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EXPRESSION OF CONCERN: Culture and Identification of a "Deltamicron" SARS-CoV-2 in a Three Cases Cluster in Southern France. 关注表达:在法国南部三例聚集性病例中培养和鉴定“德尔塔米隆”SARS-CoV-2。
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-02-01 DOI: 10.1002/jmv.70843
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引用次数: 0
Association of Rotavirus Infection With Biliary Atresia: A Retrospective Comparative Analysis of Virus-Specific Antibodies. 轮状病毒感染与胆道闭锁的关系:病毒特异性抗体的回顾性比较分析。
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-02-01 DOI: 10.1002/jmv.70834
Yoshiki Kawamura, Masaru Ihira, Yuki Higashimoto, Toshihiro Yasui, Koichi Ito, Mitsuyoshi Suzuki, Nobuhiko Nagano, Katsumi Yoshizawa, Hiroki Miura, Jun-Ichi Kawada, Saori Fukuda, Satoshi Komoto, Shinji Saitoh, Toshiaki Shimizu, Ichiro Morioka, Koki Taniguchi, Tetsushi Yoshikawa

Background: Biliary atresia (BA) is a severe infantile hepatobiliary disorder of unknown etiology. Perinatal rotavirus (RV) infection has been implicated in animal models of BA; however, supporting human data remains limited. The study investigated the serological evidence of recent RV infection in infants with BA using RV-specific immunoglobulin (Ig)-A, a marker of primary infection unaffected by maternal antibodies.

Methods: Serum samples from 17 infants with BA and 30 age-matched controls without gastrointestinal symptoms or prior RV vaccination were retrospectively analyzed. Anti-RV-IgA titers were measured by enzyme-linked immunosorbent assay using purified WA-strain virions. Cytomegalovirus (CMV)-IgM and Epstein-Barr virus (EBV)-viral capsid antigen (VCA)-IgM levels were assessed using commercial enzyme immunoassays.

Results: RV-IgA was detected in 70.6% (12/17) of the patients with BA versus 3.4% (1/29) of the controls (p < 0.001). RV-IgA titers were significantly higher in the BA group (median: interquartile range 28.0:26.0-210.0) than in the control group (23.5:22.0-24.8) (p = 0.004). Among patients diagnosed with BA after 14 days of age, 84.6% (11/13) were RV-IgA-positive. CMV-IgM was detected in three patients in the BA group and one individual in the control group, while EBV-VCA-IgM was negative in BA patients and positive in two controls; neither difference was statistically significant.

Conclusions: The study findings support the potential association between RV infection and BA pathogenesis. However, the lack of an epidemiological reduction in BA following the introduction of the RV vaccine warrants caution in other studies. Further prospective multicenter studies are required to elucidate the causal role of RV infection in BA development.

背景:胆道闭锁(BA)是一种病因不明的严重婴幼儿肝胆疾病。围产期轮状病毒(RV)感染与BA动物模型有关;然而,支持人类的数据仍然有限。该研究使用RV特异性免疫球蛋白(Ig)-A(一种不受母体抗体影响的原发性感染标志物)调查了BA婴儿近期RV感染的血清学证据。方法:回顾性分析17例BA患儿和30例年龄匹配的无胃肠道症状或既往接种RV疫苗的对照组的血清样本。使用纯化的wa -株病毒粒子,采用酶联免疫吸附法测定抗rv - iga滴度。采用商业酶免疫分析法评估巨细胞病毒(CMV)-IgM和eb病毒(EBV)-病毒衣壳抗原(VCA)-IgM水平。结果:BA患者中RV-IgA检出率为70.6%(12/17),对照组为3.4% (1/29)(p 8.0:26.0 ~ 210.0),对照组为23.5:22.0 ~ 24.8 (p = 0.004)。在14天后诊断为BA的患者中,84.6%(11/13)为rv - iga阳性。BA组3例患者和对照组1例患者检测到CMV-IgM, BA组EBV-VCA-IgM为阴性,对照组2例为阳性;两种差异均无统计学意义。结论:研究结果支持RV感染与BA发病机制之间的潜在关联。然而,在引入RV疫苗后,BA在流行病学上没有减少,这在其他研究中值得谨慎。需要进一步的前瞻性多中心研究来阐明RV感染在BA发展中的因果作用。
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引用次数: 0
A Multivalent Dengue Fusion Protein ΔcNS1–cEDIII–ΔnNS3 Confers Cross-Serotype Protection and Durable Immunity in Mice 多价登革热融合蛋白ΔcNS1-cEDIII-ΔnNS3赋予小鼠跨血清型保护和持久免疫。
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-31 DOI: 10.1002/jmv.70822
Mu-Fan Pi, Wei-Chiao Liao, Xin-Yan Li, Miao-Huei Cheng, Chu-En Tsai, Yen-Chung Lai, Hsing-Han Lin, Yung-Chun Chuang, Chin-Kai Tseng, Yee-Shin Lin, Chih-Peng Chang, Tzong-Shiann Ho, Guan-Da Syu, Trai-Ming Yeh, Jen‑Ren Wang, Justin Jang Hann Chu, Chia-Yi Yu, Shu-Wen Wan

Current dengue vaccines remain limited by serotype-dependent efficacy and interference from preexisting anti-dengue immunity. We developed a novel multivalent fusion protein vaccine composed of three engineered dengue virus (DENV) components: a C-terminal truncated nonstructural protein 1 (ΔcNS1) to block NS1-mediated pathologic effects without harmful cross-reactivity, a consensus envelope protein domain III (cEDIII) to induce broad neutralizing antibodies, and an N-terminal truncated NS3 (ΔnNS3) to enhance cellular immune responses. In a murine dengue disease model, three-dose immunization with ΔcNS1–cEDIII–ΔnNS3 adjuvanted with Alum provides protection against all four DENV serotypes by significantly reducing viremia and prolonged bleeding time, with elicited robust antibody responses, enhanced cytotoxic activity of CD8+ T cells upon NS1/NS3 restimulation, and increased memory B and T cell populations. Notably, CpG oligodeoxynucleotides 1826 (CpG) plus Alum further enhanced immunogenicity, showing higher neutralizing activity, antigen-specific plasmablast expansion, and enhanced T cell functional activity, which was associated with more consistent improvement in protection-relevant outcomes compared with Alum alone. Importantly, two-dose immunization with CpG plus Alum-adjuvanted fusion protein conferred durable protection against the virulent DENV2 strain TW2015. These findings support this vaccine as a promising subunit candidate that addresses current limitations, offering both cross-serotype coverage and potential long-term efficacy.

目前的登革热疫苗仍然受到血清型依赖性效力和先前存在的抗登革热免疫的干扰的限制。我们开发了一种新型的多价融合蛋白疫苗,由三种工程登革热病毒(DENV)成分组成:c端截断的非结构蛋白1 (ΔcNS1)可阻断ns1介导的病理效应而无有害的交叉反应性,共识包膜蛋白结构域III (cEDIII)可诱导广泛的中和抗体,n端截断的NS3 (ΔnNS3)可增强细胞免疫反应。在小鼠登革热疾病模型中,明矾佐剂ΔcNS1-cEDIII-ΔnNS3三剂免疫可通过显著减少病毒血症和延长出血时间提供对所有四种DENV血清型的保护,并引发强大的抗体反应,增强CD8+ T细胞在NS1/NS3再刺激时的细胞毒性活性,并增加记忆B和T细胞群。值得注意的是,CpG寡脱氧核苷酸1826 (CpG)与Alum的结合进一步增强了免疫原性,表现出更高的中和活性、抗原特异性浆母细胞扩增和增强的T细胞功能活性,与单独使用Alum相比,这与更一致的保护相关结果的改善有关。重要的是,CpG加铝佐剂融合蛋白的两剂免疫对DENV2毒株TW2015具有持久的保护作用。这些发现支持该疫苗作为一种有希望的亚基候选疫苗,解决了目前的局限性,提供了跨血清型覆盖和潜在的长期疗效。
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引用次数: 0
Cardio–Renal Diseases Are Independent Risk Factors of Severe Human Metapneumovirus Infection Among Patients Without Chronic Airway Diseases 心肾疾病是无慢性气道疾病患者重症人偏肺病毒感染的独立危险因素
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-29 DOI: 10.1002/jmv.70812
Wang Chun Kwok, Isaac Sze Him Leung, Chun Ka Emmanuel Wong, James Chung Man Ho, David Chi Leung Lam, Mary Sau Man Ip, Shuk Man Ngai, Kelvin Kai Wang To, Desmond Yat Hin Yap

Human metapneumovirus (hMPV) causes mild and self-limiting disease in adults. However, the risk factors for serious adverse outcomes following hMPV infection in adult patients without preexisting chronic airway diseases remain poorly understood. We conducted a territory-wide retrospective study on adult patients (aged ≥ 18 years) without chronic airway diseases hospitalized for hMPV infections between January 1, 2016 and June 30, 2023 in Hong Kong. We assessed the incidence and risk factors for in-patient mortality, severe respiratory failure (SRF), secondary bacterial pneumonia and acute kidney injury (AKI) were assessed. A total of 1552 eligible adult patients without chronic airway diseases hospitalized for hMPV infections were analyzed. Within the index admission, 92 (5.9%) patients died. Ischemic heart disease (IHD) was associated with increased risks of SRF [adjusted odds ratio (aOR) 2.00 (95% CI 1.48–2.71), p < 0.001]. IHD, heart failure (HF), and history of ischemic stroke were significant predictors for AKI [aOR 1.51 (95% CI 1.12–2.04), 2.87 (95% CI 2.14–3.85), and 1.47 (95% CI = 1.12–1.93), p = 0.007, < 0.001, and 0.005, respectively). Patients with end-stage kidney disease (ESKD) requiring renal replacement therapy (RRT) were at increased risk of in-patient mortality [aOR 6.36 (95% CI 2.34–17.26), p < 0.001] and SRF [aOR 8.80 (95% CI 3.84–20.16), p < 0.001]. The presence of cardiovascular diseases and ESKD requiring RRT is a strong predictor of severe in-hospital outcomes among adult patients without chronic airway diseases who are hospitalized for hMPV infections.

人偏肺病毒(hMPV)在成人中引起轻度和自限性疾病。然而,对于没有既往存在的慢性气道疾病的成人hMPV感染后严重不良后果的危险因素仍然知之甚少。我们对2016年1月1日至2023年6月30日期间在香港因hMPV感染住院的无慢性气道疾病的成人患者(年龄≥18岁)进行了一项区域性回顾性研究。我们评估了住院患者死亡率、严重呼吸衰竭(SRF)、继发性细菌性肺炎和急性肾损伤(AKI)的发生率和危险因素。对1552例因hMPV感染住院的无慢性气道疾病的成人患者进行分析。在指标入院期间,92例(5.9%)患者死亡。缺血性心脏病(IHD)与SRF的风险增加相关[校正优势比(aOR) 2.00 (95% CI 1.48-2.71), p
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引用次数: 0
Variability in IFN Secretion in Response to the Human Metapneumovirus CZ0107 Strain: A Comparative Study in BALB/c and C57BL/6 Mouse Models 人偏肺病毒CZ0107株对IFN分泌的变异性:BALB/c和C57BL/6小鼠模型的比较研究
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-29 DOI: 10.1002/jmv.70818
Catalina A. Andrade, Mario A. Ramírez, Tays Troncoso-Bravo, Karen Bohmwald, Jorge A. Soto, Alexis M. Kalergis

The human metapneumovirus (HMPV) is a major respiratory pathogen mainly affecting infants under 5 years old. The interferon (IFN) response varies among patients, animal models, and HMPV strains, and this variation is crucial because the initial IFN response controls viral replication. Therefore, it is important to study the different profiles of IFN secretion during the same HMPV infection across various animal models. In this study, BALB/c and C57BL/6 mice were infected with a clinical A1 strain of HMPV-CZ0107, and at the endpoint, the expression of different types of IFN was measured. BALB/c mice showed significant weight loss and viral replication, while C57BL/6 mice exhibited notable neutrophil infiltration. Mice infected with BALB/c displayed significant secretion of all tested IFN types in all samples, whereas C57BL/6-infected mice showed significant secretion of IFN-α and IFN-γ only in the lungs. Additionally, infected BALB/c and C57BL/6 mice demonstrated different activation patterns of IFN-α- and IFN-γ-secreting natural killer (NK) cells, including both immature and mature cells. These findings characterize the IFN response induced by HMPV-CZ0107 and suggest that this infection results in higher secretion of IFNs in BALB/c mice compared to C57BL/6 mice, which may help explain the less severe clinical parameters observed in C57BL/6 mice.

人偏肺病毒(HMPV)是一种主要影响5岁以下婴幼儿的呼吸道病原体。干扰素(IFN)反应在患者、动物模型和HMPV毒株之间有所不同,这种差异至关重要,因为初始干扰素反应控制病毒复制。因此,在不同动物模型中研究同一HMPV感染期间IFN分泌的不同特征是很重要的。本研究采用临床HMPV-CZ0107 A1株感染BALB/c和C57BL/6小鼠,在终点检测不同类型IFN的表达。BALB/c小鼠表现出明显的体重减轻和病毒复制,而C57BL/6小鼠表现出明显的中性粒细胞浸润。感染BALB/c的小鼠在所有样品中均显著分泌所有测试的IFN类型,而感染C57BL/6的小鼠仅在肺部显著分泌IFN-α和IFN-γ。此外,感染的BALB/c和C57BL/6小鼠表现出分泌IFN-α-和IFN-γ-的自然杀伤细胞(NK)的不同激活模式,包括未成熟和成熟细胞。这些发现表征了HMPV-CZ0107诱导的IFN反应,并表明这种感染导致BALB/c小鼠比C57BL/6小鼠分泌更多的IFN,这可能有助于解释在C57BL/6小鼠中观察到的较轻的临床参数。
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引用次数: 0
Research Progress of Coronavirus Reverse Genetics Technology 冠状病毒反向遗传技术研究进展
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-28 DOI: 10.1002/jmv.70792
Ziqi Han, Jiaxu Han, Yan Zhao, Chao Xu, Xue Leng, Boyin Jia, Naichao Diao, Fei Liu, Chunmei Cui, Jian Liang, Yuhang Jiang, Rui Du

In recent years, coronavirus, a kind of virus with a wide host range and high variability, has a large and complex genome. Research on the reverse genetics of coronaviruses has always been a hot spot. Coronavirus cannot only infect mammals, but also infect humans, showing its wide host adaptability. The mutation ability of the coronavirus is extremely strong. Recently, the rapid mutation rate of SARS-CoV-2 has made the development of vaccines and therapeutic methods face great challenges. At present, reverse genetics technology is a molecular biology tool. This process primarily involves cloning the full-length genome cDNA of the virus onto a vector, and then reproducing the modified progeny virus in the cell to achieve accurate modification of the virus's genetic characteristics. This technology can explore the external characteristics of mutants and the evolution of their traits through artificial operations, such as knockout and site-directed mutagenesis of specific genes, and then reveal the biological functions of genes. This article will review the research progress of the coronavirus reverse genetic operating system. In the past research, reverse genetics technology has made remarkable progress in the field of coronavirus research. Researchers have successfully constructed various reverse genetic systems for coronaviruses, including IBV, SARS-CoV-2, and MERS-CoV. In addition, the reverse genetic system has also been used to study the cross-species transmission capacity of the virus, which is of great significance for preventing possible future novel coronavirus epidemics.

近年来,冠状病毒是一种宿主范围广、变异性高的病毒,其基因组庞大而复杂。对冠状病毒反向遗传的研究一直是一个热点。冠状病毒不仅可以感染哺乳动物,还可以感染人类,显示出其广泛的宿主适应性。冠状病毒的变异能力极强。近年来,SARS-CoV-2的快速突变率使疫苗和治疗方法的开发面临巨大挑战。目前,反向遗传学技术是一种分子生物学工具。该过程主要包括将病毒的全长基因组cDNA克隆到载体上,然后在细胞中复制修饰后的子代病毒,以实现对病毒遗传特征的精确修饰。该技术可以通过对特定基因的敲除、定点诱变等人工操作,探索突变体的外部特征及其性状的演化,进而揭示基因的生物学功能。本文将对冠状病毒反向遗传操作系统的研究进展进行综述。在过去的研究中,反向遗传学技术在冠状病毒研究领域取得了显著进展。研究人员已经成功构建了各种冠状病毒的反向遗传系统,包括IBV、SARS-CoV-2和MERS-CoV。此外,反向遗传系统还被用于研究该病毒的跨物种传播能力,这对预防未来可能出现的新型冠状病毒流行具有重要意义。
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引用次数: 0
Large-Scale Psychometric Assessment and Validation of the Modified COVID-19 Yorkshire Rehabilitation Scale Patient-Reported Outcome Measure for Long COVID or Post-COVID Syndrome 改进的COVID-19约克郡康复量表对长COVID或后COVID综合征患者报告结果的大规模心理测量评估和验证
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-26 DOI: 10.1002/jmv.70816
Mike Horton, Adam B. Smith, Ruairidh Milne, Darren Winch, Clare Rayner, Stephen Halpin, Rory O'Connor, Roman Rocha Lawrence, Darren C. Greenwood, Nawar D. Bakerly, Rachael Evans, Joseph Kwon, Helen Dawes, Conor Wood, Paul Williams, Harsha Master, Mae Mansoubi, Johannes H. De Kock, Jordan Mullard, Mike Ormerod, Ghazala Mir, Stavros Petrou, Daryl B. O'Connor, Manoj Sivan, LOCOMOTION Consortium

The C19-YRS was the first condition-specific for long COVID/post-COVID syndrome. Although the original C19-YRS evolved to the modified version (C19-YRSm) based on psychometric evidence, clinical content relevance, as well as feedback from patients and healthcare professionals, it has not been validated through Rasch analysis. The study aim was to psychometrically assess and validate the C19-YRSm using newly collected data from a large-scale, multicenter study (LOCOMOTION). In total, 1278 patients (67% Female; mean age = 48.6, SD 12.7) digitally completed the C19-YRSm. The psychometric properties of the C19-YRSm Symptom Severity (SS) and Functional Disability (FD) subscales were assessed using a Rasch Measurement Theory framework, assessing for individual item model fit, targeting, internal consistency reliability, unidimensionality, local dependency (LD), response category functioning and differential item functioning (DIF) by age group, sex and ethnicity. Rasch analysis revealed robust psychometric properties of both subscales, with each demonstrating unidimensionality, appropriate response category structuring, no floor or ceiling effects, and minimal LD and DIF. Both subscales also displayed good targeting and reliability (SS: Person Separation Index (PSI) = 0.81, Cronbach's α = 0.82; FD: PSI = 0.76, Cronbach's α = 0.81). Although some minor anomalies are apparent, the modifications to the original C19-YRS have strengthened its measurement characteristics and its clinical and conceptual relevance.

Trial Registration: NCT05057260, ISRCTN15022307

C19-YRS是长冠状病毒/后冠状病毒综合征的第一种特异性疾病。虽然最初的C19-YRS基于心理测量证据、临床内容相关性以及患者和医疗保健专业人员的反馈而演变为修改版本(C19-YRSm),但尚未通过Rasch分析进行验证。本研究的目的是利用一项大规模、多中心研究(LOCOMOTION)新收集的数据,对C19-YRSm进行心理测量学评估和验证。总共有1278名患者(67%为女性,平均年龄为48.6岁,SD为12.7)完成了C19-YRSm。采用Rasch测量理论框架评估C19-YRSm症状严重程度(SS)和功能障碍(FD)子量表的心理测量特性,评估个体项目模型拟合、目标、内部一致性信度、单维性、局部依赖(LD)、反应类别功能和差异项目功能(DIF)。Rasch分析揭示了两个子量表的强大心理测量特性,每个子量表都表现出单维性,适当的反应类别结构,没有下限或上限效应,最小的LD和DIF。两份量表均具有良好的标准性和信度(SS: Person Separation Index, PSI) = 0.81, Cronbach's α = 0.82;FD: PSI = 0.76, Cronbach's α = 0.81)。虽然一些小的异常很明显,但对原始C19-YRS的修改加强了其测量特征及其临床和概念上的相关性。试验注册号:NCT05057260, ISRCTN15022307。
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引用次数: 0
Seroprevalence of Influenza D Virus in Cattle Workers: An Occupational Health Perspective D型流感病毒在养牛工人中的血清流行率:职业健康观点。
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-26 DOI: 10.1002/jmv.70817
Claudia Maria Trombetta, Angela Stufano, Valentina Biagini, Giulia Riolo, Valentina Schino, Riccardo Ravallese, Francesca Dapporto, Alessandro Manenti, Emanuele Montomoli, Gianvito Lanave, Michele Camero, Nicola Decaro, Vito Martella, Piero Lovreglio

Influenza D virus (IDV) was first isolated in 2011 from a swine with respiratory disease symptoms in the United States. Epidemiological and serological evidence suggests that cattle are the natural reservoir of IDV, with periodic spillover events to other animal hosts. This study investigated the seroprevalence of two IDV lineages, D/660 and D/OK, among cattle workers in Southern Italy between 2023 and 2024 to better characterize the zoonotic exposure risk in this occupational setting. A control group from the same geographical area was also included. Serum samples were tested by hemagglutination inhibition and virus neutralization (VN) assays. Overall, 42.9% (60/140) of cattle workers were positive at least to one of the two IDV lineages. Moreover, 39.3% (55/140) were positive for D/660 and 34.3% (48/140) for D/OK, with all but one positive result confirmed by VN assay. In the control group, tested only for D/660, a significantly higher seroprevalence was observed, with 65.0% (39/60) testing positive. These findings suggest that IDV exposure is not restricted to occupational settings involving direct contact with cattle and underscore the importance of incorporating IDV into current influenza surveillance programs.

D型流感病毒(IDV)于2011年首次在美国从一头有呼吸道疾病症状的猪身上分离出来。流行病学和血清学证据表明,牛是IDV的天然宿主,定期向其他动物宿主扩散。本研究调查了2023年至2024年间意大利南部畜牧业工人中两种IDV谱系D/660和D/OK的血清患病率,以更好地表征该职业环境中的人畜共患暴露风险。来自同一地理区域的对照组也包括在内。用血凝抑制和病毒中和(VN)试验检测血清样品。总体而言,42.9%(60/140)的牛工人至少对两种IDV谱系中的一种呈阳性。此外,39.3%(55/140)的患者D/660阳性,34.3%(48/140)的患者D/OK阳性,除1例外均为VN试验阳性。在对照组中,仅检测D/660,血清阳性率明显高于对照组,65.0%(39/60)检测阳性。这些发现表明,IDV暴露并不局限于与牛直接接触的职业环境,并强调了将IDV纳入当前流感监测规划的重要性。
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引用次数: 0
Impact of Genomic Variations Found in Enterovirus A71 Virus Population on Viral Properties and Disease Severity 肠道病毒A71病毒群体基因组变异对病毒特性和疾病严重程度的影响
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-26 DOI: 10.1002/jmv.70814
Yi-Wen Lai, Dayna Cheng, Sheng-Wen Huang, Justin Jang Hann Chu, Ming-Te Yeh, Chuan-Fa Chang, Cheng-Yao Chen, Jen-Ren Wang

Since 1998, enterovirus A71 (EV-A71) has caused several outbreaks in Taiwan with hundreds of severe cases and deaths. EV-A71 exhibits a high genome mutation rate, resulting in a diverse viral population, called quasispecies. However, the consequence of variations found in quasispecies with EV-A71 viral virulence remains elusive. In this study, we aim to analyze the viral genomes of severe and mild clinical isolates from 2012 EV-A71 outbreak. Clinical isolates underwent isolation, extraction, and amplification, then sent for next-generation sequencing (NGS) using Illumina MiSeq. Using bioinformatics tools, sequence variation analysis identified four distinct, statistical variations, located in the 5′-UTR, 2C, 3A, and 3D of EV-A71 isolates between severe and mild clinical cases. Two variants found in the 3A and 3D polymerase (3Dpol) region, respectively, were found to have higher proportions in severe cases. The 3Dpol variant protein showed reduced polymerase activity compared to wild-type polymerase. In contrast, the 3A mutant virus shows a higher replication rate and greater fitness in both RD and DLD-1 cells. With better growth rates and fitness, the EV-A71 3A-5286C (76S) variation has a greater ability to maintain the fast-replicating populations and may be correlated with the disease severity and virulence of EV-A71.

自1998年以来,肠病毒A71 (EV-A71)在台湾引起了几次暴发,造成数百例严重病例和死亡。EV-A71表现出高的基因组突变率,导致不同的病毒种群,称为准物种。然而,在具有EV-A71病毒毒力的准种中发现的变异的后果仍然难以捉摸。在这项研究中,我们的目的是分析2012年EV-A71暴发的重症和轻度临床分离株的病毒基因组。临床分离株进行分离、提取和扩增,然后使用Illumina MiSeq进行下一代测序(NGS)。利用生物信息学工具,序列变异分析发现,EV-A71分离株的5′-UTR、2C、3A和3D在重症和轻度临床病例之间存在4个明显的统计学差异。分别在3A和3D聚合酶(3Dpol)区域发现的两种变异在严重病例中具有较高的比例。与野生型聚合酶相比,3Dpol变异蛋白的聚合酶活性降低。相比之下,3A突变病毒在RD和DLD-1细胞中均表现出更高的复制率和更强的适应度。EV-A71 3A-5286C (76S)变异具有更好的生长速率和适合度,具有更强的维持快速复制群体的能力,可能与EV-A71的疾病严重程度和毒力有关。
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引用次数: 0
A Novel Systemic Inflammation-Based Model for Predicting Mortality in HBV-Related ACLF 一种基于全身炎症的预测hbv相关ACLF死亡率的新模型
IF 4.6 3区 医学 Q1 VIROLOGY Pub Date : 2026-01-24 DOI: 10.1002/jmv.70799
Wenting Peng, Jiao Yuan, Shifang Peng, Lei Fu

Excessive inflammation and immune activation are strongly associated with unfavorable outcomes and elevated mortality rates in hepatitis B virus (HBV)-related acute-on-chronic liver failure (ACLF). However, the role of the C-reactive protein to lymphocyte ratio (CLR) as a prognostic inflammatory biomarker in multiple diseases is rarely mentioned in HBV-ACLF. This investigation aimed to assess the utility of the CLR and additional parameters in identifying high-risk progression in HBV-ACLF patients. A cohort of 639 hospitalized patients diagnosed with HBV-ACLF based on the APASL criteria was divided into two cohorts: 447 cases in the training set and 192 cases in the validation set. Logistic regression analysis was employed to identify the XY-model. The results of multiple factor analysis showed that the incidence of liver cirrhosis, age, CLR, serum total bilirubin, calcium, prothrombin activity, and alpha fetoprotein affect the prognosis of HBV-ACLF. CLR emerged as a significant independent risk factor for disease progression in patients with ACLF (odds ratio [OR] 1.02, 95% confidence interval [CI] 1.01–1.04, p < 0.05). The novel model based on seven predictors could accurately predict short-term mortality in patients with HBV-ACLF, which is promising for guiding clinical management and addressing the etiological differences in Asian populations.

过度炎症和免疫激活与乙型肝炎病毒(HBV)相关的急性慢性肝衰竭(ACLF)的不良结局和死亡率升高密切相关。然而,c反应蛋白与淋巴细胞比率(CLR)作为多种疾病的预后炎症生物标志物的作用在HBV-ACLF中很少被提及。本研究旨在评估CLR和其他参数在识别HBV-ACLF患者高风险进展中的效用。将639例基于APASL标准诊断为HBV-ACLF的住院患者分为两组:训练组447例,验证组192例。采用Logistic回归分析对xy模型进行识别。多因素分析结果显示,肝硬化发生率、年龄、CLR、血清总胆红素、钙、凝血酶原活性、甲胎蛋白影响HBV-ACLF预后。CLR成为ACLF患者疾病进展的一个重要独立危险因素(优势比[OR] 1.02, 95%可信区间[CI] 1.01-1.04, p . 551)
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Journal of Medical Virology
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