Enteric viruses replicate in salivary glands and infect through saliva.
Chibly, A M
Chiorini, J A
Hoffman, M P
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AbstractEnteric viruses like norovirus, rotavirus and astrovirus have long been accepted as spreading in the population through fecal-oral transmission: viruses are shed into feces from one host and enter the oral cavity of another, bypassing salivary glands (SGs) and reaching the intestines to replicate, be shed in feces and repeat the transmission cycle1. Yet there are viruses (for example, rabies) that infect the SGs2,3, making the oral cavity one site of replication and saliva one conduit of transmission. Here we report that enteric viruses productively and persistently infect SGs, reaching titres comparable to those in the intestines. We demonstrate that enteric viruses get released into the saliva, identifying a second route of viral transmission. This is particularly significant for infected infants, whose saliva directly transmits enteric viruses to their mothers' mammary glands through backflow during suckling. This sidesteps the conventional gut-mammary axis route4 and leads to a rapid surge in maternal milk secretory IgA antibodies5,6. Lastly, we show that SG-derived spheroids7 and cell lines8 can replicate and propagate enteric viruses, generating a scalable and manageable system of production. Collectively, our research uncovers a new transmission route for enteric viruses with implications for therapeutics, diagnostics and importantly sanitation measures to prevent spread through saliva.
Data AvailibilityThe data generated in this study are provided as source data files corresponding to each figure. All statistics performed and the exact P values are presented in Supplementary Table 4. Primary data associated with figures are available in the source files. Any additional datasets generated and/or analysed are available from the corresponding author on reasonable request.
Rights/Terms© 2022. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/19321
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