Aline Barral Takahashi, Daniella Paternostro de Araújo Grisólia, Moises Batista da Silva, Naila Ferreira da Cruz, Sâmela Miranda da Silva, Patrícia Fagundes da Costa, Claudio Guedes Salgado
Chromoblastomycosis (CBM) is a chronic skin and subcutaneous infection mainly caused by Fonsecaea pedrosoi, a dematiaceous fungus with various morphotypes. Characteristic sclerotic cells-globe-shaped, multiseptated and pigmented-are found in lesions of infected individuals, though their differentiation in the host remains poorly understood. To evaluate in vitro activity of five antifungal drugs-itraconazole (ITZ), posaconazole (PCZ), voriconazole (VCZ), fluconazole (FCZ), and caspofungin (CAS)-against Fonsecaea spp. conidia or sclerotic cells, assessing their minimum inhibitory concentration (MIC) and minimal fungicidal concentration (MFC) and correlated the ITZ MIC with patients' clinical evolution. Forty-three clinical isolates of Fonsecaea spp. and the F. pedrosoi strain ATCC 46428 were assessed for susceptibility to ITZ, PCZ, VCZ, FCZ, and CAS following Clinical Laboratory Standard Institute guidelines (CLSI) (document M38-A2). MIC values were determined after 5 days of incubation at 30°C, followed by MFC determination, with geometric mean MIC (GMMIC) and MFC (GMMFC) used for comparison. PCZ was the most effective antifungal drug, with geometric mean MICs of 0.3 µg/mL (conidia) and 1 µg/mL (sclerotic), and MFCs of 2.98 and 6.72 µg/mL, respectively. Clinical follow-up revealed that higher ITZ MIC values (0.9 µg/mL) correlated with poor patient outcomes compared to lower values in improved or cured patients. These findings highlight PCZ and VCZ as promising options for CBM treatment, especially for patients not responding to ITZ.
{"title":"In Vitro Activities of Five Antifungal Drugs Against Conidia and Sclerotic Cells of Chromoblastomycosis Agent Fonsecaea spp.","authors":"Aline Barral Takahashi, Daniella Paternostro de Araújo Grisólia, Moises Batista da Silva, Naila Ferreira da Cruz, Sâmela Miranda da Silva, Patrícia Fagundes da Costa, Claudio Guedes Salgado","doi":"10.1111/1348-0421.70038","DOIUrl":"https://doi.org/10.1111/1348-0421.70038","url":null,"abstract":"<p><p>Chromoblastomycosis (CBM) is a chronic skin and subcutaneous infection mainly caused by Fonsecaea pedrosoi, a dematiaceous fungus with various morphotypes. Characteristic sclerotic cells-globe-shaped, multiseptated and pigmented-are found in lesions of infected individuals, though their differentiation in the host remains poorly understood. To evaluate in vitro activity of five antifungal drugs-itraconazole (ITZ), posaconazole (PCZ), voriconazole (VCZ), fluconazole (FCZ), and caspofungin (CAS)-against Fonsecaea spp. conidia or sclerotic cells, assessing their minimum inhibitory concentration (MIC) and minimal fungicidal concentration (MFC) and correlated the ITZ MIC with patients' clinical evolution. Forty-three clinical isolates of Fonsecaea spp. and the F. pedrosoi strain ATCC 46428 were assessed for susceptibility to ITZ, PCZ, VCZ, FCZ, and CAS following Clinical Laboratory Standard Institute guidelines (CLSI) (document M38-A2). MIC values were determined after 5 days of incubation at 30°C, followed by MFC determination, with geometric mean MIC (GMMIC) and MFC (GMMFC) used for comparison. PCZ was the most effective antifungal drug, with geometric mean MICs of 0.3 µg/mL (conidia) and 1 µg/mL (sclerotic), and MFCs of 2.98 and 6.72 µg/mL, respectively. Clinical follow-up revealed that higher ITZ MIC values (0.9 µg/mL) correlated with poor patient outcomes compared to lower values in improved or cured patients. These findings highlight PCZ and VCZ as promising options for CBM treatment, especially for patients not responding to ITZ.</p>","PeriodicalId":18679,"journal":{"name":"Microbiology and Immunology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Chandy, Rohitha S Chandra, Diksha Sharma, Garima Goyal, Tathagata Das, Ekaterina Martynova, Emmanuel Kabwe, Albert Rizvanov, Svetlana Khaiboullina, Manoj Baranwal
Orthohantaviruses are a genus of zoonotic viruses from the family Hantaviridae, which is primarily known for their ability to cause severe human diseases. The virus is primarily known for causing two major human diseases, hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome. However, the frequency of this infection remains largely unknown. Hence, the aim of this study was to diagnose patients infected with Orthohantavirus in India. We tested serum samples from 216 febrile patients, presented at Lisie Hospital, Kochi, for positive anti-orthohantavirus IgM and IgG antibodies. All the participating patients were negative for dengue and scrub typhus IgM antibodies. In total, 16.20% (n = 35) of the febrile patients were positive for anti-orthohantavirus IgM and 11.57% (n = 25) for anti-orthohantavirus IgG antibodies. Anti-orthohantavirus IgM and IgG both were detected in 4.63% (n = 10) of the enrolled subjects. In total, 51.43% of the IgM-positive patients had a final diagnosis of either viral fever or acute febrile disease, with only two patients reported to have contact with rodents, and none of these patients had traveled outside of their place of residence. Orthohantavirus infections may be endemic in India, as their hosts are omnipresent. However, the lack of proper diagnostic tools and limited awareness of these emerging infections amongst doctors in India reduces the diagnosis of the disease. Therefore, there is a pressing need for educating healthcare providers about the circulation of orthohantaviruses in India. There is an urgent need for the development of serotype-specific, affordable, and accurate diagnostic tools for early diagnosis of orthohantavirus infections.
{"title":"Detection of Anti-Orthohantavirus Antibodies in Febrile Patients in India.","authors":"Sara Chandy, Rohitha S Chandra, Diksha Sharma, Garima Goyal, Tathagata Das, Ekaterina Martynova, Emmanuel Kabwe, Albert Rizvanov, Svetlana Khaiboullina, Manoj Baranwal","doi":"10.1111/1348-0421.70036","DOIUrl":"https://doi.org/10.1111/1348-0421.70036","url":null,"abstract":"<p><p>Orthohantaviruses are a genus of zoonotic viruses from the family Hantaviridae, which is primarily known for their ability to cause severe human diseases. The virus is primarily known for causing two major human diseases, hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome. However, the frequency of this infection remains largely unknown. Hence, the aim of this study was to diagnose patients infected with Orthohantavirus in India. We tested serum samples from 216 febrile patients, presented at Lisie Hospital, Kochi, for positive anti-orthohantavirus IgM and IgG antibodies. All the participating patients were negative for dengue and scrub typhus IgM antibodies. In total, 16.20% (n = 35) of the febrile patients were positive for anti-orthohantavirus IgM and 11.57% (n = 25) for anti-orthohantavirus IgG antibodies. Anti-orthohantavirus IgM and IgG both were detected in 4.63% (n = 10) of the enrolled subjects. In total, 51.43% of the IgM-positive patients had a final diagnosis of either viral fever or acute febrile disease, with only two patients reported to have contact with rodents, and none of these patients had traveled outside of their place of residence. Orthohantavirus infections may be endemic in India, as their hosts are omnipresent. However, the lack of proper diagnostic tools and limited awareness of these emerging infections amongst doctors in India reduces the diagnosis of the disease. Therefore, there is a pressing need for educating healthcare providers about the circulation of orthohantaviruses in India. There is an urgent need for the development of serotype-specific, affordable, and accurate diagnostic tools for early diagnosis of orthohantavirus infections.</p>","PeriodicalId":18679,"journal":{"name":"Microbiology and Immunology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145820212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marion Retailleau, Fanny Martini, Florence Abravanel, Nassim Kamar, Jacques Izopet, Eric Champagne
HEV causes chronic infections that are detrimental to immunocompromised patients. Previous studies showed alterations of γδ T cell subsets at the acute phase of HEV infection. To assess a possible role of CMV, we have examined the frequencies and responses to CMV and HEV of blood γδ T cell subsets from control donors and acute-phase HEV patients with or without CMV. CMV DNA was mostly undetectable in the blood of CMV-seropositive HEV patients, and anti-CMV antibodies were only slightly elevated. However, Vγ9negVδ1pos cells were enriched in vivo, suggesting an increased CMV burden. In contrast, γ9δ1 cells were depleted in most HEV patients, regardless of CMV status. Culturing with IL-2 and IL-15 led to strong γ9δ1 T cell enrichment in samples from HEV patients. After IL-2/IL-15 sensitization, analysis of IFN-γ responses to CMV-infected fibroblasts or hepatocarcinoma cells (with IL-18) showed innate responsiveness to CMV in γ9δ1, γ9δ2, and γ9negδ1pos cells in some control subjects and CMV-seronegative patients. However, these responses were selectively exacerbated in CMV-seropositive HEV patients, who also showed significant αβ T cell responses to CMV. This indicates reactivation of anti-CMV immunity. Responses to HEV-infected HepG2 cells remained undetected. IFN-γ responses were not associated with TCR downmodulation in γ9δ2 or γ9negδ1pos cells. However, IFN-γ-producing γ9δ1 from HEV patients were characterized by high TCR expression, which was downmodulated after stimulation with CMV-infected fibroblasts or CMV/HEV-coinfected HepG2 cells. We conclude that γ9δ1 T cells are selectively mobilized in HEV patients and can be activated by CMV.
{"title":"Exacerbation of Anti-Cytomegalovirus Immunity and Mobilization of γ9δ1 T Cells During the Acute Phase of Hepatitis E Virus Infection","authors":"Marion Retailleau, Fanny Martini, Florence Abravanel, Nassim Kamar, Jacques Izopet, Eric Champagne","doi":"10.1111/1348-0421.70034","DOIUrl":"10.1111/1348-0421.70034","url":null,"abstract":"<p>HEV causes chronic infections that are detrimental to immunocompromised patients. Previous studies showed alterations of γδ T cell subsets at the acute phase of HEV infection. To assess a possible role of CMV, we have examined the frequencies and responses to CMV and HEV of blood γδ T cell subsets from control donors and acute-phase HEV patients with or without CMV. CMV DNA was mostly undetectable in the blood of CMV-seropositive HEV patients, and anti-CMV antibodies were only slightly elevated. However, Vγ9<sup>neg</sup>Vδ1<sup>pos</sup> cells were enriched in vivo, suggesting an increased CMV burden. In contrast, γ9δ1 cells were depleted in most HEV patients, regardless of CMV status. Culturing with IL-2 and IL-15 led to strong γ9δ1 T cell enrichment in samples from HEV patients. After IL-2/IL-15 sensitization, analysis of IFN-γ responses to CMV-infected fibroblasts or hepatocarcinoma cells (with IL-18) showed innate responsiveness to CMV in γ9δ1, γ9δ2, and γ9<sup>neg</sup>δ1<sup>pos</sup> cells in some control subjects and CMV-seronegative patients. However, these responses were selectively exacerbated in CMV-seropositive HEV patients, who also showed significant αβ T cell responses to CMV. This indicates reactivation of anti-CMV immunity. Responses to HEV-infected HepG2 cells remained undetected. IFN-γ responses were not associated with TCR downmodulation in γ9δ2 or γ9<sup>neg</sup>δ1<sup>pos</sup> cells. However, IFN-γ-producing γ9δ1 from HEV patients were characterized by high TCR expression, which was downmodulated after stimulation with CMV-infected fibroblasts or CMV/HEV-coinfected HepG2 cells. We conclude that γ9δ1 T cells are selectively mobilized in HEV patients and can be activated by CMV.</p>","PeriodicalId":18679,"journal":{"name":"Microbiology and Immunology","volume":"70 2","pages":"113-124"},"PeriodicalIF":1.8,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12868941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145756913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}