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Sequencing

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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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