Sequencing
SFAF2016%20Meeting%20Guide%20Final%203
SFAF2016%20Meeting%20Guide%20Final%203
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11th Annual <strong>Sequencing</strong>, Finishing, and Analysis in the Future Meeting<br />
EXTENDED VIRAL EXPLORATION OF<br />
HEMORRHAGIC FEVER SYNDROMES WITH<br />
NEGATIVE EBOLA DIAGNOSIS<br />
Wednesday, 1st June 20:00 La Fonda Mezzanine (2nd Floor) Poster (PS‐2b.01)<br />
Ingrid Labouba 1 , Andy Nkili Meyong 1 , Patrick Chain 2 , Maganga Gael 1 ,<br />
Momchilo Vuyisich 2 , Tracy Erkkila 2 , Eric Leroy 1 , Nicolas Berthet 1<br />
1 Centre international de recherches médicales de Franceville (CIRMF GABON),<br />
2 Los Alamos National Laboratory<br />
Background:<br />
While in West Africa the hugest Ebola virus disease (EVD) outbreak was in progress, on 26 August<br />
2014 the WHO reported another one in the North‐West of the Democratic Republic of Congo (DRC),<br />
in the district of Bouende (Equateur province) located at 1200km of North of Kinshasa. Since the<br />
virus was discovered in 1976, this was the 7th in this country. On 7 October 2014, a total of 69 cases<br />
(3 suspected, 28 probable, 38 confirmed) and 49 deaths (21 males, 28 females) have been recorded.<br />
33 Blood samples collected from those patients were sent to the CIRMF for diagnosis confirmation<br />
and complementary investigation. Based on qPCR specific diagnosis, 7/33 cases were found Ebola<br />
Zaire positive (Maganga et al., NJEM 2014). 26/33 remaining samples were found negative for<br />
Ebolaviruses (Zaire, Bundibyo, Sudan species) and Marburg virus specific diagnosis as well as for<br />
generic Pan Filoviruses PCR. These then constitute a cohort of cases with an unknown etiology<br />
that require a deeper exploration. Here we suggest to investigate the presence of potential infectious<br />
causal agent able to be associated with hemorrhagic fever syndrome (HFS) in those patients found<br />
negative for any filoviruses.<br />
Methods:<br />
Filovirus‐negative whole blood samples were stored at ‐80°C until their total RNA extraction initiated<br />
under high security conditions in BSL‐4 and completed in BSL‐3 laboratories. After a ribosomal<br />
RNA removal, remaining RNA will be used for preparing DNA libraries directly and after a whole<br />
genome amplification (WTA) step to increase chances of viral pathogen detection by high throughput<br />
sequencing. In parallel, we will proceed to the isolation of potential pathogens by cell culture<br />
or mouse brain inoculation. Positive generated isolate or inoculate will also be treated for high<br />
throughput sequencing. Subsequent analyses will be performed by bioinformatician using CLC and<br />
EDGE softwares.<br />
Expected results and perspectives:<br />
Here we aim to identify the other potential infectious causal agents, different from Ebola and Marburg<br />
viruses that stroke during 2014 DRC outbreak. This project also aims to implement a standardized<br />
procedure for an extended and complete exploration of clinical syndromes with unknown etiologies.<br />
Currently dedicated to this small cohort of HFS patients, it will be used in the long term on entire<br />
CIRMF’s biobank and more.<br />
Funding Sources:<br />
Defense Threat Reduction Agency<br />
Agence Nationale de la Recherche FRANCE<br />
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