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Infectious Disorders - Drug Targets

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Review Article

Enterovirus D-68 Molecular Virology, Epidemiology, and Treatment: an Update and Way Forward

Author(s): Mahmoud Ahmed Ebada*, Notila Fayed, Souad Alkanj and Ahmed Wadaa Allah

Volume 21, Issue 3, 2021

Published on: 15 July, 2020

Page: [320 - 327] Pages: 8

DOI: 10.2174/1871526520666200715101230

Price: $65

Open Access Journals Promotions 2
Abstract

Enterovirus D68 (EV-D68) is a single-stranded positive-sense RNA virus, and it is one of the family members of Picornaviridae. Except for EV-D68, the entire family Picornaviridae has been illustrated in literature. EV-D68 was first discovered and isolated in California, USA, in 1962. EV-D68 has resulted in respiratory disorders’ outbreaks among children worldwide, and it has been detected in cases of various neurological diseases such as acute flaccid myelitis (AFM). A recent study documented a higher number of EV-D68 cases associated with AFM in Europe in 2016 compared to the 2014 outbreak. EV-D68 is mainly diagnosed by quantitative PCR, and there is an affirmative strategy for EV-D68 detection by using pan-EV PCR on the untranslated region and/or the VP1 or VP2, followed by sequencing of the PCR products. Serological tests are limited due to cross-reactivity of the antigens between the different serotypes. Many antiviral drugs for EV-D68 have been evaluated and showed promising results. In our review, we discuss the current knowledge about EV-D68 and its role in the development of AFM.

Keywords: Acute flaccid myelitis, enteroviruses, eV-D68, epidemic, public health, molecular virology.

Graphical Abstract

[1]
Imamura, T.; Oshitani, H. Global reemergence of enterovirus D68 as an important pathogen for acute respiratory infections. Rev. Med. Virol., 2015, 25(2), 102-114.
[http://dx.doi.org/10.1002/rmv.1820] [PMID: 25471236]
[2]
Du, J.; Zheng, B.; Zheng, W.; Li, P.; Kang, J.; Hou, J.; Markham, R.; Zhao, K.; Yu, X.F. Analysis of enterovirus 68 strains from the 2014 north american outbreak reveals a new clade, indicating viral evolution. PLoS One, 2015, 10(12), e0144208.
[http://dx.doi.org/10.1371/journal.pone.0144208] [PMID: 26630383]
[3]
Imamura, T.; Suzuki, A.; Lupisan, S.; Kamigaki, T.; Okamoto, M.; Roy, C.N.; Olveda, R.; Oshitani, H. Detection of enterovirus 68 in serum from pediatric patients with pneumonia and their clinical outcomes. Influenza Other Respir. Viruses, 2014, 8(1), 21-24.
[http://dx.doi.org/10.1111/irv.12206] [PMID: 24209770]
[4]
Mcnamara, P.S.; Doorn, H.R. Van, Diseases I. Enterovirus D68 Respiratory Viruses and Atypical Bacte- ria Picornaviruses Enteroviruses and Parechoviruses, 2017; 68(mild).
[5]
Wei, W.; Guo, H.; Li, J.; Ren, S.; Wei, Z.; Bao, W. Circulating HFMD-Associated Coxsackievirus A16 Is Genetically and Phenotypically Distinct from the Prototype CV-A16 PLoS One, 2014, 9(4), e94746.
[6]
Liu, Y.; Sheng, J.; Fokine, A.; Meng, G.; Shin, W-H.; Long, F.; Kuhn, R.J.; Kihara, D.; Rossmann, M.G. Structure and inhibition of EV-D68, a virus that causes respiratory illness in children. Science, 2015, 347(6217), 71-74.
[http://dx.doi.org/10.1126/science.1261962] [PMID: 25554786]
[7]
Nix, W.A.; Oberste, M.S.; Pallansch, M.A. Sensitive, seminested PCR amplification of VP1 sequences for direct identification of all enterovirus serotypes from original clinical specimens. J. Clin. Microbiol., 2006, 44(8), 2698-2704.
[http://dx.doi.org/10.1128/JCM.00542-06] [PMID: 16891480]
[8]
Esposito, S.; Bosis, S.; Niesters, H.; Principi, N. Enterovirus D68 Infection. Viruses, 2015, 7(11), 6043-6050.
[http://dx.doi.org/10.3390/v7112925] [PMID: 26610548]
[9]
Dyrdak, R.; Grabbe, M.; Hammas, B.; Ekwall, J.; Hansson, K.E.; Luthander, J.; Naucler, P.; Reinius, H.; Rotzén-Östlund, M.; Albert, J. Outbreak of enterovirus D68 of the new B3 lineage in Stockholm, Sweden, August to September 2016. Euro Surveill., 2016, 21(46), 30403.
[http://dx.doi.org/10.2807/1560-7917.ES.2016.21.46.30403] [PMID: 27918255]
[10]
Knoester, M.; Schölvinck, E.H.; Poelman, R.; Smit, S.; Vermont, C.L.; Niesters, H.G.M.; Van Leer-Buter, C.C. Upsurge of Enterovirus D68, the Netherlands, 2016. Emerg. Infect. Dis., 2017, 23(1), 140-143.
[http://dx.doi.org/10.3201/eid2301.161313] [PMID: 27660916]
[11]
Milhano, N.; Borge, K.S.; Bragstad, K.; Dudman, S. Management strategies of enterovirus D68 outbreaks: current perspectives, 2018. Available from : https://www.dovepress.com /management-strategies-of-enterovirus-d68-outbreaks-current-perspective-peer-reviewed-article-VAAT
[http://dx.doi.org/10.2147/VAAT.S140376]
[12]
Cassidy, H.; Poelman, R.; Knoester, M.; Van Leer-Buter, C.C.; Niesters, H.G.M. Enterovirus D68 - The New Polio? Front. Microbiol., 2018, 9(Nov), 2677.
[http://dx.doi.org/10.3389/fmicb.2018.02677] [PMID: 30483226]
[13]
Wang, G.; Zhuge, J.; Huang, W.; Nolan, S.M.; Gilrane, V.L.; Yin, C.; Dimitrova, N.; Fallon, J.T. Enterovirus D68 subclade B3 strain circulating and causing an outbreak in the United States in 2016. Sci. Rep., 2017, 7(1), 1242.
[http://dx.doi.org/10.1038/s41598-017-01349-4] [PMID: 28455514]
[14]
Shen, L.; Gong, C.; Xiang, Z.; Zhang, T.; Li, M.; Li, A.; Luo, M.; Huang, F. Upsurge of Enterovirus D68 and Circulation of the New Subclade D3 and Subclade B3 in Beijing, China, 2016. Sci. Rep., 2019, 9(1), 6073.
[http://dx.doi.org/10.1038/s41598-019-42651-7] [PMID: 30988475]
[15]
Midgley, C.M.; Watson, J.T.; Nix, W.A.; Curns, A.T.; Rogers, S.L.; Brown, B.A.; Conover, C.; Dominguez, S.R.; Feikin, D.R.; Gray, S.; Hassan, F.; Hoferka, S.; Jackson, M.A.; Johnson, D.; Leshem, E.; Miller, L.; Nichols, J.B.; Nyquist, A.C.; Obringer, E.; Patel, A.; Patel, M.; Rha, B.; Schneider, E.; Schuster, J.E.; Selvarangan, R.; Seward, J.F.; Turabelidze, G.; Oberste, M.S.; Pallansch, M.A.; Gerber, S.I. EV-D68 Working Group. Severe respiratory illness associated with a nationwide outbreak of enterovirus D68 in the USA (2014): a descriptive epidemiological investigation. Lancet Respir. Med., 2015, 3(11), 879-887.
[http://dx.doi.org/10.1016/S2213-2600(15)00335-5] [PMID: 26482320]
[16]
Blomqvist, S.; Savolainen, C.; Råman, L.; Roivainen, M.; Hovi, T. Human rhinovirus 87 and enterovirus 68 represent a unique serotype with rhinovirus and enterovirus features. J. Clin. Microbiol., 2002, 40(11), 4218-4223.
[http://dx.doi.org/10.1128/JCM.40.11.4218-4223.2002] [PMID: 12409401]
[17]
Wang, X.; Peng, W.; Ren, J.; Hu, Z.; Xu, J.; Lou, Z.; Li, X.; Yin, W.; Shen, X.; Porta, C.; Walter, T.S.; Evans, G.; Axford, D.; Owen, R.; Rowlands, D.J.; Wang, J.; Stuart, D.I.; Fry, E.E.; Rao, Z. A sensor-adaptor mechanism for enterovirus uncoating from structures of EV71. Nat. Struct. Mol. Biol., 2012, 19(4), 424-429.
[http://dx.doi.org/10.1038/nsmb.2255] [PMID: 22388738]
[18]
Plevka, P; Perera, R; Cardosa, J; Kuhn, RJ; Rossmann, MG Crystal structure of human Enterovirus 71. Science, 2012, 336(6086), 1274.
[19]
King, AMQ; Adams, MJ; Carstens, EB; Lefkowitz, EJ Virus Taxonomy., 1995.
[20]
Foster, C.B.; Friedman, N.; Carl, J.; Piedimonte, G. Enterovirus D68: a clinically important respiratory enterovirus. Cleve. Clin. J. Med., 2015, 82(1), 26-31.
[http://dx.doi.org/10.3949/ccjm.82a.14166] [PMID: 25552624]
[21]
Gong, Y-N.; Yang, S-L.; Shih, S-R.; Huang, Y-C.; Chang, P-Y.; Huang, C-G.; Kao, K.C.; Hu, H.C.; Liu, Y.C.; Tsao, K.C. Molecular evolution and the global reemergence of enterovirus D68 by genome-wide analysis. Medicine (Baltimore), 2016, 95(31), e4416.
[http://dx.doi.org/10.1097/MD.0000000000004416] [PMID: 27495059]
[22]
Eshaghi, A.; Duvvuri, V.R.; Isabel, S.; Banh, P.; Li, A.; Peci, A.; Patel, S.N.; Gubbay, J.B. Global distribution and evolutionary history of enterovirus d68, with emphasis on the 2014 outbreak in Ontario, Canada. Front. Microbiol., 2017, 8(Mar), 257.
[http://dx.doi.org/10.3389/fmicb.2017.00257] [PMID: 28298902]
[23]
Sun, S.; Gao, F.; Hu, Y.; Bian, L.; Wu, X.; Su, Y.; Du, R.; Fu, Y.; Zhu, F.; Mao, Q.; Liang, Z. A cross-sectional seroepidemiology study of EV-D68 in China. Emerg. Microbes Infect., 2018, 7(1), 99.
[http://dx.doi.org/10.1038/s41426-018-0103-4] [PMID: 29872035]
[24]
Knoester, M.; Helfferich, J.; Poelman, R.; Van Leer-Buter, C.; Brouwer, O.F.; Niesters, H.G.M. 2016 EV-D68 AFM Working Group. Twenty-nine Cases of Enterovirus-D68-associated Acute Flaccid Myelitis in Europe 2016: A Case Series and Epidemiologic Overview. Pediatr. Infect. Dis. J., 2019, 38(1), 16-21.
[http://dx.doi.org/10.1097/INF.0000000000002188] [PMID: 30234793]
[25]
Oermann, C.M.; Schuster, J.E.; Conners, G.P.; Newland, J.G.; Selvarangan, R.; Jackson, M.A. Enterovirus d68. A focused review and clinical highlights from the 2014 U.S. Outbreak. Ann. Am. Thorac. Soc., 2015, 12(5), 775-781.
[http://dx.doi.org/10.1513/AnnalsATS.201412-592FR] [PMID: 25714788]
[26]
Holm-Hansen, C.C.; Midgley, S.E.; Fischer, T.K. Global emergence of enterovirus D68: a systematic review. Lancet Infect. Dis., 2016, 16(5), e64-e75.
[http://dx.doi.org/10.1016/S1473-3099(15)00543-5] [PMID: 26929196]
[27]
Funakoshi, Y; Ito, K; Morino, S; Kinoshita, K; Morikawa, Y; Kono, T Enterovirus D68 respiratory infection in a children’s hospital in Japan in 2015. Pediatr Int, 2015.
[28]
Poelman, R.; Schuffenecker, I.; Van Leer-Buter, C.; Josset, L.; Niesters, H.G.M.; Lina, B. ESCV-ECDC EV-D68 study group. European surveillance for enterovirus D68 during the emerging North-American outbreak in 2014. J. Clin. Virol., 2015, 71, 1-9.
[http://dx.doi.org/10.1016/j.jcv.2015.07.296] [PMID: 26364237]
[29]
Krautkrämer, E.; Zeier, M. Hantavirus causing hemorrhagic fever with renal syndrome enters from the apical surface and requires decay-accelerating factor (DAF/CD55). J. Virol., 2008, 82(9), 4257-4264.
[http://dx.doi.org/10.1128/JVI.02210-07] [PMID: 18305044]
[30]
Liu, Y.; Sheng, J.; Baggen, J.; Meng, G.; Xiao, C.; Thibaut, H.J.; van Kuppeveld, F.J.; Rossmann, M.G. Sialic acid-dependent cell entry of human enterovirus D68. Nat. Commun., 2015, 6(1), 8865.
[http://dx.doi.org/10.1038/ncomms9865] [PMID: 26563423]
[31]
Yang, H. Structure, Expression, and Function of ICAM-5. Comp. Funct. Genomics, 2012, 2012, 368938.
[http://dx.doi.org/10.1155/2012/368938] [PMID: 22312318]
[32]
Sejvar, J.J.; Lopez, A.S.; Cortese, M.M.; Leshem, E.; Pastula, D.M.; Miller, L.; Glaser, C.; Kambhampati, A.; Shioda, K.; Aliabadi, N.; Fischer, M.; Gregoricus, N.; Lanciotti, R.; Nix, W.A.; Sakthivel, S.K.; Schmid, D.S.; Seward, J.F.; Tong, S.; Oberste, M.S.; Pallansch, M.; Feikin, D. Acute Flaccid Myelitis in the United States, August-December 2014: Results of Nationwide Surveillance. Clin. Infect. Dis., 2016, 63(6), 737-745.
[http://dx.doi.org/10.1093/cid/ciw372] [PMID: 27318332]
[33]
Aliabadi, N.; Messacar, K.; Pastula, D.M.; Robinson, C.C.; Leshem, E.; Sejvar, J.J.; Nix, W.A.; Oberste, M.S.; Feikin, D.R.; Dominguez, S.R. Enterovirus D68 infection in children with acute flaccid myelitis, Colorado, USA, 2014. Emerg. Infect. Dis., 2016, 22(8), 1387-1394.
[http://dx.doi.org/10.3201/eid2208.151949] [PMID: 27434186]
[34]
Messacar, K.; Schreiner, T.L.; Van Haren, K.; Yang, M.; Glaser, C.A.; Tyler, K.L.; Dominguez, S.R. Acute flaccid myelitis: A clinical review of US cases 2012-2015. Ann. Neurol., 2016, 80(3), 326-338.
[http://dx.doi.org/10.1002/ana.24730] [PMID: 27422805]
[35]
Harvala, H.; Broberg, E.; Benschop, K.; Berginc, N.; Ladhani, S.; Susi, P.; Christiansen, C.; McKenna, J.; Allen, D.; Makiello, P.; McAllister, G.; Carmen, M.; Zakikhany, K.; Dyrdak, R.; Nielsen, X.; Madsen, T.; Paul, J.; Moore, C.; von Eije, K.; Piralla, A.; Carlier, M.; Vanoverschelde, L.; Poelman, R.; Anton, A.; López-Labrador, F.X.; Pellegrinelli, L.; Keeren, K.; Maier, M.; Cassidy, H.; Derdas, S.; Savolainen-Kopra, C.; Diedrich, S.; Nordbø, S.; Buesa, J.; Bailly, J.L.; Baldanti, F.; MacAdam, A.; Mirand, A.; Dudman, S.; Schuffenecker, I.; Kadambari, S.; Neyts, J.; Griffiths, M.J.; Richter, J.; Margaretto, C.; Govind, S.; Morley, U.; Adams, O.; Krokstad, S.; Dean, J.; Pons-Salort, M.; Prochazka, B.; Cabrerizo, M.; Majumdar, M.; Nebbia, G.; Wiewel, M.; Cottrell, S.; Coyle, P.; Martin, J.; Moore, C.; Midgley, S.; Horby, P.; Wolthers, K.; Simmonds, P.; Niesters, H.; Fischer, T.K. Recommendations for enterovirus diagnostics and characterisation within and beyond Europe. J. Clin. Virol., 2018, 101, 11-17.
[http://dx.doi.org/10.1016/j.jcv.2018.01.008] [PMID: 29414181]
[36]
Brittain-Long, R.; Nord, S.; Olofsson, S.; Westin, J.; Anderson, L-M.; Lindh, M. Multiplex real-time PCR for detection of respiratory tract infections. J. Clin. Virol., 2008, 41(1), 53-56.
[http://dx.doi.org/10.1016/j.jcv.2007.10.029] [PMID: 18093871]
[37]
Poelman, R.; Schölvinck, E.H.; Borger, R.; Niesters, H.G.M.; van Leer-Buter, C. The emergence of enterovirus D68 in a Dutch University Medical Center and the necessity for routinely screening for respiratory viruses. J. Clin. Virol., 2015, 62, 1-5.
[http://dx.doi.org/10.1016/j.jcv.2014.11.011] [PMID: 25542461]
[38]
Oberste, M.S.; Maher, K.; Kilpatrick, D.R.; Pallansch, M.A. Molecular evolution of the human enteroviruses: correlation of serotype with VP1 sequence and application to picornavirus classification. J. Virol., 1999, 73(3), 1941-1948.
[http://dx.doi.org/10.1128/JVI.73.3.1941-1948.1999] [PMID: 9971773]
[39]
Kramer, R.; Lina, B.; Shetty, J. Acute flaccid myelitis caused by enterovirus D68: Case definitions for use in clinical practice. Eur. J. Paediatr. Neurol., 2019, 23(2), 235-239.
[http://dx.doi.org/10.1016/j.ejpn.2019.01.001] [PMID: 30670331]
[40]
Teoh, H-L.; Mohammad, S.S.; Britton, P.N.; Kandula, T.; Lorentzos, M.S.; Booy, R.; Jones, C.A.; Rawlinson, W.; Ramachandran, V.; Rodriguez, M.L.; Andrews, P.I.; Dale, R.C.; Farrar, M.A.; Sampaio, H. Clinical characteristics and functional motor outcomes of enterovirus 71 neurological disease in children. JAMA Neurol., 2016, 73(3), 300-307.
[http://dx.doi.org/10.1001/jamaneurol.2015.4388] [PMID: 26785318]
[41]
Khetsuriani, N.; Lamonte-Fowlkes, A.; Oberst, S.; Pallansch, M.A. Centers for disease control and prevention. enterovirus surveillance--United States, 1970-2005. MMWR Surveill Summ, 2006, 55(8), 1-20.
[PMID: 16971890]
[42]
Levy, A.; Roberts, J.; Lang, J.; Tempone, S.; Kesson, A.; Dofai, A.; Daley, A.J.; Thorley, B.; Speers, D.J. Enterovirus D68 disease and molecular epidemiology in Australia. J. Clin. Virol., 2015, 69, 117-121.
[http://dx.doi.org/10.1016/j.jcv.2015.06.079] [PMID: 26209392]
[43]
Kreuter, J.D.; Barnes, A.; McCarthy, J.E.; Schwartzman, J.D.; Oberste, M.S.; Rhodes, C.H.; Modlin, J.F.; Wright, P.F. A fatal central nervous system enterovirus 68 infection. Arch. Pathol. Lab. Med., 2011, 135(6), 793-796.
[PMID: 21631275]
[44]
Rhoden, E.; Zhang, M.; Nix, W.A.; Oberste, M.S. In Vitro Efficacy of Antiviral Compounds against Enterovirus D68. Antimicrob. Agents Chemother., 2015, 59(12), 7779-7781.
[http://dx.doi.org/10.1128/AAC.00766-15] [PMID: 26149998]
[45]
Tyler, K.L. Rationale for the evaluation of fluoxetine in the treatment of enterovirus D68-associated acute flaccid myelitis. JAMA Neurol., 2015, 72(5), 493-494.
[http://dx.doi.org/10.1001/jamaneurol.2014.4625] [PMID: 25775436]
[46]
Lin, T-Y.; Kao, H-T.; Hsieh, S-H.; Huang, Y-C.; Chiu, C-H.; Chou, Y-H.; Yang, P.H.; Lin, R.I.; Tsao, K.C.; Hsu, K.H.; Chang, L.Y. Neonatal enterovirus infections: emphasis on risk factors of severe and fatal infections. Pediatr. Infect. Dis. J., 2003, 22(10), 889-894.
[http://dx.doi.org/10.1097/01.inf.0000091294.63706.f3] [PMID: 14551490]
[47]
Abzug, M.J. Presentation, diagnosis, and management of enterovirus infections in neonates. Paediatr. Drugs, 2004, 6(1), 1-10.
[http://dx.doi.org/10.2165/00148581-200406010-00001] [PMID: 14969566]
[48]
Nagington, J.; Gandy, G.; Walker, J.; Gray, J.J. Use of normal immunoglobulin in an echovirus 11 outbreak in a special-care baby unit. Lancet, 1983, 2(8347), 443-446.
[http://dx.doi.org/10.1016/S0140-6736(83)90402-6] [PMID: 6135922]
[49]
Yen, M.H.; Huang, Y.C.; Chen, M.C.; Liu, C.C.; Chiu, N.C.; Lien, R.; Chang, L.Y.; Chiu, C.H.; Tsao, K.C.; Lin, T.Y. Effect of intravenous immunoglobulin for neonates with severe enteroviral infections with emphasis on the timing of administration. J. Clin. Virol., 2015, 64, 92-96.
[http://dx.doi.org/10.1016/j.jcv.2015.01.013] [PMID: 25728086]
[50]
Bhanpuri, N.H.; Bertucco, M.; Ferman, D.; Young, S.J.; Liker, M.A.; Krieger, M.D.; Sanger, T.D. Deep brain stimulation evoked potentials may relate to clinical benefit in childhood dystonia. Brain Stimul., 2014, 7(5), 718-726.
[http://dx.doi.org/10.1016/j.brs.2014.06.003] [PMID: 25088460]
[51]
Tedeschi, A.; Airaghi, L.; Giannini, S.; Ciceri, L.; Massari, F.M. High-dose intravenous immunoglobulin in the treatment of acute myocarditis. A case report and review of the literature. J. Intern. Med., 2002, 251(2), 169-173.
[http://dx.doi.org/10.1046/j.1365-2796.2002.00929.x] [PMID: 11905592]
[52]
Abdel-Rahman, S.M.; Kearns, G.L. Single oral dose escalation pharmacokinetics of pleconaril (VP 63843) capsules in adults. J. Clin. Pharmacol., 1999, 39(6), 613-618.
[http://dx.doi.org/10.1177/00912709922008227] [PMID: 10354965]
[53]
Pevear, DC; Tull, TM; Seipel, ME; Groarke, JM Activity of Pleconaril against Enteroviruses 1999, 43(9), 2109-9.
[http://dx.doi.org/10.1128/AAC.43.9.2109]
[54]
Croker, C.; Civen, R.; Keough, K.; Ngo, V.; Marutani, A.; Schwartz, B. Centers for Disease Control and Prevention (CDC). Aseptic meningitis outbreak associated with echovirus 30 among high school football players--Los Angeles County, California, 2014. MMWR Morb. Mortal. Wkly. Rep., 2015, 63(51), 1228.
[PMID: 25551596]
[55]
Centers for Disease Control and Prevention (CDC). Notes from the field: severe hand, foot, and mouth disease associated with coxsackievirus A6 - Alabama, Connecticut, California, and Nevada, November 2011-February 2012. MMWR Morb. Mortal. Wkly. Rep., 2012, 61(12), 213-214.
[PMID: 22456122]
[56]
Zheng, H-W.; Sun, M.; Guo, L.; Wang, J-J.; Song, J.; Li, J-Q.; Li, H.Z.; Ning, R.T.; Yang, Z.N.; Fan, H.T.; He, Z.L.; Liu, L.D. Nasal Infection of Enterovirus D68 Leading to Lower Respiratory Tract Pathogenesis in Ferrets (Mustela putorius furo). Viruses, 2017, 9(5), E104.
[http://dx.doi.org/10.3390/v9050104] [PMID: 28489053]
[57]
Patel, M.C.; Wang, W.; Pletneva, L.M.; Rajagopala, S.V.; Tan, Y.; Hartert, T.V.; Boukhvalova, M.S.; Vogel, S.N.; Das, S.R.; Blanco, J.C. Enterovirus D-68 Infection, Prophylaxis, and Vaccination in a Novel Permissive Animal Model, the Cotton Rat (Sigmodon hispidus). PLoS One, 2016, 11(11), e0166336.
[http://dx.doi.org/10.1371/journal.pone.0166336] [PMID: 27814404]
[58]
Rao, S.; Messacar, K.; Torok, M.R.; Rick, A-M.; Holzberg, J.; Montano, A.; Bagdure, D.; Curtis, D.J.; Oberste, M.S.; Nix, W.A.; de Masellis, G.; Robinson, C.C.; Dominguez, S.R. Enterovirus D68 in critically ill children: a comparison with pandemic H1N1 Influenza. Pediatr. Crit. Care Med., 2016, 17(11), 1023-1031.
[http://dx.doi.org/10.1097/PCC.0000000000000922] [PMID: 27505715]
[59]
WHO. Enterovirus surveillance guidelines Guidelines for enterovirus surveillance in support of the Polio Eradication Initiative Enterovirus surveillance guidelines Guidelines for enterovirus surveillance in support of the Polio Eradication Initiative. iii ENTE. World Heal Organ Reg Off Eur; , 2017.

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