Clinical, Virological, and Pathological Outcomes Associated with Viral Dose in AG129 Mice Infected with Chikungunya Virus: An In Vivo Model to Study Viral Pathogenesis and Antiviral Preclinical Evaluation
Abstract
1. Introduction
2. Materials and Methods
2.1. Virus and Titration
2.2. Ethics Statement and Animals
2.3. Mice Experiments
2.4. Histopathological Analysis
2.5. RNA Quantification
2.6. Statistical Analysis
3. Results
3.1. AG129 Mice Response to CHIKV Infection
3.2. CHIKV RNA Kinetics in AG129 Mice Serum and Tissues
3.3. Organ Histopathology of AG129 Mice After Infection with Different Doses of CHIKV
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Strauss, J.H.; Strauss, E.G. The alphaviruses: Gene expression, replication, and evolution. Microbiol. Rev. 1994, 58, 491–562. [Google Scholar] [CrossRef]
- Pialoux, G.; Gaüzère, B.A.; Jauréguiberry, S.; Strobel, M. Chikungunya, an epidemic arbovirosis. Lancet Infect. Dis. 2007, 7, 319–327. [Google Scholar] [CrossRef]
- Weaver, S.C. Arrival of chikungunya virus in the new world: Prospects for spread and impact on public health. PLoS Neglected Trop. Dis. 2014, 8, e2921. [Google Scholar] [CrossRef]
- Ross, R.W. A laboratory technique for studying the insect transmission of animal viruses, employing a bat-wing membrane, demonstrated with two African viruses. Epidemiol. Infect. 1956, 54, 192–200. [Google Scholar] [CrossRef]
- Rama, K.; de Roo, A.M.; Louwsma, T.; Hofstra, H.S.; Gurgel do Amaral, G.S.; Vondeling, G.T.; Postma, M.J.; Freriks, R.D. Clinical outcomes of chikungunya: A systematic literature review and meta-analysis. PLoS Neglected Trop. Dis. 2024, 18, e0012254. [Google Scholar] [CrossRef]
- Schneider, M.; Narciso-Abraham, M.; Hadl, S.; McMahon, R.; Toepfer, S.; Fuchs, U.; Hochreiter, R.; Bitzer, A.; Kosulin, K.; Larcher-Senn, J.; et al. Safety and immunogenicity of a single-shot live-attenuated chikungunya vaccine: A double-blind, multicentre, randomised, placebo-controlled, phase 3 trial. Lancet 2023, 401, 2138–2147. [Google Scholar] [CrossRef] [PubMed]
- Richardson, J.S.; Anderson, D.M.; Mendy, J.; Tindale, L.C.; Muhammad, S.; Loreth, T.; Tredo, S.R.; Warfield, K.L.; Ramanathan, R.; Caso, J.T.; et al. Chikungunya virus virus-like particle vaccine safety and immunogenicity in adolescents and adults in the USA: A phase 3, randomised, double-blind, placebo-controlled trial. Lancet 2025, 405, 1343–1352. [Google Scholar] [CrossRef] [PubMed]
- Haese, N.N.; Broeckel, R.M.; Hawman, D.W.; Heise, M.T.; Morrison, T.E.; Streblow, D.N. Animal models of chikungunya virus infection and disease. J. Infect. Dis. 2016, 214, S482–S487. [Google Scholar] [CrossRef] [PubMed]
- Milligan, G.N.; Sarathy, V.V.; Infante, E.; Li, L.; Campbell, G.A.; Beatty, P.R.; Harris, E.; Barrett, A.D.; Bourne, N. A dengue virus type 4 model of disseminated lethal infection in AG129 mice. PLoS ONE 2015, 10, e0125476. [Google Scholar] [CrossRef]
- Sarathy, V.V.; White, M.; Li, L.; Gorder, S.R.; Pyles, R.B.; Campbell, G.A.; Milligan, G.N.; Bourne, N.; Barrett, A.D. A lethal murine infection model for dengue virus 3 in AG129 mice deficient in type I and II interferon receptors leads to systemic disease. J. Virol. 2015, 89, 1254–1266. [Google Scholar] [CrossRef]
- Aliota, M.T.; Caine, E.A.; Walker, E.C.; Larkin, K.E.; Camacho, E.; Osorio, J.E. Characterization of lethal Zika virus infection in AG129 mice. PLoS Neglected Trop. Dis. 2016, 10, e0004682. [Google Scholar] [CrossRef]
- Nunes, M.R.; Faria, N.R.; de Vasconcelos, J.M.; Golding, N.; Kraemer, M.U.; de Oliveira, L.F.; Azevedo, R.D.; da Silva, D.E.; da Silva, E.V.; da Silva, S.P.; et al. Emergence and potential for spread of Chikungunya virus in Brazil. BMC Med. 2015, 13, 102. [Google Scholar] [CrossRef]
- Lanciotti, R.S.; Kosoy, O.L.; Laven, J.J.; Panella, A.J.; Velez, J.O.; Lambert, A.J.; Campbell, G.L. Chikungunya virus in US travelers returning from India, 2006. Emerg. Infect. Dis. 2007, 13, 764–767. [Google Scholar] [CrossRef]
- Zou, M.; Zheng, Z.; Wang, W.; Liu, H. Advances and perspectives for animal models of chikungunya virus infection. Biosaf. Health 2025, 7, 357–368. [Google Scholar] [CrossRef] [PubMed]
- Graham, V.A.; Easterbrook, L.; Rayner, E.; Findlay-Wilson, S.; Flett, L.; Kennedy, E.; Fotheringham, S.; Kempster, S.; Almond, N.; Dowall, S. Comparison of Chikungunya Virus-Induced Disease Progression and Pathogenesis in Type-I Interferon Receptor-Deficient Mice (A129) and Two Wild-Type (129Sv/Ev and C57BL/6) Mouse Strains. Viruses 2024, 16, 1534. [Google Scholar] [PubMed]
- Venugopalan, A.; Ghorpade, R.P.; Chopra, A. Cytokines in acute chikungunya. PLoS ONE 2014, 9, e111305. [Google Scholar] [CrossRef] [PubMed]
- Haist, K.C.; Burrack, K.S.; Davenport, B.J.; Morrison, T.E. Inflammatory monocytes mediate control of acute alphavirus infection in mice. PLoS Pathog. 2017, 13, e1006748. [Google Scholar] [CrossRef]
- de Souza, W.M.; Lecuit, M.; Weaver, S.C. Chikungunya virus and other emerging arthritogenic alphaviruses. Nat. Rev. Microbiol. 2025, 23, 585–601. [Google Scholar] [CrossRef]
- de Lima, S.T.; de Souza, W.M.; Cavalcante, J.W.; da Silva Candido, D.; Fumagalli, M.J.; Carrera, J.P.; Simões Mello, L.M.; De Carvalho Araújo, F.M.; Cavalcante Ramalho, I.L.; de Almeida Barreto, F.K.; et al. Fatal outcome of chikungunya virus infection in Brazil. Clin. Infect. Dis. 2021, 73, e2436–e2443. [Google Scholar]
- Frutuoso, L.C.; Freitas, A.R.; Cavalcanti, L.P.; Duarte, E.C. Estimated mortality rate and leading causes of death among individuals with chikungunya in 2016 and 2017 in Brazil. Rev. Soc. Bras. Med. Trop. 2020, 53, e20190580. [Google Scholar] [CrossRef]
- Bartholomeeusen, K.; Daniel, M.; LaBeaud, D.A.; Gasque, P.; Peeling, R.W.; Stephenson, K.E.; Ng, L.F.; Ariën, K.K. Chikungunya fever. Nat. Rev. Dis. Primers 2023, 9, 17. [Google Scholar] [CrossRef]
- Cerqueira-Silva, T.; Pescarini, J.M.; Cardim, L.L.; Leyrat, C.; Whitaker, H.; de Brito, C.A.; Brickley, E.B.; Barral-Netto, M.; Barreto, M.L.; Teixeira, M.G.; et al. Risk of death following chikungunya virus disease in the 100 Million Brazilian Cohort, 2015–2018: A matched cohort study and self-controlled case series. Lancet Infect. Dis. 2024, 24, 504–513. [Google Scholar] [CrossRef] [PubMed]
- Pedí, V.D.; Porto, D.L.; de Jesus Martins, W.; de França, G.V. Epidemiology of Chikungunya Hospitalizations, Brazil, 2014–2024. Emerg. Infect. Dis. 2025, 31, 1718. [Google Scholar] [CrossRef]
- Rudolph, K.E.; Lessler, J.; Moloney, R.M.; Kmush, B.; Cummings, D.A. Incubation periods of mosquito-borne viral infections: A systematic review. Am. J. Trop. Med. Hyg. 2014, 90, 882–891. [Google Scholar] [CrossRef]
- Assunção-Miranda, I.; Cruz-Oliveira, C.; Da Poian, A.T. Molecular mechanisms involved in the pathogenesis of alphavirus-induced arthritis. BioMed Res. Int. 2013, 2013, 973516. [Google Scholar] [CrossRef]
- Guerrero-Arguero, I.; Tellez-Freitas, C.M.; Weber, K.S.; Berges, B.K.; Robison, R.A.; Pickett, B.E. Alphaviruses: Host pathogenesis, immune response, and vaccine & treatment updates. J. Gen. Virol. 2021, 102, 001644. [Google Scholar] [CrossRef]
- Rathore, A.P.; Mantri, C.K.; Tan, M.W.; Shirazi, R.; Nishida, A.; Aman, S.A.; Morrison, J.; St. John, A.L. Immunological and pathological landscape of dengue serotypes 1-4 infections in immune-competent mice. Front. Immunol. 2021, 12, 681950. [Google Scholar] [CrossRef]
- Ribeiro, Y.P.; Falcão, L.F.; Smith, V.C.; de Sousa, J.R.; Pagliari, C.; Franco, E.C.; Cruz, A.C.; Chiang, J.O.; Martins, L.C.; Nunes, J.A.; et al. Comparative analysis of human hepatic lesions in dengue, yellow fever, and chikungunya: Revisiting histopathological changes in the light of modern knowledge of cell pathology. Pathogens 2023, 12, 680. [Google Scholar] [CrossRef] [PubMed]
- Wang, B.; Wang, Z. A Review of Arboviral-Induced Liver Damage: Acute Manifestations and Speculative Links to Chronic Inflammation. Rev. Med. Virol. 2025, 35, e70047. [Google Scholar] [CrossRef] [PubMed]
- de Souza, W.M.; Fumagalli, M.J.; de Lima, S.T.; Parise, P.L.; Carvalho, D.C.; Hernandez, C.; de Jesus, R.; Delafiori, J.; Candido, D.S.; Carregari, V.C.; et al. Pathophysiology of chikungunya virus infection associated with fatal outcomes. Cell Host Microbe 2024, 32, 606–622. [Google Scholar] [CrossRef]
- Renault, P.; Solet, J.L.; Sissoko, D.; Balleydier, E.; Larrieu, S.; Filleul, L.; Lassalle, C.; Thiria, J.; Rachou, E.; de Valk, H.; et al. A major epidemic of chikungunya virus infection on Reunion Island, France, 2005–2006. Am. J. Trop. Med. Hyg. 2007, 77, 727–731. [Google Scholar] [CrossRef]
- Economopoulou, A.; Dominguez, M.; Helynck, B.; Sissoko, D.; Wichmann, O.; Quenel, P.; Germonneau, P.; Quatresous, I. Atypical Chikungunya virus infections: Clinical manifestations, mortality and risk factors for severe disease during the 2005–2006 outbreak on Reunion. Epidemiol. Infect 2009, 137, 534–541. [Google Scholar] [CrossRef]
- Ozden, S.; Huerre, M.; Riviere, J.-P.; Coffey, L.L.; Afonso, P.V.; Mouly, V.; de Monredon, J.; Roger, J.-C.; El Amrani, M.; Yvin, J.-L.; et al. Human Muscle Satellite Cells as Targets of Chikungunya Virus Infection. PLoS ONE 2007, 2, e527. [Google Scholar] [CrossRef]
- Gardner, J.; Anraku, I.; Le, T.T.; Larcher, T.; Major, L.; Roques, P.; Schroder, W.A.; Higgs, S.; Suhrbier, A. Chikungunya virus arthritis in adult wild-type mice. J. Virol. 2010, 84, 8021–8032. [Google Scholar] [CrossRef] [PubMed]
- Teo TeckHui, T.T.; Lum FokMoon, L.F.; Claser, C.; Lulla, V.; Lulla, A.; Merits, A.; Rénia, L.; Ng, L.F. A pathogenic role for CD4+ T cells during Chikungunya virus infection in mice. J. Immunol. 2013, 190, 259–269. [Google Scholar] [PubMed]
- Filippone, C.; Legros, V.; Jeannin, P.; Choumet, V.; Butler-Browne, G.; Zoladek, J.; Mouly, V.; Gessain, A.; Ceccaldi, P.E. Arboviruses and muscle disorders: From disease to cell biology. Viruses 2020, 12, 616. [Google Scholar] [CrossRef] [PubMed]
- Pawelek, K.A.; Huynh, G.T.; Quinlivan, M.; Cullinane, A.; Rong, L.; Perelson, A.S. Modeling within-host dynamics of influenza virus infection including immune responses. PLoS Comput. Biol. 2012, 8, e1002588. [Google Scholar] [CrossRef]




| CHIKV Dose (PFU/mL) | Viral Replication Kinetics | Peak Viral RNA (dpi) | Tissue Dissemination | Clinical Outcome | Histopathological Severity | Survival |
|---|---|---|---|---|---|---|
| 10 | Delayed and gradual | 4 | Limited, transient | Mild disease | Minimal to mild | Partial |
| 100 | Rapid and intense | 3–4 | Systemic | Severe disease | Moderate to severe | 0% |
| 1000 | Very rapid and early | 3 | Systemic | Severe disease | Severe | 0% |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Moraes, M.M.; de Godoy, N.; Cilli, E.M.; Sanches, P.R.d.S. Clinical, Virological, and Pathological Outcomes Associated with Viral Dose in AG129 Mice Infected with Chikungunya Virus: An In Vivo Model to Study Viral Pathogenesis and Antiviral Preclinical Evaluation. Pathogens 2026, 15, 454. https://doi.org/10.3390/pathogens15050454
Moraes MM, de Godoy N, Cilli EM, Sanches PRdS. Clinical, Virological, and Pathological Outcomes Associated with Viral Dose in AG129 Mice Infected with Chikungunya Virus: An In Vivo Model to Study Viral Pathogenesis and Antiviral Preclinical Evaluation. Pathogens. 2026; 15(5):454. https://doi.org/10.3390/pathogens15050454
Chicago/Turabian StyleMoraes, Marília Mazzi, Natália de Godoy, Eduardo Maffud Cilli, and Paulo Ricardo da Silva Sanches. 2026. "Clinical, Virological, and Pathological Outcomes Associated with Viral Dose in AG129 Mice Infected with Chikungunya Virus: An In Vivo Model to Study Viral Pathogenesis and Antiviral Preclinical Evaluation" Pathogens 15, no. 5: 454. https://doi.org/10.3390/pathogens15050454
APA StyleMoraes, M. M., de Godoy, N., Cilli, E. M., & Sanches, P. R. d. S. (2026). Clinical, Virological, and Pathological Outcomes Associated with Viral Dose in AG129 Mice Infected with Chikungunya Virus: An In Vivo Model to Study Viral Pathogenesis and Antiviral Preclinical Evaluation. Pathogens, 15(5), 454. https://doi.org/10.3390/pathogens15050454

