Skip to main content

Nipah virus: An emergent paramyxovirus causing severe encephalitis in humans

Abstract

Nipah virus is a recently emergent paramyxovirus that is capable of causing severe disease in both humans and animals. The first outbreak of Nipah virus occurred in Malaysia and Singapore in 1999 and, more recently, outbreaks were detected in Bangladesh. In humans, Nipah virus causes febrile encephalitis with respiratory syndrome that has a high mortality rate. The reservoir for Nipah virus is believed to be fruit bats, and humans are infected by contact with infected bats or by contact with an intermediate animal host such as pigs. Person to person spread of the virus has also been described. Nipah virus retains many of the genetic and biologic properties found in other paramyxoviruses, though it also has several unique characteristics. However, the virologic characteristics that allow the virus to cause severe disease over a broad host range, and the epidemiologic, environmental and virologic features that favor transmission to humans are unknown. This review summarizes what is known about the virology, epidemiology, pathology, diagnosis and control of this novel pathogen.

References

  • Bellini WJ, Rota PA, Anderson LJ (1998). Paramyxoviruses, In: Microbiology and microbial infections. Collier L, Balows A, Sussman M (eds). London: Arnold, pp 435–461.

    Google Scholar 

  • Bossart KN, Wang LF, Eaton BT, Broder CC (2001). Functional expression and membrane fusion tropism of the envelope glycoproteins of Hendra virus. Virology 290: 121–135.

    CAS  Article  PubMed  Google Scholar 

  • Bossart KN, Wang LF, Flora MN, Chua KB, Lam SK, Eaton BT, Broder CC (2002). Membrane fusion tropism and heterotypic functional activities of the Nipah virus and Hendra virus envelope glycoproteins. J Virol 76: 11186–11198.

    CAS  Article  PubMed  Google Scholar 

  • CDC (1999a). Outbreak of Hendra-like virus—Malaysia and Singapore, 1998–1999. MMWR Morb Mort Wkly Rep 48: 265–269.

    Google Scholar 

  • CDC (1999b). Update: outbreak of Nipah virus—Malaysia and Singapore, 1999. MMWR Morb Mort Wkly Rep 48: 335–337.

    Google Scholar 

  • Chua KB, Bellini WJ, Rota PA, Harcourt BH, Tamin A, Lam SK, Ksiazek TG, Rollin PE, Zaki SR, Shieh W, Goldsmith CS, Gubler DJ, Roehrig JT, Eaton B, Gould AR, Olson J, Field H, Daniels P, Ling AE, Peters CJ, Anderson LJ, Mahy BWJ (2000). Nipah virus: a recently emergent deadly paramyxovirus. Science 288: 1432–1435.

    CAS  Article  PubMed  Google Scholar 

  • Chua KB, Koh CL, Hooi PS, Wee KF, Khong JH, Chua BH, Chan YP, Lim ME, Lam SK (2002). Isolation of Nipah virus from Malaysian Island flying-foxes, Microbes Infect 4: 145–151.

    Article  PubMed  Google Scholar 

  • Chua KB, Lam SK, Goh KJ, Hooi PS, Ksiazek TG, Kamarulzaman A, Olson J, Tan CT (2001). The presence of Nipah virus in respiratory secretions and urine of patients during an outbreak of Nipah virus encephalitis in Malaysia. J Infect 42: 40–43.

    CAS  Article  PubMed  Google Scholar 

  • Chong HT, Kamarulzaman A, Tan CT, Goh KJ, Thayaparan T, Kunjapan SR, Chew NK, Chua KB, Lam SK (2001). Treatment of acute Nipah encephalitis with ribavirin. Ann Neurol 49: 810–813.

    CAS  Article  PubMed  Google Scholar 

  • Daniels P, Ksiazek T, Eaton BT (2001). Laboratory diagnosis of Nipah and Hendra virus infections. Microbes Infect 3: 289–295.

    CAS  Article  PubMed  Google Scholar 

  • Delenda C, Taylor G, Hausmann S, Garcin D, Kolakofsky D (1998). Sendai viruses with altered P, V, and W protein expression. Virology 242: 327–337.

    CAS  Article  PubMed  Google Scholar 

  • Field HE, Barratt PC, Hughes RJ, Shield J, Sullivan ND (2000). A fatal case of Hendra virus infection in a horse in north Queensland: clinical and epidemiological features. Aust Vet J 78: 279–280.

    CAS  Article  PubMed  Google Scholar 

  • Field HE, Young P, Yob JM, Mills J, Hall L, Mackenzie J (2001). The natural history of Hendra and Nipah viruses. Microbes Infect 3: 307–314.

    CAS  Article  PubMed  Google Scholar 

  • Goh KJ, Tan CT, Chew NK, Tan PS, Kamarulzaman A, Sarji SA, Wong KT, Abdullah BJ, Chua KB, Lam SK (2000). Clinical features of Nipah virus encephalitis among pig farmers in Malaysia. N Engl J Med 342: 1229–1235.

    CAS  Article  PubMed  Google Scholar 

  • Guillaume V, Lefeuvre A, Faure C, Marianneau P, Buckland R, Lam SK, Wild TF, Deubel V (2004). Specific detection of Nipah virus using real-time RT-PCR (TaqMan). J Virol Methods 15: 229–237.

    Article  Google Scholar 

  • Halpin K, Young PL, Field H, Mackenzie JS (1999). Newly discovered viruses of flying foxes. Vet Microbiol 68: 83–87.

    CAS  Article  PubMed  Google Scholar 

  • Halpin K, Young PL, Field HE, Mackenzie JS (2000). Isolation of Hendra virus from pteropid bats: a natural reservoir of Hendra virus. J Gen Virol 81: 1927–1932.

    CAS  PubMed  Google Scholar 

  • Harcourt BH, Tamin A, Halpin K, Ksiazek TG, Rollin PE, Bellini WJ, Rota PA (2001). Molecular characterization of the polymerase gene and genomic termini of Nipah virus. Virology 287: 192–201.

    CAS  Article  PubMed  Google Scholar 

  • Harcourt BH, Tamin A, Ksiazek TG, Rollin PE, Anderson LJ, Bellini WJ, Rota PA (2000). Molecular characterization of Nipah virus, a newly emergent paramyxovirus. Virology 271: 334–349.

    CAS  Article  PubMed  Google Scholar 

  • Hooper PT, Gould AR, Hyatt AD, Braun MA, Kattenbelt JA, Hengstberger SG, Westbury HA (2000). Identification and molecular characterization of Hendra virus in a horse in Queensland. Aust Vet J 78: 281–228.

    CAS  Article  PubMed  Google Scholar 

  • Hooper PT, Williamson MM (2000). Hendra and Nipah virus infections, Vet Clin N Am Equine Pract 16: 597–603.

    CAS  Google Scholar 

  • ICDDRB (2004a). Nipah encephalitis outbreak over wide area of western Bangladesh, 2004. Health Sci Bull 2: 7–11.

    Google Scholar 

  • ICDDRB (2004b). Person-to-person transmission of Nipah virus during outbreak in Faridpur District. Health Sci Bull 2: 5–9.

    Google Scholar 

  • Lamb RA, Kolakofsky D (2001). Chapter 41: Paramyxoviridae: the viruses and their replication. In: Fields virology, Vol. 1. Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, Straus SE (eds). Philadelphia: Lippincott Williams and Wilkins, pp 1305–1341.

    Google Scholar 

  • Moll M, Diederich S, Klenk HD, Czub M, Maisner A (2004). Ubiquitous activation of the Nipah virus fusion protein does not require a basic amino acid at the cleavage site. J Virol 78: 9705–9712.

    CAS  Article  PubMed  Google Scholar 

  • Mounts AW, Kaur H, Parashar UD, Ksiazek TG, Cannon D, Arokiasamy JT, Anderson LJ, Lye MS (2001). Nipah Virus Nosocomial Study Group. A cohort study of health care workers to assess nosocomial transmissibility of Nipah virus, Malaysia, 1999. J Infect Dis 183: 810–813.

    CAS  Article  PubMed  Google Scholar 

  • Murray K, Rogers R, Selvey L, Selleck P, Hyatt A, Gould A, Gleeson L, Hooper P, Westbury H (1995a). A novel morbillivirus pneumonia of horses and its transmission to humans. Emerg Infect Dis 1: 31–33.

    CAS  Article  PubMed  Google Scholar 

  • Murray K, Selleck P, Hooper P, Hyatt A, Gould A, Gleeson L, Westbury H, Hiley L, Selvey L, Rodwell B (1995b). A morbillivirus that caused fatal disease in horses and humans. Science 268: 94–97.

    CAS  Article  PubMed  Google Scholar 

  • Olson JG, Rupprecht C, Rollin PE, An US, Niezgoda M, Clemins T, Walston J, Ksiazek TG (2002). Antibodies to Nipah-like virus in bats (Pteropus lylei) in Cambodia. Emerg Infect Dis 8: 987–988.

    PubMed  Google Scholar 

  • Park MS, Shaw ML, Munoz-Jordan J, Cros JF, Nakaya T, Bouvier N, Palese P, Garcia-Sastre A, Basler CF (2003). Newcastle disease virus (NDV)-based assay demonstrates interferon-antagonist activity for the NVDV protein and the Nipah virus V, W, and C proteins. J Virol 77: 1501–1511.

    CAS  Article  PubMed  Google Scholar 

  • Parashar UD, Sunn LM, Ong F, Mounts AW, Arif MT, Ksiazek TG, Kamaluddin MA, Mustafa AN, Kaur H, Ding LM, Othman G, Radzi HM, Kitsutani PT, Stockton PC, Arokiasamy J, Gary HE, Anderson LJ (2000). Case-control study of risk factors for human infection with a new zoonotic paramyxovirus, Nipah virus, during a 1998–1999 outbreak of severe encephalitis in Malaysia. J Infect Dis 181: 1755–1759.

    CAS  Article  PubMed  Google Scholar 

  • Paton NI, Leo YS, Zaki SR, AP Auchus, Lee KE, Ling AE, Chew SK, Ang B, Rollin PE, Umapathi T, Sng I, Lee CC, Lim E, Ksiazek TG (1999). Outbreak of Nipah-virus infection among abattoir workers in Singapore. Lancet 354: 1253–1256.

    CAS  Article  PubMed  Google Scholar 

  • Poch O, Blumberg BM, Bougueleret L, Tordo N (1990). Sequence comparison of five polymerases (L proteins) of unsegmented negative-strand RNA viruses: theoretical assignment of functional domains. J Gen Virol 71: 1153–1162.

    CAS  Article  PubMed  Google Scholar 

  • Ramasundrum V, Tan CT, Chua KB, Chong HT, Goh KJ, Chew NK, Tan KS, Thayaparan T, Kunjapan SR, Petharunam V, Loh YL, Ksiazek TG, Lam SK (2000). Kinetics of IgM and IgG seroconversion in Nipah virus infection. Neurol J Southeast Asia 5: 23–28.

    Google Scholar 

  • Rodriguez JJ, Parisien JP, Horvath CM (2002). Nipah virus V protein evades alpha and gamma interferons by preventing STAT1 and STAT2 activation and nuclear accumulation. J Virol 76: 11476–11483.

    CAS  Article  PubMed  Google Scholar 

  • Rodriguez JJ, Wang LF, Horvath CM (2003). Hendra virus V protein inhibits interferon signaling by preventing STAT1 and STAT2 nuclear accumulation. J Virol 77: 11842–11845.

    CAS  Article  PubMed  Google Scholar 

  • Sarji SA, Abdullah BJ, Goh KJ, Tan CT, Wong KT (2000). MR imaging features of Nipah encephalitis. Am J Roentgenol 175(2): 437–442.

    Google Scholar 

  • Selvey LA, Well RM, McCormack JG, Ansford AJ, Murray K, Rogers RJ, Lavercombe PS, Selleck P, Sheridan JW (1995). Infection of humans and horses by a newly described morbillivirus. Med J Aust 162: 642–645.

    CAS  PubMed  Google Scholar 

  • Steward M, Vipond IB, Millar NS, Emmerson PT (1993). RNA editing in Newcastle disease virus. Journal of General Virology 74: 2539–2547.

    CAS  Article  PubMed  Google Scholar 

  • Tamin A, Harcourt BH, Ksiazek TG, Rollin PE, Bellini WJ, Rota PA (2002). Functional properties of the fusion and attachment glycoproteins of Nipah virus. Virology 296: 190–200.

    CAS  Article  PubMed  Google Scholar 

  • Tidona CA, Kurz HW, Gelderblom HR, Darai G (1999). Isolation and molecular characterization of a novel cytopathogenic paramyxovirus from tree shrews. Virology 258: 425–434.

    CAS  Article  PubMed  Google Scholar 

  • Vidal S, Curran J, Kolakofsky D (1990). Editing of the Sendai virus P/C mRNA by G insertion occurs during mRNA synthesis via a virus-encoded activity. Journal of Virology 64: 239–246.

    CAS  PubMed  Google Scholar 

  • Wang LF, Michalski WP, Yu M, Pritchard LI, Crameri G, Shiel B, Eaton BT, (1998). A novel P/V/C gene in a new member of the Paramyxoviridae family, which causes lethal infection in humans, horses, and other animals. J Virol 72: 1482–1490.

    CAS  PubMed  Google Scholar 

  • Wang LF, Harcourt BH, Yu M, Tamin A, Rota PA, Bellini WJ, Eaton BT (2001). Molecular biology of Hendra and Nipah viruses. Microbes Infect 3: 279–287.

    CAS  Article  PubMed  Google Scholar 

  • Wang LF, Yu M, Hansson E, Pritchard LI, Shiell B, Michalski WP, Eaton BT (2000). The exceptionally large genome of Hendra virus: support for creation of a new genus within the family Paramyxoviridae. J Virol 74: 9972–9979.

    CAS  Article  PubMed  Google Scholar 

  • Williamson M, Hooper P, Selleck P, Gleeson LJ, Daniels PW, Westbury HA, Murray PK (1998). Transmission studies of Hendra virus (equine morbillivirus) in fruit bats, horses, and cats. Aust Vet J 76: 813–818.

    CAS  Article  PubMed  Google Scholar 

  • Wong KT, Grosjean I, Brisson C, Blanquier B, Fevre-Montange M, Bernard A, Loth P, Georges-Courbot MC, Chevallier M, Akaoka H, Marianneau P, Lam SK, Wild TF, Deubel V (2003). A golden hamster model for human acute Nipah virus infection. Am J Pathol 163: 2127–2137.

    PubMed  Google Scholar 

  • WHO. (2004). Nipah virus outbreak(s) in Bangladesh, January–April 2004. Wkly Epidemiol Rec 17: 168–171.

    Google Scholar 

  • Yob JM, Field H, Rashdi AM, Morrissy C, van der Heide B, Rota P, bin Adzhar A, White J, Daniels P, Jamaluddin A, Ksiazek T (2001). Nipah virus infection in bats (order Chiroptera) in peninsular Malaysia. Emerg Infect Dis 7: 439–441.

    CAS  PubMed  Google Scholar 

  • Yu M, Hansson E, Langedijk JP, Eaton BT, Wang LF (1998a). The attachment protein of Hendra virus has high structural similarity but limited primary sequence homology compared with viruses in the genus Paramyxovirus Virology 251: 227–233.

    CAS  Article  Google Scholar 

  • Yu M, Hansson E, Shiell B, Michalski W, Eaton BT, Wang LF (1998b). Sequence analysis of the Hendra virus nucleoprotein gene: comparison with other members of the subfamily Paramyxovirinae. J Gen Virol 79: 1775–1780.

    CAS  PubMed  Google Scholar 

  • Young PL, Halpin K, Selleck PW, Field H, Gravel JL, Kelly MA, Mackenzie JS (1996). Serologic evidence for the presence in Pteropus bats of a paramyxovirus related to equine morbillivirus. Emerg Infect Dis 2: 239–240.

    CAS  Article  PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to William J. Bellini.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Bellini, W.J., Harcourt, B.H., Bowden, N. et al. Nipah virus: An emergent paramyxovirus causing severe encephalitis in humans. Journal of NeuroVirology 11, 481–487 (2005). https://doi.org/10.1080/13550280500187435

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1080/13550280500187435

Keywords

  • emerging infectious disease
  • encephalitis
  • fruit bats
  • Nipah virus
  • paramyxovirus