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Biological Mechanisms and Risk Assessment of Reverse Zoonosis Between Humans and Pets: A Comprehensive Review from a One Health Perspective (Review)

인간-반려동물 간 역인수공통감염의 생물학적 기전과 위험 평가: One Health 관점의 종합적 고찰(총설)

  • Yeonji Ra (National Institute of Animal Science) ;
  • Dayun Lee (National Institute of Animal Science) ;
  • Sung-Jin Lee (Department of Applied Animal Science, College of Animal Life Sciences, Kangwon National University)
  • 라연지 (국립축산과학원) ;
  • 이다윤 (국립축산과학원) ;
  • 이성진 (강원대학교 동물생명과학대학 동물응용과학과 )
  • Received : 2026.01.26
  • Accepted : 2026.03.09
  • Published : 2026.03.31

Abstract

Despite the shared living environments between humans and pets, the interspecies transmission of most infectious diseases is restricted by complex biological barriers, such as pathogen-host coevolution, species-specific receptors, and distinct differences in immune systems. However, since the SARS-CoV-2 (COVID-19) pandemic, the frequent reporting of reverse zoonotic transmission-the spillover of pathogens from humans to companion animals-revealss the limitations of traditional concepts regarding the species barrier. This review provides a systematic analysis of the biological mechanisms of the species barrier, focusing on pathogen host-adaptation, receptor-binding specificity, and differences in innate and adaptive immune responses. Furthermore, it reclassifies confirmed cases of reverse zoonosis in major companion animals, including dogs and cats, within a risk assessment framework based on specific infection stages. By conceptualizing human-companion animal infection not as isolated incidents but as events occurring along a biological continuum, this study emphasizes the necessity for integrated surveillance and response strategies from a One Health perspective. This approach is expected to mitigate unnecessary social anxiety, prevent the emergence of novel variants at an early stage, and contribute to the establishment of a comprehensive management system for infectious diseases that encompasses both public and animal health.

인간과 반려동물은 동일한 생활 환경을 공유함에도 불구하고, 대부분의 감염병은 병원체-숙주 공동 진화, 종 특이적 수용체, 면역 체계 차이에 의해 종 간 전파가 제한되어 왔다. 그러나 SARS-CoV-2(COVID-19) 팬데믹 이후 인간에서 반려동물로 병원체가 전파되는 역인수공통감염(reverse zoonosis) 사례가 다수 보고되며 기존 종 장벽 개념의 한계가 드러났다. 본 리뷰는 병원체의 숙주 적응 기전, 수용체 결합 특이성, 선천 및 적응 면역 반응 차이를 중심으로 종 장벽의 생물학적 기전을 체계적으로 고찰하고, 개·고양이 등 주요 반려동물에서 확인된 역인수공통감염 사례를 감염 단계별 위험 평가 틀로 재분류하였다. 또한 인간-반려동물 간 감염을 단절된 사건이 아닌 생물학적 연속선상에서 이해함으로써, One Health 관점의 통합적 감시·대응 전략의 필요성을 제시하였다. 이러한 접근은 불필요한 사회적 불안을 완화하는 동시에 신종 변이 출현 가능성을 조기에 차단하고, 공중보건과 동물보건을 아우르는 감염병 관리 체계 구축에 기여할 것으로 기대된다.

Keywords

References

  1. Alexandersen, S., Chamings, A. and Bhatta, T. R. 2020. SARS-CoV-2 genomic and subgenomic RNAs in diagnostic samples are not an indicator of active replication. Nat. Commun. 11:6059. https://doi.org/10.1038/s41467-020-19883-7
  2. Amorim, J. H., Martins, J. S., de Oliveira, J. S., Ribeiro, M. S., de Souza, W. M., de Morais, B. R., de Oliveira, R. N., de Oliveira, D. B., Slhessarenko, R. D., Soldi, G. O., Barbosa, P. P., da Costa, V. G., de Lima, C. M., de Souza, F. G., de Oliveira, L. C., de Souza, R. V., da Costa, J. S., da Silva, J. B., de Abreu, A. L. and de Oliveira, T. S. 2023. Molecular detection and characterization of SARS-CoV-2 in cats and dogs of positive owners during the first COVID-19 wave in Brazil. Sci. Rep. 13:41285.
  3. Bae, D.-Y., Oh, J.-K., Kim, W.-I., Park, C.-K., Na, K.-J. and Choi, H.-S. 2023. Evidence of exposure to SARS-CoV-2 in dogs and cats from households and animal shelters in Korea. Animals. 12(20):2786. https://doi.org/10.3390/ani12202786
  4. Bae, D. -Y., Oh, J. -K., Kim, W. -I., Park, C. -K., Na, K. -J. and Choi, H. -S. 2023. Human-to-animal transmission of SARS-CoV-2, Seoul, South Korea, 2021. Emerg. Infect. Dis. 29(5). https://doi.org/10.3201/eid2905.221359
  5. Bonilla-Aldana, D. K., Dhama, K. and Rodriguez-Morales, A. J. 2020. Importance of the One Health approach to study the SARS-CoV-2 in Latin America. Lancet Infect. Dis. 20(7):763.
  6. Boost, M. V. and O'Donoghue, M. M. 2010. Pet animals as reservoirs for spreading methicillin-resistant Staphylococcus aureus to human health. Clin. Microbiol. Rev. 23(3):640-660.
  7. Boost, M. V., O'Donoghue, M. M. and James, A. 2008. Prevalence of Staphylococcus aureus carriage among dogs and their owners. Epidemiol. Infect. 136(7):953-964. https://doi.org/10.1017/S0950268807009326
  8. Bullard, J., Dust, K., Funk, D., Strong, J. E., Alexander, D., Garnett, L., Boodman, C., Bello, A., Hodgert, A., Poliquin, G., Kanitkar, K. and 2 others. 2020. Predicting infectious SARS-CoV-2 from diagnostic samples. Clin. Infect. Dis. 71(10):2663-2666. https://doi.org/10.1093/cid/ciaa638
  9. CDC (Centers for Disease Control and Prevention), United States Department of Agriculture (USDA) and Department of the Interior (DOI). 2025. National One Health Framework to Address Zoonotic Diseases and Advance Public Health Preparedness in the United States (2025-2029). U.S. Govt. Printing Office. Washington, D.C., U.S.A.
  10. Decaro, N., Vaccari, G., Lorusso, A., De Sabato, L., Patterson, E. I., Di Bartolo, I., Marcari, V., Colaianni, M. L., Elia, G., Cavalli, A. and Buonavoglia, C. 2021. SARS-CoV-2 infection in dogs and cats: Facts and speculations. Front. Vet. Sci. 8:619207.
  11. Destoumieux-Garzón, D., Mavingui, P., Boetsch, G., Boissier, J., Darriet, F., Duboz, P., Fritsch, C., Giraudoux, P., Le Roux, F. and Morand, S. 2018. The One Health concept: 10 years old and a long road ahead. Front. Vet. Sci. 5:14. https://doi.org/10.3389/fvets.2018.00014
  12. Erwin, P. C., Bemis, D. A., Mawhelney, S. K., McGreevy, B. A., Hamilton, S. B., Ley, S. B. and Patton, S. 2004. Mycobacterium tuberculosis transmission from human to canine. Emerg. Infect. Dis. 10(12):2258-2260. https://doi.org/10.3201/eid1012.040094
  13. FAO (Food and Agriculture Organization of the United Nations). 2025. Zoonoses and One Health. FAO. Rome, Italy.
  14. Halfmann, P. J., Hatta, M., Chiba, S., Maemura, T., Fan, S., Itoh, Y., Imai, M. and Kawaoka, Y. 2020. Transmission of SARS-CoV-2 in domestic cats. N. Engl. J. Med. 383:592-594. https://doi.org/10.1056/NEJMc2013400
  15. Hoffmann, M., Kleine-Weber, H., Schroeder, S., Krüger, N., Herrler, T., Erichsen, S., Schiergens, T. S., Herrler, G., Wu, N. H., Nitsche, A., Mül er, M. A., Drosten, C. and Pöhlmann, S. 2020. SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2. Cell. 181(2):271-280. https://doi.org/10.1016/j.cell.2020.02.052
  16. Iwasaki, A. and Medzhitov, R. 2015. Control of adaptive immunity by the innate immune system. Nat. Immunol. 16(4):343-353. https://doi.org/10.1038/ni.3123
  17. Jefferson, T., Spencer, E. A., Brassey, J. and Heneghan, C. 2020. Viral cultures for coronavirus disease 2019 infectivity assessment: A systematic revlew. Clin. Infect. Dis. 73(11):e3884-e3899. https://doi.org/10.1093/cid/ciaa1764
  18. Korea Disease Control and Prevention Agency. 2025. 2025 Guidelines for Zoonoses Management. KDCA. Cheongju, Korea.
  19. La Scola, B., Le Bideau, M., Andreani, J., Hoang, V. T., Grimaldier, C., Colson, P., Gautret, P. and Raoult, D. 2020. Viral RNA load as determined by cell culture. Clin. Microbiol. Infect. 26(8):1066-1070.
  20. Loeffler, A. and Lloyd, D. H. 2010. Companion animals: a reservoir for methicillin-resistant Staphylococcus aureus in the community? Epidemiol. Infect. 138(5):595-605. https://doi.org/10.1017/S0950268809991476
  21. Longdon, B., Brockhurst, M. A., Russell, C. A., Welch, J. J. and Jiggins, F. M. 2014. The evolution and genetics of virus host shifts. PLoS Pathog. 10(11):e1004395. https://doi.org/10.1371/journal.ppat.1004395
  22. Mentula, S., Karkamo, V., Skrzypczak, T., Heinonen, M., Jalava, J., Ruotsalainen, E., Koivula, T. and Rantala, M. 2020. Emerging source of infection-Mycobacterium tuberculosis in rescue dogs: a case report. Access Microbiol. 2(11):acni000168. https://doi.org/10.1099/acmi.0.000168
  23. Olea-Popelka, C., Muwonge, A., Perera, A., Hofmeister, A.S., Abrahams-Meyer, R., et al. 2017. Zoonotic tuberculosis in human beings caused by Mycobacterium bovis - a call for action Lancet Infect. Dis. 17(1):e21-e25. https://doi.org/10.1016/S1473-3099(16)30139-6
  24. Parrish, C. R., Holmes, E. C., Morens, D. M., Park, E. C., Burke, D. S., Calisher, C. H., Laughlin, C. A., Saif, L. J. and Daszak, P. 2008. Cross-species virus transmission and the emergence of new epidemic diseases. Microbiol. Mol. Biol. Rev. 72(3):457-470. https://doi.org/10.1128/MMBR.00004-08
  25. Patterson, E. I., Elia, G., Grassi, A., Giordano, A., Desario, C., Medardo, M., Smith, S. L. Anderson, E. R., Prince, T., Patterson, G. T., Lorusso, A., Luciani, M., De Sabato, L. Vaccari, G. and Terregino, C. 2020. Evidence of exposure to SARS-CoV-2 in cats and dogs from households in Italy. Nat. Commun. 11:6231. https://doi.org/10.1101/2020.07.21.214346
  26. Rabozzi, G., Bonizzi, L.. Crespi, E., Somaruga, C., Sokooti, M., Tabibi, R., Behzadnia, A. Colosio, C. and Brambilla, G. 2012. Emerging zoonoses: The "One Health approach". Saf. Health Work. 3(1):77-83. https://doi.org/10.5491/SHAW.2012.3.1.77
  27. Shi, J., Wen, Z., Zhong, G., Yang, H., Wang, C., Huang, B., Liu, R., He, X., Shuai, L., Sun, Z., Zhao, Y., Liu, P., Liang, L., Cui, P., Wang, J.. Zhang, X., Guan, Y., Tan, W., Wu, G., Chen, H. and Bu, Z. 2020. Susceptibility of ferrets, cats, dogs, and other domesticated animals to SARS-COV-2. Science. 368(6494) 1016-1020. https://doi.org/10.1126/science.abb7015
  28. Sit, T. H. C., Brackman, C. J., Ip, S. M, Tam, K. W. S., Barrs, V. R., Kan, R. A. T., Hodges, E. C., Anderson, N. W., Higgins, D. L., Pantin-Jackwood, M. J., Dressel, S., Cassan, M., Garcia-Sastre, A., Poon, L. L. M. and Peiris, M. 2020. Infection of dogs with SARS-CoV-2. Nature. 586:776-778. https://doi.org/10.1038/s41586-020-2334-5
  29. van Duijkeren, E., Wolfhagen, M. J., Box, A. T., Heck, M. E. O., Wannet, W. J. and Fluit, A. C. 2004. Human-to-dog transmission of methicillin-resistant Staphylococcus aureus. Emerg. Infect. Dis. 10(12):2235-2237. https://doi.org/10.3201/eid1012.040387
  30. Wang, L., Mitchell, N. W., Berkley, A. S., Gagne, R. B., Boyko, A. R., Cholak, A., Duhamel, G. E., Goodrich, E. L., Kornreich, B., Ledbetter, E., Parrish, C. R. and Whittaker, G. R. 2020. Review of human-animal interactions and transmission of SARS-CoV-2. J. Med. Virol. 92(10):1889-1895.
  31. Weese, J. S., Dick, H., Willey, B. M., McGeer, A., Kreiswirth, B. N., Innis, B. and Low, D. E. 2006. Suspected transmission of methicillin-resistant Staphylococcus aureus between domestic pets and humans in veterinary clinics and in the household. Vet. Microbiol. 115(1-3):148-155. https://doi.org/10.1016/j.vetmic.2006.01.004
  32. Wölfel, R., Corman, V. M., Guggemos, W., Seilmaier, M., Zange, S., Müller, M. A., Niemeyer, D., Jones, T. C., Vollmar, P., Rothe, C., Hoelscher, M., Bleicker, T., Brünink, S., Schneider, J., Ehmann, R., Zwirglmaier, K., Drosten, C. and Wendtner, C. 2020. Virological assessment of hospitalized patients with COVID-2019. Nature. 581:465-469. https://doi.org/10.1038/s41586-020-2196-x
  33. WHO (World Health Organization) Food and Agriculture Organization of the United Nations, and World Organisation for Animal Health. 2019. Taking a Multisectoral, One Health Approach: A Tripartite Guide to Addressing Zoonotic Diseases in Countries. WHO. Geneva, Switzerland.
  34. WHO (World Health Organization). 2020a. Global tuberculosis report. WHO. Geneva, Switzerland.
  35. WHO (World Health Organization). 2020b. Managing epidemics: Key facts about major deadly diseases 2020. WHO. Geneva, Switzerland.
  36. WHO (World Health Organization). 2025. Strengthening global health security at the human-animal interface. WHO. Geneva, Switzerland.
  37. Woolhouse, M. E. J., Haydon, D. T. and Antia, R. 2005. Emerging pathogens: The epidemiology and evolution of species jumps. Trends Ecol. Evol. 20(5):238-244. https://doi.org/10.1016/j.tree.2005.02.009
  38. Zhou, P., Yang, X.-L., Wang, X.-G., Hu, B., Zhang, L. Zhang, W., Si, H.-R., Zhu, Y., Li, B., Huang, C.-L., Chen, H.-D., Chen, J., Luo, Y., Guo, H., Jiang, R. DD., Liu, M. Q., Chen, Y., Shen, X.-R., Wang X., Zheng, X.-S., Zhao, K., Chen, Q.-J., Deng, F., Liu, L.-L., Yan, B., Zhan, F.-X., Wang Y.-Y., Xiao, G.-F. and Shi, Z.-L. 2020. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 579:270-273. https://doi.org/10.1038/s41586-020-2012-7