病媒内病毒动态对如何模拟登革热、寨卡和基孔肯雅等主要虫媒病毒的外在潜伏期提出了挑战

Léa Loisel, Vincent Raquin, Maxime Ratinier, Pauline Ezanno, Gaël Beaunée
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摘要

虫媒病毒对全球人类、动物和植物的健康构成重大威胁。为了阐明其传播途径、预测其传播并有效控制其传播,机理模型已被证明是非常有用的。然而,大多数模型都依赖于关于如何表示外在潜伏期(EIP)的假设:在 EIP 期间发生的媒介内病毒动态(IVD)近似于单一状态。在一个平均持续时间之后,所有暴露的病媒都具有传染性。这背后隐藏着两个强有力的假设:(i) EIP 在病媒种群中呈指数分布;(ii) 病毒在所有暴露的病媒中都能成功跨越感染、传播和传播障碍。为了评估这些假设,我们建立了一个随机区室模型,该模型表示了与是否跨越这三个障碍相关的连续 IVD 阶段。我们使用具有模型选择功能的近似贝叶斯计算-序列蒙特卡洛(ABC-SMC)方法对模型进行了校准。我们系统地搜索了伊蚊感染登革热、基孔肯雅或齐卡病毒的实验数据。我们证明了登革热和寨卡病毒的指数假说与观察到的 EIP 分布之间的差异,并确定了更相关的 EIP 分布。我们还量化了最终成为传染源的受感染蚊子的比例,并强调通常只有一小部分蚊子能跨越三道屏障。这项工作提供了一个通用的建模框架,适用于有类似数据的其他虫媒病毒。
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Within-vector viral dynamics challenges how to model the extrinsic incubation period for major arboviruses: dengue, Zika, and chikungunya
Arboviruses represent a significant threat to human, animal, and plant health worldwide. To elucidate transmission, anticipate their spread and efficiently control them, mechanistic modelling has proven its usefulness. However, most models rely on assumptions about how the extrinsic incubation period (EIP) is represented: the intra-vector viral dynamics (IVD), occurring during the EIP, is approximated by a single state. After an average duration, all exposed vectors become infectious. Behind this are hidden two strong hypotheses: (i) EIP is exponentially distributed in the vector population; (ii) viruses successfully cross the infection, dissemination, and transmission barriers in all exposed vectors. To assess these hypotheses, we developed a stochastic compartmental model which represents successive IVD stages, associated to the crossing or not of these three barriers. We calibrated the model using an ABC-SMC (Approximate Bayesian Computation - Sequential Monte Carlo) method with model selection. We systematically searched for literature data on experimental infections of Aedes mosquitoes infected by either dengue, chikungunya, or Zika viruses. We demonstrated the discrepancy between the exponential hypothesis and observed EIP distributions for dengue and Zika viruses and identified more relevant EIP distributions . We also quantified the fraction of infected mosquitoes eventually becoming infectious, highlighting that often only a small fraction crosses the three barriers. This work provides a generic modelling framework applicable to other arboviruses for which similar data are available. Our model can also be coupled to population-scale models to aid future arbovirus control.
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