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Increasing trend of Viral Morbidity and Mortality even in an Era of HAART Intervention Strategies: A Study of Mono and Co-infection of Subjects Accessing Care in Some Selected Facilities in Niger Delta 即使在HAART干预策略时代,病毒发病率和死亡率的上升趋势:尼日尔三角洲一些选定设施中获得护理的单一和合并感染受试者的研究
Pub Date : 2019-01-01 DOI: 10.35248/1948-5964.19.11.191
A. Obioma, Ihua Nnenna, Eze Evelyn Mgebeoma
Across the globe, vulnerable subjects are burdened with mono infections of HIV, Hepatitis B and C virus infections; however, with the increasing trend of robust awareness and intervention advocacy targeted towards early diagnosis, prevention and other management strategies in place, it is expected that the prevalence of the infection would be drastically reduced in an appreciable manner among vulnerable groups in our communities. Nonetheless, it is strongly believed that commensurate preparedness and early detection and smart management of co-infections, especially in the developing communities’ remains key and paramount, if the fight must be moved to the next level of robust health care priority outcome. However, there seems to be practical evidence of scarcity of information and probably dearth of robust reliable data in the region, thus this present study investigated viral mono and co-infections (dual and triple) among selected subjects in some selected facilities. Nonetheless, this observational cross sectional study recruited 3,062 subjects, with about 250 from a cohort of HIV subjects. Laboratory diagnosis involved sequential testing using both qualitative (MP rapid kits and ELISA) and quantitative (Molecular-primer design q16 real-time PCR). Nevertheless, Gpower version 3.2 was used to estimate the sample size, even as the qualitative and quantitative data analysis involved the use of frequency and percentage outcome for descriptive analysis, while Chi square, correlation for association and odd ratio were explored using SPSS version 21, even as hypothesis were tested at 0.05 significant level. Significant difference was observed between the mono and coinfection rates; education, marital status and body mass index also showed evidence of significance (p<0.05) with chi square. Furthermore, exposure to most risk factors appeared small and general low sero-prevalence. Moreover, low incidence rates of 2.8% and 2.4% for Hepatitis B and C were observed respectively. Most risk factors correlated with viral infection. Further risk estimate using odd ratio showed two or more-fold increase for the exposed, although low disease frequency was reported here, but a retrospective review from this region showed much lower rate meaning, there is a progressive disease frequency transition therefore; care must be taken including adherence to the universal safe practices and precautionary measures. However, vaccination against Hepatitis infection as a preventive measure and its compulsory incorporation in the HIV management procedure must be strongly underpinned in the region, if we must check and manage the increasing trend in our remote communities in good time.
在全球范围内,弱势群体承受着艾滋病毒、乙型肝炎和丙型肝炎病毒感染的单一感染;然而,随着对早期诊断、预防和其他管理策略的强烈认识和干预宣传的趋势日益增强,预计在我们社区的弱势群体中,感染的流行率将显著降低。尽管如此,人们坚信,如果必须将这场斗争提升到一个强有力的卫生保健优先结果的新水平,那么对合并感染进行相应的防范、早期发现和明智管理,特别是在发展中社区,仍然是至关重要的。然而,似乎有实际证据表明,该地区缺乏信息,也可能缺乏强有力的可靠数据,因此,本研究调查了一些选定设施中选定受试者的病毒单一感染和合并感染(双重和三重)。尽管如此,这项观察性横断面研究招募了3062名受试者,其中约250名来自HIV受试者队列。实验室诊断包括使用定性(MP快速试剂盒和ELISA)和定量(分子引物设计q16实时PCR)进行顺序检测。尽管如此,使用Gpower 3.2版本来估计样本量,即使定性和定量数据分析涉及使用频率和百分比结果进行描述性分析,而使用SPSS 21版本探索卡方,关联相关性和奇数比,即使假设在0.05显著水平上进行检验。单发感染率与合并感染率有显著性差异;教育程度、婚姻状况和体重指数也有显著性差异(p<0.05)。此外,对大多数危险因素的暴露程度较小,血清患病率普遍较低。此外,乙型肝炎和丙型肝炎的发病率分别为2.8%和2.4%。大多数危险因素与病毒感染有关。使用奇数比进一步的风险估计显示,暴露者的风险增加了两倍或两倍以上,尽管这里报告的发病率很低,但来自该地区的回顾性审查显示,发病率要低得多,因此存在进行性疾病频率转变;必须采取谨慎措施,包括遵守普遍的安全做法和预防措施。然而,如果我们必须及时检查和管理偏远社区日益增长的趋势,就必须大力支持将肝炎感染疫苗接种作为一项预防措施,并将其强制纳入艾滋病毒管理程序。
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引用次数: 0
Molecular Detection of Interleukin 28B Gene rs8099917 Polymorphism in chronic HCV Patients from Khartoum State, Sudan 苏丹喀土穆地区慢性HCV患者白细胞介素28B基因rs8099917多态性的分子检测
Pub Date : 2019-01-01 DOI: 10.35248/1948-5964.19.11.190
Mohamed Ibrahim, A. M. Hussein, I. Elkhidir, Dina N. Abdelrahman, K. Enan
Background: Hepatitis C virus (HCV) infection represents a major health burden According to the world health organization (WHO) there are more than 170 million people infected worldwide and 3-4 million new infections are estimated per year. Recent studies have demonstrated the role of interleukin B 28(IL B 28) polymorphism in predicting the treatment induced and spontaneous clearance from hepatitis C virus (HCV) infection and genome-wide association studies have shown that single nucleotide polymorphism (SNPs) near interleukin 28B gene are good predictors of response to treatment. The present study aimed to isolate and identify IL 28 B gene rs8099917 polymorphism from HCV infected individuals DNA. Methods: This cross-sectional study was performed on 50 blood samples from patients with chronic HCV infection as detected by ELISA kit (RIBA-11 and c-200/c-22 ELISA Company and country). DNA was extracted from the samples and the frequency of the polymorphism was analyzed by using PCR-RFLP method. Results: The analysis of the data for G/T polymorphism showed that GT heterozygous was found in 14(28%) patients (10 males, 4 females), and TT homozygote was detected in 36(72%) patients (26 males, 10 females) and no GG homozygous genotype was detected. Conclusion: In this study investigation of rs8099917 (T/G) Polymorphism in interleukin 28B gene (IL28B) in 50 HCV positive patients from Khartoum State indicated that the TT genotype was the dominant genotype detected.
背景:丙型肝炎病毒(HCV)感染是一个主要的健康负担,据世界卫生组织(WHO)称,全世界有超过1.7亿人感染丙型肝炎病毒,估计每年有300万至400万新感染。最近的研究表明,白细胞介素b28 (IL b28)多态性在预测治疗诱导和自发清除丙型肝炎病毒(HCV)感染中的作用,全基因组关联研究表明,白细胞介素28B基因附近的单核苷酸多态性(snp)是治疗反应的良好预测因子。本研究旨在从HCV感染个体DNA中分离和鉴定IL 28b基因rs8099917多态性。方法:本横断面研究采用ELISA试剂盒(RIBA-11和c-200/c-22 ELISA公司和国家)检测50例慢性HCV感染患者的血液样本。提取样品DNA,采用PCR-RFLP方法分析多态性频率。结果:G/T多态性分析结果显示,GT杂合14例(28%)(男10例,女4例),TT纯合36例(72%)(男26例,女10例),未检出GG纯合基因型。结论:本研究对喀土穆50例HCV阳性患者il - 28B基因(il - 28B) rs8099917 (T/G)多态性进行了检测,发现TT基因型为优势基因型。
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引用次数: 1
HIV-Associated Tuberculosis in Russia: Results of the Retrospective Cohort Study over the Period of Two Years 俄罗斯hiv相关结核病:两年回顾性队列研究结果
Pub Date : 2019-01-01 DOI: 10.35248/1948-5964.19.11.189
M. Nosik, I. Rymanova, S. Sevostyanihin, K. Ryzhov, A. Sobkin
Objective: The goal of the work was to study the socio-demographic and clinical profile of the patients with TB/ HIV co-infection, as well as the treatment effectiveness to understand what shortcomings in the work of TB and HIV services are needed to be corrected. Materials and methods: A retrospective study was performed among 377 patients with dual co-infection TB/HIV between January 2015 and December 2016. TB diagnoses were based on clinical symptoms, sputum microscopy, and radiological analyses. The patients were diagnosed as HIV seropositive by ELISA and by Western blot. Results: Out of 377 individuals with co-infection HIV/TB there were 56.8% of patients with newly diagnosed TB. About 30.8% of individuals with newly diagnosed TB did not know they were HIV-positive and attended the hospital for TB treatment. It was revealed that the most predominant TB-form was disseminated pulmonary tuberculosis in the phase of infiltration/decay both among newly diagnosed HIV positive patients and the HIV/ TB patients registered in specialized care centers-50.5% and 49.7%, respectively. The active TB-form (MbT+) accounted for 40.3%. Cavities in the lungs were revealed in 19.9% of patients. The treatment effectiveness cessation of the Mycobacterium tuberculosis allocation was 75.2% in newly diagnosed TB patients and 55.3% in registered patients. Cavity closure had occurred in 54.1% in patients with newly diagnosed TB and 34.2% in registered patients. Only half of the patients (51.1%) constantly took prescribed medications. Conclusion: The high rate of HIV-infected patients with newly diagnosed TB (56.8%) indicates insufficient effectiveness of programmes for early TB testing. Also, the fact that about 30.8% of individuals with newly diagnosed TB were not aware of their HIV positive status indicates the urgent necessity for optimizing the interaction between TB and HIV services. One should also pay attention to the low patients’ adherence to the treatment as only 47.5% of patients did undergo treatment.
目的:研究TB/ HIV合并感染患者的社会人口学和临床特征,以及治疗效果,以了解TB和HIV服务工作中需要纠正的缺点。材料与方法:对2015年1月至2016年12月377例TB/HIV双重合并感染患者进行回顾性研究。结核病诊断基于临床症状、痰液显微镜和放射学分析。ELISA和Western blot检测结果均为HIV血清阳性。结果:在377例HIV/TB合并感染患者中,有56.8%的患者为新诊断结核病。约30.8%的新诊断结核病患者不知道自己是艾滋病毒阳性,并到医院接受结核病治疗。结果表明,在新诊断的HIV阳性患者和在专门护理中心登记的HIV/ TB患者中,最主要的结核形式是浸润/衰变期的播散性肺结核,分别为50.5%和49.7%。活性结核型(MbT+)占40.3%。19.9%的患者肺部出现空腔。在新诊断结核病患者中,结核分枝杆菌分配的治疗有效性停止率为75.2%,在登记患者中为55.3%。新诊断结核病患者的腔体闭合率为54.1%,登记患者的腔体闭合率为34.2%。只有一半(51.1%)的患者持续服用处方药。结论:新诊断结核病的hiv感染者比例较高(56.8%),表明早期结核病检测方案的有效性不足。此外,约30.8%的新诊断结核病患者不知道自己的艾滋病毒阳性状况,这一事实表明,迫切需要优化结核病和艾滋病毒服务之间的互动。值得注意的是,患者的治疗依从性较低,只有47.5%的患者接受了治疗。
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引用次数: 5
Treatments of Chronic Hepatitis C Genotype 1b with Oral Paritaprevir/Ritonavir/Ombitasvir+Dasabuvir or Daclatasvir/Asunaprevir: A Real-World Data from Taiwan 口服Paritaprevir/Ritonavir/Ombitasvir+Dasabuvir或Daclatasvir/Asunaprevir治疗慢性丙型肝炎基因1b:来自台湾的真实世界数据
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000176
Shou-Wu Lee
Background: Hepatitis C Virus (HCV) genotype 1b is predominant in Taiwan. We report here using real-world data on a chronic HCV genotype 1b-infected patient given treatments of oral Pro-D or DAC/ASV. Methods: Data from subjects with chronic hepatitis C genotype 1b-infection undergoing DAAs therapy was retrospectively collected from October 2015 to January 2017. The DAAs regimens included a 12-week Pro-D and 24-week DCV+ASV. The therapeutic effectiveness and safety, including ALT, bilirubin, EOTVR and SVR at 12 weeks were all recorded. Results: Among all 81 subjects, 60 and 21 cases belonged to the Pro-D group and DCV/ASV group, with the rate of EOTVR and SVR12 being 98.3% and 90.5% respectively. Elevation of ALT was noted at the third month of DCV/ASV treatment, and increasing bilirubin was found at the secondary weeks of Pro-D treatment. Conclusion: Our study found SVR12 were 90.5% to 98.3% and 90.5%. Elevated liver function parameters were noted during the therapeutic period.
背景:乙型丙型肝炎病毒(HCV)基因型在台湾占主导地位。我们在此报告一名慢性HCV基因型1b感染患者的真实数据,该患者接受口服Pro-D或DAC/ASV治疗。方法:回顾性收集2015年10月至2017年1月接受DAAs治疗的慢性丙型肝炎基因型1b感染患者的数据。DAAs方案包括12周的Pro-D和24周的DCV+ASV。记录治疗12周时ALT、胆红素、EOTVR、SVR的疗效和安全性。结果81例患者中,Pro-D组60例,DCV/ASV组21例,EOTVR率为98.3%,SVR12率为90.5%。在DCV/ASV治疗的第三个月,ALT升高,在Pro-D治疗的第二周,胆红素升高。结论:本研究发现SVR12分别为90.5% ~ 98.3%和90.5%。治疗期间肝功能参数升高。
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引用次数: 0
ISG15 and ISGylation Regulate the Host Response to Viral Infections ISG15和isg酰化调节宿主对病毒感染的反应
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000e141
Shuang Li, Shilin Li, Limin Chen
During viral infection, the host innate immune response provides early protection. To control virus spread, the host cells produce type I interferons (IFNs) as first line of defense, acting as antiviral and inflammatory cytokines. Type I IFNs binding with interferon α/β receptor (IFNAR) triggers the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathway to induce the synthesis of a few hundred IFN-stimulated genes (ISGs) which inhibit virus replication at different steps of the virus replication cycle [1]. Ubiquitin-like protein ISG15 is one of the most strongly and promptly induced ISG following virus infection, and many studies have demonstrated that ISG15 can directly inhibit viral replication and modulate host immune response. ISG15 is one of the members of ubiquitin families, which include ubiquitin and ubiquitin-like modifiers (Ubls). ISG15 can covalently conjugate to target proteins via isopeptide bonds and this conjugation process of protein modification is known as ISGylation which is involved in the regulation of many cellular processes. To date, proteomic studies have identified a few hundred ISG15 target proteins [2,3]. Research of specific ISG15 targeted proteins have found that through competing with ubiquitin binding sites, ISG15 can inhibit protein ubiquitination, indirectly regulating protein degradation [4].
在病毒感染期间,宿主先天免疫反应提供早期保护。为了控制病毒的传播,宿主细胞产生I型干扰素(ifn)作为第一道防线,起到抗病毒和炎症细胞因子的作用。I型IFNs结合干扰素α/β受体(IFNAR)触发Janus激酶(JAK)/信号转导和转录激活因子(STAT)信号通路,诱导数百种ifn刺激基因(ISGs)的合成,这些基因在病毒复制周期的不同阶段抑制病毒复制[1]。泛素样蛋白ISG15是病毒感染后最强烈和最迅速诱导的ISG之一,许多研究表明ISG15可以直接抑制病毒复制和调节宿主免疫反应。ISG15是泛素家族的成员之一,泛素家族包括泛素和泛素样修饰物(ubitin -like modifiers, Ubls)。ISG15可以通过异肽键与靶蛋白共价结合,这种蛋白质修饰的结合过程被称为isg酰化,参与许多细胞过程的调节。迄今为止,蛋白质组学研究已经确定了数百个ISG15靶蛋白[2,3]。对特定ISG15靶向蛋白的研究发现,ISG15通过与泛素结合位点竞争,抑制蛋白质泛素化,间接调节蛋白质降解[4]。
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引用次数: 0
Penta-1,4-Diene-3-One Oxime Derivatives Strongly Inhibit the Replicase Domain of Tobacco Mosaic Virus: Elucidation Through Molecular Docking and Density Functional Theory Mechanistic Computations 五-1,4-二烯-3-一肟衍生物强烈抑制烟草花叶病毒复制酶结构域:基于分子对接和密度泛函数理论的解析
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000177
Waqar Hussain, Muhammad Ali, Muhammad Sohail Afzalv, N. Rasool
Tobacco mosaic virus (TMV) is one of the major concerns to the farmers as it infects several crops of economic importance such as tomato. The mechanism of viral infection in host initiates on the entry of TMV in the host cell and production of a capping enzyme i.e. RNA polymerase. Replication of virus produces multiple mRNAs which further encodes multiple proteins including coat proteins, movement proteins and an RNA-dependent RNA polymerase (RdRp). In the present study, TMV replicase domain has been targeted using a set of novel penta-1,4-diene-3-one oxime derivatives bearing a pyridine moiety. To further assess the reactivity of these compounds against TMV, molecular orbital energy descriptors were calculated using Density Functional Theory (DFT) correlations. The pharmacokinetics and pharmacological properties have also been analysed as the crop yields are to be consumed by the humans. Results revealed that among the 16 derivatives of penta-1,4-diene-3-one oxime, compound C, J, O and P showed the highest inhibitory potential. Reactivity of these compounds was also high, however, only compound C showed effective pharmacokinetics and pharmacological properties. Based on these results, it is concluded that compound C can be used as a potent inhibitor against TMV and the yields produced by a crop will be safe to be consumed by humans. reactivity of strongly inhibiting compounds is also analysed by calculating molecular orbital energy descriptors and their band energy gap. Furthermore, pharmacological properties and pharmacokinetics have also been analysed for the compounds. Materials and Methods
烟草花叶病毒(TMV)是农民关注的主要问题之一,因为它感染了番茄等几种重要的经济作物。病毒感染宿主的机制始于TMV进入宿主细胞并产生一种盖帽酶,即RNA聚合酶。病毒的复制产生多种mrna,这些mrna进一步编码多种蛋白质,包括外壳蛋白、运动蛋白和RNA依赖的RNA聚合酶(RdRp)。在本研究中,TMV复制酶结构域被定位为一组新型的具有吡啶部分的5 -1,4-二烯-3- 1肟衍生物。为了进一步评估这些化合物对TMV的反应性,利用密度泛函理论(DFT)相关性计算了分子轨道能量描述符。由于作物产量将被人类消耗,因此还分析了其药代动力学和药理学特性。结果表明,在16个5 -1,4-二烯-3-一肟衍生物中,化合物C、J、O和P的抑菌活性最强。这些化合物的反应性也很高,但只有化合物C表现出有效的药代动力学和药理学性质。综上所述,化合物C可作为一种有效的TMV抑制剂,其产量可安全供人类食用。通过计算分子轨道能描述符及其能带隙,分析了强抑制化合物的反应性。此外,还分析了化合物的药理学性质和药代动力学。材料与方法
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引用次数: 11
Serological and Molecular Identification of Infectious Bovine Rhinotrachetitis Virus Isolation and Adaptation in Embryonated Chicken Eggs 传染性牛鼻气管炎病毒在鸡胚中分离和适应的血清学和分子鉴定
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000174
Gamil S. G. Zeedan, A. Abdalhamed, A. Ghazy, N. Ghoneim
Infectious bovine rhinotracheitis virus (IBRV) is a major pathogen in livestock animals and had led to significant economic losses to the industrial production worldwide. However, IBR symptoms are not life-threatening. The present study was achieved to make seroprevalence and isolation of bovine herpes virus type (BHV-1) from nasal and ocular swabs samples of suspected cows and buffaloes, identification by serological and polymerase chain reaction (PCR). Total of 380 blood samples were collected from suspected 287 cattle and 93 buffaloes in different districts at Beni-suef and El-Fayoum governorates in winter 2017. Nasal and ocular discharge swabs were collected from cattle and buffaloes with clinical respiratory signs (Nasal discharge, cough, lachrymal discharge with or without mild diarrhea and higher body temperature). A total of 106 (27.89%) samples were positive by indirect ELISA and the positivity of 80 (27.87%) samples from cattle and 26 (27.96%) samples from buffaloes located at different centers at Beni-Suif and El-Fayoum governorates. Virus was isolated from nasal and ocular discharges swabs samples and it was adapted in chorioallantoic membrane (CAM) of 11-day-old embryonated chickens eggs and in MDBK cells. Virus-infected CAM showed congestion, edematous vacuole, thickening small foci ranged from 2 to 3 mm in diameter, scattered on CAM membrane and MDBK cell line inoculated blind serial passages at 3rd passage showed characteristic of cytopathic effect (CPE). Identification of virus isolated on CAM and infected cell culture fluid gave precipitation against positive specific anti-BHV-1 immune serum by AGPT and clear blue zone by Dot ELISA, absent of pock lesion in pock reduction test (PRT), and confirmed by PCR with product size of 175 bp. Finally BHV-1 virus was isolated from nasal and ocular discharges of cattle and buffaloes but the further extensive study still need for clear final classification by phylogenic analysis.
传染性牛鼻气管炎病毒(IBRV)是家畜的主要病原体,给世界范围内的工业生产造成了重大的经济损失。然而,IBR症状不会危及生命。本研究从疑似牛和水牛的鼻拭子和眼拭子中分离牛疱疹病毒1型(BHV-1),并进行血清学和聚合酶链反应(PCR)鉴定。2017年冬季,在贝尼苏韦夫省和法尤姆省不同地区共从疑似287头牛和93头水牛身上采集了380份血液样本。采集有临床呼吸体征(鼻分泌物、咳嗽、泪腺分泌物伴或不伴轻度腹泻和体温升高)的牛和水牛的鼻分泌物和眼分泌物拭子。间接ELISA检测共有106份(27.89%)样品呈阳性,其中80份(27.87%)来自牛,26份(27.96%)来自水牛,分别位于贝尼苏夫省和法尤姆省的不同检测中心。从鼻分泌物和眼分泌物拭子样本中分离出病毒,并在11日龄鸡胚的绒毛膜尿囊膜(CAM)和MDBK细胞中适应。病毒感染后CAM出现充血、水肿液泡、增厚、直径2 ~ 3mm的小灶,分散在CAM膜上,接种MDBK细胞系在第3代盲传时表现出细胞病变效应(CPE)特征。CAM上分离的病毒和感染的细胞培养液经AGPT鉴定为特异性抗bhv -1免疫血清阳性沉淀,Dot ELISA检测为蓝区清晰,PRT检测未见麻袋病变,PCR证实产物大小为175 bp。最后从牛和水牛的鼻分泌物和眼分泌物中分离到BHV-1病毒,但还需要进一步的广泛研究,通过系统发育分析明确最终的分类。
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引用次数: 5
Azithromycin Inhibits the Replication of Zika Virus 阿奇霉素抑制寨卡病毒的复制
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000173
Eve Bosseboeuf, M. Aubry, T. Nhan, J. Pina, J. Rolain, D. Raoult, D. Musso
Background: The emergence of Zika virus (ZIKV) is associated to dramatic complications in fetuses and neonates. As there is no vaccine and no drug to prevent and treat ZIKV infections, there is an urgent need to have active drugs against ZIKV that can be used during pregnancy. Large screening strategies suggested that azithromycin (AZ) has an in vitro activity against ZIKV, we provide additional data supporting this hypothesis. Methods: We tested the efficacy of AZ on ZIKV-infected Vero cells at a concentration that can be reached in vivo in amniotic fluid. We conducted two experiments with addition to infected cells of a single dose or multi doses of 50 mg/L of AZ, and analyzed ZIKV replication by immunofluorescence assay (IFA) and by measuring viral RNA loads at different times up to 96 h post-infection (hpi). Results: Addition of a single dose of 50 mg/L of AZ prevented replication of ZIKV during 48 hpi; after 48 hpi, ZIKV replication was detected by IFA but viral RNA loads remained lower than in untreated infected cells. ZIKV replication was inhibited by addition of multi doses of 50 mg/L of AZ. Conclusions: Our data confirm the in vitro activity of AZ against ZIKV. Since there will be no active specific drugs and vaccine available soon against ZIKV, AZ might be the first compound that could prevent and treat ZIKV infections, with the advantages of being an approved and safe drug usable during pregnancy.
背景:寨卡病毒(ZIKV)的出现与胎儿和新生儿的严重并发症有关。由于没有预防和治疗寨卡病毒感染的疫苗和药物,因此迫切需要在怀孕期间使用针对寨卡病毒的有效药物。大型筛选策略提示阿奇霉素(AZ)具有抗寨卡病毒的体外活性,我们提供了支持这一假设的额外数据。方法:在羊水中检测AZ对zikv感染的Vero细胞在体内达到的浓度的效果。在感染细胞中分别添加单剂量或多剂量50mg /L的AZ进行实验,并通过免疫荧光法(IFA)和感染后96 h (hpi)不同时间的病毒RNA载量测定来分析ZIKV复制。结果:在48hpi期间,单次添加50mg /L的AZ可阻止ZIKV的复制;48hpi后,IFA检测到ZIKV复制,但病毒RNA载量仍低于未处理的感染细胞。多剂量50mg /L的AZ可以抑制ZIKV的复制。结论:我们的数据证实了AZ对ZIKV的体外活性。由于目前还没有针对寨卡病毒的活性特异性药物和疫苗,阿斯利康可能是第一种可以预防和治疗寨卡病毒感染的化合物,其优点是它是一种经批准的安全药物,可在怀孕期间使用。
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引用次数: 114
Adherence to Anti-retroviral Therapy among HIV Positive Pregnant Women in Ayder Refferal Hospital, Northern Ethiopia 埃塞俄比亚北部艾德尔转诊医院艾滋病毒阳性孕妇坚持抗逆转录病毒治疗的情况
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000175
W. Shibabaw, Wondim Melkam, Agumas Shiabbaw
Background: Human Immunodeficiency Virus (HIV) is one of the major global public health problems. Antiretroviral therapy (ART) helps to prevent transmission of HIV from infected pregnant women to the un-born babies. ART adherence rate, as high as 95% is crucial to effectively decrease maternal viral load and risk of vertical transmission of HIV. The aim of this study was to evaluate ART adherence level among HIV positive pregnant women in Ayder referral hospital.Methods: A cross-sectional study was conducted from March to May 2016 at Ayder referral hospital. All HIV positive pregnant women who were on ART follow up during the study period were included. Data were collected through direct interview of participants and review of their medical records. Data were entered and analyzed using SPSS version 20 software.Results: A total of 41 HIV-positive pregnant women were interviewed. The mean age was 30.1 ± 2.3 years. Thirty eight (92.7%) participants were within the age group of 20-34 years. Forty participants (97.6%) were disclosed their HIV status to their husband and/or families. Nineteen (46.3%) participants were taking ART medication for less than 2 years. Thirty nine participants had good adherence rate (≥ 95%). Illiterate participants had lower adherence rate (71.4%) as compared to literates. The common reasons for missing a dose in the last one month were forgetfulness and side effect of the drug.Conclusions: This study showed a good ART adherence among HIV positive pregnant women. The main reasons for missing a dose in the last one month were forgetfulness and side effect of the drug.
背景:人类免疫缺陷病毒(HIV)是全球主要的公共卫生问题之一。抗逆转录病毒疗法(ART)有助于防止受感染孕妇将艾滋病毒传染给未出生的婴儿。高达95%的抗逆转录病毒治疗依从率对于有效降低孕产妇病毒载量和艾滋病毒垂直传播风险至关重要。本研究的目的是评估艾德尔转诊医院HIV阳性孕妇的抗逆转录病毒治疗依从性。方法:2016年3月至5月在艾德尔转诊医院进行横断面研究。所有在研究期间接受抗逆转录病毒治疗随访的艾滋病毒阳性孕妇都被纳入研究范围。数据是通过直接采访参与者和审查他们的医疗记录收集的。使用SPSS 20版软件进行数据录入和分析。结果:共访谈41例hiv阳性孕妇。平均年龄30.1±2.3岁。38名(92.7%)参与者年龄在20-34岁之间。40名参与者(97.6%)向其丈夫和/或家人披露了其艾滋病毒状况。19名(46.3%)参与者服用抗逆转录病毒药物少于2年。39名参与者有良好的依从率(≥95%)。文盲参与者的依从率(71.4%)较文盲参与者低。最近一个月未服药的常见原因是健忘和药物副作用。结论:本研究显示HIV阳性孕妇抗逆转录病毒治疗依从性良好。最近一个月未服药的主要原因是健忘和药物副作用。
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引用次数: 9
The Role of Interferon-Inducible Transmembrane Proteins in Virus Infection 干扰素诱导的跨膜蛋白在病毒感染中的作用
Pub Date : 2018-01-01 DOI: 10.4172/1948-5964.1000E142
Xinzhong Liao, Limin Chen, X. Duan
Several studies have demonstrated that overexpression of IFITMs could inhibit virus entry and infection of a variety of virus families (including orthomyxoviridae and flaviviruses) in cell culture systems [2,3]. Over-expression of IFITM1, IFITM2 or IFITM3 restricted early viral replication. On the contrary, knock-down of IFITM3 stimulated influenza A virus replication [4]. Researchers reported that IFITM3 is required for IFNα-induced anti-viral defense and restricts influenza A virus infection at viral entry and early-stage of virus life cycle. Knockdown of IFITM3 dampen 40%-70% of IFN's anti-viral effect. Thus, IFITM proteins are critical for the innate immunity to influenza A virus mediated by IFNs [5]. IFITMs have been demonstrated to suppress the replication of several flaviviruses including West Nile virus, dengue virus, hepatitis C virus and Zika virus [4]. IFITM1 and IFITM3 inhibit ZIKV infection at early stage of the viral life cycle. In addition, IFITM3 could inhibit ZIKV-induced cell death [6]. Another IFITMs superfamily member TMEM2 has been found to inhibit HBV infection by activating the Jak/STAT signaling pathway [7]. Notably, these restricted viruses were all encapsulated, containing the ssRNA genome, and were reported to enter cells by membrane fusion after endocytosis. However, some retroviruses, such as HIV-1 and Moloney leukaemia virus and Bunyaviridae, Crimean–Congo haemorrhagic fever virus, are obviously not affected by IFITMs. In the past studies, IFITMs were not shown to inhibit HIV-1 infection [4]. However, recent studies have reported that IFITM2 and IFITM3 could interact with HIV-1 Env protein in viral producer cells, leading to impaired Env processing and virion incorporation [8]. Meanwhile, some evidence showed that IFITM3 could also limit Non-enveloped Reoviridae, reovirus replication, suggesting that IFITMs affected a variety of viruses, not limited to viruses with envelopes [9].
一些研究表明,在细胞培养系统中,ifitm的过表达可以抑制多种病毒科(包括正粘病毒科和黄病毒科)的病毒进入和感染[2,3]。IFITM1、IFITM2或IFITM3的过表达限制了病毒的早期复制。相反,IFITM3的敲除刺激了甲型流感病毒的复制[4]。研究人员报道IFITM3是ifn α-诱导的抗病毒防御所必需的,并在病毒进入和病毒生命周期早期限制甲型流感病毒感染。IFITM3敲低可抑制IFN 40%-70%的抗病毒作用。因此,IFITM蛋白对ifn介导的甲型流感病毒的先天免疫至关重要[5]。ifitm已被证明可以抑制几种黄病毒的复制,包括西尼罗河病毒、登革热病毒、丙型肝炎病毒和寨卡病毒[4]。IFITM1和IFITM3在病毒生命周期的早期阶段抑制ZIKV感染。此外,IFITM3还能抑制zikv诱导的细胞死亡[6]。另一个IFITMs超家族成员TMEM2被发现通过激活Jak/STAT信号通路抑制HBV感染[7]。值得注意的是,这些限制性病毒都被包裹起来,含有ssRNA基因组,据报道,它们在内吞作用后通过膜融合进入细胞。然而,一些逆转录病毒,如HIV-1和莫洛尼白血病病毒以及布尼亚病毒科、克里米亚-刚果出血热病毒,显然不受IFITMs的影响。在过去的研究中,ifitm未显示出抑制HIV-1感染的作用[4]。然而,最近的研究报道,IFITM2和IFITM3可以与病毒产生细胞中的HIV-1 Env蛋白相互作用,导致Env加工和病毒粒子掺入受损[8]。同时,一些证据表明,IFITM3也可以限制呼肠孤病毒科非包膜呼肠孤病毒的复制,这表明IFITM3影响多种病毒,而不仅仅局限于有包膜的病毒[9]。
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引用次数: 0
期刊
Journal of Antivirals & Antiretrovirals
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