Applications of minimally invasive multimodal telemetry for continuous monitoring of brain function and intracranial pressure in macaques with acute viral encephalitis.
Abstract: Alphaviruses such as Venezuelan equine encephalitis virus (VEEV) and Eastern equine encephalitis virus (EEEV) are arboviruses that can cause severe zoonotic disease in humans. Both VEEV and EEEV are highly infectious when aerosolized and can be used as biological weapons. Vaccines and therapeutics are urgently needed, but efficacy determination requires animal models. The cynomolgus macaque (Macaca fascicularis) provides a relevant model of human disease, but questions remain whether vaccines or therapeutics can mitigate CNS infection or disease in this model. The documentation of alphavirus encephalitis in animals relies on traditional physiological biomarkers and behavioral/neurological observations by veterinary staff; quantitative measurements such as electroencephalography (EEG) and intracranial pressure (ICP) can recapitulate underlying encephalitic processes. We detail a telemetry implantation method suitable for continuous monitoring of both EEG and ICP in awake macaques, as well as methods for collection and analysis of such data. We sought to evaluate whether changes in EEG/ICP suggestive of CNS penetration by virus would be seen after aerosol exposure of naïve macaques to VEEV IC INH9813 or EEEV V105 strains compared to mock-infection in a cohort of twelve adult cynomolgus macaques. Data collection ran continuously from at least four days preceding aerosol exposure and up to 50 days thereafter. EEG signals were processed into frequency spectrum bands (delta: [0.4 - 4Hz); theta: [4 - 8Hz); alpha: [8-12Hz); beta: [12-30] Hz) and assessed for viral encephalitis-associated changes against robust background circadian variation while ICP data was assessed for signal fidelity, circadian variability, and for meaningful differences during encephalitis. Results indicated differences in delta, alpha, and beta band magnitude in infected macaques, disrupted circadian rhythm, and proportional increases in ICP in response to alphavirus infection. This novel enhancement of the cynomolgus macaque model offers utility for timely determination of onset, severity, and resolution of encephalitic disease and for the evaluation of vaccine and therapeutic candidates.
Publication Date: 2020-06-25 PubMed ID: 32584818PubMed Central: PMC7316240DOI: 10.1371/journal.pone.0232381Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Research Support
- U.S. Gov't
- Non-P.H.S.
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research paper presents a new method for the continuous telemetry monitoring of brain function and intracranial pressure in macaques infected with acute viral encephalitis, specifically from alphaviruses like the Venezuelan equine encephalitis virus (VEEV) and Eastern equine encephalitis virus (EEV). The study provides evidence of changes in electroencephalography (EEG) and intracranial pressure (ICP) suggestive of central nervous system virus penetration. The findings represent an enhancement to the use of the cynomolgus macaque model in the research of encephalitic disease, and the search for vaccines and therapeutics.
Research Objectives and Methods
- The primary objective of the study was to develop a minimally invasive telemetry method that could continuously monitor EEG and ICP in awake macaques – a model organism commonly used in researching human diseases. This continuous monitoring was expected to provide better understanding of the manifestations of alphavirus encephalitis in the central nervous system.
- The researchers evaluated the effects of infection from aerosolized VEEV and EEEV on the EEG and ICP of macaques.
- The study involved exposing macaques to the VEEV and EEEV. Controls were mock-infected. Data was collected continually from four days prior to exposure to up to 50 days after exposure.
Data Collection and Analysis
- EEG signals were categorized into four bands: delta, theta, alpha, and beta, and analyzed for changes associated with viral encephalitis against robust background circadian variation.
- ICP data was assessed for signal reliability, circadian variability, and any significant differences during the stages of encephalitis.
Results and Implications
- The study found notable differences in delta, alpha, and beta band magnitude in the EEG readouts from infected macaques. Additionally, circadian rhythm disruptions and increases in ICP were observed in response to alphavirus infection.
- The tailored telemetry implantation method and the observed changes in brain function and ICP in the macaques provide an improved way to understand and research the progress and resolution of encephalitic diseases.
- Furthermore, they offer a useful model for evaluating potential vaccines and treatment options for dangerous zoonotic diseases caused by alphaviruses.
Cite This Article
APA
Ma H, Lundy JD, Cottle EL, O'Malley KJ, Trichel AM, Klimstra WB, Hartman AL, Reed DS, Teichert T.
(2020).
Applications of minimally invasive multimodal telemetry for continuous monitoring of brain function and intracranial pressure in macaques with acute viral encephalitis.
PLoS One, 15(6), e0232381.
https://doi.org/10.1371/journal.pone.0232381 Publication
Researcher Affiliations
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Center for Vaccine Research, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
- Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America.
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America.
- Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
MeSH Terms
- Alphavirus / isolation & purification
- Alphavirus / pathogenicity
- Alphavirus Infections / metabolism
- Alphavirus Infections / pathology
- Animals
- Biomarkers / metabolism
- Brain / physiology
- Circadian Rhythm
- Disease Models, Animal
- Electroencephalography / methods
- Encephalitis, Viral / metabolism
- Encephalitis, Viral / pathology
- Female
- Intracranial Pressure / physiology
- Macaca
- Male
- Severity of Illness Index
- Telemetry
Conflict of Interest Statement
The authors have declared that no competing interests exist. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. None of the submitted work was carried out in the presence of any personal, professional, or financial relationships that could be potentially construed as a conflict of interest; none of the authors listed owns controlling interest in any of the vendors or suppliers listed in this manuscript.
References
This article includes 65 references
- Lury KM, Castillo M. Eastern equine encephalitis: CT and MRI findings in one case.. Emerg Radiol 2004 Aug;11(1):46-8.
- DE WEBSTER HF. Eastern equine encephalomyelitis in Massachusetts; report of two cases, diagnosed serologically, with complete clinical recovery.. N Engl J Med 1956 Aug 9;255(6):267-70.
- Reed DS, Lackemeyer MG, Garza NL, Norris S, Gamble S, Sullivan LJ, Lind CM, Raymond JL. Severe encephalitis in cynomolgus macaques exposed to aerosolized Eastern equine encephalitis virus.. J Infect Dis 2007 Aug 1;196(3):441-50.
- Lennette EH, Koprowski H. Human infection with Venezuelan equine encephalomyelitis virus: a report on eight cases of infection acquired in the laboratory.. Journal of the American Medical Association 1943;123(17):1088–95.
- KOPROWSKI H, COX HR. Human laboratory infection with Venezuelan equine encephalomyelitis virus; report of four cases.. N Engl J Med 1947 May 1;236(18):647-54.
- Kehn-Hall K, Narayanan A, Lundberg L, Sampey G, Pinkham C, Guendel I, Van Duyne R, Senina S, Schultz KL, Stavale E, Aman MJ, Bailey C, Kashanchi F. Modulation of GSK-3β activity in Venezuelan equine encephalitis virus infection.. PLoS One 2012;7(4):e34761.
- Moran GJ. Threats in bioterrorism. II: CDC category B and C agents.. Emerg Med Clin North Am 2002 May;20(2):311-30.
- Burns DL. Licensure of vaccines using the Animal Rule.. Curr Opin Virol 2012 Jun;2(3):353-6.
- US Food and Drug Administration. Guidance for industry: product development under the animal rule. Draft Guidance 2014.. .
- Gronvall GK, Trent D, Borio L, Brey R, Nagao L. The FDA animal efficacy rule and biodefense.. Nat Biotechnol 2007 Oct;25(10):1084-7.
- LIVESAY HR. Isolation of eastern equine encephalomyelitis virus from naturally infected monkey (Macacus philippinensis).. J Infect Dis 1949 May-Jun;84(3):306-9.
- Reed DS, Lind CM, Sullivan LJ, Pratt WD, Parker MD. Aerosol infection of cynomolgus macaques with enzootic strains of venezuelan equine encephalitis viruses.. J Infect Dis 2004 Mar 15;189(6):1013-7.
- Reed DS, Larsen T, Sullivan LJ, Lind CM, Lackemeyer MG, Pratt WD, Parker MD. Aerosol exposure to western equine encephalitis virus causes fever and encephalitis in cynomolgus macaques.. J Infect Dis 2005 Oct 1;192(7):1173-82.
- Ma H, Lundy JD, O'Malley KJ, Klimstra WB, Hartman AL, Reed DS. Electrocardiography Abnormalities in Macaques after Infection with Encephalitic Alphaviruses.. Pathogens 2019 Nov 16;8(4).
- Pratt WD, Gibbs P, Pitt ML, Schmaljohn AL. Use of telemetry to assess vaccine-induced protection against parenteral and aerosol infections of Venezuelan equine encephalitis virus in non-human primates.. Vaccine 1998 May-Jun;16(9-10):1056-64.
- Aréchiga-Ceballos N, Aguilar-Setién A. Alphaviral equine encephalomyelitis (Eastern, Western and Venezuelan).. Rev Sci Tech 2015 Aug;34(2):491-501.
- Baron S. Alphaviruses (Togaviridae) and Flaviviruses (Flaviviridae)—Medical Microbiology.. University of Texas Medical Branch at Galveston; 1996.
- Cavadini G, Petrzilka S, Kohler P, Jud C, Tobler I, Birchler T, Fontana A. TNF-alpha suppresses the expression of clock genes by interfering with E-box-mediated transcription.. Proc Natl Acad Sci U S A 2007 Jul 31;104(31):12843-8.
- Majde JA, Krueger JM. Links between the innate immune system and sleep.. J Allergy Clin Immunol 2005 Dec;116(6):1188-98.
- Opp MR, Kapás L, Toth LA. Cytokine involvement in the regulation of sleep.. Proc Soc Exp Biol Med 1992 Oct;201(1):16-27.
- Yoshida H, Peterfi Z, García-García F, Kirkpatrick R, Yasuda T, Krueger JM. State-specific asymmetries in EEG slow wave activity induced by local application of TNFalpha.. Brain Res 2004 May 29;1009(1-2):129-36.
- Deresiewicz RL, Thaler SJ, Hsu L, Zamani AA. Clinical and neuroradiographic manifestations of eastern equine encephalitis.. N Engl J Med 1997 Jun 26;336(26):1867-74.
- Wendell LC, Potter NS, Roth JL, Salloway SP, Thompson BB. Successful management of severe neuroinvasive eastern equine encephalitis.. Neurocrit Care 2013 Aug;19(1):111-5.
- Garlick J, Lee TJ, Shepherd P, Linam WM, Pastula DM, Weinstein S, Schexnayder SM. Locally Acquired Eastern Equine Encephalitis Virus Disease, Arkansas, USA.. Emerg Infect Dis 2016 Dec;22(12):2216-2217.
- National Research Council. Guide for the care and use of laboratory animals. National Academies, Washington, DC.
- Aebersold P. FDA experience with medical countermeasures under the animal rule.. Advances in preventive medicine 2011;2012.
- Homan RW. The 10–20 electrode system and cerebral location.. American Journal of EEG Technology 1988;28(4):269–79.
- Lackemeyer MG, Kok-Mercado Fd, Wada J, Bollinger L, Kindrachuk J, Wahl-Jensen V, Kuhn JH, Jahrling PB. ABSL-4 aerobiology biosafety and technology at the NIH/NIAID integrated research facility at Fort Detrick.. Viruses 2014 Jan 7;6(1):137-50.
- Reed DS, Bethel LM, Powell DS, Caroline AL, Hartman AL. Differences in aerosolization of Rift Valley fever virus resulting from choice of inhalation exposure chamber: implications for animal challenge studies.. Pathog Dis 2014 Jul;71(2):227-33.
- Bohannon JK, Honko AN, Reeder RJ, Cooper K, Byrum R, Bollinger L, Kuhn JH, Wada J, Qin J, Jahrling PB, Lackemeyer MG. Comparison of respiratory inductive plethysmography versus head-out plethysmography for anesthetized nonhuman primates in an animal biosafety level 4 facility.. Inhal Toxicol 2016 Dec;28(14):670-676.
- Bowling JD, O'Malley KJ, Klimstra WB, Hartman AL, Reed DS. A Vibrating Mesh Nebulizer as an Alternative to the Collison Three-Jet Nebulizer for Infectious Disease Aerobiology.. Appl Environ Microbiol 2019 Sep 1;85(17).
- Delorme A, Makeig S. EEGLAB: an open source toolbox for analysis of single-trial EEG dynamics including independent component analysis.. J Neurosci Methods 2004 Mar 15;134(1):9-21.
- Molaee-Ardekani B, Senhadji L, Shamsollahi MB, Wodey E, Vosoughi-Vahdat B. Delta waves differently modulate high frequency components of EEG oscillations in various unconsciousness levels.. Annu Int Conf IEEE Eng Med Biol Soc 2007;2007:1294-7.
- Brandenberger G, Ehrhart J, Piquard F, Simon C. Inverse coupling between ultradian oscillations in delta wave activity and heart rate variability during sleep.. Clin Neurophysiol 2001 Jun;112(6):992-6.
- Feinberg I, March JD, Floyd TC, Jimison R, Bossom-Demitrack L, Katz PH. Homeostatic changes during post-nap sleep maintain baseline levels of delta EEG.. Electroencephalogr Clin Neurophysiol 1985 Aug;61(2):134-7.
- Gwin JT, Ferris DP. Beta- and gamma-range human lower limb corticomuscular coherence.. Front Hum Neurosci 2012;6:258.
- Otomo E. Beta wave activity in the electroencephalogram in cases of coma due to acute brain-stem lesions.. J Neurol Neurosurg Psychiatry 1966 Oct;29(5):383-90.
- Krause G, Ullsperger P, Beyer L, Gille HG. Changes in EEG power density spectrum during static muscle work.. Eur J Appl Physiol Occup Physiol 1983;51(1):61-6.
- Rachalski A, Authier S, Bassett L, Pouliot M, Tremblay G, Mongrain V. Sleep electroencephalographic characteristics of the Cynomolgus monkey measured by telemetry.. J Sleep Res 2014 Dec;23(6):619-627.
- Authier S, Paquette D, Gauvin D, Sammut V, Fournier S, Chaurand F, Troncy E. Video-electroencephalography in conscious non human primate using radiotelemetry and computerized analysis: refinement of a safety pharmacology model.. J Pharmacol Toxicol Methods 2009 Jul-Aug;60(1):88-93.
- Ferri R, Cosentino FI, Elia M, Musumeci SA, Marinig R, Bergonzi P. Relationship between Delta, Sigma, Beta, and Gamma EEG bands at REM sleep onset and REM sleep end.. Clin Neurophysiol 2001 Nov;112(11):2046-52.
- Uchida S, Maloney T, Feinberg I. Sigma (12-16 Hz) and beta (20-28 Hz) EEG discriminate NREM and REM sleep.. Brain Res 1994 Oct 3;659(1-2):243-8.
- Benoit O, Daurat A, Prado J. Slow (0.7-2 Hz) and fast (2-4 Hz) delta components are differently correlated to theta, alpha and beta frequency bands during NREM sleep.. Clin Neurophysiol 2000 Dec;111(12):2103-6.
- Zacks MA, Paessler S. Encephalitic alphaviruses.. Vet Microbiol 2010 Jan 27;140(3-4):281-6.
- Badar Z, Thakur D, Hameedi. CT and MRI findings in a pediatric case of eastern equine encephalitis.. Pediatric Infectious Disease 2014;6(2):66–71.
- Taha AR. Central Nervous System Infection. In Highly Infectious Diseases in Critical Care 2020. (pp. 147–174). Springer, Cham.
- Silverman MA, Misasi J, Smole S, Feldman HA, Cohen AB, Santagata S, McManus M, Ahmed AA. Eastern equine encephalitis in children, Massachusetts and New Hampshire,USA, 1970-2010.. Emerg Infect Dis 2013 Feb;19(2):194-201; quiz 352.
- Vacca V. Encephalitis in adults: Outcomes in critical care.. Nursing Critical Care 2016;11(2):14–22.
- Solomon T, Whitley RJ. Arthropod-borne viral encephalitides. Infections of the central nervous system, Second edition Philidelphia, PA: Lippincott Williams and Wilkins; 2004.
- Albeck MJ, Børgesen SE, Gjerris F, Schmidt JF, Sørensen PS. Intracranial pressure and cerebrospinal fluid outflow conductance in healthy subjects.. J Neurosurg 1991 Apr;74(4):597-600.
- Chapman PH, Cosman ER, Arnold MA. The relationship between ventricular fluid pressure and body position in normal subjects and subjects with shunts: a telemetric study.. Neurosurgery 1990 Feb;26(2):181-9.
- Masuda H, Ogata T, Kikuchi K. Physiological changes during temporary occlusion of the superior vena cava in cynomolgus monkeys.. Ann Thorac Surg 1989 Jun;47(6):890-6.
- Kim CY, Han SS. Characteristics of home cage locomotion in cynomolgus monkeys.. J Toxicol Sci 2006 Dec;31(5):529-35.
- Lawley JS, Petersen LG, Howden EJ, Sarma S, Cornwell WK, Zhang R, Whitworth LA, Williams MA, Levine BD. Effect of gravity and microgravity on intracranial pressure.. J Physiol 2017 Mar 15;595(6):2115-2127.
- Raboel PH, Bartek J Jr, Andresen M, Bellander BM, Romner B. Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods-A Review.. Crit Care Res Pract 2012;2012:950393.
- Wyckoff RW, Tesar WC. Equine encephalomyelitis in monkeys.. The Journal of Immunology 1939;37(4):329–43.
- Hurst EW. Infection of the rhesus monkey (Macaca mulatta) and the guinea‐pig with the virus of equine encephalomyelitis.. The Journal of Pathology and Bacteriology 1936;42(1):271–302.
- Rossi SL, Russell-Lodrigue KE, Killeen SZ, Wang E, Leal G, Bergren NA, Vinet-Oliphant H, Weaver SC, Roy CJ. IRES-Containing VEEV Vaccine Protects Cynomolgus Macaques from IE Venezuelan Equine Encephalitis Virus Aerosol Challenge.. PLoS Negl Trop Dis 2015 May;9(5):e0003797.
- Roy CJ, Adams AP, Wang E, Leal G, Seymour RL, Sivasubramani SK, Mega W, Frolov I, Didier PJ, Weaver SC. A chimeric Sindbis-based vaccine protects cynomolgus macaques against a lethal aerosol challenge of eastern equine encephalitis virus.. Vaccine 2013 Mar 1;31(11):1464-70.
- Dickmeis T. Glucocorticoids and the circadian clock.. J Endocrinol 2009 Jan;200(1):3-22.
- Yan J, Wang H, Liu Y, Shao C. Analysis of gene regulatory networks in the mammalian circadian rhythm.. PLoS Comput Biol 2008 Oct;4(10):e1000193.
- Rottenberg M, Kristensson K. Effects of interferon-gamma on neuronal infections.. Viral Immunol 2002;15(2):247-60.
- Darko DF, Miller JC, Gallen C, White J, Koziol J, Brown SJ, Hayduk R, Atkinson JH, Assmus J, Munnell DT, Naitoh P, McCutchan JA, Mitler MM. Sleep electroencephalogram delta-frequency amplitude, night plasma levels of tumor necrosis factor alpha, and human immunodeficiency virus infection.. Proc Natl Acad Sci U S A 1995 Dec 19;92(26):12080-4.
- Keren AS, Yuval-Greenberg S, Deouell LY. Saccadic spike potentials in gamma-band EEG: characterization, detection and suppression.. Neuroimage 2010 Feb 1;49(3):2248-63.
- Yilmaz G, Ungan P, Sebik O, Uginčius P, Türker KS. Interference of tonic muscle activity on the EEG: a single motor unit study.. Front Hum Neurosci 2014;8:504.
Citations
This article has been cited 8 times.- Langsjoen RM, Key A, Shariatzadeh N, Jackson CR, Mahmood F, Arkun K, Alexandrescu S, Solomon IH, Piantadosi A. Eastern Equine Encephalitis Virus Diversity in Massachusetts Patients, 1938-2020.. Am J Trop Med Hyg 2023 Aug 2;109(2):387-396.
- Reyna RA, Weaver SC. Sequelae and Animal Modeling of Encephalitic Alphavirus Infections.. Viruses 2023 Jan 28;15(2).
- Gardner CL, Sun C, Dunn MD, Gilliland TC Jr, Trobaugh DW, Terada Y, Reed DS, Hartman AL, Klimstra WB. In Vitro and In Vivo Phenotypes of Venezuelan, Eastern and Western Equine Encephalitis Viruses Derived from cDNA Clones of Human Isolates.. Viruses 2022 Dec 20;15(1).
- Ma H, Albe JR, Gilliland T, McMillen CM, Gardner CL, Boyles DA, Cottle EL, Dunn MD, Lundy JD, Salama N, O'Malley KJ, Pandrea I, Teichert T, Barrick S, Klimstra WB, Hartman AL, Reed DS. Long-term persistence of viral RNA and inflammation in the CNS of macaques exposed to aerosolized Venezuelan equine encephalitis virus.. PLoS Pathog 2022 Jun;18(6):e1009946.
- Portillo-Lara R, Tahirbegi B, Chapman CAR, Goding JA, Green RA. Mind the gap: State-of-the-art technologies and applications for EEG-based brain-computer interfaces.. APL Bioeng 2021 Sep;5(3):031507.
- Wierzbicka M, Domino M, Zabielski R, Gajewski Z. Long-Term Recording of Reticulo-Rumen Myoelectrical Activity in Sheep by a Telemetry Method.. Animals (Basel) 2021 Apr 8;11(4).
- Albe JR, Ma H, Gilliland TH, McMillen CM, Gardner CL, Boyles DA, Cottle EL, Dunn MD, Lundy JD, O'Malley KJ, Salama N, Walters AW, Pandrea I, Teichert T, Klimstra WB, Reed DS, Hartman AL. Physiological and immunological changes in the brain associated with lethal eastern equine encephalitis virus in macaques.. PLoS Pathog 2021 Feb;17(2):e1009308.
- Huang CN, Tian XB, Jiang SM, Chang SH, Wang N, Liu MQ, Zhang QX, Li T, Zhang LJ, Yang L. Comparisons Between Infectious and Autoimmune Encephalitis: Clinical Signs, Biochemistry, Blood Counts, and Imaging Findings.. Neuropsychiatr Dis Treat 2020;16:2649-2660.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists