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Molecular characterization and evolutionary dynamics of influenza A(H1N1) strains isolated from 2015 to 2017 in North India 2015年至2017年在印度北部分离的甲型H1N1流感菌株的分子特征和进化动态
IF 1.4 Q3 Medicine Pub Date : 2024-04-15 DOI: 10.18502/ijm.v16i2.15358
Sonakshi Srivastava, Radha Kanta Ratho, Mini P Singh, S. Sarkar, B. K. Pati
Background and Objectives: The influenza A(H1N1) virus is known for large outbreaks, epidemics and pandemics world- wide owing to its genome plasticity which evolves constantly. In the year 2015 and then in 2017, India witnessed an upsurge in cases. Materials and Methods: The study was carried out in this period (2015-2017) with samples from 5 states across north India. The hemagglutinin 1 (HA1) and non-structural 1 (NS1) gene segments of the viral genome were characterised by phylogenetic analysis, selection pressure analysis, prediction of potential glycosylation sites and phylodynamic analysis of the study strains. Results: The study strains belonged to genogroup 6B. A total of 12 mutations were observed, half of which were located on the key receptor binding region of the HA1 protein. Established virulence markers D222G, S183P were observed in 2017 samples. Acquisition of an extra glycosylation site was observed in few strains from 2017 and 2016. Selection pressure analysis found the average dN/dS (v) ratio of 0.2106 and few codon sites in particular showed significant evidence of being under negative selection. Conclusion: The genogroup 6B continues to be the dominant circulating strain in Indian subcontinent region however the presence of pathogenic mutations in the 2017 strains from north India underlines the importance of continued molecular surveillance.
背景和目的:众所周知,甲型 H1N1 流感病毒因其基因组的可塑性和不断进化而在全球范围内大规模爆发、流行和大流行。2015 年和 2017 年,印度的病例激增。材料与方法:研究在此期间(2015-2017 年)进行,样本来自印度北部的 5 个邦。通过系统进化分析、选择压力分析、潜在糖基化位点预测和研究菌株的系统动力学分析,确定了病毒基因组的血凝素 1(HA1)和非结构 1(NS1)基因片段的特征。结果:研究菌株属于基因组 6B。共观察到 12 个突变,其中一半位于 HA1 蛋白的关键受体结合区。在2017个样本中观察到了已确定的毒力标记D222G、S183P。在 2017 年和 2016 年的少数菌株中观察到获得了一个额外的糖基化位点。选择压力分析发现,平均 dN/dS (v) 比率为 0.2106,尤其是少数密码子位点显示出受到负选择的显著证据。结论是基因组 6B 仍是印度次大陆地区的主要流行菌株,但 2017 年来自印度北部的菌株中出现了致病性突变,这凸显了持续分子监测的重要性。
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引用次数: 0
Identification and assessment of antifungal susceptibility of Candida species based on bronchoalveolar lavage in immunocompromised and critically ill patients 根据免疫力低下和重症患者支气管肺泡灌洗液鉴定和评估念珠菌的抗真菌敏感性
IF 1.4 Q3 Medicine Pub Date : 2024-04-15 DOI: 10.18502/ijm.v16i2.15362
Robabeh Rezaei, Rasoul Aliannejad, M. Falahati, Zeinab Ghasemi, Mahtab Ashrafi-Khozani, M. Fattahi, Tandis Razavi, S. Farahyar
Background and Objectives: The presence of fungi in the respiratory tract as mycobiome, particularly Candida species (spp.), remains a serious problem due to increasing numbers of immunocompromised patients. The confirmed reliable ex- istence of these pathogens due to frequent colonization is essential. This investigation aimed to recognize Candida spp. among isolates from bronchoalveolar lavage of immunocompromised and critically ill patients and to evaluate their suscep- tibility to antimycotic drugs. Materials and Methods: Bronchoalveolar lavage fluid was collected from 161 hospitalized patients presenting with sus- pected respiratory fungal infection /colonization. The specimens were examined by standard molecular and mycological assays. Candida spp. were recognized with sequence assessment of the D1-D2 section of the large subunit ribosomal DNA. The susceptibility of Candida isolates to common antimycotic drugs was distinguished by standard broth microdilution. Results: Seventy-one clinical isolates of Candida spp. were recognized. Candida albicans was the most frequent, followed by C. glabrata, C. krusei (Pichia kudriavzevii), C. dubliniensis, C. parapsilosis, and C. tropicalis. We found 5.1% of C. albi- cans isolates and 8% of C. glabrata isolates to show resistance to fluconazole. The whole of the Candida spp. were sensitive to amphotericin B and caspofungin. Conclusion: This study demonstrated that C. albicans and C. glabrata are the most common isolates of bronchoalveolar lavage fluid in patients, and the drug susceptibility screening confirmed that amphotericin B and caspofungin are effective against Candida spp. but some C.  glabrata and C. albicans isolates showed resistance to fluconazole.
背景与目的:由于免疫力低下的患者人数不断增加,真菌,尤其是念珠菌(Candida species,spp.)作为真菌生物群在呼吸道中的存在仍然是一个严重的问题。由于这些病原体经常定植,因此确认其可靠存在至关重要。本研究旨在识别从免疫力低下和重症患者支气管肺泡灌洗液中分离出的念珠菌属,并评估它们对抗真菌药物的敏感性。材料与方法:从 161 名疑似呼吸道真菌感染/定植的住院患者中采集支气管肺泡灌洗液。标本采用标准的分子和真菌学检测方法进行检验。通过对大亚基核糖体 DNA 的 D1-D2 部分进行序列评估,确认了念珠菌属。通过标准肉汤微量稀释法确定念珠菌分离物对常见抗真菌药物的敏感性。研究结果确认了 71 个临床分离的念珠菌属。最常见的是白色念珠菌,其次是光滑念珠菌、克鲁塞念珠菌(Pichia kudriavzevii)、杜布林念珠菌、副丝状念珠菌和热带念珠菌。我们发现 5.1%的白念珠菌分离株和 8%的格拉布拉塔念珠菌分离株对氟康唑具有抗药性。所有念珠菌属都对两性霉素 B 和卡泊芬净敏感。结论这项研究表明,白念珠菌和绿念珠菌是患者支气管肺泡灌洗液中最常见的分离株,药物敏感性筛选证实两性霉素 B 和卡泊芬净对念珠菌属有效,但部分绿念珠菌和白念珠菌分离株对氟康唑产生耐药性。
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引用次数: 0
Human herpesvirus type 6 in patients with systemic lupus erythematosus 系统性红斑狼疮患者中的人类疱疹病毒 6 型
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14883
M. Shayestehpour, Elnaz Vatani, B. Zamani, Ahmad Piroozmand, Shaghayegh Yazdani, Kamal Esalatmanesh, Z. Fateminasab
Background and Objectives: Infectious agents are considered one of the possible etiological factors of systemic lupus ery- thematosus (SLE). It has been suggested that human herpesvirus type 6 (HHV-6) may trigger autoimmune disorders, but few studies have been conducted on the relationship between this virus and autoimmune diseases, especially SLE. The present study aimed to compare the frequency of HHV-6 infection between SLE patients and healthy individuals. Materials and Methods: Serum samples were collected from 60 healthy people and 60 SLE patients referred to the rheu- matology clinic of Shahid-Beheshti Hospital, Kashan, Iran, from January 2020 to January 2021. The following data were collected from the medical records of patients: sex; age; duration of disease; SLE clinical manifestations; and disease activ- ity. After the extraction of viral DNA from samples, a nested polymerase chain reaction (PCR) test was performed to detect HHV-6. Results: HHV-6 was detected in 12 SLE patients (20%) and in 8 healthy individuals (13.3%). A significant correlation was not obtained between SLE and the presence of HHV-6 (P = 0.09). There was no correlation between musculoskeletal involvements, skin lesions, renal manifestations, and hematological manifestations with the presence of HHV-6 (P˃0.05). HHV-6 was detected more frequently in patients with active lupus than in patients with quiescent disease, but this difference was not significant (P=0.08). Conclusion: Although patients with SLE had a higher prevalence of HHV-6 compared with healthy people, there is no strong link between HHV-6 infection and SLE. Future research is necessary because this data does not support the hypothesis that human herpesvirus 6 plays a role in the pathogenesis of SLE.
背景与目的:传染源被认为是系统性红斑狼疮(SLE)的可能病因之一。有人认为人类疱疹病毒6型(HHV-6)可能会诱发自身免疫性疾病,但很少有人研究这种病毒与自身免疫性疾病,尤其是系统性红斑狼疮之间的关系。本研究旨在比较系统性红斑狼疮患者和健康人感染 HHV-6 的频率。材料与方法:2020 年 1 月至 2021 年 1 月期间,从伊朗卡尚市沙希德-贝赫什提医院风湿病诊所转诊的 60 名健康人和 60 名系统性红斑狼疮患者身上采集了血清样本。从患者的病历中收集了以下数据:性别、年龄、病程、系统性红斑狼疮临床表现和疾病活动性。从样本中提取病毒 DNA 后,进行巢式聚合酶链反应(PCR)检测 HHV-6。结果发现在 12 名系统性红斑狼疮患者(20%)和 8 名健康人(13.3%)中检测到了 HHV-6。系统性红斑狼疮与 HHV-6 的存在之间没有明显的相关性(P = 0.09)。肌肉骨骼受累、皮肤病变、肾脏表现和血液学表现与 HHV-6 的存在没有相关性(P˃0.05)。活动期狼疮患者比静止期患者更常检测到 HHV-6,但差异不显著(P=0.08)。结论尽管与健康人相比,系统性红斑狼疮患者的HHV-6感染率更高,但HHV-6感染与系统性红斑狼疮之间并无密切联系。由于这些数据并不支持人类疱疹病毒6在系统性红斑狼疮发病机制中发挥作用的假设,因此今后的研究很有必要。
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引用次数: 0
Diagnostic precision of Truenat® technique and co-relation of ALT levels with HBV-DNA viral load among HBsAg positive patients at a tertiary care hospital in Eastern Uttar Pradesh Truenat® 技术的诊断精度以及北方邦东部一家三级医院中 HBsAg 阳性患者的 ALT 水平与 HBV-DNA 病毒载量的相关性
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14882
Sarita Kumari, Bechan Kumar Gautam, A. Singh, Vivek Gaur, Ankur Kumar
Background and Objectives: In India, it is estimated that there are 40 million people suffering from Hepatitis B virus (HBV). Quantification of the viral burden is an important laboratory tool in the management. However, widespread use of different HBV-DNA assays is still affected by the high cost and variable diagnostic precision. The present study was conduct- ed to evaluate the diagnostic precision and co-relation of ALT levels with HBV-DNA by Truenat®-PCR. Materials and Methods: In this prospective cross-sectional study a total of 567 serums were collected from patients by rapid HBsAg, and processed for liver function tests (LFT). The viral HBV-DNA amplification detection was carried out through by Truenat®-PCR test. Results: Out of 567 samples, 452 samples were found to be positive by both rapid and Truenat®-PCR and 106 were negative for HBV-DNA followed by 9 invalid. High ALT level found in 73% of positive patients who had HBV-DNA level (>100000 copies/ml) which is significantly higher in 447 patients as compared to those have below ≤100000 copies/ml. Conclusion: Truenat®-PCR technique is a highly sensitive and can be performed with low resources for effective control of HBV infection. Evaluation of HBV-DNA levels and serum ALT levels showed a significant proportion of patient harbored ongoing viral replication and disease progression.
背景与目标:据估计,印度有 4000 万乙型肝炎病毒(HBV)感染者。病毒负担的量化是管理中的一个重要实验室工具。然而,各种 HBV DNA 检测方法的广泛使用仍受到高成本和诊断精确度不一的影响。本研究旨在通过 Truenat®-PCR 评估 ALT 水平与 HBV-DNA 的诊断精确度和相关性。材料和方法:在这项前瞻性横断面研究中,通过快速 HBsAg 采集了患者的 567 份血清,并进行了肝功能检测(LFT)。病毒 HBV-DNA 扩增检测通过 Truenat®-PCR 测试进行。结果显示在 567 份样本中,452 份样本经快速和 Truenat®-PCR 检测均呈阳性,106 份样本 HBV-DNA 阴性,9 份样本无效。在 HBV-DNA 水平(>100000 拷贝/毫升)呈阳性的患者中,有 73% 发现 ALT 水平较高,其中 447 例患者的 ALT 水平明显高于低于 100000 拷贝/毫升的患者。结论Truenat®-PCR 技术灵敏度高,只需少量资源就能有效控制 HBV 感染。对 HBV-DNA 水平和血清 ALT 水平的评估显示,相当一部分患者的病毒复制仍在进行,疾病仍在恶化。
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引用次数: 0
Extra-intestinal salmonellosis in a tertiary care centre in South India 印度南部一家三级医疗中心的肠外沙门氏菌病
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14885
V. Ganesan, Shyamala Ravikoti, R. Sundaramurthy, M. Raghavan, Rajendran Tiruvanamalai
Background and Objectives: Extra-intestinal salmonellosis is associated with higher case fatality and is underestimated in the developing countries like India. Here we present a case series of bacteriologically proven extra-intestinal salmonellosis managed at our institute over the past two years. Materials and Methods: Retrospective analysis of bacteriologically proven extra-intestinal salmonellosis over two years between January 2020 to December 2021 was carried out. Medical records were reviewed for site of infection, evidence of any underlying or predisposing illnesses and antimicrobial susceptibility report. Results: Eight patients were diagnosed with extra-intestinal salmonellosis. Male to female ratio was 3:1. Mean age was 44 years. Four were typhoidal and four were nontyphoidal Salmonellae. The extra-intestinal sites involved were purulent aspi- rates from scrotum, caecum, perianal region, intraperitoneal collection, synovium, and urine. Predisposing factors include chronic myeloid leukemia, HIV and gastric malignancy. All deep seated abscess required surgical intervention. All typhoidal Salmonella (n=4) were sensitive to cotrimoxazole, ampicillin, ceftriaxone. Among nontyphoidal Salmonella, one was resis- tant to cotrimoxazole; two were resistant to ampicillin, ceftriaxone and three resistant to ciprofloxacin. Conclusion: The diagnosis of extra-intestinal salmonellosis requires a high degree of clinical suspicion and should be in- cluded in the differential diagnosis in patients with deep-seated abscesses.
背景和目的:肠外沙门氏菌病死亡率较高,在印度等发展中国家被低估。在此,我们介绍了过去两年中我院收治的经细菌学证实的肠外沙门氏菌病病例系列。材料和方法:对 2020 年 1 月至 2021 年 12 月两年内经细菌学证实的肠外沙门氏菌病进行回顾性分析。对病历进行审查,以了解感染部位、任何潜在或易感疾病的证据以及抗菌药物敏感性报告。结果八名患者被诊断为肠道外沙门氏菌病。男女比例为 3:1。平均年龄为 44 岁。四例为伤寒型沙门氏菌,四例为非伤寒型沙门氏菌。肠外感染部位包括阴囊、盲肠、肛周、腹腔、滑膜和尿液。诱发因素包括慢性髓性白血病、艾滋病毒和胃部恶性肿瘤。所有深部脓肿都需要手术治疗。所有伤寒沙门氏菌(4 个)都对复方新诺明、氨苄西林和头孢曲松敏感。在非伤寒沙门氏菌中,1 例对复方新诺明耐药,2 例对氨苄西林和头孢曲松耐药,3 例对环丙沙星耐药。结论肠外沙门氏菌病的诊断需要临床高度怀疑,并应纳入深部脓肿患者的鉴别诊断中。
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引用次数: 0
Synergistic effects of Bacillus coagulans and Newcastle disease virus on human colorectal adenocarcinoma cell proliferation 凝结芽孢杆菌和新城疫病毒对人类结直肠腺癌细胞增殖的协同作用
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14878
Hadi Esmaeili Gouvarchinghaleh, Cyrus Jalili, Maryam Zamir Nasta, Fatemeh Mokhles, Elmira Afrasiab, Farhad Babaei
Background and Objectives: Colorectal cancer (CRC) is a common type of cancer that has a high death rate and is be- coming more common in developed countries. Currently, there are several treatment options available for CRC patients, and clinical trials are being conducted to improve conventional therapies. This study investigates the combined impact of Bacillus coagulans (B.C) and Newcastle disease virus (NDV) on the growth of human colorectal adenocarcinoma cells (HT29 cell line). Materials and Methods: The HT29 cell line was cultured under controlled laboratory conditions. They were treated with Fluorouracil (5-FU), NDV, and B.C., after which various assessments were conducted to determine the effects of these treat- ments. These assessments included MTT assay for cytotoxicity, evaluation of cell viability, and measurement of caspase 8 and 9 activity levels. The significance of the data was determined at a threshold of P<0.05 following analysis. Results: The usage of NDV and B.C significantly increased cell death and reduced cell growth in the HT29 cell line, when compared to the control group. Moreover, the combined application of NDV and B.C along with 5-FU exhibited a synergistic effect in decreasing the proliferation of HT29 cells. Additionally, the results indicated that intrinsic apoptosis pathway was activated by B.C and NDV. Conclusion: It appears that utilizing oncolytic viruses (OV) and bacteria in conjunction with chemotherapy drugs could potentially aid in reducing the growth of colorectal cancer cells. However, further research is necessary, including animal studies, to confirm the efficacy of this treatment method.
背景和目的:结肠直肠癌(CRC)是一种常见的癌症,死亡率很高,在发达国家越来越常见。目前,CRC 患者有多种治疗方案可供选择,并且正在进行临床试验以改进传统疗法。本研究探讨了凝结芽孢杆菌(B.C)和新城疫病毒(NDV)对人结直肠腺癌细胞(HT29 细胞系)生长的联合影响。材料与方法:HT29 细胞系是在受控实验室条件下培养的。用氟尿嘧啶(5-FU)、NDV 和 B.C. 处理这些细胞,然后进行各种评估以确定这些处理的效果。这些评估包括 MTT 细胞毒性检测、细胞存活率评估以及 Caspase 8 和 9 活性水平测量。数据的显著性以 P<0.05 为临界值进行分析。结果与对照组相比,使用 NDV 和 B.C 能明显增加 HT29 细胞系的细胞死亡,减少细胞生长。此外,联合应用 NDV 和 B.C 以及 5-FU 对减少 HT29 细胞的增殖有协同作用。此外,研究结果表明,B.C 和 NDV 激活了细胞凋亡的内在通路。结论将溶瘤病毒(OV)和细菌与化疗药物结合使用似乎可能有助于减少结直肠癌细胞的生长。不过,要确认这种治疗方法的疗效,还需要进一步的研究,包括动物实验。
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引用次数: 0
Extra-intestinal salmonellosis in a tertiary care centre in South India 印度南部一家三级医疗中心的肠外沙门氏菌病
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14885
V. Ganesan, Shyamala Ravikoti, R. Sundaramurthy, M. Raghavan, Rajendran Tiruvanamalai
Background and Objectives: Extra-intestinal salmonellosis is associated with higher case fatality and is underestimated in the developing countries like India. Here we present a case series of bacteriologically proven extra-intestinal salmonellosis managed at our institute over the past two years. Materials and Methods: Retrospective analysis of bacteriologically proven extra-intestinal salmonellosis over two years between January 2020 to December 2021 was carried out. Medical records were reviewed for site of infection, evidence of any underlying or predisposing illnesses and antimicrobial susceptibility report. Results: Eight patients were diagnosed with extra-intestinal salmonellosis. Male to female ratio was 3:1. Mean age was 44 years. Four were typhoidal and four were nontyphoidal Salmonellae. The extra-intestinal sites involved were purulent aspi- rates from scrotum, caecum, perianal region, intraperitoneal collection, synovium, and urine. Predisposing factors include chronic myeloid leukemia, HIV and gastric malignancy. All deep seated abscess required surgical intervention. All typhoidal Salmonella (n=4) were sensitive to cotrimoxazole, ampicillin, ceftriaxone. Among nontyphoidal Salmonella, one was resis- tant to cotrimoxazole; two were resistant to ampicillin, ceftriaxone and three resistant to ciprofloxacin. Conclusion: The diagnosis of extra-intestinal salmonellosis requires a high degree of clinical suspicion and should be in- cluded in the differential diagnosis in patients with deep-seated abscesses.
背景和目的:肠外沙门氏菌病死亡率较高,在印度等发展中国家被低估。在此,我们介绍了过去两年中我院收治的经细菌学证实的肠外沙门氏菌病病例系列。材料和方法:对 2020 年 1 月至 2021 年 12 月两年内经细菌学证实的肠外沙门氏菌病进行回顾性分析。对病历进行审查,以了解感染部位、任何潜在或易感疾病的证据以及抗菌药物敏感性报告。结果八名患者被诊断为肠道外沙门氏菌病。男女比例为 3:1。平均年龄为 44 岁。四例为伤寒型沙门氏菌,四例为非伤寒型沙门氏菌。肠外感染部位包括阴囊、盲肠、肛周、腹腔、滑膜和尿液。诱发因素包括慢性髓性白血病、艾滋病毒和胃部恶性肿瘤。所有深部脓肿都需要手术治疗。所有伤寒沙门氏菌(4 个)都对复方新诺明、氨苄西林和头孢曲松敏感。在非伤寒沙门氏菌中,1 例对复方新诺明耐药,2 例对氨苄西林和头孢曲松耐药,3 例对环丙沙星耐药。结论肠外沙门氏菌病的诊断需要临床高度怀疑,并应纳入深部脓肿患者的鉴别诊断中。
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引用次数: 0
Diagnostic precision of Truenat® technique and co-relation of ALT levels with HBV-DNA viral load among HBsAg positive patients at a tertiary care hospital in Eastern Uttar Pradesh Truenat® 技术的诊断精度以及北方邦东部一家三级医院中 HBsAg 阳性患者的 ALT 水平与 HBV-DNA 病毒载量的相关性
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14882
Sarita Kumari, Bechan Kumar Gautam, A. Singh, Vivek Gaur, Ankur Kumar
Background and Objectives: In India, it is estimated that there are 40 million people suffering from Hepatitis B virus (HBV). Quantification of the viral burden is an important laboratory tool in the management. However, widespread use of different HBV-DNA assays is still affected by the high cost and variable diagnostic precision. The present study was conduct- ed to evaluate the diagnostic precision and co-relation of ALT levels with HBV-DNA by Truenat®-PCR. Materials and Methods: In this prospective cross-sectional study a total of 567 serums were collected from patients by rapid HBsAg, and processed for liver function tests (LFT). The viral HBV-DNA amplification detection was carried out through by Truenat®-PCR test. Results: Out of 567 samples, 452 samples were found to be positive by both rapid and Truenat®-PCR and 106 were negative for HBV-DNA followed by 9 invalid. High ALT level found in 73% of positive patients who had HBV-DNA level (>100000 copies/ml) which is significantly higher in 447 patients as compared to those have below ≤100000 copies/ml. Conclusion: Truenat®-PCR technique is a highly sensitive and can be performed with low resources for effective control of HBV infection. Evaluation of HBV-DNA levels and serum ALT levels showed a significant proportion of patient harbored ongoing viral replication and disease progression.
背景与目标:据估计,印度有 4000 万乙型肝炎病毒(HBV)感染者。病毒负担的量化是管理中的一个重要实验室工具。然而,各种 HBV DNA 检测方法的广泛使用仍受到高成本和诊断精确度不一的影响。本研究旨在通过 Truenat®-PCR 评估 ALT 水平与 HBV-DNA 的诊断精确度和相关性。材料和方法:在这项前瞻性横断面研究中,通过快速 HBsAg 采集了患者的 567 份血清,并进行了肝功能检测(LFT)。病毒 HBV-DNA 扩增检测通过 Truenat®-PCR 测试进行。结果显示在 567 份样本中,452 份样本经快速和 Truenat®-PCR 检测均呈阳性,106 份样本 HBV-DNA 阴性,9 份样本无效。在 HBV-DNA 水平(>100000 拷贝/毫升)呈阳性的患者中,有 73% 发现 ALT 水平较高,其中 447 例患者的 ALT 水平明显高于低于 100000 拷贝/毫升的患者。结论Truenat®-PCR 技术灵敏度高,只需少量资源就能有效控制 HBV 感染。对 HBV-DNA 水平和血清 ALT 水平的评估显示,相当一部分患者的病毒复制仍在进行,疾病仍在恶化。
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引用次数: 0
Human herpesvirus type 6 in patients with systemic lupus erythematosus 系统性红斑狼疮患者中的人类疱疹病毒 6 型
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14883
M. Shayestehpour, Elnaz Vatani, B. Zamani, Ahmad Piroozmand, Shaghayegh Yazdani, Kamal Esalatmanesh, Z. Fateminasab
Background and Objectives: Infectious agents are considered one of the possible etiological factors of systemic lupus ery- thematosus (SLE). It has been suggested that human herpesvirus type 6 (HHV-6) may trigger autoimmune disorders, but few studies have been conducted on the relationship between this virus and autoimmune diseases, especially SLE. The present study aimed to compare the frequency of HHV-6 infection between SLE patients and healthy individuals. Materials and Methods: Serum samples were collected from 60 healthy people and 60 SLE patients referred to the rheu- matology clinic of Shahid-Beheshti Hospital, Kashan, Iran, from January 2020 to January 2021. The following data were collected from the medical records of patients: sex; age; duration of disease; SLE clinical manifestations; and disease activ- ity. After the extraction of viral DNA from samples, a nested polymerase chain reaction (PCR) test was performed to detect HHV-6. Results: HHV-6 was detected in 12 SLE patients (20%) and in 8 healthy individuals (13.3%). A significant correlation was not obtained between SLE and the presence of HHV-6 (P = 0.09). There was no correlation between musculoskeletal involvements, skin lesions, renal manifestations, and hematological manifestations with the presence of HHV-6 (P˃0.05). HHV-6 was detected more frequently in patients with active lupus than in patients with quiescent disease, but this difference was not significant (P=0.08). Conclusion: Although patients with SLE had a higher prevalence of HHV-6 compared with healthy people, there is no strong link between HHV-6 infection and SLE. Future research is necessary because this data does not support the hypothesis that human herpesvirus 6 plays a role in the pathogenesis of SLE.
背景与目的:传染源被认为是系统性红斑狼疮(SLE)的可能病因之一。有人认为人类疱疹病毒6型(HHV-6)可能会诱发自身免疫性疾病,但很少有人研究这种病毒与自身免疫性疾病,尤其是系统性红斑狼疮之间的关系。本研究旨在比较系统性红斑狼疮患者和健康人感染 HHV-6 的频率。材料与方法:2020 年 1 月至 2021 年 1 月期间,从伊朗卡尚市沙希德-贝赫什提医院风湿病诊所转诊的 60 名健康人和 60 名系统性红斑狼疮患者身上采集了血清样本。从患者的病历中收集了以下数据:性别、年龄、病程、系统性红斑狼疮临床表现和疾病活动性。从样本中提取病毒 DNA 后,进行巢式聚合酶链反应(PCR)检测 HHV-6。结果发现在 12 名系统性红斑狼疮患者(20%)和 8 名健康人(13.3%)中检测到了 HHV-6。系统性红斑狼疮与 HHV-6 的存在之间没有明显的相关性(P = 0.09)。肌肉骨骼受累、皮肤病变、肾脏表现和血液学表现与 HHV-6 的存在没有相关性(P˃0.05)。活动期狼疮患者比静止期患者更常检测到 HHV-6,但差异不显著(P=0.08)。结论尽管与健康人相比,系统性红斑狼疮患者的HHV-6感染率更高,但HHV-6感染与系统性红斑狼疮之间并无密切联系。由于这些数据并不支持人类疱疹病毒6在系统性红斑狼疮发病机制中发挥作用的假设,因此今后的研究很有必要。
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引用次数: 0
In vitro evaluation of inhibitory effect of Lactobacillus reuteri supernatant on the replication of herpes simplex virus type 1 and expression of UL54, UL52 and UL27 genes 盐酸克雷伯乳杆菌上清液对 1 型单纯疱疹病毒复制及 UL54、UL52 和 UL27 基因表达的体外抑制效果评估
IF 1.4 Q3 Medicine Pub Date : 2024-02-12 DOI: 10.18502/ijm.v16i1.14877
Faezeh Ebneali, M. Shayestehpour, Ahmad Piroozmand, Hossein Sedaghat, Shaghayegh Yazdani, Z. Fateminasab
Background and Objectives: Human herpes virus type 1 (HSV-1) is a neurotropic pathogen that is infected more than 70% of the world population. The increasing of viral resistance to antiviral drugs and the emergence of side effects has motivated researchers to study the use of probiotics as new antiviral agents. The aim of the present study was to study for the first time the potential antiviral activity of Lactobacillus reuteri (L. reuteri) supernatant against HSV-1. Materials and Methods: After measuring the cytotoxicity of L. reuteri supernatant by MTT assay, 1:16 dilution of it was added to HeLa cells before and after HSV-1 infection, after 1.5 hours incubation with HSV-1, and simultaneously with HSV[1]1 infection. After 48 hours of incubation at 37°C, the viral titer and expression levels of UL54, UL52 and UL27 genes were measured by tissue culture infectious dose 50 (TCID ) and Real-Time PCR methods, respectively.  Results: HSV-1 titer in the treatment conditions before infection, incubation with HSV-1, simultaneously with infection and after infection was reduced by 0.42, 3.42, 1.83, and 0.83 log 10 TCID /ml, respectively. When the bacterial supernatant was first incubated with the virus and then added to the cell, or when it was added simultaneously with the virus, the expression of the UL27, UL52, and UL54 genes decreased significantly (p0.05). Conclusion: The study findings indicated that the supernatant of L. reuteri has a potent anti-HSV-1 effect especially if it is incubated with the virus before inoculation into the cell. Its possible antiviral mechanism is to inhibit the virus by binding to it or changing the surface structure of the virus. Metabolites of L. reuteri can be considered as a novel inhibitor of HSV-1in- fection.
背景和目的:人类疱疹病毒 1 型(HSV-1)是一种神经性病原体,感染了全球 70% 以上的人口。病毒对抗病毒药物的耐药性不断增加,副作用也不断出现,这促使研究人员开始研究使用益生菌作为新的抗病毒药物。本研究的目的是首次研究纽崔莱乳杆菌(L. reuteri)上清液对 HSV-1 的潜在抗病毒活性。材料与方法:用 MTT 法测定 L. reuteri 上清液的细胞毒性,然后将其 1:16 稀释液分别加入感染 HSV-1 之前和之后、与 HSV-1 培养 1.5 小时之后以及同时感染 HSV[1]1 的 HeLa 细胞中。在 37°C 孵育 48 小时后,分别用组织培养感染剂量 50(TCID)和 Real-Time PCR 方法测定病毒滴度和 UL54、UL52 和 UL27 基因的表达水平。 结果在感染前、HSV-1 培养、感染同时和感染后的处理条件下,HSV-1 滴度分别降低了 0.42、3.42、1.83 和 0.83 log 10 TCID /ml。当细菌上清液先与病毒孵育后加入细胞,或与病毒同时加入细胞时,UL27、UL52 和 UL54 基因的表达量明显下降(p0.05)。结论研究结果表明,L. reuteri 的上清液具有很强的抗 HSV-1 作用,尤其是在接种到细胞前与病毒一起培养的情况下。其可能的抗病毒机制是通过与病毒结合或改变病毒的表面结构来抑制病毒。可以认为L. reuteri的代谢物是一种新型的HSV-1病毒抑制剂。
{"title":"In vitro evaluation of inhibitory effect of Lactobacillus reuteri supernatant on the replication of herpes simplex virus type 1 and expression of UL54, UL52 and UL27 genes","authors":"Faezeh Ebneali, M. Shayestehpour, Ahmad Piroozmand, Hossein Sedaghat, Shaghayegh Yazdani, Z. Fateminasab","doi":"10.18502/ijm.v16i1.14877","DOIUrl":"https://doi.org/10.18502/ijm.v16i1.14877","url":null,"abstract":"Background and Objectives: Human herpes virus type 1 (HSV-1) is a neurotropic pathogen that is infected more than 70% of the world population. The increasing of viral resistance to antiviral drugs and the emergence of side effects has motivated researchers to study the use of probiotics as new antiviral agents. The aim of the present study was to study for the first time the potential antiviral activity of Lactobacillus reuteri (L. reuteri) supernatant against HSV-1. \u0000Materials and Methods: After measuring the cytotoxicity of L. reuteri supernatant by MTT assay, 1:16 dilution of it was added to HeLa cells before and after HSV-1 infection, after 1.5 hours incubation with HSV-1, and simultaneously with HSV[1]1 infection. After 48 hours of incubation at 37°C, the viral titer and expression levels of UL54, UL52 and UL27 genes were measured by tissue culture infectious dose 50 (TCID ) and Real-Time PCR methods, respectively. \u0000 Results: HSV-1 titer in the treatment conditions before infection, incubation with HSV-1, simultaneously with infection and after infection was reduced by 0.42, 3.42, 1.83, and 0.83 log 10 TCID /ml, respectively. When the bacterial supernatant was first incubated with the virus and then added to the cell, or when it was added simultaneously with the virus, the expression of the UL27, UL52, and UL54 genes decreased significantly (p0.05). \u0000Conclusion: The study findings indicated that the supernatant of L. reuteri has a potent anti-HSV-1 effect especially if it is incubated with the virus before inoculation into the cell. Its possible antiviral mechanism is to inhibit the virus by binding to it or changing the surface structure of the virus. Metabolites of L. reuteri can be considered as a novel inhibitor of HSV-1in- fection.","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139783247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Iranian Journal of Microbiology
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