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Published in: Archives of Virology 5/2017

01-05-2017 | Original Article

A highly divergent Puumala virus lineage in southern Poland

Authors: Ulrike M. Rosenfeld, Stephan Drewes, Hanan Sheikh Ali, Edyta T. Sadowska, Magdalena Mikowska, Gerald Heckel, Paweł Koteja, Rainer G. Ulrich

Published in: Archives of Virology | Issue 5/2017

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Abstract

Puumala virus (PUUV) represents one of the most important hantaviruses in Central Europe. Phylogenetic analyses of PUUV strains indicate a strong genetic structuring of this hantavirus. Recently, PUUV sequences were identified in the natural reservoir, the bank vole (Myodes glareolus), collected in the northern part of Poland. The objective of this study was to evaluate the presence of PUUV in bank voles from southern Poland. A total of 72 bank voles were trapped in 2009 at six sites in this part of Poland. RT-PCR and IgG-ELISA analyses detected three PUUV positive voles at one trapping site. The PUUV-infected animals were identified by cytochrome b gene analysis to belong to the Carpathian and Eastern evolutionary lineages of bank vole. The novel PUUV S, M and L segment nucleotide sequences showed the closest similarity to sequences of the Russian PUUV lineage from Latvia, but were highly divergent to those previously found in northern Poland, Slovakia and Austria. In conclusion, the detection of a highly divergent PUUV lineage in southern Poland indicates the necessity of further bank vole monitoring in this region allowing rational public health measures to prevent human infections.
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Literature
1.
go back to reference Plyusnin A, Beaty BJ, Elliott RM, Goldbach R, Kormelink R, Lundkvist Å, Schmaljohn CS, Tesh RB (2011) Family Bunyaviridae. In: King AMQ, Adams MJ, Carstens EB, Lefkowitz EJ (eds) Virus taxonomy. Ninth report of the International Committee on Taxonomy of Viruses. Elsevier Inc., San Diego, USA, pp 725–741 Plyusnin A, Beaty BJ, Elliott RM, Goldbach R, Kormelink R, Lundkvist Å, Schmaljohn CS, Tesh RB (2011) Family Bunyaviridae. In: King AMQ, Adams MJ, Carstens EB, Lefkowitz EJ (eds) Virus taxonomy. Ninth report of the International Committee on Taxonomy of Viruses. Elsevier Inc., San Diego, USA, pp 725–741
3.
go back to reference Schönrich G, Rang A, Lütteke N, Raftery MJ, Charbonnel N, Ulrich RG (2008) Hantavirus-induced immunity in rodent reservoirs and humans. Immunol Rev 225:163–189CrossRefPubMed Schönrich G, Rang A, Lütteke N, Raftery MJ, Charbonnel N, Ulrich RG (2008) Hantavirus-induced immunity in rodent reservoirs and humans. Immunol Rev 225:163–189CrossRefPubMed
4.
go back to reference Spitzenberger F (1999) Clethrionomys glareolus. In: Mitchell-Jones AJ (ed) The atlas of European mammals. T & AD Poyser LTD, London, pp 212–213 Spitzenberger F (1999) Clethrionomys glareolus. In: Mitchell-Jones AJ (ed) The atlas of European mammals. T & AD Poyser LTD, London, pp 212–213
5.
go back to reference Heyman P, Ceianu CS, Christova I, Tordo N, Beersma M, João Alves M, Lundkvist Å, Hukic M, Papa A, Tenorio A, Zelená H, Essbauer S, Visontai I, Golovljova I, Connell J, Nicoletti L, Van Esbroeck M, Gjeruldsen Dudman S, Aberle SW, Avšič-Županc T, Korukluoglu G, Nowakowska A, Klempa B, Ulrich RG, Bino S, Engler O, Opp M, Vaheri A (2011) A five-year perspective on the situation of haemorrhagic fever with renal syndrome and status of the hantavirus reservoirs in Europe, 2005-2010. Euro Surveill 16(36):977–986 Heyman P, Ceianu CS, Christova I, Tordo N, Beersma M, João Alves M, Lundkvist Å, Hukic M, Papa A, Tenorio A, Zelená H, Essbauer S, Visontai I, Golovljova I, Connell J, Nicoletti L, Van Esbroeck M, Gjeruldsen Dudman S, Aberle SW, Avšič-Županc T, Korukluoglu G, Nowakowska A, Klempa B, Ulrich RG, Bino S, Engler O, Opp M, Vaheri A (2011) A five-year perspective on the situation of haemorrhagic fever with renal syndrome and status of the hantavirus reservoirs in Europe, 2005-2010. Euro Surveill 16(36):977–986
6.
go back to reference Reil D, Imholt C, Eccard JA, Jacob J (2015) Beech fructification and bank vole population dynamics - combined analyses of promoters of human Puumala Virus infections in Germany. PLoS One 10(7):e0134124CrossRefPubMedPubMedCentral Reil D, Imholt C, Eccard JA, Jacob J (2015) Beech fructification and bank vole population dynamics - combined analyses of promoters of human Puumala Virus infections in Germany. PLoS One 10(7):e0134124CrossRefPubMedPubMedCentral
7.
go back to reference Ettinger J, Hofmann J, Enders M, Tewald F, Oehme RM, Rosenfeld UM, Ali HS, Schlegel M, Essbauer S, Osterberg A, Jacob J, Reil D, Klempa B, Ulrich RG, Krüger DH (2012) Multiple synchronous outbreaks of Puumala virus, Germany, 2010. Emerg Infect Dis 18(9):1461–1464CrossRefPubMedPubMedCentral Ettinger J, Hofmann J, Enders M, Tewald F, Oehme RM, Rosenfeld UM, Ali HS, Schlegel M, Essbauer S, Osterberg A, Jacob J, Reil D, Klempa B, Ulrich RG, Krüger DH (2012) Multiple synchronous outbreaks of Puumala virus, Germany, 2010. Emerg Infect Dis 18(9):1461–1464CrossRefPubMedPubMedCentral
8.
go back to reference Weber de Melo V, Sheikh Ali H, Freise J, Kühnert D, Essbauer S, Mertens M, Wanka KM, Drewes S, Ulrich RG, Heckel G (2015) Spatiotemporal dynamics of Puumala hantavirus associated with its rodent host, Myodes glareolus. Evol Appl 8(6):545–559CrossRefPubMedPubMedCentral Weber de Melo V, Sheikh Ali H, Freise J, Kühnert D, Essbauer S, Mertens M, Wanka KM, Drewes S, Ulrich RG, Heckel G (2015) Spatiotemporal dynamics of Puumala hantavirus associated with its rodent host, Myodes glareolus. Evol Appl 8(6):545–559CrossRefPubMedPubMedCentral
9.
go back to reference Sironen T, Plyusnin A (2011) Genetics and Evolution of Hantaviruses. In: Plyusnin A, Elliot RM (eds) Bunyaviridae: molecular and cellular biology. Caister Academic Press, Norfolk, pp 61–94 Sironen T, Plyusnin A (2011) Genetics and Evolution of Hantaviruses. In: Plyusnin A, Elliot RM (eds) Bunyaviridae: molecular and cellular biology. Caister Academic Press, Norfolk, pp 61–94
10.
go back to reference Ali HS, Drewes S, Weber de Melo V, Schlegel M, Freise J, Groschup MH, Heckel G, Ulrich RG (2015) Complete genome of a Puumala virus strain from Central Europe. Virus Genes 50(2):292–298CrossRefPubMed Ali HS, Drewes S, Weber de Melo V, Schlegel M, Freise J, Groschup MH, Heckel G, Ulrich RG (2015) Complete genome of a Puumala virus strain from Central Europe. Virus Genes 50(2):292–298CrossRefPubMed
11.
go back to reference Jääskeläinen KM, Kaukinen P, Minskaya ES, Plyusnina A, Vapalahti O, Elliott RM, Weber F, Vaheri A, Plyusnin A (2007) Tula and Puumala hantavirus NSs ORFs are functional and the products inhibit activation of the interferon-beta promoter. J Med Virol 79(10):1527–1536CrossRefPubMed Jääskeläinen KM, Kaukinen P, Minskaya ES, Plyusnina A, Vapalahti O, Elliott RM, Weber F, Vaheri A, Plyusnin A (2007) Tula and Puumala hantavirus NSs ORFs are functional and the products inhibit activation of the interferon-beta promoter. J Med Virol 79(10):1527–1536CrossRefPubMed
12.
go back to reference Schlegel M, Jacob J, Krüger DH, Rang A, Ulrich RG (2014) Hantavirus emergence in rodents, insectivores and bats. In: Johnson N (ed) Role of animals in emerging viral diseases. Academic Press Waltham, MA, pp 235–291CrossRef Schlegel M, Jacob J, Krüger DH, Rang A, Ulrich RG (2014) Hantavirus emergence in rodents, insectivores and bats. In: Johnson N (ed) Role of animals in emerging viral diseases. Academic Press Waltham, MA, pp 235–291CrossRef
13.
go back to reference Nowakowska A, Heyman P, Knap JP, Burzyński W, Witas M (2009) The first established focus of hantavirus infection in Poland, 2007. Ann Agric Environ Med 16(1):79–85PubMed Nowakowska A, Heyman P, Knap JP, Burzyński W, Witas M (2009) The first established focus of hantavirus infection in Poland, 2007. Ann Agric Environ Med 16(1):79–85PubMed
14.
go back to reference Michalski A, Niemcewicz M, Bielawska-Drózd A, Nowakowska A, Gaweł J, Pitucha G, Joniec J, Zielonka K, Marciniak-Niemcewicz A, Kocik J (2014) Surveillance of hantaviruses in Poland: a study of animal reservoirs and human hantavirus disease in Subcarpathia. Vector Borne Zoonotic Dis 14(7):514–522CrossRefPubMedPubMedCentral Michalski A, Niemcewicz M, Bielawska-Drózd A, Nowakowska A, Gaweł J, Pitucha G, Joniec J, Zielonka K, Marciniak-Niemcewicz A, Kocik J (2014) Surveillance of hantaviruses in Poland: a study of animal reservoirs and human hantavirus disease in Subcarpathia. Vector Borne Zoonotic Dis 14(7):514–522CrossRefPubMedPubMedCentral
15.
go back to reference Song JW, Baek LJ, Song KJ, Skrok A, Markowski J, Bratosiewicz-Wasik J, Kordek R, Liberski PP, Yanagihara R (2004) Characterization of Tula virus from common voles (Microtus arvalis) in Poland: evidence for geographic-specific phylogenetic clustering. Virus Genes 29(2):239–247CrossRefPubMed Song JW, Baek LJ, Song KJ, Skrok A, Markowski J, Bratosiewicz-Wasik J, Kordek R, Liberski PP, Yanagihara R (2004) Characterization of Tula virus from common voles (Microtus arvalis) in Poland: evidence for geographic-specific phylogenetic clustering. Virus Genes 29(2):239–247CrossRefPubMed
16.
go back to reference Gu SH, Markowski J, Kang HJ, Hejduk J, Sikorska B, Liberski PP, Yanagihara R (2013) Boginia virus, a newfound hantavirus harbored by the Eurasian water shrew (Neomys fodiens) in Poland. Virol J 10:160CrossRefPubMedPubMedCentral Gu SH, Markowski J, Kang HJ, Hejduk J, Sikorska B, Liberski PP, Yanagihara R (2013) Boginia virus, a newfound hantavirus harbored by the Eurasian water shrew (Neomys fodiens) in Poland. Virol J 10:160CrossRefPubMedPubMedCentral
17.
go back to reference Gu SH, Hejduk J, Markowski J, Kang HJ, Markowski M, Połatyńska M, Sikorska B, Liberski PP, Yanagihara R (2014) Co-circulation of soricid- and talpid-borne hantaviruses in Poland. Infect Genet Evol 28:296–303CrossRefPubMedPubMedCentral Gu SH, Hejduk J, Markowski J, Kang HJ, Markowski M, Połatyńska M, Sikorska B, Liberski PP, Yanagihara R (2014) Co-circulation of soricid- and talpid-borne hantaviruses in Poland. Infect Genet Evol 28:296–303CrossRefPubMedPubMedCentral
18.
go back to reference Ali HS, Drewes S, Sadowska ET, Mikowska M, Groschup MH, Heckel G, Koteja P, Ulrich RG (2014) First molecular evidence for Puumala hantavirus in Poland. Viruses 6(1):340–353CrossRefPubMed Ali HS, Drewes S, Sadowska ET, Mikowska M, Groschup MH, Heckel G, Koteja P, Ulrich RG (2014) First molecular evidence for Puumala hantavirus in Poland. Viruses 6(1):340–353CrossRefPubMed
19.
go back to reference Gut AK, Gut R, Pencuła M, Jarosz MJ (2013) New cases of suspected HFRS (Hantavirus infection) in south-eastern Poland. Ann Agric Environ Med 20(3):544–548PubMed Gut AK, Gut R, Pencuła M, Jarosz MJ (2013) New cases of suspected HFRS (Hantavirus infection) in south-eastern Poland. Ann Agric Environ Med 20(3):544–548PubMed
20.
go back to reference Mertens M, Kindler E, Emmerich P, Esser J, Wagner-Wiening C, Wölfel R, Petraityte-Burneikiene R, Schmidt-Chanasit J, Zvirbliene A, Groschup MH, Dobler G, Pfeffer M, Heckel G, Ulrich RG, Essbauer SS (2011) Phylogenetic analysis of Puumala virus subtype Bavaria, characterization and diagnostic use of its recombinant nucleocapsid protein. Virus Genes 43(2):177–191CrossRefPubMed Mertens M, Kindler E, Emmerich P, Esser J, Wagner-Wiening C, Wölfel R, Petraityte-Burneikiene R, Schmidt-Chanasit J, Zvirbliene A, Groschup MH, Dobler G, Pfeffer M, Heckel G, Ulrich RG, Essbauer SS (2011) Phylogenetic analysis of Puumala virus subtype Bavaria, characterization and diagnostic use of its recombinant nucleocapsid protein. Virus Genes 43(2):177–191CrossRefPubMed
21.
go back to reference Essbauer S, Schmidt J, Conraths FJ, Friedrich R, Koch J, Hautmann W, Pfeffer M, Wölfel R, Finke J, Dobler G, Ulrich R (2006) A new Puumala hantavirus subtype in rodents associated with an outbreak of Nephropathia epidemica in South-East Germany in 2004. Epidemiol Infect 134(6):1333–1344CrossRefPubMedPubMedCentral Essbauer S, Schmidt J, Conraths FJ, Friedrich R, Koch J, Hautmann W, Pfeffer M, Wölfel R, Finke J, Dobler G, Ulrich R (2006) A new Puumala hantavirus subtype in rodents associated with an outbreak of Nephropathia epidemica in South-East Germany in 2004. Epidemiol Infect 134(6):1333–1344CrossRefPubMedPubMedCentral
22.
go back to reference Klempa B, Fichet-Calvet E, Lecompte E, Auste B, Aniskin V, Meisel H, Denys C, Koivogui L, ter Meulen J, Krüger DH (2006) Hantavirus in African wood mouse, Guinea. Emerg Infect Dis 12(5):838–840CrossRefPubMedPubMedCentral Klempa B, Fichet-Calvet E, Lecompte E, Auste B, Aniskin V, Meisel H, Denys C, Koivogui L, ter Meulen J, Krüger DH (2006) Hantavirus in African wood mouse, Guinea. Emerg Infect Dis 12(5):838–840CrossRefPubMedPubMedCentral
23.
go back to reference Razzauti M, Plyusnina A, Henttonen H, Plyusnin A (2008) Accumulation of point mutations and reassortment of genomic RNA segments are involved in the microevolution of Puumala hantavirus in a bank vole (Myodes glareolus) population. J Gen Virol 89(Pt 7):1649–1660CrossRefPubMed Razzauti M, Plyusnina A, Henttonen H, Plyusnin A (2008) Accumulation of point mutations and reassortment of genomic RNA segments are involved in the microevolution of Puumala hantavirus in a bank vole (Myodes glareolus) population. J Gen Virol 89(Pt 7):1649–1660CrossRefPubMed
24.
go back to reference Schlegel M, Ali HS, Stieger N, Groschup MH, Wolf R, Ulrich RG (2012) Molecular identification of small mammal species using novel cytochrome B gene-derived degenerated primers. Biochem Genet 50(5–6):440–447CrossRefPubMed Schlegel M, Ali HS, Stieger N, Groschup MH, Wolf R, Ulrich RG (2012) Molecular identification of small mammal species using novel cytochrome B gene-derived degenerated primers. Biochem Genet 50(5–6):440–447CrossRefPubMed
25.
go back to reference Ronquist F, Teslenko M, van der Mark P, Ayres DL, Darling A, Höhna S, Larget B, Liu L, Suchard MA, Huelsenbeck JP (2012) MrBayes 3.2: efficient Bayesian phylogenetic inference and model choice across a large model space. Syst Biol 61(3):539–542CrossRefPubMedPubMedCentral Ronquist F, Teslenko M, van der Mark P, Ayres DL, Darling A, Höhna S, Larget B, Liu L, Suchard MA, Huelsenbeck JP (2012) MrBayes 3.2: efficient Bayesian phylogenetic inference and model choice across a large model space. Syst Biol 61(3):539–542CrossRefPubMedPubMedCentral
26.
go back to reference Miller MA, Pfeiffer W, Schwartz T (2010) Creating the CIPRES Science gateway for inference of large phylogenetic trees. In: Gateway Computing Environments Workshop (GCE), 2010. New Orleans, pp 1–8 Miller MA, Pfeiffer W, Schwartz T (2010) Creating the CIPRES Science gateway for inference of large phylogenetic trees. In: Gateway Computing Environments Workshop (GCE), 2010. New Orleans, pp 1–8
27.
go back to reference Kotlík P, Deffontaine V, Mascheretti S, Zima J, Michaux JR, Searle JB (2006) A northern glacial refugium for bank voles (Clethrionomys glareolus). Proc Natl Acad Sci USA 103(40):14860–14864CrossRefPubMedPubMedCentral Kotlík P, Deffontaine V, Mascheretti S, Zima J, Michaux JR, Searle JB (2006) A northern glacial refugium for bank voles (Clethrionomys glareolus). Proc Natl Acad Sci USA 103(40):14860–14864CrossRefPubMedPubMedCentral
28.
go back to reference Deffontaine V, Libois R, Kotlík P, Sommer R, Nieberding C, Paradis E, Searle JB, Michaux JR (2005) Beyond the Mediterranean peninsulas: evidence of central European glacial refugia for a temperate forest mammal species, the bank vole (Clethrionomys glareolus). Mol Ecol 14(6):1727–1739CrossRefPubMed Deffontaine V, Libois R, Kotlík P, Sommer R, Nieberding C, Paradis E, Searle JB, Michaux JR (2005) Beyond the Mediterranean peninsulas: evidence of central European glacial refugia for a temperate forest mammal species, the bank vole (Clethrionomys glareolus). Mol Ecol 14(6):1727–1739CrossRefPubMed
29.
go back to reference Wójcik JM, Kawałko A, Marková S, Searle JB, Kotlík P (2010) Phylogeographic signatures of northward post-glacial colonization from high-latitude refugia: a case study of bank voles using museum specimens. J Zool 281(4):249–262 Wójcik JM, Kawałko A, Marková S, Searle JB, Kotlík P (2010) Phylogeographic signatures of northward post-glacial colonization from high-latitude refugia: a case study of bank voles using museum specimens. J Zool 281(4):249–262
30.
go back to reference Boratyński Z, Koteja P (2009) The association between body mass, metabolic rates and survival of bank voles. Functional Ecology 23(2):330–339CrossRef Boratyński Z, Koteja P (2009) The association between body mass, metabolic rates and survival of bank voles. Functional Ecology 23(2):330–339CrossRef
31.
go back to reference Faber M, Wollny T, Schlegel M, Wanka KM, Thiel J, Frank C, Rimek D, Ulrich RG, Stark K (2013) Puumala virus outbreak in Western Thuringia, Germany, 2010: epidemiology and strain identification. Zoonoses Public Health 60(8):549–554CrossRefPubMed Faber M, Wollny T, Schlegel M, Wanka KM, Thiel J, Frank C, Rimek D, Ulrich RG, Stark K (2013) Puumala virus outbreak in Western Thuringia, Germany, 2010: epidemiology and strain identification. Zoonoses Public Health 60(8):549–554CrossRefPubMed
32.
go back to reference Drewes S, Ali HS, Saxenhofer M, Rosenfeld UM, Binder F, Cuypers F, Schlegel M, Röhrs S, Heckel G, Ulrich RG (2017) Host-associated absence of human Puumala virus infections in northern and eastern Germany. Emerg Infect Dis 23(1):83–86CrossRefPubMedPubMedCentral Drewes S, Ali HS, Saxenhofer M, Rosenfeld UM, Binder F, Cuypers F, Schlegel M, Röhrs S, Heckel G, Ulrich RG (2017) Host-associated absence of human Puumala virus infections in northern and eastern Germany. Emerg Infect Dis 23(1):83–86CrossRefPubMedPubMedCentral
33.
go back to reference Razzauti M, Plyusnina A, Niemimaa J, Henttonen H, Plyusnin A (2012) Co-circulation of two Puumala hantavirus lineages in Latvia: a Russian lineage described previously and a novel Latvian lineage. J Med Virol 84(2):314–318CrossRefPubMed Razzauti M, Plyusnina A, Niemimaa J, Henttonen H, Plyusnin A (2012) Co-circulation of two Puumala hantavirus lineages in Latvia: a Russian lineage described previously and a novel Latvian lineage. J Med Virol 84(2):314–318CrossRefPubMed
34.
go back to reference Straková P, Jagdmann S, Balčiauskas L, Balčiauskienė L, Drewes S, Ulrich RG (2017) Molecular detection of Puumala virus in bank voles (Myodes glareolus). Lithuania. Emerg Infect Dis 23(1):158–160CrossRefPubMed Straková P, Jagdmann S, Balčiauskas L, Balčiauskienė L, Drewes S, Ulrich RG (2017) Molecular detection of Puumala virus in bank voles (Myodes glareolus). Lithuania. Emerg Infect Dis 23(1):158–160CrossRefPubMed
35.
go back to reference Schmidt S, Saxenhofer M, Drewes S, Schlegel M, Wanka KM, Frank R, Klimpel S, von Blanckenhagen F, Maaz D, Herden C, Freise J, Wolf R, Stubbe M, Borkenhagen P, Ansorge H, Eccard JA, Lang J, Jourdain E, Jacob J, Marianneau P, Heckel G, Ulrich RG (2016) High genetic structuring of Tula hantavirus. Arch Virol 161(5):1135–1149CrossRefPubMed Schmidt S, Saxenhofer M, Drewes S, Schlegel M, Wanka KM, Frank R, Klimpel S, von Blanckenhagen F, Maaz D, Herden C, Freise J, Wolf R, Stubbe M, Borkenhagen P, Ansorge H, Eccard JA, Lang J, Jourdain E, Jacob J, Marianneau P, Heckel G, Ulrich RG (2016) High genetic structuring of Tula hantavirus. Arch Virol 161(5):1135–1149CrossRefPubMed
36.
go back to reference Monroe MC, Morzunov SP, Johnson AM, Bowen MD, Artsob H, Yates T, Peters CJ, Rollin PE, Ksiazek TG, Nichol ST (1999) Genetic diversity and distribution of Peromyscus-borne hantaviruses in North America. Emerg Infect Dis 5(1):75–86CrossRefPubMedPubMedCentral Monroe MC, Morzunov SP, Johnson AM, Bowen MD, Artsob H, Yates T, Peters CJ, Rollin PE, Ksiazek TG, Nichol ST (1999) Genetic diversity and distribution of Peromyscus-borne hantaviruses in North America. Emerg Infect Dis 5(1):75–86CrossRefPubMedPubMedCentral
37.
go back to reference Plyusnin A, Morzunov SP (2001) Virus evolution and genetic diversity of hantaviruses and their rodent hosts. Curr Top Microbiol Immunol 256:47–75PubMed Plyusnin A, Morzunov SP (2001) Virus evolution and genetic diversity of hantaviruses and their rodent hosts. Curr Top Microbiol Immunol 256:47–75PubMed
38.
go back to reference Morzunov SP, Rowe JE, Ksiazek TG, Peters CJ, St Jeor SC, Nichol ST (1998) Genetic analysis of the diversity and origin of hantaviruses in Peromyscus leucopus mice in North America. J Virol 72(1):57–64PubMedPubMedCentral Morzunov SP, Rowe JE, Ksiazek TG, Peters CJ, St Jeor SC, Nichol ST (1998) Genetic analysis of the diversity and origin of hantaviruses in Peromyscus leucopus mice in North America. J Virol 72(1):57–64PubMedPubMedCentral
39.
go back to reference Vaheri A, Strandin T, Hepojoki J, Sironen T, Henttonen H, Mäkelä S, Mustonen J (2013) Uncovering the mysteries of hantavirus infections. Nat Rev Microbiol 11(8):539–550CrossRefPubMed Vaheri A, Strandin T, Hepojoki J, Sironen T, Henttonen H, Mäkelä S, Mustonen J (2013) Uncovering the mysteries of hantavirus infections. Nat Rev Microbiol 11(8):539–550CrossRefPubMed
Metadata
Title
A highly divergent Puumala virus lineage in southern Poland
Authors
Ulrike M. Rosenfeld
Stephan Drewes
Hanan Sheikh Ali
Edyta T. Sadowska
Magdalena Mikowska
Gerald Heckel
Paweł Koteja
Rainer G. Ulrich
Publication date
01-05-2017
Publisher
Springer Vienna
Published in
Archives of Virology / Issue 5/2017
Print ISSN: 0304-8608
Electronic ISSN: 1432-8798
DOI
https://doi.org/10.1007/s00705-016-3200-5

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