Skip to main content

Advertisement

Log in

Monkeypox virus: insights into pathogenesis and laboratory testing methods

  • Review Article
  • Published:
3 Biotech Aims and scope Submit manuscript

Abstract

The monkeypox virus (MPXV) is a zoonotic pathogen that transmits between monkeys and humans, exhibiting clinical similarities with the smallpox virus. Studies on the immunopathogenesis of MPXV revealed that an initial strong innate immune response is elicited on viral infection that subsequently helps in circumventing the host defense. Once the World Health Organization (WHO) declared it a global public health emergency in July 2022, it became essential to clearly demarcate the MPXV-induced symptoms from other viral infections. We have exhaustively searched the various databases involving Google Scholar, PubMed, and Medline to extract the information comprehensively compiled in this review. The primary focus of this review is to describe the diagnostic methods for MPXV such as polymerase chain reaction (PCR), and serological assays, along with developments in viral isolation, imaging techniques, and next-generation sequencing. These innovative technologies have the potential to greatly enhance the accuracy of diagnostic procedures. Significant discoveries involving MPXV immunopathogenesis have also been highlighted. Overall, this will be a knowledge repertoire that will be crucial for the development of efficient monitoring and control strategies in response to the MPXV infection helping clinicians and researchers in formulating healthcare strategies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data availability

Not applicable.

References

  • Adler H, Gould S, Hine P, Snell LB, Wong W, Houlihan CF, Osborne JC, Rampling T, Beadsworth MB, Duncan CJ, Dunning J, Fletcher TE, Hunter ER, Jacobs M, Khoo SH, Newsholme W, Porter D, Porter RJ, Ratcliffe L, Schmid ML, Semple MG, Tunbridge AJ, Wingfield T, Price NM (2022) Clinical features and management of human monkeypox: a retrospective observational study in the UK. Lancet Infect Dis 22:1153–1162

    Article  PubMed  PubMed Central  Google Scholar 

  • Ahmed M, Naseer H, Arshad M, Ahmad A (2022) Monkeypox in 2022: a new threat in developing. Ann Med Surg (Lond) 78:103975

    PubMed  Google Scholar 

  • Alakunle E, Moens U, Nchinda G, Okeke MI (2020) Monkeypox virus in Nigeria: infection biology, epidemiology, and evolution. Viruses 12(11):1257

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Alandijany TA, El-Daly MM, Tolah AM, Bajrai LH, Khateb AM, Kumar GS, Dubey A, Dwivedi VD, Azhar EI (2023) A multi-targeted computational drug discovery approach for repurposing tetracyclines against monkeypox virus. Sci Rep 13(1):14570

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  • Ali Z, Sanchez E, Tehseen M, Mahas A, Marsic T, Aman R, Sivakrishna RG, Alhamlan FS, Alsanea MS, Al-Qahtani AA, Hamdan S, Mahfouz M (2022) Bio-SCAN: a CRISPR/dCas9-based lateral flow assay for rapid, specific, and sensitive detection of SARS-CoV-2. ACS Synth Biol 11:406–419

    Article  CAS  PubMed  Google Scholar 

  • Amati L, Passeri ME, Lippolis A, Lio D, Caruso C, Jirillo E, Covelli V (2006) Taking advantage of viral immune evasion: virus-derived proteins represent novel biopharmaceuticals. Curr Med Chem 13:325–333

    Article  CAS  PubMed  Google Scholar 

  • Arita I, Gispen R, Kalter SS, Wah LT, Marennikova SS, Netter R, Tagaya I (1972) Outbreaks of monkeypox and serological surveys in nonhuman primates. Bull World Health Organ 46:625–631

    CAS  PubMed  PubMed Central  Google Scholar 

  • Arndt WD, Cotsmire S, Trainor K, Harrington H, Hauns K, Kibler KV, Huynh TP, Jacobs BL (2015) Evasion of the Innate Immune type I interferon system by monkeypox virus. J Virol 89:10489–10499

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bera BC, Shanmugasundaram K, Barua S, Venkatesan G, Virmani N, Riyesh T, Gulati BR, Bhanuprakash V, Vaid RK, Kakker NK, Malik P, Bansal M, Gadvi S, Singh RV, Yadav V, Sardarilal Nagarajan G, Balamurugan V, Hosamani M, Pathak KM, Singh RK (2011) Zoonotic cases of camelpox infection in India. Vet Microbiol 152:29–38

    Article  CAS  PubMed  Google Scholar 

  • Bisht H, Weisberg AS, Moss B (2008) Vaccinia virus l1 protein is required for cell entry and membrane fusion. J Virol 82:8687–8694

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bruno G, Buccoliero GB (2023) Antivirals against monkeypox (Mpox) in humans: an updated narrative review. Life 13(10):1969

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  • Byun M, Wang X, Pak M, Hansen TH, Yokoyama WM (2007) Cowpox virus exploits the endoplasmic reticulum retention pathway to inhibit MHC class I transport to the cell surface. Cell Host Microbe 2:306–315

    Article  CAS  PubMed  Google Scholar 

  • Castro T, Sabalza M, Barber C, Abrams W, Da Costa AC, De Padua Milagres FA, Braz-Silva PH, Malamud D, Gallottini M (2018) Rapid diagnosis of Zika virus through saliva and urine by Loop-mediated isothermal amplification (LAMP). J Oral Microbiol 10:1510712

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • CDC (2003) Update: multistate outbreak of monkeypox–Illinois, Indiana, Kansas, Missouri, Ohio, and Wisconsin, 2003. MMWR Morb Mortal Wkly Rep 52:616–618

    Google Scholar 

  • Chen Y, Wu C, Ruhan A, Zhao L, Zhang Z, Tan W (2023) Perspective on the application of genome sequencing for monkeypox virus surveillance. Virol Sin 38(2):327–333

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chiu CY, Miller SA (2019) Clinical metagenomics. Nat Rev Genet 20:341–355

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • da Fonseca FG, Wolffe EJ, Weisberg A, Moss B (2000) Effects of deletion or stringent repression of the H3L envelope gene on vaccinia virus replication. J Virol 74:7518–7528

    Article  PubMed  PubMed Central  Google Scholar 

  • Damon IK (2023) Human monkeypox in the United States, San Diego, CA

  • Dasgupta A, Hammarlund E, Slifka MK, Fruh K (2007) Cowpox virus evades CTL recognition and inhibits the intracellular transport of MHC class I molecules. J Immunol 178:1654–1661

    Article  CAS  PubMed  Google Scholar 

  • Davi SD, Kissenkotter J, Faye M, Bohlken-Fascher S, Stahl-Hennig C, Faye O, Faye O, Sall AA, Weidmann M, Ademowo OG, Hufert FT, Czerny CP, El Wahed WA (2019) Recombinase polymerase amplification assay for rapid detection of monkeypox virus. Diagn Microbiol Infect Dis 95:41–45

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Davies DH, McCausland MM, Valdez C, Huynh D, Hernandez JE, Mu Y, Hirst S, Villarreal L, Felgner PL, Crotty S (2005) Vaccinia virus H3L envelope protein is a major target of neutralizing antibodies in humans and elicits protection against lethal challenge in mice. J Virol 79:11724–11733

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dubois ME, Slifka MK (2008) Retrospective analysis of monkeypox infection. Emerg Infect Dis 14:592–599

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dubois ME, Hammarlund E, Slifka MK (2012) Optimization of peptide-based ELISA for serological diagnostics: a retrospective study of human monkeypox infection. Vector Borne Zoonotic Dis 12:400–409

    Article  PubMed  PubMed Central  Google Scholar 

  • Esposito JJ, Knight JC (1984) Nucleotide sequence of the thymidine kinase gene region of monkeypox and variola viruses. Virology 135:561–567

    Article  CAS  PubMed  Google Scholar 

  • Esposito JJ, Obijeski JF, Nakano JH (1977) The virion and soluble antigen proteins of variola, monkeypox, and vaccinia viruses. J Med Virol 1:95–110

    Article  CAS  PubMed  Google Scholar 

  • Feng J, Xue G, Cui X, Du B, Feng Y, Cui J, Zhao H, Gan L, Fan Z, Fu T, Xu Z, Du S, Zhou Y, Zhang R, Fu H, Tian Z, Zhang Q, Yan C, Yuan J (2022) Development of a loop-mediated isothermal amplification method for rapid and visual detection of monkeypox virus. Microbiol Spectr 10:e0271422

    Article  PubMed  Google Scholar 

  • Fields BN, Knipe DM, Howley PM (1995) Fields virology. Philadelphia, USA, Lippincott, Williams and Wilkins

    Google Scholar 

  • Foo CH, Lou H, Whitbeck JC, Ponce-de-Leon M, Atanasiu D, Eisenberg RJ, Cohen GH (2009) Vaccinia virus L1 binds to cell surfaces and blocks virus entry independently of glycosaminoglycans. Virology 385:368–382

    Article  CAS  PubMed  Google Scholar 

  • Fruh K, Ahn K, Djaballah H, Sempe P, van Endert PM, Tampe R, Peterson PA, Yang Y (1995) A viral inhibitor of peptide transporters for antigen presentation. Nature 375:415–418

    Article  CAS  PubMed  ADS  Google Scholar 

  • Fruh K, Bartee E, Gouveia K, Mansouri M (2002) Immune evasion by a novel family of viral PHD/LAP-finger proteins of gamma-2 herpesviruses and poxviruses. Virus Res 88:55–69

    Article  CAS  PubMed  Google Scholar 

  • García EDR, Negredo A, Ayerdi O, Vázquez A, Muñoz-Gómez A, Monzón S, Clavo P, Zaballos Á, Vera M, Sánchez PGZ, Cabello N, Jiménez P, Pérez-García J, Varona S, Del Romero J, Cuesta I, Delgado-Iribarren A, Torres M, Sagastagoitia Í, Palacios G, Estrada V, Sánchez-Seco MP (2022) Monkeypox outbreak in Madrid (Spain): clinical and virological aspects. J Infect. https://doi.org/10.1016/j.jinf.2022.07.005

    Article  PubMed  PubMed Central  Google Scholar 

  • Gelderblom HR, Hazelton PR (2000) Specimen collection for electron microscopy. Emerg Infect Dis 6:433–434

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gispen R, Brand-Saathof B (1974) Three specific antigens produced in vaccinia, variola, and monkeypox infections. J Infect Dis 129:289–295

    Article  CAS  PubMed  Google Scholar 

  • Glokler J, Lim TS, Ida J, Frohme M (2021) Isothermal amplifications - a comprehensive review on current methods. Crit Rev Biochem Mol Biol 56:543–586

    Article  PubMed  Google Scholar 

  • Haga IR, Bowie AG (2005) Evasion of innate immunity by vaccinia virus. Parasitology 130(Suppl):S11–S25

    Article  CAS  PubMed  Google Scholar 

  • Hammarlund E, Lewis MW, Carter SV, Amanna I, Hansen SG, Strelow LI, Wong SW, Yoshihara P, Hanifin JM, Slifka MK (2005a) Multiple diagnostic techniques identify previously vaccinated individuals with protective immunity against monkeypox. Nat Med 11(9):1005–1011

    Article  CAS  PubMed  Google Scholar 

  • Hammarlund E, Dasgupta A, Pinilla C, Norori P, Fruh K, Slifka MK (2008) Monkeypox virus evades antiviral CD4+ and CD8+ T cell responses by suppressing cognate T cell activation. Proc Natl Acad Sci U S A 105:14567–14572

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  • Harapan H, Ophinni Y, Megawati D, Frediansyah A, Mamada SS, Salampe M, Bin ET, Winardi W, Fathima R, Sirinam S, Sittikul P, Stoian AM, Nainu F, Sallam M (2022) Monkeypox: a comprehensive review. Viruses 14(10):2155

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Huang P, Wang H, Cao Z, Jin H, Chi H, Zhao J, Yu B, Yan F, Hu X, Wu F, Jiao C, Hou P, Xu S, Zhao Y, Feng N, Wang J, Sun W, Wang T, Gao Y, Yang S, Xia X (2018) A rapid and specific assay for the detection of MERS-CoV. Front Microbiol 9:1101

    Article  PubMed  PubMed Central  Google Scholar 

  • Huo S, Chen Y, Lu R, Zhang Z, Zhang G, Zhao L, Deng Y, Wu C, Tan W (2022) Development of two multiplex real-time PCR assays for simultaneous detection and differentiation of monkeypox virus IIa, IIb, and I clades and the B.1 lineage. Biosaf Health 4:392–398

    Article  PubMed  PubMed Central  Google Scholar 

  • Hutson CL, Olson VA, Carroll DS, Abel JA, Hughes CM, Braden ZH, Weiss S, Self J, Osorio JE, Hudson PN, Dillon M, Karem KL, Damon IK, Regnery RL (2009) A prairie dog animal model of systemic orthopoxvirus disease using West African and Congo Basin strains of monkeypox virus. J Gen Virol 90:323–333

    Article  CAS  PubMed  Google Scholar 

  • Iizuka I, Saijo M, Shiota T, Ami Y, Suzaki Y, Nagata N, Hasegawa H, Sakai K, Fukushi S, Mizutani T, Ogata M, Nakauchi M, Kurane I, Mizuguchi M, Morikawa S (2009) Loop-mediated isothermal amplification-based diagnostic assay for monkeypox virus infections. J Med Virol 81:1102–1108

    Article  CAS  PubMed  Google Scholar 

  • Israeli O, Guedj-Dana Y, Shifman O, Lazar S, Cohen-Gihon I, Amit S, Ben-Ami R, Paran N, Schuster O, Weiss S, Zvi A, Beth-Din A (2022) Rapid amplicon nanopore sequencing (RANS) for the differential diagnosis of monkeypox virus and other vesicle-forming pathogens. Viruses 14(8):1817

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Johnston JB, Rahman MM, McFadden G (2007) Strategies that modulate inflammasomes: insights from host-pathogen interactions. Semin Immunopathol 29:261–274

    Article  CAS  PubMed  Google Scholar 

  • Johnston SC, Johnson JC, Stonier SW, Lin KL, Kisalu NK, Hensley LE, Rimoin AW (2015) Cytokine modulation correlates with severity of monkeypox disease in humans. J Clin Virol 63:42–45

    Article  CAS  PubMed  Google Scholar 

  • Kaler J, Hussain A, Flores G, Kheiri S, Desrosiers D (2022) Monkeypox: a comprehensive review of transmission, pathogenesis, and manifestation. Cureus 14:e26531

    PubMed  PubMed Central  Google Scholar 

  • Karem KL, Reynolds M, Braden Z, Lou G, Bernard N, Patton J, Damon IK (2005) 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 12:867–872

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kawai T, Akira S (2006) Innate immune recognition of viral infection. Nat Immunol 7:131–137

    Article  CAS  PubMed  Google Scholar 

  • Khalil A, Samara A, O’Brien P, Morris E, Draycott T, Lees C, Ladhani S (2022) Monkeypox vaccines in pregnancy: lessons must be learned from COVID-19. Lancet Glob Health 10(9):e1230–e1231

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Khan A, Khan S, Saleem S, Nizam-Uddin N, Mohammad A, Khan T, Ahmad S, Arshad M, Ali SS, Suleman M, Wei DQ (2021) Immunogenomics guided design of immunomodulatory multi-epitope subunit vaccine against the SARS-CoV-2 new variants, and its validation through in silico cloning and immune simulation. Comput Biol Med 133:104420

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kmiec D, Kirchhoff F (2022) Monkeypox: a new threat? Int J Mol Sci 23(14):7866

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kugelman JR, Johnston SC, Mulembakani PM, Kisalu N, Lee MS, Koroleva G, McCarthy SE, Gestole MC, Wolfe ND, Fair JN, Schneider BS, Wright LL, Huggins J, Whitehouse CA, Wemakoy EO, Muyembe-Tamfum JJ, Hensley LE, Palacios GF, Rimoin AW (2014) Genomic variability of monkeypox virus among humans, Democratic Republic of the Congo. Emerg Infect Dis 20:232–239

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kulesh DA, Loveless BM, Norwood D, Garrison J, Whitehouse CA, Hartmann C, Mucker E, Miller D, Wasieloski LP Jr, Huggins J, Huhn G, Miser LL, Imig C, Martinez M, Larsen T, Rossi CA, Ludwig GV (2004) Monkeypox virus detection in rodents using real-time 3’-minor groove binder TaqMan assays on the Roche LightCycler. Lab Invest 84:1200–1208

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Laliberte JP, Weisberg AS, Moss B (2011) The membrane fusion step of vaccinia virus entry is cooperatively mediated by multiple viral proteins and host cell components. PLoS Pathog 7:e1002446

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lane JM (2006) Immunity to smallpox and vaccinia: the future of smallpox vaccines. Expert Rev Clin Immunol 2:325–327

    Article  PubMed  Google Scholar 

  • Lauring AS, Hodcroft EB (2021) Genetic variants of SARS-CoV-2: what do they mean? JAMA 325:529–531

    Article  CAS  PubMed  Google Scholar 

  • Lefkowitz EJ, Wang C, Upton C (2006) Poxviruses: past, present and future. Virus Res 117:105–118

    Article  CAS  PubMed  Google Scholar 

  • Li P, Wang N, Zhou D, Yee CS, Chang CH, Brutkiewicz RR, Blum JS (2005) Disruption of MHC class II-restricted antigen presentation by vaccinia virus. J Immunol 175:6481–6488

    Article  CAS  PubMed  Google Scholar 

  • Li Y, Olson VA, Laue T, Laker MT, Damon IK (2006) Detection of monkeypox virus with real-time PCR assays. J Clin Virol 36:194–203

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li Y, Zhao H, Wilkins K, Hughes C, Damon IK (2010) Real-time PCR assays for the specific detection of monkeypox virus West African and Congo Basin strain DNA. J Virol Methods 169:223–227

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li H, Huang QZ, Zhang H, Liu ZX, Chen XH, Ye LL, Luo Y (2023) The land-scape of immune response to monkeypox virus. EBioMedicine 87:104424

    Article  CAS  PubMed  Google Scholar 

  • Lin CL, Chung CS, Heine HG, Chang W (2000) Vaccinia virus envelope H3L protein binds to cell surface heparan sulfate and is important for intracellular mature virion morphogenesis and virus infection in vitro and in vivo. J Virol 74:3353–3365

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Liu CY, Song HQ, Zhang RL, Chen MX, Xu MJ, Ai L, Chen XG, Zhan XM, Liang SH, Yuan ZG, Lin RQ, Zhu XQ (2011) Specific detection of Angiostrongylus cantonensis in the snail Achatina fulica using a loop-mediated isothermal amplification (LAMP) assay. Mol Cell Probes 25:164–167

    Article  CAS  PubMed  Google Scholar 

  • Lum FM, Torres-Ruesta A, Tay MZ, Lin RTP, Lye DC, Rénia L, Ng LFP (2022) Monkeypox: disease epidemiology, host immunity and clinical interventions. Nat Rev Immunol 22(10):597–613

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mackett M, Archard LC (1979) Conservation and variation in Orthopoxvirus genome structure. J Gen Virol 45:683–701

    Article  CAS  PubMed  Google Scholar 

  • Manes NP, Estep RD, Mottaz HM, Moore RJ, Clauss TR, Monroe ME, Du X, Adkins JN, Wong SW, Smith RD (2008) Comparative proteomics of human monkeypox and vaccinia intracellular mature and extracellular enveloped virions. J Proteome Res 7:960–968

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • McFadden G (2005) Poxvirus tropism. Nat Rev Microbiol 3:201–213

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Misra G (ed) (2019) Data processing handbook for complex biological data sources. Academic Press

    Google Scholar 

  • Moss B (2006) Poxvirus entry and membrane fusion. Virology 344:48–54

    Article  CAS  PubMed  Google Scholar 

  • Moss B (2013) Poxvirus DNA replication. Cold Spring Harb Perspect Biol 5(9):a010199

    Article  PubMed  PubMed Central  Google Scholar 

  • Moss B (2016) Membrane fusion during poxvirus entry. Semin Cell Dev Biol 60:89–96

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mukinda VB, Mwema G, Kilundu M, Heymann DL, Khan AS, Esposito JJ (1997) Re-emergence of human monkeypox in Zaire in 1996. Monkeypox epidemiologic working group. Lancet 349:1449–1450

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nagler FP, Rake G (1948) The use of the electron microscope in diagnosis of variola, vaccinia, and varicella. J Bacteriol 55:45–51

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nakayama T, Yamazaki T, Yo A, Tone K, Mahdi AM, Fujisaki R, Makimura K (2017) Detection of fungi from an indoor environment using loop-mediated isothermal amplification (LAMP) method. Biocontrol Sci 22:97–104

    Article  CAS  PubMed  Google Scholar 

  • Nguyen PY, Ajisegiri WS, Costantino V, Chughtai AA, MacIntyre CR (2021) Reemergence of human monkeypox and declining population immunity in the context of urbanization, Nigeria, 2017–2020. Emerg Infect Dis 27:1007–1014

    Article  PubMed  PubMed Central  Google Scholar 

  • Notomi T, Okayama H, Masubuchi H, Yonekawa T, Watanabe K, Amino N, Hase T (2000) Loop-mediated isothermal amplification of DNA. Nucleic Acids Res 28:E63

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Oliveira GP, Rodrigues RAL, Lima MT, Drumond BP, Abrahao JS (2017) Poxvirus host range genes and virus-host spectrum: a critical review. Viruses 9(11):331

    Article  PubMed  PubMed Central  Google Scholar 

  • Olson VA, Laue T, Laker MT, Babkin IV, Drosten C, Shchelkunov SN, Niedrig M, Damon IK, Meyer H (2004) Real-time PCR system for detection of orthopoxviruses and simultaneous identification of smallpox virus. J Clin Microbiol 42:1940–1946

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ou H, Wang Y, Gao J, Bai J, Zhang Q, Shi L, Wang X, Wang C (2021) Rapid detection of Salmonella based on loop-mediated isothermal amplification. Ann Palliat Med 10:6850–6858

    Article  PubMed  Google Scholar 

  • Pande NT, Powers C, Ahn K, Fruh K (2005) Rhesus cytomegalovirus contains functional homologues of US2, US3, US6, and US11. J Virol 79:5786–5798

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pasare C, Medzhitov R (2005) Toll-like receptors: linking innate and adaptive immunity. Adv Exp Med Biol 560:11–18

    Article  CAS  PubMed  Google Scholar 

  • Patrono LV, Pleh K, Samuni L, Ulrich M, Rothemeier C, Sachse A, Muschter S, Nitsche A, Couacy-Hymann E, Boesch C, Wittig RM, Calvignac-Spencer S, Leendertz FH (2020) Monkeypox virus emergence in wild chimpanzees reveals distinct clinical outcomes and viral diversity. Nat Microbiol 5:955–965

    Article  CAS  PubMed  Google Scholar 

  • Pauli G, Blumel J, Burger R, Drosten C, Groner A, Gurtler L, Heiden M, Hildebrandt M, Jansen B, Montag-Lessing T, Offergeld R, Seitz R, Schlenkrich U, Schottstedt V, Strobel J, Willkommen H, von Konig CH (2010) Orthopox viruses: infections in humans. Transfus Med Hemother 37:351–364

    Article  PubMed  PubMed Central  Google Scholar 

  • Paust S, Senman B, von Andrian UH (2010) Adaptive immune responses mediated by natural killer cells. Immunol Rev 235:286–296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Petersen E, Kantele A, Koopmans M, Asogun D, Yinka-Ogunleye A, Ihekweazu C, Zumla A (2019a) Human monkeypox: epidemiologic and clinical characteristics, diagnosis, and prevention. Infect Dis Clin North Am 33:1027–1043

    Article  PubMed  PubMed Central  Google Scholar 

  • Petersen BW, Kabamba J, McCollum AM, Lushima RS, Wemakoy EO, Muyembe Tamfum J-J, Nguete B, Hughes CM, Monroe BP, Reynolds MG (2019b) Vaccinating against monkeypox in the Democratic Republic of the Congo. Antiviral Res 162:171–177

    Article  CAS  PubMed  Google Scholar 

  • Petersen E, Zumla A, Hui D, Blumberg L, Valdoleiros S, Amao L, Ntoumi F, Asogun D, Simonsen L, Haider N, Traore T, Kapata N, Dar O, Nachega J, Abbara A, Al Balushi A, Kock R, Maeurer M, Lee S, Lucey D, Ippolito G, Koopmans M (2022) Vaccination for monkeypox prevention in persons with high-risk sexual behaviours to control on-going outbreak of monkeypox virus clade 3. Int J Infect Dis 122:569–571

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Piepenburg O, Williams CH, Stemple DL, Armes NA (2006) DNA detection using recombination proteins. PLoS Biol 4:e204

    Article  PubMed  PubMed Central  Google Scholar 

  • Rao AK, Petersen BW, Whitehill F, Razeq J, Isaacs SN, Merchlinsky M, Campos-Outcalt D, Morgan RL, Damon IK, Sánchez PJ, Bell BP (2022) Use of JYNNEOS (smallpox and monkeypox vaccine, live, nonreplicating) for preexposure vaccination of persons at risk for occupational exposure to orthopoxviruses: recommendations of the advisory committee on immunization practices—United States, 2022. Morb Mortal Wkly Rep. https://doi.org/10.15585/mmwr.mm7122e1

    Article  Google Scholar 

  • Reed KD, Melski JW, Graham MB, Regnery RL, Sotir MJ, Wegner MV, Kazmierczak JJ, Stratman EJ, Li Y, Fairley JA, Swain GR, Olson VA, Sargent EK, Kehl SC, Frace MA, Kline R, Foldy SL, Davis JP, Damon IK (2004) The detection of monkeypox in humans in the Western Hemisphere. N Engl J Med 350:342–350

    Article  CAS  PubMed  Google Scholar 

  • Rizk J, Lippi G, Henry BM, Forthal DN, Rizk Y (2022) Prevention and treatment of monkeypox. Drugs. https://doi.org/10.1007/s40265-022-01742-y

    Article  PubMed  PubMed Central  Google Scholar 

  • Roberts KL, Smith GL (2008) Vaccinia virus morphogenesis and dissemination. Trends Microbiol 16:472–479

    Article  CAS  PubMed  Google Scholar 

  • Rubins KH, Hensley LE, Jahrling PB, Whitney AR, Geisbert TW, Huggins JW, Owen A, Leduc JW, Brown PO, Relman DA (2004) The host response to smallpox: analysis of the gene expression program in peripheral blood cells in a nonhuman primate model. Proc Natl Acad Sci U S A 101:15190–15195

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  • Sanchez-Puig JM, Sanchez L, Roy G, Blasco R (2004) Susceptibility of different leukocyte cell types to vaccinia virus infection. Virol J 1:10

    Article  PubMed  PubMed Central  Google Scholar 

  • Sanz P, Moss B (1998) A new vaccinia virus intermediate transcription factor. J Virol 72:6880–6883

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schmidt FI, Bleck CK, Mercer J (2012) Poxvirus host cell entry. Curr Opin Virol 2:20–27

    Article  CAS  PubMed  Google Scholar 

  • Seet BT, Johnston JB, Brunetti CR, Barrett JW, Everett H, Cameron C, Sypula J, Nazarian SH, Lucas A, McFadden G (2003) Poxviruses and immune evasion. Annu Rev Immunol 21:377–423

    Article  CAS  PubMed  Google Scholar 

  • Shchelkunov SN, Totmenin AV, Babkin IV, Safronov PF, Ryazankina OI, Petrov NA, Gutorov VV, Uvarova EA, Mikheev MV, Sisler JR, Esposito JJ, Jahrling PB, Moss B, Sandakhchiev LS (2001) Human monkeypox and smallpox viruses: genomic comparison. FEBS Lett 509:66–70

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shchelkunov SN, Yakubitskiy SN, Sergeev AA, Starostina EV, Titova KA, Pyankov SA, Shchelkunova GA, Borgoyakova MB, Zadorozhny AM, Orlova LA, Kisakov DN, Karpenko LI (2022) Enhancing the immunogenicity of vaccinia virus. Viruses 14(7):1453

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sklenovska N, Van Ranst M (2018) Emergence of monkeypox as the most important orthopoxvirus infection in humans. Front Public Health 6:241

    Article  PubMed  PubMed Central  Google Scholar 

  • Smith GL, Law M (2004) The exit of vaccinia virus from infected cells. Virus Res 106:189–197

    Article  CAS  PubMed  ADS  Google Scholar 

  • Smith GL, Vanderplasschen A, Law M (2002) The formation and function of extracellular enveloped vaccinia virus. J Gen Virol 83:2915–2931

    Article  CAS  PubMed  Google Scholar 

  • Soh JH, Balleza E, Abdul Rahim MN, Chan HM, Mohd AS, Chuah JKC, Edris S, Atef A, Bahieldin A, Ying JY, Sabir JSM (2022) CRISPR-based systems for sensitive and rapid on-site COVID-19 diagnostics. Trends Biotechnol 40:1346–1360

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Song H, Janosko K, Johnson RF, Qin J, Josleyn N, Jett C, Byrum R, St CM, Dyall J, Blaney JE, Jennings G, Jahrling PB (2013a) Poxvirus antigen staining of immune cells as a biomarker to predict disease outcome in monkeypox and cowpox virus infection in non-human primates. PLoS ONE 8:e60533

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  • Song H, Josleyn N, Janosko K, Skinner J, Reeves RK, Cohen M, Jett C, Johnson R, Blaney JE, Bollinger L, Jennings G, Jahrling PB (2013b) Monkeypox virus infection of rhesus macaques induces massive expansion of natural killer cells but suppresses natural killer cell functions. PLoS ONE 8:e77804

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  • Stanford MM, McFadden G, Karupiah G, Chaudhri G (2007) Immunopathogenesis of poxvirus infections: forecasting the impending storm. Immunol Cell Biol 85:93–102

    Article  CAS  PubMed  Google Scholar 

  • Upton C, Slack S, Hunter AL, Ehlers A, Roper RL (2003) Poxvirus orthologous clusters: toward defining the minimum essential poxvirus genome. J Virol 77:7590–7600

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vanderplasschen A, Hollinshead M, Smith GL (1998) Intracellular and extracellular vaccinia virions enter cells by different mechanisms. J Gen Virol 79(Pt 4):877–887

    Article  CAS  PubMed  Google Scholar 

  • Wang D, Yu J, Wang Y, Zhang M, Li P, Liu M, Liu Y (2020) Development of a real-time loop-mediated isothermal amplification (LAMP) assay and visual LAMP assay for detection of African swine fever virus (ASFV). J Virol Methods 276:113775

    Article  CAS  PubMed  Google Scholar 

  • WHO (2022a) “Monkeypox.” Monkeypox, 19 May 2022

  • WHO (2022b) Multi-country monkeypox outbreak: situation update

  • Wright CF, Hubbs AE, Gunasinghe SK, Oswald BW (1998) A vaccinia virus late transcription factor copurifies with a factor that binds to a viral late promoter and is complemented by extracts from uninfected HeLa cells. J Virol 72:1446–1451

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wu C, Zeng Y, He Y (2021) Rapid visualization and detection of Staphylococcus aureus based on loop-mediated isothermal amplification. World J Microbiol Biotechnol 37:209

    Article  CAS  PubMed  Google Scholar 

  • Yinka-Ogunleye A, Aruna O, Dalhat M, Ogoina D, McCollum A, Disu Y, Mamadu I, Akinpelu A, Ahmad A, Burga J, Ndoreraho A, Nkunzimana E, Manneh L, Mohammed A, Adeoye O, Tom-Aba D, Silenou B, Ipadeola O, Saleh M, Adeyemo A, Nwadiutor I, Aworabhi N, Uke P, John D, Wakama P, Reynolds M, Mauldin MR, Doty J, Wilkins K, Musa J, Khalakdina A, Adedeji A, Mba N, Ojo O, Krause G, Ihekweazu C (2019) Outbreak of human monkeypox in Nigeria in 2017–18: a clinical and epidemiological report. Lancet Infect Dis 19:872–879

    Article  PubMed  PubMed Central  Google Scholar 

  • Yuan T, Mukama O, Li Z, Chen W, Zhang Y, de Dieu HJ, Zhang Y, Zeng R, Nie C, He Z, Zeng L (2020) A rapid and sensitive CRISPR/Cas12a based lateral flow biosensor for the detection of Epstein-Barr virus. Analyst 145:6388–6394

    Article  CAS  PubMed  ADS  Google Scholar 

  • Zaucha GM, Jahrling PB, Geisbert TW, Swearengen JR, Hensley L (2001) The pathology of experimental aerosolized monkeypox virus infection in cynomolgus monkeys (Macaca fascicularis). Lab Invest 81:1581–1600

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang L (2018) Multi-epitope vaccines: a promising strategy against tumors and viral infections. Cell Mol Immunol 15:182–184

    Article  CAS  PubMed  Google Scholar 

  • Zhao F, Wang P, Wang H, Liu S, Sohail M, Zhang X, Li B, Huang H (2021) CRISPR/Cas12a-mediated ultrasensitive and on-site monkeypox viral testing. medrxiv

Download references

Author information

Authors and Affiliations

Authors

Contributions

GM contributed to conceptualization, design, and approval of work; AK and NS performed the literature search and preparation of the manuscript, and ARA critically reviewed the Manuscript.

Corresponding author

Correspondence to Gauri Misra.

Ethics declarations

Conflict of interest

There is no conflict of interest among the authors. The authors declare they have no financial interests.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kumar, A., Singh, N., Anvikar, A.R. et al. Monkeypox virus: insights into pathogenesis and laboratory testing methods. 3 Biotech 14, 67 (2024). https://doi.org/10.1007/s13205-024-03920-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s13205-024-03920-z

Keywords

Navigation