In: Ryan ET, Ed. Hunter’s Tropical Medicine and Emerging Infectious Diseases EBook. 10th Ed. Elsevier, pp. 272-7.
[7]
Parker S, Buller RM. A review of experimental and natural infections of animals with monkeypox virus between 1958 and 2012. Future Virol 2013; 8(2): 129-57.
[http://dx.doi.org/10.2217/fvl.12.130] [PMID: 23626656]
[8]
Ladnyj ID, Ziegler P, Kima E. A human infection caused by monkeypox virus in basankusu territory, democratic republic of the congo. Bull World Health Organ 1972; 46(5): 593-7.
[PMID: 4340218]
[9]
Sale TA, Melski JW, Stratman EJ. Monkeypox: An epidemiologic and clinical comparison of African and US disease. J Am Acad Dermatol 2006; 55(3): 478-81.
[http://dx.doi.org/10.1016/j.jaad.2006.05.061] [PMID: 16908354]
[10]
Guarner J, Johnson BJ, Paddock CD, et al. Monkeypox transmission and pathogenesis in prairie dogs. Emerg Infect Dis 2004; 10(3): 426-31.
[http://dx.doi.org/10.3201/eid1003.030878] [PMID: 15109408]
[11]
Reed KD, Melski JW, Graham MB, et al. The detection of monkeypox in humans in the Western Hemisphere. N Engl J Med 2004; 350(4): 342-50.
[http://dx.doi.org/10.1056/NEJMoa032299] [PMID: 14736926]
[12]
Monkeypox outbreak: List of countries with reported cases. Gulf News. 2004. Available from: https://gulfnews.com/special-reports/monkeypox-outbreak-list-of-countries-with-reported-cases-1.1653054419477 (Accessed on: 2022-07-25).
[13]
Monkeypox: confirmed the first case of the virus in the country. 2022.
[14]
Ido Efrati. Israel Confirms First Case of Monkeypox Virus. Available from: https://www.haaretz.com/israel-news/2022-05-20/ty-article/israel-discovers-first-case-of-monkeypox-virus/00000180-e9f9-d189-af82-f9fd13df0000 (Accessed on: 2022-07-25).
[15]
[16]
Monkeypox cases investigated in Europe, the United States, Canada and Australia. 2022. Available from: https://www.bbc.com/news/health-61506562 (Accessed on: 2022-07-25).
[17]
Singapore confirms imported case of monkeypox after flight attendant develops fever and rashes. 2004. Available from: https://www.channelnewsasia.com/singapore/monkeypox-singapore-imported-case-flight-attendant-fever-rashes-moh-2760996 (Accessed on: 2022-07-25).
[18]
Morocco Reports First Monkeypox Case Morocco World News Available from: https://www.moroccoworldnews.com/2022/06/349441/morocco-reports-first-monkeypox-case (Accessed on: 2 June 2022).
[19]
Monkeypox outbreak constitutes global health emergency-WHO. 2004. Available from: https://news.un.org/en/story/2022/07/1123152 (Accessed on: 2022-07-25).
[20]
Chen N, Li G, Liszewski MK, et al. Virulence differences between monkeypox virus isolates from West Africa and the Congo basin. Virology 2005; 340(1): 46-63.
[http://dx.doi.org/10.1016/j.virol.2005.05.030] [PMID: 16023693]
[21]
Hutson CL, Carroll DS, Self J, et al. Dosage comparison of Congo Basin and West African strains of monkeypox virus using a prairie dog animal model of systemic orthopoxvirus disease. Virology 2010; 402(1): 72-82.
[http://dx.doi.org/10.1016/j.virol.2010.03.012] [PMID: 20374968]
[22]
Likos AM, Sammons SA, Olson VA, et al. A tale of two clades: Monkeypox viruses. J Gen Virol 2005; 86(10): 2661-72.
[http://dx.doi.org/10.1099/vir.0.81215-0] [PMID: 16186219]
[23]
Jezek Z, Grab B, Szczeniowski MV, Paluku KM, Mutombo M. Human monkeypox: secondary attack rates. Bull World Health Organ 1988; 66(4): 465-70.
[PMID: 2844429]
[24]
Le Page M. First monkeypox genome from latest outbreak shows links to 2018 strain. New Scientist 2018. Available from: https://www.newscientist.com/article/2321407-first-monkeypox-genome-from-latest-outbreak-shows-links-to-2018-strain/#:~:text=The%20first%20draft%20genome%20of,Israel%20in%202018%20and%202019. (Accessed on: 2022-07-25).
[25]
Marriott KA, Parkinson CV, Morefield SI, Davenport R, Nichols R, Monath TP. Clonal vaccinia virus grown in cell culture fully protects monkeys from lethal monkeypox challenge. Vaccine 2008; 26(4): 581-8.
[http://dx.doi.org/10.1016/j.vaccine.2007.10.063] [PMID: 18077063]
[26]
Infection Control: Hospital. Monkeypox. Poxvirus. CDC. 2019. Available from: https://www.cdc.gov/poxvirus/mpox/clinicians/infection-control-healthcare.html (Accessed on: 2022-05-21).
[27]
Monkeypox: Four more cases detected in England. BBC News 2022. Available from: https://www.bbc.com/news/health-61470940 (Accessed on: 2022-07-25).
[28]
What You Should Know About Monkeypox Fact Sheet Centers for Disease Control and Prevention 2003.
[29]
Anderson MG, Frenkel LD, Homann S, Guffey J. A case of severe monkeypox virus disease in an American child: emerging infections and changing professional values. Pediatr Infect Dis J 2003; 22(12): 1093-6.
[http://dx.doi.org/10.1097/01.inf.0000101821.61387.a5] [PMID: 14688573]
[30]
Yinka-Ogunleye A, Aruna O, Dalhat M, et al. Outbreak of human monkeypox in Nigeria in 2017–18: a clinical and epidemiological report. Lancet Infect Dis 2019; 19(8): 872-9.
[http://dx.doi.org/10.1016/S1473-3099(19)30294-4] [PMID: 31285143]
[31]
Mariam Monkeypox I. Nigeria records 558 cases, eight deaths in five years. Premium Times Available from: https://www.premiumtimesng.com/news/top-news/528825-monkeypox-nigeria-records-558-cases-eight-deaths-in-five-years.html?tztc=1 (Accessed on: 2022-07-25).
[33]
Vaughan A, Aarons E, Astbury J, et al. Two cases of monkeypox imported to the United Kingdom, September 2018. Euro Surveill 2018; 23(38): 1800509.
[http://dx.doi.org/10.2807/1560-7917.ES.2018.23.38.1800509] [PMID: 30255836]
[34]
Monkeypox case confirmed in England. GOV.UK. Public Health England 2019. Available from: https://www.gov.uk/government/news/monkeypox-cases-confirmed-in-england-latest-updates (Accessed on: 2022-07-25).
[35]
News Scan for May 09, 2019, Singapore sees first monkeypox casein Nigerian national. CIDRAP 2019. Available from: https://www.cidrap.umn.edu/ebola/news-scan-may-09-2019 (Accessed on: 2022-07-25)
[36]
Communicable disease threats report, Week 26, 27 June – 3 July 2021. European Centre for Disease Prevention and Control 2021. Available from: https://www.ecdc.europa.eu/en/publications-data/communicable-disease-threats-report-27-june-3-july-2021-week-26 (Accessed on: 2022-07-25).
[37]
Monkeypox About. About monkeypox. Monkeypox. Poxvirus. CDC. 2021. Available from: https://www.cdc.gov/poxvirus/mpox/index.html (Accessed on: 2022-07-25).
[38]
Osorio JE, Yuill TM. Zoonoses. In: Encyclopedia of Virology. 2008; pp. 485-95.
[39]
Khalil A, Samara A, O’Brien P, et al. Monkeypox vaccines in pregnancy: Lessons must be learned from COVID-19. Lancet Glob Health 2022; 10(9): e1230-1.
[http://dx.doi.org/10.1016/S2214-109X(22)00284-4] [PMID: 35772413]
[40]
Falendysz EA, Lopera JG, Lorenzsonn F, et al. Further assessment of monkeypox virus infection in gambian pouched rats (Cricetomys gambianus) using in vivo bioluminescent imaging. PLoS Negl Trop Dis 2015; 9(10): e0004130.
[http://dx.doi.org/10.1371/journal.pntd.0004130] [PMID: 26517839]
[41]
Fuller T, Thomassen HA, Mulembakani PM, et al. Using remote sensing to map the risk of human monkeypox virus in the Congo Basin. EcoHealth 2011; 8(1): 14-25.
[http://dx.doi.org/10.1007/s10393-010-0355-5] [PMID: 21069425]
[42]
Reynolds MG, Yorita KL, Kuehnert MJ, et al. Clinical manifestations of human monkeypox influenced by route of infection. J Infect Dis 2006; 194(6): 773-80.
[http://dx.doi.org/10.1086/505880] [PMID: 16941343]
[43]
Hammarlund E, Lewis MW, Carter SV, et al. Multiple diagnostic techniques identify previously vaccinated individuals with protective immunity against monkeypox. Nat Med 2005; 11(9): 1005-11.
[http://dx.doi.org/10.1038/nm1273] [PMID: 16086024]
[44]
Formenty P, Muntasir MO, Damon I, et al. Human monkeypox outbreak caused by novel virus belonging to Congo Basin clade, Sudan, 2005. Emerg Infect Dis 2010; 16(10): 1539-45.
[http://dx.doi.org/10.3201/eid1610.100713] [PMID: 20875278]
[45]
Breman JG. Monkeypox: An emerging infection for humans?Emerging Infections 4. Washington, DC, USA: American Society of Microbiology 2000; pp. 45-67.
[46]
Huhn GD, Bauer AM, Yorita K, et al. Clinical characteristics of human monkeypox, and risk factors for severe disease. Clin Infect Dis 2005; 41(12): 1742-51.
[http://dx.doi.org/10.1086/498115] [PMID: 16288398]
[47]
Weinstein RA, Nalca A, Rimoin AW, Bavari S, Whitehouse CA. Reemergence of monkeypox: Prevalence, diagnostics, and countermeasures. Clin Infect Dis 2005; 41(12): 1765-71.
[http://dx.doi.org/10.1086/498155] [PMID: 16288402]
[48]
Townsend MB, MacNeil A, Reynolds MG, et al. Evaluation of the Tetracore Orthopox BioThreat® antigen detection assay using laboratory grown orthopoxviruses and rash illness clinical specimens. J Virol Methods 2013; 187(1): 37-42.
[http://dx.doi.org/10.1016/j.jviromet.2012.08.023] [PMID: 22981983]
[49]
Karem KL, Reynolds M, Braden Z, et al. characterization of acute-phase humoral immunity to monkeypox: use of immunoglobulin M enzyme-linked immunosorbent assay for detection of monkeypox infection during the 2003 North American outbreak. Clin Diagn Lab Immunol 2005; 12(7): 867-72.
[PMID: 16002637]
[50]
Centers for Disease Control and Prevention (CDC). Update: multistate outbreak of monkeypox-Illinois, Indiana, Kansas, Missouri, Ohio, and Wisconsin, 2003. MMWR Morb Mortal Wkly Rep 2003; 52(25): 589-90.
[PMID: 12836628]
[51]
Nalca A, Zumbrun EE. ACAM2000™: The new smallpox vaccine for United States Strategic National Stockpile. Drug Des Devel Ther 2010; 4: 71-9.
[http://dx.doi.org/10.2147/DDDT.S3687] [PMID: 20531961]
[52]
Greenberg RN, Overton ET, Haas DW, et al. Safety, immunogenicity, and surrogate markers of clinical efficacy for modified vaccinia Ankara as a smallpox vaccine in HIV-infected subjects. J Infect Dis 2013; 207(5): 749-58.
[http://dx.doi.org/10.1093/infdis/jis753] [PMID: 23225902]
[53]
Rajsri KS, Rao M. A Review of Monkeypox. New Global Health Emergency Venereol 2022; 1: 199-211.

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