The outbreak of monkeypox in 2022, which affected numerous countries located in both endemic and non-endemic zones, has sparked a tremendous amount of interest on a global scale. The monkeypox virus (MPXV) is a double-stranded DNA virus that is closely related to the Vaccinia and cowpox viruses. The core of its structure is typically dumbbell-shaped and ranges in size from 200 to 250 nm. It is a member of the Poxviridae family, subfamily Chordopoxvirinae, and the genus "Orthopoxvirus". Viruses such as the Vaccinia virus, Cowpox virus, Camelpox virus, Rabbitpox virus, Horsepox virus, Ectromelia virus, and Variola virus are all members of the genus Orthopoxvirus[1].
A pathogenic virus that had been overlooked for quite some time was found in cynomolgus monkeys in 1959 as they were being transported from Singapore to Denmark. Squirrels, rodents, mice, monkeys, dogs, and people have all contracted infections [2]. But, the very first case of monkeypox in the history of mankind was identified in 1970 in the Basankusu Territory of the Democratic Republic of the Congo, which is located in Central Africa. This case included a new-born who had not been vaccinated and was only nine months old
[3]. Two genetically different clades have been recognized. The first is the West African clade, while the second is the Central African clade, which inhabits the Congo basin [4]. In the last half-century, there have been isolated cases, most frequently in countries located in Africa. Multiple thousands of individual cases have been documented to date. Due to tourism and the importation or exportation of livestock carrying the virus, there have been sporadic instances and minor breakouts of the virus in areas where it is not usually found [5]. Theoretically, the monkeypox virus and other zoonotic poxviruses could slowly take over the role that the highly related variola virus used to play in the binomial niche. The mortality rate from monkeypox infections has traditionally ranged from 1–10%, with the majority of victims being children [36]. Although the symptoms of monkeypox are similar to those of smallpox, its contagiousness and severity of sickness are less severe. Monkeypox virus has become the most significant orthopoxvirus exhibiting persistent infection in various life forms since smallpox was eradicated in 1980 and the vaccinations were later stopped for smallpox [6]. In rural regions close to tropical rainforests, nations in west and central Africa have recorded occasional occurrences of monkeypox. The onset of monkeypox was identified in the United States in 2003, this was the first occasion that monkeypox in people was found off the perimeter of Africa. The infection has traditionally been found in central and western Africa, but in recent times, cases of human-to-human and contagious diseases have occurred, making monkeypox another possible global hazard while the world continues to deal with the fallout from the spread of COVID [7].
In the UK, monkeypox is declared a "High Consequence Infectious Disease" (HCID), and people suffering are administered peculiarly concerned treatments [36]. The European Center for Disease Prevention and Control announces that as of July 22, 2022, around 18 thousand infections of monkeypox have been reported across the globe, notably in France, Germany, India, Spain, the United States of America, and the United Kingdom. This assures the recurrence of monkeypox. Considering monkeypox's rapid proliferation and its presence in more than 70 locations, it seems like the infection has already been spreading at elevated levels, which have eluded detection by monitoring systems until now [8]. Because overseas travel is being linked to the disease's transmission and because the number of cases is rising slowly around the world, precautions need to be taken to avoid a recurrence of past errors, and enhanced inspections of foreign travellers are required to stop further pandemics. In the past two decades, the likelihood of this happening has increased as a result of several factors, including rising human migration, expanding human populations, intrusion on animal reservoir ecosystems, and an increased level of global connectivity.
Due to the virus's pathogenicity to cause disease, the virus first enters the lymph nodes and thereafter spreads to other organs, causing a wide range of symptoms such as swollen lymph nodes, flu, and the development of lesions that manifest first in the oropharynx and progress to other portions of the skin, including that of the palms and soles [1]. The onset of symptoms associated with monkeypox typically occurs within three weeks of infection with the virus. If an individual experiences flu-like conditions, one to four days later they will typically get a rash that can at first resemble acne or blisters, which lasts for the next two to four weeks. While curing, the rash goes through several stages, including scabs, and it may appear on or close to the genitalia and other places, including the feet, chest, and face. It is contagious from the time the first symptoms show up until the rash is completely gone, all scabs have dropped off, and a new layer of skin has grown. The complications include microbial contagion, hypopigmentation or hyperpigmentation of perpetual scars on the skin; scarring of the cornea; pneumonia, sepsis, and morbidity [9].
Several observational studies have shown that getting a smallpox vaccine helps prevent monkeypox about 85% of the time. In 2019, a vaccine against monkeypox based on a modified attenuated vaccinia virus (Ankara strain) was approved. This immunization must be in two separate doses, and access to it is still limited. Vaccines against smallpox and monkeypox are typically created using compositions that are dependent on the vaccinia virus. This is due to the fact that orthopoxviruses provide cross-protection [10]. A30L is an envelope protein present in monkeypox viruses which is responsible for virus that into a host and also for cell-cell fusion (a conserved cellular structure formed by the multiple cell fusions of mononuclear cells) and is analogous to the Vaccinia virus variant Copenhagen A28L [11]. It is being eyed as a prime research and development target in the monkeypox virus vaccine development field.
Scientists worldwide should improve their understanding of this pox virus, including its prophylactic measures, medication diagnosis, and the fundamentals of infection control, to understand the significant ramifications of the current outbreak, given the rising case statistics observed in the outbreak. In the current research, an immunoinformatics-based strategy was intended to be used in order to create a multi-epitope against monkeypox.