Assessing the Evidence Supporting Fruit Bats as the Primary Reservoirs for Ebola Viruses
"The discovery of viral RNA in 13 specimens of Epomops
franqueti, Hypsignathus monstrosus, and Myonycteris torquata
collected during the EVD outbreak investigations in
Gabon, 2003, entrenched fruit bats as the likely reservoir.
However, the virus itself could not be isolated from these
samples and despite an intensive search, it has not been
possible to generate viral sequences from bats captured
since.
Rather, there was a
shift in the proportion of PCR- and seropositive individuals
over a 5-month period: viral prevalence in Mbomo
soon after onset of the outbreak was 22.6%, and no bats
exhibited antibodies. Five months later, viral prevalence
declined to 2.2%, and antibody prevalence had increased to
7.5%. Thus, fruit bats at the beginning of the outbreak
seemed not to have had previous EBOV exposure and
appeared being able to clear infections (Leroy et al. 2005)."
No fruit bat hunter has been reported as index-case, despite
widespread hunting across Africa (Mickleburgh et al. 2009;
Kamins et al. 2011)
The only proposed epidemiological
link between fruit bats and an outbreak relies on limited
evidence from the Luebo-2007 outbreak (Leroy et al. 2009);
it was suggested that the first person to succumb to EVD (a
4-year-old child) was infected via sweat by her father, who
had bought fruit bat meat from the local market and was
presumed to be the index-case. The father did not fall ill or
show typical signs of EVD, nor were any of the hunters or
villagers involved in the annual 3-week mass-hunting and
butchering of migrating fruit bats among the first to succumb
to the virus. While evidence of asymptomatic
infections is mounting, individuals are currently only presumed
infectious when symptomatic (Leroy et al. 2000;
Becquart et al. 2010; Schoepp et al. 2014). Whether zoonotic
transmission resulted from fruit bat bushmeat purchased
by the father or via the exposure of the 4-year-old
child to an alternative zoonotic source remains unclear. It
was not possible to isolate EBOV from any wildlife in the
region, although a second human outbreak occurred 1 year
later, and high genetic similarity between EBOV strains
from these human outbreaks suggests the virus had persisted
undetected in local wildlife between outbreaks rather
than in migrating fruit bats (Grard et al. 2011).
The only proposed epidemiological
link between fruit bats and an outbreak relies on limited
evidence from the Luebo-2007 outbreak (Leroy et al. 2009);
it was suggested that the first person to succumb to EVD (a
4-year-old child) was infected via sweat by her father, who
had bought fruit bat meat from the local market and was
presumed to be the index-case. The father did not fall ill or
show typical signs of EVD, nor were any of the hunters or
villagers involved in the annual 3-week mass-hunting and
butchering of migrating fruit bats among the first to succumb
to the virus. While evidence of asymptomatic
infections is mounting, individuals are currently only presumed
infectious when symptomatic (Leroy et al. 2000;
Becquart et al. 2010; Schoepp et al. 2014). Whether zoonotic
transmission resulted from fruit bat bushmeat purchased
by the father or via the exposure of the 4-year-old
child to an alternative zoonotic source remains unclear. It
was not possible to isolate EBOV from any wildlife in the
region, although a second human outbreak occurred 1 year
later, and high genetic similarity between EBOV strains
from these human outbreaks suggests the virus had persisted
undetected in local wildlife between outbreaks rather
than in migrating fruit bats (Grard et al. 2011).
Evidence for a filovirus–fruit bat link is stronger for Marburg
virus (MARV), although knowledge gaps regarding
the full host range and circulation also remain for this fi-
lovirus (Swanepoel et al. 2007; Towner et al. 2009; Amman
et al. 2012; Paweska et al. 2015; reviewed in Olival and
Hayman 2014). Virological studies focused on R. aegyptiacus
inhabiting East African caves where MARV outbreaks
occurred, found live, healthy specimens of R. aegyptiacus to
be MARV PCR and seropositive. Population PCR prevalence
up to 13.3% was recorded and in contrast to EBOV,
live MARV was isolated from wild bat spleens and livers
(Towner et al. 2009; Amman et al. 2014). However, virus
was not detected in feces or urine collected from infected
specimens or the cave floor (Amman et al. 2012). Laboratory
experimental subcutaneous infection of R. aegyptiacus
identified a number of PCR-positive tissues including
salivary glands in asymptomatic bats and viral loads detected
in oral and rectal swabs are consistent with biting as
a mode of bat–bat transmission (Amman et al. 2015; Paweska
et al. 2015). However, the period during which the
virus could be isolated was limited to a few days, and no
transmission from the infected specimens to naıve, incontact
conspecifics could be induced.
Collectively, these
results indicate that insectivorous bats are involved in
EBOV ecology and possibly an EBOV source for humans.
Aspects of insectivorous bat ecology may be informative for
predicting future EVD outbreaks.
Interestingly, such a complex viral ecology
would not be without precedent. Other zoonotic viruses
indeed exist, which are able to infect multiple, phylogenetically
distant hosts (e.g., lymphocytic choriomeningitis virus
in domestic mice and hamsters; Albarin˜o et al. 2010),
including some primary reservoirs of which are bats (e.g.,
SARS and MERS coronaviruses in bats and small carnivores
and bats and camels, respectively; Chan et al. 2015).
Despite valiant efforts and large-scale sampling of an
impressive number of taxa, followed by a decade of more
targeted sampling of fruit bats following the discovery of
viral RNA in a number of species (Leroy et al. 2005), the
evidence for a fruit bat reservoir is still far from decisive. Bats
are evidently involved in EBOV ecology and may represent
the best place to begin studying EBOV circulation. However,
it remains possible that bats are intermediate hosts occasionally
exposed via another intermediate host or unknown
reservoir. Viral emergence might be more related to environmental
factors and other hosts than bats themselves. The
combination of ecological factors determining the occurrence
of outbreaks has not been identified (Pigott et al.
2014), and there is little agreement on if and how movement
of EBOV occurs between the large distances observed between
outbreaks (Leroy et al. 2004; Walsh et al. 2005; Biek
et al. 2006; Wittmann et al. 2007).