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Hypercoagulability and vascular proinflammatory activation promote cardiac-cerebral fibrinogenesis in a rodent model of Chagas disease. 在恰加斯病啮齿动物模型中,高凝和血管促炎激活促进心-脑纤维蛋白生成。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-02-26 DOI: 10.1080/22221751.2026.2631204
Subhadip Choudhuri, Nisha Jain Garg

Cardiomyopathy and stroke are major complications of Chagas disease (CD). We investigated if hypercoagulability, endothelial cell (EC) dysfunction, and blood stasis cause cardiac-cerebral fibrinogenesis in CD. C57BL/6 mice infected with Trypanosoma cruzi (Tc) were evaluated at acute (AT), indeterminate (IT), and chronic (CT) stages of CD. Mice were given anti-parasite, bicistronic immunogens (BCV or BCVR) to determine the role of Tc in fibrinogenesis. We monitored (1) platelet and coagulation cascade activation; (2) cardiac-cerebral blood vessels injury; (3) proinflammatory/prothrombotic phenotypes of microglia, macrophages, and vascular cells; and (4) fibrinogenesis. After a quiescent acute phase, plasma levels of coagulation and other factors of platelet activation/aggregation, hypercoagulability, and clotting capacity were increased in IT-CT mice. Proinflammatory and prothrombotic cytokines/chemokines in cardiac-cerebral blood vessels were also significantly increased in IT-CT mice. Loss of cardiac EC and a marked increase in their proinflammatory/cell-adhesion response were not compensated for by a pro-angiogenic/wound-healing response in cardiac-cerebral tissues of infected mice. Microglial proinflammatory activation preceded the vascular inflammation suggesting a feedback cycle of EC activation in brain of infected mice. Treatment with BCV/BCVR controlled the parasite persistence and hypercoagulability/vascular inflammation in infected mice. Importantly, BCV/BCVR treatment abolished the fibrin clots that otherwise were pronounced in heart and brain of IT-CD mice. We conclude that acute Tc infection triggered a subdued hemodynamic disorder, and the persistence of low-grade parasites contributed to a cardiovascular/cerebrovascular proinflammatory and prothrombotic response and fibrin deposition in mice. BCV/BCVR offer potential immunotherapies for reducing the recurrent clot formation and risk of stroke in CD.

常用缩写:AT、IT和CT:分别为克氏t型病毒感染的急性、中期和慢性阶段;APTT:活化部分凝血活素时间;BCV:双胞免疫原;BCVR:伴有rig - 1激动剂的BCV;CD:恰加斯病;EC:内皮细胞;INR:国际标准化比率;LV:左心室;PT:凝血酶原时间;SMC:平滑肌细胞;TF:组织因子;Tc:克氏锥虫;尿激酶纤溶酶原激活剂;VCAM1:血管细胞粘附分子1;VEGF:血管内皮生长因子。
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引用次数: 0
Global evolutionary landscape of H11 avian influenza and initial isolates identified in Xinjiang, China. H11禽流感的全球进化格局和在中国新疆发现的初步分离株
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-03-17 DOI: 10.1080/22221751.2026.2640288
Yitao Li, Qian Yu, Qinghong Jiang, Yan Zhang, Jingjing Yu, Wenjing Wang, Yongchun Yang, Yaling Li, Zhihua Sun, Zhen Wang, Chencheng Xiao, Hui Zhang

H11 avian influenza viruses (AIVs) circulate globally among wild bird populations, yet their evolutionary pathways and risks for zoonotic transmission remain insufficiently characterized. In the current study, analysis of 1,179 H11 hemagglutinin (HA) sequences revealed that dispersal patterns closely follow Eurasian migratory flyways, with Xinjiang identified as a seasonal transit and amplification node. From 2,674 wild-bird samples, two viruses - K77/H11N2 and BL0/H11N3 - were isolated (2/2674, approximately 0.07%). Genomic analyses positioned both viruses within Eurasian wild-bird lineages, exhibiting broad relatedness to AIVs from South Asia, East Asia, Europe, and Antarctica. HA profiles indicated a predominant avian receptor affinity; notably, K77/H11N2 exhibited prominent α2,3 binding as well as weaker, concentration-dependent α2,6 binding, and harboured putative mammalian-adaptive markers PB2-I292V and NP-52H/313F, suggesting potential for enhanced viral fitness in mammalian cells. These markers were absent in BL0/H11N3. In vitro and in vivo analyses revealed greater HA stability, moderate replication in A549 cells, and localized lung inflammation in mice for K77/H11N2, while BL0/H11N3 demonstrated limited replication and minimal pathogenicity. Both viruses achieved systemic dissemination and direct-contact transmission among chickens, corresponding to high poultry seroprevalence rates (up to 65%). Antibodies detected in cattle (3.8%) and camels (∼2%) on farms near migratory-bird habitats provide rare evidence of natural H11 exposure in mammals. Collectively, this study presents the first comprehensive genomic and phenotypic characterization of H11 viruses detected in Xinjiang, underscoring the emergence of an H11N2 strain with limited mammalian adaptation and highlighting the need for intensified surveillance at the wildlife-poultry-livestock interface.

H11禽流感病毒(AIVs)在全球野生鸟类种群中传播,但其进化途径和人畜共患传播的风险仍未得到充分表征。在本研究中,对1179个H11血凝素(HA)序列的分析显示,H11血凝素的传播模式与欧亚迁徙路线密切相关,新疆被确定为季节性过境和扩增节点。从2674份野鸟样本中分离到k77 /H11N2和BL0/ H11N2两种病毒(2/2674,约0.07%)。基因组分析将这两种病毒定位在欧亚野鸟谱系中,显示出与南亚、东亚、欧洲和南极洲的aiv有广泛的亲缘关系。HA谱显示其与禽类受体的亲和性较强;值得注意的是,K77/H11N2表现出明显的α2,3结合和较弱的α2,6结合,并且具有假定的哺乳动物适应性标记pb2 - i292v和NP-52H/313F,这表明K77/H11N2可能增强病毒在哺乳动物细胞中的适应性。这些标记在BL0/H11N3中不存在。体外和体内分析显示,K77/H11N2具有更高的HA稳定性,在A549细胞中复制适度,小鼠局部肺部炎症,而BL0/H11N3表现出有限的复制和最小的致病性。这两种病毒在鸡中实现了全身性传播和直接接触传播,对应于高家禽血清阳性率(高达65%)。在靠近候鸟栖息地的农场的牛(3.8%)和骆驼(~ 2%)中检测到的抗体提供了哺乳动物自然暴露于H11的罕见证据。总的来说,本研究首次对新疆地区检测到的H11病毒进行了全面的基因组和表型鉴定,强调了一种哺乳动物适应性有限的H11N2毒株的出现,并强调了在野生-家禽-牲畜界面加强监测的必要性。
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引用次数: 0
A recombinant BCG vaccine induces specific immunity against respiratory syncytial virus and Mycobacterium bovis in calves in a field study. 一种重组卡介苗在犊牛中诱导对呼吸道合胞病毒和牛分枝杆菌的特异性免疫。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-02-26 DOI: 10.1080/22221751.2026.2627077
Daniela B Rivera, Mariana Ríos, Patricia Pereira-Sánchez, Mario A Ramírez, Alex Cabrera, Patricio Becerra, Fredy Boldt, Fabián Jaña, Patricio Retamal, Pablo A González, Susan M Bueno, Alexis M Kalergis

Respiratory infections in calves are a serious problem, particularly as maternal antibodies wane and calves become susceptible to respiratory pathogens, such as bovine respiratory syncytial virus (bRSV) and Mycobacterium bovis (M. bovis), which are two important pathogens affecting animal production. Although there are currently vaccines available against bRSV, their protection is limited. Regarding M. bovis, no vaccines are presently commercially available. However, BCG is being tested experimentally as a vaccine against this microbe. Here, we evaluated the safety and immunogenicity of the rBCG-N-hRSV vaccine against bRSV and M. bovis in 120 Polled Hereford calves in a field study. Each group, consisting of 30 calves, received either rBCG-N-hRSV, a commercial vaccine against bRSV, WT-BCG against M. bovis, or placebo. Calves, aged 14-21 days- received a first dose (day 0), followed by a booster 14 days later. Safety was evaluated by monitoring local and systemic adverse effects and potential transmissibility of the vaccine. Altogether, immune responses against both pathogens were characterized at 0, 14, 28, and 180 days after the first vaccination. The results indicate that rBCG-N-hRSV is safe and elicits a significant increase in antigen-specific IgG2 and IgA antibodies, accompanied by proliferation of CD8+ and γδ TCR+ T cells, resulting in an antigen-specific activation profile and memory CD4+ T cells that remained elevated up to 180 days post-vaccination. These findings suggest that rBCG-N-hRSV elicits a specific immune response against bRSV and M. bovis under field conditions.

犊牛的呼吸道感染是一个严重的问题,特别是当母体抗体减弱,犊牛容易感染呼吸道病原体,如牛呼吸道合胞病毒(bRSV)和牛分枝杆菌(牛分枝杆菌),这是影响动物生产的两种重要病原体。虽然目前有针对bRSV的疫苗,但它们的保护作用有限。关于牛支原体,目前还没有商业化的疫苗。然而,卡介苗正在作为对抗这种微生物的疫苗进行实验测试。在这里,我们在120头赫里福德小牛的实地研究中评估了rBCG-N-hRSV疫苗对bRSV和牛分枝杆菌的安全性和免疫原性。每组由30头小牛组成,分别接种了抗bRSV的商业疫苗rBCG-N-hRSV、抗牛分枝杆菌的WT-BCG或安慰剂。14-21日龄的小牛接受第一剂(第0天),14天后接受加强剂。通过监测疫苗的局部和全身不良反应和潜在传播性来评估安全性。总的来说,对两种病原体的免疫反应在第一次接种疫苗后的0、14、28和180天被表征。结果表明,rBCG-N-hRSV是安全的,可引起抗原特异性IgG2和IgA抗体的显著增加,同时伴有CD8+和γδ TCR+ T细胞的增殖,导致抗原特异性激活谱和记忆性CD4+ T细胞在接种后180天保持升高。这些发现表明,在野外条件下,rBCG-N-hRSV引发了针对bRSV和牛分枝杆菌的特异性免疫应答。
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引用次数: 0
Investigating high pathogenicity avian influenza virus incursions to remote islands: detection of H5N1 on Gough Island in the South Atlantic Ocean. 调查高致病性禽流感病毒对偏远岛屿的入侵:在南大西洋戈夫岛发现H5N1。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-02-20 DOI: 10.1080/22221751.2026.2627076
Antje Steinfurth, Joshua G Lynton-Jenkins, Jaimie Cleeland, Benjamin C Mollett, Holly A Coombes, Andrea Moores, Robyn Neal, Ben Clifton, Marco Falchieri, Christopher W Jones, Michelle M Risi, Susannah Gold, Joe James, Peter G Ryan, Jacob González-Solís, Ashley C Banyard

Understanding the mechanisms underlying the emergence and spread of high pathogenicity avian influenza virus (HPAIV) is critical for tracking its global dissemination, particularly via migratory seabirds, given their role in transmission over long distances. Scavenging seabirds, such as skuas, may act as both reservoirs and vectors, and have been linked to multiple outbreaks since 2021. Here, we report the detection of HPAIV H5N1 clade 2.3.4.4b in three Tristan skua (Stercorarius antarcticus hamiltoni) carcasses on Gough Island in the central South Atlantic Ocean. To investigate potential incursion routes, we combined genomic analyses with year-round tracking data from global location sensors. Although migratory movement patterns suggested southern Africa as the most obvious pathway, the strain detected on Gough Island was more closely related to that identified in South Georgia, indicating that infection may have occurred during the pre-laying exodus, when skuas disperse into frontal waters south of the island. No further cases have been confirmed for Gough, but more systematic monitoring is needed to understand the dynamics of virus infection. The detection of HPAIV H5N1 in skuas on Gough Island highlights the importance of continued vigilance, proactive and geographically inclusive surveillance strategies, and biosecurity measures globally, alongside efforts to reduce other pressures on globally important seabird populations to help strengthen their resilience.

鉴于高致病性禽流感病毒(HPAIV)在远距离传播中的作用,了解其出现和传播的机制对于追踪其全球传播,特别是通过迁徙海鸟传播至关重要。贼鸥等食腐海鸟可能既是宿主又是病媒,并与2021年以来的多次疫情有关。在这里,我们报告在南大西洋中部戈夫岛的3只特里斯坦贼鸥(Stercorarius antarcticus hamiltoni)尸体中检测到HPAIV H5N1进化枝2.3.4.4b。为了研究潜在的入侵途径,我们将基因组分析与全球位置传感器的全年跟踪数据相结合。虽然迁徙模式表明南部非洲是最明显的途径,但在高夫岛检测到的菌株与在南乔治亚岛发现的菌株更接近,这表明感染可能发生在产卵前的迁徙期间,当时贼鸥分散到岛屿南部的前缘水域。没有进一步的高夫确诊病例,但需要更系统的监测,以了解病毒感染的动态。在高夫岛贼鸥中发现HPAIV H5N1突出表明,必须继续保持警惕,采取积极主动和具有地理包容性的监测战略,并在全球范围内采取生物安全措施,同时努力减少对全球重要海鸟种群的其他压力,以帮助增强其复原力。
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引用次数: 0
Small extracellular vesicles from DENV2-infected C6/36 cells show viral infection in vitro and in vivo. denv2感染的C6/36细胞的小细胞外囊泡在体外和体内均显示病毒感染。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-01-27 DOI: 10.1080/22221751.2025.2608403
Carlos D Cordero-Rivera, Magda L Benítez-Vega, Selvin N Palacios-Rápalo, José De Jesús Bravo-Silva, Ricardo Jiménez-Camacho, Jonathan Hernández-Castillo, Marcos Pérez-García, Carlos N Farfan-Morales, Luis A De Jesús-González, José M Reyes-Ruiz, Juan F Osuna-Ramos, Fernando Medina-Ramirez, Daniel Talamás-Lara, Raymundo Cruz-Pérez, Arturo Reyes-Sandoval, Rosa M Del Angel

Dengue, transmitted by Aedes mosquitoes, can progress to severe symptoms like hemorrhagic fever and shock syndrome. While the virus and host immune response contribute to severity, other factors, such as small extracellular vesicles (sEVs), may play a role. sEVs mediate intercellular communication by transferring cellular components; however, their role in vivo infection remains unclear. We isolated and characterized sEVs from DENV-infected C6/36 mosquito cells, finding that they interact with mammalian cells and internalize the content. Using sEVs populations (with a size between 100 and 200 nm), we demonstrated enhanced infection in in vitro and in vivo murine models, including immunocompetent and immunosuppressed mice, which developed severe dengue-like symptoms. Our study reveals that sEVs from DENV-infected mosquito cells contribute to dengue pathogenesis, inducing severe symptoms in in vivo models, highlighting their potential role in disease progression and severe outcomes.

登革热由伊蚊传播,可发展为出血热和休克综合征等严重症状。虽然病毒和宿主免疫反应导致了严重程度,但其他因素,如小细胞外囊泡(sev),也可能起作用。sev通过传递细胞成分介导细胞间通讯;然而,它们在体内感染中的作用尚不清楚。我们从感染denv的C6/36蚊子细胞中分离并鉴定了sev,发现它们与哺乳动物细胞相互作用并内化内容物。使用sev种群(大小在100到200纳米之间),我们在体外和体内小鼠模型中证明了增强的感染,包括免疫正常和免疫抑制的小鼠,这些小鼠出现了严重的登革热样症状。我们的研究表明,来自denv感染的蚊子细胞的sev有助于登革热的发病机制,在体内模型中诱导严重症状,突出了它们在疾病进展和严重结局中的潜在作用。
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引用次数: 0
Phylodynamic reconstruction of H1N1pdm09 influenza virus transmission in Brazil: a decade of evolutionary dynamics. 巴西H1N1pdm09流感病毒传播的系统动力学重建:十年的进化动力学。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-01-29 DOI: 10.1080/22221751.2026.2620237
Isabela Carvalho Brcko, Vinicius Carius de Souza, Alex Ranieri Jeronimo Lima, James Siqueira Pereira, Evaldo Stanislau Affonso de Araújo, Ana Paula Nunes Viveiros Valeiros, Melissa Palmieri, Juliana Almeida Nunes, Leandro Spalato Torres, Hazerral de Oliveira Santos, Anderson Brandão Leite, Felicidade Mota Pereira, Arabela Leal E Silva de Mello, Vanessa Brandão Nardy, Gabriela Sant'Ana Menezes de Andrade, Marcela Kelly Astete Gomez, Lucas Luiz Vieira, Mariana Matos Roll, Brenno Vinícius Martins Henrique, Lídio Gonçalves Lima Neto, Elaine Cristina de Oliveira, Júlia Deffune Profeta Cidin Almeida, Stephanni Figueiredo da Silva, Klaucia Rodrigues Vasconcelos, Talita Emile Ribeiro Adelino, Natalia Rocha Guimaraes, Luiz Marcelo Ribeiro Tomé, Lavinia Nery Villa Stangler Arend, Ciciléia Correia da Silva, Adriana Cristina Salvador Maia, Cristiane Batista Mattos, Glaucilene da Silva Costa, Luiz Carlos Alcântara, Esper G Kallás, Sandra Coccuzzo Sampaio, Svetoslav Nanev Slavov, Marta Giovanetti, Maria Carolina Elias

The H1N1pdm09 influenza virus, which emerged in 2009 following a unique reassortment of swine-origin gene segments, rapidly replaced the seasonal H1N1 strain and triggered the first influenza pandemic of the twenty-first century. In Brazil, the virus initially spread through intense community transmission before establishing a pattern of seasonal circulation. However, its long-term evolutionary dynamics in the country remain insufficiently characterized. To address this gap, we conducted a coordinated national genomic surveillance effort focused on the period from 2014 onward, when Brazil began systematic whole-genome sequencing of circulating H1N1pdm09 viruses. Through collaborative sequencing across all five Brazilian macroregions, we generated 597 complete genomes collected between 2014 and 2024. Using phylodynamic approaches, we reconstructed the spatiotemporal spread of H1N1pdm09, identified major circulating lineages, and integrated epidemiological data to assess patterns of persistence and regional transmission. Our findings reveal sustained circulation and multiple independent viral introductions over the past decade, with evidence of localized lineage maintenance, particularly in the Southeast and South regions. Phylogenetic analyses also indicate repeated seeding from international sources, underscoring the continued impact of global viral movement. In addition, genome-wide comparisons revealed reassortment events involving internal segments, which may have contributed to the persistence and adaptation of dominant lineages following the COVID-19 pandemic. This study presents the most comprehensive reconstruction of H1N1pdm09 evolutionary dynamics in Brazil to date, highlighting the critical role of integrated, nationwide genomic surveillance in enhancing public health preparedness in tropical and subtropical regions.

H1N1 - pdm09流感病毒于2009年在猪源基因片段的独特重组后出现,迅速取代了季节性H1N1毒株,引发了21世纪第一次流感大流行。在巴西,该病毒最初通过强烈的社区传播传播,然后才形成季节性传播模式。然而,其在该国的长期演变动态仍然没有得到充分的描述。为了解决这一差距,我们开展了一项协调一致的国家基因组监测工作,重点关注2014年以后的时期,当时巴西开始对流行的H1N1pdm09病毒进行系统的全基因组测序。通过对巴西所有五个大区的合作测序,我们在2014年至2024年间收集了597个完整的基因组。利用系统动力学方法,我们重建了h1n1 - pdm09的时空传播,确定了主要的流行谱系,并综合流行病学数据来评估持久性和区域传播模式。我们的研究结果揭示了在过去十年中持续的循环和多个独立的病毒引入,并有证据表明局部谱系维持,特别是在东南部和南部地区。系统发育分析还表明,国际来源的反复播撒强调了全球病毒运动的持续影响。此外,全基因组比较揭示了涉及内部片段的重组事件,这可能有助于在COVID-19大流行后优势谱系的持续和适应。这项研究提出了迄今为止巴西最全面的H1N1pdm09进化动态重建,强调了综合的全国基因组监测在加强热带和亚热带地区公共卫生准备方面的关键作用。
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引用次数: 0
Age-associated differences in XBB.1.5 trivalent booster vaccine-induced adaptive responses revealed by single-cell RNA sequencing. 单细胞RNA测序揭示了XBB.1.5三价加强疫苗诱导的适应性反应的年龄相关差异。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-02-16 DOI: 10.1080/22221751.2026.2627067
Shixing Chen, Tao Liu, Jing Chen, Shengxia Yin, Jinqiu Ran, Wen Zhang, Wanying Zhang, Juan Zhang, Chen Li, Xun Wang, Pengfei Wang, Chao Wu, Fan Yang, Yuxin Chen

Older adults remain highly vulnerable to severe SARS-CoV-2 outcomes despite multiple vaccinations, yet age-associated differences in immune responses to updated COVID-19 booster vaccines remain incompletely characterized. Here, we administered an XBB.1.5 trivalent recombinant protein booster (WSK-V102C) to 22 individuals (<38 years) and 20 individuals (≥73 years), all of whom had previously received 2-3 doses of inactivated COVID-19 vaccines. Neutralizing antibody responses against multiple SARS-CoV-2 variants were quantified and compared between age groups. Meanwhile, single-cell RNA sequencing was also performed on peripheral blood mononuclear cells (PBMCs) collected at baseline and 28 days post-vaccination to profile age-associated immune features following boosting. Following booster immunization, both age groups achieved significantly elevated antibody titres against all tested strains. Nevertheless, the magnitude of antibody fold increase was consistently lower in elderly individuals than in younger adults. Single-cell analyses revealed age-associated differences in post-vaccination immune organization. In elderly individuals, B-cell state transitions were characterized by transcriptional signatures consistent with memory B cell-to-plasmablast differentiation, whereas younger individuals predominantly exhibited transitions from naïve B cells. CD4+ T cells from elderly individuals displayed altered transcriptional trajectories and reduced T-cell receptor diversity relative to younger adults. In contrast, younger individuals showed coordinated B- and T-cell-associated transcriptional programmes, including enrichment of transcription factors such as KLF7, CEBPB, CEBPD, and MAFB. Collectively, our study describes age-associated differences in immune coordination and cellular response patterns following XBB.1.5 booster vaccination. Further longitudinal and functional studies will be required to clarify the mechanistic basis and clinical implications of these observations.

尽管多次接种疫苗,老年人仍然极易受到严重的SARS-CoV-2后果的影响,但对更新的COVID-19加强疫苗免疫反应的年龄相关差异仍未完全表征。在这里,我们给22个人注射了XBB.1.5三价重组蛋白增强剂(WSK-V102C) (
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引用次数: 0
Rapid drug resistance prediction in positive Mycobacterium tuberculosis clinical samples using an extensive targeted next-generation sequencing panel. 快速耐药预测阳性结核分枝杆菌临床样本使用广泛的靶向下一代测序面板。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2026-02-12 DOI: 10.1080/22221751.2026.2627072
Ebba Rosendal, Joana Isidro, Sofia Carneiro, João Paulo Gomes, Rita Macedo

Tuberculosis (TB) remains a global health challenge, exacerbated by the emergence of drug-resistant Mycobacterium tuberculosis strains. Most methods for drug susceptibility testing (DST) are culture-dependent and time consuming, possibly delaying optimal TB-treatment. This study aimed to develop an extensive targeted next-generation sequencing (tNGS) approach for rapid genotypic DST directly from clinical samples. We designed a tNGS panel comprising 30 amplicons targeting 19 genomic regions associated with resistance to 20 antibiotics. This method was applied to 71 smear-positive (0-3+) pulmonary TB clinical samples collected at the Portuguese National Reference Laboratory. DNA was extracted and amplified using multiplex PCRs, followed by sequencing on Oxford Nanopore Technologies MinION platform. Sequencing data were using TB-Profiler and the tNGS results compared to phenotypic DST and whole genome sequencing (WGS) data from corresponding isolates. The tNGS demonstrated high concordance with both phenotypic and WGS-based DST across different sample types and smear positivity levels. For first-line drugs, tNGS showed 88% categorical agreement (CA) with pDST, increasing to 97% when excluding undetermined results. Compared to WGS across all analysed antibiotics, tNGS achieved 92% CA, increasing to >99% when excluding undetermined results. Validation of the tNGS panel showed 90% (1,895/2,076) of amplicons reaching >10x coverage at all analysed positions and 43 (61%) samples with all complete amplicons above this threshold. Non-specific amplification of contaminant bacterial DNA was minimal, with most mapped off-target reads being of human origin. This method enables comprehensive resistance prediction directly from clinical samples and signifies an important development in TB diagnostics and resistance monitoring.

结核病仍然是一项全球卫生挑战,耐药结核分枝杆菌菌株的出现加剧了这一挑战。大多数药敏试验(DST)方法依赖于培养物且耗时,可能延迟最佳结核病治疗。本研究旨在开发一种广泛的靶向下一代测序(tNGS)方法,用于直接从临床样本中快速进行DST基因分型。我们设计了一个包含30个扩增子的tNGS面板,靶向与20种抗生素耐药性相关的19个基因组区域。该方法应用于葡萄牙国家参比实验室收集的71例涂阳(0-3+)肺结核临床样本。提取DNA并使用多重pcr扩增,然后在Oxford Nanopore Technologies MinION平台上进行测序。使用TB-Profiler分析测序数据,并将tNGS结果与相应分离株的表型DST和全基因组测序(WGS)数据进行比较。在不同的样本类型和涂片阳性水平上,tNGS显示出与表型和基于wgs的DST的高度一致性。对于一线药物,tNGS与pDST的分类一致性(CA)为88%,在排除未确定结果后增加到97%。与所有分析的抗生素的WGS相比,tNGS达到92%的CA,在排除未确定结果时增加到bb0 99%。tNGS面板的验证显示,90%(1,895/2,076)的扩增子在所有分析位置达到bbb10倍的覆盖率,43个(61%)样本的所有完整扩增子都高于该阈值。污染细菌DNA的非特异性扩增是最小的,大多数脱靶reads是人类起源。这种方法能够直接从临床样本中进行全面的耐药性预测,标志着结核病诊断和耐药性监测方面的一项重要发展。
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引用次数: 0
Correction. 修正。
IF 7.5 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-12-01 Epub Date: 2025-12-28 DOI: 10.1080/22221751.2025.2609512
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引用次数: 0
Non-invasive environmental DNA sampling reveals tuberculosis risks at the human - Great Ape Interface in Africa. 非侵入性环境DNA采样揭示了非洲人类-类人猿界面的结核病风险。
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-03-23 DOI: 10.1080/22221751.2026.2645874
Ernest Kalalizi,Luis Flores,Marta Pérez-Sancho,Alberto Perelló,Carmen Herranz,Laura Herrera,Beatriz Romero,Prince Kaleme,Teresa García-Seco,Déo Kujirakwinja,Arthur Kalonji,Zacharie Kashongwe,Freddy Birembano-Machara,Daniel Baganda,Pacific Nkonzi,Itsaso Vélez Del Burgo,Frederic Le Gal,José De La Fuente,Lucas Domínguez,Christian Gortázar
The current range of African great apes includes countries with some of the world's highest incidence rates of human tuberculosis (TB). Non-human primates (NHPs) living in their natural habitats are expected to be free of TB. However, TB represents a known threat to captive NHP communities. We applied a non-invasive sponge-based environmental DNA (eDNA) sampling to run a cross-sectional survey at the human-animal interface in a challenging setting: the East of the Democratic Republic of Congo (DRC). The study sites included a primate rehabilitation centre, the local health area, and a nearby national park with critically endangered Eastern Lowland Gorillas (Gorilla beringei graueri). Sponge samples were tested for two PCR targets, IS6110 and mpb70. Positive samples were further characterized by spoligotyping, species identification and detection of molecular resistance against rifampicin and isoniazid. We detected Mycobacterium tuberculosis eDNA in 26% of the samples from all three sites including samples linked to humans, wild gorillas and captive NHPs. The spoligotype could be identified in 18 cases. Spoligotype SIT130 was detected in all sites including human and gorilla environment samples. These findings are strongly suggestive of epidemiological links between human and NHP TB in equatorial Africa.
目前非洲类人猿的分布范围包括一些世界上人类结核病发病率最高的国家。生活在自然栖息地的非人灵长类动物(NHPs)预计将没有结核病。然而,结核病是圈定的非传染性疾病社区面临的已知威胁。我们应用非侵入性海绵环境DNA (eDNA)采样在具有挑战性的环境中对人-动物界面进行横断面调查:刚果民主共和国(DRC)东部。研究地点包括灵长类动物康复中心、当地健康区和附近的一个国家公园,那里有极度濒危的东部低地大猩猩。海绵样品检测了两个PCR靶标IS6110和mpb70。对阳性标本进行spoligotyping、菌种鉴定、利福平和异烟肼耐药检测。我们在所有三个地点的26%的样本中检测到结核分枝杆菌eDNA,包括与人类、野生大猩猩和圈养NHPs有关的样本。在18例中可鉴定出spoligotype。在包括人类和大猩猩环境样本在内的所有位点均检测到Spoligotype SIT130。这些发现有力地表明,赤道非洲的人类与NHP结核病之间存在流行病学联系。
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Emerging Microbes & Infections
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