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1 Rabies Laboratory, Pathology Division, Kimron Veterinary Institute, Bet Dagan 50250, Israel
2 Laboratory for Clinical and Molecular Virology, The University of Edinburgh, Edinburgh EH9 1QH, UK
3 Division of Avian Diseases, Kimron Veterinary Institute, Bet Dagan 50250, Israel
4 Etlik Central Veterinary Control and Research Institute, Etlik, Ankara, Turkey
5 Rabies Unit, Viral and Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
Correspondence
Dan David
davidd{at}int.gov.il
| ABSTRACT |
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| INTRODUCTION |
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Rabies is endemic in Asia and Africa, where the primary reservoir and vector of the RABV is the domestic dog. Worldwide human mortality from enzootic canine rabies is estimated to be in excess of 55 000 deaths per year, of which approximately 56 % occur in Asia and 44 % in Africa (WHO, 2005
).
Rabies has been known in the Middle East since biblical times, but the modern Hebrew name Kalevet was coined only at the beginning of the 20th century by a physician named Beham, who established the Jerusalem Pasteur Institute in 1913 (Yakobson et al., 2004
). Between 1930 and 1960, the domestic dog was considered to be the primary reservoir of RABV in Israel (Goor, 1949
). Komarov & Hornstein (1953)
developed a rabies vaccine based on the Kelev RABV strain isolated in 1950 from a naturally infected dog in Israel. The original street virus virulence was modified by 100 passages in chick embryos (Komarov & Hornstein, 1953
), the virus was attenuated and then used for cattle vaccination in Israel until the early 1960s (Kalmar & Tadmor, 1968
). The Kelev vaccine has been used for cat and dog vaccination in Turkey since 1968 (Orhan et al., 1998
).
Today, RABV circulates in Israel among wild canids, with occasional transmission to humans and domestic animals. Since 1979, red foxes (Vulpes vulpes) have been the most important reservoir of RABV in Israel (Shimshony, 1997
). Molecular epidemiological studies of rabies in Israel between 1993 and 1998 revealed five phylogenetic lineages, distributed among four geographical regions (David et al., 2000
). An oral vaccination (ORV) programme directed at wild animals has been implemented since 1998 in the northern regions of Israel. In 2004 the programme was extended and it currently covers all of the area controlled by Israel and the Palestinian Authority (Yakobson et al., 2006
). Israel is the only country in the Middle East that implements ORV, and to ensure the success of the programme extensive rabies surveillance along Israel's borders is required.
Rabies is enzootic throughout the Middle East. Turkey still reports dog-mediated rabies and several cases of rabies in wildlife have been confirmed there (Johnson et al., 2003
). Rabies is also a serious enzootic disease in Jordan, Syria, Lebanon and Iran, where stray dogs maintain RABV circulation and there is frequent spillover into wildlife such as jackals, squirrels, stone martens, foxes, monkeys and wolves (Al-Qudah et al., 1997
; Bizri et al., 2000
; Nadin-Davis et al., 2003
; Yakobson et al., 2004
).
Stray dogs are the reservoir of most of the RABV circulation in Egypt. The number of human deaths caused by rabies in Egypt since 1990, as reported to the WHO, has been approximately 3040 cases per annum (Matter et al., 2004
).
Kissi et al. (1995)
studied the molecular epidemiology of rabies in Africa and described three phylogenetic lineages of RABV: Africa 1, 2 and 3. The divergence was believed to reflect descent from differing progenitor viruses. The Africa 1 and 2 lineages were isolated from dogs or humans bitten by rabid dogs, whereas the Africa 3 lineage was found associated with mongoose species, principally the yellow mongoose (Cynictis penicillata) from the Republic of South Africa. The Africa 1 lineage was subdivided into two subgroups: 1a, restricted to North and West Africa; and 1b, limited to South East Africa. In general, the Africa 1 lineage was the most similar to current Eurasian RABV lineages, suggesting its recent introduction to Africa (Kissi et al., 1995
; Swanepoel et al., 1993
). The Africa 2 lineage includes wild-type strains that originated from several central and eastern African countries, and is phylogenetically ancestral to the cluster that includes the Eurasian and Africa 1 RABVs. The Africa 3 lineage, of mongoose origin, is distant from all dog RABV variants. The single Egyptian RABV isolate that Kissi et al. (1995)
included in their study was a human isolate (GenBank accession no. U22627
[GenBank]
), and it was unique within the study as the authors were unable to group it with any of the three African RABV lineages.
In the present paper we describe the antigenic and phylogenetic analysis of the Middle Eastern and Egyptian RABV isolates, as well as the estimation of their age based on a molecular clock. In the light of this analysis, we have identified novel canine RABV lineages in the Middle East, designated V, VI and VII and one novel lineage associated with North Africa, designated Africa 4.
| METHODS |
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Direct fluorescent antibody test.
From each brain sample, three anatomical regions were subjected to the direct fluorescent antibody test with FITC-conjugated anti-RABV monoclonal (Centocor, Fujirebio Diagnostic) and polyclonal (Chemicon International) antibodies, according to the manufacturers' recommendations.
mAb typing.
Indirect immunofluorescent antibody staining was used to detect N antigen in acetone-fixed touch brain impressions and cell monolayers infected with RABV isolates on Teflon-coated microscope slides (Erie Scientific) (David et al., 1999a
; Smith et al., 1990
). A panel of 19 mAbs developed at the Centers for Disease Control and Prevention and mAbs 103-7 and 502-2 (Wistar Institute) used in the present study (Table 2
) have been characterized previously (Wiktor & Koprowski, 1978
). All the mAbs were prepared as mouse ascitic fluid and reacted against the N epitopes of RABV as previously described (Smith et al., 1984
). The slides were examined at x200 magnification with a BX-40 fluorescence microscope (Olympus Optical Co.).
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For reverse transcription, 1 µl RNA was heated to 95 °C for 1 min, chilled on ice and added to 20 µl reverse transcription reaction mixture containing reaction buffer (25 mM Tris/HCl, pH 8.3 at 42 °C, 25 mM KCl, 5 mM MgCl2, 5 mM DTT, 0.25 mM spermidine), 250 µM each of four dNTPs, 100 pmol forward primer 10g (5'-CTACAATGGATGCCGAC-3'; specific to the RABV N gene), 25 U RNAsin (Promega) and 10 U AMV reverse transcriptase (Promega). After incubation at 42 °C for 90 min, 2 µl cDNA product was added to 50 µl PCR mixture, using Ex-Taq polymerase (Takara Bio) according to the manufacturer's instructions. The primers 10g and 304 (5'-GAGTCACTCGAATATGTC-3') were used for PCR (Smith, 2002
). The following thermocycling program was used: 95 °C for 2 min, 37 °C for 1 min, 68 °C for 1.5 min, 98 °C for 20 s. This was repeated once, followed by a further 16 repetitions under identical conditions, except that an extra 20 s was added to each elongation step. A final 10 min elongation step followed. The 1461 bp PCR product comprised the 1350 bp of the entire N gene, the non-coding region between the N and P genes, and the initial 20 bp of the P gene. PCR products were visualized on 1.5 % agarose gels, purified with the Wizard PCR Preps DNA purification system (Promega) and sequenced with an automatic sequencer 3700 DNA Analyzer (Applied Biosystems), according to the manufacturer's instructions.
Phylogenetic analysis.
The nucleotide sequences were aligned with the PILEUP sequence analysis package (Genetics Computer Group). A phylogenetic tree of 1350 bp of the N gene was constructed by the neighbour-joining method, with the distance calculated using the Kimura two-parameter with the computer program MEGA, version 3.1 (Kumar et al., 2004
). The reliability of the phylogenetic groupings was evaluated using bootstrapping with 1000 replicates.
Estimation of the evolutionary rate and application of a molecular clock.
Estimates of the rate of molecular evolution, µ (substitutions per site per year), of the complete N gene alignment were obtained by using the BEAST program (available from http://www.evolve.zoo.ox.ac.uk/beast/). This program uses a Bayesian Markov Chain Monte Carlo (MCMC) method, which requires no assumptions to be made regarding tree topology (Drummond et al., 2002
). This method was previously applied to analysis of RABV datasets (Davis et al., 2006
; Hughes et al., 2004
, 2005
).
For each alignment, an input file for BEAST was generated by using the BEAUti program (available from http://www.evolve.zoo.ox.ac.uk/beast/) with sequences dated according to the year of isolation. Identical sequences with the same year of isolation were removed from the analysis, as were laboratory-generated and vaccine-derived sequences. For each dataset, the maximum likelihood (ML) model of nucleotide substitution was selected with the MODELTEST software (Posada & Crandall, 1998
) and the model selected was used as the basis for BEAST analysis. Full details of the models used are available from the authors upon request. Jeffrey's priors for substitution rate and population size were used for each BEAST analysis (Drummond et al., 2002
). Two population dynamics models were used (constant population size and exponential population growth) and their likelihoods compared (Davis et al., 2005
). The MCMC analysis was optimized according to the criteria suggested in the program documentation. These included an operator acceptance probability of approximately 25 % and an effective sample size >100. The BEAST output was evaluated with the Tracer program (available from http://www.evolve.zoo.ox.ac.uk/beast/).
Divergence times for individual clades were estimated with the TipDate software (Rambaut, 2000
). An ML tree generated by PAUP* (Swofford, 2000
) by means of the ML nucleotide substitution model selected by MODELTEST was used as input for TipDate. The PAUP* ML trees were constrained to contain no polytomy. An ML tree was generated in TipDate under the assumption of a single rate of nucleotide substitution, by using single rate dated tips (SRDT) model. Trees were generated by using the nucleotide substitution parameters estimated by MODELTEST. For the SRDT tree, the mean rate of substitution estimated in the BEAST analysis and the upper and lower 95 % highest probability density (HPD) values were used to scale trees and the ML root estimated by TipDate.
To assess the degree of substitution saturation, graphical plots of the accumulation of transitions (TS) and transversions (TV) against evolutionary distance were generated with the DAMBE software (Xia & Xie, 2001
) for the complete N gene alignment. The TN93 model was used to calculate evolutionary distance. When multiple transition substitutions occur at the same site, the phylogenetic signal for the earlier changes are essentially lost; saturation of this nature is then visible because transversions accumulate more rapidly than transitions, i.e. the TS line flattens. These methods have been used previously to assess substitution saturation during the evolution of RNA viruses (Hanada et al., 2004
; Moury et al., 2002
; Van Dooren et al., 2001
).
| RESULTS |
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Clade V was represented by four RABV isolates that were found on the border between Israel and Jordan, and also by isolates that occurred in the Gulf countries, Oman (GenBank accession no. U22480
[GenBank]
) and Saudi Arabia (accession no. U22481
[GenBank]
). The Israeli RABV isolates of clade V were closely related to isolates originating from the latter countries (bootstrap support of 99 %) (Fig. 3
).
The viruses included in the clade VI were isolated from rabid animals on the borders between Israel, Jordan and Syria (bootstrap support of 99 %). The clade VI was represented by four isolates: the first (KE1132) was found in an Israeli dog in 1997 in the Arava Valley on the border with Jordan. The second isolate (MG1353) was obtained from a rabid Israeli cow found in 1997 on the border with Syria. The third isolate (J2) was identified in a Jordanian donkey in 1999, which was found to be identical to the Israeli dog isolate KE1132. The fourth isolate (MS9119) was from an Israeli dog located near the Dead Sea in 2001.
The Israel cluster VII comprised 18 RABV isolates obtained on the borders between Israel and Syria during 20042006 (bootstrap support of 99 %) and one isolate (MV7626) from a cow in the Galilee region (Fig. 1
). These isolates were more closely related to Turkish isolates than the clade I isolate that circulated in Israel before the ORV programme was implemented. The bovine isolate MV7626 isolated in the Galilee region may have been transmitted by an infected dog from the Golan Heights. Molecular analysis of the Jordanian sequences J1J6, all of which were found on the border between Israel and Jordan, revealed the presence of three clades: Israel I, V and VI. Israel shares clade I with Jordan, and the two sequences of the Jordanian isolates J4 and J5 were found to be similar to the Israeli isolates that circulated until 1998 on the Golan Heights. The isolate SM0034, of vulpine origin, was identified as a member of clade I; it was obtained from the Jordan Valley on the border with Jordan in 2002. Three sequences of the Jordanian isolates J1, J3 and J6 were identified as members of Israel V; these sequences were closely related to Israeli RABV sequences obtained along the border between Israel and Jordan during 2000.
The bovine isolates AM4828 and AM4816 were obtained on the border between Israel and Lebanon during 2004. They belong to the same genetic variant that circulated in the Golan Heights and Upper Galilee until 1998. These isolates were closely related to the stone marten isolate SL9655 that was obtained in 1997 in South Lebanon.
The phylogenetic tree showed that the three Egyptian dog RABV isolates, together with the Kelev vaccine strain, clustered with the previously described Egyptian human isolate S4 (Kissi et al., 1995
). This novel clade, Africa 4, was supported by a high bootstrap value (99 %) and was placed ancestral to the cluster of RABV variants that were associated with the Middle East and the middle latitudes of Eurasia, and to Africa 1. The ancestral position of the Africa 4 clade was supported by the very high bootstrap value 99 %, indicating that this clade is part of the cosmopolitan canine RABV lineage that is believed to have originated in Europe and widely disseminated as a consequence of colonial activity during the 16th to 19th centuries (Smith et al., 1992
). The lineages that were placed more ancestrally (Arctic, Africa 2 and 3 and Asia) were not consistently joined to the cosmopolitan cluster. The Kelev RABV vaccine strain and the Egyptian human RABV isolate S4 share 97.8 % nucleotide identity, and show 97.397.6 % identity with the new Egyptian isolates S1, S2 and S3. These samples also shared 98.299.3 % amino acid identity. All other Israeli RABV isolates available for comparison (n=89) belonged to the Middle Eastern clade that is maintained primarily by red foxes. This clade was further incorporated into the cluster of RABVs circulating within foxes and raccoon dogs in the middle latitudes of Eurasia.
Estimation of the evolutionary rate of the N gene and application of a molecular clock
For estimation of the substitution rate of the N gene, a total of 106 taxa were included in the analysis. The constant population size model was significantly favoured over the exponential growth model. BEAST analysis gave an estimated rate of 2.7x104 substitutions per site per year (95 % HPD: 1.8x104 to 3.7x104) with a corresponding root height of 470 years (95 % HPD: 306 to 651). Application of the BEAST-calculated rates to TipDate resulted in SRDT trees with very similar root heights (448 years, 330689). The SRDT generated by using the mean substitution rate is shown in Fig. 4
.
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| DISCUSSION |
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RABV that circulates in Syria appears to belong to the clades VI and VII, and the Israeli RABV isolates that belong to clade VI are closely related to isolates from Jordan and Syria. The RABV isolates identified on the Israeli border with Syria belong to clade VII and were found to be closely related to the Turkish isolates (Fig. 3
).
The clade I isolates appear to be circulating in Lebanon as well as Israel and Jordan. The last rabies cases caused by the clade I isolates in Israel occurred in 1998 in the Golan Heights region, whereas the isolates of this variant were identified on the border with Jordan in 2000 and on the border with Lebanon during 2004.
The isolates identified as belonging to the three Middle Eastern clades V, VI and VII, which were identified on the Israeli borders, are likely to have penetrated from neighbouring countries, and isolates of variant I from the Israeli border probably represent penetrations by variants circulating in Jordan and Lebanon.
The present antigenic typing is an attempt to provide a comprehensive classification. Reports published until now have described antigenic typing of isolates from Iran only (Nadin-Davis et al., 2003
). These variants indicated the limited geographical variability of RABV, within a large cluster of cosmopolitan RABVs.
Antigenic characterization of representative Israeli and other Middle Eastern isolates identified eight mAbs that are useful for group discrimination: 63-3-1 (C1), 62-8-2 (C2), 62-24-1 (C7), 62-61-1 (C11), 62-62-4 (C12), 62-97-11 (C16), 62-143-2 (C18) and 103-7.
The present study exemplifies that concerted substitutions of a limited number of N amino acids are responsible for the antigenic classification of the Middle Eastern RABV isolates. This finding is consistent with the results of antigenic characterization of viruses from Iran (Nadin-Davis et al., 2003
). The Iranian specimens of NV703 (Nadin-Davis et al., 2003
), which belong to the Iranian antigen variant 1, exhibit the same antigenic profiles as the J2 isolate belonging to Jordanian antigenic variant V1 and to Israeli isolate KE1132 antigenic variant V1. Apart from confirmation of the presence of the novel antigenic variant V6 on the border between Israel and Jordan, the antigen typing method could not distinguish between the RABV isolates belonging to other border-associated clades.
Furthermore, it is unknown whether the antigenic epitopes for the mAbs are linear or conformational. It is possible that the amino acid substitutions described above did not preclude antibody binding to a linear site, but changed the secondary structure and conformational epitope, with consequent alteration of mAb binding. One example of this phenomenon is the substitution of a single amino acid in an Arctic RABV N, a substitution that prevented reactions with seven mAbs (Kuzmin et al., 2004
).
Since 1979, the rabies reservoir in Israel has been the red fox, whereas in Turkey and Egypt the main host has been dogs. Bourhy et al. (1999)
suggested that the specificity to the fox could depend on the substitution of D with N or A at position 101 of the RABV N. However, this was not true of some fox isolates originating from eastern Europe and Asia, which contained S, T or unsubstituted D at this position (Kuzmin et al., 2004
). Similarly, the Israeli fox isolates belonging to the genetic variants IIV contained N or T, and those belonging to variant V contained S at position 101. Thus, it is still impossible to make a valid conclusion regarding specific amino acids at position 101 of the RABV N and an association with alteration in species specificity. In contrast, all the dog isolates in this study (Africa 4 clade, Israeli genetic variants VI and VII and the Turkish isolates) had D in that position. For this reason, the alternative proposal that D101 is characteristic of dog RABV variants may be more plausible.
The Africa 4 clade includes RABV isolates from Egypt and Israel, whereas previous studies identified only one Egyptian human isolate that could not be classified within any of the previously identified African lineages (Kissi et al., 1995
).
Because of the limited dataset, we cannot conclude whether other RABV lineages, which are phylogenetically related to the other African or Eurasian groups, circulate within the territory of Egypt. We have shown for the first time that the Kelev RABV vaccine strain belongs to the Africa 4 lineage, whereas the other Israeli RABV isolates discussed here are similar to those described previously (David et al., 2000
). We consider, therefore, that the Kelev RABV is probably an imported Egyptian isolate that was most likely brought to Israel by the transfer of dogs across the Suez Canal, during the armed conflict that occurred at that time. Alternatively, the Africa 4 lineage might have circulated previously within a broader geographical area, but was subsequently replaced in the Middle East by other variants.
The origin of the existing canine RABV variants is currently unclear. Although canine RABV variants have been hypothesized to evolve from bat RABV variants (Badrane & Tordo, 2001
), the undoubted involvement of extinct variants in this evolutionary pathway ensures that clarification of this process remains impossible. Indeed, carnivore rabies was described 4000 years ago (Theodoridies, 1986
), although those infections were doubtless caused by now extinct viruses that may have shared only a distant genetic relationship with current RABV variants. Previous research has dated the emergence of canine rabies between 888 and 1459 years ago, with the TMRCA of cosmopolitan canine RABV variants dated to 284504 years ago (Badrane & Tordo, 2001
). Another study estimated that current global RABV diversity arose within the last 500 years (Holmes et al., 2002
). These values are close to our present estimate of the root height of the N gene alignment at about 450 years. Our estimate of the substitution rate of the N gene (2.7x104 substitutions per site per year) is close to the value of 2.3x104 estimated for bat RABV variants in the Americas (Hughes et al., 2005
) and 3.9x104 estimated for terrestrial mammals (Davis et al., 2006
).
The recent isolation in Eurasia of the most divergent lyssavirus to date, the West Caucasian bat virus (Kuzmin et al., 2005
), coupled with the present observation that Asian canine RABV variants appear to share the closest common ancestor to the progenitor, is indicative that now extinct Eurasian lineages may have served as a crucial genetic component in the evolution of current global RABV diversity. The divergence and eventual establishment of the newly described Africa 4 clade appear to have occurred at a branching point earlier than the divergence of the lineage that has evolved to generate the vast majority of the current global diversity of RABV. In turn, lineages associated with areas of Europe, middle latitudes of Asia and the Middle East appear to have been established later. The current diversity in the Middle East is suggested to have recent origins, which suggests that the establishment of new lineages of RABV must occur fairly rapidly in this region.
| ACKNOWLEDGEMENTS |
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Received 4 July 2006;
accepted 21 November 2006.
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