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2000
Volume 21, Issue 5
  • ISSN: 1573-398X
  • E-ISSN: 1875-6387

Abstract

HMPV represents a major cause of respiratory illness particularly among vulnerable populations, first discovered in 2001 by Dutch researchers. Retrospective studies have revealed its silent circulation since the 1950s, with genetic evidence suggesting an ancestral link to avian metapneumovirus (AMPV) through a zoonotic transmission event. HMPV is a member of the Paramyxoviridae family and is genetically stable, with two primary lineages, A and B, circulating globally. It is a common cause of seasonal respiratory infections, particularly affecting infants, the elderly, and immunocompromised individuals, often leading to bronchiolitis, pneumonia, and hospitalization. The virus peaks in late winter and early spring, imposing a significant public health and economic burden. Current management involves supportive care, with no approved vaccines or antiviral treatments available. However, promising advancements in vaccine development and monoclonal antibody research provide hope for future prevention and therapeutic strategies. Increased surveillance, public health awareness, and continued research are essential for controlling HMPV's impact.

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2025-06-24
2026-01-09
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References

  1. ParameshwariP. AkondiB.R. MallammaT. GowdaJ. Human metapneumovirus: A call for awareness.Asian J. Pharma. Res. Health Care202416433934310.4103/ajprhc.ajprhc_7_25
    [Google Scholar]
  2. IragamreddyV. Human metapneumovirus (HMPV): A comprehensive review of its impact on pediatric and general populations.Inter. J. Multidiscipl. Res.2025711710.36948/ijfmr.2025.v07i01.34972
    [Google Scholar]
  3. JesseS.T. LudlowM. OsterhausA.D.M.E. Zoonotic origins of human metapneumovirus: A journey from birds to humans.Viruses202214467710.3390/v1404067735458407
    [Google Scholar]
  4. SchusterJ.E. WilliamsJ.V. Human metapneumovirus.Pediatr. Rev.2013341255856510.1542/pir.34.12.55824295817
    [Google Scholar]
  5. DevanathanN. PhilomenadinF.S. PanachikuthG. JayagandanS. RamamurthyN. RatchagadasseV.R. ChandrasekaranV. DhodapkarR. Emerging lineages A2.2.1 and A2.2.2 of human metapneumovirus (hMPV) in pediatric respiratory infections: Insights from India.IJID Reg.20251410048610.1016/j.ijregi.2024.10048639717865
    [Google Scholar]
  6. KinderJ.T. KlimyteE.M. ChangA. WilliamsJ.V. DutchR.E. Human metapneumovirus fusion protein triggering: Increasing complexities by analysis of new HMPV fusion proteins.Virology201953124825410.1016/j.virol.2019.03.00330946995
    [Google Scholar]
  7. ArnottA VongS SekM NaughtinM BeautéJ RithS Genetic variability of human metapneumovirus amongst an all ages population in Cambodia between 2007 and 2009.Infect. Genet. Evol.201315435210.1016/j.meegid.2011.01.016
    [Google Scholar]
  8. SchildgenV. van den HoogenB. FouchierR. TrippR.A. AlvarezR. ManohaC. WilliamsJ. SchildgenO. Human metapneumovirus: Lessons learned over the first decade.Clin. Microbiol. Rev.201124473475410.1128/CMR.00015‑1121976607
    [Google Scholar]
  9. AlfanoF. BigoniT. CaggianoF.P. PapiA. Respiratory syncytial virus infection in older adults: An update.Drugs Aging202441648750510.1007/s40266‑024‑01118‑938713299
    [Google Scholar]
  10. BianchiniS. SilvestriE. ArgentieroA. FainardiV. PisiG. EspositoS. Role of respiratory syncytial virus in pediatric pneumonia.Microorganisms2020812204810.3390/microorganisms812204833371276
    [Google Scholar]
  11. BarbierA.J. JiangA.Y. ZhangP. WoosterR. AndersonD.G. The clinical progress of mRNA vaccines and immunotherapies.Nat. Biotechnol.202240684085410.1038/s41587‑022‑01294‑235534554
    [Google Scholar]
  12. WangY.S. KumariM. ChenG.H. HongM.H. YuanJ.P.Y. TsaiJ.L. WuH.C. mRNA-based vaccines and therapeutics: An in-depth survey of current and upcoming clinical applications.J. Biomed. Sci.20233018410.1186/s12929‑023‑00977‑537805495
    [Google Scholar]
  13. BoivinG. SerresG.D. HamelinM.E. CôtéS. ArgouinM. TremblayG. Maranda-AubutR. SauvageauC. OuakkiM. BoulianneN. CoutureC. An outbreak of severe respiratory tract infection due to human metapneumovirus in a long-term care facility.Clin. Infect. Dis.20074491152115810.1086/51320417407031
    [Google Scholar]
  14. YangC.F. WangC.K. TollefsonS.J. PiyaratnaR. LintaoL.D. ChuM. LiemA. MarkM. SpaeteR.R. CroweJ.E.Jr WilliamsJ.V. Genetic diversity and evolution of human metapneumovirus fusion protein over twenty years.Virol. J.20096113810.1186/1743‑422X‑6‑13819740442
    [Google Scholar]
  15. RennerM. PaesenG.C. GrisonC.M. GranierS. GrimesJ.M. LeyratC. Structural dissection of human metapneumovirus phosphoprotein using small angle X-ray scattering.Sci. Rep.2017711486510.1038/s41598‑017‑14448‑z29093501
    [Google Scholar]
  16. CoxR. WilliamsJ. Breaking in: Human metapneumovirus fusion and entry.Viruses20135119221010.3390/v501019223325326
    [Google Scholar]
  17. PandaS. MohakudN.K. PenaL. KumarS. Human metapneumovirus: Review of an important respiratory pathogen.Int. J. Infect. Dis.201425455210.1016/j.ijid.2014.03.139424841931
    [Google Scholar]
  18. VermaA SulaimanA JindalH PatelV JaiswalU ParakhT Rising threat of human metapneumovirus (HMPV) infections.Clin. Infect. Pract.202418
    [Google Scholar]
  19. VeroneseA. UršičT. Bizjak VojinovičS. BerlotRJ. Exploring clinical predictors of severe human metapneumovirus respiratory tract infections in children: Insights from a recent outbreak.Microorganisms202412464110.3390/microorganisms1204064138674586
    [Google Scholar]
  20. WaghmodeR. JadhavS. NemaV. The burden of respiratory viruses and their prevalence in different geographical regions of india: 1970–2020.Front. Microbiol.20211272385010.3389/fmicb.2021.72385034531842
    [Google Scholar]
  21. HaasL. ThijsenS. Van EldenL. HeemstraK. Human metapneumovirus in adults.Viruses2013518711010.3390/v501008723299785
    [Google Scholar]
  22. BastienN. WardD. Van CaeseeleP. BrandtK. LeeS.H.S. McNabbG. KliskoB. ChanE. LiY. Human metapneumovirus infection in the Canadian population.J. Clin. Microbiol.200341104642464610.1128/JCM.41.10.4642‑4646.200314532196
    [Google Scholar]
  23. DropulicL.K. LedermanH.M. Overview of infections in the immunocompromised host.Microbiol. Spectr.2016444.4.4310.1128/microbiolspec.DMIH2‑0026‑201627726779
    [Google Scholar]
  24. RamamurthyM. KannangaiR. AbrahamA.M. SridharanG. Viral infections in immunocompromised hosts.Proc. Natl. Acad. Sci., India, Sect. B Biol. Sci.20128219510910.1007/s40011‑011‑0008‑7
    [Google Scholar]
  25. PapenburgJ. BoivinG. The distinguishing features of human metapneumovirus and respiratory syncytial virus.Rev. Med. Virol.201020424526010.1002/rmv.65120586081
    [Google Scholar]
  26. KulkarniD. CongB. RanjiniM.J.K. BalchandaniG. ChenS. LiangJ. González GordonL. Sobanjo-ter MeulenA. WangX. LiY. Osei-YeboahR. TempletonK. NairH. The global burden of human metapneumovirus-associated acute respiratory infections in older adults: A systematic review and meta-analysis.Lancet Healthy Longev.20256210067910.1016/j.lanhl.2024.10067939954700
    [Google Scholar]
  27. KuangL. XuT. WangC. XieJ. ZhangY. GuoM. LiangZ. ZhuB. Changes in the epidemiological patterns of respiratory syncytial virus and human metapneumovirus infection among pediatric patients and their correlation with severe cases: A long-term retrospective study.Front. Cell. Infect. Microbiol.202414143529410.3389/fcimb.2024.143529439286815
    [Google Scholar]
  28. BakkersM.J.G. RitschelT. TiemessenM. DijkmanJ. ZuffianòA.A. YuX. van OverveldD. LeL. VoorzaatR. van HaarenM.M. de ManM. TamaraS. van der FitsL. ZahnR. JuraszekJ. LangedijkJ.P.M. Efficacious human metapneumovirus vaccine based on AI-guided engineering of a closed prefusion trimer.Nat. Commun.2024151627010.1038/s41467‑024‑50659‑539054318
    [Google Scholar]
  29. PapazisisG. TopalidouX. GioulaG. GonzálezP.A. BuenoS.M. KalergisA.M. Respiratory syncytial virus vaccines: Analysis of pre-marketing clinical trials for immunogenicity in the population over 50 years of age.Vaccines202412435310.3390/vaccines1204035338675736
    [Google Scholar]
  30. SchusterJ.E. CoxR.G. HastingsA.K. BoydK.L. WadiaJ. ChenZ. BurtonD.R. WilliamsonR.A. WilliamsJ.V. A broadly neutralizing human monoclonal antibody exhibits in vivo efficacy against both human metapneumovirus and respiratory syncytial virus.J. Infect. Dis.2015211221622510.1093/infdis/jiu30724864121
    [Google Scholar]
  31. RappazzoC.G. HsiehC.L. RushS.A. EstermanE.S. DelgadoT. GeogheganJ.C. WecA.Z. SakharkarM. MásV. McLellanJ.S. WalkerL.M. Potently neutralizing and protective anti-human metapneumovirus antibodies target diverse sites on the fusion glycoprotein.Immunity202255917101724.e810.1016/j.immuni.2022.07.00335944529
    [Google Scholar]
  32. Márquez-EscobarV.A. Current developments and prospects on human metapneumovirus vaccines.Expert Rev. Vaccines201716541943110.1080/14760584.2017.128322328116910
    [Google Scholar]
  33. FatimaM. ParkP.G. HongK.J. Clinical advancements in mRNA vaccines against viral infections.Clin. Immunol.202527111042410.1016/j.clim.2024.11042439734036
    [Google Scholar]
  34. Fausther-BovendoH. HamelinM.E. CarbonneauJ. VenableM.C. CheckmahomedL. LavoieP.O. OuelletM.È. BoivinG. D’AoustM.A. KobingerG.P. A candidate therapeutic monoclonal antibody inhibits both hrsv and hmpv replication in mice.Biomedicines20221010251610.3390/biomedicines1010251636289776
    [Google Scholar]
  35. MokhtaryP. PourhashemZ. MehriziA.A. SalaC. RappuoliR. Recent progress in the discovery and development of monoclonal antibodies against viral infections.Biomedicines2022108186110.3390/biomedicines1008186136009408
    [Google Scholar]
  36. PelfreneE. MuraM. SanchesA. CavaleriM. Monoclonal antibodies as anti-infective products: A promising future?Clin. Microbiol. Infect.20182529715552
    [Google Scholar]
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