Key result
Ribavirin confers ~100% survival in mice infected with lethal Yezo virus versus vehicle.
Why the study?
Emerging tick-borne orthonairoviruses pose an increasing public health threat, but few animal models fully recapitulate human disease.
Does ribavirin or remdesivir improve survival and reduce viral replication in immunocompetent mice infected with mouse-adapted Yezo virus?
Does ribavirin or remdesivir improve survival and reduce viral replication in immunocompetent mice infected with mouse-adapted Yezo virus?
A newly developed mouse-adapted Yezo virus model demonstrates that ribavirin, but not remdesivir, effectively protects against lethal infection and mitigates tissue damage.
Should not yet change practice for Yezo virus; extends ribavirin efficacy to new lethal immunocompetent mouse model.
Emerging tick-borne orthonairoviruses pose a growing public health threat, yet few animal models fully recapitulate human disease. Here, we report the development of a mouse-adapted Yezo virus (MA-YEZV) strain that causes lethal infection in immunocompetent mice, mirroring key clinical features of human infection, including thrombocytopenia, leukopenia, and severe liver injury. Serial passaging of YEZV in C57BL/6 J mice selected for 31 non-synonymous mutations, enhancing viral replication and pathogenicity. MA-YEZV exhibited broad tissue tropism, with the highest viral loads in the liver, and induced a robust inflammatory response marked by elevated proinflammatory cytokines (e.g., IFN-γ, TNF-α, IL-6) and inflammasome activation. Ribavirin treatment effectively suppressed viral replication, prevented mortality, and mitigated tissue damage, whereas remdesivir showed no efficacy. This model provides a critical tool for studying YEZV pathogenesis and antiviral development, while the identified mutations offer insights into viral adaptation and virulence mechanisms. Our findings underscore the potential of MA-YEZV as a platform for evaluating countermeasures against emerging orthonairoviruses. Xu and Wang et al. have developed a mouse-adapted Yezo virus model that recapitulates human disease and demonstrates that the broad-spectrum antiviral ribavirin, but not remdesivir, protects against lethal infection.
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Xu et al. (2026) studied Yezo virus infection. Ribavirin vs. Vehicle was evaluated on Survival rate. Ribavirin treatment at 50 or 100 mg/kg completely prevented mortality and conferred 100% survival in immunocompetent mice infected with a lethal dose of mouse-adapted Yezo virus, compared to 91.7% mortality in vehicle-treated controls.
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