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Advances and challenges in the prevention, control and research of echinococcosis in China 中国棘球蚴病防治与研究进展与挑战
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100041
Hongrang Zhou , Xiaoling Wang , Shuai Han , Ning Xiao
Echinococcosis is a group of chronic zoonotic parasitic diseases caused by the larval stage of Echinococcus tapeworms, which infect both humans and animals. Due to the complex life cycle, broad geographic distribution and wide range of host species of Echinococcus, controlling and eliminating echinococcosis remains highly challenging. Source control and the interruption of transmission pathways are critical but difficult, which always impede prevention and control efforts. Therefore, accurate detection, differentiation, diagnosis, and effective treatment, along with real-time monitoring of infections across various hosts, are essential prerequisites. This paper provides a comprehensive review of the current epidemiological status of echinococcosis, research progress, prevention and control measures, and the main challenges in efforts from control toward elimination of the disease in China, with the aim of providing reference for further optimization of present control strategies and surveillance methods.
棘球蚴病是由绦虫棘球绦虫幼虫期引起的一组慢性人畜共患寄生虫病,可感染人类和动物。由于棘球蚴复杂的生命周期、广泛的地理分布和广泛的寄主种类,控制和消除棘球蚴病仍然具有很高的挑战性。源头控制和传播途径的中断是关键但困难的,这总是阻碍预防和控制工作。因此,准确的检测、鉴别、诊断和有效的治疗,以及实时监测各种宿主的感染,是必不可少的先决条件。本文综述了中国棘球蚴病的流行病学现状、研究进展、预防和控制措施以及从控制到消除棘球蚴病面临的主要挑战,旨在为进一步优化现有的控制策略和监测方法提供参考。
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引用次数: 0
Response to Chikungunya fever in China: are we ready? 中国应对基孔肯雅热:我们准备好了吗?
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100058
Xiaohong Zhou , Xiang Guo , Xiaoguang Chen
Chikungunya fever (CHIK) is caused by the Chikungunya virus (CHIKV), a mosquito-borne RNA virus of the Alphavirus genus (family Togaviridae). CHIK has been imported and caused several local epidemic in China in recent years. This article describes the epidemiology of CHIK, and proposes the interventions as a response to this emerging infectious disease in China.
基孔肯雅热(CHIK)是由基孔肯雅病毒(CHIKV)引起的,基孔肯雅病毒是一种由蚊子传播的甲病毒属RNA病毒(托加病毒科)。近年来,中国发生了多起输入性疫情。本文介绍了CHIK的流行病学,并提出了应对这一新兴传染病的干预措施。
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引用次数: 0
NMCR-6, a novel nonmobile colistin resistance gene in Vibrio bacteria: full characterization and global perspective 一种新的弧菌非移动粘菌素耐药基因NMCR-6:全面表征和全球视角
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100060
Xinkun Zhu , Junyang Ma , Renge Hu , Qing Yang , Lei Yang , Shu Li , Yuanhuan Kang , Zhenlin Liang , Hany M. Elsheikha , Wei Cong

Objective

Amid rising bacterial resistance, polymyxins are a critical last resort against multidrug-resistant Gram-negative infections. Understanding and predicting the emergence of novel, nonmobile colistin resistance (NMCR) genes are essential to preserving their efficacy and preventing potential resistance crises.

Methods

Following the discovery of a high-level polymyxin B-resistant Vibrio harveyi strain WHSS0915, which exhibited antimicrobial resistance, we characterized the chromosomally encoded polymyxin-resistance protein NMCR-6 (WHSS0915). Through BLASTP searches against the Pan-Vibrio protein database, we identified the chromosomal eptA in Vibrio species as a NMCR (NMCR-6). We then investigated its global epidemiology and the potential determinants contributing to the spread of NMCR-6-bearing Vibrio strains.

Results

We identified and characterized the NMCR-6 protein in the V. harveyi strain WHSS0915. BLASTP searches based on the protein sequence revealed 14 158 sequences with over 60% homology to NMCR-6. Thirteen subtypes, named NMCR-6.1 to NMCR-6.13 according to the year of their earliest publication were classified. Phylogenetic analyses showed NMCR-6 variants form a distinctive branch among other mobile colistin resistance (MCR)/NMCR proteins. Statistical analysis of pathogenic Vibrio hosts carrying NMCR-6 revealed a broad distribution across different sample sources, detecting it in 7 clinically significant Vibrio species, notably V. parahaemolyticus. A global geographical analysis of NMCR-6 Vibrio hosts suggested that coastal extent, latitude, and temperature influence the distribution of NMCR-6 harboring Vibrio hosts.

Conclusion

Our research defined and evaluated the global epidemiology of NMCR-6 in Vibrio species, revealing the dissemination of resistance genes within pathogenic Vibrio and the associated public health risks. This knowledge will aid in predicting the emergence of new mobile colistin resistance genes.
目的在细菌耐药性上升的情况下,多粘菌素是对抗多重耐药革兰氏阴性感染的关键手段。了解和预测新型非移动粘菌素耐药(NMCR)基因的出现对于保持其有效性和预防潜在的耐药危机至关重要。方法在发现高水平耐多粘菌素b的哈维弧菌菌株WHSS0915后,对其染色体编码的耐多粘菌素蛋白NMCR-6 (WHSS0915)进行了鉴定。通过对Pan-Vibrio蛋白数据库的BLASTP搜索,我们鉴定出弧菌种的染色体eptA为NMCR (NMCR-6)。然后,我们调查了其全球流行病学和影响携带nmcr -6的弧菌菌株传播的潜在决定因素。结果在哈维氏菌WHSS0915中鉴定并鉴定了NMCR-6蛋白。基于蛋白质序列的BLASTP搜索显示,与NMCR-6同源性超过60%的序列为14 158个。13个亚型,根据其最早出版的年份命名为NMCR-6.1至NMCR-6.13。系统发育分析表明,NMCR-6变体在其他移动粘菌素抗性(MCR)/NMCR蛋白中形成了一个独特的分支。对携带NMCR-6的致病性弧菌宿主的统计分析显示,NMCR-6在不同样品来源的广泛分布,在7种临床意义显著的弧菌中检测到NMCR-6,其中以副溶血性弧菌最为明显。对NMCR-6弧菌宿主的全球地理分析表明,沿海范围、纬度和温度影响着NMCR-6弧菌宿主的分布。结论本研究明确并评估了NMCR-6在弧菌种群中的全球流行病学,揭示了致病性弧菌中耐药基因的传播及其相关的公共卫生风险。这一知识将有助于预测新的移动粘菌素耐药基因的出现。
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引用次数: 0
Revolutionizing infectious disease surveillance: Multi-omics technologies and AI-driven integration 传染病监测革命:多组学技术和人工智能驱动的整合
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100061
R. Aswini, B. Saranya, K. Gayathri, E. Karthikeyan
The integration of advanced technologies, including next-generation sequencing, multiomics approaches, and artificial intelligence (AI), has revolutionized pathogen surveillance and preparedness. Multiomics technologies provide detailed information about how pathogens work and interact with hosts. However, the integration of diverse omics data poses bioinformatics challenges related to data heterogeneity, dimensionality, and standardization. AI is crucial for solving problems, predicting outbreaks in advance, accurately forecasting how diseases spread, and identifying new pathogen changes. Using AI in conjunction with omics and epidemiological information simplifies activities that include the identification of biomarkers, the classification of individuals, and individual treatments. The use of genomic surveillance monitoring of tuberculosis (TB) and foodborne outbreaks and AI to predict the spread of COVID-19, detect variants, and develop vaccines with the help of multiomics technologies may be considered successful. Nevertheless, the current adoption of AI-based services in public health is characterized by issues of data quality, the presence of bias in the algorithmic system, the unit of explainability, and even ethical implications. Increased preparedness for pandemics at the global level requires collaboration networks, the sharing of open data, the protection of privacy, and the adoption of One Health approaches. The increasing development of multiomics approaches and AI-based techniques and their combination has great potential to transform infectious disease surveillance and response during the precision public health era.
包括下一代测序、多组学方法和人工智能(AI)在内的先进技术的整合,已经彻底改变了病原体的监测和防范。多组学技术提供了病原体如何工作和与宿主相互作用的详细信息。然而,不同组学数据的整合带来了与数据异质性、维度和标准化相关的生物信息学挑战。人工智能对于解决问题、提前预测疫情、准确预测疾病传播方式以及识别新的病原体变化至关重要。将人工智能与组学和流行病学信息结合使用可以简化包括生物标志物识别、个体分类和个体治疗在内的活动。利用基因组监测监测结核病和食源性疫情以及人工智能来预测COVID-19的传播、检测变异以及在多组学技术的帮助下开发疫苗,可能被认为是成功的。然而,目前在公共卫生领域采用基于人工智能的服务的特点是数据质量问题、算法系统中存在偏见、可解释性单位,甚至伦理影响。在全球一级加强对大流行的防范需要协作网络、共享开放数据、保护隐私和采用“同一个健康”方法。在精准公共卫生时代,多组学方法和基于人工智能的技术及其结合的日益发展具有巨大的潜力来改变传染病监测和应对。
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
The Alongshan virus: A comprehensive review of its pathogenic characteristics, epidemiology, and detection strategies 阿隆山病毒:其病原特征、流行病学和检测策略的综合综述
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100045
Sunjie Yang , Zedong Wang , Ruixin Guo , Yong Qi
Alongshan virus (ALSV) is an emerging tick-borne segmented RNA virus belonging to the Flaviviridae family, first identified in Northeastern China in 2017. ALSV is currently classified within the Jingmenvirus group, which includes other segmented flavi-like viruses. Since its discovery, ALSV has been detected in various regions, including China, Russia, and several European countries, highlighting its expanding geographic distribution. This review summarizes the latest research progress on ALSV, focusing on its pathogenic characteristics, pathogenicity, epidemiological features, and detection methods. ALSV exhibits a segmented genome, unique structural and nonstructural proteins, and potential neurotropism, with clinical symptoms resembling other tick-borne diseases. Detection methods, including nucleic acid detection and high-throughput sequencing, have advanced ALSV research, though challenges remain in standardization and clinical application. Understanding ALSV's ecological characteristics, transmission mechanisms, and public health impact is crucial for developing effective prevention and control strategies. This review provides valuable insights for healthcare institutions and policymakers to mitigate ALSV's risks.
阿隆山病毒(ALSV)是一种新兴的蜱传分节RNA病毒,属于黄病毒科,于2017年在中国东北首次发现。ALSV目前被归类为Jingmenvirus组,其中包括其他分段黄样病毒。自发现以来,ALSV已在包括中国、俄罗斯和几个欧洲国家在内的多个地区被检测到,突出了其不断扩大的地理分布。本文综述了ALSV的病原学特征、致病性、流行病学特征和检测方法等方面的最新研究进展。ALSV具有片段基因组、独特的结构蛋白和非结构蛋白以及潜在的嗜神经性,其临床症状与其他蜱传疾病相似。检测方法,包括核酸检测和高通量测序,推动了ALSV的研究,尽管在标准化和临床应用方面仍存在挑战。了解ALSV的生态特征、传播机制和公共卫生影响对制定有效的预防和控制策略至关重要。本综述为医疗机构和政策制定者减轻ALSV风险提供了有价值的见解。
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引用次数: 0
Rabies in Africa: Vaccination coverage and strategies for elimination by 2030 非洲狂犬病:疫苗接种覆盖率和到2030年消除狂犬病的战略
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100047
Abdullahi Tunde Aborode , Oche Joseph Otorkpa , Omobolaji Omokorede Ayeseni , Sedoten Oluwaseun Ogun , Chibuzor Stella Amadi , Sharmistha Roy , Abdulhakeem Abayomi Olorukooba , Kenechukwu Obumneme Samuel Nwosu , Oluwafunto Adepeju Aladekomo , Barakat Olajumoke Kolawole , Tolulope Tiwa Ogundipe , Seto Charles Ogunleye , Segun Olapade , Bakare-Abidola Taiwo , Isreal Ayobami Onifade
Rabies remains a significant public health threat in Africa, and disproportionately impacts vulnerable populations to cause thousands of deaths annually. Rabies is a preventable disease and control efforts include a global target of rabies elimination by 2030. But, challenges impede this goal, such as limited access to vaccines, insufficient public awareness, and weak healthcare infrastructure. This review evaluates the barriers to vaccination coverage, including logistical constraints in vaccine delivery, high costs, and the lack of sustained funding. Additionally, the review discusses innovative strategies and best practices for rabies control, such as community-based education programs, and the integration of One Health approaches. This study synthesizes current evidence, to emphasize the urgent need for coordinated efforts, increased investment, and policy reforms to achieve sustainable rabies elimination in Africa.
狂犬病在非洲仍然是一个重大的公共卫生威胁,对脆弱人群的影响不成比例,每年造成数千人死亡。狂犬病是一种可预防的疾病,控制工作包括到2030年消除狂犬病的全球目标。但是,各种挑战阻碍了这一目标的实现,例如疫苗获取有限、公众意识不足以及卫生保健基础设施薄弱。本综述评估了疫苗接种覆盖的障碍,包括疫苗交付的后勤限制、高成本和缺乏持续资金。此外,本报告还讨论了狂犬病控制的创新战略和最佳做法,如基于社区的教育规划和“同一个健康”方法的整合。本研究综合了目前的证据,强调迫切需要协调努力,增加投资和政策改革,以实现非洲可持续的狂犬病消除。
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引用次数: 0
Genome-wide identification of characteristic nucleotide fragments for surveillance and subtype typing of influenza A viruses 用于甲型流感病毒监测和亚型分型的特征核苷酸片段全基因组鉴定
Pub Date : 2025-01-01 DOI: 10.1016/j.dcit.2025.100056
Jingze Liu , Xu Zhang , Shicheng Li , Xiao Ding

Objective

Influenza A viruses, members of the Orthomyxoviridae family, are major causative agents of past flu pandemics and can infect a wide range of hosts depending on their hemagglutinin (HA) and neuraminidase (NA) gene combinations. This study aimed to identify genome-wide characteristic nucleotide fragments for rapid detection and subtype typing of influenza A viruses from large-scale genomic data.

Methods

Complete influenza genome sequences were analyzed to identify candidate characteristic fragments specific to influenza A viruses. The fragments were evaluated based on conservation probability, coverage, and specificity across different viral species, subtypes, and hosts. High-coverage fragments were selected for further analysis. Multiplex PCR primers were then designed based on the selected fragments, and their predictive performance was assessed via in silico PCR.

Results

Characteristic fragments from the M gene (20–40 bp) distinguished influenza A viruses with >92 % coverage and >99 % specificity. Forty-four fragments from the HA gene were identified across 26 subtypes, indicating the HA gene's utility for subtype differentiation. Regarding host specificity, canine-derived strains contained unique 20–40 bp fragments, the avian-specific fragment was 20 bp, and no such fragments were detected in other hosts. The designed primers achieved >98 % predicted accuracy for universal detection (M gene) and for H1N1- and H3N2-specific subtypes.

Conclusion

Genome-wide screening of influenza A virus sequences identified highly conserved and subtype-specific nucleotide fragments that enable rapid detection and precise subtyping. These findings provide a valuable resource for molecular surveillance and diagnostic assay development.
甲型流感病毒是正黏液病毒科的成员,是过去流感大流行的主要病原体,可通过其血凝素(HA)和神经氨酸酶(NA)基因组合感染广泛的宿主。本研究旨在从大规模基因组数据中鉴定全基因组特征核苷酸片段,用于甲型流感病毒的快速检测和亚型分型。方法对流感病毒全基因组序列进行分析,鉴定甲型流感病毒特异性候选特征片段。根据不同病毒种类、亚型和宿主的保护概率、覆盖范围和特异性对这些片段进行评估。选择高覆盖率的片段进行进一步分析。然后根据选择的片段设计多重PCR引物,并通过硅质PCR评估其预测性能。结果M基因特征片段(20 ~ 40 bp)可区分甲型流感病毒,覆盖率为92%,特异性为99%。从26个亚型中鉴定出44个HA基因片段,表明HA基因在亚型分化中的效用。在宿主特异性方面,犬源菌株含有20 - 40 bp的独特片段,禽源菌株含有20 bp的独特片段,而在其他宿主中未检测到此类片段。设计的引物在通用检测(M基因)和H1N1-和h3n2特异性亚型中达到98%的预测准确率。结论甲型流感病毒序列的全基因组筛选鉴定出高度保守和亚型特异性的核苷酸片段,可实现快速检测和精确分型。这些发现为分子监测和诊断分析的发展提供了宝贵的资源。
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
期刊
Decoding Infection and Transmission
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