Virus del chikungunya: panorama global y avances en el diagnóstico

Irma Gisella Parrales Pincay, Maria Magdalena Ascencio Chilan, Maria Esther Villacreses Ruiz

Resumen


El virus del Chikungunya (CHIKV), un arbovirus transmitido por mosquitos del género Aedes, representa una creciente amenaza para la salud pública en regiones tropicales y subtropicales, con una expansión significativa desde su descubrimiento en África en los años 50. Este estudio tuvo como objetivo ofrecer un panorama global y actualizado de las pruebas de diagnóstico del virus de Chikungunya (CHIKV), se empleó una metodología cualitativa de tipo descriptivo y diseño documental, basada en una revisión bibliográfica sistemática. Los resultados evidencian avances significativos en el diagnóstico del CHIKV, demostrando que las pruebas serológicas pueden identificar la fase de la infección (antígenos en la fase aguda; IgM/IgG en la convalecencia) y diferenciar entre infecciones recientes y pasadas. Las técnicas moleculares, como la RT-LAMP y la RT-PCR, ofrecen una detección rápida y sensible, incluyendo aplicaciones en aguas residuales, mientras que la identificación de variantes virales y proteínas específicas mejora la precisión de los métodos. Asimismo, se destaca la importancia del diagnóstico diferencial con otros arbovirus y del diagnóstico perinatal para una vigilancia más eficaz. En conclusión, esto demuestra que el diagnóstico del CHIKV ha mejorado, destacando la utilidad de las pruebas serológicas y moleculares rápidas y sensibles, y la necesidad de métodos diferenciales para una detección precisa en las diferentes etapas de la infección.


Palabras clave


Chikungunya, Arbovirus; Diagnóstico molecular; Vacunas.

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Referencias


Andrade F, Nunes P, Arruda L, Salomão N, Rabelo K. The Innate Immune Response in DENV- and CHIKV-Infected Placentas and the Consequences for the Fetuses: A Minireview. Viruses [Internet]. 2023 Sep 6;15(9):1885. Available from: https://www.mdpi.com/1999-4915/15/9/1885

Ribeiro M, Ferreira D, Azevedo R, dos Santos G, Andrade R. Aedes aegypti larval indices and dengue incidence: An ecological study in the state of Rio de Janeiro, Brazil. Cad Saude Publica. 2021;37(7):25–6.

Alvarez M, Arnella T, Torres A, Semper I, Romero D. Dengue, chikungunya, Virus de Zika. Determinantes sociales. Rev medica electron [Internet]. 2018;40(1):120–8. Available from: http://scielo.sld.cu/pdf/rme/v40n1/rme130118.pdf

Suzuki K, Huits R, Phadungsombat J, Tuekprakhon A, Nakayama E, Van R, et al. Promising application of monoclonal antibody against chikungunya virus E1-antigen across genotypes in immunochromatographic rapid diagnostic tests. Virol J [Internet]. 2020 Dec 2;17(1):90. Available from: https://virologyj.biomedcentral.com/articles/10.1186/s12985-020-01364-4

Chowdhury A, Modahl CM, Missé D, Kini RM, Pompon J. High resolution proteomics of Aedes aegypti salivary glands infected with either dengue, Zika or chikungunya viruses identify new virus specific and broad antiviral factors. Sci Rep [Internet]. 2021 Dec 8;11(1):23696. Available from: https://www.nature.com/articles/s41598-021-03211-0

Battisti V, Urban E, Langer T. Antivirals against the Chikungunya Virus. Viruses [Internet]. 2021 Jul 5;13(7):1307. Available from: https://www.mdpi.com/1999-4915/13/7/1307

Cabezas C. Dengue en el Perú: crónica de epidemias recurrentes (1990-2023), el virus, el Aedes aegypti y sus determinantes, ¿a dónde vamos? An la Fac Med [Internet]. 2023;82(2):145–8. Available from: http://www.scielo.org.pe/pdf/afm/v84n2/1025-5583-afm-84-02-00145.pdf

Mehta D, Chaudhary S, Sunil S. Oxidative stress governs mosquito innate immune signalling to reduce chikungunya virus infection in Aedes-derived cells. J Gen Virol [Internet]. 2024 Mar 15;105(3). Available from: https://www.microbiologyresearch.org/content/journal/jgv/10.1099/jgv.0.001966

Rojas H, Benavides J, Flores G. Virus emergentes: Zika, Dengue Y Chikungunya. Rev Investig Talent. 2022;9(2):32–52.

Cañarte J, Valverde K, Vera J. Actualización sobre la epidemiología, diagnóstico y tratamiento del virus del zika. MQRInvestigar [Internet]. 2024 Sep 6;8(3):5180–98. Available from: https://www.investigarmqr.com/ojs/index.php/mqr/article/view/1725

Mushtaq I, Sarwar M, Munzoor I. A comprehensive review of Wolbachia-mediated mechanisms to control dengue virus transmission in Aedes aegypti through innate immune pathways. Front Immunol [Internet]. 2024 Aug 8;15(2):120–45. Available from: https://www.frontiersin.org/articles/10.3389/fimmu.2024.1434003/full

Lima T, Pereira M, Paula S, Franca R. A Review on Chikungunya Virus Epidemiology, Pathogenesis and Current Vaccine Development. Viruses [Internet]. 2022 May 5;14(5):969. Available from: https://www.mdpi.com/1999-4915/14/5/969

Khongwichit S, Chansaenroj J, Chirathaworn C, Poovorawan Y. Chikungunya virus infection: molecular biology, clinical characteristics, and epidemiology in Asian countries. J Biomed Sci [Internet]. 2021 Dec 2;28(1):84. Available from: https://jbiomedsci.biomedcentral.com/articles/10.1186/s12929-021-00778-8

Calvo E, Archila E, López, Lady, Castellanos J. Reconociendo el virus del chikunguña. Biomédica [Internet]. 2021 Jun 29;41(2):353–73. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/5797

Freppel W, Silva L, Stapleford K, Herrero L. Pathogenicity and virulence of chikungunya virus. Virulence [Internet]. 2024 Dec 31;15(1). Available from: https://www.tandfonline.com/doi/full/10.1080/21505594.2024.2396484

Suzuki Y. Interferon-induced restriction of Chikungunya virus infection. Antiviral Res [Internet]. 2023 Feb;210:105487. Available from: https://linkinghub.elsevier.com/retrieve/pii/S016635422200256X

Souza W, Fumagalli M, de Lima S, Parise P, Carvalho D, Hernandez C, et al. Pathophysiology of chikungunya virus infection associated with fatal outcomes. Cell Host Microbe [Internet]. 2024 Apr;32(4):606-622.e8. Available from: 10.1016/j.chom.2024.02.011

Minwuyelet A, Petronio G, Yewhalaw D, Sciarretta A, Magnifico I, Nicolosi D, et al. Symbiotic Wolbachia in mosquitoes and its role in reducing the transmission of mosquito-borne diseases: updates and prospects. Front Microbiol [Internet]. 2023 Oct 13;14. Available from: https://www.frontiersin.org/articles/10.3389/fmicb.2023.1267832/full

Fox J, Pierson T. Chikungunya virus assembly and egress. Nat Microbiol [Internet]. 2022 Aug 2;7(8):1112–3. Available from: https://link.springer.com/10.1007/82_2018_146

Nambiar R, Shaw K, Curry PS. Normas Vancouver. J Microbiol Methods [Internet]. 2017;141:60–2. Available from: bibliotecahcam.iess.gob.ec/opac-tmpl/hcam/pages/vancouver.pdf%0Ahttps://www.aeesme.org/wp-content/uploads/2021/02/Normas-Vancouver.pdf

Andrew A, Navien T, Yeoh T, Citartan M, Mangantig E, Sum M, et al. Diagnostic accuracy of serological tests for the diagnosis of Chikungunya virus infection: A systematic review and meta-analysis. Ribeiro GS, editor. PLoS Negl Trop Dis [Internet]. 2022 Feb 4;16(2):e0010152. Available from: https://dx.plos.org/10.1371/journal.pntd.0010152

Cardona M, Ocampo T, Tabares F, Zuluaga A, Sepúlveda J. Recent molecular techniques for the diagnosis of Zika and Chikungunya infections: A systematic review. Heliyon [Internet]. 2022 Aug;8(8):e10225. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2405844022015134

Rangel M, McAllister N, Dancel K, Noval M, Silva L, Stapleford K. Emerging Chikungunya Virus Variants at the E1-E1 Interglycoprotein Spike Interface Impact Virus Attachment and Inflammation. Heise MT, editor. J Virol [Internet]. 2022 Feb 23;96(4). Available from: https://journals.asm.org/doi/10.1128/jvi.01586-21

Silva L do C, Costa LHA, Dos Santos IC de O, de Curcio JS, Barbosa AM de F, Anunciação CE, et al. Advancing Chikungunya Diagnosis: A Cost-Effective and Rapid Visual employing Loop-mediated isothermal reaction. Diagn Microbiol Infect Dis [Internet]. 2024 Feb;108(2):116111. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0732889323002201

Raza F, Javed H, Khan M, Ullah O, Fatima A, Zaheer M, et al. Dengue and Chikungunya virus co-infection in major metropolitan cities of provinces of Punjab and Khyber Pakhtunkhwa: A multi-center study. Horstick O, editor. PLoS Negl Trop Dis [Internet]. 2021 Sep 23;15(9):e0009802. Available from: https://dx.plos.org/10.1371/journal.pntd.0009802

Kril V, Aïqui O, Briant L, Amara A. New Insights into Chikungunya Virus Infection and Pathogenesis. Annu Rev Virol [Internet]. 2021 Sep 29;8(1):327–47. Available from: https://www.annualreviews.org/doi/10.1146/annurev-virology-091919-102021

Haldar T, Katarmal P, Roy B, Koratkar S. Dengue and chikungunya virus dynamics, identification, and monitoring in wastewater. Environ Monit Assess [Internet]. 2024 Dec 5;196(12):1166. Available from: https://link.springer.com/10.1007/s10661-024-13341-3

Hucke F, Bestehorn M, Bugert J. Prophylactic strategies to control chikungunya virus infection. Virus Genes [Internet]. 2021 Apr 15;57(2):133–50. Available from: https://link.springer.com/10.1007/s11262-020-01820-x

Ferreira F, Silva A, Recht J, Guaraldo L, Moreira M, Siqueira A, et al. Vertical transmission of chikungunya virus: A systematic review. Fujioka K, editor. PLoS One [Internet]. 2021 Apr 23;16(4):e0249166. Available from: https://dx.plos.org/10.1371/journal.pone.0249166

Raju S, Adams L, Earnest J, Warfield K, Vang L, Crowe J, et al. A chikungunya virus–like particle vaccine induces broadly neutralizing and protective antibodies against alphaviruses in humans. Sci Transl Med [Internet]. 2023 May 17;15(696). Available from: https://www.science.org/doi/10.1126/scitranslmed.ade8273

Deng Q, Guo Z, Hu H, Li Q, Zhang Y, Wang J, et al. Inhibition of Chikungunya virus early replication by intracellular nanoantibodies targeting nsP2 Epitope Rich Region. Antiviral Res [Internet]. 2022 Dec;208:105446. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0166354222002157

Millsapps E, Underwood E, Barr K. Development and Application of Treatment for Chikungunya Fever. Res Rep Trop Med [Internet]. 2022 Dec;Volume 13:55–66. Available from: https://www.dovepress.com/development-and-application-of-treatment-for-chikungunya-fever-peer-reviewed-fulltext-article-RRTM

Henderson F, Ghaisani A, Findlay F, Bowolaksono A, Sasmono R, Stevens C, et al. Evolution and immunopathology of chikungunya virus informs therapeutic development. Dis Model Mech [Internet]. 2023 Apr 1;16(4). Available from: https://journals.biologists.com/dmm/article/16/4/dmm049804/301041/Evolution-and-immunopathology-of-chikungunya-virus

Monteiro S, Pimenta R, Nunes F, Cunha M V, Santos R. Detection of dengue virus and chikungunya virus in wastewater in Portugal: an exploratory surveillance study. The Lancet Microbe [Internet]. 2024 Nov;5(11):100911. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2666524724001502

Hamer M, McCarty J, Pierson B, Regules J, Mendy J, Sanborn A, et al. Safety and immunogenicity of an adjuvanted chikungunya virus virus-like particle (CHIKV VLP) vaccine in previous recipients of other alphavirus vaccines versus alphavirus vaccine-naive controls: an open-label, parallel-group, age-matched, sex-matched, pha. The Lancet Microbe [Internet]. 2025 Apr;6(4):101000. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2666524724002684

Haese N, Powers J, Streblow D. Small Molecule Inhibitors Targeting Chikungunya Virus. In: Medical Clinics of North America [Internet]. 2020. Available from: https://link.springer.com/10.1007/82_2020_195

Silva L, Rodrigues É, Taniele J, Anderson L, Araújo J, Bassi Ê, et al. Targeting Chikungunya Virus Entry: Alternatives for New Inhibitors in Drug Discovery. Curr Med Chem [Internet]. 2022 Feb;29(4):612–34. Available from: https://www.eurekaselect.com/194238/article

Pereira M, Franca R. Special Issue “Chikungunya Virus and Emerging Alphaviruses.” Viruses [Internet]. 2023 Aug 19;15(8):1768. Available from: https://www.mdpi.com/1999-4915/15/8/1768

Ng L, Rénia L. Live-attenuated chikungunya virus vaccine. Cell [Internet]. 2024 Feb;187(4):813-813.e1. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0092867424001004

Cottis S, Blisnick A, Failloux A, Vernick K. Determinants of Chikungunya and O’nyong-Nyong Virus Specificity for Infection of Aedes and Anopheles Mosquito Vectors. Viruses [Internet]. 2023 Feb 21;15(3):589. Available from: https://www.mdpi.com/1999-4915/15/3/589

Kovacikova K, van MJ. Small-Molecule Inhibitors of Chikungunya Virus: Mechanisms of Action and Antiviral Drug Resistance. Antimicrob Agents Chemother [Internet]. 2020 Nov 17;64(12). Available from: https://journals.asm.org/doi/10.1128/AAC.01788-20

Chatterjee S, Ghosh S, Datey A, Mahish C, Chattopadhyay S, Chattopadhyay S. Chikungunya virus perturbs the Wnt/β-catenin signaling pathway for efficient viral infection. Gallagher T, editor. J Virol [Internet]. 2023 Nov 30;97(11). Available from: https://journals.asm.org/doi/10.1128/jvi.01430-23

Avila A, Rodríguez L, Alcántara V, Aguilar J. Multiple Factors Involved in Bone Damage Caused by Chikungunya Virus Infection. Int J Mol Sci [Internet]. 2023 Aug 23;24(17):13087. Available from: https://www.mdpi.com/1422-0067/24/17/13087

Caluwé L, Heyndrickx L, Coppens S, Vereecken K, Quiñones M, Merits A, et al. Chikungunya Virus’ High Genomic Plasticity Enables Rapid Adaptation to Restrictive A549 Cells. Viruses [Internet]. 2022 Jan 28;14(2):282. Available from: https://www.mdpi.com/1999-4915/14/2/282

Nunes J, Sousa J, Smith V, Quaresma J, Vasconcelos P, Chiang JO. Immunological impact of cytokines on the chikungunya virus pathophysiology: A literature narrative review. Rev Med Virol [Internet]. 2023 Jul 5;33(4). Available from: https://onlinelibrary.wiley.com/doi/10.1002/rmv.2441

Hakim M, Annisa L, Gazali F, Aman A. The origin and continuing adaptive evolution of chikungunya virus. Arch Virol [Internet]. 2022 Dec 20;167(12):2443–55. Available from: https://link.springer.com/10.1007/s00705-022-05570-z

Hakami A, Alshamrani A, Alqahtani M, Alraey Y, Alhefzi R, Alasmari S, et al. Detection of chikungunya virus in the Southern region, Saudi Arabia. Virol J [Internet]. 2021 Dec 20;18(1):190. Available from: https://virologyj.biomedcentral.com/articles/10.1186/s12985-021-01660-7

López, Lady, Calvo E, Castellanos J. Deubiquitinating Enzyme Inhibitors Block Chikungunya Virus Replication. Viruses [Internet]. 2023 Feb 9;15(2):481. Available from: https://www.mdpi.com/1999-4915/15/2/481




DOI: https://doi.org/10.23857/pc.v10i9.10442

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