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V ENEZUELAN E QUINE E NCEPHALITIS
Abstract
▪ Abstract Venezuelan equine encephalitis virus (VEEV) remains a naturally emerging disease threat as well as a highly developed biological weapon. Recently, progress has been made in understanding the complex ecological and viral genetic mechanisms that coincide in time and space to generate outbreaks. Enzootic, equine avirulent, serotype ID VEEV strains appear to alter their serotype to IAB or IC, and their vertebrate and mosquito host range, to mediate repeated VEE emergence via mutations in the E2 envelope glycoprotein that represent convergent evolution. Adaptation to equines results in highly efficient amplification, which results in human disease. Although epizootic VEEV strains are opportunistic in their use of mosquito vectors, the most widespread outbreaks appear to involve specific adaptation to Ochlerotatus taeniorhynchus, the most common vector in many coastal areas. In contrast, enzootic VEEV strains are highly specialized and appear to utilize vectors exclusively in the Spissipes section of the Culex (Melanoconion) subgenus.
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“In human cases of VEEV infection, approximately 4–14% of patients report neurological complications including seizures, photophobia, behavioral changes, neuromuscular weakness, and paralysis [5,6].”
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“) VEEV infection play a major role in neurodegeneration [2,21,22].”
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“Highly infectious via the aerosol route, VEEV is classified as an emerging infectious pathogen while having previously been used to create bioweapons [2,3].”
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“VEEV is a highly neurovirulent virus in a variety of animal species and is capable of causing encephalitis in a small proportion of human cases (Weaver et al., 2004) .”
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“Enzootic IE 68U201 8.4 100 (11) 5.8 100 (11) NA 9 (11) 1.5 7.5 100 (11) 5.7 91 (11) NA 0 (11) NA 80U76 7.6 100 (11) 5.8 73 (11) NA 9 (11) 0.6 5.3 50 (10) 4.0 10 (10) NA 0 ( 1 ) NA”
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“the VEE complex is difficult because viremia is generally short (3–5 days as many arboviruses), and low and TONV viremia has never been described yet.(21,22) Cooperation between clinicians and the laboratory must be improved to facilitate cul-”
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“It is the cause of recent outbreaks in South America [1] and is considered to be a potential biological weapon [2-6].”
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“V enezuelan equine encephalitis virus (VEEV) is a mosquito-borne, New World Alphavirus that has caused a number of epidemic/epizootic outbreaks of disease in humans and equines in the past century in the Americas (1, 2).”
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“Incubation is typically 2-5 days, and acute disease persists for 4-6 days; occasionally the disease becomes biphasic 4-8 days later with neurological and systemic involvement such as brain hemorrhaging and edema, necrotizing vasculitis, lymphocyte destruction, neutrophilic infiltration, and neuronal degradation (Weave…”
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“This is representative of systemic VEEV infection and aligns well with other research [30–32], whereby the systemic infection is readily resolved by the host, but is the “springboard” from which the virus accesses the brain [41].”
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Gynandromorphs in mosquitoes (Diptera: Culicidae) from Valle del Cauca, Colombia.
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“In Florida, and elsewhere in the Neotropics, Melanoconion mosquitoes are important vectors of VEE virus [6].”
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Pisano, M., Seco, M. P. S., Ré, V., Farías, A., Contigiani, M., & Tenório, A. (2012) · Journal of Virological Methods · doi:10.1016/j.jviromet.2012.05.009 · Cited by 11
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Pages, N., Huber, K., Cipriani, M., Chevalier, V., Conraths, F. J., Goffredo, M., & Balenghien, T. (2009) · EFSA Supporting Publications · doi:10.2903/sp.efsa.2009.en-7 · Cited by 9
“Eretmapodites chrysogaster Uganda (1944) (Smithburn et al., 1948)”
BackgroundInfluentialCintra, A. M., Noda-Nicolau, N. M., Soman, M. L. D. O., Affonso, P. H. D. A., Valente, G., & Grotto, R. M. T. (2025) · Pathogens · doi:10.3390/pathogens14050416 · Cited by 10
“The VEE complex consists of seven species and numerous subvariants [31], with its distribution varying across the New World.”
Antimicrobial Peptides Against Arboviruses: Mechanisms, Challenges, and Future Directions
Owliaee, I., Khaledian, M., Shojaeian, A., Madanchi, H., Yarani, R., Boroujeni, A. K., & Shoushtari, M. M. (2025) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-024-10430-0 · Cited by 11
“Alphaviruses, which encompass the Venezuelan equine encephalitis virus (VEEV), eastern equine encephalitis virus (EEEV), and western equine encephalitis virus (WEEV), are part of the Togaviridae family and are characterized as single-stranded, positive-sense RNA viruses [168].”
Boghdeh, N. A., McGraw, B., Barrera, M. D., Anderson, C., Baha, H., Risner, K. H., Ogungbe, I. V., Alem, F., & Narayanan, A. (2023) · Viruses · doi:10.3390/v15030655 · Cited by 10
Fongsaran, C., Jirakanwisal, K., Peng, B.-H., Fracassi, A., Taglialatela, G., Dineley, K. T., Paessler, S., & Cisneros, I. E. (2024) · Brain, Behavior, & Immunity - Health · doi:10.1016/j.bbih.2024.100780 · Cited by 9
“In humans, VEEV typically leads to flu-like illness, ranging from mild to severe encephalitis and neurological symptoms such as seizures, drowsiness, and confusion (Weaver et al., 2004).”
BackgroundVanderGiessen, M., de Jager, C., Leighton, J., Xie, H., Theus, M. H., Johnson, E. A., & Kehn‐Hall, K. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1514940 · Cited by 9
Molecular Tracking of the Origin of Vesicular Stomatitis Outbreaks in 2004 and 2018, Ecuador
Vasco-Julio, D., Aguilar, D., Maldonado, A., Torre, E. D. L., Cisneros-Montufar, M. S., Bastidas-Caldes, C., Navarro, J., & de Waard, J. D. (2023) · Veterinary Sciences · doi:10.3390/vetsci10030181 · Cited by 9
“that the genetic diversity of the West Nile virus depended on the mosquito species [56,57].”
BackgroundSelf-citationMosquito-borne viral diseases and potential transmission blocking vaccine candidates.
Bakhshi, H., Failloux, A., Zakeri, S., Raz, A., & Dinparast-Djadid, N. (2018) · Infection, Genetics and Evolution · doi:10.1016/j.meegid.2018.05.023 · Cited by 9
Medical Importance of Mosquitoes
Becker, N., Petrić, D., Zgomba, M., Boase, C., Madon, M., Dahl, C., & Kaiser, A. (2020) · Mosquitoes · doi:10.1007/978-3-540-92874-4_3 · Cited by 9
Verwimp, S., Wagoner, J., Arenas, E. G. C., Coninck, L. D., Abdelnabi, R., Hyde, J., Schiffer, J. T., White, J. M., Matthijnssens, J., Neyts, J. H., et al. (2025) · Antiviral Research · doi:10.1016/j.antiviral.2025.106186 · Cited by 19
Design principles and applications of synthetic self‐replicating RNAs
Wagner, A., & Mutschler, H. (2023) · Wiley Interdisciplinary Reviews - RNA · doi:10.1002/wrna.1803 · Cited by 8
“Larger RNA viruses, for example, from the families of Togaviridae (e.g., VEEV) and Flaviviridae (e.g., Hepacivirus HCV) (9.0 – 13 kb) encode the fully active RdRP complex in their genome, split across multiple genes in a single polyprotein ORF (Chase, 2022; Weaver et al., 2004).”
BackgroundInfluentialPERK Is Critical for Alphavirus Nonstructural Protein Translation
Dahal, B., Lehman, C., Akhrymuk, I., Bracci, N. R., Panny, L., Barrera, M. D., Bhalla, N., Jacobs, J. L., Dinman, J. D., & Kehn-Hall, K. (2021) · Viruses · doi:10.3390/v13050892 · Cited by 8
RetractedRossi, S., Russell-Lodrigue, K., Plante, K., Bergren, N. A., Gorchakov, R., Roy, C., & Weaver, S. (2020) · Vaccines · doi:10.3390/vaccines8030497 · Cited by 8
Self-citationOrtiz, D. I., Anishchenko, M., & Weaver, S. C. (2005) · Journal of Medical Entomology · doi:10.1093/jmedent/42.5.857 · Cited by 24
Self-citationWeaver, S. C., & Paessler, S. (2009) · Elsevier eBooks · doi:10.1016/b978-0-12-369408-9.00021-4 · Cited by 11
Self-citationCHAPTER 20 – Equine Alphaviruses
Long, M., & Gibbs, E. (2007) · doi:10.1016/b978-1-4160-2406-4.50025-9 · Cited by 8
Evaluation of long-term preservation methods for viral RNA in mosquitoes at room temperature
Kai, I., Kobayashi, D., Itokawa, K., Sanjoba, C., Itoyama, K., & Isawa, H. (2024) · Journal of Virological Methods · doi:10.1016/j.jviromet.2024.114887 · Cited by 7
Schwedler, J. L., Stefan, M. A., Thatcher, C. E., McIlroy, P. R., Sinha, A., Phillips, A. M., Sumner, C. A., Courtney, C. M., Kim, C. Y., Weilhammer, D. R., et al. (2024) · mAbs · doi:10.1080/19420862.2023.2297451 · Cited by 8
“3 In addition, VEEV can be easily produced in large volumes and can spread by aerosol or transdermal inoculation (e.g., a mosquito bite).”
Hickson, S. E., Brekke, E., Schwerk, J., Saluhke, I., Zaver, S., Woodward, J. J., Savan, R., & Hyde, J. (2021) · bioRxiv · doi:10.1089/jir.2024.0229 · Cited by 7
“VEEV subtypes exhibit genetic 424 diversity and can be divided into different lineages, with epizootic strains being further classified 425 into clades [1].”
InfluentialGeneral Aspects on Arboviruses
Contigiani, M., Diaz, L. A., & Spinsanti, L. (2017) · Springer eBooks · doi:10.1007/978-3-319-13884-8_5 · Cited by 7
Williams, E. P., Xue, Y., Vogel, P., Yang, D., Flores, A. B., Li, X., Ogorek, T. J., Saini, M., Iulek, J., Ruiz, F. X., et al. (2025) · Journal of Virology · doi:10.1128/jvi.01679-24 · Cited by 6
Tan, L., Zhang, Y.-W., Kim, D., & Li, R.-S. (2022) · Microbiology spectrum · doi:10.1128/spectrum.03613-22 · Cited by 6
“affecting humans and equines, can cause fatal encephalitis (4).”
BackgroundArboviral Equine Encephalitides
Toribio, R. E. (2022) · Veterinary Clinics of North America Equine Practice · doi:10.1016/j.cveq.2022.04.004 · Cited by 6
Live-Attenuated VEEV Vaccine Delivered by iDNA Using Microneedles Is Immunogenic in Rabbits
Tretyakova, I., Tomai, M., Vasilakos, J., & Pushko, P. (2022) · Frontiers in Tropical Diseases · doi:10.3389/fitd.2022.813671 · Cited by 6
“Climate, ecological changes, and international travel increase the risk of VEEV reemergence (3-5).”
BackgroundViral Zoonoses: Wildlife Perspectives
Milton, A. A. P., Priya, G. B., Ghatak, S., & Das, S. (2020) · Livestock diseases and management · doi:10.1007/978-981-15-2651-0_15 · Cited by 7
T Lymphocytes as Measurable Targets of Protection and Vaccination Against Viral Disorders
Monette, A., & Mouland, A. J. (2018) · International review of cytology · doi:10.1016/bs.ircmb.2018.07.006 · Cited by 7
“More recent outbreaks in Mexico and South America are behind the classification of VEEV as a re-emerging disease (Weaver et al., 2004) .”
BackgroundFerro, C., Salas, J. D. L., González, M., Díaz, A., Cabrera, C., Flórez, Z., Duque, M. C., Lugo, L., & Bello, B. (2014) · doi:10.7705/biomedica.v35i1.2212 · Cited by 6
“Los niveles de viremia en los humanos son similares a los registrados en los equinos, pero se considera que los humanos no son tan eficientes como amplificadores del virus porque están menos expuestos a las picaduras de los vectores (1,3,8).”
BackgroundInfluentialSelf-citationRavi, N. P., Eynde, W. V., Karim, M., Tran, D. H. N., Agrawal, A., Schols, D., Voet, A., Einav, S., Dehaen, W., & de Jonghe, S. (2024) · European journal of medicinal chemistry · doi:10.1016/j.ejmech.2024.116967 · Cited by 5
Single-Dose Immunogenic DNA Vaccines Coding for Live-Attenuated Alpha- and Flaviviruses
Pushko, P., Lukashevich, I. S., Johnson, D. M., & Tretyakova, I. (2024) · Viruses · doi:10.3390/v16030428 · Cited by 5
“Climate, ecological changes, commerce, and international travel increase the risk of virus re-emergence [69,101,106].”
BackgroundShechter, S., Thomas, D. R., & Jans, D. A. (2020) · Frontiers in Chemistry · doi:10.3389/fchem.2020.573121 · Cited by 6
“Venezuelan equine encephalitis virus (VEEV) is a single-stranded RNA virus of the genus Alphavirus (Weaver and Barrett, 2004; Weaver et al., 2004).”
BackgroundDai, X., Hilsen, R. E., Hu, W.-G., & Fulton, R. (2010) · Journal of Virological Methods · doi:10.1016/j.jviromet.2010.07.022 · Cited by 5
Soto, V., Dorman, K., Miller, W., Farfán-Ale, J., Loroño-Pino, M. A., García-Rejón, J., & Blitvich, B. (2009) · Archives of Virology · doi:10.1007/s00705-009-0465-y · Cited by 5
Brilacidin as a Broad-Spectrum Inhibitor of Enveloped, Acutely Infectious Viruses
Anderson, C. A., Barrera, M. D., Boghdeh, N. A., Smith, M., Alem, F., & Narayanan, A. (2023) · Microorganisms · doi:10.3390/microorganisms12010054 · Cited by 4
“The alphaviruses Venezuelan equine encephalitis virus (VEEV) and Eastern equine encephalitis virus (EEEV) are spread to humans through mosquitos and can cause symptoms such as fever, rash, joint pain, inflammation, and malaise [2].”
BackgroundLata, K., Charles, S., & Prasad, V. M. (2023) · Journal of Structural Biology · doi:10.1016/j.jsb.2023.107993 · Cited by 4
Sloyer, K. E., Barve, N., Kim, D., Stenn, T., Campbell, L., & Burkett-Cadena, N. (2022) · Frontiers in Epidemiology · doi:10.3389/fepid.2022.1046679 · Cited by 4
“However, several other muroid rodent species are the natural hosts of EVEV and other enzootic subtypes of VEEV distributed throughout the Americas (14, 20).”
BackgroundSloyer, K. E., Burkett-Cadena, N., & Campbell, L. (2022) · Journal of Vector Ecology · doi:10.52707/1081-1710-47.1.88 · Cited by 4
Arboviral Central Nervous System Infections
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Animal health risk of legally imported exotic animals into the Netherlands in the period 2013–2014
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The fine line between protection and pathology in neurotropic flavivirus and alphavirus infections
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Fongsaran, C., Dineley, K. T., Paessler, S., & Cisneros, I. E. (2024) · Pathogens · doi:10.3390/pathogens13050397 · Cited by 3
“In human cases of VEEV infection, approximately 4–14% of patients report neurological complications including seizures, photophobia, behavioral changes, neuromuscular weakness, and paralysis [5,6].”
BackgroundGardner, C. L., Pletnev, S., Liu, J. L., Anderson, G., Shriver-Lake, L., Bylund, T., Green, C., Stephens, T., Sutton, M. S., Tsybovsky, Y., et al. (2025) · Journal of Virology · doi:10.1128/jvi.01875-25 · Cited by 3
“Although not usually fatal in humans ( 1%), VEEV has a high morbidity rate due to the subclinical to clinical ratio being 1:1, can cause neurological disease in 4%–14% of cases, and is fatal in 19%–83% of equine cases (15).”
Hickson, S. E., & Hyde, J. (2024) · PLoS Pathogens · doi:10.1371/journal.ppat.1012179 · Cited by 6
Detection of Aedes Scapularis In Southwestern Florida.
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Inhibition of Venezuelan Equine Encephalitis Virus Using Small Interfering RNAs
Haikerwal, A., Barrera, M. D., Bhalla, N., Zhou, W., Boghdeh, N. A., Anderson, C., Alem, F., & Narayanan, A. (2022) · Viruses · doi:10.3390/v14081628 · Cited by 3
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“In addition, mosquito-borne arboviruses can affect cattle (Weaver et al. 2004) as well as wildlife including some bird species (Díaz et al.”
BackgroundArbovirus Adaptation: Roles in Transmission and Emergence
Webster, J. L., & Stapleford, K. A. (2017) · Current Clinical Microbiology Reports · doi:10.1007/s40588-017-0068-4 · Cited by 3
Venezuelan Equine Encephalitis Virus
Pisano, M., Contigiani, M., & Ré, V. (2016) · doi:10.1201/b19719-ch30 · Cited by 3
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“Specifically, typical epizootic VEEV strains of the subtypes IAB and IC are efficiently transmitted by this mosquito (Weaver et al., 2004).”
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Arthropod-Borne Viral Encephalitis
Georgiev, V. S. (2009) · doi:10.1007/978-1-60327-297-1_19 · Cited by 3
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Metadata
- Authors
- Weaver, S. C., Ferro, C., Barrera, R., Boshell, J., & Navarro, J.-C.
- Affiliations
- Instituto Nacional de Salud (CO)
- Centers for Disease Control and Prevention (US)
- Center for Biodefense and Emerging Infectious Diseases and Department of Pathology, University of Texas Medical Branch, Galveston, Texas 77555-0609;
- Venue
- Annual Review of Entomology
- Publisher
- Annual Reviews
- Published
- 2004-01
- Volume
- 49
- Issue
- 1
- Pages
- 141-174
- ISSN
- 0066-4170 (ISSN-L)
- 1545-4487
- OpenAlex
- W2123164501
- Cited by
- 465
- References
- 158
- Citations by year
- 2026: 16 · 2025: 16 · 2024: 16 · 2023: 24 · 2022: 21 · 2021: 24 · 2020: 29 · 2019: 26 · 2018: 21 · 2017: 20 · 2016: 25 · 2015: 14 · 2014: 22 · 2013: 16 · 2012: 19
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Entomology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Departamento Administrativo de Ciencia, Tecnología e Innovación (COLCIENCIAS)
- National Institutes of Health (5r03tw005919-03, n01ai25489-12-0-1)
- National Institute of Allergy and Infectious Diseases (R01AI049725, AI49725-01, AI-25489, R01AI048807, AI48807-01)
- Fogarty International Center (TW5919)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Vectors
- Life Sciences › Immunology and Microbiology › Virology › Vector-Borne Animal Diseases
- Keywords
- Venezuelan equine encephalitis virus, emerging infectious diseases, biological weapons, serotype switching, E2 glycoprotein, convergent evolution, host range adaptation, mosquito vectors, Culex (Melanoconion), epizootic strains, viral outbreak, arbovirus ecology
- MeSH terms
- Aedes, Animals, Disease Outbreaks, Encephalitis Virus, Venezuelan Equine, Encephalomyelitis, Venezuelan Equine, Horse Diseases, Horses, Host-Parasite Interactions, Humans, Insect Vectors, Mutation, Viral Envelope Proteins, Viral Vaccines, Virulence, Equidae
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