Monkeypox virus (MPXV) belongs to the genus Orthopoxvirus and is primarily transmitted to humans through direct contact with infected animals (such as rodents or primates) or through consumption of undercooked bushmeat. Human-to-human transmission occurs through close contact with lesions, body fluids, respiratory droplets, or contaminated materials (such as bedding). The virus enters the human body through broken skin, mucous membranes, or the respiratory tract. Once inside, the virus replicates at the site of inoculation and subsequently spreads to regional lymph nodes, leading to viremia and dissemination of the virus to various organs. The incubation period is 5 to 21 days, followed by symptoms such as fever, headache, muscle aches, and a characteristic progressive rash that progresses from macules to pustules. While most cases are self-limited, serious consequences such as secondary infection, encephalitis, or ocular complications can occur, particularly in immunocompromised individuals or those with comorbidities.
Monkeypox virus (MPXV) is a large, enveloped, double-stranded DNA virus with the typical brick-shaped morphology characteristic of poxviruses. Its genome is approximately 197 kilobase pairs in length and encodes approximately 190 proteins, including virulence factors and host immune evasion proteins. The viral core contains the DNA genome and associated enzymes, surrounded by proteinaceous lateral bodies and a lipoprotein envelope derived from the host''s Golgi apparatus. The genome is divided into a conserved central region, which contains essential replication and structural genes, and a variable terminal region, which contains genes involved in host range and immune regulation. Key viral proteins include the A-type inclusion protein (ATI), which facilitates viral assembly, and the hemagglutinin (HA) protein, which is involved in cellular entry. Unlike other orthopoxviruses, monkeypox virus lacks genes encoding soluble interferon receptors, which contributes to its unique pathogenicity.
Monkeypox is a viral zoonosis caused by monkeypox virus (MPXV). During MPXV infection, macrophages are recruited to the site of infection and are thought to be involved in the spread of the virus. Vertical transmission of MPXV from infected pregnant women to the developing fetus in utero has been reported, resulting in high viral loads in placental tissues and miscarriage. Here, researchers aimed to understand the impact of MPXV infection on the maternal-fetal interface by studying the function of macrophages. Using a term placental explant model, macrophages were recruited to the site of infection. Isolated naive macrophages were susceptible to MPXV infection and secreted high levels of proinflammatory cytokines with a strong M1 polarization signature. Antiviral gene expression analysis revealed that interferon (IFN) and IFN-related genes were upregulated, suggesting that MPXV induced the expression of certain antiviral response components by macrophages that were unable to clear the virus. These studies suggest that macrophages are tolerant to MPXV and are able to subvert inflammatory and antiviral mechanisms without clearing the virus. These findings contribute to a better understanding of the pathogenic mechanisms of vertical transmission of MPXV.
Researchers investigated whether infection of macrophages was associated with an antiviral response to MPXV by assessing the expression of several antiviral effectors and type I interferon genes. The response of macrophages to MPXV infection was distinct from that of cells incubated in vitro with heat-inactivated MPXV or incubated under resting conditions (Figure 1A). Principal component analysis and hierarchical clustering revealed that the response of macrophages to MPXV infection was also distinct from that of MPXV-infected MDM, suggesting specific regulation of antiviral response components in placental cell populations (Figure 1B). Expression of IFNA transcripts was increased in macrophages following MPXV stimulation, whereas IFNB and IFNB1 were not modulated (Figure 1C). Interestingly, heat-inactivated MPXV significantly modulated the expression of IFNB and IFNB1 in macrophages, but the amount of regulation was very small compared to that of IFNA. In macrophages, expression of IFIT1 (p = 0.0147), IFIT2 (p = 0.0118), IFIT3 (p = 0.0135), and IFIH1 (p = 0.0001) transcripts was induced in response to MPXV (Figure 1D). No differences were observed in MDMs. In contrast, virus-induced antiviral responses and type I interferon genes were modulated in infected monocytes. These results suggest that macrophages specifically respond to MPXV infection by modulating certain components of the antiviral response compared to MDMs.
Figure 1. Macrophages present an antiviral reply against MPXV infection. (Andrieu J, et al., 2025)
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This Inactivated Wild-Type Mpox Virus (USA/MA001/2022) provided exceptional performance in PCR controls and serological testing. The viral genome integrity remained intact post-inactivation, allowing accurate quantification in our outbreak surveillance studies. Shipping documentation met all regulatory requirements flawlessly.
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