The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps

Abstract Foot-and-mouth disease (FMD) continues to be one of the most important diseases of livestock globally based upon both biological features and regulatory aspects. Few pathogens have had comparable impact on global livestock production and regulation of international trade in animal-derived p...

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Main Authors: Carolina Stenfeldt, Michael Eschbaumer, John Humphreys, Gisselle N. Medina, Jonathan Arzt
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Veterinary Research
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Online Access:https://doi.org/10.1186/s13567-025-01545-5
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author Carolina Stenfeldt
Michael Eschbaumer
John Humphreys
Gisselle N. Medina
Jonathan Arzt
author_facet Carolina Stenfeldt
Michael Eschbaumer
John Humphreys
Gisselle N. Medina
Jonathan Arzt
author_sort Carolina Stenfeldt
collection DOAJ
description Abstract Foot-and-mouth disease (FMD) continues to be one of the most important diseases of livestock globally based upon both biological features and regulatory aspects. Few pathogens have had comparable impact on global livestock production and regulation of international trade in animal-derived products. The pathogenesis (interaction between pathogen and host) is central to the importance of the disease ranging from how the causal pathogen, FMD virus (FMDV), transmits between hosts and is maintained in populations. Key accomplishments over the last decade include description of the primary sites of infection in domestic species, delineating critical differences in temporo-anatomic progression in different host species and emphasizing that knowledge gained regarding FMDV pathogenesis in one host cannot necessarily be extrapolated and applied to a different host. Host responses to infection and viral genomics have been characterized with ever-increasing granularity. Yet, the numerous knowledge gaps that remain in understanding FMDV pathogenesis impede advancements in FMD control and eradication. For instance, it remains unclear if long-term asymptomatic FMDV carriers are biologically relevant (contagious) and the manner in which host genomics and transcriptomics affect pathogenesis during different phases of infection. The characterization of neoteric subclinical infection as a disease stage that is distinct from the persistent “FMDV carrier state” has emphasized the importance of sample collection from clinically unaffected animals for FMDV surveillance. Similarly, incorporating a phase of pre-clinical infectiousness in simulation modeling can dramatically improve prediction of FMD outbreaks in non-endemic regions. The outcome of FMDV infection with regards to viral persistence differs between host species as well as between individuals of the same species. Yet, we lack a satisfactory explanation of the host factors that drive the FMDV carrier state divergence. This review was based upon a gap-analysis workshop organized by the Global Foot-and-Mouth Disease Research Alliance (GFRA) in Buenos Aires, Argentina, in December of 2022. The purpose of this work is to summarize the current understanding of the distinct compartments of FMD pathogenesis with an emphasis on progress made within the last decade and present the critical knowledge gaps that continue to limit FMD control and eradication.
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spelling doaj-art-ac232add0835496fab56e24d78ed1fbe2025-08-20T02:10:38ZengBMCVeterinary Research1297-97162025-06-0156112510.1186/s13567-025-01545-5The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gapsCarolina Stenfeldt0Michael Eschbaumer1John Humphreys2Gisselle N. Medina3Jonathan Arzt4Foreign Animal Disease Research Unit, U.S. Department of Agriculture-Agricultural Research Service, Plum Island Animal Disease CenterInstitute of Diagnostic Virology, Friedrich-Loeffler-InstitutForeign Animal Disease Research Unit, U.S. Department of Agriculture-Agricultural Research Service, National Bio-and Agro Defense FacilityForeign Animal Disease Research Unit, U.S. Department of Agriculture-Agricultural Research Service, Plum Island Animal Disease CenterForeign Animal Disease Research Unit, U.S. Department of Agriculture-Agricultural Research Service, Plum Island Animal Disease CenterAbstract Foot-and-mouth disease (FMD) continues to be one of the most important diseases of livestock globally based upon both biological features and regulatory aspects. Few pathogens have had comparable impact on global livestock production and regulation of international trade in animal-derived products. The pathogenesis (interaction between pathogen and host) is central to the importance of the disease ranging from how the causal pathogen, FMD virus (FMDV), transmits between hosts and is maintained in populations. Key accomplishments over the last decade include description of the primary sites of infection in domestic species, delineating critical differences in temporo-anatomic progression in different host species and emphasizing that knowledge gained regarding FMDV pathogenesis in one host cannot necessarily be extrapolated and applied to a different host. Host responses to infection and viral genomics have been characterized with ever-increasing granularity. Yet, the numerous knowledge gaps that remain in understanding FMDV pathogenesis impede advancements in FMD control and eradication. For instance, it remains unclear if long-term asymptomatic FMDV carriers are biologically relevant (contagious) and the manner in which host genomics and transcriptomics affect pathogenesis during different phases of infection. The characterization of neoteric subclinical infection as a disease stage that is distinct from the persistent “FMDV carrier state” has emphasized the importance of sample collection from clinically unaffected animals for FMDV surveillance. Similarly, incorporating a phase of pre-clinical infectiousness in simulation modeling can dramatically improve prediction of FMD outbreaks in non-endemic regions. The outcome of FMDV infection with regards to viral persistence differs between host species as well as between individuals of the same species. Yet, we lack a satisfactory explanation of the host factors that drive the FMDV carrier state divergence. This review was based upon a gap-analysis workshop organized by the Global Foot-and-Mouth Disease Research Alliance (GFRA) in Buenos Aires, Argentina, in December of 2022. The purpose of this work is to summarize the current understanding of the distinct compartments of FMD pathogenesis with an emphasis on progress made within the last decade and present the critical knowledge gaps that continue to limit FMD control and eradication.https://doi.org/10.1186/s13567-025-01545-5Foot-and-mouth diseaseFMDVFMDpathogenesisviral infectionvirus
spellingShingle Carolina Stenfeldt
Michael Eschbaumer
John Humphreys
Gisselle N. Medina
Jonathan Arzt
The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps
Veterinary Research
Foot-and-mouth disease
FMDV
FMD
pathogenesis
viral infection
virus
title The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps
title_full The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps
title_fullStr The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps
title_full_unstemmed The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps
title_short The pathogenesis of foot-and-mouth disease virus: current understandings and knowledge gaps
title_sort pathogenesis of foot and mouth disease virus current understandings and knowledge gaps
topic Foot-and-mouth disease
FMDV
FMD
pathogenesis
viral infection
virus
url https://doi.org/10.1186/s13567-025-01545-5
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