Monkeypox DNA levels correlate with virus infectivity in clinical samples, Israel, 2022

Author:

Paran Nir1,Yahalom-Ronen Yfat1,Shifman Ohad2,Lazar Shirley2,Ben-Ami Ronen34,Yakubovsky Michal4,Levy Itzchak35,Wieder-Feinsod Anat35,Amit Sharon6,Katzir Michal37,Carmi-Oren Noga8,Levcovich Ariela8,Hershman-Sarafov Mirit910,Paz Alona910,Thomas Rebecca11,Tamir Hadas1,Cherry-Mimran Lilach1,Erez Noam1,Melamed Sharon1,Barlev-Gross Moria1,Karmi Shay1,Politi Boaz1,Achdout Hagit1,Weiss Shay1,Levy Haim1,Schuster Ofir1,Beth-Din Adi2,Israely Tomer1

Affiliation:

1. Department of Infectious Diseases, Israel Institute for Biological Research, Ness-Ziona, Israel

2. Department of Biochemistry and Molecular Genetics, Israel Institute for Biological Research, Ness-Ziona, Israel

3. Sackler medical school, Tel Aviv University, Tel Aviv, Israel

4. Infectious Diseases Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

5. Infectious Disease Unit, Sheba Medical Center, Ramat Gan, Israel

6. Clinical Microbiology, Sheba Medical Center, Ramat Gan, Israel.

7. Infectious Disease unit, Meir Medical Center, Kfar Saba, Israel

8. Infectious Disease unit, Shamir (Assaf Harofeh) Medical Center, Be'er Ya'akov, Israel

9. Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

10. Infectious Disease and Control Unit, Bnai Zion Medical Center, Haifa, Israel

11. Department of Emergency Medicine, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel

Abstract

The current monkeypox virus global spread and lack of data regarding clinical specimens’ infectivity call for examining virus infectivity, and whether this correlates with results from PCR, the available diagnostic tool. We show strong correlation between viral DNA amount in clinical specimens and virus infectivity toward BSC-1 cell line. Moreover, we define a PCR threshold value (Cq ≥ 35, ≤ 4,300 DNA copies/mL), corresponding to negative viral cultures, which may assist risk-assessment and decision-making regarding protective-measures and guidelines for patients with monkeypox.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference13 articles.

1. Centers for Disease Control and Prevention (CDC). 2022 Outbreak Cases & Data. Atlanta: CDC; 22 Aug 2022. Available from: https://www.cdc.gov/poxvirus/monkeypox/response/2022

2. Monkeypox: a global wake-up call.;Lancet,2022

3. Epidemiological, clinical and virological characteristics of four cases of monkeypox support transmission through sexual contact, Italy, May 2022.;Antinori;Euro Surveill,2022

4. Monkeypox: A New Threat?;Kmiec;Int J Mol Sci,2022

5. Human monkeypox.;McCollum;Clin Infect Dis,2014

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