Sandfly-borne Toscana virus (TOSV) is an enveloped tri-segmented negative single-strand RNA . It is an emerging virus predominantly endemic in southwestern Europe and Northern Africa. Although TOSV infection is typically asymptomatic or results in mild febrile disease, it is neurovirulent and ranks among the three most common causes of summer meningitis in certain regions. Despite this clinical significance, our understanding of the molecular aspects and host factors regulating infection is limited. This study characterized the early steps of TOSV infection. Our findings reveal that two members of the Numb-associated kinases family of Ser/Thr kinases, namely adaptor-associated kinase 1 (AAK1) and cyclin G-associated kinase (GAK), play a role in regulating the early stages of TOSV entry. FDA-approved inhibitors targeting these kinases demonstrated significant inhibition of TOSV infection. This study suggests that AAK1 and GAK represent druggable targets for inhibiting TOSV infection and, potentially, related .

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11285224PMC
http://dx.doi.org/10.1080/22221751.2024.2382237DOI Listing

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Toscana virus: A comprehensive review of 1381 cases showing an emerging threat in the Mediterranean regions.

J Infect

January 2025

Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), France; Laboratoire des Infections Virales Aigues et Tropicales, Pole des Maladies Infectieuses, AP-HM Hopitaux Universitaires de Marseille, France; Le Service de Prévention du Risque Infectieux (LESPRI), CLIN AP-HM Hôpitaux Universitaires de Marseille, France. Electronic address:

Background: Toscana virus (TOSV) is a sand fly-borne phlebovirus causing central nervous system (CNS) infection in Mediterranean countries, during summer season. However, clinical aspects of the disease caused by this virus are poorly known by clinicians, so that its prevalence is probably underestimated due to a lack of diagnosis.

Study Design: The data was gathered from all available case series and retrospective studies identifying TOSV as the causative viral agent.

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BackgroundToscana virus (TOSV) is transmitted to humans through bites of infected sand flies. Neuroinvasive TOSV infections are leading causes of meningitis/encephalitis in southern Europe and notifiable in Italy since 2016. In 2022-23, Italy experienced extreme climate anomalies and a concomitant increase in mosquito and tick-borne disease transmission.

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Article Synopsis
  • Eight phleboviruses transmitted by sandflies have been identified in North Africa, with an infection rate of 0.02-0.6% among the virus-carrying sandfly species.
  • Seroprevalence studies show low rates of Toscana virus (TOSV) in dogs from Algeria and Tunisia, while Sandfly Fever Sicilian virus (SFSV) and Punique virus (PUNV) have higher rates in Tunisia.
  • Among humans, TOSV and SFSV are the most prevalent, with TOSV confirmed in Algeria and Tunisia, while other phleboviruses have been detected to a lesser extent, indicating a need for further research into their epidemiology.
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Toscana virus - an emerging Mediterranean arbovirus transmitted by sand flies.

J Gen Virol

November 2024

Skin Research Centre, York Biomedical Research Institute, Hull York Medical School, University of York, York, UK.

Toscana virus (TOSV) is an emerging arthropod-borne virus (arbovirus) of medical importance that is increasing its range across much of the Mediterranean Basin, Europe and the Middle East. Transmitted by spp. sand flies, it is the most clinically relevant sand fly-borne phlebovirus.

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Toscana virus (TOSV) is a leading cause of summer viral meningitis in Southern Europe (Central Italy, south of France, Spain and Portugal) and can cause severe neurological cases. Within the Mediterranean basin, it is transmitted by hematophagous sand flies belonging to the Phlebotomus genus. Despite the identification of the primary TOSV vectors, the viral developmental cycle in vector species remains largely unknown.

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