首页 > 最新文献

Emerging Microbes & Infections最新文献

英文 中文
Differences in Genetic Diversity between Early Isolates of Yellow Fever Virus Genotypes. 黄热病病毒基因型早期分离株遗传多样性的差异
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-15 DOI: 10.1080/22221751.2025.2601371
Madison E Lee,Clairissa A Hansen,Jill K Thompson,Haiping Hao,Nigel Bourne,Alan D T Barrett
Yellow fever virus (YFV) is the prototypical member of the genus Orthoflavivirus and is responsible for the disease yellow fever. Phylogenetic studies show YFV can be characterized into seven genotypes (East Africa [EA], East and Central Africa [ECA], West Africa I [WAI], West Africa II [WAII], South America I [SAI], South America II [SAII], and Angola [ANG]). We used Next Generation Sequencing to investigate and compare genetic diversity of the seven genotypes of YFV using early isolated strains of known passage history from a variety of collection years. Genetic diversity varied between the seven genotypes, with the ECA genotype being more diverse than EA and WAI genotypes, but not WAII genotype. Genotype-specific amino acids (GSaas) were identified that occurred in all viral proteins but varied by genotype with most being found in the non-structural proteins, which make up the viral replication complex. Interestingly, the fewest GSaas were found in the EA and ECA genotypes despite the ECA genotype having greater genetic diversity than either the EA or WAI genotypes. Overall, based on examination of early strains, we show that genetic diversity and GSaas varied between the seven genotypes of YFV and are not random but likely caused by selection pressure(s) such as different primate and mosquito hosts in different geographic areas. Examination of genetic diversity and GSaas in recent strains will enable genetic diversity to be investigated over time and those involved in outbreaks may enable a better understanding of how outbreaks develop and help identify interventions to their spread.
黄热病病毒(YFV)是原黄病毒属的典型成员,是黄热病的罪魁祸首。系统发育研究表明,YFV可分为7种基因型(东非[EA]、东非和中非[ECA]、西非I型[WAI]、西非II型[WAII]、南美洲I型[SAI]、南美洲II型[SAII]和安哥拉[ANG])。我们使用Next Generation Sequencing技术,利用不同收集年份已知传代历史的早期分离株,调查并比较了7种YFV基因型的遗传多样性。遗传多样性在7个基因型之间存在差异,ECA基因型的遗传多样性高于EA和WAI基因型,但低于WAII基因型。基因型特异性氨基酸(GSaas)存在于所有病毒蛋白中,但因基因型而异,其中大多数存在于构成病毒复制复合体的非结构蛋白中。有趣的是,尽管ECA基因型比EA或WAI基因型具有更大的遗传多样性,但在EA和ECA基因型中发现的GSaas最少。总体而言,基于对早期菌株的研究,我们发现YFV的遗传多样性和GSaas在7个基因型之间存在差异,并且不是随机的,而可能是由不同地理区域的不同灵长类动物和蚊子宿主等选择压力引起的。对最近菌株的遗传多样性和GSaas的检查将使遗传多样性能够随着时间的推移而得到调查,而那些参与暴发的人可能能够更好地了解暴发如何发展并有助于确定对其传播的干预措施。
{"title":"Differences in Genetic Diversity between Early Isolates of Yellow Fever Virus Genotypes.","authors":"Madison E Lee,Clairissa A Hansen,Jill K Thompson,Haiping Hao,Nigel Bourne,Alan D T Barrett","doi":"10.1080/22221751.2025.2601371","DOIUrl":"https://doi.org/10.1080/22221751.2025.2601371","url":null,"abstract":"Yellow fever virus (YFV) is the prototypical member of the genus Orthoflavivirus and is responsible for the disease yellow fever. Phylogenetic studies show YFV can be characterized into seven genotypes (East Africa [EA], East and Central Africa [ECA], West Africa I [WAI], West Africa II [WAII], South America I [SAI], South America II [SAII], and Angola [ANG]). We used Next Generation Sequencing to investigate and compare genetic diversity of the seven genotypes of YFV using early isolated strains of known passage history from a variety of collection years. Genetic diversity varied between the seven genotypes, with the ECA genotype being more diverse than EA and WAI genotypes, but not WAII genotype. Genotype-specific amino acids (GSaas) were identified that occurred in all viral proteins but varied by genotype with most being found in the non-structural proteins, which make up the viral replication complex. Interestingly, the fewest GSaas were found in the EA and ECA genotypes despite the ECA genotype having greater genetic diversity than either the EA or WAI genotypes. Overall, based on examination of early strains, we show that genetic diversity and GSaas varied between the seven genotypes of YFV and are not random but likely caused by selection pressure(s) such as different primate and mosquito hosts in different geographic areas. Examination of genetic diversity and GSaas in recent strains will enable genetic diversity to be investigated over time and those involved in outbreaks may enable a better understanding of how outbreaks develop and help identify interventions to their spread.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"167 1","pages":"2601371"},"PeriodicalIF":13.2,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antiviral susceptibility of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses from humans in the United States, October 2024 to February 2025. 2024年10月至2025年2月美国人对2.3.4.4b支高致病性甲型H5N1禽流感病毒的抗病毒敏感性
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-15 DOI: 10.1080/22221751.2025.2601372
Philippe Noriel Q Pascua,Anton P Chesnokov,Ha T Nguyen,Chloe Champion,Rongyuan Gao,Juan A De La Cruz,Yunho Jang,Yasuko Hatta,Zhu Guo,Timothy M Uyeki,Han Di,James Stevens,Charles T Davis,Larisa V Gubareva
Since October 2024, 55 human cases of influenza A(H5N1), clade 2.3.4.4b, were reported in the US. Sequencing of 46 viruses identified genotypes B3.13, D1.1, and D1.3. Genomes of viruses were analyzed for mutations associated with reduced antiviral susceptibility. Except for two, viruses from human cases were assessed as susceptible to antivirals and confirmed by in vitro susceptibility testing of representative viruses with M2 blockers, neuraminidase (NA) inhibitors, and the polymerase acidic (PA) inhibitor baloxavir. One D1.1 virus had an M2-S31N substitution, which conferred cross-resistance to M2 blockers. One B3.13 virus had a PA-I38M substitution and displayed 17-fold reduced baloxavir susceptibility in cell culture. In mice, baloxavir, given orally at 5, 15, and 45 mg/kg bid for 5 days starting at 2 hours post-infection, was notably less effective against the PA-I38M virus compared to the closely matched control virus, as shown by survival rate, time-to-death, weight loss, and viral replication in various organs. Replication of the PA-I38M virus was mildly attenuated in mice but not in cell culture. Viruses collected from animals also contained mutations associated with reduced antiviral susceptibility, including M2-S31N, PA-I38 T/M, and NA-H275Y, albeit at low frequency. Regardless of genotype, most mutations were found in NA. Using recombinant NA proteins generated from B3.13 and D1.1 backgrounds, we showed that among mutations that reduced susceptibility of NA inhibitors, only NA-H275Y had no effect on the enzyme's function. Spontaneous emergence of drug-resistant influenza viruses, especially those that maintain replicative fitness, pose persistent threat to human health and must be closely monitored.
自2024年10月以来,美国报告了55例人类感染甲型H5N1流感(分支2.3.4.4b)的病例。46种病毒的基因型分别为B3.13、D1.1和D1.3。分析病毒基因组中与降低抗病毒敏感性相关的突变。除2例外,来自人类病例的病毒被评估为对抗病毒药物敏感,并通过对代表性病毒对M2阻滞剂、神经氨酸酶(NA)抑制剂和聚合酶酸性(PA)抑制剂baloxavir的体外药敏试验证实。一种D1.1病毒具有M2- s31n替代,这赋予了对M2阻滞剂的交叉抗性。一种B3.13病毒具有PA-I38M替代,在细胞培养中表现出17倍的巴洛昔韦敏感性降低。在小鼠中,从感染后2小时开始,以5mg /kg、15mg /kg和45mg /kg剂量口服巴洛韦5天,与密切匹配的对照病毒相比,对PA-I38M病毒的效果明显较差,这体现在存活率、死亡时间、体重减轻和病毒在各器官中的复制上。PA-I38M病毒的复制在小鼠中轻度减弱,但在细胞培养中没有减弱。从动物身上收集的病毒也含有与抗病毒药物敏感性降低相关的突变,包括M2-S31N、PA-I38 T/M和NA-H275Y,尽管频率较低。无论基因型如何,NA突变最多。利用B3.13和D1.1背景产生的重组NA蛋白,我们发现在降低NA抑制剂易感性的突变中,只有NA- h275y对酶的功能没有影响。自发出现的耐药流感病毒,特别是那些保持复制适应性的病毒,对人类健康构成持续威胁,必须密切监测。
{"title":"Antiviral susceptibility of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses from humans in the United States, October 2024 to February 2025.","authors":"Philippe Noriel Q Pascua,Anton P Chesnokov,Ha T Nguyen,Chloe Champion,Rongyuan Gao,Juan A De La Cruz,Yunho Jang,Yasuko Hatta,Zhu Guo,Timothy M Uyeki,Han Di,James Stevens,Charles T Davis,Larisa V Gubareva","doi":"10.1080/22221751.2025.2601372","DOIUrl":"https://doi.org/10.1080/22221751.2025.2601372","url":null,"abstract":"Since October 2024, 55 human cases of influenza A(H5N1), clade 2.3.4.4b, were reported in the US. Sequencing of 46 viruses identified genotypes B3.13, D1.1, and D1.3. Genomes of viruses were analyzed for mutations associated with reduced antiviral susceptibility. Except for two, viruses from human cases were assessed as susceptible to antivirals and confirmed by in vitro susceptibility testing of representative viruses with M2 blockers, neuraminidase (NA) inhibitors, and the polymerase acidic (PA) inhibitor baloxavir. One D1.1 virus had an M2-S31N substitution, which conferred cross-resistance to M2 blockers. One B3.13 virus had a PA-I38M substitution and displayed 17-fold reduced baloxavir susceptibility in cell culture. In mice, baloxavir, given orally at 5, 15, and 45 mg/kg bid for 5 days starting at 2 hours post-infection, was notably less effective against the PA-I38M virus compared to the closely matched control virus, as shown by survival rate, time-to-death, weight loss, and viral replication in various organs. Replication of the PA-I38M virus was mildly attenuated in mice but not in cell culture. Viruses collected from animals also contained mutations associated with reduced antiviral susceptibility, including M2-S31N, PA-I38 T/M, and NA-H275Y, albeit at low frequency. Regardless of genotype, most mutations were found in NA. Using recombinant NA proteins generated from B3.13 and D1.1 backgrounds, we showed that among mutations that reduced susceptibility of NA inhibitors, only NA-H275Y had no effect on the enzyme's function. Spontaneous emergence of drug-resistant influenza viruses, especially those that maintain replicative fitness, pose persistent threat to human health and must be closely monitored.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"230 1","pages":"2601372"},"PeriodicalIF":13.2,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive Markers of SARS-CoV-2 Spike-specific Cytotoxic T Cell Activity Following Omicron Breakthrough Infection. 组粒突破感染后SARS-CoV-2刺突特异性细胞毒性T细胞活性的预测标志物
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2602317
Kayla A Holder,Danielle P Ings,Keeley M Hatfield,Kathleen E Fifield,David A Barnes,Keeley A Barnable,Debbie O A Harnum,Michael D Grant
At a population level, evaluation of vaccine efficacy and of immunity in general focuses on measuring humoral immunity, especially antibody-mediated neutralization. However, antibody-dependent cell-mediated cytotoxicity (ADCC) and cellular immunity are key processes for pathogen clearance and often provide broader protection against emerging variants. More information on vaccine and infection-related determinants or markers of cell-mediated cytotoxicity is needed to inform design of standardized, high throughput tests assessing these processes. We previously showed that persons infected with SARS-CoV-2 prior to vaccination (hybrid immunity) had polyfunctional CD8+ T cells and robust ADCC against SARS-CoV-2 spike (S), while persons infected with Omicron after vaccination (breakthrough infection) had weak ADCC. In the current study, we investigated the impact of Omicron breakthrough infection on S-specific cellular immunity, including polyfunctional CD8+ T cell and cytotoxic T lymphocyte (CTL) levels of 28 previously uninfected individuals vaccinated either two or three times against SARS-CoV-2. In the group with three vaccinations, Omicron breakthrough infection significantly increased the frequency of circulating SARS-CoV-2 S-specific T cells, polyfunctional interferon-gamma and interleukin-2-producing SARS-CoV-2 S-specific CD8+ T cells and CTL after in vitro stimulation. Matrix testing with overlapping S peptides indicated recognition of one to two CTL epitopes per individual and revealed two previously unreported epitopes. Circulating S-specific cellular immune response magnitude neither correlated with, nor predicted CTL activity against SARS-CoV-2 S, but polyfunctional S-specific CD8+ T cell frequency seven days after stimulation and antibody reactivity against determinants indicating robust ADCC were both associated with day 10 CTL activity.
在人群水平上,对疫苗效力和免疫力的评价一般侧重于体液免疫的测量,特别是抗体介导的中和作用。然而,抗体依赖细胞介导的细胞毒性(ADCC)和细胞免疫是病原体清除的关键过程,并且经常提供更广泛的保护,以防止新出现的变异。需要更多关于疫苗和感染相关决定因素或细胞介导细胞毒性标志物的信息,以便为评估这些过程的标准化、高通量测试的设计提供信息。我们之前发现,接种前感染SARS-CoV-2的人(混合免疫)具有多功能CD8+ T细胞和抗SARS-CoV-2刺突(S)的强ADCC,而接种后感染Omicron的人(突破性感染)具有弱ADCC。在目前的研究中,我们研究了Omicron突破感染对s特异性细胞免疫的影响,包括28名未感染的个体接种两次或三次SARS-CoV-2疫苗的多功能CD8+ T细胞和细胞毒性T淋巴细胞(CTL)水平。在三次疫苗接种组中,Omicron突破感染在体外刺激后显著增加了循环SARS-CoV-2 s特异性T细胞、多功能干扰素- γ和白细胞介素-2产生的SARS-CoV-2 s特异性CD8+ T细胞和CTL的频率。重叠S肽的基质测试表明,每个个体识别一到两个CTL表位,并揭示了两个以前未报道的表位。循环S特异性细胞免疫反应强度既不与sars - cov - 2s CTL活性相关,也不预测CTL活性,但刺激后7天的多功能S特异性CD8+ T细胞频率和针对决定因素的抗体反应性均与第10天的CTL活性相关。
{"title":"Predictive Markers of SARS-CoV-2 Spike-specific Cytotoxic T Cell Activity Following Omicron Breakthrough Infection.","authors":"Kayla A Holder,Danielle P Ings,Keeley M Hatfield,Kathleen E Fifield,David A Barnes,Keeley A Barnable,Debbie O A Harnum,Michael D Grant","doi":"10.1080/22221751.2025.2602317","DOIUrl":"https://doi.org/10.1080/22221751.2025.2602317","url":null,"abstract":"At a population level, evaluation of vaccine efficacy and of immunity in general focuses on measuring humoral immunity, especially antibody-mediated neutralization. However, antibody-dependent cell-mediated cytotoxicity (ADCC) and cellular immunity are key processes for pathogen clearance and often provide broader protection against emerging variants. More information on vaccine and infection-related determinants or markers of cell-mediated cytotoxicity is needed to inform design of standardized, high throughput tests assessing these processes. We previously showed that persons infected with SARS-CoV-2 prior to vaccination (hybrid immunity) had polyfunctional CD8+ T cells and robust ADCC against SARS-CoV-2 spike (S), while persons infected with Omicron after vaccination (breakthrough infection) had weak ADCC. In the current study, we investigated the impact of Omicron breakthrough infection on S-specific cellular immunity, including polyfunctional CD8+ T cell and cytotoxic T lymphocyte (CTL) levels of 28 previously uninfected individuals vaccinated either two or three times against SARS-CoV-2. In the group with three vaccinations, Omicron breakthrough infection significantly increased the frequency of circulating SARS-CoV-2 S-specific T cells, polyfunctional interferon-gamma and interleukin-2-producing SARS-CoV-2 S-specific CD8+ T cells and CTL after in vitro stimulation. Matrix testing with overlapping S peptides indicated recognition of one to two CTL epitopes per individual and revealed two previously unreported epitopes. Circulating S-specific cellular immune response magnitude neither correlated with, nor predicted CTL activity against SARS-CoV-2 S, but polyfunctional S-specific CD8+ T cell frequency seven days after stimulation and antibody reactivity against determinants indicating robust ADCC were both associated with day 10 CTL activity.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"30 1","pages":"2602317"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An ECSA-lineage Chikungunya Outbreak in Foshan, China: Age-Stratified Clinical and Virological Profiles. 中国佛山一起ecsa系基孔肯雅热暴发:年龄分层临床和病毒学概况
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2602308
Zhouhan Wang,Zhifeng Hong,Junfeng Chen,Junyi Wang,Wei Liang,Jingru Wang,Chang Zhang,Zhaoxia Hu,Qifa Shen,Yongqi Zhang,Shunyang Wei,Baisheng Li,Xin Shu,Zaopeng He,Bingliang Lin
Since July 2025, Foshan has experienced the largest outbreak of Chikungunya fever in China. This single-centre retrospective study included 1,908 laboratory-confirmed cases. Phylogenetic analysis identified the East/Central/South African lineage, closely related to the 2025 La Réunion strain. The included cases were all non-severe, showed no sex bias, but exhibited clear regional clustering. Fever (86.8%), arthralgia (85.4%), and rash (64.1%) were predominant symptoms. Fever and rash were more common in minors, while arthralgia increased with age. Lymphopenia occurred in 65.5% of patients and was more common in elderly patients, who had higher viral loads and longer RNA clearance times. Age, sex and viral load independently influenced clinical manifestations and laboratory characteristics. The findings provide initial descriptive evidence and highlight age-related differences in chikungunya's clinical and virological profiles. Long-term follow-up and larger-scale investigations were necessary to provide evidence for clinical decision-making.
自2025年7月以来,佛山经历了中国最大的基孔肯雅热疫情。这项单中心回顾性研究包括1908例实验室确诊病例。系统发育分析确定了东部/中部/南非谱系,与2025 La r菌株密切相关。纳入病例均为非重症病例,无性别偏倚,但有明显的区域聚集性。发热(86.8%)、关节痛(85.4%)和皮疹(64.1%)是主要症状。发热和皮疹在未成年人中更常见,而关节痛随着年龄的增长而增加。65.5%的患者发生淋巴细胞减少,在老年患者中更为常见,老年患者的病毒载量更高,RNA清除时间更长。年龄、性别和病毒载量独立影响临床表现和实验室特征。这些发现提供了初步的描述性证据,并突出了基孔肯雅热临床和病毒学概况中与年龄相关的差异。为临床决策提供证据需要长期随访和更大规模的调查。
{"title":"An ECSA-lineage Chikungunya Outbreak in Foshan, China: Age-Stratified Clinical and Virological Profiles.","authors":"Zhouhan Wang,Zhifeng Hong,Junfeng Chen,Junyi Wang,Wei Liang,Jingru Wang,Chang Zhang,Zhaoxia Hu,Qifa Shen,Yongqi Zhang,Shunyang Wei,Baisheng Li,Xin Shu,Zaopeng He,Bingliang Lin","doi":"10.1080/22221751.2025.2602308","DOIUrl":"https://doi.org/10.1080/22221751.2025.2602308","url":null,"abstract":"Since July 2025, Foshan has experienced the largest outbreak of Chikungunya fever in China. This single-centre retrospective study included 1,908 laboratory-confirmed cases. Phylogenetic analysis identified the East/Central/South African lineage, closely related to the 2025 La Réunion strain. The included cases were all non-severe, showed no sex bias, but exhibited clear regional clustering. Fever (86.8%), arthralgia (85.4%), and rash (64.1%) were predominant symptoms. Fever and rash were more common in minors, while arthralgia increased with age. Lymphopenia occurred in 65.5% of patients and was more common in elderly patients, who had higher viral loads and longer RNA clearance times. Age, sex and viral load independently influenced clinical manifestations and laboratory characteristics. The findings provide initial descriptive evidence and highlight age-related differences in chikungunya's clinical and virological profiles. Long-term follow-up and larger-scale investigations were necessary to provide evidence for clinical decision-making.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"5 1","pages":"2602308"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Statement of Retraction: The regulation of cell homeostasis and antiviral innate immunity by autophagy during classical swine fever virus infection. 撤回声明:经典猪瘟病毒感染过程中细胞自噬对细胞稳态和抗病毒先天免疫的调节。
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2595753
{"title":"Statement of Retraction: The regulation of cell homeostasis and antiviral innate immunity by autophagy during classical swine fever virus infection.","authors":"","doi":"10.1080/22221751.2025.2595753","DOIUrl":"https://doi.org/10.1080/22221751.2025.2595753","url":null,"abstract":"","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"1 1","pages":"2595753"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145711051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Smartphone-assisted upconversion nanoparticle assay for rapid multiplex detection of H5, H7, and H10 avian influenza viruses. 智能手机辅助上转换纳米颗粒法用于H5、H7和H10禽流感病毒的快速多重检测。
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2602315
Jun Zhang,Han Wu,Ping Wang,Jiamin Fu,Xinyao Zheng,Fang Wan,Man Hu,Fumin Liu,Linfang Cheng,Hangping Yao,Nanping Wu,Junli Zhu,Haibo Wu
Avian influenza viruses (AIVs) of the H5, H7, and H10 subtypes pose substantial threats to global public health owing to their high pathogenicity, cross-species transmissibility, and potential to spark epidemics. Rapid and accurate detection is essential for outbreak control and zoonotic risk mitigation. Here, we report the development of a multiplex lateral flow immunoassay (LFA) based on core-shell upconversion nanoparticles (UCNPs) conjugated with subtype-specific monoclonal antibodies targeting the haemagglutinin proteins of H5, H7, and H10 AIVs. The assay achieved limits of detection of 0.0313, 0.0156, and 0.0625 ng/mL for recombinant HA proteins and 2-4, 2-4, and 2-3 haemagglutination units for viral titers of H5, H7, and H10, respectively. No cross-reactivity was observed with other AIV subtypes or respiratory pathogens, and intra- and inter-assay variation remained below 6%, demonstrating high specificity and reproducibility. Validation with 135 avian and 125 human clinical samples showed complete concordance with real-time RT-PCR results. Integration with a smartphone-based analytical platform enabled rapid readout, automated quantification, and cloud-based data sharing, providing results within 10 minutes. This intelligent UCNPs-LFA system combines ultra sensitivity, multiplexing, and field-deployable usability, representing a significant advance over conventional methods. By enabling timely and reliable detection of H5, H7, and H10 AIVs in both animal and human samples, this platform offers a practical tool for early warning, surveillance, and control of emerging zoonotic influenza, thereby contributing to global preparedness against avian influenza outbreaks.
H5、H7和H10亚型禽流感病毒(AIVs)由于其高致病性、跨物种传播性和引发流行病的潜力,对全球公共卫生构成重大威胁。快速和准确的检测对于控制疫情和减轻人畜共患病风险至关重要。在这里,我们报道了一种基于核壳上转换纳米颗粒(UCNPs)与靶向H5、H7和H10 aiv血凝素蛋白的亚型特异性单克隆抗体结合的多重侧流免疫测定(LFA)的发展。重组HA蛋白的检测限分别为0.0313、0.0156和0.0625 ng/mL, H5、H7和H10病毒滴度的检测限分别为2-4、2-4和2-3个血凝单位。与其他AIV亚型或呼吸道病原体无交叉反应性,检测内和检测间变异均低于6%,具有较高的特异性和重复性。135个禽和125个人临床样本的验证结果与实时RT-PCR结果完全一致。与基于智能手机的分析平台集成,可实现快速读取,自动量化和基于云的数据共享,在10分钟内提供结果。这种智能UCNPs-LFA系统结合了超灵敏度、多路复用和现场可部署的可用性,代表了传统方法的重大进步。通过在动物和人类样本中及时、可靠地发现H5、H7和H10禽流感病毒,该平台为新出现的人畜共患流感的早期预警、监测和控制提供了一个实用工具,从而有助于全球防范禽流感暴发。
{"title":"Smartphone-assisted upconversion nanoparticle assay for rapid multiplex detection of H5, H7, and H10 avian influenza viruses.","authors":"Jun Zhang,Han Wu,Ping Wang,Jiamin Fu,Xinyao Zheng,Fang Wan,Man Hu,Fumin Liu,Linfang Cheng,Hangping Yao,Nanping Wu,Junli Zhu,Haibo Wu","doi":"10.1080/22221751.2025.2602315","DOIUrl":"https://doi.org/10.1080/22221751.2025.2602315","url":null,"abstract":"Avian influenza viruses (AIVs) of the H5, H7, and H10 subtypes pose substantial threats to global public health owing to their high pathogenicity, cross-species transmissibility, and potential to spark epidemics. Rapid and accurate detection is essential for outbreak control and zoonotic risk mitigation. Here, we report the development of a multiplex lateral flow immunoassay (LFA) based on core-shell upconversion nanoparticles (UCNPs) conjugated with subtype-specific monoclonal antibodies targeting the haemagglutinin proteins of H5, H7, and H10 AIVs. The assay achieved limits of detection of 0.0313, 0.0156, and 0.0625 ng/mL for recombinant HA proteins and 2-4, 2-4, and 2-3 haemagglutination units for viral titers of H5, H7, and H10, respectively. No cross-reactivity was observed with other AIV subtypes or respiratory pathogens, and intra- and inter-assay variation remained below 6%, demonstrating high specificity and reproducibility. Validation with 135 avian and 125 human clinical samples showed complete concordance with real-time RT-PCR results. Integration with a smartphone-based analytical platform enabled rapid readout, automated quantification, and cloud-based data sharing, providing results within 10 minutes. This intelligent UCNPs-LFA system combines ultra sensitivity, multiplexing, and field-deployable usability, representing a significant advance over conventional methods. By enabling timely and reliable detection of H5, H7, and H10 AIVs in both animal and human samples, this platform offers a practical tool for early warning, surveillance, and control of emerging zoonotic influenza, thereby contributing to global preparedness against avian influenza outbreaks.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"6 1","pages":"2602315"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of the Key Amino Acid Mutations in the PB2 and PA Proteins of Classical Swine H1N1 Influenza A Virus in Mammalian Adaptation. 经典甲型H1N1流感病毒PB2和PA蛋白关键氨基酸突变在哺乳动物适应中的鉴定
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2602310
Xiuhui Wang,Xiaomin Liu,Shuaiyong Wang,Qi Wang,Juan Wang,Manzhu Wang,Yun Yao,Yanjun Zhou,Tongling Shan,Wu Tong,Hao Zheng,Ning Kong,Yifeng Jiang,Changlong Liu,Guangzhi Tong,Hai Yu
The classical swine (CS) H1N1 influenza virus firstly isolated in 1930 is highly homologous to the 1918 Spanish influenza virus. CS H1N1 virus crossed the interspecies barrier to infect humans has become the dominantly prevalent strain in China's pig population, showing a trend of continuous transmission. However, whether subsequent adaptation of CS H1N1 to mammals would increase their pathogenicity toward humans is unknown. To address this, a mouse-adapted (MA) CS H1N1 virus (A/Swine/Guangdong/1/2011[G11-MA]) was generated through serially passaged in mouse lungs, exhibiting increased virulence compared to the wild-type (WT). Further study showed that the G11-MA strain occurred the amino acid mutations in PB2-D740N, PB1-T56I, PA-T97I and HA-K188E, and the combination of PB2-D740N with PA-T97I improved the replication ability in mammalian cells and mice. The G11-MA strain with PB2 and PA (G11/MA PB2PA) group enhanced the viral polymerase activity, with the similar survival rate and weight loss of mice compared to the G11-MA group. Our study demonstrates that the combination of PB2-D740N and PA-T97I plays a key role in the virulence phenotype of CS H1N1 influenza viruses, and provides important information for evaluating the pandemic risk of swine influenza strains.
1930年首次分离的经典猪(CS) H1N1流感病毒与1918年西班牙流感病毒高度同源。CS H1N1病毒跨越种间屏障感染人类,已成为中国猪群的主要流行毒株,并呈现持续传播的趋势。然而,CS H1N1随后在哺乳动物中的适应性是否会增加其对人类的致病性尚不清楚。为了解决这个问题,通过在小鼠肺中连续传代产生了小鼠适应型(MA) CS H1N1病毒(a /Swine/Guangdong/1/2011[G11-MA]),与野生型(WT)相比,其毒力有所增加。进一步研究表明,G11-MA菌株在PB2-D740N、PB1-T56I、PA-T97I和HA-K188E中发生氨基酸突变,PB2-D740N与PA-T97I结合可提高其在哺乳动物细胞和小鼠中的复制能力。添加PB2和PA的G11-MA菌株(G11/MA PB2PA)组增强了病毒聚合酶活性,小鼠的存活率和体重减轻与G11-MA组相似。我们的研究表明,PB2-D740N和PA-T97I的组合在CS H1N1流感病毒的毒力表型中起着关键作用,为评估猪流感毒株的大流行风险提供了重要信息。
{"title":"Identification of the Key Amino Acid Mutations in the PB2 and PA Proteins of Classical Swine H1N1 Influenza A Virus in Mammalian Adaptation.","authors":"Xiuhui Wang,Xiaomin Liu,Shuaiyong Wang,Qi Wang,Juan Wang,Manzhu Wang,Yun Yao,Yanjun Zhou,Tongling Shan,Wu Tong,Hao Zheng,Ning Kong,Yifeng Jiang,Changlong Liu,Guangzhi Tong,Hai Yu","doi":"10.1080/22221751.2025.2602310","DOIUrl":"https://doi.org/10.1080/22221751.2025.2602310","url":null,"abstract":"The classical swine (CS) H1N1 influenza virus firstly isolated in 1930 is highly homologous to the 1918 Spanish influenza virus. CS H1N1 virus crossed the interspecies barrier to infect humans has become the dominantly prevalent strain in China's pig population, showing a trend of continuous transmission. However, whether subsequent adaptation of CS H1N1 to mammals would increase their pathogenicity toward humans is unknown. To address this, a mouse-adapted (MA) CS H1N1 virus (A/Swine/Guangdong/1/2011[G11-MA]) was generated through serially passaged in mouse lungs, exhibiting increased virulence compared to the wild-type (WT). Further study showed that the G11-MA strain occurred the amino acid mutations in PB2-D740N, PB1-T56I, PA-T97I and HA-K188E, and the combination of PB2-D740N with PA-T97I improved the replication ability in mammalian cells and mice. The G11-MA strain with PB2 and PA (G11/MA PB2PA) group enhanced the viral polymerase activity, with the similar survival rate and weight loss of mice compared to the G11-MA group. Our study demonstrates that the combination of PB2-D740N and PA-T97I plays a key role in the virulence phenotype of CS H1N1 influenza viruses, and provides important information for evaluating the pandemic risk of swine influenza strains.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"15 1","pages":"2602310"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cross-Cell Line Transcriptome Profiling Reveals Host-Virus Interactions in Monkeypox Virus Infection. 跨细胞系转录组分析揭示猴痘病毒感染中宿主-病毒相互作用。
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2602311
Hongyang Yi,Sumei Yang,Jiayu Deng,Xiang Liu,Xiling Zhang,Xiaoxin Xie,Jing Li,Jiahao Wang,Li Wei,Zhenzhong Zheng,Mingxia Zhang,Liang Fang,Hongzhou Lu
The monkeypox virus (MPXV), a re-emerging Orthopoxvirus, has triggered unprecedented global outbreaks, with over 130,000 confirmed cases reported by January 2025. Despite its escalating public health threat, the molecular mechanisms governing MPXV-host interactions remain inadequately characterized. In this study, we systematically explored the impact of MPXV Clade IIb infection on the host transcriptome across diverse cell lines, unveiling both conserved and cell-type-specific transcriptomic changes. Our analysis revealed significant disruptions in pathways associated with immune response, cell cycle regulation, metabolism, protein synthesis, and epigenetic modification. Additionally, we evaluated two widely used mRNA sequencing methodologies for MPXV transcriptome profiling, demonstrating that ribosomal RNA depletion offers a more comprehensive representation of viral mRNA compared to poly(A) tail enrichment. Through cross-cell-line comparisons and temporal transcriptomic analysis in A549 cells, we identified stage-specific regulation of MPXV gene expression. Leveraging the temporal host transcriptome profiles, we predicted and validated potential therapeutic targets, demonstrating that inhibitors targeting the mTOR pathway and growth factor receptors effectively inhibit MPXV infection. Collectively, these findings provide critical insights into the intricate interplay between MPXV and its host, offering a foundation for developing antiviral strategies and advancing our understanding of mpox pathogenesis.
猴痘病毒(MPXV)是一种重新出现的正痘病毒,已引发前所未有的全球疫情,截至2025年1月报告的确诊病例超过13万例。尽管其对公共卫生的威胁不断升级,但控制mpxv -宿主相互作用的分子机制仍然没有充分表征。在这项研究中,我们系统地探索了MPXV Clade IIb感染对不同细胞系宿主转录组的影响,揭示了保守的和细胞类型特异性的转录组变化。我们的分析揭示了与免疫反应、细胞周期调节、代谢、蛋白质合成和表观遗传修饰相关的途径的显著破坏。此外,我们评估了用于MPXV转录组分析的两种广泛使用的mRNA测序方法,证明与聚(a)尾部富集相比,核糖体RNA缺失提供了更全面的病毒mRNA表征。通过A549细胞的跨细胞系比较和时间转录组学分析,我们确定了MPXV基因表达的阶段性调控。利用时间宿主转录组谱,我们预测并验证了潜在的治疗靶点,证明靶向mTOR途径和生长因子受体的抑制剂有效地抑制MPXV感染。总的来说,这些发现为了解MPXV与其宿主之间复杂的相互作用提供了重要的见解,为开发抗病毒策略提供了基础,并促进了我们对m痘发病机制的理解。
{"title":"Cross-Cell Line Transcriptome Profiling Reveals Host-Virus Interactions in Monkeypox Virus Infection.","authors":"Hongyang Yi,Sumei Yang,Jiayu Deng,Xiang Liu,Xiling Zhang,Xiaoxin Xie,Jing Li,Jiahao Wang,Li Wei,Zhenzhong Zheng,Mingxia Zhang,Liang Fang,Hongzhou Lu","doi":"10.1080/22221751.2025.2602311","DOIUrl":"https://doi.org/10.1080/22221751.2025.2602311","url":null,"abstract":"The monkeypox virus (MPXV), a re-emerging Orthopoxvirus, has triggered unprecedented global outbreaks, with over 130,000 confirmed cases reported by January 2025. Despite its escalating public health threat, the molecular mechanisms governing MPXV-host interactions remain inadequately characterized. In this study, we systematically explored the impact of MPXV Clade IIb infection on the host transcriptome across diverse cell lines, unveiling both conserved and cell-type-specific transcriptomic changes. Our analysis revealed significant disruptions in pathways associated with immune response, cell cycle regulation, metabolism, protein synthesis, and epigenetic modification. Additionally, we evaluated two widely used mRNA sequencing methodologies for MPXV transcriptome profiling, demonstrating that ribosomal RNA depletion offers a more comprehensive representation of viral mRNA compared to poly(A) tail enrichment. Through cross-cell-line comparisons and temporal transcriptomic analysis in A549 cells, we identified stage-specific regulation of MPXV gene expression. Leveraging the temporal host transcriptome profiles, we predicted and validated potential therapeutic targets, demonstrating that inhibitors targeting the mTOR pathway and growth factor receptors effectively inhibit MPXV infection. Collectively, these findings provide critical insights into the intricate interplay between MPXV and its host, offering a foundation for developing antiviral strategies and advancing our understanding of mpox pathogenesis.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"44 1","pages":"2602311"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergence, climate-driven expansion, and diversification of a European Vibrio vulnificus lineage (L4) with multi-host pathogenic potential. 具有多宿主致病潜力的欧洲创伤弧菌谱系(L4)的出现、气候驱动的扩张和多样化。
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2601370
Héctor Carmona-Salido,Rubén Salvador-Clavell,Claudia Jäckel,Isabelle Schulze,Karla J F Satchell,Jens Andre Hammerl,Carmen Amaro
Climate-driven changes are reshaping the ecology of Vibrio vulnificus in European waters. Here, we present a retrospective genomic and phenotypic analysis of pre-2018 isolates belonging to lineage 4 (L4), a phylogenetic group historically confined to the Mediterranean Sea and now detected in northern Europe. Using a lineage-specific multiplex PCR combined with whole-genome sequencing, we identified 49 clinical and environmental L4 isolates from German coastal waters. Comparative genomics revealed extensive genetic plasticity in L4, indicative of frequent recombination and horizontal gene transfer, including three MARTX toxin architectures, fourteen distinct capsular genotypes, two type VI secretion systems, and multiple prophages. Notably, nearly half of the L4 isolates encoded a previously undescribed MARTX variant (type H), apparently derived from recombination within a type C toxin and containing a novel calmodulin-dependent NADase (CdN) domain with potential functional implications for virulence. One strain also harboured the plasmid-borne genes ftbp and fpcrp, which confer resistance to fish innate immunity and the ability to cause sepsis, thereby extending the distribution of the piscis pathovar to all five V. vulnificus lineages. Functional assays showed that most L4 strains withstood the bactericidal activity of iron-overloaded human serum, consistent with a capacity to cause sepsis in susceptible individuals. Collectively, these findings redefine V. vulnificus as a multi-host climate-responsive marine pathogen and establish L4 as a newly adapted European lineage whose northward expansion exemplifies how genomic diversification and ocean warming jointly drive the evolution of high-risk marine pathogens within a One Health framework.
气候变化正在重塑欧洲水域创伤弧菌的生态。在这里,我们对2018年前属于谱系4 (L4)的分离株进行了回顾性基因组和表型分析,谱系4 (L4)是一个历史上局限于地中海的系统发育群,现在在北欧发现。使用谱系特异性多重PCR结合全基因组测序,我们从德国沿海水域鉴定出49株临床和环境L4分离株。比较基因组学揭示了L4广泛的遗传可塑性,表明频繁的重组和水平基因转移,包括3种MARTX毒素结构,14种不同的荚膜基因型,2种VI型分泌系统和多个前噬菌体。值得注意的是,近一半的L4分离株编码先前未描述的MARTX变体(H型),显然来自C型毒素内的重组,并含有一种新的钙调素依赖性NADase (CdN)结构域,具有潜在的毒力功能影响。其中一个菌株还含有质粒携带的基因ftbp和fpcrp,这两种基因赋予了对鱼类先天免疫的抵抗力和引起败血症的能力,从而将双鱼的致病谱扩展到所有五个创伤弧菌谱系。功能分析显示,大多数L4菌株能够抵抗铁超载人血清的杀菌活性,这与易感个体引起败血症的能力相一致。总的来说,这些发现将创伤弧菌重新定义为一种多宿主气候响应型海洋病原体,并将L4确定为一种新适应的欧洲谱系,其向北扩张例证了基因组多样化和海洋变暖如何共同推动高风险海洋病原体在同一个健康框架内的进化。
{"title":"Emergence, climate-driven expansion, and diversification of a European Vibrio vulnificus lineage (L4) with multi-host pathogenic potential.","authors":"Héctor Carmona-Salido,Rubén Salvador-Clavell,Claudia Jäckel,Isabelle Schulze,Karla J F Satchell,Jens Andre Hammerl,Carmen Amaro","doi":"10.1080/22221751.2025.2601370","DOIUrl":"https://doi.org/10.1080/22221751.2025.2601370","url":null,"abstract":"Climate-driven changes are reshaping the ecology of Vibrio vulnificus in European waters. Here, we present a retrospective genomic and phenotypic analysis of pre-2018 isolates belonging to lineage 4 (L4), a phylogenetic group historically confined to the Mediterranean Sea and now detected in northern Europe. Using a lineage-specific multiplex PCR combined with whole-genome sequencing, we identified 49 clinical and environmental L4 isolates from German coastal waters. Comparative genomics revealed extensive genetic plasticity in L4, indicative of frequent recombination and horizontal gene transfer, including three MARTX toxin architectures, fourteen distinct capsular genotypes, two type VI secretion systems, and multiple prophages. Notably, nearly half of the L4 isolates encoded a previously undescribed MARTX variant (type H), apparently derived from recombination within a type C toxin and containing a novel calmodulin-dependent NADase (CdN) domain with potential functional implications for virulence. One strain also harboured the plasmid-borne genes ftbp and fpcrp, which confer resistance to fish innate immunity and the ability to cause sepsis, thereby extending the distribution of the piscis pathovar to all five V. vulnificus lineages. Functional assays showed that most L4 strains withstood the bactericidal activity of iron-overloaded human serum, consistent with a capacity to cause sepsis in susceptible individuals. Collectively, these findings redefine V. vulnificus as a multi-host climate-responsive marine pathogen and establish L4 as a newly adapted European lineage whose northward expansion exemplifies how genomic diversification and ocean warming jointly drive the evolution of high-risk marine pathogens within a One Health framework.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"29 1","pages":"2601370"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The prevalence and molecular epidemiology of Clostridioides difficile in hospital-based pediatric populations in China. 艰难梭菌在中国儿科医院人群中的流行及分子流行病学研究
IF 13.2 2区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1080/22221751.2025.2602319
Yu Zeng,Yining Shen,Fangfang Fan,Yiyue Liu,Tongxuan Su,Qianli Zhao,Wei Chen,Cen Jiang,Qi Ni,Ru Fan,Manyuan Li,Danfeng Dong,Yibing Peng
A multicenter cross-sectional study was conducted across six Chinese hospitals between September 2023 and April 2024 to investigate the prevalence, molecular epidemiology, antimicrobial resistance (AMR) and genetic relatedness of C. difficile in pediatric populations. Among 1,442 stool samples collected, 242 C. difficile isolates were recovered (16.8%), including 188 from asymptomatic carriers (13.0%) and 11 from confirmed C. difficile infection (CDI) cases (0.98%). The highest rate of asymptomatic carriage was observed in children aged 1-2 years (29.3%). Multilocus sequence typing (MLST) identified ST3 as the predominant sequence type (30.6%), followed by ST42, ST54, ST2, ST102, and ST110. Core genome phylogenetic analysis revealed nine distinct genetic lineages, with lineage VI being the most prevalent among CDI cases. High resistance to clindamycin (64.5%) was observed, primarily mediated by ermB, while all isolates remained susceptible to metronidazole and vancomycin. Moxifloxacin resistance (10.7%) was associated with gyrA T82I mutations, particularly in toxigenic ST3 strains. Transposon analysis indicated ST-specific carriage of AMR genes, with Tn6218(ermB) prevalent in nontoxigenic ST3 isolates and Tn5801 (tet(M)) predominant in ST54. Genomic relatedness (≤2 SNPs) was detected in 12.0% of asymptomatic carriers, with most links associated with hospital-wide contact, suggesting possible transmission events. This study highlights the importance of asymptomatic colonized children as a reservoir for C. difficile, maintaining resistant lineages and disseminating AMR, thereby underscoring the need for enhanced surveillance and targeted antimicrobial stewardship in Chinese healthcare settings.
研究人员于2023年9月至2024年4月在中国6家医院开展了一项多中心横断面研究,调查艰难梭菌在儿科人群中的患病率、分子流行病学、抗菌素耐药性(AMR)和遗传相关性。在1442份粪便样本中,检出艰难梭菌242株(16.8%),其中无症状携带者188株(13.0%),确诊艰难梭菌感染11株(0.98%)。无症状携带率最高的是1-2岁儿童(29.3%)。多位点序列分型(Multilocus sequence typing, MLST)鉴定ST3为优势序列类型(30.6%),其次为ST42、ST54、ST2、ST102和ST110。核心基因组系统发育分析显示9个不同的遗传谱系,其中谱系VI在CDI病例中最为普遍。对克林霉素高耐药(64.5%),主要由ermB介导,而对甲硝唑和万古霉素均敏感。莫西沙星耐药(10.7%)与gyrA T82I突变有关,特别是在产毒株ST3中。转座子分析显示st特异性携带AMR基因,Tn6218(ermB)在非产毒性ST3分离株中普遍存在,Tn5801 (tet(M))在ST54分离株中主要存在。在12.0%的无症状携带者中检测到基因组相关性(≤2个snp),大多数与全院接触相关,提示可能发生传播事件。该研究强调了无症状定殖儿童作为艰难梭菌储存库的重要性,维持了耐药谱系并传播了AMR,从而强调了在中国医疗保健机构中加强监测和有针对性的抗菌药物管理的必要性。
{"title":"The prevalence and molecular epidemiology of Clostridioides difficile in hospital-based pediatric populations in China.","authors":"Yu Zeng,Yining Shen,Fangfang Fan,Yiyue Liu,Tongxuan Su,Qianli Zhao,Wei Chen,Cen Jiang,Qi Ni,Ru Fan,Manyuan Li,Danfeng Dong,Yibing Peng","doi":"10.1080/22221751.2025.2602319","DOIUrl":"https://doi.org/10.1080/22221751.2025.2602319","url":null,"abstract":"A multicenter cross-sectional study was conducted across six Chinese hospitals between September 2023 and April 2024 to investigate the prevalence, molecular epidemiology, antimicrobial resistance (AMR) and genetic relatedness of C. difficile in pediatric populations. Among 1,442 stool samples collected, 242 C. difficile isolates were recovered (16.8%), including 188 from asymptomatic carriers (13.0%) and 11 from confirmed C. difficile infection (CDI) cases (0.98%). The highest rate of asymptomatic carriage was observed in children aged 1-2 years (29.3%). Multilocus sequence typing (MLST) identified ST3 as the predominant sequence type (30.6%), followed by ST42, ST54, ST2, ST102, and ST110. Core genome phylogenetic analysis revealed nine distinct genetic lineages, with lineage VI being the most prevalent among CDI cases. High resistance to clindamycin (64.5%) was observed, primarily mediated by ermB, while all isolates remained susceptible to metronidazole and vancomycin. Moxifloxacin resistance (10.7%) was associated with gyrA T82I mutations, particularly in toxigenic ST3 strains. Transposon analysis indicated ST-specific carriage of AMR genes, with Tn6218(ermB) prevalent in nontoxigenic ST3 isolates and Tn5801 (tet(M)) predominant in ST54. Genomic relatedness (≤2 SNPs) was detected in 12.0% of asymptomatic carriers, with most links associated with hospital-wide contact, suggesting possible transmission events. This study highlights the importance of asymptomatic colonized children as a reservoir for C. difficile, maintaining resistant lineages and disseminating AMR, thereby underscoring the need for enhanced surveillance and targeted antimicrobial stewardship in Chinese healthcare settings.","PeriodicalId":11602,"journal":{"name":"Emerging Microbes & Infections","volume":"55 1","pages":"2602319"},"PeriodicalIF":13.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Emerging Microbes & Infections
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1