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Automated antigen assays display a high heterogeneity for the detection of SARS-CoV-2 variants of concern, including several Omicron sublineages. 自动化抗原测定显示,检测包括几个奥密克戎亚系在内的SARS-CoV-2变异毒株具有高度异质性。
IF 5.5 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-10-01 Epub Date: 2023-08-10 DOI: 10.1007/s00430-023-00774-9
Andreas Osterman, Franziska Krenn, Maximilian Iglhaut, Irina Badell, Andreas Lehner, Patricia M Späth, Marcel Stern, Hanna Both, Sabine Bender, Maximilian Muenchhoff, Alexander Graf, Stefan Krebs, Helmut Blum, Timo Grimmer, Jürgen Durner, Ludwig Czibere, Christopher Dächert, Natascha Grzimek-Koschewa, Ulrike Protzer, Lars Kaderali, Hanna-Mari Baldauf, Oliver T Keppler
<p><p>Diagnostic tests for direct pathogen detection have been instrumental to contain the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) pandemic. Automated, quantitative, laboratory-based nucleocapsid antigen (Ag) tests for SARS-CoV-2 have been launched alongside nucleic acid-based test systems and point-of-care (POC) lateral-flow Ag tests. Here, we evaluated four commercial Ag tests on automated platforms for the detection of different sublineages of the SARS-CoV-2 Omicron variant of concern (VoC) (B.1.1.529) in comparison with "non-Omicron" VoCs. A total of 203 Omicron PCR-positive respiratory swabs (53 BA.1, 48 BA.2, 23 BQ.1, 39 XBB.1.5 and 40 other subvariants) from the period February to March 2022 and from March 2023 were examined. In addition, tissue culture-expanded clinical isolates of Delta (B.1.617.2), Omicron-BA.1, -BF.7, -BN.1 and -BQ.1 were studied. These results were compared to previously reported data from 107 clinical "non-Omicron" samples from the end of the second pandemic wave (February to March 2021) as well as cell culture-derived samples of wildtype (wt) EU-1 (B.1.177), Alpha VoC (B.1.1.7) and Beta VoC (B.1.351)). All four commercial Ag tests were able to detect at least 90.9% of Omicron-containing samples with high viral loads (Ct < 25). The rates of true-positive test results for BA.1/BA.2-positive samples with intermediate viral loads (Ct 25-30) ranged between 6.7% and 100.0%, while they dropped to 0 to 15.4% for samples with low Ct values (> 30). This heterogeneity was reflected also by the tests' 50%-limit of detection (LoD50) values ranging from 44,444 to 1,866,900 Geq/ml. Respiratory samples containing Omicron-BQ.1/XBB.1.5 or other Omicron subvariants that emerged in 2023 were detected with enormous heterogeneity (0 to 100%) for the intermediate and low viral load ranges with LoD50 values between 23,019 and 1,152,048 Geq/ml. In contrast, detection of "non-Omicron" samples was more sensitive, scoring positive in 35 to 100% for the intermediate and 1.3 to 32.9% of cases for the low viral loads, respectively, corresponding to LoD50 values ranging from 6181 to 749,792 Geq/ml. All four assays detected cell culture-expanded VoCs Alpha, Beta, Delta and Omicron subvariants carrying up to six amino acid mutations in the nucleocapsid protein with sensitivities comparable to the non-VoC EU-1. Overall, automated quantitative SARS-CoV-2 Ag assays are not more sensitive than standard rapid antigen tests used in POC settings and show a high heterogeneity in performance for VoC recognition. The best of these automated Ag tests may have the potential to complement nucleic acid-based assays for SARS-CoV-2 diagnostics in settings not primarily focused on the protection of vulnerable groups. In light of the constant emergence of new Omicron subvariants and recombinants, most recently the XBB lineage, these tests' performance must be regularly re-evaluated, especially when new VoCs carry mutations in the nucleocapsi
直接病原体检测的诊断测试有助于遏制严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)大流行。针对严重急性呼吸系统综合征冠状病毒2型的自动化、定量、实验室核衣壳抗原(Ag)检测已与基于核酸的检测系统和护理点(POC)侧流Ag检测一起启动。在这里,我们在自动化平台上评估了四种商业Ag测试,用于检测严重急性呼吸系统综合征冠状病毒2型奥密克戎变异株(VoC)(B.1.1.529)的不同亚系,与“非奥密克龙”VoC进行比较。从2022年2月至3月和2023年3月,共检测了203个奥密克戎PCR阳性呼吸道拭子(53个BA.1、48个BA.2、23个BQ.1、39个XBB.1.5和40个其他亚变体)。此外,对德尔塔(B.1.617.2)、奥密克戎BA.1、-BF.7、-BN.1和-BQ.1的组织培养扩增临床分离株进行了研究。将这些结果与之前报告的第二波疫情结束时(2021年2月至3月)的107个临床“非奥密克戎”样本以及野生型(wt)EU-1(B.1.177)、Alpha VoC(B.1.1.7)和Beta VoC(B.1351)的细胞培养衍生样本的数据进行了比较。所有四种商业Ag测试都能够检测到至少90.9%的高病毒载量(Ct  30)。这种异质性也反映在测试的50%检测限(LoD50)值上,范围为44444至1866900 Geq/ml。2023年出现的含有奥密克戎BQ.1/XBB.1.5或其他奥密克龙亚变体的呼吸道样本在中病毒载量和低病毒载量范围内被检测到具有巨大的异质性(0至100%),LoD50值在23019至1152048Geq/ml之间。相比之下,“非奥密克戎”样本的检测更为敏感,中间体的阳性率为35%至100%,低病毒载量的阳性率分别为1.3%至32.9%,对应于6181至749792 Geq/ml的LoD50值。所有四种测定都检测到细胞培养扩增的VoCs阿尔法、贝塔、德尔塔和奥密克戎亚变体,在核衣壳蛋白中携带多达六个氨基酸突变,其敏感性与非VoC EU-1相当。总体而言,自动化定量的严重急性呼吸系统综合征冠状病毒2型抗原检测并不比POC环境中使用的标准快速抗原检测更敏感,并且在VoC识别方面表现出高度的异质性。在不主要关注弱势群体保护的环境中,这些自动化Ag检测中最好的一种可能有可能补充基于核酸的检测,用于严重急性呼吸系统综合征冠状病毒2型诊断。鉴于新的奥密克戎亚变体和重组子的不断出现,最近的是XBB谱系,必须定期重新评估这些测试的性能,特别是当新的VOC携带核衣壳蛋白突变或免疫和临床参数发生变化时。
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引用次数: 0
Eicosapentaenoic acid influences the pathogenesis of Candida albicans in Caenorhabditis elegans via inhibition of hyphal formation and stimulation of the host immune response. 二十碳五烯酸通过抑制菌丝形成和刺激宿主免疫反应,影响秀丽隐杆线虫中白色念珠菌的发病机制。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-10-01 Epub Date: 2023-09-06 DOI: 10.1007/s00430-023-00777-6
N Z Mokoena, H Steyn, A Hugo, T Dix-Peek, C Dickens, O M N Gcilitshana, O Sebolai, J Albertyn, C H Pohl

The intake of omega-3 polyunsaturated fatty acids, including eicosapentaenoic acid (EPA), is associated with health benefits due to its anti-inflammatory properties. This fatty acid also exhibits antifungal properties in vitro. In order to determine if this antifungal property is valid in vivo, we examined how EPA affects Candida albicans pathogenesis in the Caenorhabditis elegans infection model, an alternative to mammalian host models. The nematodes were supplemented with EPA prior to infection, and the influence of EPA on C. elegans lipid metabolism, survival and immune response was studied. In addition, the influence of EPA on hyphal formation in C. albicans was investigated. It was discovered that EPA supplementation changed the lipid composition, but not the unsaturation index of C. elegans by regulating genes involved in fatty acid and eicosanoid production. EPA supplementation also delayed killing of C. elegans by C. albicans due to the inhibition of hyphal formation in vivo, via the action of the eicosanoid metabolite of EPA, 17,18-epoxyeicosatetraenoic acid. Moreover, EPA supplementation also caused differential expression of biofilm-related gene expression in C. albicans and stimulated the immune response of C. elegans. This provides a link between EPA and host susceptibility to microbial infection in this model.

摄入ω-3多不饱和脂肪酸,包括二十碳五烯酸(EPA),由于其抗炎特性,对健康有益。这种脂肪酸在体外也表现出抗真菌特性。为了确定这种抗真菌特性在体内是否有效,我们在秀丽隐杆线虫感染模型(哺乳动物宿主模型的替代品)中研究了EPA如何影响白色念珠菌的发病机制。线虫在感染前补充了EPA,并研究了EPA对秀丽隐杆线虫脂质代谢、存活和免疫反应的影响。此外,还研究了EPA对白色念珠菌菌丝形成的影响。研究发现,补充EPA通过调节参与脂肪酸和类花生酸产生的基因,改变了秀丽隐杆线虫的脂质组成,但没有改变其不饱和指数。补充EPA还延迟了白色念珠菌对秀丽隐杆线虫的杀死,这是由于通过EPA的二十碳烷代谢产物17,18-环氧二十碳四烯酸的作用抑制了体内菌丝的形成。此外,补充EPA还导致白色念珠菌生物膜相关基因表达的差异表达,并刺激秀丽隐杆线虫的免疫反应。在该模型中,这提供了EPA和宿主对微生物感染易感性之间的联系。
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引用次数: 0
Antibody Fc-binding profiles and ACE2 affinity to SARS-CoV-2 RBD variants. 抗体fc结合谱和ACE2对SARS-CoV-2 RBD变体的亲和力。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-08-01 DOI: 10.1007/s00430-023-00773-w
Ebene R Haycroft, Samantha K Davis, Pradhipa Ramanathan, Ester Lopez, Ruth A Purcell, Li Lynn Tan, Phillip Pymm, Bruce D Wines, P Mark Hogarth, Adam K Wheatley, Jennifer A Juno, Samuel J Redmond, Nicholas A Gherardin, Dale I Godfrey, Wai-Hong Tham, Kevin John Selva, Stephen J Kent, Amy W Chung

Emerging SARS-CoV-2 variants, notably Omicron, continue to remain a formidable challenge to worldwide public health. The SARS-CoV-2 receptor-binding domain (RBD) is a hotspot for mutations, reflecting its critical role at the ACE2 interface during viral entry. Here, we comprehensively investigated the impact of RBD mutations, including 5 variants of concern (VOC) or interest-including Omicron (BA.2)-and 33 common point mutations, both on IgG recognition and ACE2-binding inhibition, as well as FcγRIIa- and FcγRIIIa-binding antibodies, in plasma from two-dose BNT162b2-vaccine recipients and mild-COVID-19 convalescent subjects obtained during the first wave using a custom-designed bead-based 39-plex array. IgG-recognition and FcγR-binding antibodies were decreased against the RBD of Beta and Omicron, as well as point mutation G446S, found in several Omicron sub-variants as compared to wild type. Notably, while there was a profound decrease in ACE2 inhibition against Omicron, FcγR-binding antibodies were less affected, suggesting that Fc functional antibody responses may be better retained against the RBD of Omicron in comparison to neutralization. Furthermore, while measurement of RBD-ACE2-binding affinity via biolayer interferometry showed that all VOC RBDs have enhanced affinity to human ACE2, we demonstrate that human ACE2 polymorphisms, E35K (rs1348114695) has reduced affinity to VOCs, while K26R (rs4646116) and S19P (rs73635825) have increased binding kinetics to the RBD of VOCs, potentially affecting virus-host interaction and, thereby, host susceptibility. Collectively, our findings provide in-depth coverage of the impact of RBD mutations on key facets of host-virus interactions.

新出现的SARS-CoV-2变体,特别是欧米克隆病毒,继续对全球公共卫生构成巨大挑战。SARS-CoV-2受体结合域(RBD)是突变的热点,反映了其在病毒进入ACE2界面中的关键作用。在这里,我们全面研究了RBD突变的影响,包括5个关注(VOC)或感兴趣的变体,包括Omicron (BA.2)和33个共同点突变,对IgG识别和ace2结合抑制,以及FcγRIIa和FcγRIIa结合抗体,来自两剂bnt162b2疫苗接种者和轻度covid -19恢复期受试者的血浆,在第一波使用定制设计的基于头部的39-plex阵列。与野生型相比,β和Omicron的RBD以及在几个Omicron亚变体中发现的点突变G446S的igg识别和fc γ r结合抗体降低。值得注意的是,虽然ACE2对Omicron的抑制作用显著降低,但Fcγ r结合抗体受到的影响较小,这表明与中和相比,Fc功能抗体对Omicron的RBD反应可能更好地保留。此外,虽然通过生物层干涉测量RBD-ACE2结合亲和力显示所有VOC RBD都增强了对人类ACE2的亲和力,但我们发现人类ACE2多态性E35K (rs1348114695)降低了对VOCs的亲和力,而K26R (rs4646116)和S19P (rs73635825)增加了与VOCs RBD的结合动力学,可能影响病毒与宿主的相互作用,从而影响宿主的易感性。总的来说,我们的研究结果深入报道了RBD突变对宿主-病毒相互作用关键方面的影响。
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引用次数: 2
Gene biomarkers and classifiers for various subtypes of HTLV-1-caused ATLL cancer identified by a combination of differential gene co‑expression and support vector machine algorithms. 通过差异基因共表达和支持向量机算法的组合鉴定htlv -1引起的ATLL癌症的各种亚型的基因生物标志物和分类器。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-08-01 DOI: 10.1007/s00430-023-00767-8
Mohadeseh Zarei Ghobadi, Elaheh Afsaneh, Rahman Emamzadeh

Adult T-cell leukemia/lymphoma (ATLL) is pathogen-caused cancer that is progressed after the infection by human T-cell leukemia virus type 1. Four significant subtypes comprising acute, lymphoma, chronic, and smoldering have been identified for this cancer. However, there are no trustworthy prognostic biomarkers for these subtypes. We utilized a combination of two powerful network-based and machine-learning algorithms including differential co-expressed genes (DiffCoEx) and support vector machine-recursive feature elimination with cross-validation (SVM-RFECV) methods to categorize disparate ATLL subtypes from asymptomatic carriers (ACs). The results disclosed the significant involvement of CBX6, CNKSR1, and MAX in chronic, MYH10 and P2RY1 in acute, C22orf46 and HNRNPA0 in smoldering subtypes. These genes also can classify each ATLL subtype from AC carriers. The integration of the results of two powerful algorithms led to the identification of reliable gene classifiers and biomarkers for diverse ATLL subtypes.

成人t细胞白血病/淋巴瘤(Adult T-cell leukemia/lymphoma, ATLL)是一种由病原体引起的癌症,在感染1型人t细胞白血病病毒后发生进展。四种重要的亚型包括急性,淋巴瘤,慢性和阴燃已确定为这种癌症。然而,对于这些亚型,还没有可靠的预后生物标志物。我们结合了两种强大的基于网络和机器学习的算法,包括差分共表达基因(DiffCoEx)和支持向量机递归特征消除交叉验证(SVM-RFECV)方法,对无症状携带者(ACs)的不同ATLL亚型进行分类。结果显示CBX6、CNKSR1和MAX在慢性中显著参与,MYH10和P2RY1在急性中显著参与,C22orf46和HNRNPA0在阴燃亚型中显著参与。这些基因也可以从AC携带者中区分ATLL亚型。两种强大算法的结果整合导致了对不同ATLL亚型的可靠基因分类器和生物标记物的鉴定。
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引用次数: 0
Pentraxin 3, a serum biomarker in human T-cell lymphotropic virus type-1-associated myelopathy patients and asymptomatic carriers. 戊曲霉素3,人类t细胞嗜淋巴病毒1型相关脊髓病患者和无症状携带者的血清生物标志物。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-08-01 DOI: 10.1007/s00430-023-00770-z
Motahareh Manzarinejad, Zohreh Vahidi, Reza Boostani, Majid Khadem-Rezaiyan, Houshang Rafatpanah, Fariba Zemorshidi

Human T-cell lymphotropic virus type 1 (HTLV-1) can induce a neuroinflammatory condition that leads to myelopathy. Pentraxin 3 (PTX3) is an acute-phase protein that its plasma concentration increases during inflammation. We aimed to determine whether PTX3 serum level is elevated in HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) patients and HTLV-1 asymptomatic carriers (ACs) and evaluate its association with proviral load and clinical features. The serum level of PTX3 was measured using an enzyme-linked immunosorbent assay in 30 HAM patients, 30 HTLV-1 ACs, and 30 healthy controls. Also, the HTLV-1 proviral load was determined via real-time PCR technique. The findings showed that PTX3 serum level was significantly higher in HAM patients than in both asymptomatic carriers and healthy controls (p values < 0.0001). No correlation between PTX3 and the proviral load was observed in HAM patients and asymptomatic carriers (r = - 0.238, p = 0.205 and r = - 0.078, p = 0.681, respectively). The findings showed that there was no significant correlation between PTX3 and motor disability grading (MDG) (r = - 0.155, p = 0.41) nor urinary disturbance score (UDS) (r = - 0.238, p = 0.20). Higher levels of PTX3 are associated with HTLV-1-associated myelopathy compared to asymptomatic carriers. This finding may support the idea that PTX3 has the potential as a diagnostic biomarker.

人类t细胞嗜淋巴病毒1型(HTLV-1)可诱导神经炎症,导致脊髓病。penttraxin 3 (PTX3)是一种急性期蛋白,其血浆浓度在炎症期间升高。我们的目的是确定HTLV-1相关脊髓病/热带痉挛性麻痹(HAM/TSP)患者和HTLV-1无症状携带者(ACs)中PTX3血清水平是否升高,并评估其与原病毒载量和临床特征的关系。采用酶联免疫吸附法测定30例HAM患者、30例HTLV-1 ACs患者和30例健康对照者的血清PTX3水平。同时,通过实时PCR技术测定HTLV-1前病毒载量。结果显示,与无症状携带者和健康对照组相比,HAM患者血清PTX3水平显著升高(p值)
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引用次数: 0
Innate immune response in patients with acute Chikungunya disease. 急性基孔肯雅病患者的先天免疫反应。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-08-01 DOI: 10.1007/s00430-023-00771-y
Wallace Pitanga Bezerra, Raíza Nara Cunha Moizéis, Amanda Costa Ayres Salmeron, Hannaly Wana Bezerra Pereira, Josélio Maria Galvão de Araújo, Paulo Marcos Matta Guedes, José Veríssimo Fernandes, Manuela Sales Lima Nascimento

Chikungunya disease (CHIKD) is an arbovirose that presents with high morbidity, mainly due to arthralgia. Inflammatory mediators including IL-6, IL-1β, GM-CSF and others have been implicated in the pathogenesis of CHIKD, whilst type I interferons can be associated with better outcomes. The role of pattern recognition receptors has been studied incompletely. Here, we evaluated the expression of RNA-specific PRRs, their adaptor molecules and downstream cytokines in acute CHIKD patients. Twenty-eight patients were recruited during the 3rd-5th day after the symptoms onset for clinical examination, peripheral blood collection and qRT-PCR analysis of PBMC to compare to the healthy control group (n = 20). We observed common symptoms of acute CHIKD, with fever, arthralgia, headache and myalgia being the most frequent. Compared with uninfected controls, acute CHIKV infection upregulates the expression of the receptors TLR3, RIG-I and MDA5, and also the adaptor molecule TRIF. Regarding cytokine expression, we found an upregulation of IL-6, IL-12, IFN-α, IFN-β and IFN-γ, which are related directly to the inflammatory or antiviral response. The TLR3-TRIF axis correlated with high expression of IL-6 and IFN-α. Interestingly, greater expression of MDA5, IL-12 and IFN-α was related to lower viral loads in CHIKD acute patients. Together, these findings help to complete the picture of innate immune activation during acute CHIKD, while confirming the induction of strong antiviral responses. Drawing the next steps in the understanding of the immunopathology and virus clearance mechanisms of CHIKD should be of utter importance in the aid of the development of effective treatment to reduce the severity of this debilitating disease.

基孔肯雅病(CHIKD)是一种高发病率的虫媒病毒病,主要由关节痛引起。炎症介质包括IL-6、IL-1β、GM-CSF等与CHIKD的发病机制有关,而I型干扰素可能与更好的结果相关。模式识别受体的作用尚未得到充分的研究。在这里,我们评估了rna特异性PRRs及其接头分子和下游细胞因子在急性CHIKD患者中的表达。在症状出现后第3 ~ 5天招募28例患者进行临床检查、外周血采集和PBMC qRT-PCR分析,与健康对照组进行比较(n = 20)。我们观察到急性CHIKD的常见症状,发烧、关节痛、头痛和肌痛是最常见的。与未感染的对照组相比,急性CHIKV感染上调了受体TLR3、RIG-I和MDA5的表达,也上调了接头分子TRIF的表达。在细胞因子表达方面,我们发现IL-6、IL-12、IFN-α、IFN-β和IFN-γ上调,这些因子与炎症或抗病毒反应直接相关。TLR3-TRIF轴与IL-6、IFN-α高表达相关。有趣的是,在CHIKD急性患者中,MDA5、IL-12和IFN-α的高表达与较低的病毒载量有关。总之,这些发现有助于完成急性CHIKD期间先天免疫激活的图景,同时证实了强烈抗病毒反应的诱导。在了解CHIKD的免疫病理和病毒清除机制方面,下一步的工作对于开发有效的治疗方法以减轻这种使人衰弱的疾病的严重程度至关重要。
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引用次数: 0
Picking up speed: cell cycle regulation during effector CD8+ T cell differentiation. 拾取速度:效应CD8+ T细胞分化过程中的细胞周期调节。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-06-01 DOI: 10.1007/s00430-023-00768-7
Lorenz Kretschmer, Noémie Fuchs, Dirk H Busch, Veit R Buchholz

Clonal expansion and development of immunological memory are two hallmarks of adaptive immune responses. Resolving the intricate pathways that regulate cell cycle activity and lead to the generation of diverse effector and memory T cell subsets is essential for improving our understanding of protective T cell immunity. A deeper knowledge of cell cycle regulation in T cells also has translational implications for adoptive cell therapies and vaccinations against infectious diseases. Here, we summarize recent evidence for an early diversification of effector and memory CD8+ T cell fates and discuss how this process is coupled to discrete changes in division speed. We further review technical advances in lineage tracing and cell cycle analysis and outline how these techniques have shed new light on the population dynamics of CD8+ T cell responses, thereby refining our current understanding of the developmental organization of the memory T cell pool.

克隆扩增和免疫记忆的发展是适应性免疫反应的两个标志。解决调节细胞周期活动和导致不同效应T细胞亚群和记忆T细胞亚群产生的复杂途径对于提高我们对保护性T细胞免疫的理解至关重要。对T细胞细胞周期调控的深入了解也对过继细胞疗法和针对传染病的疫苗接种具有翻译意义。在这里,我们总结了最近关于效应和记忆CD8+ T细胞命运早期多样化的证据,并讨论了这一过程如何与分裂速度的离散变化相耦合。我们进一步回顾了谱系追踪和细胞周期分析方面的技术进展,并概述了这些技术如何揭示CD8+ T细胞反应的种群动态,从而完善了我们目前对记忆T细胞池发育组织的理解。
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引用次数: 0
Detection of DENV-2 and ZIKV coinfection in southeastern Brazil by serum and urine testing. 巴西东南部DENV-2和ZIKV合并感染的血清和尿液检测。
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-06-01 DOI: 10.1007/s00430-023-00762-z
Pâmela Jóyce Previdelli da Conceição, Lucas Rodrigues de Carvalho, Bianca Lara Venâncio de Godoy, Mauricio Lacerda Nogueira, Ana Carolina Bernardes Terzian, Moacir Fernandes de Godoy, Marília Freitas Calmon, Cintia Bittar, Paula Rahal

Purpose: Aedes aegypti mosquito-borne diseases have a significant impact on public health in Brazil. In this study, we investigated the presence of the Zika virus (ZIKV) and dengue virus (DENV) in serum and urine samples from symptomatic participants who attended an Emergency Care Unit located in a city in the northwestern region of São Paulo between February 2018 and April 2019.

Methods: Serum and urine samples were collected from participants suspected of having arbovirus infection. After the extraction of viral RNA, viral detection was performed by real-time quantitative reverse transcription polymerase chain reaction (RT-qPCR) (One-Step RT-qPCR).

Results: A total of 305 participants participated in this study. A total of 283 blood and 270 urine samples were collected. Of 305 patients, 36.4% (111/305) were positive for ZIKV, 43.3% (132/305) for DENV2, and 0.3% (1/305) for DENV1. Coinfection with ZIKV/DENV2 was observed in 13.1% of participants. If only serum samples were used, ZIKV detection would have decreased to 23.3% (71/305). Of all the participants included in the study, only one was suspected of having ZIKV infection based on clinical diagnosis, and the remaining participants were suspected of having DENV.

Conclusion: By testing serum and urine samples, we increased the detection of both viruses and detected considerable levels of ZIKV and DENV-2 coinfection when compared to other studies. Additionally, we detected an unnoticed ZIKV outbreak in the city. These findings highlight the importance of the molecular diagnosis of arboviruses to aid public health surveillance and management strategies.

目的:埃及伊蚊媒疾病对巴西公共卫生产生重大影响。在这项研究中,我们调查了2018年2月至2019年4月期间在位于圣保罗西北部地区一个城市的急诊病房就诊的有症状参与者的血清和尿液样本中是否存在寨卡病毒(ZIKV)和登革热病毒(DENV)。方法:采集疑似虫媒病毒感染者的血清和尿液样本。提取病毒RNA后,采用实时定量反转录聚合酶链反应(RT-qPCR) (One-Step RT-qPCR)进行病毒检测。结果:共305人参与本研究。共采集283份血样和270份尿样。305例患者中,ZIKV阳性36.4% (111/305),DENV2阳性43.3% (132/305),DENV1阳性0.3%(1/305)。13.1%的参与者同时感染了ZIKV/DENV2病毒。如果仅使用血清样本,寨卡病毒的检出率将下降到23.3%(71/305)。在纳入该研究的所有参与者中,根据临床诊断,只有一人怀疑感染了寨卡病毒,其余参与者怀疑感染了DENV。结论:与其他研究相比,通过检测血清和尿液样本,我们增加了这两种病毒的检测,并且检测到相当水平的ZIKV和DENV-2合并感染。此外,我们在该市发现了一次未被注意到的寨卡病毒疫情。这些发现突出了虫媒病毒分子诊断对帮助公共卫生监测和管理战略的重要性。
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引用次数: 0
The quantity and quality of anti-SARS-CoV-2 antibodies show contrariwise association with COVID-19 severity: lessons learned from IgG avidity. 抗sars - cov -2抗体的数量和质量与COVID-19严重程度呈相反相关:从IgG贪婪中吸取的教训
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-06-01 DOI: 10.1007/s00430-023-00763-y
Mehrdad Hajilooi, Fariba Keramat, Akram Moazenian, Mohsen Rastegari-Pouyani, Ghasem Solgi

Gaining more appreciation on the protective/damaging aspects of anti-SARS-CoV-2 immunity associated with disease severity is of great importance. This study aimed to evaluate the avidity of serum IgG antibodies against SARS-CoV-2 spike (S) and nucleocapsid (N) in hospitalized symptomatic COVID-19 patients and asymptomatic RT-PCR-confirmed SARS-CoV-2 carriers as well as to compare antibody avidities with respect to vaccination status, vaccination dose and reinfection status. Serum levels of anti-S and anti-N IgG were determined using specific ELISA kits. Antibody avidity was determined by urea dissociation assay and expressed as avidity index (AI) value. Despite higher IgG levels in the symptomatic group, AI values of both anti-S and anti-N IgG were significantly lower in this group compared to asymptomatic individuals. In both groups, anti-S AI values were elevated in one-dose and two-dose vaccinees versus unvaccinated subjects, although significant differences were only detected in the symptomatic group. However, anti-N avidity showed no significant difference between the vaccinated and unvaccinated subgroups. Almost all vaccinated patients of different subgroups (based on vaccine type) had higher anti-S IgG avidity, while the statistical significance was detected only between those receiving Sinopharm compared to the unvaccinated subgroup. Also, statistically significant differences in antibody AIs were only found between primarily infected individuals of the two groups. Our findings indicate a key role for anti-SARS-CoV-2 IgG avidity in protection from symptomatic COVID-19 and calls for the incorporation of antibody avidity measurement into the current diagnostic tests to predict effective immunity toward SARS-CoV-2 infection or even for prognostic purposes.

进一步了解与疾病严重程度相关的抗sars - cov -2免疫的保护性/破坏性方面非常重要。本研究旨在评估住院有症状的COVID-19患者和无症状的rt - pcr确诊的SARS-CoV-2携带者血清中针对SARS-CoV-2刺突(S)和核衣壳(N)的IgG抗体的亲和力,并比较疫苗接种状况、疫苗接种剂量和再感染状况的抗体亲和力。采用特异性ELISA试剂盒检测血清抗s和抗n IgG水平。抗体亲和度采用尿素解离法测定,并用亲和度指数(AI)表示。尽管有症状组IgG水平较高,但与无症状组相比,该组抗s和抗n IgG的AI值均显著降低。在两组中,一剂和两剂疫苗接种者与未接种者相比,抗s - AI值升高,尽管仅在有症状的组中检测到显著差异。然而,在接种疫苗和未接种疫苗的亚组之间,抗n贪婪度没有显着差异。不同亚组(基于疫苗类型)接种疫苗的患者抗s IgG贪婪度几乎都较高,但仅国药接种组与未接种亚组之间有统计学意义。此外,抗体AIs仅在两组主要感染个体之间存在统计学上的显著差异。我们的研究结果表明,抗SARS-CoV-2 IgG贪婪度在预防症状性COVID-19中起关键作用,并呼吁将抗体贪婪度测量纳入当前的诊断测试中,以预测对SARS-CoV-2感染的有效免疫,甚至用于预后目的。
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引用次数: 1
Association of IFIH1 and DDX58 genes polymorphism with susceptibility to COVID-19. IFIH1和DDX58基因多态性与COVID-19易感性的关系
IF 5.4 3区 医学 Q1 IMMUNOLOGY Pub Date : 2023-06-01 Epub Date: 2023-06-13 DOI: 10.1007/s00430-023-00764-x
Parisa Feizollahi, Mohammad Hossein Zamanian, Sara Falahi, Farhad Salari, Zahra Mahmoudi, Elham Faryadi, Ali Gorgin Karaji, Alireza Rezaiemanesh

Pattern recognition receptors of the innate immune system, such as RIG-I and MDA5, are responsible for recognizing viruses and inducing interferon production. Genetic polymorphisms in the coding regions of RLR may be associated with the severity of COVID-19. Considering the contribution of the RLR signaling in immune-mediated reactions, this study investigated the association between three SNP in the coding region of IFIH1 and DDX58 genes with the susceptibility to COVID-19 in the Kermanshah population, Iran. 177 patients with severe and 182 with mild COVID-19 were admitted for this study. Genomic DNA was extracted from peripheral blood leukocytes of patients to determine the genotypes of two SNPs, rs1990760(C>T) and rs3747517(T>C) IFIH1 gene and rs10813831(G>A) DDX58 gene using PCR-RFLP method. Our results showed that the frequency of the AA genotype of rs10813831(G>A) was associated with susceptibility to COVID-19 compared to the GG genotype (p = 0.017, OR = 2.593, 95% CI 1.173-5.736). We also observed a statistically significant difference in the recessive model for SNPs rs10813831 variant (AA versus GG + GA, p = 0.003, OR = 2.901, 95% CI 1.405-6.103). Furthermore, No significant association was found between rs1990760 (C>T) and rs3747517(T>C) of IFIH1 gene polymorphisms with COVID-19. Our findings suggest that DDX58 rs10813831(A>G) polymorphism may be associated with COVID-19 severity in the Kermanshah population, Iran.

先天性免疫系统的模式识别受体(如 RIG-I 和 MDA5)负责识别病毒并诱导干扰素的产生。RLR 编码区的基因多态性可能与 COVID-19 的严重程度有关。考虑到 RLR 信号在免疫介导反应中的作用,本研究调查了伊朗克尔曼沙赫人群中 IFIH1 和 DDX58 基因编码区的三个 SNP 与 COVID-19 易感性之间的关联。本研究共接收了 177 名重度 COVID-19 患者和 182 名轻度 COVID-19 患者。从患者外周血白细胞中提取基因组 DNA,采用 PCR-RFLP 方法测定两个 SNPs(rs1990760(C>T) 和 rs3747517(T>C) IFIH1 基因和 rs10813831(G>A) DDX58 基因)的基因型。结果显示,与 GG 基因型相比,rs10813831(G>A) 的 AA 基因型频率与 COVID-19 易感性相关(p = 0.017,OR = 2.593,95% CI 1.173-5.736)。我们还观察到,在隐性模型中,SNPs rs10813831 变体(AA 与 GG + GA 相比,p = 0.003,OR = 2.901,95% CI 1.405-6.103)的差异具有统计学意义。此外,IFIH1基因多态性rs1990760(C>T)和rs3747517(T>C)与COVID-19无明显关联。我们的研究结果表明,在伊朗克尔曼沙赫人群中,DDX58 rs10813831(A>G)多态性可能与 COVID-19 的严重程度有关。
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引用次数: 2
期刊
Medical Microbiology and Immunology
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