Pathogenic Potential of Filoviruses: Role of Geographic Origin of Primate Host and Virus Strain

African filoviruses have caused outbreaks of fulminating hemorrhagic feveramong humans. In 1989, related filoviruses were isolated from cynomolgus monkeys imported into the United States from the Philippines. The pathogenic potential of these new filoviruses was compared in 16 Asian monkeys (Macaca fascicularis—cynomolgus) and 16 African monkeys (Cercopithecus aethiops—African green) using African filoviruses from Zaire (Ebola virus) and Sudan or Asian filoviruses (Reston and Pennsylvania). African filovirus infections resulted in earlier death (P = .005), had a shorter duration of disease and median incubation period (3–4 vs. 7 days), and had earlier peak viremia (5–7 vs. 7–9 days). African green monkeys showed significantly higher survival than cynomolgusmonkeys (P < .01), and some were asymptomatic as have been humans accidentally infected with Asian filovirus. Rechallenge experiments showed that protection in survivors of filovirus infections against fatal challenge with Ebola (Zaire) virus is unpredictable. The minimal clinical disease observed in humans infected with the Reston strain is consistent with host- and virus-dependent pathogenicity.