RT Journal Article SR Electronic T1 Oropharyngeal mucosal transmission of Zika virus in rhesus macaques JF bioRxiv FD Cold Spring Harbor Laboratory SP 107128 DO 10.1101/107128 A1 Christina M. Newman A1 Dawn M. Dudley A1 Matthew T. Aliota A1 Andrea M. Weiler A1 Gabrielle L. Barry A1 Mariel S. Mohns A1 Meghan E. Breitbach A1 Laurel M. Stewart A1 Connor R. Buechler A1 Michael E. Graham A1 Jennifer Post A1 Nancy Schultz-Darken A1 Eric Peterson A1 Wendy Newton A1 Emma L. Mohr A1 Saverio Capuano III A1 David H. O’Connor A1 Thomas C. Friedrich YR 2017 UL http://biorxiv.org/content/early/2017/02/08/107128.abstract AB Zika virus (ZIKV) is present in urine, saliva, tears, and breast milk, but the transmission risk associated with these body fluids is currently unknown. We evaluated the risk of ZIKV transmission through mucosal contact in rhesus macaques. Application of high-dose ZIKV directly to the tonsils of 3 rhesus macaques resulted in detectable plasma viremia in all animals by 2 days post-exposure; virus replication kinetics were similar to those observed in animals infected subcutaneously. Three additional macaques inoculated subcutaneously with ZIKV served as saliva donors to assess the transmission risk from contact with oral secretions from an infected individual. Seven naive animals repeatedly exposed to donor saliva via the conjunctivae, tonsils, or nostrils did not become infected. Our results suggest that there is a risk of ZIKV transmission via the mucosal route, but that the risk posed by oral secretions from individuals with a typical course of ZIKV infection is low.