The Flavivirus Life Cycle
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Vertebrate Host and Arthropod Vector
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For a successful life cycle, flaviviruses must be able to live and replicate in both the vertebrate host and the blood-sucking arthropod vector, specifically mosquitoes and ticks. Only female mosquitoes transmit flaviviruses because only female mosquitoes need blood meals to produce progeny.
Transmission to Arthropod Vector
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An arthropod vector becomes infected with the virus after biting an infected vertebrate host, if the virus titer in the host's blood is high enough to transmit the virus.
Replication
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The virus infects the arthropod vector, replicating in the arthropod's gut. The virus then spreads to other organs and particularly the salivary glands.
Transmission to Vertebrate Host
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Once the virus is the salivary glands, the infected arthropod vector is able to transmit the virus to a vertebrate host. Humans are usually dead-end hosts because the virus is unable to replicate to create a high enough titer to re-infect the vector; the most successful hosts are monkeys, bats, birds and some domestic animals.
Treatment
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Successful treatment would require interfering with the viral life cycle. For flaviviruses, however, there are no specific antiviral treatments available, which is why West Nile virus is a public health concern.
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