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Sex Difference in Amebiasis. Amebias的性别差异。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-35139-6_8
Marco Er-Lukowiak, Charlotte Hansen, Hanna Lotter

Infection with the protozoan parasite Entamoeba histolytica is much more likely to cause severe, focal liver damage in males than females, although the infection rate is the same in both sexes. The differences in disease susceptibility may be due to modulation of key mechanisms of the innate immune response by sex hormones. Complement-mediated mechanisms and estrogen-dependent activated natural killer T cells lead to early elimination of the parasite in females, whereas a pathological immune axis is triggered in males. Testosterone, which is generally thought to have more immunosuppressive properties on cells of the immune response, leads to overwhelming activation of monocytes and host-dependent destruction of liver tissue in males resulting in worse outcomes.

感染原生动物寄生虫溶组织内阿米巴,男性比女性更容易造成严重的局灶性肝损伤,尽管男女的感染率相同。疾病易感性的差异可能是由于性激素对先天免疫反应的关键机制的调节。补体介导的机制和雌激素依赖性激活的自然杀伤T细胞导致雌性体内寄生虫的早期消除,而雄性体内则触发了病理性免疫轴。睾酮通常被认为对免疫反应细胞具有更多的免疫抑制特性,它会导致单核细胞的过度激活和雄性肝组织的宿主依赖性破坏,从而导致更糟糕的结果。
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引用次数: 0
Effects of Biological Sex and Pregnancy on SARS-CoV-2 Pathogenesis and Vaccine Outcomes. 生物学性别和妊娠对严重急性呼吸系统综合征冠状病毒2型发病机制和疫苗效果的影响。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-35139-6_4
Janna R Shapiro, Craig W Roberts, Kasandra Arcovio, Lisa Reade, Sabra L Klein, Santosh Dhakal

SARS-CoV-2 is the causative agent of COVID-19 in humans and has resulted in the death of millions of people worldwide. Similar numbers of infections have been documented in males and females; males, however, are more likely than females to be hospitalized, require intensive care unit, or die from COVID-19. The mechanisms that account for this are multi-factorial and are likely to include differential expression of ACE2 and TMPRSS2 molecules that are required for viral entry into hosts cells and sex differences in the immune response, which are due to modulation of cellular functions by sex hormones and differences in chromosomal gene expression. Furthermore, as comorbidities are also associated with poorer outcomes to SARS-CoV-2 infection and several comorbidities are overrepresented in males, these are also likely to contribute to the observed sex differences. Despite their relative better prognosis following infection with SARS-CoV-2, females do have poorer outcomes during pregnancy. This is likely to be due to pregnancy-induced changes in the immune system that adversely affect viral immunity and disruption of the renin-angiotensin system. Importantly, vaccination reduces the severity of disease in males and females, including pregnant females, and there is no evidence that vaccination has any adverse effects on the outcomes of pregnancy.

SARS-CoV-2是人类新冠肺炎的病原体,已导致全球数百万人死亡。男性和女性的感染人数相似;然而,男性比女性更有可能住院、需要重症监护室或死于新冠肺炎。造成这种情况的机制是多因素的,可能包括病毒进入宿主细胞所需的ACE2和TMPRSS2分子的差异表达,以及免疫反应中的性别差异,这是由于性激素对细胞功能的调节和染色体基因表达的差异。此外,由于合并症也与严重急性呼吸系统综合征冠状病毒2型感染的不良后果有关,而且一些合并症在男性中的比例过高,这些也可能导致观察到的性别差异。尽管感染严重急性呼吸系统综合征冠状病毒2型后的预后相对较好,但女性在怀孕期间的预后确实较差。这可能是由于妊娠引起的免疫系统变化对病毒免疫和肾素-血管紧张素系统的破坏产生了不利影响。重要的是,接种疫苗可以降低男性和女性(包括孕妇)的疾病严重程度,而且没有证据表明接种疫苗会对妊娠结局产生任何不利影响。
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引用次数: 1
Subversion of Programed Cell Death by Poxviruses. 痘病毒对程序性细胞死亡的颠覆
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2020_229
Heather S Koehler, Bertram L Jacobs

Poxviruses have been long regarded as potent inhibitors of apoptotic cell death. More recently, they have been shown to inhibit necroptotic cell death through two distinct strategies. These strategies involve either blocking virus sensing by the host pattern recognition receptor, ZBP1 (also called DAI) or by influencing receptor interacting protein kinase (RIPK)3 signal transduction by inhibition of activation of the executioner of necroptosis, mixed lineage kinase-like protein (MLKL). Vaccinia virus E3 specifically blocks ZBP1 → RIPK3 → MLKL necroptosis, leaving virus-infected cells susceptible to the TNF death-receptor signaling (e.g., TNFR1 → FADD → RIPK1 → RIPK3 → MLKL), and, potentially, TLR3 → TRIF → RIPK3 → MLKL necroptosis. While E3 restriction of necroptosis appears to be common to many poxviruses that infect vertebrate hosts, another modulatory strategy not observed in vaccinia or variola virus manifests through subversion of MLKL activation. Recently described viral mimics of MLKL in other chordopoxviruses inhibit all three modes of necroptotic cell death. As with inhibition of apoptosis, the evolution of potentially redundant viral mechanisms to inhibit programmed necroptotic cell death emphasizes the importance of this pathway in the arms race between pathogens and their hosts.

长期以来,痘病毒一直被认为是细胞凋亡的有效抑制剂。最近的研究表明,痘病毒通过两种不同的策略抑制坏死细胞的死亡。这些策略要么是阻断宿主模式识别受体 ZBP1(也称 DAI)对病毒的感应,要么是通过抑制坏死执行者混合系激酶样蛋白(MLKL)的活化来影响受体相互作用蛋白激酶(RIPK)3 的信号转导。Vaccinia 病毒 E3 能特异性阻断 ZBP1 → RIPK3 → MLKL 的坏死,使病毒感染细胞易受 TNF 死亡受体信号转导(如 TNFR1 → FADD → RIPK1 → RIPK3 → MLKL)的影响,并有可能阻断 TLR3 → TRIF → RIPK3 → MLKL 的坏死。虽然 E3 限制坏死似乎是许多感染脊椎动物宿主的痘病毒的共同特点,但在疫苗或水痘病毒中没有观察到的另一种调节策略是通过颠覆 MLKL 的激活来实现的。最近描述的其他脊索痘病毒中的 MLKL 病毒模拟物抑制了细胞坏死的所有三种模式。与抑制细胞凋亡一样,抑制程序性坏死细胞死亡的病毒机制也可能是多余的,这种进化强调了这一途径在病原体与其宿主之间军备竞赛中的重要性。
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引用次数: 0
Varicella Zoster Virus Neuronal Latency and Reactivation Modeled in Vitro. 水痘带状疱疹病毒神经元潜伏期和再激活的体外模型。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2021_244
Ronald S Goldstein, Paul R Kinchington

Latency and reactivation in neurons are critical aspects of VZV pathogenesis that have historically been difficult to investigate. Viral genomes are retained in many human ganglia after the primary infection, varicella; and about one-third of the naturally infected VZV seropositive population reactivates latent virus, which most often clinically manifests as herpes zoster (HZ or Shingles). HZ is frequently complicated by acute and chronic debilitating pain for which there remains a need for more effective treatment options. Understanding of the latent state is likely to be essential in the design of strategies to reduce reactivation. Experimentally addressing VZV latency has been difficult because of the strict human species specificity of VZV and the fact that until recently, experimental reactivation had not been achieved. We do not yet know the neuron subtypes that harbor latent genomes, whether all can potentially reactivate, what the drivers of VZV reactivation are, and how immunity interplays with the latent state to control reactivation. However, recent advances have enabled a picture of VZV latency to start to emerge. The first is the ability to detect the latent viral genome and its expression in human ganglionic tissues with extraordinary sensitivity. The second, the subject of this chapter, is the development of in vitro human neuron systems permitting the modeling of latent states that can be experimentally reactivated. This review will summarize recent advances of in vitro models of neuronal VZV latency and reactivation, the limitations of the current systems, and discuss outstanding questions and future directions regarding these processes using these and yet to be developed models. Results obtained from the in vitro models to date will also be discussed in light of the recent data gleaned from studies of VZV latency and gene expression learned from human cadaver ganglia, especially the discovery of VZV latency transcripts that seem to parallel the long-studied latency-associated transcripts of other neurotropic alphaherpesviruses.

神经元的潜伏期和再激活是VZV发病机制的关键方面,历史上一直难以研究。原发感染水痘后,病毒基因组保留在许多人类神经节中;大约三分之一的自然感染VZV血清阳性人群重新激活潜伏病毒,最常见的临床表现为带状疱疹(HZ或带状疱疹)。HZ经常并发急性和慢性衰弱性疼痛,因此仍然需要更有效的治疗方案。在设计减少再激活的策略时,对潜在状态的理解可能是必不可少的。通过实验解决VZV潜伏期一直很困难,因为VZV对人类具有严格的物种特异性,而且直到最近,实验再激活还没有实现。我们还不知道携带潜伏基因组的神经元亚型,是否所有的都可以潜在地重新激活,VZV重新激活的驱动因素是什么,以及免疫如何与潜伏状态相互作用以控制重新激活。然而,最近的进展已经使VZV延迟的图片开始出现。首先是能够以非凡的灵敏度检测潜伏病毒基因组及其在人类神经节组织中的表达。第二,本章的主题,是体外人类神经元系统的发展,允许对可以通过实验重新激活的潜在状态进行建模。本文将总结神经元VZV潜伏期和再激活的体外模型的最新进展,现有系统的局限性,并讨论使用这些模型和尚未开发的模型在这些过程中存在的突出问题和未来的方向。根据最近从人类尸体神经节中收集到的VZV潜伏期和基因表达的研究数据,特别是VZV潜伏期转录本的发现,也将讨论迄今为止从体外模型中获得的结果,这些转录本似乎与长期研究的其他嗜神经性α疱疹病毒潜伏期相关转录本相似。
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引用次数: 3
Bacterial Proteases in Helicobacter pylori Infections and Gastric Disease. 幽门螺旋杆菌感染和胃病中的细菌蛋白酶
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-47331-9_10
Silja Wessler, Gernot Posselt

Helicobacter pylori (H. pylori) proteases have become a major focus of research in recent years, because they not only have an important function in bacterial physiology, but also directly alter host cell functions. In this review, we summarize recent findings on extracellular H. pylori proteases that target host-derived substrates to facilitate bacterial pathogenesis. In particular, the secreted H. pylori collagenase (Hp0169), the metalloprotease Hp1012, or the serine protease High temperature requirement A (HtrA) are of great interest. Specifically, various host cell-derived substrates were identified for HtrA that directly interfere with the gastric epithelial barrier allowing full pathogenesis. In light of increasing antibiotic resistance, the development of inhibitory compounds for extracellular proteases as potential targets is an innovative field that offers alternatives to existing therapies.

幽门螺杆菌蛋白酶近年来已成为研究的一个重点,因为它们不仅在细菌生理方面具有重要功能,而且还能直接改变宿主细胞的功能。在这篇综述中,我们总结了最近关于细胞外幽门螺杆菌蛋白酶的研究成果,这些蛋白酶以宿主衍生的底物为靶标,促进细菌的致病作用。其中,分泌型幽门螺杆菌胶原酶(Hp0169)、金属蛋白酶 Hp1012 或丝氨酸蛋白酶高温要求 A(HtrA)尤其引人关注。具体而言,HtrA 的各种宿主细胞衍生底物已被确定,它们可直接干扰胃上皮屏障,从而全面致病。鉴于抗生素耐药性的增加,开发细胞外蛋白酶的抑制化合物作为潜在靶点是一个创新领域,为现有疗法提供了替代方案。
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引用次数: 0
Immune Biology and Persistence of Helicobacter pylori in Gastric Diseases. 幽门螺旋杆菌在胃病中的免疫生物学和持久性。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-47331-9_4
Sonja Fuchs, Ruolan Gong, Markus Gerhard, Raquel Mejías-Luque

Helicobacter pylori is a prevalent pathogen, which affects more than 40% of the global population. It colonizes the human stomach and persists in its host for several decades or even a lifetime, if left untreated. The persistent infection has been linked to various gastric diseases, including gastritis, peptic ulcers, and an increased risk for gastric cancer. H. pylori infection triggers a strong immune response directed against the bacterium associated with the infiltration of innate phagocytotic immune cells and the induction of a Th1/Th17 response. Even though certain immune cells seem to be capable of controlling the infection, the host is unable to eliminate the bacteria as H. pylori has developed remarkable immune evasion strategies. The bacterium avoids its killing through innate recognition mechanisms and manipulates gastric epithelial cells and immune cells to support its persistence. This chapter focuses on the innate and adaptive immune response induced by H. pylori infection, and immune evasion strategies employed by the bacterium to enable persistent infection.

幽门螺杆菌是一种普遍存在的病原体,影响着全球 40% 以上的人口。它在人类胃部定植,如果不及时治疗,会在宿主体内存活几十年,甚至终生。持续感染与各种胃病有关,包括胃炎、消化性溃疡和胃癌风险增加。幽门螺杆菌感染会引发针对该细菌的强烈免疫反应,与先天性吞噬免疫细胞的浸润和 Th1/Th17 反应的诱导有关。尽管某些免疫细胞似乎能够控制感染,但宿主无法消灭细菌,因为幽门螺杆菌已经开发出了非凡的免疫逃避策略。幽门螺杆菌通过先天识别机制避免被杀死,并操纵胃上皮细胞和免疫细胞支持其持续存在。本章重点介绍幽门螺杆菌感染引起的先天性和适应性免疫反应,以及该细菌为实现持续感染而采取的免疫逃避策略。
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引用次数: 0
Pathogenomics of Helicobacter pylori. 幽门螺旋杆菌的病原组学。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-47331-9_5
Yoshio Yamaoka, Batsaikhan Saruuljavkhlan, Ricky Indra Alfaray, Bodo Linz

The human stomach bacterium Helicobacter pylori, the causative agent of gastritis, ulcers and adenocarcinoma, possesses very high genetic diversity. H. pylori has been associated with anatomically modern humans since their origins over 100,000 years ago and has co-evolved with its human host ever since. Predominantly intrafamilial and local transmission, along with genetic isolation, genetic drift, and selection have facilitated the development of distinct bacterial populations that are characteristic for large geographical areas. H. pylori utilizes a large arsenal of virulence and colonization factors to mediate the interaction with its host. Those include various adhesins, the vacuolating cytotoxin VacA, urease, serine protease HtrA, the cytotoxin-associated genes pathogenicity island (cagPAI)-encoded type-IV secretion system and its effector protein CagA, all of which contribute to disease development. While many pathogenicity-related factors are present in all strains, some belong to the auxiliary genome and are associated with specific phylogeographic populations. H. pylori is naturally competent for DNA uptake and recombination, and its genome evolution is driven by extraordinarily high recombination and mutation rates that are by far exceeding those in other bacteria. Comparative genome analyses revealed that adaptation of H. pylori to individual hosts is associated with strong selection for particular protein variants that facilitate immune evasion, especially in surface-exposed and in secreted virulence factors. Recent studies identified single-nucleotide polymorphisms (SNPs) in H. pylori that are associated with the development of severe gastric disease, including gastric cancer. Here, we review the current knowledge about the pathogenomics of H. pylori.

幽门螺杆菌是胃炎、溃疡和腺癌的致病菌,具有极高的遗传多样性。幽门螺杆菌自 10 多万年前人类起源以来就与解剖学上的现代人类联系在一起,并与人类宿主共同进化。幽门螺杆菌主要在家庭内部和当地传播,加上基因隔离、基因漂移和选择,促进了具有大片地域特征的独特细菌种群的发展。幽门螺杆菌利用大量的毒力和定植因子与宿主相互作用。这些因子包括各种粘附素、空泡细胞毒素 VacA、尿素酶、丝氨酸蛋白酶 HtrA、细胞毒素相关基因致病性岛(cagPAI)编码的 IV 型分泌系统及其效应蛋白 CagA,所有这些因子都有助于疾病的发展。虽然许多致病性相关因子存在于所有菌株中,但有些属于辅助基因组,与特定的系统地理种群有关。幽门螺杆菌具有天然的 DNA 摄取和重组能力,其基因组进化的驱动力是极高的重组率和突变率,远远超过其他细菌。基因组比较分析表明,幽门螺杆菌对宿主的适应与对特定蛋白质变体的强烈选择有关,这些变体有利于免疫逃避,特别是在表面暴露和分泌的毒力因子中。最近的研究发现,幽门螺杆菌中的单核苷酸多态性(SNPs)与严重胃病(包括胃癌)的发生有关。在此,我们回顾了目前有关幽门螺杆菌病原组学的知识。
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引用次数: 0
Ecology of Lassa Virus. 拉沙病毒的生态学。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2020_231
Allison R Smither, Antoinette R Bell-Kareem

Individuals living in endemic hotspots of Lassa fever have recurrent exposure to Lassa virus (LASV) via spillover from the primary host reservoir Mastomys natalensis. Despite M. natalensis being broadly distributed across sub-Saharan Africa, Lassa fever is only found in West Africa. In recent years, new LASV reservoirs have been identified. Erudition of rodent habitats, reproduction and fecundity, movement patterns, and spatial preferences are essential to institute preventative measures against Lassa fever. Evolutionary insights have also added to our knowledge of closely related mammarenavirus distribution amongst rodents throughout the continent.

生活在拉沙热流行热点地区的人,会通过主要宿主储库 Mastomys natalensis 的外溢而反复接触拉沙病毒(LASV)。尽管M. natalensis广泛分布于撒哈拉以南非洲地区,但拉沙热却只出现在西非。近年来,又发现了新的拉沙热病毒储库。对啮齿动物的栖息地、繁殖和生殖能力、运动模式和空间偏好的研究对于制定拉沙热预防措施至关重要。对进化的深入了解也增加了我们对密切相关的哺乳动物病毒在整个非洲大陆啮齿动物中分布情况的了解。
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引用次数: 7
50 Years of Lassa Fever Research. 拉沙热研究50年。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2020_214
Robert F Garry

Lassa fever was first described as a clinical entity fifty years ago. The causative agent Lassa virus was isolated from these first known cases. This chapter reviews the key publications on Lassa fever research that appeared in the scientific literature at that time and over the ensuing decades.

50年前,拉沙热首次被描述为一种临床疾病。从这些首批已知病例中分离出了病原体拉沙病毒。本章回顾了当时和随后几十年科学文献中出现的关于拉沙热研究的主要出版物。
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引用次数: 3
Viral Fitness Landscapes Based on Self-organizing Maps. 基于自组织地图的病毒适应度景观。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-15640-3_2
M Soledad Delgado, Cecilio López-Galíndez, Federico Moran

The creation of fitness maps from viral populations especially in the case of RNA viruses, with high mutation rates producing quasispecies, is complex since the mutant spectrum is in a very high-dimensional space. In this work, a new approach is presented using a class of neural networks, Self-Organized Maps (SOM), to represent realistic fitness landscapes in two RNA viruses: Human Immunodeficiency Virus type 1 (HIV-1) and Hepatitis C Virus (HCV). This methodology has proven to be very effective in the classification of viral quasispecies, using as criterium the mutant sequences in the population. With HIV-1, the fitness landscapes are constructed by representing the experimentally determined fitness on the sequence map. This approach permitted the depiction of the evolutionary paths of the variants subjected to processes of fitness loss and gain in cell culture. In the case of HCV, the efficiency was measured as a function of the frequency of each haplotype in the population by ultra-deep sequencing. The fitness landscapes obtained provided information on the efficiency of each variant in the quasispecies environment, that is, in relation to the entire spectrum of mutants. With the SOM maps, it is possible to determine the evolutionary dynamics of the different haplotypes.

由于突变谱处于非常高维的空间中,因此从病毒种群(尤其是具有高突变率产生准物种的RNA病毒)中创建适合度图是复杂的。在这项工作中,提出了一种新的方法,使用一类神经网络,自组织地图(SOM),来表示两种RNA病毒:人类免疫缺陷病毒1型(HIV-1)和丙型肝炎病毒(HCV)的现实适应度景观。该方法已被证明在病毒准种分类中是非常有效的,以群体中的突变序列为标准。对于HIV-1,通过在序列图上表示实验确定的适应度来构建适应度景观。这种方法可以描述细胞培养中适应度损失和获得过程的变异的进化路径。在HCV的情况下,效率是通过超深测序作为群体中每个单倍型频率的函数来测量的。获得的适应度景观提供了准种环境中每个变异的效率信息,即与整个突变谱的关系。有了SOM图谱,就有可能确定不同单倍型的进化动力学。
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引用次数: 1
期刊
Current topics in microbiology and immunology
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