Genetic analysis of Thailand hantavirus in Bandicota indica trapped in Thailand
© Hugot et al; licensee BioMed Central Ltd. 2006
Received: 10 July 2006
Accepted: 05 September 2006
Published: 05 September 2006
Sixty one tissue samples from several rodent species trapped in five provinces of Thailand were examined for the presence of hantaviral markers by enzyme-immunoassay and immunoblotting. Four samples, all from the great bandicoot rat Bandicota indica, were confirmed positive for the hantaviral N-antigen. Two of them were trapped in Nakhon Pathom province, the other two in Nakhon Ratchasima province, approximately 250 km from the other trapping site. When analysed by RT-nested PCR, all four rodents were found positive for the hantaviral S- and M-segment nucleotide sequences. Genetic analysis revealed that the four newly described wild-type strains belong to Thailand hantavirus. On the phylogenetic trees they formed a well-supported cluster within the group of Murinae-associated hantaviruses and shared a recent common ancestor with Seoul virus.
Hantaviruses (genus Hantavirus, family Bunyaviridae) are robo (from ro dent-bo rne) viruses that cause hemorrhagic fever with renal syndrome (HFRS) in Eurasia and hantavirus (cardio)pulmonary syndrome (HPS) in the Americas [1–3]. In nature, hantaviruses are carried by rodents of family Muridae, and each hantavirus species is predominantly associated with a unique rodent host species. Transmission of the virus to humans occurs by inhalation of virus-infected aerosols from excreta of persistently infected animals. Currently three groups of hantavirus species are recognized [3–5]. The first group is associated with Murinae rodents (mice and rats of the Old World). The hantaviruses that belonged to the second group are carried by Sigmodontinae rodents (mice and rats of the New World). The third group is associated with Arvicolinae rodents (voles and lemmings of the north hemisphere) and includes viruses from Europe, Asia and North America. In addition to these three groups, the list of hantaviral species includes Thottapalayam, so far the only hantavirus found in association with a shrew, Suncus murinus .
Since hantaviruses have been isolated from Murinae rodents in North Asia and Europe, the association with this particular group of hosts questions the presence of hantaviruses in other parts of the World, and particularly in South East Asia from where murine rodents are considered to originate and where more than 35 species of Murinae rodents are living . Several hantaviruses have been recorded from South-East Asia, particularly: THAIV discovered in 1994  in Thailand from a great bandicoot rat, Bandicota indica; and several hantavirus like isolated in Cambodia from Rattus rattus and R. norvegicus . Also, serological surveys carried out to detect evidence of hantavirus in human populations or in wild rodents, revealed positive samples in Thailand and Cambodia [9–12]. From these preliminary results and after confirmation of a first human case in Thailand  several questions arise: What is the genetic diversity of the hantaviruses in South-East Asia? What are the relationships of the South Asian hantaviruses with the others? What is the real importance of hantaviruses for human health in this part of the World? The answers to these questions clearly deal with the hantavirus biodiversity and phylogeny [4, 5, 14]. They also suppose that coordinated investigations might relate the distribution of the hantaviruses in human populations and in different rodent species.
The first aim of this study was to examine a set of tissue samples from several rodent species trapped in Thailand, for the presence of hantaviral markers. Since the hantaviral N-protein antigen was detected in samples from B. indica, it was decided to attempt a recovery of viral genome sequences (S and M segments) from the antigen-positive tissue samples and to perform a (phylo)genetic analysis using these new data. So far, no complete THAIV S-sequence has been described in the literature  but while this work was in progress a complete THAIV S-sequence was deposited to Genbank. This sequence belongs to a cell culture isolate 741, originating from Thailand. Thus, our data presented an opportunity to compare the newly recovered sequences of the wild-type THAIV strains with that of a regular THAI isolate.
Materials and methods
Rodents were collected since 2004 during several field studies in the following provinces of Thailand: Nakhon Ratchasima, Sakhon Nakhon, Phrae, Nakhon Pathom and Loei. Trapping was focused on species living in proximity to humans: domestic and peridomestic species, Rattus exulans, R. rattus, R. norvegicus, and the main wild species occurring in agricultural areas, Bandicota indica and B. savilei. The study was conducted in agricultural areas including rice-growing rural villages either in seasonally flooded or non-flooded lands. Trapping and processing were performed according to established safety recommendations . Animals were collected early in the morning and transferred to a field laboratory. Geographical coordinates of the trapping places were systematically recorded. Species identification was done using a regional taxonomic identification key . Animals were measured, weighted and pictured. Serum samples and organs were stored in cryovials at -70°C.
Screening of rodent samples
Rodent lung tissue samples were screened by immunoblotting, for the presence of hantaviral N-antigen as described earlier . In brief, small chips of tissue (approximately 100 mg) were placed into 500 mkl of Laemmli sample buffer and homogenized by sonication. Aliquots of 10 mkl were separated by electrophoresis in 10% sodium dodecyl sulphate-polyacrylamide gels and blotted with rabbit polyclonal antibody raised against Dobrava virus. Goat anti-rabbit antibodies conjugated with the horse radish peroxidase (Dako, Glostrup, Denmark) were used as secondary antibodies. A confirmatory immunoblotting was performed with the rat anti-SEOV antiserum ; in this case, rabbit anti-rat antibodies conjugated with the horseraddish peroxidase (Dako, Glostrup, Denmark) were used as secondary antibodies.
RNA isolation, reverse transcription (RT)-polymerase chain reaction (PCR) and sequencing
RNA was purified from N antigen- positive samples with the TriPure reagent (Behringer Maannheim) following the manufacturer's instructions. Approximately 100 mg- piece of each lung tissue sample was ground in 1 ml of the TriPure reagent and subjected to RNA extraction. RT-PCR of the entire hantaviral S segment was performed essentially as described previously [18, 19]. Partial sequences of the S segment (nt 389–946) and the M segment (nt 2021–2303) from wild-type THAIV strains were obtained by RT-nested PCRs (sequences of primers are available upon request). PCR-amplicons were gel-purified using QIAquick Gel Extraction -kit (QIAGEN). PCR-amplicon containing the entire S-sequences was cloned using the pGEM-T cloning kit (Promega) and the plasmids were purified with the QIAprep kit (QIAgen). PCR-amplicons containing the partial S- and M-sequences were gel-purified using QIAquick Gel Extraction -kit (QIAGEN). The plasmids and PCR-amplicons were sequenced automatically using either ABI PRISM™ Dye Terminator or ABI PRISM™ M13F and M13R Dye Primer sequencing kits (Perkin Elmer/ABI, NJ). Multiple nucleotide and amino sequence alignments were prepared manually using SeqApp 1.9a169 sequence editing program. Hantavirus sequences used for comparison were recovered from the Gene Bank.
To infer phylogenies, the PHYLIP program package  was used first. 500 bootstrap replicates generated for complete coding sequences of the S segment, as well as partial sequences of the S segment and the M segments (Seqboot program) were fed to the distance matrice algorithm (Dnadist program, with the F84-model for nucleotide substitution). Distance matrices were analysed with the Fitch-Margoliash tree-fitting algorithm (Fitch program); the bootstrap support values were calculated with the Consense program. The nucleotide sequence data were also analysed with the Tree-Puzzle program . The program implements a fast tree-searching algorithm (quartet puzzling) that allows reconstruction of phylogenetic trees by maximum likelihood. All trees were calculated with 10000 puzzling steps using Hasegawa-Kishino-Yano model of nucleotide substitutions. The transition/transversion ratio and the nucleotide frequencies were estimated from the data set. Uniformal model of rate heterogeneity across sites was applied.
Screening of rodents for the presence of hantaviral markers
Altogether 61 rodents were trapped: 7 B. indica, 27 B. savilei, 24 Rattus exulans, 1 R. argentiventer, 1 R. rattus, and 1 R. norvegicus. 53 lung tissue samples and 8 liver tissue samples have been collected and stored frozen until analysis. Screening by immunoblotting for the presence of hantaviral N-antigen using immunoblotting with anti-Dobrava virus antiserum revealed that 12 samples were considered positive or probably positive. A confirmatory immunoblotting was done with the anti-SEOV antiserum collected from R. norvegicus trapped in Indonesia . Eight rodents were not confirmed as N-antigen-positive; these samples were subjected to the RT-PCR but none was found positive. Other four samples, all from B. indica, were confirmed positive for the hantaviral N-antigen. Two were trapped in Nakhon Pathom province, the other two in Nakhon Ratchasima province. The four N-antigen- positive rodents were analysed by RT-nested PCR and all were found positive for the hantaviral S- and M-segment nucleotide sequences.
Corresponding wild-type THAIV strains were designated as: THAIV/NakhonPathom/Bi0016/2004, THAIV/NakhonPathom/Bi0067/2004, THAIV/NakhonRatchasima/Bi0024/2004, and THAIV/NakhonRatchasima/Bi0017/2004. In the following: our wild-type strains refer to Thai0016, Thai0067, Thai0024, and Thai0017, respectively.
Partial M segment sequences (nt 2021–2303) recovered from samples Thai0016 and Thai0067 were identical. Other three sequences differed at 3–7 positions, i.e. shown 1.1–2.4% diversity. Notably, all but one mutation were silent; strain Thai0067 had a homologous substitution of isoleucine to valine at pos 110 of the deduced sequence of the GnGc protein. This suggested a strong stabilising selection operating on the protein level. The M segment sequences of strains Thai0016 (Thai0067), Thai0024, and Thai0017 were most closely related to M-sequences of other hantaviruses carried by Murinae rodents. As expected, the highest level of identity was observed to the published M segment sequence of the THAIV isolate 749 originated from B. indica trapped in Thailand , 96–98%. The sequence identity to SEOV M-sequences was a bit lower, 73–78%, and the sequence identity to HTNV, DOBV and SAAV M-sequences was even lower, 68–74%. The M segment sequences of hantaviruses associated with Arvicolinae or Sigmodontinae rodents were most distant (identity of 59–68%).
Partial S segment sequences (nt 389–946) of four wild-type THAIV strains differed at 2–10 positions, i.e. showed 0.4–1.8% diversity. All nucleotide susbtitutions were silent suggesting, again, a strong stabilising selective pressure applied on the encoded part of the N protein (aa residues 110–300). The S-sequences of strains Thai0016 and Thai0067 differed at three positions thus confirming that the two strains are distinct. Four THAIV S-sequences showed high level of identity to SEOV, HTNV (also the HTNV-like DBSV and AMRV), DOBV, and SAAV S-sequences, 69%–75%. The S segment sequences recovered from R. rattus, which were trapped in Cambodia, showed the highest level of identity, 83–84%, with the newly recovered THAIV S-sequences.
From the rodent sample Thai0017 we were able to RT-amplify complete S segment sequence. It appeared to be 1882 nt in length (the first and the last 22 nucleotides from the complete S-amplicons originated from the PCR primer and therefore were not determined directly). The sequence consists of the 5'- (positive sense) non-coding region (NCR) of 46nt, the open reading frame of 1290 nt for the N protein (429 aa residues), and the 3'NCR of 546 nt. The deduced aa sequence of the THAIV N protein showed the highest identity (87%) to the N protein of SEOV. The N protein sequences of other Murinae-associated hantaviruses were less related: HTNV- 85%, DOBV – 83%, and SAAV – 82% while the N protein sequences of Arvicolinae- and Signodontinae- associated hantaviruses showed the lowest level of sequence identity: e.g., PUUV- 64% and SNV – 64%.
A comparison of our newly recovered wild-type THAIV S-sequence (Thai0017) and the sequence from the cell culture isolate 741 (Thai741) recently deposited to GenBank (Acc. number AB186420), showed that they are almost identical in length (1882 vs 1884 nt) and exhibit an overall diversity of 3.5%. The 5'-NCR of the Thai0017 strain is one nt longer while the 3'-NCR is 2 nt shorter than the corresponding regions of the Thai741 strain. The coding regions if the two strains show 3.2% diversity and the NCRs show 3.8% diversity. Deduced N protein sequences are 98.8% identical and all five substitutions, L39F, R41K, R73K, M226V, and I322V are homologous. This once again stresses the point that the N protein sequence is highly conserved within a given hantavirus type due to functional constrains (see, e.g., [22, 23]).
Most notably, the phylogenies inferred for the partial S segment sequences revealed a well-supported monophily of THAIV strains and wt-strains associated with R. rattus in Cambodia [described by Reynes et al., 2003 ]. These two clusters of strains were clearly separated from the major cluster of SEOV strains including R. rattus-associated strain Gou originated from Zhejiang (China) . This result suggested that there are two distinct hantaviral types found in R. rattus: "Cambodia-like" (a close relative of THAIV) and "China-like" (Gou, a close relative of bona fide SEOV).
Rodent hosts for hantaviruses in Thailand
Our data confirmed hantavirus circulation in at least two provinces of Thailand: Nakhon Pathom and Nakhon Ratchasima. Notably, four B. indica rodents were found hantavirus-positive but none of B. salivei suggesting B. indica as a primary host for THAIV. Rattus species were all found hantavirus-negative during this study. However previous serological investigations of hantaviruses in Thailand have shown other rodents as possible vectors: Rattus rattus [12, 25, 26], R. exulans [11, 26, 27]; R. norvegicus [11, 12, 27] and R. losea . A more intensive study is needed to clarify this issue.
Results of (phylo)genetic analyses of THAIV and related viruses
In this paper, for the first time, the complete S segment sequence of THAI virus is described. The new genetic information is in line with our previous knowledge based on the complete M segment sequence: THAIV is a distinct hantavirus species that shows a substantial genetic diversity from other members of the Hantavirus genus and shares the most recent common ancestor with SEOV and the more ancient common ancestor with other Murinae-associated viruses. Four newly described wt- strains of THAIV showed decent genetic diversity between themselves, 0.4–2.4%, and also to the previously described THAIV isolate (2–4%, in the partial M.-segment sequence). Interestingly, these wt strains, which originated from two trapping areas 250 km apart, showed some signs of geographical clustering, the feature shared by all known hantaviruses except the "cosmopolitan" SEOV associated with R. norvegicus [4, 5].
When analysing the partial S segment sequences we observed that the newly described THAIV strains are monophyletic with the wt hantavirus strains associated with R. rattus in Cambodia. These two sister taxa are separated from SEOV strains associated with R. norvegicus worldwide but also from the R. rattus-associated strain Gou originated from China. This phylogeny is different from the phylogeny inferred by Reynes et al  for partial S segment sequence (nt 370–970): in the later, the THAIV sequence (Thai749) is not monophyletic with any Rattus- associated virus but instead occupies the most ancestral node in the THAIV-HTNV-DOBV-SAAV-SEOV clade.
Reynes and co-authors  suggested that at least two subtypes of SEOV carried by R. rattus circulate in Asia. Phylogeny presented in this paper (Fig. 2) suggests that there might be two distinct hantaviruses associated with R. rattus. The first of them, Gou virus, is either a subtype of SEOV or a closely related to SEOV but distinct hantavirus. The second hantavirus, which was found in Cambodia, is a relative of THAIV but a distinct entity as well. Further investigation is needed to unwrap this intriguing story. For instance, it might be worth studying whether the "Cambodia virus" is a product of a host-switch of pre-THAI from Bandicota to Rattus.
The results of previous studies suggested that new viruses, different hosts and different human syndromes may be expected to be discovered in the future in Southeastern Asia where Muridae rodents are endemic and highly diversified and where the human population is regularly exposed to them. The recent discovery of a new hantavirus in Guinea  demonstrate that hantaviruses have to be tracked wherever Muridae rodents are living. Further studies are needed to assess the reality of an endemic Southeast Asian group of hantaviruses and to understand their particularities, their current distribution among rodents in different areas and in different landscapes and finally their potential dangerousness for humans. This also supposes the improvement of our knowledge of the ecology and biogeography of the hantavirus natural reservoirs in Southeast Asia. Thailand, which health system is strongly organized and possesses important and detailed archives has all the necessary resources to organize such a program. The results may be of interest for all the surrounding countries and give rise to a regional cooperation in this field of study.
Most recently we became aware of the manuscript of S. Pattamadilok and co-authors  in which they characterized the S segment sequence recovered from the THAIV isolate and also performed antigenic cross-reactivity studies of rodent and human sera collected in Thailand. Their observations on THAIV-positive bandicoot rats as well as results of the phylogenetic analyses are nicely in line with our data reported here. Most interestingly, the serum of one patient with the HFRS symptoms showed high titers of THAIV-neutralisiung antibodies suggesting that this hantavirus is a human pathogen.
This work received financial support from the Academy of Finland and the French program "ANR- Santé-Environnement" (no. 00121 0505). Nucleotide sequences described in this paper have been deposited to the databases under accession numbers AM397664-71. The authors are greatful to Dr. S. Pittamadilok and Dr. J. Arikawa for sharing their data before publication.
- Nichol ST, Beaty BJ, Elliott RM, Goldbach R, Plyusnin A, Schmaljohn CS, Tesh RB: Bunyaviridae. In Virus taxonomy. VIIIth report of the International Committee on Taxonomy of Viruses. Edited by: Fauquet CM, Mayo MA, Maniloff J, Desselberger U, Ball LA. Amsterdam: Elsevier Academic Press; 2005:695-716.Google Scholar
- Vapalahti O, Mustonen J, Lundkvist A, Henttonen H, Plyusnin A, Vaheri A: Hantavirus infections in Europe. Lancet Infect Dis 2003, 3: 653-661. 10.1016/S1473-3099(03)00774-6View ArticlePubMedGoogle Scholar
- Lundkvist Å, Plyusnin A: Molecular epidemiology of hantavirus infections. In The Molecular Epidemiology of Human Viruses. Edited by: Leitner T. Kluwer Academic Publishers; 2002:351-384.View ArticleGoogle Scholar
- Plyusnin A, Morzunov S: Virus evolution and genetic diversity of hantaviruses and their rodent hosts. In Curr Top Microbiol Immunol Edited by: Schmaljohn C, Nichol SN. 2001, 256: 47-75.PubMedGoogle Scholar
- Nemirov K, Vaheri A, Plyusnin A: Hantaviruses:co-evolution with natural hosts. Recent Res Devel Virol 2004, 6: 201-228.Google Scholar
- Carey DE, Reuben R, Panicker KN, Shope RE, Myers RM: Thottapalayam virus: a presumptive arbovirus isolated from a shrew in India. J Med Res 1971, 59: 1758-1760.Google Scholar
- Boonsong L, McNeely JA, Marshall JT: Mammals of Thailand. Association for the Conservation of Wildlife, Bangkok 1988, 748.Google Scholar
- Xiao SY, LeDuc JW, Chu YK, Schmaljohn CS: Phylogenetic analysis of virus isolates in the genus Hantavirus , family Bunyaviridae . Virology 1994, 198: 205-217. 10.1006/viro.1994.1023View ArticlePubMedGoogle Scholar
- Reynes JM, Soares JL, Hue T, Bouloy M, Sun S, Kruy SL, Flye Sainte Marie F, Zeller H: Evidence of the presence of Seoul virus in Cambodia. Microbes Infect 2003, 5: 769-73. 10.1016/S1286-4579(03)00149-7View ArticlePubMedGoogle Scholar
- Elwell MR, Ward GS, Tingpalapong M, Leduc JW: Serologic evidence of Hantaan-like virus in rodents and man in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health 1985, 16: 349-354.PubMedGoogle Scholar
- Nitatpattana N, Chauvency G, Dardaine J, Poblap T, Jumronsawat K, Tangkanakul W, Poonsuksombat D, Yoksan S, Gonzalez JP: Serological study of Hantavirus in the rodent population of Nakhon Pathom and Nakhon Ratchasima provinces in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health 2000, 31: 277-282.PubMedGoogle Scholar
- Sawasdikol S, Tamura M, Jamjit P: Antibody to hemoragic fever with renal syndrome in man and rat in Thailand. Bulletin of the Department of Medical Sciences 1989, 31: 125-130.Google Scholar
- Suputtamongkol Y, Nitatpattana N, Chyakulkeree M, Palabodeewat S, Yoksan S, Gonzalez JP: Hantavirus infection in Thailand: first clinical case report. Southeast Asian Journal of Tropical Medicine and Public Health 2005, 36: 217-220.Google Scholar
- Herbreteau V, Gonzalez JP, Hugot JP: Phylogenetic Systematics of Rodent-Borne Hantaviruses Allows Understanding their Distribution. Annals of the New-York Academy of Sciences, in press.Google Scholar
- Mills JN, Childs JE, Ksiazek TG, Peters CJ: Methods for trapping and sampling small mammals for virologic testing. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 1995.Google Scholar
- Plyusnin A, Cheng Y, Vapalahti O, Pejcoch M, Unar J, Jelinkova Z, Lehväslaiho H, Lundkvist Å, Vaheri A: Genetic variation in Tula hantaviruses:; sequence analysis of the S and M segments of strains from Central Europe. Virus Res 1995, 39: 237-250. 10.1016/0168-1702(95)00086-0View ArticlePubMedGoogle Scholar
- Plyusnina A, Ibrahim IN, Winoto I, Porter KR, Gotama IBI, Lundkvist Å, Vaheri A, Plyusnin A: Identification of Seoulhantavirus in Rattus norvegicus in Indonesia. Scand J Inf Dis 2004, 36: 356-359. 10.1080/00365540410019264View ArticleGoogle Scholar
- Plyusnin A, Vapalahti O, Ulfves K, Lehväslaiho H, Apekina N, Gavrilovskaya I, Blinov V, Vaheri A: Sequences of wild Puumala virus genes show a correlation of genetic variation with geographic origin of the strains. J Gen Virol 1994, 75: 405-409.View ArticlePubMedGoogle Scholar
- Nemirov K, Vapalahti O, Lundkvist Å, Vasilenko V, Golovljova I, Plyusnina A, Niemimaa J, Laakkonen J, Henttonen H, Vaheri A, Plyusnin A: Isolation and characterization of Dobrava hantavirus carried by the striped field mouse (Apodemus agrarius) in Estonia. J Gen Virol 1999, 80: 371-379.View ArticlePubMedGoogle Scholar
- Felsenstein J: PHYLIP [Phylogeny Inference Package]. 1999, 3.5c.Google Scholar
- Schmidt HA, Strimmer K, Vingron M, von Haesseler A: TREE-PUZZLE: maximum likelihood phylogenetic analysis using quartets and parallel computing. Bioinformatics 2002, 18: 502-504. 10.1093/bioinformatics/18.3.502View ArticlePubMedGoogle Scholar
- Sironen T, Vaheri A, Plyusnin A: Molecular evolution of Puumala hantavirus. J Virol 2001, 75: 11803-11810. 10.1128/JVI.75.23.11803-11810.2001PubMed CentralView ArticlePubMedGoogle Scholar
- Kaukinen P, Vaheri A, Plyusnin A: Hantavirus nucleocapsid protein: a multifunctional molecule with both housekeeping and ambassadorial duties. Arch Virol 2005, 150: 1693-1713. 10.1007/s00705-005-0555-4View ArticlePubMedGoogle Scholar
- Wang H, Yoshimatsu K, Ebihara H, Ogino M, Araki K, Kariwa H: Genetic diversity of hantaviruses isolated in China andcharacterization of novel hantaviruses isolated from Niviventer confucianus and Rattus rattus . Virology 2000, 278: 332-345. 10.1006/viro.2000.0630View ArticlePubMedGoogle Scholar
- LeDuc JW, Smith GA, Childs JE, Pinheiro FP, Maiztegui JI, Niklasson B, Antoniades A, Robinson DM, Khin M, Shortridge KF, Wooster MT, Elwell MR, Ilbery PLT, Koech D, Rosa EST, Rosen L: Global survey of antibody to Hantaan-related viruses among peridomestic rodents. Bull WHO 1986, 64: 139-144.PubMed CentralPubMedGoogle Scholar
- Nitatpattana N, Henrich T, Palabodeewat S, Tangkanakul W, Poonsuksombat D, Chauvancy G, Barbazan P, Yoksan S, Gonzalez JP: Hantaan virus antibody prevalence in rodent populations of several provinces of north-eastern Thailand. Trop Med Int Health 2002, 7: 1-6. 10.1046/j.1365-3156.2002.00830.xView ArticleGoogle Scholar
- Tantivanich S, Ayuthaya PI, Usawattanakul W, Imphand P: Hantaanvirus among urban rats from a slum area in Bangkok. Southeast Asian J Trop Med Public Health 1992, 23: 504-509.PubMedGoogle Scholar
- Klempa B, Fichet-Calvet E, Lecompte E, Auste B, Aniskin V, Meisel H, Denys C, Koivogui L, ter Meulen J, Krüger DH: Hantavirus in African Wood Mouse, Guinea. Emerging Infectious Diseases 2006, 12: 838-840.PubMed CentralView ArticlePubMedGoogle Scholar
- Pattamadilok S, Lee B-H, Kumperasart S, Yoshimatsu K, Okumura M, Nakamura I, Araki K, Khopraser Y, Dangsupa P, Panlar P, Jandrig B, Krüger DH, Klempa B, Jäkel T, Schmidt J, Ulrich R, Kariwa H, Arikawa J: Geographical distribution of hantaviruses in Thailand and potential human health significance of Thailand virus . Amer J Trop Med Hyg 2006, in press.Google Scholar
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